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SPiN Xtend® Provides Access to Right Lower Lobe Lesion

Dr. Devin Sherman

Pulmonary Disease

Williamson Medical Center

Franklin, TN

Patient Information: 48 y/o, M

Scan Protocol: Referral Scan

Nodule: RLL 18mm

Biopsy Result: Infection/Inflammation

Instruments Used: SPiN Xtend®, Always-On Tip Tracked® Serrated Forceps & Brush

Conclusion: Antibiotic Regimen


“The SPiN Xtend® needle is a valuable tool that allows access to lesions that may not have a direct airway. In this case, the SPiN Xtend® allowed access to the right lower lobe lesion that would not have been accessible with conventional methods.”

Patient History
This 48-year-old male was referred to Dr. Sherman for the biopsy of a target located in the right lower lobe (RLL). This patient presented with severe COPD and is a former smoker that quit six months prior in order to be a candidate for a lung transplant. Due to the patient’s symptoms, Dr. Sherman opted to utilize the SPiN Thoracic Navigation System® in order to biopsy the lesion to determine if it was infectious or cancerous. If the lesion was cancerous, the patient would not be able to remain a candidate for lung transplant.

Dr. Sherman opted to use a referral scan that was from two weeks prior. Dr. Sherman used the SPiN Planning® software to segment an 18mm portion of a target located within the RLL. The plan was then sent to the SPiN System® utilizing SPiN Link® technology.

Dr. Sherman started the procedure with EBUS before transitioning to navigation. Collected samples from the EBUS portion of the procedure were negative per Rapid On-Site Evaluation (ROSE). During the navigated bronchoscopy portion of the procedure, Dr. Sherman wanted to use the SPiN Xtend® needle to navigate towards the target in order to set the desired length to reach different areas. Once trajectory was aligned, the needle was set to 2cm in order to successfully access the target. Upon inspection from the first pass with the SPiN Xtend® needle, infectious cells were noted. Dr. Sherman took additional passes with the length set to 2cm and 3cm in order to obtain adequate tissue samples. After confirming that the lesion was infectious, the patient was treated with an antibiotic regimen and remained a candidate for a lung transplant.

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