OLYMPUS EUS
CONTENTS
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Diagnostic EUS
Sampling & Interventional EUS
EBUS
Ultrasound Processors
Needles for EUS-FNA & EBUS-TBNA
Summary
DIAGNOSTIC EUS
GF-UE160/260-AL5
• Full 360 degree Electronic Radial Array
for comprehensive imaging of GI tract
and adjacent structures
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Superior handling characteristics
Colour / Power Doppler capability
Tissue Harmonic Echo
Contrast Harmonic Echo
Up to 12MHz imaging in conjunction with
EU-ME1
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°
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
Colour Doppler
Power Doppler
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
• Comprehensive range of miniprobes for use with EU-ME1 Universal EUS
Processor
• Designs for:
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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 PROBES
• Dual Plane Reconstruction (DPR)
• Used to display radial & linear images
simultaneously
• Generates two dimensions that directly correlate
making images easier to understand
SAMPLING &
INTERVENTIONAL EUS
NEW GF-UCT180 / GF-UCT260
• New Curved Linear Array (CLA) scope offering high
performance and flexibility during FNA & Interventional EUS
procedures
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New Broadband transducer
Enhanced CCD
Modified 3.7mm channel
Supports Contrast Harmonic Echo
studies
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
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
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
EASIER HANDLING
• Detachable ultrasonic cable (MAJ-1597)
• Benefits for transportation, storage and reprocessing
• Ultrasonic cable fits BF-UC180F / BF-UC260FW, offering potential
cost saving
EBUS
EBUS-TBNA
• Endobronchial Ultrasound-Guided TBNA
• Valuable tool for lung cancer staging and biopsy of bronchial
masses
LUNG CANCER PATIENT PATHWAY
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
• Good negative predictive values (93%) but low positive
predictive value (requires tissue)
MEDIASTINOSCOPY
• Invasive
• Expensive
• Limited number of stations can be sampled
Endobronchial ultrasound guided
transbronchial needle aspiration
MEDIASTINOSCOPY
EBUS-TBNA
COMBINED EBUS-TBNA AND EUS-FNA
EUS
EBUS
EBUS-TBNA CLINICAL DATA
Sensitivity
Specificity
Accuracy
Herth et al, Thorax 2006
94
100
Yasufuku et al., Chest 2004
95
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97
Rintoul et al., ERJ 2005
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89
Yasufuku et al, Lung Cancer 2005
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96
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)
BF-UC180F/260FW: TRANSDUCER
HYBRID SCOPE CONSTRUCTION
• Combined fiber and video technologies
• Narrow insertion tube diameter despite ultrasound functionality
DOPPLER FACILITY
• Helps to identify vascular structures in the puncture
pathway during EBUS-TBNA procedures
• Facilitates safer puncture
MINIATURISED CURVED LINEAR ARRAY
• Miniature Curved Linear Array (CLA)
• 6.2mm x 5.6mm
• Facilitates easy passage into Bronchi
2.2MM CHANNEL INNER DIAMETER
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Large 2.2mm channel offers superior suction and smoother
needle insertion
SUITABLE FOR OESOPHAGUS
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Complete mediastinal staging
Option for EUS imaging in case of oesophageal strictures
DETACHABLE ULTRASONIC CABLE
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Easier reprocessing, handling & storage
Cross compatibility with GF-UCT180/260
Connects to a range of Olympus and ALOKA processors
RADIAL EBUS
• Allows assessment of:
• Depth of tumour invasion in central airways for ‘T’ staging
• Diagnostic sampling of peripheral lung lesions
GUIDESHEATH KIT WITH MINIPROBE
GUIDESHEATH KIT WITH MINIPROBE
ULTRASOUND PROCESSORS
FOR EUS & EBUS
PROCESSORS FOR EUS & EBUS
• Range of options from Olympus and ALOKA to suit all
requirements
PRODUCT POSITIONING
Compatibility
EU-ME1
ALOKA
ALPHA 7
EU-M60/
EU-M2000
EU-C60/
EU-C2000
Image Quality
ALOKA
ALPHA 10
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
EU-ME1 UNIVERSAL EUS PROCESSOR
ALOKA PLATFORMS
• Compatibility with ALOKA Alpha 10 & Alpha 7
• Advantages:
• Premium image quality
• Contrast Harmonic Echo capability
• Extracorporeal probes
NEEDLES FOR
EUS-FNA & EBUS-TBNA
EZ SHOT2 NEEDLES FOR EUS-FNA
• Excellent puncture capability with a choice of needle sizes:
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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
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Dedicated ‘ViziShot’ aspiration needle
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Excellent puncture capability with a choice of needle sizes:
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22G NA-201SX-4022
21G NA-201SX-4021
SUMMARY
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
OLYMPUS EUS