EVIS LUCERA ELITE – Advancing the Art of Bronchoscopy
With the EVIS LUCERA ELITE lineup of bronchoscopes and its stunning features, we promote techniques and procedures which advance the art of bronchoscopy.
Learn moreWith the EVIS LUCERA ELITE lineup of bronchoscopes and its stunning features, we promote techniques and procedures which advance the art of bronchoscopy.
Learn moreEndobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) is a reliable and commonly established technique, which can be perceived as the current gold standard that enables visualisation and sampling of mediastinal, central or hilar lesions and lymph nodes within the tracheo-bronchial tree.
The Olympus ultrasound miniature probes allow endobronchial ultrasonography of target lesions in the peripheral airways. For reliable sampling, a Guide Sheath Kit can be used in combination with a slim video bronchoscope.
For the treatment of diseased lung in emphysematous patients, the valve redirects air from the 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.
The new BF-MP290F accesses deep lung areas, approaches the lesion, and provides compatibility to confirm the lesion using radial ultrasound.
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As part of the commitment by Olympus to improve education in respiratory endoscopy, various training software packages and applications have been developed. Learn more about the latest BronchoGuide app and the LC Staging app and follow the link to download the apps.
Experience a bronchoscopic examination by steering the HDTV BF-H190 bronchoscope through the bronchial tree, from one carina to the next. Discover new app highlights like the 3D visualization of bronchopulmonary segments helping you to explore the bronchial anatomy.
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Access the Lung Cancer Staging Table reflecting and visualizing the latest guidelines for lung cancer TNM staging developed by the Lung Cancer Association (IASLC).
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Empower your diagnostic skills by learning more about Narrow Band Imaging (NBI) and Autofluorescence Imaging (AFI) in bronchoscopy and find a comprehensive selection of interactive training cases.
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Discover video documentation of single-hole thoracoscopy performed under local anesthetic and find a comprehensive selection of cases with exudative and consecutive treatment.
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Further Procedures in Pulmonology
In diagnostic bronchoscopy, a flexible bronchoscope is used to visually inspect the trachea and bronchi.
Narrow Band Imaging (NBI) and Autofluorescence Imaging (AFI) are two modalities that are deservedly gaining greater interest in the medical community. To a significant degree, this is due to their ability to provide more information that can lead to faster and more accurate diagnosis of a number of conditions, particularly relating to tissue thickening. With benefits like these, the arguments for using these technologies are very persuasive.
NBI provides great potential for defining the nature of a bronchial lesion, allowing a closer, more accurate look at the angiogenic process. NBI is a promising technology as it combines good sensitivity with improved specificity. It allows superior discrimination between low- and high-risk lesions (such as CIS and severe dysplasia). NBI is available with standard videoscopes on recent Olympus video endoscopy platforms.
While NBI allows easier identification of changes in the vascular patterns, AFI identifies thickened mucosa. AFI is an interesting tool for the diagnosis of central lung cancer and premalignant lesions.
Traditionally, distinguishing inflamed areas from cancerous processes has been a common problem. To help to solve this, AFI can be used. By observing changes in fluorescence intensity, AFI may assist the early detection of a suspicious lesion, displaying normal tissue in green and abnormal tissue in magenta.
AFI is available on the dedicated Olympus autofluorescence platform, EVIS LUCERA ELITE, with one dedicated autofluorescence endoscope for bronchoscopy.
For general diagnostic purposes or if an abnormality is discovered, sampling using Bronchoscopic Alveolar Lavage (BAL), brush, forceps, or needle might be needed.
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The removal of a foreign body using bronchoscopy can be challenging due to its size and consistency, as well as due to the limited access to its location. Objects may be removed with the help of a flexible bronchoscope and the appropriate grasping instruments.
A variety of instruments, such as grasping forceps or retrieval baskets, can be used to remove foreign bodies, depending on the type of object involved. Olympus offers a versatile product lineup of grasping forceps, baskets, and loops to extract foreign bodies:
Grasping devices – the appropriate device for every situation
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Bronchoscopic electrosurgery can be used for a number of bronchoscopy applications, for example, tumor ablation and debulking, cauterization of lesions, hemostasis, and bronchial biopsies.
Immediate medical attention is often required in the treatment of tumors obstructing the trachea or the bronchus. In the past, the tumors were resected through thoracotomy or removed by forceps using rigid bronchoscopes. However bronchoscopic electrosurgery is a cost-effective alternative for tumor ablation and debulking.
Post-intubation tracheal stenosis can be caused by multiple factors and is a complication of prolonged endotracheal intubation. If the stenosis is an web-like type, reopening with electrosurgical knife is possible.
Hemostasis can be achieved effectively using electrocautery. Bleeding in the bronchi can occur while taking a biopsy or debulking a tumor. Smaller bleeds are generally not problematic, but they can become life-threatening if the bleeding cannot be stopped.
Bronchial biopsies can be performed using hot biopsy forceps, which are equipped with large cups that allow fast, efficient collection of tissue using high-frequency cauterization to prevent bleeding.
Cut, Coagulate, Resect and Retrieve
Olympus has designed versatile electrosurgical devices to meet all requirements for high-frequency bronchial electrocautery.
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Flexible bronchoscopy is widely used in the diagnosis of respiratory pathologies in children of all ages. Biopsies, bronchoscopic cytology, and foreign body removal present common challenges that can be met with the selection of the appropriate techniques and instruments.
Olympus offers a full lineup of mini-instruments for pediatric bronchoscopy which are compatible with 1.2 mm channel bronchoscopes for diagnostic and therapeutic procedures in the peripheral lung and small bronchi of children.
This range covers grasping forceps and baskets for foreign bodies of different shapes and surfaces and forceps and cytology brushes for diagnosis even from the small bronchi.
Biopsy Forceps
Cytology Brush
Grasping Baskets
Extraction Bags
Grasping Forceps
Foreign Body Removal Snare
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Medical thoracoscopy, also called pleuroscopy, is a procedure involving internal examination, biopsy, and/or resection of disease or masses within the pleural cavity and thoracic cavity. It is a valuable tool in the management and investigation of pleural diseases because the technique enables a wide variety of diagnostic and therapeutic procedures.
Thoracoscopy may be performed either under general anesthesia or under sedation with local anesthetic.
Direct examination of the thoracic cavity can be achieved through medical thoracoscopy under local anesthesia enabling pleural biopsy. Pleural biopsy is a procedure to remove a sample of the tissue lining the lungs and the inside of the chest wall to check for disease or infection.
The Olympus semi-rigid pleuroscope is designed to be used for endoscopic diagnosis and treatment within the thoracic cavity and may be used with EndoTherapy devices such as biopsy forceps and electrosurgery devices.
Olympus offers dedicated, extra-strong biopsy forceps providing a firm grip for effective strip biopsies even in medical thoracoscopy.
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Professional Education
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Visit the Professional Education Website with online tutorials, training videos and e-learnings.
Learn moreOlympus offers precisely engineered instruments for respiratory procedures to enable optimal biopsy samples and optimal brushing performance.
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