EndoSaver: DSEAK Insertion Instrument

Difficulties related to current DSEAK graft insertion methods, such as endothelial cell damage and cumbersome maneuvering in shallow anterior chamber require experienced and dexterous hands. Keith Walter, MD, presents study results showing endothelial tissue damage seen with various insertion methods, followed by several video demonstrations of the EndoSaver (Ocular Systems, Winston-Salem, NC), a DSAEK graft inserter designed by Dr. Walter. The EndoSaver rolls the tissue, rather than folding, and after the tip is positioned in the AC, the sheath retracts from the graft with minimal stress on the tissue.

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Comments (6)

Thank you for your efforts in filming, very informative, if only for an assistant.

irisesago (14 months ago)

Yes, It is now FDA approved for sale in the US. Its cost will be $225 and well worth it as it is makes the surgery so much easier and safer. I now do topical DSEK on all my patients, I use a 3.7 mm clear cornea technique and the EndoSaver (EndoSerter is the US name). My surgery time is down to 18 minutes including an 8 minute bubble time. I have now done over 250 DSEK using the EndoSerter. Oh, and it no longer shoots out using low flow irrigation which is plenty to amply deepen the anterior chamber. Look for our first peer reviewed article in next months Cornea comparing the EndoSaver to forceps.

kwalter (16 months ago)

I'm happy that it is finally FDA approved so that we can start using it!!! Beautiful Power Point presentation BTW :)

lmcintire (16 months ago)

Grat video and the device is promising. I'm waiting for FDA approval and longer follow up paper ASAP in peer reviewed jornals. Congratulations!

Eduardo Adan (33 months ago)

The tissue has "shot out" on 3 out of 27 occasions. All three were do to high flow irrigation. If low flow is used then it comes out in a more controlled fashion. Even when it comes out without retracting the device it comes out in the proper orientation and no damage has been seen. All eyes are attached and doing well. It is disposable and FDA approval is pending. Sales price is yet to be determined but somewhere between $150 and $200. At that price it should be well worth it considering the time it saves, no sutures and possibly no viscoelastic. I also firmly believe that as surgeons we like to see great results with rapid visual recovery and happy patietns. We hate having to explain detachments and failures, poor outcomes or suture removal, etc. This device obviates that need...What is that worth?

kwalter (34 months ago)

Keith,

(35 months ago)