Indications for use
ILLUMISITE™ fluoroscopic navigation platform: The ILLUMISITE™ platform is indicated for displaying images of the tracheobronchial tree to aid the physician in guiding endoscopic tools or catheters in the pulmonary tract and to enable marker placement within soft lung tissue. It does not make a diagnosis and is not an endoscopic tool. Not for pediatric use.
WARNING: The ILLUMISITE™ platform may only be used by a qualified bronchoscopist.
CONTRAINDICATIONS:
Flexible bronchoscopy should be performed only when the relative benefits outweigh the risks. Absolute contraindications include, but are not limited to:
• Absence of consent from the patient or his /her representative, unless a medical emergency exists and the patient is not competent to give consent.
• Lack of adequate facilities and personnel to care for emergencies such as cardiopulmonary arrest, pneumothorax, or bleeding.
• Inability to adequately oxygenate the patient during the procedure.
• For large patients, inability to place all three patient sensors within the sensing volume.
The danger of a serious complication from bronchoscopy is especially high in patients with the disorders listed below. These conditions are usually considered absolute contraindications, unless risk-benefit assessment warrants the procedure:
• Coagulopathy or bleeding diathesis that cannot be corrected.
• Severe obstructive airways disease.
• Severe refractory hypoxemia.
• Unstable hemodynamic status including dysrhythmias.
Relative contraindications or conditions involving increased risk for Fiber-optic Bronchoscopy in adults include but are not limited to:
• Recent myocardial infarction or unstable angina.
• Uremia and pulmonary hypertension (possibility of serious hemorrhage after biopsy).
• Lung abscess (danger of flooding the airway with purulent material).
• Respiratory failure requiring mechanical ventilation.
• Known or suspected pregnancy (because of radiation exposure).
CrossCountry™ transbronchial access tool
The CrossCountry™ transbronchial access tool is to be utilized through a flexible endoscope with an extended working channel by physicians who are trained in endoscopic techniques to puncture the tracheobronchial wall and facilitate access of additional endobronchial tools for patients with endobronchial lesions, peripheral lung nodules, or lung masses.
Always refer to the instructions for use included with the product for complete indications, contraindications, warnings, and precautions.
LungGPS™ patient management platform
Intended Use:
The Lung Cancer Screening Manager is an administrative software tool for use by a patient navigator intended to simplify adherence to hospital-defined administrative protocols. The software is a workflow tool to aid the patient coordinator in their daily tasks to manage a lung screening program. The Lung Cancer Screening Manager will query healthcare information systems (HIS, RIS, EMR, PACS) for data on the status of lung screening participants and proactive patient monitoring. The application will not be involved in the diagnosis, prevention, or treatment of disease.
The Incidental Nodule Manager is intended to aid in the retrieval and review of patient data and automate routine administrative and instructive tasks based on pre-established workflow protocols (e.g., Fleischner Society Criteria) and to provide configuration options to meet specific-site needs. The application communicates with ancillary image and non-image-based information systems through industry-standard interfaces and provides administrators and healthcare professionals with patient status throughout the care continuum. The software also provides aggregate data and key performance indicators (KPIs) on various pre-established clinical program parameters.
Multidisciplinary Team Orchestrator is intended to bring together relevant patient data and the multidisciplinary team to enable collaborative decision making. It streamlines preparation, enhances review and analysis, and empowers the cancer care team to reach clinical treatment decisions based upon rich dashboards, diagnostic images, reports, and structured patient data. The sessions can be attended virtually or in-person — synchronously or asynchronously.
Philips DynaCAD™* Lung Screening Software is indicated for use as a general imaging workstation. It is intended to be used to acquire, store, transmit and display images from medical scanning devices. Specific indications for use for the software are the display of a composite view of 2D cross-sections, and 3D volumes of chest CT images, including findings or regions of interest (ROI) identified or Computer Assisted Detection (CAD) findings.
CONTRAINDICATIONS:
The LungGPS™ platform is intended to integrate with specific file output of sequencing instruments such as Illumina sequencers as well as integrate with specific electronic medical records and external database warehouses. The system should not be used with any instruments that have not been tested and verified as compatible with the LungGPS™ platform.
The LungGPS™ patient management platform is commercialized in partnership with Philips.
1. Pritchett MA, Bhadra K, Calcutt M, Folch E. Virtual or reality: divergence between preprocedural computed tomography scans and lung anatomy during guided bronchoscopy. J Thorac Dis. 2020;12(4):1,595–1,611.
2. Medtronic financial and market analysis as of November 2021 of ENB and robotic lung navigation systems in market demonstrating Medtronic leading market share as defined by percentage of capital system sales.
3. Dunn BK, Blaj M, Stahl J, Speicher J, Anciano C, Hudson S, Kragel EA, Bowling MR. Evaluation of electromagnetic navigational bronchoscopy using tomosynthesis-assisted visualization, intraprocedural positional correction and continuous guidance for evaluation of peripheral pulmonary nodules. J Bronchology Interv Pulmonol. 2022.
4. Avasarala SK, Roller L, Katsis J, et al. Sight unseen: diagnostic yield and safety outcomes of a novel multimodality navigation bronchoscopy platform with real-time target acquisition. Respiration. 2022;101(2):166–173.
5. Pritchett MA, Bhadra K, Mattingley JS. Electromagnetic navigation bronchoscopy with tomosynthesis-based visualization and positional correction: three-dimensional accuracy as confirmed by cone-beam computed tomography. J Bronchology Interv Pulmonol. 2021; 28(1):10–20.
6. Folch EE, Pritchett MA, Nead MA, et al. Electromagnetic navigation bronchoscopy for peripheral pulmonary lesions: one-year results of the prospective, multicenter NAVIGATE study. J Thorac Oncol. 2019;14(3): 445–458.
7. Based on internal report #DGR00452 for the ILLUMISITE™ platform. Aug. 2017.