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2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

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Page 1: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 2: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 3: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

2016

Page 4: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 5: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 6: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 7: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 8: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2
Page 9: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

1967: Introduction of Colour TV in Europe

Page 10: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

2020: Introduction of FORS Technology

Page 11: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

FORS Technology

New Philips technology with CE-mark: two catheters and hydrophilic guidewire

Embedded optical fiber enables real-time 3D visualization of the full shape of devices inside the body without the need for fluoroscopy

Page 12: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

12

Devices currently available

2 3

# Devices

1 FORS guide wire

2 FORS Berensteincatheter

3 FORS Cobra catheter

1

Page 13: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

13

Page 14: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Fluoro time: 5:45 min Fluoro time: 0 min

Cannulation time: 5:45 min Cannulation time: 2:20 min

2X 2X

Bench-Top Comparison Fluoroscopy vs. FORS

Page 15: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

45mm

Case: Pseudoaneurysm Visceral Aorta

79y old Patient

Previous TEVAR

Page 16: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Main-Body with Fluoro/Vesselnavigator

Page 17: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

17

Set-up in Hamburg

Page 18: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Left Renal with FORS Catheter and Wire

Catheter In Blue

Hydrophilic wire in

Page 19: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Right Renal with FORS Catheter and Wire

Catheter In Blue

Hydrophilic wire in

Page 20: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Right Renal with FORS Catheter and Wire

DSA as road map

Page 21: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Virtual Biplane helpful to avoid lateral projection with high radiation

SMA with FORS Catheter and Wire

Page 22: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

SMA with FORS Catheter and Wire

Page 23: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Celiac with FORS Catheter and Wire

Optical fiber tolerates 180° bend from steerable sheath use in transfemoral BEVAR

Page 24: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

SMA with FORS Catheter and Wire

Page 25: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Result: (Reference 2016)

Operating time: 201 min (305min)

Fluoroscopy time: 22,2 min (65min)

DAP: 6440 cGycm2 (18948cGycm2)

• DSA: 4370 cGycm2

• Fluoro: 2070 cGycm2

Case: Pseudoaneurysm Visceral Aorta

Reference: Rohlffs et al. 2020; Eur J Vasc Endovasc Surg, epub.

Page 26: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Conclusions

FORS technology allows 3D navigation by visualizing catheters and guidewires in full shape 3D using laser light.

High potential for reduction of radiation exposure and workflow-improvement by intuitive virtual biplane visualization.

Revolutionary new tools on the horizon to reduce radiation andfacilitate complex endovascular procedures.

Radiation

Page 27: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2

Welcome to Hamburg !

Page 28: 2016€¦ · Result: (Reference 2016) Operating time: 201 min (305min) Fluoroscopy time: 22,2 min (65min) DAP: 6440 cGycm2 (18948cGycm2) • DSA: 4370 cGycm2 • Fluoro: 2070 cGycm2