CellChek® D | D+

CellChek®-D-D+4

Designed to improve patient outcomes, CellChek D+ redefined specular microscopy in Eyebanking.
It was quickly and widely adopted by many of the world’s finest Eye Banks.

CellChek®-D-D

New “Donor Enhanced” Imaging System

CellChek D+ features a patent applied for “Donor Enhance” imaging system that provides remarkable views of endothelium, intra-stomal structure, and the epithelium. The range of new information from which to make better clinical decisions is spectacular (pun intended): blood cells, fungus, rough keratome cuts, dead cells, epithelial anomalies. Never have we had this view of pre-implanted material. Corneal surgeons are finding this information to be illuminating in helping to understand graft success and failure.

Broad overview but with large multi-sample analytic areas

CellChek D and D+ feature a new finder feature with digital measuring / documenting tools.

CellChek®-D-D+4
CellChek®-D-D+4

Patented Cellular Analysis Methods

All Konan specular microscopes feature the Center Method of analysis. Center Method is mentioned in FDA panel minutes as being the “gold standard” and is used by virtually every professional reading center for independent assessment of corneal endothelial analytics.1 Unlike full-auto assessments, the Center Method provides high precision and repeatability for specular images in which relatively small continuous areas of visible cells are visible. The Flex-Center method is the third tool for advanced stage diseased corneas in which only a very few number of cells are visible. With this semi-automated, perimeter-count method, again, high precision and repeatability is achieved. Only Konan provides the rich set of analytic tools for reliable assessment of the entire spectrum of corneal conditions.

It is not surprising that Konan is the global gold standard in corneal endothelial assessment.

Full Graft Imaging

CellChek D and D+ provide a total picture of the cornea. Use digital measurement tools to identify, measure and document cornea dimensions, defects, and scars.

CellChek®-D-D+4

CellChek D and EB-10 Specifications

CellChek D+ EB-10
Viewing Field 1000 x 750 µm 480 X 600 µm
Analysis Area (each multi-field area) 400 X 300 µm X 4 areas
(max 480,000 µm2)
200 X 280 µm
Chamber Compatibility Numedis Life 4C®, Krolman®, B+L®, Stephens® Life 4C®, Alcon®, Bausch+Lomb®, Krolman®
Vial Dimensions up to 35 mm diameter up to 35 mm diameter
Thermometer Range 0° to 45° C 0° to 45° C
Stage Translation Ranges X, Y, and Z = 16 mm, Tilt = 15° X and Y = 16 mm, Z= 20 mm, Tilt: 5°
Illumination Halogen LED: primary wavelength 525 nm
Cameras Dual CMOS: Finder and cornea Dual CMOS: Finder and Cornea
Display Digital data feed to computer On-board LCD: temperature and pachymetry
Electrical 100-240 VAC, 50/60 Hz, 50 VA 100-240 VAC, 50/60 Hz, 50 VA
Size 280 (W) X 215 (H) X 265 (D) mm 200 (W) X 255 (H) X 220 (D) mm
Data Interface USB 2.0 USB 2.0
Weight 7.5 kg (without computer) 6.1 kg (without computer)
Operating Conditions Ambient temp: 10° to 40° C
Relative humidity: 30% to 85%
Atmospheric pressure: 70 to 106 kPa
Ambient temp: 10° to 40° C
Relative humidity: 30% to 85%
Atmospheric pressure: 70 to 106 kPa
Regulatory CE Mark, In Vitro USA CE Mark, In Vitro USA

What is KonanCare support and clinical training?

KonanCare enables customers to consult, securely, by appointment, with Konan’s on-staff experts for interpretation of specular microscopic images, and to receive assistance on more advanced topics and methods associated with Konan’s products (CellChek XL, EvokeDx, CellChek D+ and EB-10, Chart2020, and the RAPDx pupillograph). With current product models, a secure, permission-based login session can be initiated by the customer allowing both the physician and the KonanCare team member to simultaneously view and discuss actual images using secure internet web services. KonanCare assistance is provided without charge for customers during the initial warranty period or during any period of Service Agreement coverage. A unique service, only from Konan Medical USA.

How accurate are the analysis methods?

Flex Center MethodKonan Center/Flex Center methods are patented and are the only FDA 510(k) cleared methods for eye bank systems. Accuracy established by independent reading centers for FDA clinical studies is +/-2.5%

How is the system calibrated?

Each CellChek D+ comes with a 20um grid calibration disk. Enter 100um length using this disk and click a button. The computer will indicate a known magnification for 100um length. It also enables the operator to verify if calibration was properly completed.

How many cells should be counted to be statistically accurate?

If the cells in the sample area are generally uniform in size and shape, 30-50 cells should be enough. However, if there is variation in cell size, at least 75-100 cells should be counted. Konan’s multi-sampling capability enables the operator to choose up to 4 different locations in the central cornea for adequate sampling. Analysis from each frame can be automatically averaged.

How accurate is the built-in pachymeter?

CellChek D+ features improved visualization of both endothelial and epithelial surfaces, but has not yet been independently assessed as to the accuracy of the pachymeter. The previous model EB-10 has accuracy of +/-10%, however, accuracy in the donor cornea is dependent upon how well the epithelium is preserved.

How do I set a focal distance between the objective lens and the cornea placed in different containers, such as vial or chamber?

The operator is able to view the proper height of the stage by using the focusing knob and placing a slit of light reflection from the endothelium in the middle of a green box.

What temperature range is required for corneal assessment (after removing from refrigeration)?

CellChek D+ has a built-in thermometer which measures medium temperature in real-time. For optimal results, the preservation medium should be 24 – 26 degrees C.

How is the imaging affected with cold corneas and how do we determine if the cornea has warmed up enough to analyze?

At 4º C, biochemical and physiological metabolic activities of endothelial cells slow down significantly. As temperature is increased to ~ room temperature, (>24º C), pumping mechanism is reactivated. If cornea has low functional reserve, it may take longer for activation to occur.

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