Meridian Merilas 532a Brochure

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Green laser

photocoagulator
for all retinal photo-
coagulator procedures

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PROVEN RELIABILITY –
COMPACT, PRACTICAL AND POWERFUL
Award winning, fully featured frequency doubled solid state
green laser photocoagulator.

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SUPERIOR QUALITY & LONGEVITY
The Merilas housing is made of a high grade aluminium giving Meridian’s unique
solid feeling. The removable control panel features a crystal interface that is resist-
ant, durable and easy to clean.

The thermoelectric cooling (TEC) system eliminates the need for ventilation slots,
making a hermetically sealed unit, ensuring a dust-free system, increasing the lon-
gevity of the laser.

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USABILITY
The Merilas lasers have intuitive commands, and are easy to use   ​

The detachable touch display with glass technology ensures flexibility and provides
a greater ergonomic design. The user interface is straightforward to use, thanks to
its intuitive design. Due to its thermoelectric cooling system, there are no disturbing
noises or air turbulences.  ​

​ he Merilas lasers impress users with their modern, compact presentation and ease
T
to transport. Each laser comes with a robust and practical carry-on case. 

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SAFETY
Auto Key connector: Merilas lasers recognises the original probes and accessories
connected to the console.

■ Meridian cavities deliver stable laser output


■ Each laser accessory is calibrated and measured independently
■ Meridian parfocal laser (this assures no heating on the cornea)
■ Remote support access

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FLEXIBILITY & COMFORT
Our range of slit lamp delivery systems are designed to work with a wide range of slit
lamp brands, either Haag-Streit or Zeiss styles. The Merilas lasers can be used with
laser indirect ophthalmoscopes and endoprobes.

Our technicians can support you via remote service in case you need assistance.
This function allows fast and professional troubleshooting.

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LASER EXCELLENCE
The history of Meridian AG, now showing up as Meridian Medical
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 treat-
ments. ​N ew technology is continuously developed and patented by
our development engineers. We select and integrate the best Swiss
and European laser components to ensure the highest quality
and long-term reliability. We use tested and reliable best practices
in engineering and integration, ensuring our systems’ highest per-
formance. Our highly skilled and experienced staff works to deliver
the service and results our customers deserve and have come to
expect. 

TIPS FOR YOUR LASER


■ Yearly maintenance service assures the best performance of
your laser​
■ Follow the safety advice of the manufacturer and your regulatory
body​
■ Follow the intended use described in the IFU

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CLINICAL INDICATION
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 degeneration
■ Retinal tears and detachments
■ Retinopathy of prematurity
■ Macular edema
■ Lattice degeneration
■ Central retinal vein occlusion

Iridotomy:
■ Iridotomy in angle closure glaucoma

Trabeculoplasty:
■ Trabeculoplasty in open angle glaucoma

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WAVELENGTH BENEFITS – WHY 532 nm?
■ The green light is best absorbed by the pigment melanin and is therefore suitable for various retinal treatments,
especially of the pigmented retinal epithelium (RPE)

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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PHOTOCOAGULATION – TREATMENT GUIDELINES
FOR CW 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 Power Visible effect


PRP ( Central ) 100 – 200 μm 0.05 – 0.2 S 100 mW Moderate Burning
PRP ( Periphery ) 200 – 500 μm 0.05 – 0.5 S 400 mW Blanching
DME ( Focal) 50 – 100 μm 0.05 – 0.1 S 100 mW Light Blanching
Within 500μm of fovea
DME ( Grid ) 50 – 200 μm 0.1 S 100 mW Blanching
RVO 100 – 500 μm 0.05 – 0.5 S 100 – 500 mW Intense burn
CNV 50 – 200 μm 0.1 – 0.5 S 100 – 500 mW
Tears & Breaks 50 – 1000 μm 0.2 – 0.5 S 400 – 600 mw Linear with no spacing
Degenerations 500 – 800 μm 0.1 – 0.2 S 400 – 600 mw Linear with no spacing
(*) 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”

BINOCULARS IN FOCUS
Each user must have the oculars set for their personal refraction, this way the laser will be in parfocality
with the aiming beam and retina. Defocused slit lamp may result in unpredictable laser burns. 

TEST SHOTS
■ Always assure perfect retinal focus before delivering the treatment
■ Perform a series of SINGLE SPOT shots in the periphery to test the melanin response, for your test
shot aim for a blanching or light burn 
■ Start with the lowest recommending power and the shortest exposure time

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STANDARD ACCESSORIES
■ Foot switch
■ Transport case
■ Safety goggles

OPTIONAL ACCESSORIES
■ Slit lamp adapters
■ Laser indirect ophthalmoscope
■ Safety filters (passive & active)
■ Endoprobes
■ External fan

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SLIT LAMP ADAPTER –
HAAG-STREIT BQ INTEGRATED DESIGN
Meridian proudly integrates its lasers to the Haag-Streit BQ, and it is the only laser company partnering with
Haag-Streit.
The specially designed, high-quality filter for the Haag-Streit BQ, fits perfectly on this slit lamp, providing an
uninterrupted view and access to the slit lamp on 577 or 532 nm wavelengths. Meridian filters provide unparallel
light transmission with protecting the user’s eyes.

HAAG-STREIT UNIVERSAL DESIGN


Merilas universal slit lamp adapter allows coupling with almost any Haag-Streit slit lamp, original or copy.  
The adaptor has multiple moving parts to assure excellent adaptability to the many Haag-Streit style slit lamps,
the robust material enclosing the fibre ensures its durability.

SLIT LAMP ADAPTER –


ZEISS STYLE SLIT LAMP ADAPTER
Meridian offers a Zeiss-style slit lamp adapter designed for the lower illumination tower, allowing seamless inter-
action with the German slit lamp and lasers like the Nd:YAG MR Q. 

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DELIVERY SYSTEMS – LIO – FEATURES
■ Optimized for the Merilas platform 
■ Laser delivery coaxial to the users viewing axis
■ Standard LED module
■ Neutral LED cooler color providing brighter illumination and longer battery life
■ High-contrast optics
■ Built-in filters
■ Intelligent optical system with automatic optics and mirrors adjustment
■ High magnification lens with additional 1.6 x magnification

DELIVERY SYSTEMS – LIO – TECHNICAL SPECIFICATIONS


Description Mode
Spot size 1100um ± 20%
Working distance 280mm ± 20%
(front of LIO to focused spot)
Operating wavelengths (Factory configured Therapy laser: 532 nm, 577 nm or 810 nm up to 2000 mW
to one therapy wavelength pulsed
Aiming laser: 635 nm, 1 mW
Back-scatter protection OD > 5.5 at therapy wavelength
Laser Fiber 100 µm core, multimode with A/R coating
3 mm stainless steel protected
5 m length
SMA905 laser termination
Power Source Wall mounted wireless charger including spare lithium battery

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DELIVERY SYSTEMS – PROBES –
Our probes are manufactured by EMTRON, following strict quality control. The
high-quality polished fibre surfaces result in homogenous laser spots with evenly distrib-
uted power across the entire area, eliminating the potential risk for the formation of “hot
spots” in the treatment area.

SAFETY
The endo probes enjoy unique features such as unique serial numbers assuring the
highest possible traceability. All endo probes are CE-marked and individually sterilized
for single use.

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DELIVERY SYSTEMS – AVAILABLE PROBES –
The probe design incorporates a proprietary ergonomic design, resulting in a comfortable grip.
The handpiece is well balanced for precise and safe fibre guidance resulting in unsurpassed treat-
ment precision. The laser port is a standard SMA connector, providing users with a higher degree
of versatility.

Treatment Description

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105 mm / 4.13“
TECHNICAL SPECIFICATIONS*
220 mm / 8.66“

Device description Merilas 532 alpha |


Safety Classifications Class 4
Wavelength 532 nm
Power Output 50 – 2000 mW
Pulse Duration 10 ms – 5 000 ms
Pulse Interval 10 ms – 5 000 ms
Cooling TEC
250 mm / 9.84“

Aiming Beam Diode 635 nm, (0-1 mW in 9 Steps)


Dimensions 25.0 x 22.0 x 10.5 cm
Total Weight 7.0 kg
Power Requirements 100 – 240 V, 50/60 Hz, 2 A max.
* All technical specifications are subject to change without notice. In accordance with the international general safety standards: IEC
60601-1:2005/AMD1:2012,, IEC 60601-1-2:2014, 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.

0633

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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

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