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ML 7 in Clinical Use:
Designs and Features
     for Success
    L. Shawn Wong MD
      Medical Director
  Eyes of Texas Laser Center
     Austin, Texas, USA
Clinical Success:
 -Reliability, Safety, Efficiency,
  Versatility, Ergonomic Ease…
Personal Success:
CONFIDENCE
-Flawless Surgery
-Fantastic Patient Results
-Enjoy the Surgical Day!!
Easy Set Up
CLB Blade Shuttle
CLB Blade Shuttle
-Efficient MK Assembly
-Edge Protection
-Preop CLB Inspection
Ease of Application




  Vertical Cone Ergonomics
Reliable Alignment



-Gentian Marks
-Align or Offset Flap
360° Symmetry




Any Hinge Position
-Temporal Hinge
-Best for : Exposure, Handling, Protection
-Impossible for Other MKs

-Superior
-Nasal
-Traditional
-High/Obilque Astigmatism Cases May
 Benefit
Key: Obtain
Efficient and Secure
     Vacuum…
 Result: A Perfect Flap
Efficient Vacuum
-Jog Wheel Vac Control
-Quick Adjustability for Flap
 Consistency Between Eyes (SD: 4u)!


-Vacuum Pump/Reservior
 -Fast Rise Time
 -Quiet
 -Virtually Unlimited Life

-Built-in Battery Backup
Security at the Ring
-No Vacuum Bias or
 Pseudosuction
-”Eliminate”
 Subconj Bruises
Shielded Design




For a Protected Pass
-No Speculum for
 Small Eyes/Orbits
-Elevated (Protected)
 Rails and Drive
-No Interference
Patient/Surgeon Friendly
Efficiency




  GREAT FLAPS in 7 SECONDS
Flap Quality
with the ML 7:
Precision and
 Accuracy at
 Every Level
Calibrated LASIK Blades (CLB)
Calibrated LASIK Blades (CLB)




   Typical Blade
Calibrated LASIK Blades (CLB)
-EVERY BLADE is of KNOWN ACCURACY and
 PRECISION

-LASIK FLAPS ARE OF PREDETERMINED
 THICKNESS (SURGEON CAN CHOOSE)



-ECTASIAS ARE ELIMINATED
Superior Fit
No Wobble or Chatter
Superior Fit


Non-binding Linear Rail Bearing:
 -Tight Tolerance with Low Friction
 -Long-Wearing Design
Superior Materials



LUBRICIOUS, HARDENED   TYPICAL KERATOME
FINISH
Superior Fit/Finish
of ML 7 + CLB:
 -Great Flaps
 -Predetermined Depth
 -Tight Tolerance Between
  Eyes
-Epithelial Abrasions
 “Eliminated”
-Low Maintenance
-“Durable Precision”over
  Many Cases
Flap Morphology
and ML 7 Design
“Ideal” Flaps:
-100u Mean Thickness
  -Surgical “Efficiency”
  -Ease of Enhancement
-Planar Configuration
  -Aspheric Blend Rx.
ML 7 and the
Planar Flap
 Formula
Planar Flap Formula:
1. Linear Translation
2. Buttonhole Free Design
3. Load Compensation
   Software
1. Linear Translation
      -Linear Movement:
       Even Cutting Rate


       -Pivoting MKs:
        Uneven Cut by Design
Origin of Buttonholes:




Any Loss of Applanation
Results in a Buttonhole!
2. Buttonhole-Free Design
        Hansatome




This area can lose   -Expanded Plate
applanation in a     -Constant Applanation
typical pass…        BUTTONHOLES
BUTTONHOLE is        ELIMINATED!
POSSIBLE
3. Load Compensation Software




-The ML 7 has Software to COMPENSATE for
 Increased Blade and Drive Resistance
-Constant Blade and Translation Speed:
 Planar Flap Morphology
ML 7 Planar Flaps by OCT
Consistency
160




                           123                                                                                    1 23                                                                          126
120               18
                   1                                                                      15
                                                                                           1                                                             1 711 7
                                                                                                                                                           11 41
                                 109    109    1 21
                                                11 2                                                           11 13
                                                                                                                1    1                         11
                                                                                                                                                1                      1 13 1 1
                                                                                                                                                                        091     09          10 1
                                                                                                                                                                                              1   09 1
                                                          105         106 1 105
                                                                              05                      05 1
                                                                                         02 04 99 98 1 1
                                                                                                          07                      11 11
                                                                                                                                    08 08
                                                                                                                                   05                            1 1
                                                                                                                                                                   06 08     05                          08
           11 04
             01                                                     100                1 1 99 98        04                    101        04      102                               1 99
                                                                                                                                                                                    01 98           103 1 01
          91      92 95  91
                            98     9897   9897       96
                                                   92 89    94                  96 99 99
                                                                                 94 92             94            96                       94 95
                                                                                                                                                                99
                                                                                                                                                                    92     95 93 98       92 91       96
                        88   88                                           89                                                    90    90    90     89 88
                                                                                                                                                     89
                      85              86     86                                                                            83                                                           84 87
80
                74                                      77      77 82
                                                              76 75                                        79
                                                                                                             74        7476 76
                                                                                                                                                        82
                               72                                       72


40




 0
      0                                20                                 40                                  60                                 80                                 100




                                                       SD: 12u
                                                    Range: 72u-126u
                                                      Mean: 98u
Thin corneas
- ≤ 500u CCT
-Ø signs/symptoms of KC
-Normal Topography
-Age 30 +
Thin Cornea Data
       52 eyes
   Range: 80u-118u
      SD: 12u
     Mean: 98u
Conclusions:
-The Design and Features of the ML 7
  Provide Success on All Levels

-Supreme Reliability, Safety, and
  Versatility for All LASIK Candidates

-Superior Precision/Value is Built-in
ML 7 HIGHLIGHT:
EVERYBODY
  Loves My
Surgery Days!
…Everybody is a
 SUCCESS…
Grazie

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ML7 in Clinical Use