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

ADVANTAGES

Introducing the STREAMLINETM Surgical System

STREAMLINETM 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 procedures5

STREAMLINETM FITS READILY INTO YOUR SURGICAL ROUTINE

Designed with ClickPulse® Technology for cataract surgeons

Ergonomic

single-use device4,6

Straightforward adoption process

Offers an established reimbursement pathway

TECHNOLOGY

Anatomy of ClickPulse® Technology1,4,6

Inner Cannula

Dispenses small amounts of ophthalmic viscosurgical device (OVD)

Outer Sleeve

Retracts to allow tissue engagement with inner cannula

Actuator Button

Priming Port

To load OVD

STREAMLINETM 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

STREAMLINETM 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 STREAMLINETM 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 lock6

STEP 2

Prime STREAMLINETM 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 steps6

STEP 3

Angle patient’s head 45 degrees away from surgeon, and angle microscope 45 degrees toward surgeon8

STEP 4

Insert outer sleeve of STREAMLINETM into anterior chamber through existing clear corneal incision (minimum 1.8 mm). Advance outer sleeve past pupil and toward opposite angle6

STEP 5

Advance outer sleeve to targeted drainage angle under direct gonioscopic visualization. Locate TM and other angle structures6

STEP 6

Touch outer sleeve against TM to slightly applanate the TM without indenting eye wall and without losing gonioscopic view of anatomical structures6

Properly orient width of outer sleeve with TM, which aligns inner cannula with the canal of Schlemm6

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 OVD6

After 2 seconds, move 1-2 mm away from treated area (remaining under gonioscopic visualization) and lift finger away from button6

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)6,8

RESOURCES

STREAMLINETM Surgical Videos

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

Frequently Asked Questions

The STREAMLINETM 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 STREAMLINETM, 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. Gallardo MJ, Supnet RA, Ahmed IIK. Viscodilation of Schlemm’s canal for the reduction of IOP via an ab-interno approach. Clin Ophthalmol. 2018;12:2149-2155. 6. STREAMLINETM Surgical System [Instructions for Use]. Rancho Cucamonga, CA: New World Medical; REV B, November 2021. 7. Ondrejka S, Körber N. 360° ab-interno Schlemm’s canal viscodilation in primary open-angle glaucoma. Clin Ophthalmol. 2019;13:1235-1246. 8. Data on file. New World Medical, December 2021.

CONTACT

Getting started with STREAMLINETM

Are you ready to offer STREAMLINETM 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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