The Tan endoglide is a wonderful invention for lamellar surgery. I have no financial interest but if you are doing lamellar surgery you should try it.

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© 2010 Angiotech Pharmaceuticals, Inc. © 2010 Surgical Specialties Corporation. All Rights Reserved.
Tan EndoGlide™ is a trademark of Coronet Medical Technologies Ltd.
No reproduction or duplication of any portion of this work shall be made without prior written permission of the authors. OPG-PM-386 08/10
Product Introduction

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Introduction
The Tan EndoGlide™ is a disposable medical device designed to
facilitate insertion of the donor endothelium during a DSEK /
DSAEK surgery. Descemet's stripping endothelial keratoplasty
(DSEK) or Descemet's stripping automated endothelial keratoplasty
(DSAEK) are terms for corneal transplantation techniques that
replace only the posterior diseased cornea.
The product is packaged sterile,
one (1) unit per box. Each unit
consists of a preparation base,
glide cartridge and
glide introducer.
Ref item # 11820

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Tan Forceps
Re-usable titanium forceps designed for use with the Tan
EndoGlide™ are sold separately.
The straight Tan EndoGlide™ Loading Forceps loads the donor
cornea into the glide cartridge. Ref item # 53-952
The curved Tan EndoGlide™ Placement Forceps glides the donor
cornea from the cartridge into the anterior chamber for
positioning.
Ref item # 53-951

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How to use the Tan EndoGlide™
(Step 1)
Both anterior and posterior
lenticules of the donor are first
placed endothelium up, into the
donor well of the preparation
base.
A small amount of dispersive
viscoelastic is applied to the
endothelial surface in a thin strip.
Note: Always refer to the package insert
provided with the product for complete
instructions for use, indications,
precautions, contraindications and
warnings.

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How to use the Tan EndoGlide™
(Step 2)
The Tan EndoGlide™ cartridge is
designed to fit through a 4.5mm
incision, and to accommodate a
donor lenticule measuring up to
9.5mm in diameter and 250
microns in thickness.
The Tan EndoGlide™ cartridge is
supplied in the preparation base
and some BSS is injected for
lubrication.
The Tan EndoGlide™ loading
forceps are introduced through
the cartridge, to grasp the stromal
edge of the posterior donor
lenticule.

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How to use the Tan EndoGlide™
(Step 3)
Pulling the lenticule into the cartridge
automatically curls the donor into a
double helix configuration, with no
endothelial surfaces touching.
Symmetrical coiling may be facilitated
with a sinskey hook or BSS cannula.
Remove the donor anterior lenticule
from the well of the Preparation Base
and discard.
The Tan EndoGlide™ introducer is
attached to the cartridge, sealing the
back end of the capsule.
The assembled Tan EndoGlide™ is
removed from the base, rotated 180
degrees, and is ready for insertion.

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How to use the Tan EndoGlide™
(Step 4)
An AC maintainer is recommended
to stabilize the chamber.
The Tan EndoGlide™ is carefully
inserted through a scleral tunnel
incision, forming a complete seal
of the wound.
Tan EndoGlide™ Placement
Forceps, introduced through the
nasal paracentesis, simply grasps
the stromal leading edge of the
donor and glides it completely into
the anterior chamber.

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How to use the Tan EndoGlide™
(Step 5)
Gentle manipulation of the
donor with forceps, coupled
with the deep anterior
chamber enables uncurling of
the donor without risk of donor
inversion.
The Tan EndoGlide™
Placement Forceps hold the
donor in the anterior chamber
until the EndoGlide™ has been
withdrawn.

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How to use the Tan EndoGlide™
(Step 6)
The Tan EndoGlide™ is
removed.
A small air bubble is injected
beneath the donor to prevent
descent onto the iris.
The donor is released and the
Tan EndoGlide™ Placement
Forceps is withdrawn.

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Tan EndoGlide™
Designed to minimize cell loss
- “double curling” of donor
- Tan EndoGlide™ Placement
Forceps grips stromal edge only
Stable AC throughout
- closed eye procedure
Full donor control at all times
- Tan EndoGlide™ Placement
Forceps holds donor in the AC even
after Tan EndoGlide™ is withdrawn
Advantages of the Tan EndoGlide™

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Regulatory Status

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Regulatory Status
Letter from Tan EndoGlide Supplier
Product is CE marked in Europe

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DSEK / DSAEK Coding Basics
DSEK / DSAEK is indicated when medically necessary for corneal
endothelial dysfunction, including (but not limited to):
Condition ICD-9-CM
Fuchs’ dystrophy 371.57
Bullous keratopathy 371.23
DSEK / DSAEK is billed using the following code:
Procedure CPT Code
Keratoplasty (Corneal transplant); Endothelial 65756

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Tan EndoGlide™
SNEC Tan EndoGlide™ Clinical Trial
Preliminary Results (n=26)
IRB approved clinical trial - 100 eyes
30 eyes performed to date in 30 patients
Mean age: 70 yrs (range 28-91yrs)
Diagnoses:
ABK/PBK (n=14) Fuchs Dystrophy (n=12)
Others (n=4)
Procedures:
DSAEK: 19 Phaco-DSAEK: 11
Mean donor diameter: 8.75mm
(range 8.0-9.5mm)
Follow-up period: all with at least 1 month
follow-up, 20 with 3 months, 17 with 6 months
and 5 with 1 year follow-up)
Singapore National Eye Center (SNEC)
Surgeon: Professor Donald T.H. Tan
Data reported April 2010 in results during the AAO, and the data also has
been submitted for publication (American Journal of Ophthalmology).

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Contact Information
Distribution in North America:
Surgical Specialties Corporation (dba Angiotech)
100 Dennis Drive
Reading, PA 19606
Customer Care Center: (877) 991-1110 or (732) 626-6466
www.sharpoint.com
www.angioedupro.com