Confoscan 4 - Corneal Confocal Microscope
Confoscan 4 Views
20x probe - No contact exam 40x probe - Full depth exam 40x probe with Z-Ring - Optical pachimetry

The Fourth Generation of Confocal Microscope
         
 
  • Confoscan 4 is a confocal scanning microscope that allows to inspect human corneal layers in vivo, in a non-invasive way, by recording automatically a sequence of digital images taken all throughout the cornea.

  • The Confoscan 4 is a fully digital, corneal confocal microscope that allows a user to view and image human corneal layers in vivo.

  • The confocal arrangement consists of one slit that illuminates the tissue and a second slit that filters the reflected light from unfocused layers.

  • The user can view, magnify, measure, and photograph separate layers of the transparent structures and tissues of the cornea. One examination records 350 different images.
     
         
  Cornea layers      
         
  Main Features      
         
 
  • Total cornea Confocal Scanning Microscope - Use of 40x probe

  • No contact Endothelial Scanning Microscope - Use of 20x probe

  • Optical Pachymeter - Use of 40x probe with Z-Ring
  Confoscan 4 Probes - 20x, 40x, 40x with Z-Ring  
         
  Confoscan 4 allows automatic examination      
         
 
  • The 25 frames per second image acquisition, combined with the auto-alignment software, allow for easy and fast automatic exam acquisition.

  • The system can be programmed for full or partial thickness corneal scans.
     
         
  Auto-alignment      
         
 
  • Auto-alignment is a sophisticated software that moves the optical head to the apex starting from off-the-center landing positions.
  Auto-alignment  
         
  Confoscan 4 has internal fixation targets      
         
 
  • Multiple internal fixation targets improve image stability and patient comfort during the exam and allow central and peri -central inspections.
  Confoscan 4 has internal fixation targets  
         
  Confoscan 4 can work as a Standalone unit      
         
 
  • Confoscan 4 can work as a standalone unit (no computer required) thanks to its embedded micro-computer and display.

  • Exams can be optionally stored on an external computer featuring the NAVIS software.
     
         
  Confoscan 4 adopts Linux© technology      
         
 
  • Confoscan 4 is based on the Linux platform for maximum reliability and performance.

  • System boots up in 40”

  • Operative System is read-only for a stable performance in time

  • Hot switch-off allowed
  Confoscan 4 adopts Linux© technology  
         
  Confoscan 4 also works under no contact conditions      
         
 
  • The new 20x probe works in air at 12 mm from the corneal apex, allowing fully no-contact endothelial exams with absolute patient comfort.

  • No anesthetic nor gel required low light level dedicated auto alignment
  Confoscan 4 also works under no contact conditions  
         
  Z-ring and optical pachymetry      
         
 
  • The Z-ring is an optional, detachable, contact element, connected to an internal sensor

  • Used to continuously monitor the position of the eye with respect to the probe

  • Achieving stabilized scans, accurate pachymetry and locating of intra-corneal structures.

  • By measuring the distance between the endothelial and epithelial peaks in each scan one gets optical pachymetry.

  • In addition, the Z-ring system actively stabilizes the pressure applied to the eye.
  Z-ring and optical pachymetry  
 

 

     
  Automatic endothelial cell analysis      
         
 
  • Automatic cell analysis software detects overall density, number of sides and area of each cell as well as overall pleomorphism and polimegathism indices.

  • Fully Automatic, Semi-Automatic, Manual Mode and Customisable exam parameters are available with the unit. This allows you to choose the corneal layers to be scanned - Endothelium, Epithelium or Full cornea scan in one unique patient exam.
  Automatic endothelial cell analysis  
         
  Enhanced confocal principle      
         
 
  • The new confocal setup provides improved image contrast, resolution and homogeneity, down to endothelium.

  • Furthermore, scanning noise is eliminated due to the new standing slits.
     
         
  Confocal Theory      
 
  • Scanning mirror confocal optical system
  • The image of one corneal layer only is displayed by the camera
Confocal Theory
 
         
  Confoscan 4 ensures maximum patient comfort      
         
 
  • High speed in-vivo histology achieved with maximum patient comfort due to the 2 mm working distance objective: gel is placed between the cornea and the objective ensuring no deformation is exerted to the cornea during an exam.
  Confoscan 4 ensures maximum patient comfort  
         
  DIP - Distance Immersion Principle      
         
 
  • A 2 mm working distance and a drop of gel ensure that there is no contact or pressure applied to the cornea
  DIP - Distance Immersion Principle  
 

 

     
 

User defined automatic examination

     
 
  • Designed for easy operation

  • Joystick control of exam sequence

  • Automatic recording of the exam or with user defined parameters, such as corneal thickness, number of passes, and Image Interval
  User defined automatic examination  
         
 

Video Frame Features

     
         
  40x probe
  • 500 X Magnification

  • 5± µm Optical Separation

  • Each video frame display a 460 x 345 µm thick corneal layer being focused

  • 2 mm working distance (through gel)
20x probe
  • 250 X Magnification

  • 5± µm Optical Separation

  • Each video frame display a 460 x 690 µm thick corneal layer being focused

  • 12 mm working distance (through air)
  Video Frame Features  
         
 

Z - Scan

     
         
  Features
  • Represents the intensity of reflected light of each image

  • Optical Pachymetry

  • Locates the image of regard

  • Locates structures relative to one another

  • Playback of selected portion of images
 

Z - Scan

 

 

Z - Scan
 
       
  Intensity Profile
  • The curve represents the intensity profile of reflected light at each corneal layer

  • The automatic Z-Scan feature provides the physician with a detailed display of corneal thickness

  • Comparison between exams using light reference data
Advantages
  • The number of acquired curves and the scanning depth are user definable

  • The average curve of multiple passes can be calculated in order to avoid unwanted effects.

  • A smoothed and average curves can be displayed
   
       
  Interaction
  • The Z-Scan curve can also be used for review of the exam sequence.

  • Moving the cursor along the wave displays the image of the corresponding corneal layer.
   
         
  System Structure      
         
 
  1. Embedded PC with Linux
  2. Head Rest
  3. Front Lens
  4. Optical Head
  5. 8.4" LCD Screen
  6. Joystick
     
         
 
Technical Specifications
 

Feature

40x mode

20x mode

Image acquisition speed

25 fps

25 fps

Image size

768 x 576 pixel

384 x 576 pixel

Inspected field

460 x 345 μm

460 x 690 μm

Magnification
(on 15" display@1024x768,1:1 zoom)

500x

250x

Lateral resolution

0.6 μm/pixel

1.2 μm/pixel

Number of images

Up to 350

Up to 350

Programmable depth of scan

Yes

Yes

Minimum axial step

1 μm

1 μm

Working distance

1.98 mm

12 mm

Instrumental accuracy of pachimetry (with Z-Ring)

± 5 μm

-

Refractive index fo gel

1.34

-

Internal fixation

9 targets

Size

55 x 48 x 60 cm - Inch: 22" x 19" x 24"

Weight

32 kg - 70 lbs

Class and Type

I with a measuring function (accrding to MDD);
1B (according to IEC 601-1)

Power consuption

300 W

External conditions

Temperature: 10/40 °C - 50/104 °F
Atmospheric Pressure: 700 hPa - 1060 hPa
Relative Atmospheric Humidity: 30% - 75% (not condensing)