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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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contents
CONTENTS
  • Diagnostic EUS
  • Sampling & Interventional EUS
  • EBUS
  • Ultrasound Processors
  • Needles for EUS-FNA & EBUS-TBNA
  • Summary
gf ue160 260 al5
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
superior handling
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
colour power doppler

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
tissue harmonic echo
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

miniature probes
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
miniature probes1
MINIATURE PROBES
  • Dual Plane Reconstruction (DPR)
    • Used to display radial & linear images simultaneously
    • Generates two dimensions that directly correlate making images easier to understand
new gf uct180 gf uct260
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
superior image quality
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
modified channel elevator design
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
supports contrast harmonic echo
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
easier handling
Detachable ultrasonic cable (MAJ-1597)

Benefits for transportation, storage and reprocessing

Ultrasonic cable fits BF-UC180F / BF-UC260FW, offering potential cost saving

EASIER HANDLING
ebus tbna
EBUS-TBNA
  • Endobronchial Ultrasound-Guided TBNA
    • Valuable tool for lung cancer staging and biopsy of bronchial masses
ct staging of lung cancer
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
pet staging of lung cancer
PET STAGING OF LUNG CANCER
  • Good negative predictive values (93%) but low positive predictive value (requires tissue)
mediastinoscopy
MEDIASTINOSCOPY
  • Invasive
  • Expensive
  • Limited number of stations can be sampled
slide22
Endobronchial ultrasoundguided

transbronchialneedleaspiration

minimally invasive ln staging
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)
hybrid scope construction
HYBRID SCOPE CONSTRUCTION
  • Combined fiber and video technologies
  • Narrow insertion tube diameter despite ultrasound functionality
doppler facility
DOPPLER FACILITY
  • Helps to identify vascular structures in the puncture pathway during EBUS-TBNA procedures
  • Facilitates safer puncture
miniaturised curved linear array
MINIATURISED CURVED LINEAR ARRAY
  • Miniature Curved Linear Array (CLA)
  • 6.2mm x 5.6mm
  • Facilitates easy passage into Bronchi
2 2mm channel inner diameter
2.2MM CHANNEL INNER DIAMETER
  • Large 2.2mm channel offers superior suction and smoother

needle insertion

suitable for oesophagus
SUITABLE FOR OESOPHAGUS
  • Complete mediastinal staging
  • Option for EUS imaging in case of oesophageal strictures
detachable ultrasonic cable
DETACHABLE ULTRASONIC CABLE
  • Easier reprocessing, handling & storage
  • Cross compatibility with GF-UCT180/260
  • Connects to a range of Olympus and ALOKA processors
radial ebus
RADIAL EBUS
  • Allows assessment of:
    • Depth of tumour invasion in central airways for ‘T’ staging
    • Diagnostic sampling of peripheral lung lesions
processors for eus ebus
PROCESSORS FOR EUS & EBUS
  • Range of options from Olympus and ALOKA to suit all requirements
slide40

PRODUCT POSITIONING

EU-ME1

Compatibility

ALOKA ALPHA 7

ALOKA ALPHA 10

EU-M60/ EU-M2000

EU-C60/ EU-C2000

Image Quality

eu me1 universal processor
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
aloka platforms
ALOKA PLATFORMS
  • Compatibility with ALOKA Alpha 10 & Alpha 7
  • Advantages:
    • Premium image quality
    • Contrast Harmonic Echo capability
    • Extracorporeal probes
ez shot2 needles for eus fna
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
vizishot for ebus tbna
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
summary1
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