The Ultra Q Reflex™ Multi-Modality YAG Laser for Floaters

Ultra Q Reflex™ is designed for capsulotomy with new generation IOLs, peripheral iridotomy for glaucoma and YAG laser vitreolysis for the treatment of vitreous stands and opacities

The new Ultra Q Reflex™ is the world's first YAG laser designed to perform both anterior and posterior YAG treatments – and is ideally suited for the treatment of vitreous strands and opacities. Reflex Technology™ features a patented co-axial laser delivery with optimized optics that enables the safe and effective treatment of floaters and opacities in the vitreous.

Ultra Q Reflex™ minimizes the potential for focusing errors and the risk of damage to the natural lens or the retina when working in the posterior segment, which makes it ideal for targeting vitreous strands and opacities. In the anterior segment, Ultra Q Reflex™ allows you to perform capsulotomy and iridotomy procedures at lower, more efficient power levels – and with a reduced risk of side effects.

Ultra Q Reflex Features

  • Optimized optics for better viewing
  • Accurately position optical breakdown
  • IOL- friendly photodisruption
  • Better performance over the long-term
  • Faster treatment
  • Pinpoint precision 
  • Designed to maximize your workflow
  • Reflex technology

Optimized Optics for Better Viewing

The quality and design of Ultra Q Reflex’s slit lamp optics are optimized for both anterior and posterior YAG laser procedures. A combination of high-grade crown glass materials and multi-layered, anti-reflection coatings on all optical components maximizes light transmission whilst minimizing dispersion to deliver better optical performance. In addition, next-generation filter technology provides the best color balance possible.

Anterior Segment Viewing:
Featuring Galilean converging optics with a 16° stereoscopic angle, Ultra Q Reflex™ provides a more natural stereoscopic view combined with a small depth of field for precision focusing on structures in the anterior segment.

Posterior Segment Viewing:
Ultra Q’s illumination tower, which can be used in a coaxial position, provides better depth perception in the posterior segment for precision focusing on structures in the vitreous cavity.

IOL-Friendly Photodisruption

Ultra Q Reflex™ allows you to cut tissue more effectively using fewer shots and less cumulative energy – dramatically reducing the risk of IOL pitting. Featuring an Ultra Gaussian beam profile, Ultra Q Reflex™ focuses more energy into the center of the beam profile to deliver greater energy density, achieving ultra-low optical breakdown (in air) of approximately 1.8mJ, in optimal conditions. This enables you to perform capsulotomy and iridotomy procedures at lower, more efficient power levels – and with a reduced risk of side effects such as lens pitting, retinal thickening, increased IOP or collateral damage to surrounding structures. Other YAG lasers, in comparison, typically achieve optical breakdown (in air) of 3 to 4mJ in optimal conditions.

Better Performance Over the Long-Term

A Q-switch is an optical component used to “gate” energy in order to generate a short, high peak-energy pulse The Q-switching element used in Ultra Q Reflex™ is fabricated from highly stable, homogenous materials, which exhibit similar expansion characteristics. Unlike organic polymer materials that can cause inconsistent treatment performance due to material warping and fatigue, the materials used in the Ultra Q Reflex™ Q-Switch are thermally matched to deliver more consistent performance over a number of different operating conditions – ensuring robust, reliable performance and a lifespan of more than 400,000 shots. In addition, Ultra Q Reflex’s custom-built YAG power supply incorporates a micro-controller and energy compensation algorithm to deliver greater shot-to-shot consistency.

Pinpoint Precision

With a tolerance range of ± 8 µm, Ultra Q Reflex’s two-point focusing system makes it easy for you to accurately position where the optical breakdown will take place, irrespective of whether you are working in the anterior segment or in the posterior segment.

With a two-point focusing system the two aiming beams converge in the focal plane. This simple, yet highly precise aiming system indicates when the laser and slit lamp view are in proper focus with a high level of precision, as it allows you to see a separation of the two aiming beams (which indicates out-of-focus) with even the smallest of slit lamp (or patient) movements. In comparison, four-point and many other focusing systems require a significant shift in the slit lamp’s position before you can distinguish any separation of the aiming beams.

Accurately Position Optical Breakdown

Ultra Q Reflex’s continuously variable offset (from 100 to 500 microns) allows you to accurately set the distance between the focal plane and the position of the plasma ball – ensuring more effective and safer photodisruption. Depending on the treatment, the aiming beam focus can be placed exactly in front of, behind, or on the disruption laser focus.

In posterior capsulotomy, for example, the ideal placement of the plasma ball is slightly “posterior offset” from the target tissue to be incised, as the plasma ball creates shock waves that move back in the direction of the laser source (that is, towards the operator). This helps to ensure precise treatment whilst eliminating the risks of side effects such as IOL pitting.

Designed to Maximize Your Workflow

Ellex has integrated the laser and slit lamp for greater efficiency and reliability, as well as for improved ease of use. Ultra Q Reflex’s compact, efficient design provides you with additional working space – making it easier to align the patient and to position the contact lens. It also offers the added benefit of convenient, simultaneous access to the patient and laser controls.

Faster Treatment

With a fast firing rate of up to 3 shots per second (3 Hertz), Ultra Q Reflex™ saves you time and allows you to perform quick and highly accurate treatment. Ultra Q Reflex’s proprietary cavity facilitates more effective heat transfer and cooling, thereby permitting fast, efficient operation. In addition, the system’s pulse capacitors are rapidly recharged between each and every shot without the risk of overheating – ensuring you uninterrupted operation.

Reflex Technology

Innovations such as titratable axis illumination and coaxial visualization enable Laser Floater Removal (LFR) to be performed with greater safety and efficacy. LFR involves the use of Ellex’s proprietary Reflex Technology™ and a specially designed nano-pulsed YAG laser to vaporize floaters.

Ellex’s proprietary Reflex Technology™ comprises a unique slit lamp illumination tower design, which converges the operator’s vision, the target illumination and the treatment beam onto the same optical path, and focuses them onto the same optical plane – offering optimized visualization and illumination of the vitreous. This is of particular importance when aiming at floaters, as it greatly minimizes the potential for focusing errors, and the risk of damage to the natural lens or the retina. The unique illumination mirror design, which briefly moves out of the laser pathway during firing, ensures that the laser beam is never obstructed. This minimizes the risk of under-dosing or over-dosing the energy, ensuring that the desired therapeutic effect is achieved.


Reflex Technology™ also allows you to toggle between on- and off-axis modes in order to better visualize the floater – and to assess its position relative to the lens and/or retina: on-axis mode provides greater visualization of floaters located in the middle and posterior vitreous and offers necessary spatial context, especially in relation to the retina; off-axis mode provides better visualization of floaters located in the anterior vitreous. As an added benefit, there is no risk of under-dosing or over-dosing the energy due to poor positioning of the light tower – eliminating clipping of the laser beam. In addition, the precision of the two-point aiming system and the wide offset range ensure accurate positioning of the optical breakdown, thus preserving surrounding tissue from accidental damage.

Learn more about Reflex Technology™  

Off-Axis Visualization

Off-axis visualization provides greater visualization of floaters located in the anterior vitreous, permits better definition of the posterior capsule and decreases glare in some situations, depending on the location of the floaters.

On-Axis Visualization

On-axis visualization provides greater visualization of floaters located in the middle and posterior vitreous, allowing for spatial context – especially near the retina and Red-Reflex provides greater visual contrast in order to better visualize certain floaters.

Vitreolysis Animation

This animation illustrates the mechanism of action of laser vitreolysis.

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Ellex Ultra Q Reflex Brochure

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Ellex Ultra Q Reflex Specifications

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Don’t Let Floaters Cloud Your Vision

Con Moshegov, MD Sydney Laser Eye Surgery, Australia
 

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Vitreolysis. Redefining Convention

Paul I. Singh, MD The Eye Centers of Racine and Kenosha, USA

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Laser Vitreolysis for the Refractive Surgeon

Karl G. Stonecipher, MD TLC Greensboro, USA

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