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Image-guided needle path planning in the Hybrid OR

iVATS in the Hybrid ORPerfecting image-guided thoracoscopic surgery with procedural intelligence

Our fixed C-arm portfolio with procedural intelligence allows you to standardize every step of your image-guided video-assisted thoracoscopic surgery (iVATS)6 workflow, so that you can keep time-at-risk and radiation exposure to a minimum in every case.

Consolidating needle localization and resection with iVATS
Minimally invasive removal of small lung nodules is common practice at this point, but splitting the procedure into two sessions using separate rooms no longer represents a state-of-the-art approach. Extensive time-at-risk, potential needle dislocation, the logistics of coordinating multiple teams across rooms, as well as patient discomfort during waiting times are strong arguments for a more streamlined approach. With our Hybrid OR solutions, you can ensure a standardized thoracoscopic workflow that combines needle localization and resection within just one session and one room. This enables you to treat every patient optimally and with utmost precision.

Procedural intelligence changes iVATS treatment

Our fixed C-arms with procedural intelligence help you standardize and speed up tumor localization1 as well as enhance precision and patient safety. 3D visualization of the thorax and small pulmonary nodules is possible directly on the operating table, allowing you to define the needle trajectory and mark the tumor without having to transport the patient between the radiology department and the OR. Intraoperative guidance software provides assistance throughout your iVATS procedures. With intelligent optimization of image quality and dose based on patient size and material in scope, along with automated C-arm positioning, treatment is greatly simplified. You can also standardize every workflow step thanks to iVATS Case Flow: select custom parameters for every procedure step just one time and then let the system set them automatically in the future.

Our imaging solutions help optimize clinical operations in the Hybrid OR

Discover our iVATS workflow

Our assisted workflow for iVATS allows you to focus on precise tumor localization and resection. The guidance software supports you during all essential steps for optimal patient outcomes.

EVAR in the Hybrid OR

    Images courtesy of Roessner et al., Mannheim University, 2017; Ramchandani et al., Houston Methodist, 2016

    See iVATS treatment in action

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    DynaCT intraoperative 3D image acquisition
    Intraoperative 3D image acquisition: The C-arm is seen rotating during a syngo DynaCT run
    DynaCT intraoperative 3D image acquisition
    Needle path planning with syngo Needle Guidance
    Fast needle insertion with integrated laser cross
    Wide-space C-arm with flexible isocenter
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    Hear what our customers are saying

    By performing the localization procedure and the lung surgery in the same hybrid operating room environment, potential risks can be minimized. The marriage of radiology and thoracic surgery techniques in the hybrid operating theater may open doors to new techniques that can be potentially safer, more effective, and more economical for patients.2
    Calvin Ng, Associate Professor, Division of Cardiothoracic SurgeryThe Chinese University of Hong Kong, Hong Kong, China
    Calvin Ng, Associate Professor, Division of Cardiothoracic Surgery
    The Chinese University of Hong Kong, Hong Kong, China
    With ARTIS pheno and syngo Needle Guidance, the accuracy of locating lesions has improved significantly.
    Yao Fong, Head of Division of Thoracic SurgeryChi Mei Medical Center, Tainan, Taiwan
    Yao Fong, Head of Division of Thoracic Surgery
    Chi Mei Medical Center, Tainan, Taiwan
    Compared with the preoperative computed tomography-guided approach, its intraoperative counterpart is associated with a decreased time-at-risk between the completion of localization and skin incision.3
    Yin-Kai Chao, Chief of Division of Thoracic SurgeryChang Gung Memorial Hospital, Taoyuan, Taiwan
    Yin-Kai Chao, Chief of Division of Thoracic Surgery
    Chang Gung Memorial Hospital, Taoyuan, Taiwan

    Review the clinical evidence

    iVATS treatment using ARTIS pheno in the Hybrid OR offers many advantages compared to conventional two-room workflows involving CT-based needle localization in the radiology department followed by video-assisted resection in the OR.

    Procedural intelligence helps reduce time-at-risk by up to 94%

    Reduced time-at-risk
    Any interval phase between needle localization and resection always poses a safety concern. Performing both steps during a single session and in just one room helps reduce time-at-risk by up to 94%.4

    Procedural intelligence may result in 10% faster tumor localization

    Faster tumor localization
    ARTIS pheno offers a wide-space C-arm that gives you ample space with patients in lateral position, along with a laser cross for optimal needle path alignment. This may result in 10% faster tumor localization compared to conventional workflows.3

    See how iVATS patients can benefit

    Photo of lung cancer patient

    For patients with early-stage lung cancer, a one-stop procedure with ARTIS pheno in the Hybrid OR may reduce time-at-risk by up to 94%4 – and minimize patient anxiety as well – compared to conventional two-room workflows. In addition, hybrid approaches potentially result in 47% less radiation exposure than is typically the case with preoperative CT scans.3

    Our Hybrid OR imaging solutions

    Scientific Talks and Publications

    The statements with footnotes in this document are based on a result of the quoted clinical study that evaluates the procedure. The results are not generated with the actual product version. It is expected, that the actual product version has similar or improved functionality to support the evaluated procedure.
    Some/all of the features and products described herein may not be available in the United States or other countries.
    1
    Ming-Ju Hsieh et al., “Learning Curve of Image-Guided Video-Assisted Thoracoscopic Surgery for Small Pulmonary Nodules: A Prospective Analysis of 30 Initial Patients,” Journal of Thoracic and Cardiovascular Surgery 155, no. 4 (2018): 1825–1832.e1, https://www.ncbi.nlm.nih.gov/pubmed/29338860.
    2
    Calvin S.H. Ng et al., “Hybrid DynaCT-Guided Electromagnetic Navigational Bronchoscopic Biopsy,” European Journal of Cardio-Thoracic Surgery 48, suppl. 1 (2015): i87–8, https://www.ncbi.nlm.nih.gov/pubmed/26604298.
    3
    Calvin Ng et al., “Hybrid DynaCT Scan-Guided Localization Single-Port Lobectomy,” Chest 147, no. 3 (2015): e76–e78, https://www.ncbi.nlm.nih.gov/pubmed/25732474.
    4
    Yin-Kai Chao et al., “A Comparison of Efficacy and Safety of Preoperative Versus Intraoperative Computed Tomography-Guided Thoracoscopic Lung Resection,” Journal of Thoracic and Cardiovascular Surgery 156, no. 5 (2018): 1974–1983.e1, https://www.ncbi.nlm.nih.gov/pubmed/30119900.
    5
    Compared with CT-based two-room workflow
    6
    Ritu Gill et al., “Image-guided Video Assisted Thoracoscopic Surgery (iVATS): Phase I-II Clinical Trial,” Journal of Surgical Oncology 112, no. 1 (2015): 18–25, https://www.ncbi.nlm.nih.gov/pubmed/26031893