EVERSIGHT SERVICES
TISSUE STANDARDS
TISSUE STANDARDS
Surgeon : _________________________________ Office contact :___________________________________ Preferred contact : Email : ________________________ Fax : _______________ Phone : _______________
Tissue provided by Eversight is guaranteed to meet the tissue specification standards listed below , established by Eversight ’ s Medical Advisory Committee , in accordance with EBAA Guidelines .
Elective PK / EK Standards
Endothelial cell count : PK procedures : 2,000 or greater * EK procedures : 2,300 or greater *
Death to procurement interval : Less than 24 hours ( Eversight average : 13 hours )
Death to surgery interval : 14 days ( Eversight average : 6 days )
Tissue preferences : ❐❐
Endothelial cell count : _____________
❐❐ Death to procurement interval : _____
❐❐
Death to surgery interval : __________ Tissue specification options :
❐❐ Epithelium centration dot
❐❐
Trephine marking DMEK Preparation Standards
Single partial trephination : ❐ ❐9.5mm Tissue specification options for single partial trephination :
❐❐
8.0mm ❐ ❐ 8.5mm ❐ ❐9.0mm Tissue specification options for double partial trephination :
❐❐
7.25mm ❐ ❐7.5mm ❐ ❐ 7.75mm ❐ ❐8.0mm Hinge location :
❐ ❐Peripheral Tissue specification options :
❐❐
Central Orientation markings : Marking options :
❐ ❐No marking
❐❐
Micro stromal stamp / 2mm punch combination
❐❐ Fold-over micro stromal stamp
DSAEK Preparation Standards
Post-cut thickness : 90-135 µ Eversight standard target ( 90-200 µ policy range )
Markings : Peripheral alignment mark Tissue specification options :
❐ ❐ “ S ” stromal stamp ❐❐
Micro stromal stamp
❐❐ 9mm Trephine marking
❐❐
Epithelium centration dot Ultrathin DSAEK Preparation Post-cut thickness : 40-90 µ Markings : Peripheral alignment mark Tissue specification options :
❐ ❐ “ S ” Stromal stamp ❐❐
Micro stromal stamp
❐❐ 9mm Trephine marking
❐❐
Epithelium centration dot Pre-loaded DSAEK Preparation Post-cut thickness : 70-200μ
Markings : “ S ” Stromal stamp or Micro Stromal stamp by request . Upon receipt , the stromal stamp will appear peripheral , unless a paracentral placement is requested .
Graft size options : ❐❐
7.5mm ❐ ❐8.0mm ❐ ❐8.5mm
* Endothelial cell count for emergency tissue requests may vary based on tissue availability .
Tissue Placement : ( 866 ) 900-8119 • Fax ( 734 ) 780-2730 • distribution @ eversightvision . org