Lighting the way 
in canaloplasty.

CANALOPLASTY IN YOUR HANDS

Developed out of extensive research, innovation and feedback from surgeons, the iTrack™ Advance’s all-in-one handheld injector allows for streamlined insertion of the microcatheter into Schlemm’s canal. It also enables predictable, controlled and smooth advancement/​retraction of the microcatheter through the canal. The clinically proven¹ iTrack™ microcatheter is at the heart of the iTrack™ Advance. Measuring just 200 microns in diameter, it comprises a sophisticated set of inner workings including a proprietary fiber optic for illuminating the distal tip.

Canaloplasty for stent-free, tissue-sparing glaucoma treatment

Inspired by the success and methodology of modern angioplasty, Nova Eye pioneered canaloplasty for glaucoma in 2008 with the launch of the rigorously tested iTrack™ procedure, which combines 360° catheterization and pressurized viscodilation to treat all points of outflow resistance.¹ Stent-free and tissue-preserving, canaloplasty can help glaucoma surgeons, comprehensive ophthalmologists and cataract specialists effectively reduce IOP in cases of mild to moderate glaucoma, while preserving the viability of future treatment options. 

As a 360° procedure that addresses the entire conventional outflow pathway, including the trabecular meshwork, Schlemm’s canal and the collector channels,^2,3,4 iTrack™ Advance literally treats glaucoma from all angles.

What’s more, iTrack™ Advance is cleared for use as a standalone procedure and in combination with cataract surgery.

By maintaining the natural pathway of aqueous outflow, iTrack™ Advance lets you work with patient physiology, not against it.

1. Khaimi, M. A., Dvorak, J. D., & Ding, K. (2017). An analysis of 3‑year outcomes following canaloplasty for the treatment of open-angle glaucoma. Journal of ophthalmology, 2017.
2. Smit BA, Johnstone MA. Effects of viscoelastic injection into Schlemm’s canal in primate and human eyes: potential relevance to viscocanalostomy. Ophthalmology. 2002;109(4):786 – 792.3. Stegmann R, Pienaar A, Miller D. Viscocanalostomy for open-angle glaucoma in black African patients. J Cataract Refract Surg. 1999;25(3):316 – 322.4. Johnstone MA, Grant WM. Microsurgery of Schlemm’s canal and the human aqueous outflow system. Am J Ophthalmol 1973;76:906 – 17.* Company estimate based on sales figures for the iTrack™ canaloplasty microcatheter from 2008 – 2022. 

iTrack™ Advance has a CE Mark (Conformité Européenne) and US Food and Drug Administration (FDA) 510(k) # K221872 for the treatment of open-angle glaucoma.

INDICATION FOR USE: The Nova Eye iTrack™ Advance is indicated for fluid infusion or aspiration during surgery. The Nova Eye iTrack™ Advance is indicated for catheterization and viscodilation of Schlemm’s canal to reduce intraocular pressure in adult patients with open angle glaucoma. The Nova Eye Ophthalmic ViscoInjector™ is a manually operated device for precision delivery of small amounts of fluid such as a sterile viscoelastic solution in a cartridge.

CONTRAINDICATIONS: The Nova Eye iTrack™ Advance is not intended to be used for catheterization and viscodilation of Schlemm’s canal to reduce intraocular pressure in eyes of patients with the following conditions: Neovascular glaucoma; Angle closure glaucoma; Previous surgery with resultant scarring of Schlemm’s canal.

WARNINGS: Do not use the cannula to create an incision in the cornea or other external tis​sues​. Be careful when taking off the protective cap of the Cannula to not break sterility by piercing the surgical drapes or gloves of the Surgeon or technicians with the exposed Cannula. The fiber optic line and infusion lines must not be pulled as these lines are attached to the back end of the iTrack™ Advance Handle when in use.

PRECAUTIONS: Do not use product if the tamper proof seal has been broken. Do not use product if the pouch integrity has been broken. Do not remove the protective cover from the Cannula until ready to use. Handle the iTrack™ Advance carefully to avoid damaging the device. Do not use product if the cannula cover is not attached to the handpiece. Do not pull the black fiber optic line or grab onto the hub until the assembly has been fully removed from the packaging to avoid damage. Do not apply excessive force to the cannula cover or the actuator. Do not let the viscoelastic dry at the tip of the microcatheter, as this can cause the lumen to become occluded. Ensure the fiber optic line is not in a path that can be pulled or tripped on. Avoid touching the Cannula with any surfaces as this may damage the precisely manufactured spatulated tip. Do not bend cannula. Do not use excessive force when directing the Cannula and maintain visualization of the spatulated tip to avoid contacting unintended tissues. Do not use excessive force when directing the Cannula and maintain visualization of the Spatulated Tip and microcatheter to avoid contacting and damaging unintended tissues. The microcatheter should be advanced slowly and the spatulated tip must be positioned correctly to prevent the microcatheter from being kinked or bent. Actuator withdrawal and viscoelastic flow must be smooth, consistent, and continuous. If the microcatheter does not move forward and out of the cannula then discard the iTrack System and proceed to use another device. When applicable, remove excess viscoelastic from the eye by irrigation and/​or aspiration.

POTENTIAL ADVERSE EVENTS: All of the fluid and tissue contact materials used in the iTrack™ Advance are well tolerated in human and animal studies. Possible adverse events with the use of the iTrack™ Advance include, but are not limited to, the following: Hyphema; Elevated IOP ; Descemet’s membrane detachment; Shallow or flat anterior chamber; Hypotony; Trabecular meshwork rupture; Choroidal effusion; Peripheral anterior synechiae; Iris prolapse; Pupil displacement; Suprachoroidal hemorrhage; Astigmatism; Inadvertent bleb.