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Head-to-head comparison

Veran Medical Technologies vs. superDimension

  • Veran Medical Technologies
  • superDimension™ †
  • ACCESS:
    ENDOBRONCHIAL + -
  • Veran Medical Technologies
  • BRONCHOSCOPE COMPATIBILITY

    • Therapeutic (6.0-6.3mm)
    • Diagnostic (4.8-5.5mm)
    • Peripheral (4.0-4.2mm)

    EXTENDED WORKING CHANNEL
    (via therapeutic scope)

    • SPiN EWC

    STEERABLE CATHETER ACCESS
    (No bronchoscope required)

    • View Peripheral Catheter
      • 3.2mm OD, 2.0mm WC
      • 3.8mm OD, 2.5mm WC
  • superDimension™ †
  • BRONCHOSCOPE COMPATIBILITY

    • Therapeutic (6.0-6.3mm)1

    EXTENDED WORKING CHANNEL
    (via therapeutic scope)1

    • Edge Firm Tip Catheter

    STEERABLE CATHETER ACCESS
    (No bronchoscope required)

    • NONE
  • ACCESS:
    TRANSTHORACIC + -
  • Veran Medical Technologies
  • SPiN Perc
    Allows you to seamlessly transition from navigated bronchoscopy to navigated TTNA in the same procedure so you don’t have to delay results.

    SPiN Perc Biopsy Kit

    • 19ga Always-On Tip Tracked® SPiN Perc Needle
    • 20ga Biopsy Gun
    • 20ga FNA Needle
  • superDimension™ †
  • NONE

  • NAVIGATED SAMPLING + -
  • Veran Medical Technologies
  • Sampling tools with built-in Electromagnetic sensors provide navigation during sampling:

    ALWAYS-ON TIP TRACKED® TOOLS

    • Forceps (Oval Cup or Serrated Cup)
    • Brush
    • Needles (19ga, 21ga)
    • SPiN Flex 22ga Needle

     

    • No fluoroscopy required
  • superDimension™ †
  • Sampling tools with built-in
    Electromagnetic sensors:

    NONE

  • REAL-TIME
    CONFIRMATION + -
  • Veran Medical Technologies
  • Simultaneous navigation and R-EBUS
    (via View Peripheral Catheter)

    • View Peripheral Catheter
      • 3.2mm OD, 2.0mm WC
      • 3.8mm OD, 2.5mm WC
  • superDimension™ †
  • No option for navigation with simultaneous R-EBUS2

  • SYSTEM
    PORTABILITY + -
  • Veran Medical Technologies
  • Easy to transport and usable in any room of hospital without room “mapping” (DC pulsed and AC electromagnetic navigation)

  • superDimension™ †
  • System requires that each hospital room be “mapped” for system to function correctly2

  • ACCURACY + -
  • Veran Medical Technologies
  • AIRWAY MAP

    • Proprietary 3D road map is based on both inspiration and expiration CT scans
    • System also compatible with referral scans, low resolution (3-5mm slices) and inspiration-only scans

    MEAN REGISTRATION ERROR: 2.6mm4

    AUTOMATIC REGISTRATION

    • Automatic via vPad
    • Automatically recalibrates if patient moves or is moved
    • Samples 20x/second

    ADDITIONAL REGISTRATION OPTIONS INCLUDE:

    • Lumen registration to expiration CT data
    • Lumen registration to inspiration CT data for use with referral scans

    RESPIRATORY GATING DURING NAVIGATION: Yes

    • 46% of nodules move a distance greater than their size7
  • superDimension™ †
  • AIRWAY MAP

    • 3D Map based on Inspiration Scan only (total lung capacity)3

    REGISTRATION ERROR: 6.1mm5

    LUMEN REGISTRATION6

    • Point cloud required
    • Accuracy dependent upon points collected by user

    NONE

  • LOCALIZATION + -
  • Veran Medical Technologies
  • FIDUCIAL PLACEMENT: Yes

    Bronchoscopic & percutaneous placement of localization devices

    Allows percutaneous injections in the Operating Room or bronch suite when a wedge resection is required

  • superDimension™ †
  • FIDUCIAL PLACEMENT: Yes

    Bronchoscopic ONLY placement of localization devices8

  • SYSTEM
    PERFORMANCE + -
  • Veran Medical Technologies
  • PEER REVIEWED PUBLISHED SYSTEM YIELD

    92% Yarmus et al. (Hopkins)9
    Average lesion size: *2.0 cm

    • Veran System: 87%
    • Veran System + Linear EBUS 92%

    90.2% Flenaugh11 Average lesion size: *2.2 cm
    83.3% Raval13 Average lesion size: *1.9 cm

  • superDimension™ †
  • PEER REVIEWED PUBLISHED SYSTEM YIELD

    38.5% AQuIRE Registry10

    • SD System: 38.5%
    • SD System + REBUS 47.1%

    64.9% Meta-Analysis12

    • Median lesion size: 2.5cm12

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References
  1. Arenberg, D. (2009). Electromagnetic navigation guided bronchoscopy. Cancer Imaging, 9(1), 89–95. http://doi.org/10.1102/1470-7330.2009.0016

  2. Leong, S., Ju, H., Marshall, H., Bowman, R., Yang, I., Ree, A.-M., … Fong, K. M. (2012). Electromagnetic navigation bronchoscopy: A descriptive analysis. Journal of Thoracic Disease, 4(2), 173–185. http://doi.org/10.3978/j.issn.2072-1439.2012.03.08

  3. https://ilsedu.superdimension.com/learning-resources/recommendedscanandreconstructionparameters

  4. Appelbaum, et al. Electromagnetic navigation system for CT-guided biopsy of small lesions. AJIR. 2011;196:1194-1200.

  5. Chee, A., Stather, D. R., MacEachern, P., Martel, S., Delage, A., Simon, M.,Dumoulin, E. and Tremblay, A. (2013), Diagnostic utility of peripheral endobronchial ultrasound with electromagnetic navigation bronchoscopy in peripheral lung nodules. Respirology, 18: 784–789. doi:10.1111/resp.12085

  6. http://superdimension.com/innovations/superdimension-system/resources/

  7. Chen, et al. The effect of respiratory motion on pulmonary nodule location during electromagnetic navigation bronchoscopy. Chest. Vol 147. No 5. 2015;147(5):1275-1281.

  8. http://superdimension.com/innovations/fiducial-markers/specifications/

  9. Yarmus LB, Arias S, Feller-Kopman D, et al. Electromagnetic navigation transthoracic needle aspiration for the diagnosis of pulmonary nodules: a safety and feasibility pilot study. J Thorac Dis. 2016;8(1):186-194. doi:10.3978/j. issn.2072-1439.2016.01.47.

  10. Ost D, Ernst A, et al. Diagnostic yield and complications of bronchoscopy for Peripheral Lung Lesions.Am J Respir Crit Care Med. 2016 Jan 1;193(1):68-77. doi:10.1164/rccm.201507-1332OC.

  11. E L Flenaugh, K H Mohammed. Initial Experience Using 4D Electromagnetic Navigation Bronchoscopy System With Tip Tracked Instruments For Localization of Peripheral Lung Nodules. The Internet Journal of Pulmonary Medicine. 2016 Volume 18 Number 1. doi: 10.5580/IJPM.37993

  12. Gex, et al. Diagnostic yield and safety of electromagnetic navigation bronchoscopy for lung nodules: a systematic review and meta-analysis. 2014;87(2):165-76. doi: 10.1159/000355710.

  13. Raval AA, Amir L. Community hospital experience using electromagnetic navigation bronchoscopy system integrating tidal volume computed tomography mapping. Lung Cancer Management. 2016;5(1):9-19. doi:a.2217/lmt-2015-0007.

† Information relating to superDimension is variable and subject to market changes. Data obtained from superDimension website, Veran Medical Technologies, August 2016. VMT16002 EN US/Rev. 2