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OLYMPUS EUS

OLYMPUS EUS. CONTENTS. Diagnostic EUS Sampling & Interventional EUS EBUS Ultrasound Processors Needles for EUS-FNA & EBUS-TBNA Summary. DIAGNOSTIC EUS. Full 360 degree Electronic Radial Array for comprehensive imaging of GI tract and adjacent structures Superior handling characteristics

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OLYMPUS EUS

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  1. OLYMPUS EUS

  2. CONTENTS • Diagnostic EUS • Sampling & Interventional EUS • EBUS • Ultrasound Processors • Needles for EUS-FNA & EBUS-TBNA • Summary

  3. DIAGNOSTIC EUS

  4. Full 360 degree Electronic Radial Array for comprehensive imaging of GI tract and adjacent structures Superior handling characteristics Colour / Power Doppler capability Tissue Harmonic Echo Contrast Harmonic Echo Up to 12MHz imaging in conjunction with EU-ME1 GF-UE160/260-AL5

  5. Forward-oblique optic design, supports: Short rigid portion at distal tip Facilitates safe intubation and easy access the duodenum Easy to keep the scope in the second part of the duodenum Wide angulation range Up 130°, Down/Left/Right 90° SUPERIOR HANDLING

  6. Colour Doppler Power Doppler COLOUR & POWER DOPPLER • Colour/Power Doppler provides information on blood flow conditions: • Aids orientation via identification of vessels • Helps distinguish between vessels, lymph nodes and ducts

  7. TISSUE HARMONIC ECHO • Technique that detects & processes 2nd harmonic echoes (double the transmit frequency) for improved imaging: • Reduction in noise & artefacts such as sidelobes • Improved spatial & contrast resolution is achieved Fundamental Tissue Harmonic Echo

  8. MINIATURE PROBES • Comprehensive range of miniprobes for use with EU-ME1 Universal EUS Processor • Designs for: • Superficial imaging of GI tract (UM-2R/UM-3R) • Ultra-Slim Diameter (UM-S20/S30) • Guide wire introduction for IDUS (UM-G20/UM-DG20) • 3D Scanning (UM-DP12/DP-20/DG20) • Rectal (RU-75M/RU-12M) • Endobronchial Ultrasound (UM-BS20/UM-S17) • Imaging from 12 to 30MHz offering exceptional resolution

  9. MINIATURE PROBES • Dual Plane Reconstruction (DPR) • Used to display radial & linear images simultaneously • Generates two dimensions that directly correlate making images easier to understand

  10. SAMPLING & INTERVENTIONAL EUS

  11. New Curved Linear Array (CLA) scope offering high performance and flexibility during FNA & Interventional EUS procedures New Broadband transducer Enhanced CCD Modified 3.7mm channel Supports Contrast Harmonic Echo studies NEW GF-UCT180 / GF-UCT260

  12. New CCD Improved optical image quality Supports Narrow Band Imaging (NBI) New Broadband Transducer Greater penetration depth Improved Doppler sensitivity Supports Tissue Harmonic Echo & Contrast Harmonic Echo SUPERIOR IMAGE QUALITY

  13. 3.7mm channel with modified design allows improved passage of 10Fr devices Newly designed forceps elevator provides greater stability of the FNA needle MODIFIED CHANNEL & ELEVATOR DESIGN

  14. Compatible with ultrasound contrast agents*, e.g. Sonovue, Sonazoid Novel tool for demonstration of microvasculature May aid differentiation of lesions * Function available with ALOKA Alpha 10 and ALOKA Alpha 7 only SUPPORTS CONTRAST HARMONIC ECHO

  15. Detachable ultrasonic cable (MAJ-1597) Benefits for transportation, storage and reprocessing Ultrasonic cable fits BF-UC180F / BF-UC260FW, offering potential cost saving EASIER HANDLING

  16. EBUS

  17. EBUS-TBNA • Endobronchial Ultrasound-Guided TBNA • Valuable tool for lung cancer staging and biopsy of bronchial masses

  18. LUNG CANCER PATIENT PATHWAY

  19. CT STAGING OF LUNG CANCER • Staging by CT-image based on lymph node size alone is not reliable • CT over-stages in up to 25% of cases • CT under-stages in up to 25% of cases • Difficulties exist in detecting nodes < 5mm

  20. PET STAGING OF LUNG CANCER • Good negative predictive values (93%) but low positive predictive value (requires tissue)

  21. MEDIASTINOSCOPY • Invasive • Expensive • Limited number of stations can be sampled

  22. Endobronchial ultrasoundguided transbronchialneedleaspiration

  23. MEDIASTINOSCOPY

  24. EBUS-TBNA

  25. COMBINED EBUS-TBNA AND EUS-FNA EUS EBUS

  26. EBUS-TBNA CLINICAL DATA

  27. MINIMALLY INVASIVE LN STAGING • EBUS-TBNA + EUS-FNA = avoidance of mediastinoscopy • Multiple benefits: • Cost saving (theatre time, anaesthesia, bed stay) • Reduced risk (no GA) • Better for the patient (outpatient procedure)

  28. BF-UC180F/260FW: TRANSDUCER

  29. HYBRID SCOPE CONSTRUCTION • Combined fiber and video technologies • Narrow insertion tube diameter despite ultrasound functionality

  30. DOPPLER FACILITY • Helps to identify vascular structures in the puncture pathway during EBUS-TBNA procedures • Facilitates safer puncture

  31. MINIATURISED CURVED LINEAR ARRAY • Miniature Curved Linear Array (CLA) • 6.2mm x 5.6mm • Facilitates easy passage into Bronchi

  32. 2.2MM CHANNEL INNER DIAMETER • Large 2.2mm channel offers superior suction and smoother needle insertion

  33. SUITABLE FOR OESOPHAGUS • Complete mediastinal staging • Option for EUS imaging in case of oesophageal strictures

  34. DETACHABLE ULTRASONIC CABLE • Easier reprocessing, handling & storage • Cross compatibility with GF-UCT180/260 • Connects to a range of Olympus and ALOKA processors

  35. RADIAL EBUS • Allows assessment of: • Depth of tumour invasion in central airways for ‘T’ staging • Diagnostic sampling of peripheral lung lesions

  36. GUIDESHEATH KIT WITH MINIPROBE

  37. GUIDESHEATH KIT WITH MINIPROBE

  38. ULTRASOUND PROCESSORS FOR EUS & EBUS

  39. PROCESSORS FOR EUS & EBUS • Range of options from Olympus and ALOKA to suit all requirements

  40. PRODUCT POSITIONING EU-ME1 Compatibility ALOKA ALPHA 7 ALOKA ALPHA 10 EU-M60/ EU-M2000 EU-C60/ EU-C2000 Image Quality

  41. EU-ME1 UNIVERSAL PROCESSOR • Advantages: • Compact design enables simple integration with LUCERA or EXERA II • Maximum versatility - virtually all Olympus ultrasound endoscopes connect • Miniprobe compatibility for specialist applications • Picture-in-Picture function • Dedicated to EUS – easy to learn • Excellent price : performance ratio • 3D scanning

  42. EU-ME1 UNIVERSAL EUS PROCESSOR

  43. ALOKA PLATFORMS • Compatibility with ALOKA Alpha 10 & Alpha 7 • Advantages: • Premium image quality • Contrast Harmonic Echo capability • Extracorporeal probes

  44. NEEDLES FOR EUS-FNA & EBUS-TBNA

  45. EZ SHOT2 NEEDLES FOR EUS-FNA • Excellent puncture capability with a choice of needle sizes: • 19 Gauge • 22 Gauge • 22 Gauge with Sideport • 25 Gauge • Uniquely dimpled tip ensures it is clearly visible in ultrasound images

  46. VIZISHOT FOR EBUS-TBNA • Dedicated ‘ViziShot’ aspiration needle • Excellent puncture capability with a choice of needle sizes: • 22G NA-201SX-4022 • 21G NA-201SX-4021

  47. SUMMARY

  48. SUMMARY • Ongoing commitment to providing the widest choice of instruments and highest performance in EUS • Focus on expanding the capabilities of Interventional EUS with the introduction of the GF-UCT180/260 and future products • Continuation of collaboration with Aloka to provide access to advanced ultrasound technologies such as EUS-CHE

  49. OLYMPUS EUS

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