spin-systemx1comparison
Head-to-Head Comparison
Veran Medical Technologies vs. Medtronic
ACCESS: ENDOBRONCHIAL
SPiN Thoracic Navigation System®
BRONCHOSCOPE COMPATIBILITY
- Therapeutic (6.0-6.3mm)
- Diagnostic (4.8-5.5mm)
- Peripheral (4.0-4.2mm)
EXTENDED WORKING CHANNEL
(via therapeutic scope)
- SPiN Access Catheter®
STEERABLE CATHETER ACCESS
(No bronchoscope required)
- View Peripheral Catheter™
- 3.2mm OD, 2.0mm WC
superDimension™†
BRONCHOSCOPE COMPATIBILITY1
- Therapeutic (6.0-6.3mm)
EXTENDED WORKING CHANNEL
(via therapeutic scope)1
- Edge™ Firm Tip Catheter
NAVIGATED STEERABLE CATHETER ACCESS
(No bronchoscope required)
- NONE
ACCESS: TRANSTHORACIC
SPiN Thoracic Navigation System®
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
*Also available in 20cm length kit
superDimension™†
NONE
NAVIGATED SAMPLING
SPiN Thoracic Navigation System®
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
- SPiN Xtend® 4cm Adjustable Needle
*No fluoroscopy required
superDimension™†
Sampling tools with built-in
Electromagnetic sensors:
NONE
REAL-TIME CONFIRMATION
SPiN Thoracic Navigation System®
Simultaneous navigation and R-EBUS
(via View Peripheral Catheter™)
- View Peripheral Catheter™
- 3.2mm OD, 2.0mm WC
superDimension™†
No option for navigation with simultaneous R-EBUS2
NONE
SYSTEM PORTABILITY
SPiN Thoracic Navigation System®
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
SPiN Thoracic Navigation System®
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
NONE
LUMEN REGISTRATION6
- Point cloud required
- Accuracy dependent upon points collected by user
NONE
LOCALIZATION
SPiN Thoracic Navigation System®
FIDUCIAL PLACEMENT: Yes
Bronchoscopic & percutaneous placement of localization devices
SPiN Perc® Localization Needles:
for percutaneous dye marker placement
superDimension™†
FIDUCIAL PLACEMENT: Yes
Bronchoscopic ONLY placement of localization devices8
NONE
SYSTEM PERFORMANCE
SPiN Thoracic Navigation System®
PEER REVIEWED PUBLISHED SYSTEM YIELD
Emerging and Encouraging.
Smaller nodules. High Yields
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
Established and Disappointing.
Lower nodules. Low Yields
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
Arenberg, D. (2009). Electromagnetic navigation guided bronchoscopy. Cancer Imaging, 9(1), 89–95. http://doi.org/10.1102/1470-7330.2009.0016
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
https://ilsedu.superdimension.com/learning-resources/recommendedscanandreconstructionparameters
Appelbaum, et al. Electromagnetic navigation system for CT-guided biopsy of small lesions. AJIR. 2011;196:1194-1200.
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
http://superdimension.com/innovations/superdimension-system/resources/
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.
http://superdimension.com/innovations/fiducial-markers/specifications/
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.
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.
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
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.
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.
