Multispot laser

for all your retinal needs

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 BEST OF EUROPEAN INTEGRATION
The TT 577 is a fully featured multispot integrated laser, with dual laser
modality continuous wave and Meridian Medical copyrighted microsec-
ond pulses technology shortpulse.
TT excels in performance thanks to its functional and modern design –
all its components have been carefully integrated in the table, providing
a robust operation and sturdy feeling.

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 SUPERIOR QUALITY & LONGEVITY
Meridian reserves its best laser cavities using the highest quality components for
our premium laser range. ​We have strategically partnered with the top ophthalmic
industry manufacturers to include the absolute best quality components from Swit-
zerland and Europe in our multi-spot range. ​M eridian’s propriety scanning systems
feature the fastest galvanometers on the market, assuring perfect patterns and laser
quality at all times.
These systems are meticulously integrated at our facilities, providing the best and
most reliable integration platform combined with Haag-Streit slit lamps. ​T he TT
housing encloses all peripheral fibre and cables increasing its protection whilst the
dust-free aluminium case safeguards the inner electronics.

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 USABILITY
Designed by European retinal specialists, TT offers a high level of practical and rele-
vant features:
■ Retinal projection: laser settings, laser power, pattern selection, size, and rotation
are observed through the oculars eliminating the need of removing the eyes from
the slit lamp. Thus, maximising the efficiency of the surgeon when performing the
treatment
■ Furthermore, our proprietary 3D Mouse interface makes the laser operation fast,
easy, and Intuitive
■ All laser parameters (e.g. power, pattern, duration) can be swiftly modified using
the 3D Mouse or touch screen
■ These advanced features help to speed up the treatment time and reduce patient
chair time

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 SAFETY
Meridian’s multispot range includes the highest degree of safety features in pat-
tern laser photocoagulation.
■ Restricted pattern size by 2 × 2
■ Automatic fluence calculation combined with spot size control and laser lens
power
■ Limited total time of pattern delivery to 0.7 seconds
■ Retinal outline projection of patterns to ensure the visibility of tissue and grid
location
■ Pattern delivery stops by releasing the foot pedal
■ The table height is automatically locked when the laser is in “ready mode”

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 FLEXIBILITY & COMFORT
We understand customers like to have the option and control, if Haag-Streit BQ 900
is not your preferred bio-microscopy we can provide our pattern lasers with CSO SL
9900.
■ All Meridian systems are installed and calibrated by our worldwide network of
factory trained distributors and engineers.
■ TT range slit lamp scanners ensures excellent retina illumination and laser delivery.
■ Meridian offers the flexibility of 3 multi-spot models to cater any customer needs

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 LASER EXCELLENCE
The history of Meridian AG, now showing up as Meridian Medi-
cal Group, and the history of the medical Nd:YAG laser are closely
connected. The Microruptor II developed by Meridian engineers and
Dr Frankhauser changed the way of many ophthalmology treatments. 
New technology is continuously developed and patented by our de-
velopment engineers. We select and integrate the best Swiss and Eu-
ropean laser components to ensure the highest quality and long-
term reliability.
We use tested and reliable best practices in engineering and in-
tegration, ensuring our systems’ highest performance. Our highly
skilled and experienced staff works to deliver the service and results
our customers deserve and expect. 

TIPS FOR YOUR LASER

■ Yearly maintenance service assures the optimal performance of
your laser
■ Follow the safety advice of the manufacturer and your regulatory
body
■ Only use the laser as described in the IFU

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 CLINICAL INDICATION
Meridian’s multispot lasers are designed to satisfy the needs of retinal photocoag-
ulation. Our lasers will deliver superb laser quality with the highest optical quality
available in the industry when treating the retina. ​W hatever your treatment parame-
ters and preferences are, Meridian’s multispot range offers solutions to cater to your
need in a compact and versatile unit.
Photocoagulation:
Retinal photocoagulation, panretinal photocoagulation (PR) and intravitreal endo-
photocoagulation of vascular and structural abnormalities of the retina and choroids,
including:
■ Proliferative and non-proliferative diabetic retinopathy
■ Choroidal neovascularization
■ Branch retinal vein occlusion
■ Age-related macular degeration
■ Retinal tears and detachments
■ Retinopathy of prematurity
■ Macular edema
■ Lattice degeration
■ Central retinal vein occlusion
lridotomy:
■ lridotomy in angle closure glaucoma
Trabeculoplasty:
■ Trabeculoplasty in open angle glaucoma

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 WAVELENGTH BENEFITS – WHY 577 nm?
■ The yellow wavelength 577 nm causes less retinal burns and therefore less scotoma formation
■ This gives the physician better control over the interaction between the laser beam and tissue
■ The yellow light is not absorbed by xanthophyll, making it ideal for macular treatments
■ Because it also produces less scattered light, it penetrates existing opacities better and reaches the tissue more pre-
cisely

532 577 810

3000
Melanin RPE
1000
Absorption Coefficient (1/cm)

500

100 Hemoglobin (Hb)

50

10
Melanin CH
5 Xanthophyl

Oxyhemoglobin (HbO2)
1
450 500 550 600 650 700 750 800
Wavelength (nm)

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 SELECTING A PATTERN AND PATTERN ROTATION
Pattern selection and rotation depend on user preference, on the pathology and on the curvature of the eye.
The full pattern must be visible and in focus on the retina, avoiding direct coagulation of blood vessels.

SELECTING A CONTACT LENS

The contact lens will be chosen according to the position of the lesion and personal preference. The software
calculates the actual spot size on the retina depending on the lens selected by the user.

SELECTING SPACING
The ETDRS recommendation for PRP is 0.5 burn spacing for short pulsed lasers because there is less thermal
diffusion. Confluent (0) spacing will be chosen when creating a barrage around tears or holes.

SELECTING PULSE DURATION

It is recommended to start with 20 ms for peripheral treatments and 10 ms for macular treatments. If in doubt,
start with a longer pulse duration and low power.

SELECTING FLUENCE
Start with low power in single spot mode and observe the effect on the tissue. Titrate upwards until the desired
effect is seen on the tissue. Wait a few seconds to observe the effect as shorter pulses take longer to become
visible. The fluence is calculated and displayed on the screen. Fluence delivered in a pattern will always be less
due to the shorter pulse duration.

NUMBER OF SPOTS
To be effective and obtain regression of NV with 20 ms pulse duration it is necessary to deliver at least 50%.

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 PHOTOCOAGULATION – TREATMENT GUIDELINES FOR
SHORTPULSE LASERS
These guidelines have been prepared following industry standards retinal treatments, the use of the laser and its
parameters are responsibility of the treating ophthalmologist.

Procedure Spot size(*) Exposure Starting power Spacing Pattern

PRP ( Central ) 100 – 200 μm 0.01 S 100 mW 0.5 – 0.75 Arc
PRP ( Periphery ) 200 – 500 μm 0.02 – 0.03 S 400 mW 0.5 – 0.75 Square
DME ( Focal) 50 – 100 μm 0.01 – 0.02 S 100 mW 0 – 0.5 Arc
DME ( Grid ) 50 – 200 μm 0.01 S 100 mW 0 – 0.5 Square
Tears & Breaks 50 – 1000 μm 0.03 S 400 – 600 mw 0 Line 1-2-3
Degenerations 500 – 800 μm 0.03 S 400 – 600 mw 0.25 Line 1-2-3
(*) Spot size on macula including the lens magnification factor
Suggested parameters for the Posterior Segment taken from Bloom & Bruckner (1997) “Laser Surgery of the Posterior Segment”
“Initial experience with the Pascal® Photocoagulator -a pilot study of 75 procedures” Sanghviet al
“Light panretinal photocoagulation (LPRP) versus classic panretinal photocoagulation (CPRP) in proliferative diabetic retinopathy” Bandelloet a
“Comparison of laser photcoagulation for diabetic retinopathy using 532-nm standard laser versus multispot pattern scan laser” Nagpalet al

TREATMENT END-POINT
depending on the disease or disease:

Sealing (holes, tears) aim for a full-thickness, visible strong grey burn
Tissue photocoagulation (PRP) the brighter (whiter) the burn, the more thermal spread will be observed but this
will require longer pulse times or higher fluences. Shorter pulse times (e.g. 20 ms)
and lower fluences will result in barely visible light grey burns
Stimulation, reduction oedema aim for an only barely visible effect. Note that with short pulse durations, the burn
(macular grid) takes longer to become visible. Wait a few seconds when titrating to allow for full
effect

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 LASER MODALITIES
TT range delivers continuous wave laser and Meridian Medical copyrighted micro-
second pulses technology shortpulse.
Continuous wave (CW) mode has been around since 1961 and it’s the standard
mode of treatment, pattern lasers have popularised shorter pulses of 10, 20 & 30 ms
and new shorter pulses (microsecond pulses) have established as new paradigm in
the subthreshold retinal treatment.
Meridian photocoagulators offer all modalities, CW, pattern short millisecond pulses
and microsecond shortpulse technology.
Shortpulse delivers small pockets of
chopped energy during a specific
duty cycle applying less thermal
short pulse short pulse
strain allowing improved tissue interval period
relaxation and no visible da- duration duration
mage on the retina.
90 % 100 %

short pulse
duration

burst duration interval duration 10 % burst

example
10 % duty
power

cycle

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 STANDARD ACCESSORIES
Meridian multispot range comes standard with:
■ Scanning slit lamp delivery systems
■ Footswitch
■ Safety goggles
TT range includes the two-column table for great patient access.

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 TECHNICAL SPECIFICATIONS*

Device description Multispot laser |

Laser OPSL 577 nm
Laser Power 50 – 1500 mW
Pulse duration Single 10-650ms
Pattern 10-30 ms
Subtreshold 1-10 µs
Duty cycle 5 – 50 %
Spot sizes 50 µm, 100 µm, 200 µm, 300 µm and 400 µm
Aiming beam 635 nm, adjustable brightness. Pattern projected as
spot or outline
Patterns Square, Circle, Arc, Sector, Line, Spot (repetition)

Laser cooling TEC

Computer cooling Fan cooling

User interface 15” Touch screen and Smart Wheel

Slit lamp Haag-Streit BQ 900 or CSO SL 9900
Electric 230 V 50 Hz (Voltage options for different countries
are availabe
Net Weight 138 kg
Gross Weight 208 kg
* All technical specifications are subject to change without notice. In accordance with the international general safety standards: IEC
60601-1:2005/AMD1:2012,, IEC 60601-1-2:014, MDD 93/42/EEC. The laser safety is in accordance with the international standards: IEC
60825-1:2014 and IEC 60601-2-22:2007/AMD1:2012.

0537

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 Copyright © Meridian AG, 3608 Thun, Switzerland

Head office Switzerland

Meridian Medical Group Meridian AG
Tel.: +41 33 334 11 11 Bierigutstrasse 7
Fax: +41 33 334 11 19 CH-3608 Thun
[email protected]
www.meridian.ch
Slovenia
Meridian Medical d.o.o.
Plemljeva ulica 8
1210 Ljubljana-Sentvid

Finland
Meridian Medical Oy
Elannotie 5
01510 Vantaa

your laser specialist 280008 Brochure_ TT_577 Rev. A(0)

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