Competitive analysis

1
Competitive analysis

• photocoagulators

2
Competitor Analysis Multi-wavelength

• Ellex products
• Integre Duo
• Main competitors
• Lumenis Novus Varia
• Nidek MC-300

3
Lumenis Novus Varia

• Weaknesses
• Very expensive three color laser system. is
  unreachable by most clinics and private
  practices
• Low maximum power output on red wavelength at
  600mW only
• Exposed fibers increased risk of breaking
• Reduced working distance with slit lamp
  attachments
• Though laser cavities work independently from
  each other, they are sealed in one common
  environment. Hence if one needs replacement, the
  other two have to be replaced as well
• Expensive cavities (up to 40,000 AUD)
• No HS slit lamp adapter

4
Lumenis Novus Varia

• What they promote as their strengths
• ClearView high-visibility physician-filter
• SureSpot optics for even power distribution
  across the spot and low corneal energy density
• Safety and flexibility with automatic device
  detection and dual ports
• Optimal for use in OR environment
• Independent laser cavities. If one does not work,
  the others still function (CaseSaverTM Mode)
• New LIO available for three colors

5
Lumenis Novus Varia
6
Nidek MC-300

• Weaknesses
• Heavy and bulky (75 kg, console alone)
• Internally water-cooled inefficient and
  inaccurate temperature control
• Huge on power requirements (1000 VA power rating
  (10A _at_ 100VAC)
• Can only be operated up to 33ºC, due to water
  cooling system
• Long wait (5mins) before startup and shutdown due
  to water cooling system design
• Red wavelength can be used only up to 700mW
• Exposed fibers increased risk of breaking

7
Nidek MC-300

• Weaknesses cont
• Limited working distance
• Safety filter optics are not color balanced
  (target appears pink-ish or purple-ish)
• Costly maintenance due to complexity of system
• Power adjustment is not continuously variable and
  can only be made in 10mW increments

8
Nidek MC-300

• What they promote as their strengths
• Versatile with multiple delivery options
• Multi-color aiming beam
• Low price point

9
Integre Duo

• Key Features
• The only fully integrated solid-state red/green
  photocoagulator
• Integrated Design
• Comfort large working distance, full patient
  access
• Protection Fiber is not exposed, hence cannot
  break easily
• Ease of use Ambidextrous controls on the slit
  lamp, central micromanipulator
• Slitlamp optimized for retinal viewing excellent
  depth of field and stereo vision

10
Integre Duo

• Key features cont
• Truespot Optics Sharp edged, even retinal spot
• Real time energy control stable and consistent
  power output
• Instant wavelength selection for seamless,
  uninterrupted treatments
• Affordable multi-color solution for retinal
  specialists

11
Integre Duo

• What the competition may use against it
• No yellow wavelength
• Goes easier through opacified media than
  red/green
• Safer to use around the fovea
• Not absorbed by xanthophyl (neither is red, but
  red penetrates deeper hence can easier cause
  choroidal hemorrhages)
• Green laser wavelength has a similar absorption
  profile as yellow and can be used in most cases.
  Yellow only superior over green in 10 of cases.
• Integrated design limits flexibility
• LIO is difficult to connect

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Competitive analysis green photocoagulators

• Ellex products
• Integre
• Solitaire

• Main competitors
• Alcon EyeLite
• Iridex Oculight GL / GLx
• Lightmed Lightlas 532
• Lumenis Novus Spectra
• Lumenis Novus 3000
• Nidek GYC-1000
• Optimedica PASCAL
• Quantel Supra
• Quantel Vitra
• Zeiss Visulas 532s

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Alcon EyeLite

• Weaknesses
• The system is based on a very old design. Alcon
  has announced plans to introduce a new version in
  the near future.
• No automatic device detection, user has to select
  manually which can lead to mistakes
• No dual port option
• No procedure memory
• Heavy system 16kg (32 lbs)

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Alcon EyeLite

• What they promote as their strengths
• Alcon name and service network
• Parfocal optical system provides for homogenous
  retinal burns
• Thermo Electric Cooling (TEC) system prevents
  overheating
• Alcon is the operating room specialist, full
  range of accessories and disposables

15
Iridex Oculight GL / GLx

• Weaknesses
• Power control knob has no detents, hence user has
  to look at display to know what power level was
  selected
• Though the cooling fan is supposed to work on
  demand only, it runs the entire time. Indication
  that system has thermal stability issues
• Aiming beam can be turned off while the system is
  in Ready mode. This is potentially dangerous as
  the user has no visual indication that the system
  can fire.
• Slit lamp adapters have only 5 fixed spot sizes
  selections not continuously variable

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Iridex Oculight GL / GLx

• Weaknesses cont
• At small spot sizes the actual spot size exceeds
  the requested size 75µm spot is actually
  close to 100µm (measured in the Ellex lab)
• Vertical offset adjustment of the aiming spot
  difficult to access little clearance available
• On Haag Streit style slit lamps, micromanipulator
  arm can crash on slit lamp body
• Self-centering micromanipulator is off-center in
  the vertical axis (as much as 800 µm)
• Fiber is exposed and thus prone to breaking

17
Iridex Oculight GL / GLx

• Strengths what they promote
• Specialist in photocoagulator lasers
• Reliable products and good service support
• Large installed base
• Wide range of endoprobes to support OR
  applications
• Portable and versatile
• Wireless footswitch with power adjustment
• Remote control

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Lightmed Lightlas 532

• Weaknesses
• The system is very cheap in price which shows in
  the overall quality of the product
• The eye safety filter is not automatic and does
  not have an interlock, hence there is risk that
  the laser is fired without the ESF in place
• No automatic device detection, user has to select
  manually which can lead to mistakes

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Lightmed Lightlas 532

• What they promote as their strengths
• Low price
• Multiple delivery options
• Quiet operation no fan noise
• Compact and lightweight
• Combo option with the Lightmed YAG laser
• Remote control

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Lumenis Novus Spectra

• Weaknesses
• The Haag Streit slit lamp adapter can be rotated
  out of position when system is in Ready mode
• Push button controls only no power knob
• No dual port option
• No procedure memory

21
Lumenis Novus Spectra

• Strengths what they promote
• Carries the Coherent brand name in lasers
• Quality of SureSpot Optical system true 50
  micron spot size with sharply defined power
  distribution and low power density at the cornea
  and lens
• Quality of ClearView safety filter optics, which
  have low colour distortion
• High power output of 2.5W
• Optional remote control
• US only Customer Service next business day
  guarantee and a free next-day loaner
• Coherent / Lumenis large installed base 10,000
  photocoagulators sold

22
Nidek GYC-1000

• Weaknesses
• Membrane keypads with poor resistance and no
  power control knob
• No dual port option
• No procedure memory

23
Nidek GYC-1000

• What they promote as their strengths
• Powerful laser in a small, compact and portable
  package
• Combo option with GYC-1800 YAG laser
• Detachable front panel can be used as remote
  control in the OR
• Flexibility and versatility
• Thermo electric cooling (TEC) Almost all
  photocoagulators today use TEC

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Optimedica PASCAL

• Weaknesses
• Very expensive
• No procedure memory so the system will not be
  able to remember how far a treatment was along if
  it was interrupted midway
• The scanning process uses the same power settings
  for all pulses. Hence it is not possible to
  adjust to variations in pigmentation and
  overlying vasculature to achieve optimal burns
• Very large footprint, heavy
• Only available with a fixed eye safety filter

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Optimedica PASCAL

• Strengths what they promote
• Worlds first scanning photocoagulator
• Can perform PRP and macular grid treatments in a
  short amount of time
• Improves practice flow as patients do not have to
  return several times for a treatment
• Large touch screen user interface
• Well-integrated, modern design

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Quantel Supra

• Weaknesses
• Fibers susceptible to breakage if unit is
  positioned vertically on the floor
• Uses ST-type fibre connector which limits the
  type of endo probes that can be used
• Maximum spot size of 500 microns
• Spot size selector does not have detents and
  lacks illumination user has to monitor the
  setting on the display when turning the knob

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Quantel Supra

• Weaknesses cont
• No automatic device detection, user has to select
  manually which can lead to mistakes
• Micromanipulator is not self-centring
• Fixed eye safety filter only

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Quantel Supra

• What they promote as their strengths
• First company to produce a solid-state green
  laser for ophthalmology
• Dual-port system that can be upgraded to three
  ports
• New slit lamp adaptor with
• small folding mirror eliminates viewing
  distortion
• colour-balanced safety filter optic
• wide opening of arm to allow slit lamp
  illumination swing up to 45 to the right
• Colour touch-screen LCD remote control
• System is portable and can be positioned in a
  horizontal or vertical position

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Quantel Vitra

• Weaknesses
• Low power 1 watt maximum
• Controls not continuously variable
• Micromanipulator is not self centering
• No automatic device detection, user has to select
  manually which can lead to mistakes
• Unique fiber port connector which limits type of
  endo probes that can be used
• Footswitch control feature is not easy to use
  need to select which parameter to control on the
  console first

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Quantel Vitra

• Weaknesses cont
• Small LCD display with very small letters/numbers
• When the slitlamp is on axis viewing is
  compromised by a visible shadow

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Quantel Vitra

• What they promote as their strengths
• Worlds smallest solid-state green laser in a
  modern design
• Smart footswitch that can control several
  parameters (power, duration, interval, ready
  mode)
• Very low price point highly competitive
• HS adapter has extra wide positioning area on the
  right side to allow the slit lamp to be swung to
  the right up to 45 solves illumination problem
• Paint mode (continuous repeat mode) reduces
  treatment time

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Quantel Vitra

• Strengths cont
• LIO spot size is adjustable (400 to 800 microns)
• Parfocal optical delivery system with sharp
  defined edges and even distribution of power in
  50-1000 micron spot sizes

33
Zeiss Visulas 532s

• Weaknesses
• Unfavorable design laser console is suspended
  under table
• Fiber port is located next to the surgeons knee
  which increases the risk of fiber damage
• No dual port option LIO has to be connected to
  slit lamp port
• Two step remote control user has to select
  parameter first and then change it
• The Haag-Streit slit lamp adaptor does not have
  an interlock and can be swung out of position
  when system is in ready mode

34
Zeiss Visulas 532s

• Weaknesses cont
• No power control footswitch option
• LCD display is difficult to read in dim light
  rooms
• The console is very heavy 14 kg (28 lbs)

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Zeiss Visulas 532s

• What they promote as their strengths
• Zeiss brand name synonymous to high-end, high
  quality products with very good optics
• Flexibility which allows the laser console to be
  positioned and configured in various ways (on
  table, floor or suspended on slit lamp table)
• Option to use as combo system with their Visual
  YAG III laser
• Motorised safety filter unrestricted
  visibility, colour fidelity and optimum
  protection
• Advantages of solid state laser low electrical
  consumption, low maintenance

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Zeiss Visulas 532s

• Strengths cont
• Electronic micromanipulator on joystick
• Parfocal from 50 1000 micron spot size

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Integre

• Key Features
• Integrated Design
• Improved comfort with large working distance
• Reliability Integrated laser eliminates
  connection issues
• Ease of use Ambidextrous controls on the slit
  lamp
• Slit lamp optimized for retinal viewing
  excellent depth of field and stereo vision
• TrueSpot Optics Sharp edged, even retinal spot
• Real time energy control stable and consistent
  power output

38
Integre

• What the competition may use against it
• Integrated design limits flexibility it is not
  portable and cannot be used in the OR
• Difficult to connect an LIO

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Solitaire

• Key Features
• TrueSpot technology in all slit lamp adapters
  provide for sharp edged, even retinal spots
• Excellent peripheral retinal viewing with the
  30XL slit lamp, which is based on the popular
  30SL design which is no longer in production
• Real time energy control for stable and
  consistent power output
• Programmable procedure memory
• Automatic device detection and one touch device
  selection

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Solitaire

• Key features cont
• Dual fiber option available
• Wide choice of delivery devices (LIO, slit lamp,
  endo probes)
• Generic SMA endo probe connector accepts most
  third-party endo probes
• Optional PowerControl Footswitch for hands-free
  remote control

41
Solitaire

• What the competition may use against it
• Haag Streit adapter not available with
  micromanipulator
• Cannot be used in combination with an Ellex YAG
  laser
• Has had technical problems after its initial
  introductionThese have long been resolved
• No remote control

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Product Advantages all Ellex photocoagulators

• True-spot optics with homogeneous, well defined
  burns at the retina but low power exposure at the
  cornea
• Proprietary solid-state cavities with active
  light feedback producing homogeneous laser beams
  with stable energy
• Ergonomically designed
• Beautifully presented

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Product advantages Integre and Duo

• Integre
• Only purpose-built photocoagulator on the market
  all the others are a compromise between a laser
  box and an existing slit lamp
• Optimised retina slit lamp with excellent depth
  of field and stereo vision
• Efficient, proprietary cavity allows full
  flexibility
• Integre Duo
• Red wavelength raises standard of standard of
  care photocoagulation, enlarging number of
  patients that can be treated, safely and
  effectively.

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Product advantages - Solitaire

• Solitaire solution on cart with 30XL, Zeiss type
  motorised
• filter, dual port, LIO is the summum of
  ophthalmic
• photocoagulators, combining top quality with
  maximum
• flexibility.
• Dual fiber option
• Programmable procedure memory
• Optional power control footswitch
• Wide choice of slit lamp, endo and LIO terminals

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positioning Ellex photocoagulators
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Three products to cover all needs

• Integre Duo
• Clinics, large hospitals
• Retina specialists
• Upgrade the early adopters, the  best care 
  advocates
• Replace old Argon/krypton or multi-colour systems
• Integre
• Private practise
• Solitaire
• O/R
• versatility

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Brochure, product launch guide
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Solitaire solution, brochure
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Lasers brochure, brochure
50
Treatment guidelines
51
Quick reference guide