Mynosys | Zepto Precision Pulse Capsulotomy
Here's a slick
and promising
new way to
create a cap-
sulorhexis.
Surgeons cen-
ter the device
over the visual
axis and acti-
vate the tip,
which sucks to
the capsular bag to trap and heat surface water molecules in 4 mil-
liseconds. The molecules rapidly expand to cleave tissue. A company
rep says the strength of the resulting cut's edge is 2 to 4 times
greater than a laser-generated capsulorhexis. The platform's power
supply unit costs $2,000. The single-use handpiece, which can be
inserted through incisions as small as 2.2 mm, costs $110. Mynosys
expects to receive 510(k) clearance for the system later this year.
The only other practical methods for making a capsulorhexis are
manual techniques, which require a great deal of skill, and the fem-
tosecond laser, which requires a $500,000 initial investment, per-
click fees and maintenance contracts. There's no evidence that mak-
ing a capsulorhexis with a laser improves clinical outcomes, so it
makes sense to consider a more affordable option. This device could
level the surgical playing field, allowing low-volume surgeons to
make the near-perfect capsulorhexis needed to implant specialty
lenses and achieve the enhanced refractive outcomes for which
patients pay a premium.
J U L Y 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 8 7
