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Sustainability in MIGS: How the Inami Reusable Micro-Hook is Changing Glaucoma Surgery

A Shift Toward Sustainability in Ophthalmology

As the medical industry continues to prioritize patient outcomes, cost-effectiveness, and environmental responsibility, one area seeing significant progress is Minimally Invasive Glaucoma Surgery (MIGS). Traditionally, many surgical tools used in MIGS are single-use, contributing to medical waste and increased costs for surgeons and surgical centers.

However, innovative solutions like the Inami Reusable Micro-Hook (TMH) pave the way for sustainable, efficient, and cost-effective glaucoma procedures—without compromising performance.

What is the Inami Reusable Micro-Hook (TMH)?

The Inami Micro-Hook is a precision-engineered instrument designed specifically for MIGS procedures, allowing surgeons to perform targeted interventions with enhanced control. Unlike single-use alternatives, the TMH is:

Reusable – Designed for multiple uses, significantly reducing surgical waste.
Cost-Effective – Eliminates the need for constant repurchasing of disposable tools.
High-Quality Craftsmanship – Manufactured to strict standards, ensuring longevity and performance.
Eco-Friendly – Supports the healthcare industry’s push for more sustainable practices.

Dr. Shoji on the TMH and the Shoji Edition Micro-Hook

“The TMH Shoji Edition is an evolved version of the Tanito Ab Interno Trabeculectomy Micro-Hook, which was widely well-received. While preserving the fundamental concept of the original Tanito hook, this refined version expands the incision area by approximately 25%, achieving a comparable incision width to that obtained through .
Additionally, the redesigned bend section has been slimmed down to minimize damage to the outer wall of Schlemm’s canal, enhancing procedural safety. The for nasal incisions further improves surgical visibility by extending the length to the bend, making precise incisions easier to perform.”
Dr. Shoji, Leading Glaucoma Specialist, Japan

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Reducing Medical Waste with Reusable Instruments

In 2022 alone, hospitals worldwide generated millions of tons of medical waste, much of which came from disposable surgical instruments and packaging. The shift toward reusable alternatives in ophthalmic surgery presents a viable solution to mitigate this environmental impact.

By integrating the TMH into MIGS procedures, surgical centers can:

🔹 Cut down on non-biodegradable waste from single-use devices.
🔹 Minimize their carbon footprint by reducing the demand for continuous production and shipping.
🔹 Enhance operational efficiency by lowering the frequency of inventory restocking.

Economic Benefits of Sustainable Surgical Tools

While sustainability is often associated with environmental benefits, it also makes financial sense. Hospitals and ASCs spend millions annually on disposable instruments. The TMH offers long-term savings by reducing procurement costs and waste disposal fees.

For ophthalmic practices looking to optimize their budgets without compromising surgical precision, investing in reusable instruments like the Inami TMH is a smart choice.

Join the Movement Toward Sustainable Glaucoma Care

At Diamatrix, we believe that innovation and sustainability go hand in hand. By offering the Inami Reusable Micro-Hook, we empower ophthalmic surgeons with a high-performing and environmentally responsible tool.

If you’re ready to take the next step in sustainable MIGS procedures, explore how the Inami TMH Shoji Edition can benefit your practice today.At Diamatrix, we believe that innovation and sustainability go hand in hand. By offering the Inami Reusable Micro-Hook, we empower ophthalmic surgeons with a high-performing and environmentally responsible tool.

If you’re ready to take the next step in sustainable MIGS procedures, explore how the Inami TMH Shoji Edition can benefit your practice today.

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Diamatrix: American Crafted Instruments

Diamatrix now offers American Crafted Ophthalmic Instruments

Made right here in the USA, our ophthalmic instruments are crafted using the best stainless steel and titanium available for instruments.

Engineered, built, and finished by over 20 expert craftspeople who love creating product to help surgeons and nurses do what they do best. Diamatrix is excited to begin this new venture and we look forward to bringing you outstanding ophthalmic instruments that exceed your expectations.

To cross-reference any instrument, please contact us at cs@diamatrix.com or call us today 800.867.8081

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Official Launch of the X1 Ready-Loaded Iris Speculum

We officially launched our X1 Ready Loaded Iris Speculum today. To see the full press release, click here.

The XpandNT ring delivers 6.7mm of near circular, mechanical dilation without pinching the iris margin. Additionally, the smarter design allows for easier rotation and a clearer pathway for instruments. Overall, the device is superior to any pupillary expansion device currently on the market.

The X1 Ready-Loaded Iris Speculum is a single-use, sterile device, packaged with 4 devices per box.  Additionally, Diamatrix offers optional surgical instrumentation to assist with the intra-operative placement of the device.

To learn more about the X1 Ready-Loaded Iris Speculum Visit our X1 Iris Speculum Product information page.

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Pupillary Miosis Complications During FLACS can be resolved with the XpandNT

Check out this video where Dr Donaldson discusses pupillary miosis complications during FLACS.

The XpandNT ring is available as a pre-loaded, single-use device.

XpandNT can help with that.

According the Dr Ralph Chu, of Chu Vision Institute, The XpandNT allows surgeons to perform femtosecond capsulorhexis and lens fragmentation in patients with small pupils preoperatively. This ability to perform femtosecond laser capsulorhexis can be very helpful in patients who have chosen a premium IOL, but have poor pupillary dilation. The XpandNT is incredibly stable when once inserted and can be used during femtosecond laser capsulorhexis and lens fragmentation.

Adding the XpandNT as a potential tool in your pre-operative plan can reduce the stress of both small pupil complications and floppy iris syndrome.