Phaco Assisted Cataract Surgery

PACS: Adaptive phaco control

The OS 4 Up™ reconsiders phaco surgery. Building on proven easyPhaco technolgoy, PACS (Phaco Assisted Cataract Surgery) further elevates Oertli's phaco competence.

OS 4 Up with GFI hook supporting infusion bottle handling during setup
PACS explained

How PACS adaptively controls phaco energy

By detecting resistance at the phaco tip and adjusting energy delivery in real time, PACS contributes to precise, controlled and efficient work under stable chamber conditions*.

PACS controlling phaco energy during cataract surgery for stable performance with the OS 4 Up
Oertli community

Why PACS stands out

«Reducing phaco energy, especially in the first steps of the phaco is a very important thing to have better results or less impact on the eye during surgery. For me, PACS is the most significant improvement of the OS 4 Up in the anterior segment surgery.» (D)

Dr. Karl Boden
Eye Clinic Sulzbach, Germany

Portrait of male ophthalmologist wearing glasses and white coat, smiling against a neutral background
Adaptive phaco tip control

PACS works like
cruise control

The video explains PACS through a direct comparison of phaco tip behaviour with and without adaptive control. PACS detects resistance at the tip and adjusts energy delivery in real time to keep longitudinal tip movement constant*.

graphic side-by-side comparison of ophthalmic surgery using Oertli PACS versus without PACS
Surgical handling

Use case:
Access to low power ranges

The extended control range in the low power range allows emulsification with finely dosed energy and controlled holdability. This is particularly beneficial when working with soft lenses*.

Dr Karl Boden presenting PACS technique during booth talk at ophthalmology congress
PACS comparison

Emulsification with and without PACS

The video compares emulsification behaviour with and without PACS side by side. Emulsification with PACS appears more consistent and fluid behaviour appears more controlled.

animation side-by-side comparison of ophthalmic surgery using Oertli PACS versus without PACS
Oertli community

Why PACS contributes to a smoother phaco workflow

«With PACS, we see less scatter from fragments during nucleus removal, resulting in shorter phaco times, which is already clearly noticeable.» (D)

Dr. Ingo Roland Volkmann
Eye Centre an der Leine, Germany

Ophthalmic surgery in operating room with surgeon using microscope and assistant preparing instruments beside surgical system OS 4 Up
FAQ

In a nutshell about phacoemulsification

In focus

Selected innovations for cataract surgery

  • Internal components of the OS 4 Up ophthalmic system showing fluidics

    Master fluidics with a three pump system

    The OS 4 Up combines three pump systems on a single platform: Peristaltic, Venturi and SPEEP. This gives surgeons the flexibility to choose the fluidics principle that best matches their preferred technique and intraoperative handling.

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  • Phacoemulsification with easyPhaco

    The easyPhaco technology is developed for safe and efficient phacoemulsification. It is characterised by direct fragment followability, strong holdability and a stable anterior chamber.

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  • Maintain IOP with Dynamic infusion

    Dynamic infusion extends traditional Passive and Active infusion through adaptive IOP management. Discover how it compensates for intraocular pressure changes, helping keep IOP settings near physiological levels.

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