2. Retina Surgery Today – Unmet Needs
* Academy of Ophthalmology study; Presented at AAO 2011
• The Microscope is visualization standard of
• Surgeons would like to see more; see better
• Difficult and fatiguing to perform; 70% of
surgeons over 50 years old have neck and
• Patient outcomes are generally positive but
widely variable by surgeon
Poor ergonomics; unintelligent device;
Variable patient outcomes
3. TrueVision is Transforming Surgery
A digital platform with software applications
Heads-Up surgery with computer guidance
Dr. Pravin Dugel
Digital Image Science is Complicated
• Dynamic Range
• Ease of Use
• Image controls
• Digital Enhancements
• Depth of focus
• Field of view
• Zoom and pan range
Dozens of variables
TrueVision’s Software Platform Integrates
and Optimizes all Components
6. TrueVision Key Milestones
2007 TrueVision Founded in Santa Barbara
2009 Ship Gen 1; primarily for Surgical Education
2010 TrueGuide cleared by FDA (class II) – 1st in market for toric guidance
2011 Reach 100th customer milestone
2012 Leica becomes first market partner for microsurgery
2014 Ship Gen 5; ready for broad clinical use; heads up surgery
2015 Reach 300th customer milestone
2016 Alcon becomes 3D market partner in Ophthalmology
Over 15,000 heads up surgeries to date
9. HIGH DYNAMIC RANGE IMAGINGEXTENDED DEPTH OF FIELD
See The Future, Right Now.
REDUCED LIGHT LEVELSDIGITAL IMAGE FILTERING
Hello My name is Forrest Fleming and I am the Chief Executive Officer for TrueVision Surgical. I am happy to speak to you about a very exciting disruptive technology. Digitally Assisted Vitreoretinal Surgery!
The optical microscope is the standard of care for visualization in retina surgery today. Here you see a surgeon performing surgery using the microscope. The surgeon sees an optical image which he or she interprets with their cognitive talent and experience, then, they interact with the image using their hands, feet, and sometimes voice. It’s a difficult process to both learn and execute at a high level. Its fatiguing and well documented that the vast majority of retina surgeons have neck and back problems by the time they are 50. Vision is sometimes compromised with blurry corneas and poor visual angles. Outcomes can vary significantly based on the surgeons unique ability to do this process well. TrueVision has developed technology to improve this process.
By using real time digital imaging and computer analytics, we are transforming Surgery. Here you see Dr. Pravin Dugel operating “heads up” from a stereoscopic, ultra high resolution, low latency, digital image. He is comfortable, relaxed, and immersed in a wide field of view image. And the most amazing fact is, that he preferred this operating modality immediately from the first case and hasn’t returned to the oculars since.
With all this said, it hasn’t been easy. The business of creating a digital image that is better than the Microscope is not trivial. Leading microscope companies have perfected their optics for 50 years and its very good. I must admit, I didn’t quite understand how difficult it would be when we first started many years ago. The unique requirements of visualization within a surgical context is much more demanding than video for a family picnic. I am confident to say that TrueVision has developed more practical core competence in this area that any other technical staff in the world. What many don’t realize, the secret sauce in crossing the chasm lies in our large body of software; which provides image adjustments, applications, and the integration of best in class hardware components (displays, sensors and computers).
How did we get here? Its been quite a journey! 10 years, multiple patents, 5th generation of the platform, and over 15,000 heads up surgeries across multiple surgical disciplines. No other development team in the world comes close in this area. But we feel the measure of our talent must be judged by surgeons. I will share some of their comments in just a moment .
We go to market thru partnerships with world class Companies well established in their respective fields with worldwide distribution reach.
Leica was our first major Partner to embrace the digital paradigm, Heinrich Dryer, here today. I thank you for your early True Visionary view.
But today, at ASRS, I would like to highlight our new partnership with Alcon…the undisputed leader in Retina and thank the many at Alcon, but especially Paul Hallen and Michael Onuscheck for helping to make it happen.
Announcing NGENUITY!!! Delivered by Alcon; powered by TrueVision. Let me play a short 1.5 minute video of early market reaction by some well respected surgeons.
Play Sizzle Video
Very quickly, without too much detail for lack of time, there are immediate benefits to NGENUITY expressed by early users:
Enhanced stereopsis; especially at high mag
2. High dynamic range suppresses glare and sees into the shadows
NGENUITY is available starting today. Are you ready? You can see NGENUITY in the Alcon booth at ASRS.
Thank you and have a great conference.