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In the environment of the eye,

as you would in a delicate, natural ecosystem

Leave only your best work behind

01
STREAMLINE® Surgical System
01
02
ClickPulse® Technology
02
03
Implant-Free Solution
03

ADVANTAGES

Introducing the STREAMLINE® Surgical System

STREAMLINE® is the first-line, implant-free solution designed with the results you want in mind

Implant-free procedure

Permanent implants have potential risks and limitations2,3

Intuitive

to learn and activate with ClickPulse® Technology1

Designed to fit

seamlessly into your surgical routine4

Keeps your options open

for future procedures

STREAMLINE® FITS READILY INTO YOUR SURGICAL ROUTINE

Designed with ClickPulse® Technology for cataract surgeons

Ergonomic

single-use device4,5

Straightforward adoption process

TECHNOLOGY

Anatomy of ClickPulse® Technology1,4,5

Priming Port

To load viscoelastic

Actuator Button

Press to initiate ClickPulse® Technology

Inner Cannula

Delivers a precise amount of viscoelastic

Outer Sleeve

Retracts to allow tissue engagement with inner cannula

STREAMLINE® targets essential structures of the conventional outflow system1,3,7

1

OPENS

multiple precision goniotomies
2

DILATES

the canal of Schlemm
3

STRETCHES

the trabecular meshwork (TM)
4

FLUSHES

the distal collector channels
1

OPENS

multiple precision goniotomies
2

DILATES

the canal of Schlemm
3

STRETCHES

the trabecular meshwork (TM)
4

FLUSHES

the distal collector channels

Addresses several clock hours of the conventional outflow system rather than only a specific quadrant4

No foreign bodies left behind4,6

STREAMLINE® is designed to be less complex and more routine

ClickPulse® Technology allows the surgeon to perform the procedure with one hand4

ClickPulse® Technology allows the surgeon to perform the procedure with one hand4

Targets the conventional outflow system4

Targets the conventional outflow system4

Gentle, multipoint applications through the TM into the canal of Schlemm4

Gentle, multipoint applications through the TM into the canal of Schlemm4

Allows constant device visualization4

Allows constant device visualization4

PROCEDURE

The STREAMLINE® procedure

A system well suited for routine surgical use

STEP 1

Prepare OVD by expelling air from the OVD syringe. Connect syringe to priming port, then twist to lock5

STEP 2

Prime STREAMLINE® by depressing the OVD syringe plunger. Device is fully primed once OVD is seen flowing from the outer sleeve without bubbles. Twist to remove OVD syringe from the priming port before next steps5

STEP 3

Angle patient’s head 45 degrees away from surgeon, and angle microscope 45 degrees toward surgeon

STEP 4

Insert outer sleeve of STREAMLINE® into anterior chamber through existing clear corneal incision (minimum 1.8 mm). Advance outer sleeve past pupil and toward opposite angle5

STEP 5

Advance outer sleeve to targeted drainage angle under direct gonioscopic visualization. Locate TM and other angle structures5

STEP 6

Touch outer sleeve against TM to slightly applanate the TM without indenting eye wall and without losing gonioscopic view of anatomical structures5

Properly orient width of outer sleeve with TM, which aligns inner cannula with the canal of Schlemm5

STEP 7

Activate ClickPulse® by fully depressing button in one smooth, continuous motion, while maintaining device position and view of anatomical structures. This creates a precision goniotomy, performs a precision catheterization, and dispenses the OVD5

After 2 seconds, move 1-2 mm away from treated area (remaining under gonioscopic visualization) and lift finger away from button5

STEP 8

Perform additional ClickPulse® applications by moving outer sleeve tip at least 1 clock hour to either side of initial application site. Repeat previous steps (up to 8 total applications)5

RESOURCES

STREAMLINE® Surgical Videos

Dr. Leo Seibold Surgical Video
Dr. Don Nguyen Surgical Video

Frequently Asked Questions

The STREAMLINE® device opens multiple precision goniotomies, then uses OVD to dilate the canal of Schlemm, stretch the TM, and flush the distal collector channels, targeting the conventional outflow system without a permanent implant.4,6,7

A list of recommended brands of OVD can be found in the Instructions for Use.

New World Medical offers training resources here.

For more information about STREAMLINE®, please read the Instructions for Use. You can also call (909) 323-0592 to speak with a representative.

References:

1. Data on file. New World Medical, May 2020. 2. Dorairaj S, Balasubramani GK. Corneal endothelial cell changes after phacoemulsification combined with excisional goniotomy with the Kahook Dual Blade or iStent: a prospective fellow-eye comparison. Clin Ophthalmol. 2020;14:4047-4053. 3. A new MIGS on the block? Cataract & Refractive Surgery Today. November/December 2015 [insert]. Accessed February 9, 2022. https://crstoday.com/articles/2015-novdec/1215_insert3-pdf/ 4. Data on file. New World Medical, February 2020. 5. STREAMLINE® Surgical System [Instructions for Use]. Rancho Cucamonga, CA: New World Medical; REV C, April 2022.

CONTACT

Getting started with STREAMLINE®

Are you ready to offer STREAMLINE® to your patients?

Your rep can discuss the certification process with you

CONTACT YOUR REP

Please contact us by email or phone

(909) 323-0592

CONTACT

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