Menu ISYS Interventional Systems

Clinical Context

2D/3D Imaging is continuously getting faster and better

  • Key Consideration: Micro-invasive surgical procedures are growing

The
Challenge

  • Interventional procedures are getting more and more complex while margins are getting smaller
  • High demand for accuracy, precision and efficiency, but no efficient guidance solution is available

Main disadvantages of current commercial systems

  • Oversized dimensions/weight
  • Complex clinical workflow
  • Complex system handling
  • Low safety standards
  • Low system accuracy
  • High (disposable) costs
  • Sterility problems
  • Limited access

Free-hand (navigation) systems do not solve the problem!

  • Fast and accurate targeting needs (automated) guidance: The future is the combination of robotic targeting + real time imaging/navigation

Consequences of this Dilemma

Most physicians still puncture "free hand" with a hand in the beam …


Clinical benefits

On target from a safe distance
Overall advantages of the iSYS 1 - enabled procedure

  • Highly accurate and fast micro-positioning from a safe distance: No hands in the beam!
    • Precise mechanical instrument guidance
      • Instrument placement inside (and outside) the gantry of the selected imaging device
        • Fast, simultaneous diagnosis and therapy made possible

        Optimal clinical accuracy

        • More precise punctures
        • Lower complication rates
        • Less stress
        • Less false diagnosis, suboptimal treatments

        High interventional efficiency

        • Positive impact on healthcare ROI

        Less ionizing radiation exposure

        • For physician and patient

        Overall

        • Many promising micro-invasive diagnostic and treatment methods can become clinically implemented and be established as a new standard of care

Overview iSYS 1 Applications

Application Examples

Pain Treatment

Institute: Department of Radiology, University Innsbruck, Prof. Bale (SIP-Lab)

Case: 45 year old Patient with Trigeminus Neuralgia

Treatment: RF ablation

Setup: Philips Allura FT 20 with Xper Guide Navigation and iSYS 1 for CB-CT

Result: Target was reached in one single step with submillimetric accuracy and high confidence, despite critical anatomy and difficult access

Biopsy

Institute: Dep. of Radiology, St. Anthonius Ziekenhuis Nieuwegein, Dr. M.J.L. van Strijen

Case: 70 year old Patient with Esophageal CA and retro aortal lymphnode metastasis suspicion

Treatment: Biopsy

Setup: Philips Allura FT 20 with Xper Guide Navigation and iSYS 1 for CB-CT

Result: Slow introduction of spirotome needle with manual adjustment of needle guide lumen to 14G. Extrapleural approach. Difficult anatomy. No pneumothorax.

Ablation

Institute: Department of Radiology, University Innsbruck, Prof. Bale (SIP-Lab)

Case: 55 year old Patient with Liver Cancer

Treatment: Liver RF ablation

Setup: Medtronic Stealth Station + iSYS 1 (standard setup with adapter for the Medtronic BiopsyGuide)

Result: Multiple needle placements to targets in the liver, accuracy: 1-3 mm, metastasis treated successfully with RF

Catheter placement

Institute: Dep. of Radiology, St. Anthonius Ziekenhuis Nieuwegein, Dr. M.J.L. van Strijen

Case: 71 years old, obese Patient Type II endoleak after previous EVAR

Treatment: endoleak after previous EVAR

Setup: Philips Allura FT 20 with Xper Guide Navigation and iSYS 1 for CB-CT

Result: Positioning of a 25 cm trocar needle in the center of an endoleak. Placement within 2 minutes, accuracy within 3 mm. Second attempt with slight adjustment of the needle Using the iSYS 1: 100% accuracy. Selective coil embolisation and subsequent glue injection for occlusion of the endoleak.