Advancing Access to

2955C 7698C 7697C 2985C

Micro-Incisional Combined Surgery

bvimedical.com
Agile Fluidics™
Active Irrigation System and Dynamic IOP Control

The advanced microprocessor-controlled Active Irrigation System linearly increases/decreases pressure in the irrigating solution
container (up to a maximum of 20mmHg) to compensate for intraocular fluctuations caused by vacuum (up to a limit of 400mmHg).
Active Irrigation System and Dynamic IOP Control act synergistically to ensure eye stability.

PROGRAMMED IOP DYNAMIC IOP COMPENSATION

Pressure in the Bottle mmHg

Vacuum generated by aspiration mmHg

IOP MANAGEMENT

IOP 20 mmHg – VACUUM 600 mmHg IOP 20 mmHg – VACUUM 600 mmHg
CONTROL OFF CONTROL ON

60 60

50 50
Aspiration ON
40 40
Aspiration ON
30 30

20 20
Aspiration OFF
10 10
Aspiration OFF
0 0
0 2 4 6 8 10 12 0 2 4 6 8 10 12

time/sec. time/sec.

The chart shows IOP fluctuations under active aspiration The chart shows a constant IOP value, even under active
without an IOP control system* aspiration, with the Dynamic IOP Control System*

The R-Evolution® also features an integrated programmable IV pole supporting Gravity Fluidics.

INTERCHANGEABLE FLOW AND VACUUM PUMPS

SELECTABLE
FLOW RANGE VACUUM RANGE VACUUM RANGE
1 -90 cc/min VACUUM RISE TIME
5 - 700 mmHg 5 - 700 mmHg
slow or fast

Selectable aspiration system

between flow (Peristaltic)
or vacuum based (Venturi)
pump

Reference:
* Data on file, BVI
Integrated Solutions for Vitreoretinal Surgery
Twedge™ 20,000 Cuts/min Dual Blade Vitrectomy Probe

TWEDGE™ VITRECTOMY PROBE SINGLE-BLADE VITRECTOMY PROBE

The First Dual Blade Vitrectomy Probe Ever Marketed

EVEN CLOSER TO THE RETINA

SHORT TIP TO PORT DISTANCE,

FOR ENHANCED RETINAL SHAVING ACTION

23G
33 mm
approx.
0.2 mm

25G
28 mm

27G

28 mm
Integrated Solutions for Vitreoretinal Surgery
Optimised Vitrectomy Fluidics with the Twedge™ Vitrectomy Probe

CONSTANT FLOW AT ANY CUTTING RATE

ASPIRATION FLOW vs. CUTTING RATE
40

The chart shows the different aspiration flow* achieved using 23G TWEDGE
23G Single Blade Cutter

the Twedge™ vitrectomy probe (solid line) compared to a

single blade vitrectomy probe (dashed line), as the cutting rate 30

changes.

ASPIRATION FLOW (mL/min)

In particular, the solid line shows how the flow remains 20

constant up to 20,000 cuts/min with the Twedge™ vitrectomy

probe; in comparison, the flow decreases as cutting rate
increases using the single blade vitrectomy probe. 10

0
0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000
CUTTING RATE (cuts/min)

* balanced salt solution, Vacuum 650 mmHg, Venturi pump, R-Evolution® CR

ENHANCED STABILITY EVEN CLOSE TO THE RETINA

The chart shows the accelerations* induced by the Twedge™ TRACTION

vitrectomy probe (solid line) and a single blade vitrectomy 23G TWEDGE

+ 23G Single Blade Cutter

probe (dashed line), as a function of time. At every blade

work cycle the reduction of stress value using the Twedge™
generates a pulse-free action and the utmost safety close to
the retina.
ACCELERATION

0,05

0 0,1 t (s)

The Twedge™ vitrectomy probe leads to significant reduction

of the stress value, generating a virtually pulse-free action
close to the retina.
- REPULSION

* porcine vitreous, 3,000 cuts/min, 300 mmHg vacuum, Venturi pump, R-Evolution® CR

Reference:
“Fluid dynamics of vitrectomy probes” Rossi T., Querzoli G., Angelini G., Malvasi C, Iossa M., Placentino L., Ripandelli G.; Retina. 2014 Mar; 34(3): 558-67. doi: 10.1097/IAE.0b013e3182a0e628
“Introducing new Vitrectomy Probe blade shapes: a fluid dynamics study” Rossi T., Querzoli G., Angelini G., Malvasi C., Iossa M., Placentino L., Ripandelli G.; Retina. 2014 Sep; 1896-904.
“A new Vitrectomy Probe blade engineered for constant flow vitrectomy” Rossi T., Querzoli G., Malvasi C., Iossa M., Angelini G., Ripandelli G.; Retina. 2014 Jul; 34(7): 1487-91.
 LED Lighting System

The R-Evolution® CR is equipped with three independent, highly

efficient LED light sources, free of harmful UV and IR emissions.
In order to improve contrast and ocular tissue visualisation
during VR surgery, two LED sources have 4 different selectable
filters: three yellow (435nm, 475nm, 515nm), and one green.

The LED lighting system allows surgeons to optimise tissue

visualisation thanks to constant brightness and longer life time
versus Xenon, furthermore guaranteeing the ideal protection
against phototoxicity.

CHROMATICITY DIAGRAM

The diagram shows the ideal positioning of the

R-Evolution® CR LED sources in the safest white light
frequency (sunlight).
Y - CHROMATIC COORDINATE

Reference: Data on file, BVI

Integrated Green Laser Module: Diode Pumped and Doubled Frequency
Laser Nd: YVO (532nm)

GREEN LASER MODULE WITH MAIN SCREEN INTEGRATED INTERFACE

• LASER class: IV green

• Cooling System: Thermo-Electric
• Laser Type: YaG solid state frequency duplicate
• Laser Power: Adjustable from 50mw to 2000mW
• Pulse duration: adjustable from 10ms to 2 sec.
• Interval: adjustable from 0 to 1 sec.

LASER PEDAL

LASER OUTPUT

LASER OUTPUT
Integrated Solutions for Vitreoretinal Surgery
Automatic Fluid-Air eXchange

AIR-FLUID EXCHANGE ACTIONABLE THROUGH FOOT PEDAL

Fluid-Air and Air-Fluid eXchange is enabled by the machine-driven automatic switch and is actionable through the wireless foot
pedal, enabling operation without the 3-way stopcock.

FLUID AIR
Optimized Energy Management
Minimal Stress™ Technology

The patented Minimal Stress™ technology is the only

system on the market that uses a feedback-controlled
energy delivery to the piezoelectric crystals in order to
mantain the exact tip stroke set point even under load
conditions.

Minimal Stress™ technology optimises U/S energy

delivery, always ensuring consistency between
programmed and actual phaco tip stroke regardless of
nucleus hardness.

TRADITIONAL U/S DELIVERY BVI® MINIMAL STRESS™ U/S DELIVERY

TECHNOLOGY TECHNOLOGY
TIP ELONGATION TIP ELONGATION
PROGRAMMED ≠ ACTUAL PROGRAMMED = ACTUAL

NO consistency between the programmed phaco tip Maintained consistency between the programmed phaco
stroke and the actual tip elongation, when the phaco tip tip stroke and the actual tip elongation, when the phaco
faces the resistance presented by hard lens material.* tip faces the resistance presented by hard lens material.*

Reference:
* Data on file, BVI.
Rossi T, et al. Testing a Novel Device for Accurate Ultrasound Delivery During Crystalline Lens Phacoemulsification Surgery. TVST Journal, February 2020.
Intuitive User Interface
Irrigating Solution Continuity Guard

The Irrigating Solution Continuity Guard (ISCG) informs the OR staff about the remaining irrigation level into the fluid container,
designed to increase surgeons’ and nurses’ confidence.

NEW INFORMATIVE ICON WITH

REMAINING IRRIGATING SOLUTION LEVEL

Foot Pedal and Graphic User Interface (GUI)

Wireless single linear or dual linear foot pedal with

programmable functions.

• Easy-to-use touchscreen set-up and customised

function assignment
• Dedicated programmability for both anterior and
posterior segment surgeries
• Utmost flexibility with dual linear control
• 19’’ Display
• 3 sizes footplates with footrest or heel support design

SINGLE LINEAR DUAL LINEAR

Intuitive User Interface
Improve Ergonomics and Control Both in Vitreoretinal and Cataract Surgery

3 SIZES FOOTPLATE WITH FOOTREST DESIGN 3 SIZES FOOTPLATE WITH HEEL SUPPORT DESIGN
Enhance comfort in VR procedures Controlled foot lateral movements in cataract surgery

User Friendly Software Interface with Audio Feedback

HIGH-SENSITIVITY 19’’ TOUCH SCREEN

VITRECTOMY CATARACT
USER INTERFACE USER INTERFACE
Auxiliary Functions for Vitreoretinal Surgery

SILICONE OIL
· Silicone oil injection (also with simultaneous aspiration)
PHACOEMULSIFICATION VIA PARS PLANA · Silicone oil removal
· Same kit

ACTIVE FLUID EXTRUSION ENDO-DIATHERMY

IOP
MEAN ARTERIAL PRESSURE

MEAN OCULAR PERFUSION PRESSURE

(MOPP)
MOPP = MEAN ARTERIAL PRESSURE - IOP

INTEGRATED DIGITAL SPHYGMOMANOMETER

for measuring and monitoring the Mean Ocular
ESO-DIATHERMY Perfusion Pressure (MOPP)
Technical Specifications

FLUIDICS R-EVOLUTION® R-EVOLUTION® CR R-EVOLUTION® R-EVOLUTION® CR

Integrated IV Pole Phototoxicity Filters -
AGILE Fluidics™ Colour Enhancing Filters -
Gravity Fluidics Spot, Wide Angle Shielded
and Wide Angle Fiber Optics -
Reflux 23G, 25G and 27G
Automatic Venting Chandelier -
One Disposable Cassette AIR
for all Procedures
FAX / AFX -
Peristaltic Pump
Display or Foot Pedal Switch -
Venturi Pump -
Dedicated Air Pump -
Rotary Vane Pump -
Automatic Stopcock -
DSR
(Dynamic Setting Regulation) SILICONE OIL
Linear / Fix Control Injection 0.4 - 5 bar -
PHACOEMULSIFICATION Removal up to 700 mmHg -
Minimal Stress™ U/S Phaco Simultaneous Active
-
Aspiration
Slim 4 Handpiece
Linear / Fix Control
Six Crystal U/S Handpiece
DIATHERMY
U/S Emission Modes:
Continuous, Burst, Pulsed Eso Diathermy
with Selectable Duty Cycle Endo Diathermy -
Protocols Eso Diathermy Instruments
DDC (Dynamic Duty Cycle) in Endo Diathermy Disposable
Occlusion Status -
Probes 23G, 25G, 27G
Autolimit (U/S Power Limit in Linear / Fix Control -
Occlusion Status)
ENDO LASER
DSR
(Dynamic Setting Regulation) Optional Integrated Green
Laser Module 532 nm -
Straight, Flared, Flared Bent
with Dedicated Footswitch
Tips (20G, 21G and 22G)
Laser Power up to 2,000 mW -
Linear / Fix Control
Adjustable Pulse Interval -
ANTERIOR VITRECTOMY
BVI Laser Portfolio 23G,
Twedge™ Dual Blade Cutter -
25G, 27G
23G, 25G, 27G
FOOTPEDAL
Cutting Rate up to
- Programmable Dual/Single
8,000 cuts/min
Linear Control
Cutting Rate up to -
20,000 cuts/min Wireless - Bluetooth
Linear / Fix Control Programmable up to
20 Functions
POSTERIOR VITRECTOMY
Rechargeable
Twedge™ Dual Blade Cutter
-
23G, 25G, 27G
Cutting Rate up to
-
20,000 cuts/min
DSR
-
(Dynamic Setting Regulation)
Endo Phaco -
Linear / Fix Control -
ILLUMINATION
3 Independent LED Sources -

Tel: +39 06 8888355

Customer Service: bvimedical.com/customer-service/
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