Solutions for bronchoscopy

One source for excellent devices.

Bronchoscopy

CONTENTS

Understanding and delivering solutions for flexible bronchoscopy needs

Mobile bronchoscopy
The treatment possibilities of respiratory diseases are increasingly linked to reliable and effective endoscopic diagnostics. Olympus offers the widest portfolio for diagnostic and therapeutic bronchoscopy complemented by a semi-flexible pleuroscope for the exploration of the thoracic cavity. Innovations such as EBUS-TBNA, NBI, AFI and the continuous improvement of white light bronchoscopy broaden the possibilities for pulmonologists. Olympus role does not stop here. We provide a full selection of dedicated EndoTherapy instruments, turning your daily challenges into success.

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Therapeutic interventions Diagnostic examinations Mediastinal lymph node staging Early cancer detection Emphysema and air leak treatment Thoracoscopy/pleuroscopy Endoscope portfolio EndoTherapy instruments Training material

Portable and flexible bronchoscopy anywhere, anytime

Respond to requests from the ward, the ICU or emergency room with ease and flexibility for local anaesthesia, sputum removal, foreign body removal, emergency haemostasis and intubation. The complete standalone design incorporates a 2.5 inch monitor, a LED light source, battery and storage capability of still images and video sequences in a single unit. This versatile endoscope enables observation without peripherals or cables, providing it with an unprecedented level of mobility.

PW-6C-1 Efficient local anaesthesia with a minimum consumption of medication: spray catheter with spray valve Acute bronchial occlusion? Foreign body removal with V-shaped forceps, rat tooth forceps and baskets

B5-2C Emergency short time haemostasis tamponade with the B5-2C balloon catheter

4 | Mobile bronchoscopy

MAF-TM the mobile bronchoscope MAF-GM the mobile intubation scope

Mobile bronchoscopy | 5

outstanding image quality, supporting full-size image display the new highlight for therapeutic bronchoscopy: BF-1TQ180

Designed to support therapeutic procedures, Olympus has three therapeutic video bronchoscope specifications available, offering working channel sizes from 2.8mm to 3.0mm to 3.2mm. A large selection of therapeutic EndoTherapy devices can be used with these bronchoscopes, ranging from baskets and forceps for foreign body removal, balloon catheters for haemoptysis control, electrosurgical probes, snares and knives to name just a few. The ESG-100 is the Olympus electrosurgical generator for the respiratory system Simple and comfortable to use Provides the highest level of safety for patient and user
Hot biopsy forceps (FD-7C-1), diatermic snare (SD-18C-1), coagulation electrode (CD-6C-1), electrosurgical knife (KD-31C-1) (top to bottom)

Our solution for electrosurgery Simple With immediate effect Offers tactile feedback Produces less smoke for better endoscopic view Safe for staff and patients Less expensive than laser More versatile than cryotherapy
6 | Therapeutic interventions

BF-1T180 with coagulation electrode CD-7C-1

BF-XT160 with hot biopsy forceps FD-7C-1

Image taken with BF-1TQ180 on wide screen monitor OEV-261H Therapeutic interventions | 7

Reaching the sub-segmental bronchi and beyond...

...by selecting from a range of six bronchoscope specifications from the EXERA range, featuring a 2.0 mm or 1.2 mm working channel depending on the outer diameter of the endoscope. Olympus EndoTherapy instruments for diagnostics range from classical TBNA needles, BAL catheters and cytology brushes to biopsy forceps, available in both standard 2.0 mm and 1.2 mm working channel versions.
Full functionality within the 1.2mm working channel: Biopsy forceps Cytology brushes Grasping forceps BF-XP160F with cytology brush BC-203D-2006 BF-Q180/BF-Q180AC 15 years of experience in the field of classical TBNA: only excellent aspiration needles can provide excellent yield.
Smooth shot TBNA needles

Micro bristle cytology brushes

Endo jaw biopsy forceps

GuideSheathKit

Tests showed that thin micro bristles can provide between 50 to 100% more cells for cytopathologic diagnosis than hard bristles.

Many pathologists confirm: cutting biopsies provide better diagnostic possibilities than tearing biopsies.
Need to go even deeper? BF-P180 Reliable fluroscopy guided sampling of peripheral SPN. Excellent visibillity, strong puncture and high yield. The innovative guide sheath allows for repeated access to peripheral lesions. Studies confirm: a combination of diagnostic techniques increases sensitivity.
Metal sheath TBNA needles

BF-3C160 with biopsy forceps FB-56D-1

8 | Diagnostic examinations

Diagnostic examinations | 9

Looking beyond the bronchial wall

With the increasing role of lung cancer staging, EBUS-TBNA is considered by leading experts to be this centurys most significant improvement in bronchoscopy. Olympus progress in further developing EBUS-TBNA - since having introduced the first scope to the market in 2005 - provides compatibility to different ultrasound processors of the Aloka Prosound series and Olympus universal ultrasound system EU-ME1. Maintaining a slim insertion tube diameter, the second generation of EBUS-TBNA scopes offer an increased working channel diameter for better suction and the freedom to select from EndoTherapy devices like the dedicated 22G or 21G EBUS-TBNA needles or a small biopsy forceps. Adding EUS-FNA with three endoscope specifications including the stunning GF-UCT180 - and the new EZShot2 needles, Olympus provides the complete portfolio for endoscopic ultrasound-guided mediastinal staging.

Biopsy forceps FB-56D-1, 21G and 22G ViziShot needles, 22G EZShot needle

Universal endoscopic ultrasound centre EU-ME1

BF-UC180

Reliable diagnostic results and smooth handling for doctors and assistance: with Olympus dedicated EndoTherapy instruments you get it all.
EBUS-TBNA with Aloka Prosound 7 (left), EBUS-TBNA with Olympus EU-ME1 (right) 10 | Mediastinal lymph node staging Mediastinal lymph node staging | 11

Endoscopic detection of early cancer...

...is in many cases not possible using white light endoscopy. Results can be improved using Olympus unique Narrow Band Imaging technology. NBI emphasises vessel structures and thus allows simpler detection of angiogenic changes which accompany carcinogenesis of the bronchial mucosa. Alternatively, areas of thickened bronchial tissue can be spotted using autofluorescence bronchoscopy, as implemented in Olympus dedicated AFI endoscopy platform LUCERA SPECTRUM. As suspicious lesions lie within or adjacent to the bronchial wall, ultrasound diagnostics of the bronchial wall structures is essential for T-staging to decide on ingrowth or compression. The Olympus ultrasound miniprobe portfolio has a wide selection of diameters, allowing diagnostics in the main bronchi as well as in peripheral lumina. For easy access to difficult target sites, the double-jointed rotatable guiding device helps position Olympus unique guide sheath. Serving as an extended working channel for the endoscope, the guide sheath allows easy alternate use of the ultrasound miniprobe, forceps and brush in one diagnostic session.
EBUS balloon probe UM-BS20-26R EBUS probe UM-S20-17S EBUS probe and guide sheath

Guiding device CC-6DR-1

GuideSheathKit K-201

EBUS image of tumor invasion

NBI

AFI

12 | Early cancer detection

Early cancer detection | 13

EMPHYSEMA AND AIR LEAK TREATMENT

The IBV valve system is an implantable unidirectional valve placed in the lung airway, intended to treat diseased lung in emphysematous patients or damaged lung resulting in air leaks. The IBV valve is designed to limit airflow to the portions of the lungs distal to the valve, while still allowing mucus and air movement in the proximal direction. Diseased lung: for the treatment of diseased lung (for example, emphysema), the valve redirects air from diseased portions of the lung to healthier areas and allows atelectasis if intended. Selected case studies have shown improvement of disease-related quality of life and lung function. Damaged lung: for the treatment of damaged lung (for example, air leak), the valve limits airflow to injured tissue, which may enable healing. In selected cases prolonged post surgical, persistent as well as spontaneous secondary air leaks have been treated.

IBV valve

The valve allows mucus and air movement in the proximal direction

The valve itself expands to seal and contract during breathing

14 | Emphysema and air leak treatment

Emphysema and air leak treatment | 15

Easier than ever before

With the Olympus LTF-160 semi-flexible pleuroscope, medical thoracoscopy under local anaesthesia becomes less complicated and more efficient. The LTF-160 gives respiratory specialists the ability to perform procedures more quickly and less invasively than with rigid instruments. The overall advantages of the LTF-160 are easy to recognise. With its integrated working channel, pleural effusion can be removed while the pleural cavity is inspected. Furthermore, every angle of the pleural cavity can be accessed. For diagnostics and therapy, use the large rotatable SwingJaw biopsy forceps with needle (FB-55CR-1) and the washing pipe (PR-2B-1) for rinsing and sampling.

Biopsy forceps FB-55CR-1 16 | Thoracoscopy/pleuroscopy

Catheter PR-2B-1

Thoracoscopy/pleuroscopy | 17

Excellent devices in a wide variety of specifications always the right choice

Insertion tube OD (mm) Mobile bronchoscopes MAF-TM MAF-GM Video bronchoscopes BF-Q180-AC BF-Q180 BF-P180 BF-1T180 BF-1TQ180 BF-XT160 BF-3C160 BF-MP160F BF-XP160F BF-260 BF-1T260 BF-F260 LTF-160 5.3 5.1 4.9 6.0 6.3 6.3 3.8 4.4 2.8 4.9 6.0 5.4 7.0 5.2 4.1

Distal end OD (mm) 5.1 3.9 5.5 5.5 4.9 6.0 6.2 6.2 3.8 4.0 2.8 4.9 5.9 5.5 7.0

Channel ID (mm) 2.6 1.5 2.0 2.0 2.0 3.0 2.8 3.2 1.2 2.0 1.2 2.0 2.8 2.0 2.8

Bending (up/down) 180/130 120/120 180/130 180/130 180/130 180/130 180/130 180/130 180/130 180/130 180/130 180/130 180/130 180/130 160/130

Comments

Insertion tube OD (mm) Ultrasonic endoscopes for EUS-FNA GF-UC140P-AL5 GF-UCT140-AL5 GF-UCT180 11.8 12.6 12.6 6.3 Frequency (MHz) Ultrasonic probes for EBUS UM-S20-17S UM-S20-20R UM-S30-20R UM-BS20-26R 20 20 30 20 Insertion tube OD (mm) Fibre bronchoscopes BF-P60 5.0 6.0 4.4 2.8 3.6 2.2 5.0 6.0

Channel ID (mm) 2.8 3.7 3.7 2.2

Bending (up/down) 130/90 130/90 130/90 120/190

Bending (left/right) 90/90 90/90 90/90 OD (mm)

Working length (mm) 1250 1250 1250 600 Min. working channel

NBI with EXERA II NBI with EXERA II NBI with EXERA II NBI with EXERA II NBI with EXERA II NBI with LUCERA SPECTRUM NBI with LUCERA SPECTRUM AFI with LUCERA SPECTRUM

Ultrasonic endoscopes for EBUS-TBNA BF-UC180F

Working length (mm)

2150 2050 2050 2025 Distal end OD (mm)

max. 1.8 max. 2.0 max. 2.0 max. 2.6 Channel ID (mm)

2.0 2.2 2.2 2.8 Bending (up/down)

Video pleuroscope (medical thoracoscopy)

4.9 5.9 4.0 2.8 3.3 1.8 4.9 5.9

2.2 3.0 2.0 1.2 1.2 2.2 2.8

180/130 180/130 180/130 180/130 180/130 160/90 180/130 180/130

BF-1T60 BF-MP60 BF-XP60 BF-3C40 BF-N20 BF-PE2 BF-TE2

18 | Endoscope portfolio

Endoscope portfolio | 19

High-quality and holistic range for all applications

A significant number of different diagnostic and therapeutic applications could be developed as a result of the exciting advancements in bronchoscopy. As a system supplier, Olympus consequently makes use of its competencies and synergies and offers a full range of well designed reliable and versatile EndoTherapy instruments. These must-have instruments will facilitate your daily tasks in the bronchoscopy suite: Diagnostic instruments
Model Biopsy forceps FB-221D FB-211D FB-52C-1 Cytology brushes BC-202D-2010 BC-202D-3010 Classical TBNA needles NA-401D-1321 NA-411D-1521 NA-601D-1519 Metal sheath TBNA needles EBUS-TBNA needles NA-201SX-4022 NA-201SX-4022 NA-201SX-4021 Guide sheath system for SPN CC-6DR-1 K-201 K-203 Min. working channel 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.2 mm 2.0 mm 2.0 mm 2.6 mm Specifications swinging oval cups, fenestrated, single use swinging alligator cups, fenestrated, single use swinging alligator cups, rat tooth, fenestrated, reusable brush: 2 mm diameter, 10 mm length, single use brush: 3 mm diameter,10 mm length, single use 21G, 13 mm length, single use 21G, 15 mm length, side-hole, single use 19G, 18 mm length, trocar type, single use 21G, 13 mm length, ideal for TBNA of SPNs 22G, 40 mm length, single use 21G, 40 mm length, single use bendable and rotatable guiding device, reusable GuideSheathKit: sheath, forceps, brush, single use GuideSheathKit: sheath, forceps, brush, single use

Instruments for paediatric procedures

Model Biopsy forceps Cytology brush Grasping forceps FB-56D-1 BC-203D-2006 FG-55D FG-54D FG-36D Min. working channel 1.2 mm 1.2 mm 1.2 mm 1.2 mm 1.2 mm Specifications rat tooth cups, reusable brush: 2 mm diameter, 6 mm length, single use Four-wire basket, single use Three-prong grasper, single use removal snare, single use

Therapeutic instruments
Model Foreign body removal FG-17K-1 FG-25C-1 FG-32C-1 FG-20P-1 Electrosurgery CD-6C-1 KD-31C-1 SD-7C-1 FD-6C-1 Injection needle Spray catheter Washing pipe Balloon catheter DSN-120-5 PW-6C-1 PR-2B-1 B5-2C B7-2C Min. working channel 2.0 mm 2.6 mm 2.8 mm 2.0 mm 2.0 mm 2.0 mm 2.0 mm 2.6 mm 2.8 mm 2.0 mm 2.0 mm 2.0 mm 2.8 mm Specifications Four-wire basket, reusable V-shape forceps, reusable rat tooth forceps, 4.7 mm opening width, reusable rubber tip jaws forceps, reusable coagulation electrode, reusable spatula knife, reusable snare, 23 mm loop diameter, reusable hot biopsy forceps, reusable 25 G, 5 mm length, single use for fine and even mist, reusable for rinsing and lavage, reusable for lavage, blocking, tamponade and sizing, single use for lavage, blocking, tamponade, single use
EndoTherapy instruments | 21

20 | EndoTherapy instruments

user training

Dedicated user training is necessary in order to successfully integrate bronchoscopic techniques into clinical practice With the support of renowned experts, Olympus is able to offer a broad range of training material and training courses in bronchoscopy, medical thoracoscopy, EBUS, EBUS-TBNA and EUS-FNA.
Article No. E0429934 E0429849 E0429865 029670 028061 E0482749 E0482748 E0429562 E0429415 E0482752 029674 E0429587 E0429431 E0482717 E0429797 Description (Poster) Endoscopic ultrasound - diagnostics and staging in lung cancer (Laminated DINA4) Endoscopic ultrasound - diagnostics and staging of lung cancer (Training software) Endoscopic ultrasound - diagnostics and staging of lung cancer (DVD) EBUS-TBNA preperation video (Laminated DINA4) ViziShot quick reference guide (Laminated DINA4) Preperation instructions for the GuideSheathKit (DVD) Practical use of the guide sheath technique (Reprint) five years of scientific study of EBUS-TBNA (Reprint) Principles and practice of endoscopic ultrasound (Poster) The bronchus through the bronchovideoscope (Laminated DINA4) The bronchus through the bronchovideoscope (Training software) Light and sound in bronchoscopy (Reprint) NBI increases the specificity of bronchoscopic early lung cancer detection (Brochure) Autofluorescence imaging clinical cases (Training software) Medical thorascopy under local anaesthesia
E0429587 Training software E0429797 Training software E0429865 Training software Poster E0429934 N-staging nomenclature as proposed by IASLC (2009)

VISIT OUR WEBSITE FOR UPCOMING TRAINING COURSES

www.olympus-europa.com/broncho

22 | Training

Training | 23

Solutions for bronchoscopy

Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer.

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