Need a New Phaco?

Remove all roadblocks to a new Phaco with Mobile Cataract Outsourcing.

Operating with an old Phaco machine? 

If so, you are likely not operating as efficiently and safely as you could be. The possibility of a ‘downed’ machine on surgery day is an active concern…and so are repair costs.

If you are in need of a new Phaco machine, but are struggling with capital budgets, Surgical Direct Inc offers a Mobile Cataract Outsourcing program to resolve these issues.

A completely upgraded surgery day with Surgical Direct (New Phaco included).

Here are some common questions we hear:

1) Which machines are available in this program?

Acquire immediate access to the Alcon Centurion, B&L Stellaris, or  J&J Veritas with $0 in capital outlay. These 3 machines are the latest from the biggest cataract equipment brands in the US, each bringing ample upgrades in cutting, fluidics, and safety to every surgery.

2) My microscope is fairly old as well. What about my microscope?

We’re glad you asked. Yes, we also provide top ophthalmic microscope models like the Alcon LX3 and Zeiss OPMI Lumera  included within our program. 

3) How does pricing work?

As mentioned above, this program requires $0 in capital outlay. Our pricing is structured and billed per case after the surgery day. This ensures that you only pay for the equipment (and supplies) when you use it. Contact us directly for a deep dive into how our pricing is structured and how affordable it actually is. 

4) Do we have to store the equipment in our facility?

No, we deliver the equipment to you on the day of surgery, and our cataract specialists will set up the room for you and your staff. This includes Phaco hand-pieces and microscope handles, all dropped off in plenty of time to be sterilized before surgery. 

5) What if we operate using 2 rooms?

Not a problem! We will bring enough equipment (plus backups) for your day to operate as smoothly and safely as possible. 

6) Do we need to have our staff trained on the new equipment?

No. Accompanied with your equipment on surgery day are our highly-trained cataract specialists. Our techs deliver the equipment to your facility as well as test, prime, and troubleshoot equipment as needed. They also assist the surgeon and staff throughout the day with machine settings, turnover, and supply management. In truth, our technicians are the shining stars of our cataract program. They help make the day go smoothly and work from a team-focused mentality. 

7) What else should we know?

Along with new equipment, our program offers full support and management of cataract surgery supplies as well. This includes all ancillary supplies like blades, cannulas, viscoelastic, BSS, instrumentation, and lens consignments. Enrolling in our cataract outsourcing program allows your facility to let go of inventory heavy-lifting and lens consignment management. 

There’s so much more, but we value your time. 

If anything above has piqued your interest, let’s hop on a call! We’ll talk you through all the details of how our cataract outsourcing program works and how this program can greatly benefit surgeons and OR staff alike. Don’t wait, call us today!

2 Rooms For Cataracts, Now!

Elevate Your Cataract Surgery Potential.

It’s 2022. Cataract surgery numbers are headed for all-time highs in the United States. Baby boomers are in range (some already needing the surgery, but millions more on the horizon). At the same time, Ophthalmology as a specialty isn’t growing at the same rate as the population’s needs. Projections indicate that there could be fewer practicing Ophthalmologists (per-capita) in the coming years that are tackling a much heavier volume of care than the US has ever seen.

Read this interesting article from Healio that supports this data.

In tandem, physicians are still working through a backlog of cases from the previous 2 years of the pandemic.

To sum up, practicing physicians are likely going to have very busy surgery days ahead.

So how do you prepare for an influx like this?

Increasing your surgery day efficiency is a great place to start! Adding more rooms to your surgery day increases your capacity for more cases.

Adding a Second OR on Eye Day is easy with Surgical Direct.

Outsourcing your equipment with Surgical Direct’s mobile cataract service allows you to gain immediate access to the latest technology available for cataract surgery without spending a dime of capital. But capital savings is not the only benefit…

(1) Double the cataract equipment.

Since the facility no longer needs to purchase Phaco machines, microscopes, and hand-pieces, confining your surgeon to one room is no longer an issue. On 2 room days we provide all equipment required for both rooms to operate safely and efficiently. This saves the facility upwards of 6 figures in capital investment, maintenance, repairs, and other unexpected costs.

(2) Double the support.

Having enough equipment to have 2 rooms running doesn’t always make the day more efficient. The team of people that work in the room is what does! Having the right amount of support staff is vital to keep the day moving efficiently. That’s why we provide 1 technician per room on 2 room days. This increases the manpower, technical support, and teamwork in each room so that those 8-15 minutes cases stay 8-15 minutes. We also help with turnover, so that the surgeon can bounce between rooms without waiting.

(3) Double the supplies & lenses.

2 room days typically mean a lot of cases. A lot of cases means a lot of supplies. No matter the surgeon and their supply preferences, 12-20 cases in one day requires a large amount of inventory. Surgical Direct provides all inventory needs for your cataract cases (except for meds).
For 2 room days, we fill our cargo vans (sometimes to the roof) with equipment and supplies. Think of the shelf space you’ll be saving. Think of the time you’ll be saving in inventory if you didn’t have to order, receive, unpack, and shelf all of those supplies every time the surgeon is scheduled.

Lens consignments are also time-consuming to manage. If a surgeon is doing 15 cases, you’ll also need about 45 lenses (primary + 2 backup) ready and accounted for before the day starts.
With Surgical Direct as a part of your team, you don’t need to stock case supplies or manage lens consignments anymore.

Now is the time to get prepared for more.

You may already be feeling the increase. Now is the time to restructure and prepare yourself for heavier surgery days. Surgical Direct is a support system that is here to help. Read through our client reviews to find out more about how we can help.

Surgical Direct is the partnership that you’ve been looking for.

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Centurion, Stellaris, or Veritas? You Choose!

Start using the platform you prefer today at $0 capital.

Using the equipment that you prefer makes you a better surgeon. Using outdated and old technology (because there is no other option available) can affect your surgical efficiency and may also impact your patient outcomes.

Today’s leading phaco technology systems boast massive upgrades in Phacodynamics, fluidics, and usability that enhance the surgeon’s capability to perform better surgery. Even the most skilled surgeons will find impressive benefits from upgrading to a newer phaco system.

Centurion, Stellaris, or Veritas?

You Choose!

 

I would love to upgrade, but my OR has no budget.

This is very common. You are not alone. 

With the medical field (and overall economy) in the wake of COVID-19, capital budgets are at an all-time low. Hospitals and ASC’s have little investment capital to spend on new technology. If they do have capital, they are likely to spend it on a higher grossing specialty like Ortho. This leaves ophthalmologists stuck using whatever is available.

Surgical Direct’s Mobile Cataract Service provides the latest phaco technology to your OR, outsourced only when you need it, and will require $0 investment capital.

 

I’m comfortable with my current platform.

Have you been given the opportunity to try a new platform?

From our experience in transitioning hundreds of surgeons to new platforms, we’ve found that many doctors that claim to love old technology just haven’t had the chance to get comfortable with the more recent platforms. This takes time, which most surgeons don’t have. Surgeons need to experience the new platform for a decent number of cases before feeling confident enough to decide whether or not they want to use it regularly.

The beauty of Surgical Direct’s mobile cataract service is that you are not ‘committed’ to any single platform. Upgrading or switching from one machine to another is as simple as requesting it. This reduces the pressure of spending capital on a system you may end up not liking.

 

I have interest, but it seems like a logistical headache.

We have upgraded hundreds of surgeons to new platforms, and we have the process down. We will support your entire team with the transition!

Our team is highly trained in all the platforms that we provide. Not only do our cataract coordinators have deep knowledge of the surgery, but are annually trained in all the new technology we provide. We play an active role in the OR with your team, helping with settings, supply management, lenses, and turnover.

For the full scope of what we do, check out our Mobile Cataract Services page.

So…to recap. If you have interest in upgrading your phaco to the Alcon Centurion, B&L Stellaris, or the J&J Veritas, Surgical Direct is the capital free option you’ve been looking for.

 

Click below for a full listing of our services and all that we provide on a typical surgery day. Feel free to give us a call to discuss in further detail, or schedule a free demo day. 

 

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Saying Goodbye to the Alcon Infiniti

Upgrading from the Alcon Infiniti is seamless and capital expense-free with Surgical Direct

Recently, Alcon officially announced via customer letters their plans to phase out the production of parts, tubing packs, and supplies that support their 20 year old phaco platform, the Alcon Infiniti Vision System.

The Alcon Infiniti has proven to be a dependable and reliable phaco machine that many ophthalmologists still use and trust for surgery. With the recent announcement that tubing packs will be manufactured at a significantly limited scale until 2023 (at which point they will be discontinued), the Alcon Infiniti era is coming to a close, and soon ophthalmologists and surgical suites will be forced to upgrade to newer platforms.

Upgrading To Alcon Centurion Has Big Benefits

Infiniti’s successor, the Alcon Centurion, was released in 2013 and introduced some of the biggest phaco technology upgrades we’ve seen in decades.

1) Active Fluidics

Sensor-directed plates that control the flow of fluid in the system (instead of traditional gravity fluidics) dramatically increases the safety of the procedure. Active fluidics allow for constant IOP thresholds that are monitored by the nanosecond and auto adjust while the surgeon works. This makes the operation environment “quiet” and safe.

2) Balanced Tip Technology

The balanced tip (only available for use with the Centurion) harnesses the torsional power in a different way, dispersing energy more efficiently. What does this mean? This means that less energy can be used per case to achieve desired results. Even at lowered power outputs, the “Balanced Tip” can cut more efficiently, reducing the cumulative dissipated energy in the eye.

3) Surgical Experience Enhancements

The wireless foot pedal, a dynamic and user-friendly GUI, and adjustable everything all work together to create a far superior surgical experience of using the Centurion versus the Infiniti.

There are numerous reasons to switch from the Infinit to the Centurion, and the above 3 just scratch the surface of the improvements waiting for you!

Surgical Direct’s mobile cataract service allows you to gain immediate access to Alcon Centurion (or any other phaco technology) without spending a dime of your capital. Here’s a quick list of benefits:

  1. Save your capital to spend on other (more lucrative) specialties
  2. Gain access to the latest cataract technology right away
  3. Save on repairs and maintenance plans
  4. You only get billed when you have cases
  5. Outfit more rooms (2-3 room days) without purchasing a single piece of equipment.

Now is the time to consider upgrading from the Alcon Infiniti.

Learn more about our services and get a full picture of the benefits of outsourcing in your facility.

Surgical Direct is the partnership that you’ve been looking for.

Call Us Directly | 314-997-4455

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More about our Mobile Cataract Services

Stop Dealing with Phaco Repairs

As an OR administrator, whether in a hospital or ASC setting, keeping your facility’s functional operations (admin, supply chain, and required surgical equipment) running smoothly is a high priority. Smooth operations equate to better patient care, and efficient surgeries mean happier patients and doctors. Better care and satisfied surgeons keep your OR busy and healthy, which keeps your revenues steady.

But the truth is, the unexpected is bound to happen. Regardless of all planning and preparation (and systems), surgery days don’t always go as expected. As an administrator, you can’t prevent all delays, equipment failures, or unforeseen circumstances that come up. All you can do is prepare your best for what your action plan will be when these things happen.

Equipment failure is a major obstacle and momentum disruptor.

At Surgical Direct, we know cataract surgery, so let us speak to that specifically. If you own your own cataract equipment (phaco machines, phaco handpieces, and ophthalmic microscopes), equipment failure is bad news. Breakdowns on eye day typically mean that cases have to be cancelled and rescheduled. This does not help your reputation with patients and surgeons alike. Repairs then have to be called in and scheduled, which can happen fairly swiftly, but not always. Not only has your OR lost revenue from cancelling the surgeries, but now you have accrued (often costly) repair expenses.

Outsourcing your cataract equipment with Surgical Direct eliminates equipment related cancellations and repair costs.

3 ways Surgical Direct’s Mobile Cataract Service brings peace of mind in this area: 

  1.  Our equipment is fully maintained up to manufacturer specifications and enrolled in PM plans and routine software updates per manufacturer recommendations.
  2. We provide backup equipment in case any issues arise. Every surgery day with Surgical Direct comes with extra machines so case cancellations are minimized as much as possible.
  3. Your facility will no longer need to worry about unexpected repair costs or costly preventative maintenance plans.

We’ve created a service that provides peace-of-mind in your OR when it comes to Cataract Surgery.

For 20 years, Surgical Direct Inc has been perfecting cataract surgery support operations across the country. Our Mobile Cataract Service model allows your facility to pivot from high-focused and time-consuming admin operations, to a tested, trusted, hands-off approach of hosting cataracts surgery in your facility.

Contact us today to learn just how easy it is to get started.

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Not All Mobile Cataract Services Are Created Equal

As a service provider in today’s economy, it’s crucially important to find and nurture the “lasting impact attributes” (or the key differentiation practices) that stick with a client and build lasting trust. In truth, it goes way beyond the service itself.

We have all experienced (to some degree) a service or product that talked the big talk, but when it came down to the day-in/day-out interactions, it was a disappointment. Sure, perhaps the service or product was everything as advertised, but the details in-between did not deliver.

The reality is that the more “weight” or dependence that is involved with a service’s role, the level of trust with that service has to match. When you are dealing with patients (their time, their vision, their over-all health, and their safety), trust and consistent follow-through is a must!

10 ways Surgical Direct is different in our approach to Mobile Cataract Services.

 

Our goal is not to just offer a service. Our goal is to be a reliable partner that adds value to your OR, practice, and the patient experience. This bleeds into almost every aspect of our service because it’s not just about checking the to-do’s off the list. The partnership mindset we foster plays into all of the below areas:

1) Consistent Technology

Consistency is important for efficiency. You will always get the same tech that you’ve requested on every surgery day. We will not bring something your haven’t approved or are not comfortable working with. This includes phaco, microscope, and all other supplies.

2)Back-up Phaco Machines (Every Time)

We always bring a backup phaco. If a machine is acting up, we have another on-hand to keep the day running. For more extreme (unforeseen) situations, our warehouse team is ready to run more backup equipment or supplies to the surgical location as needed. We take all necessary steps to ensure your surgery day runs as smoothly as possible.

3) Full Lens Consignments (every visit)

We work directly with your office for lens picks for surgery day so we know exactly what you need for each case. Beyond that, we also bring full consignments of your primary, secondary, and AC lens selections. This covers all last minute calculation changes, accidental contaminations, and unforeseen case issues.

4) Stationary Cataract Instruments

Unlike many other service providers, we do not travel with instruments. The reason we don’t is because cataract instruments are too delicate, and travel allows many opportunities for instruments to be damaged. We do provide instrumentation, but these instruments will be stationary at your surgical location, lowering usage from others, and preserving the life of the instrument.

5) Familiar Cataract Coordinators (Techs)

We have a policy with our techs and our scheduling that 2-3 techs are designated to your account. This means you will almost always see a familiar face on surgery day. The technicians learn the surgical style of their surgeon and protocol with the OR team so each day is as smooth as possible, achieving a true “team” approach.

6) Highly-Trained Cataract Coordinators

Not only will your account tech be consistent and familiar, but they are also highly-trained. Upon hire, each tech goes through a 90-day intensive training of the equipment, surgery, OR protocol, in-service training, troubleshooting, and more…all before ever servicing an account on their own. You will NEVER get a tech that does not know what they are doing.

7) New Account Onboarding

If you are a new client, we do our part to ensure there are no surprises in our initial onboarding. We will request a visit to your main surgical location so we can observe and learn specifically how you prefer to operate. This allows us to thoroughly prepare for working with you in a new account.

8) Competitive (Hassle-Free) Pricing

We believe that you can’t put a price on the level of service you receive from us. But if you are comparing our services to other cataract outsourcing providers, you’ll notice that our pricing is very competitive. Plus, we don’t nickel and dime, no hidden fees, and offer simple and upfront pricing.

9) Retina, Glaucoma MIGS, SLT, & YAG Access

Being a SDI Partner allows for direct access to other technology offerings from Surgical Direct. Our Mobile Retina Services offer flexibility and capital savings for retinal operations. Add-on glaucoma procedures easily to your surgery day, we’ll provide what you need. Add-on SLT & YAG procedures to lower your travel (especially beneficial in satellite locations).

10) Grow Your Surgical Options (Mobile & Fixed)

We are here to help you grow. Tap into our OD referral network and expand with satellite locations. Upgrade your main surgical location’s equipment, or let us help you move from 1 to 2 room surgery days. Whatever your need is, we are motivated to be a resource and partner to help you achieve your growth targets.

It’s a goal of ours to be the best Mobile Cataract Service provider in the US. The above 10 examples are several ways we have developed to become just that. Still on the fence? Read through our reviews and see what our long-time partners have to say about what it’s like to work with us.

Whether you are looking to outsource for the first time, or are unhappy with your current cataract service, Surgical Direct makes the transition painless and beneficial for your practice and OR team.

Have questions?

Click or call today to get a conversation in motion about Mobile Cataract Services with Surgical Direct. Partnership is the way forward. Partner with us!

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6 Things to Consider Before Buying or Upgrading Phaco Machines & Microscopes

Purchasing medical equipment is a big decision with a large amount of weight for admin staff. Cost, long-term reliability, and ROI are just a few initial details to be considered. However, we believe there are more corners in the room that need to be scanned before making your final decision.

If you are in the market for a phaco machine for your hospital or ASC, there are:

6 things we think you should consider before buying or upgrading phaco machines and microscopes.

 

1) Do you have the capital?

One of the biggest factors in purchasing equipment is price and whether that purchase will bring a healthy ROI to your facility. The main questions when it comes to cataract surgery is (a) will you have enough volume to make the capital investment worth it, and (b) is there another specialty field that could benefit more from your capital dollars and provide a higher ROI for you facility? Surgical Direct provides the solution that allows you to maximize your capital funds and still acquire the use of today’s latest phaco technology in your OR, immediately. Along with obtaining the equipment you need, we provide more than enough phaco trays for today’s stringent sterilization regulations.

2) Repair & Maintenance Costs.

Not only do you need to delegate funds for purchasing the equipment (and all accessories and supplies that come with your phaco), but it’s equally important to allocate funds for ongoing maintenance & repair costs. Manufacturer preventative maintenance is absolutely essential to keep your equipment running safely and correctly for surgery. This is an added expense that can cost you tens of thousands of dollars over the lifetime of the machine, and that doesn’t even touch the scenario where you need an additional repair or part. At Surgical Direct, all of our machines are enrolled in the same PM schedule with the manufacturer that your machine would be, providing the same level of upkeep and care to your facility without the ongoing (and unexpected) bills.

3) Disposable Supply, Lenses & Inventory Upkeep.

Of course, every phaco machine comes with specific accessories and supplies that only work with that specific machine. Are you and your staff in a position to manage these aspects efficiently? Surgical Direct’s Mobile Cataract Service provides everything needed. Handpieces, tips, sleeves, tubing packs, and bss are machine-specific and must be on hand for surgery. We take care of all the disposable case supplies specific to each surgeon’s preference, including standard & premium lenses for every surgery.

4) Brand & Surgeon Loyalty.

Since purchasing is a big ROI decision, you want to be sure of two things before pulling the trigger with confidence. 1) Is this machine (and it’s brand) a good fit for the surgeon (or all of the surgeons that might be using it) long-term? Short term thinking does not produce good ROI results. Will the surgeon be happy with this machine long-term? 2) Are you certain the surgeon will be operating in your facility long-term? There is no obvious answer to these questions because there is no guarantee of the future. Surgical Direct gives you the flexibility to use a machine as long as you like with no buy-in or tie-down. Switching brands or upgrading to the latest model is EASY!

5) Staff Training & Troubleshooting.

New equipment means new things to learn. Does your team have the capacity to learn all the ins-and-outs of the new technology? Knowing what to look for, troubleshooting inconsistencies and errors, and acting quickly can be the difference between a smooth day and day full of cancellations. Surgical Direct provides highly-trained and helpful technicians each surgery day to your OR that uses our service. Our techs are specifically trained on the equipment to know how to circumnavigate issues to keep the machines working all day. Plus, if the issue is too technical, we bring backup machines!

6) Cataract Technology Advances Quickly.

No matter how certain about all of the other 5 topics we discussed, there is still the fact that Ophthalmic Surgical Technology is one of the fastest evolving/changing specialties in the medical field. New tech is introduced almost annually and can be difficult to stay on top of, not only financially, but practically.

We bring all of this up to let you know that if you are considering purchasing a phaco machine, you have options! Exploring a Cataract Outsourcing partnership with Surgical Direct could be the solution that saves your facility tens of thousands in capital, provides the latest technology, award-winning support, and consistent reliable ROI that you can track.

Our solution is mobile, turn-key, and simple. We would love to speak with you about how together we can make a smoother, more efficient cataract program.

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Alcon Centurion VS B&L Stellaris Elite

Today, we wanted to do a quick comparison on two of the highest-rated phaco machines in today’s market, Alcon Centurion vs B&L Stellaris Elite.

Phacoemulsification platforms are highly advanced pieces of medical equipment. Ultrasonic phacoemulsification was first introduced in the 60s, but it wasn’t until the 80s that it caught on as the primary method of cataract removal, and even then, there were still many skeptics. Since the 90s, phaco has taken a drastic upturn and has become the primary method of cataract removal, resulting in a 98% success rate on all cataract surgery operations. That’s pretty astonishing and heavily due to how sophisticated phaco technology has developed.

So let’s look at two big players in today’s market and look at their selling points.

What are the main differences between Centurion and Stellaris Elite?

 

The Alcon Centurion Vision System

1) Onboard Ultrasonic Technology

Centurion carries over the powerful OZIL Phaco Technology from its predecessor (Alcon Infiniti), along with some significant upgrades. Centurion gives the option to use traditional/ longitudinal ultrasonic patterns or OZIL’s patented Torsional ultrasound, or a combination of both at the same time. This is no different from the Infiniti. However, Centurion introduced the INTREPID Balanced Tip to the market (which is only available with Centurion). The Balanced Tip offers more effective cutting, with less movement at the incision. This has proven to be highly efficient in emulsifying dense cataracts using less power output.

2) Fluidic Technology

Arguably one of the best features on Centurion is its fluidic technology. Centurion uses Active fluidics, which means that gravity drip is not at play on this system. Instead, the bag of BSS is gripped between two adjustable plates. Highly-sensitive pressure reading sensors constantly monitor intraocular pressure throughout the procedure, sending signals to the plates to adjust the inflow of fluid. This allows the surgeon to set a desired IOP for the case, and Centurion will keep that IOP inside automatically. This creates a “stable” or “quite” chamber for the surgeon, greatly reducing the chance of post-occlusion surge. The fluidic pump is a Peristaltic pump, which builds vacuum pressure incrementally, but due to this system’s software, we’ve never heard a surgeon complain about the available vacuum levels this machine can produce.

3) User Interface

Centurion’s user interface is intuitive, sophisticated, and highly programmable. The user touch screen is extremely accurate and the interface is user-friendly, giving accurate and detailed reports at all times. Centurion also offers solid (and familiar) interface elements to the surgeon. The Centurion’s foot pedal is wireless, solid (made of metal and not plastic), and easy to navigate during surgery. The Centurion OZIL handpiece feels just like the old Infiniti OZIL handpiece, so it is familiar to those who have used previous Alcon platforms. Plus it has Luer locks on the IA ports, reducing those annoying “the tubing line fell off the handpiece” scenarios.

 


The Bausch & Lomb Stellaris Elite Vision System

1) Onboard Ultrasonic Technology

Stellaris Elite is the newest released phaco platform. While the Stellaris platform has existed for quite a few years, you can think of the Elite as the latest and upgraded version of Stellaris. Stellaris Elite introduces Attune Energy technology to the phaco market with a six-crystal handpiece that delivers an optimized 28.5 kHz frequency. This provides consistent power delivery and increased stroke length. 

2) Fluidic Technology

Stellaris Elite hosts a Venturi pump, which is a chamber based vacuum system. This means that a vacuum chamber is pressurized and used to access high levels of vacuum on demand. Venturi is nothing new to Stellaris (all previous versions have Venturi pumps as well), but the difference with this system is its Advanced Vacuum Module StableChamber Fluidics System. StableChamber minimizes surge and allows for high-vacuum surgery through an incision as small as a 1.8mm.

3) User Interface

Like Centurion, Stellaris Elite hosts an intuitive, highly-customizable, and easy-to-navigate user interface that allows for effortless customization of case settings and defaults. Elite also provides the surgeon with familiar handpiece interfaces (if they’ve used B&L systems before) and the foot pedal is also wireless. Another notable feature about the foot pedal is that it’s dual-linear and programmable so the surgeon can have full control of aspiration and ultrasound independently.

4) Posterior & Anterior Segment Options

In many respects, both Centurion and Stellaris Elite are similar. The biggest marked difference between the two is that Stellaris Elite is a multi-procedural system. In addition to providing a highly advanced and stable environment for cataract surgery, Stellaris Elite is also one of the leading platforms in posterior segment surgery. The Vitesse Hypersonic Vitrectomy System onboard the Elite is the most sophisticated and programmable vitrectomy system to date. This makes the Stellaris a viable option for both cataract and retina surgeons, providing both a cutting-edge and safe operating system.

 


The Surgeon’s Preference Wins!

Surgeons tend to have loyalty to certain systems or brands based on familiarity. But we’ve often found that many surgeons are very interested in switching platforms when new technology is introduced to the market. However, many are stuck using an old phaco platform due to a deficiency in capital.

Surgeons should be able to pick and choose what platform is best for their surgical process. They should be able to try new technology as it comes out. This has the potential to increase the level of care they offer their patients.

Surgical Direct Inc offers the ability for any surgeon to access today’s latest phaco, microscope, IOL, and other ophthalmic technology at no upfront cost. Our Mobile Cataract Service model is designed to allow surgeons to use the technology they want and open the door for options without burdening the facility with large capital expenses.

Want to try Centurion, Stellaris Elite, or another phaco system in your facility? Give us a call today and inquire about a Free SDI Demo Day.

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The Growing Need for Cataract Instruments

The Situation with Sterilization.

Surgical procedures, in general, require a lot of instrumentation to be sterilized in preparation for surgery. Like all specialties in surgery, ophthalmology requires very specific instrumentation. When we are talking about ‘cataract instruments’, we are talking about the ophthalmic instruments (cataract tray), the phaco handpiece, and IOL insertion devices.

One notable difference that makes cataract instruments different is their size and fragility. But this is just one “small” part (no pun intended) of the cataract instrument situation that needs to be thought about to make the surgery day a success. What about volume? How many sets do you need to make the day go smoothly? The truth is (with changes to sterilization standards in the last 15 years), it seems that the required amount of instrumentation for a typical eye day is growing and growing. Let’s dissect the reasons why this is such a big issue, and how Surgical Direct can help in this area.

So, why do you need so many Cataract Instruments? 

 

1) Case Volume & Speed

In 2015, Review of Ophthalmology published an article that says that the national average of cataract case volume per surgeon in the United States is about 400 cataract cases per year. Some obviously would land higher than that, some lower of course. But if we take that average, it equals approximately 7 cases per week.

Let’s just say your surgeon brings an average of 7 cases to your facility on a surgery day, with an average case time of 20min. That’s an average of 3 cases per hour. If your surgeon falls into the “quick” category, this number can go up. Keep in mind that it’s best practice to have a backup set sterile and ready in case an instrument is dropped or contaminated. So that gives us a total of 4 sets of cataract instruments needed per hour of surgery. And saying that actually feels modest.

2) Modern Sterilization Times

Next, we have to factor in how long it takes to sterilize cataract instruments. Using the most up-to-date sterilization standards, a facility needs 45min-1hr of process time for instruments to be sterilized (which has increased substantially in the last 15 years with stricter state and medical governing body regulations). What used to take 15min, now will take 1hr, which means that the first set of cataract instruments used that day will not be ready to be reused until 1.5 hours after the first case starts. It’s also interesting to note that average case times per surgeon are getting faster due to the latest technology, which is increasing the surgeon’s efficiency intra-op. This makes for an interesting dilemma.

3) Standard & Specialty Instruments 

Every surgeon has their preferred instruments. Cataract surgery does not have too many varying methods. For the most part, every surgeon will perform the surgery using the same primary steps. However, this does not signify that every surgeon will use the same instruments. Many surgeons will use different instrumentation than another surgeon to perform the same surgical step. This means that if you have more than one surgeon operating in your facility, your instrumentation will need to increase. Of course, some surgeons will have added steps based on their surgical preference, also increasing needed instrumentation.

Then there is the issue of backup or specialty instruments that are only needed in special situations. It’s important to have multiples of these in order to cover all possible scenarios and not be stuck waiting for sterilization to move forward with the day.

4) The Impending Baby-Boomers 

Another layer to think about in this area is that we are on the cusp of the baby-boomer generation becoming within the average age of cataract development. Why does this matter? The numbers listed above in point #1 are numbers taken in 2015. Each year, the average cataract surgeon will take on more cases just to handle the demand, and it’s only going to increase as the baby boomers develop cataracts and need surgery. This means that the need for more instrumentation will only be inevitable in the coming years.

To sum up, it’s a very complex situation that requires a lot of instruments and attention to detail to pull off a smooth cataract day. By now you are probably trying to factor how much it’s going to cost in purchasing instruments and phaco handpieces to keep up with the demand. Before you invest, consider Surgical Direct’s Mobile Cataract Services.

Surgical Direct Inc provides the latest cataract technology to your facility for $0 of capital investment.

We provide tailored equipment and supply lists for the surgeon’s specific needs, including the desire to try new technology as it comes out. We are able to help with instrumentation demands (both in cataract instruments and phaco handpieces). With Surgical Direct, you get a safer, more efficient cataract experience in your facility. Don’t believe us? Read through our testimonials to see what our customers are saying about our services.

Interested in learning more about what we offer? Visit our Mobile Cataract Services page to find out more about what we do. Have a more pressing question or need? Call us directly at 1-800-346-0544.

Want to experience our services first hand for FREE? Request a Surgical Direct FREE DEMO DAY.

Why Cataract Outsourcing makes sense.

Let’s say your hospital or ASC has come to a point where you have realized that acquiring new cataract equipment is inevitable. Your current equipment is old and outdated, repairs and maintenance costs are becoming more frequent, and your surgeon is starting to request the latest technology on the market.  You will likely be met with two options to meet your future needs…purchase or look for a cataract outsourcing service.

1) Purchase new equipment. With this option, not only will you need the upfront funds to purchase the equipment, but you will also likely have to invest in ongoing maintenance packages, software upgrades, and future repair costs. All of these costs cause the profitability of your cataract cases to be quite low for years due to your upfront investment. You will also need to factor in storage space, training for your staff, etc.

2) Outsource with SDI. Our cataract outsourcing model enables you to start doing cataracts (or upgrade your old equipment) with NO upfront costs. There is no need to purchase costly equipment, or pay for preventative maintenance plans, or use up valuable storage space in your facility. Our pricing is factored on a per-case basis so your cases are profitable to your facility from day one. 

In addition, SDI provides IOL consignments, ancillary inventory supplies from all the major ophthalmic manufacturers, and a dedicated Surgical Coordinator on the day of surgery. Our coordinators are manufacturer trained to operate the equipment in assistance to your staff and surgeon.

For more information about our services, visit our services page.