Peripheral Bronchoscopy Solutions

Enhance Your Impact — Reach Further

Discover the BF-UCP190F:  Precision in the periphery-reach and sample deeper lung regions with EBUS-TBNA

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Access — Localising the Lesion with Confidence

Getting closer to the periphery with the ultra-thin scope or with a combination of a scope and the GuideSheath.

Identify — Real-Time Lesion Confirmation

The clinical value of utilising the miniature ultrasound probes in the periphery has been proven in numerous clinical studies.

Sampling — Dedicated Devices for the Periphery

Expanding the Olympus peripheral sampling portfolio with the 21G flexible aspiration needle designed to improve clinical outcomes.

Access — Localising the Lesion with Confidence

The diagnosis of peripheral pulmonary lesions has been a challenge over the past decades and the range of diagnostic procedures is wide. Bronchoscopy, with a reported pneumothorax rate of only 1.5%, is the least invasive approach to peripheral lesions 1 .

As the world leader in endoscopy, Olympus offers a choice of two bronchoscopic sampling solutions: The combination of a scope and the GuideSheath Kit 2 or the ultrathin BF-MP290F scope.

Over
57 clinical publications
on the utility of radial EBUS

2004
Ultrathin
hybrid bronchoscope


2014
Thin 4.2 mm
peripheral bronchoscope

2018
Dedicated
peripheral
TBNA PeriView FLEX needle




1999
First ultrasound
radial EBUS probe






2007
GuideSheath approach with radial EBUS miniprobe

2017
Ultrathin 3 mm hybrid scope for
deep lung access

2019
Second-generation GuideSheath

Precision in the Periphery: The BF-UCP190F

Discover Olympus’ BF-UCP190F slim EBUS bronchoscope – expanding access to the periphery with precision and confidence.

This model enables physicians to confidently access and sample hard-to-reach peripheral lesions. As part of our Precision in the Periphery initiative, this scope expands the reach of EBUS into narrow airways and strengthens Olympus’ position in minimally invasive pulmonary diagnostics.

Read more

Key Benefits of BF-MP290F

Facilitating Access to Peripheral Lung Regions

The cutting-edge slim design, combining fiber optics with a video chip in the handle of the bronchoscope, provides an optimal ratio of outer diameter to working-channel size. With the BF-MP290F bronchoscope, a 3.0 mm distal-end outer diameter is combined with a 1.7 mm working-channel diameter. This scope facilitates access to peripheral lung regions for effective diagnostics.

Advancing Maneuverability

An upward angulation range of 210° supports smoother insertion into the upper lobe bronchi and allows more of a bend in the scope when an EndoTherapy device is inserted into the endoscope’s working channel. The insertion tube can be rotated left or right by up to 120˚ by simply turning a ring on the control section of the scope.

Access and Efficient Sampling of Lesions

  • Accessing lung lesions in the periphery remains a clinical challenge. The exceptional GuideSheath Kit helps to improve diagnosis of peripheral lung lesions. Its clinical value has been demonstrated in over 57 clinical publications.
  • The GuideSheath is advanced and positioned under X-ray or with ultrasonic guidance at the center of a solitary pulmonary nodule.
  • Once positioned at the target site, the GuideSheath acts like an extended working channel, allowing safe and repeated access to the lesion for taking biopsies and cytology-brushing.

Key Benefits of the GuideSheath System

Less Invasive

Less invasive sampling technique compared to percutaneous or surgical sampling methods.

Multiple Sampling

Multiple sampling and the combination of different sampling methods help to increase yield and diagnostic success.

Reliable and Fast Access

Reliable and fast access to the lesion with less radiation for the patient, and even more precise detection of the center of the lesion is possible with an ultrasonic probe.

Peripheral TBNA Needle PeriView FLEX

While already providing established biopsy forceps and brushes, Olympus has released the new 21G biopsy needle PeriView FLEX compatible with the BF-MP190/290F and the GuideSheath. The needle is expected to help to increase the diagnostic yield in the periphery as well as to improve access to target sites thanks to enhanced needle flexibility.

Olympus Radial Ultrasound Miniature Probes

The BF-MP190F/290F scope and the GuideSheath are both compatible with the OLYMPUS radial EBUS probe. Studies report that the combination of either the GuideSheath 2 or of BF-MP290F 3 with the ultrasound probe achieves over 90% lesion identification.

UM-S20-17S

Designed to access even the narrowest lumina, this radial ultrasonic miniature probe with an insertion tube of just 1.4 mm diameter is compatible with the thin 2.0 mm diameter GuideSheath. With an operating frequency of 20 MHz, this probe generates high-resolution 360° ultrasonic images.

UM-S20-20R

This radial ultrasonic miniature probe allows detailed, high-resolution, 360° examination of narrow lumina with an operating frequency of 20 MHz, while being compatible with the 2.6 mm diameter GuideSheath.

Clinical Experience

Transbronchial Biopsy of Peripheral Lesions under Radial Ultrasound Probe Guidance
This clinical report details the experiences of Maciej Gnass, MD, PhD, and Prof. Artur Szlubowski, MD, PhD, in performing transbronchial biopsies of peripheral lung lesions using radial endobronchial ultrasound (rEBUS) guidance.
Based on longitudinal clinical practice, the authors evaluate the transition from biopsy forceps to fine-needle aspiration (TBNA) utilising the Olympus UM-S20-20R radial probe and the flexible PeriView FLEX needle.
The document outlines methodology modifications, navigation techniques in complex lung segments (such as segments 1/2L, 1R, 6R, and 6L), diagnostic sensitivity and specificity metrics, and safety profiles. It serves as a practical guide for interventional pulmonologists seeking to implement or optimise rEBUS-guided biopsy techniques within their clinical workflow.

Read the full study (PDF, 1.8 MB)

Related Products

BF-UCP190F

Experience has enabled extended diagnostic reach and real-time sampling precision with the BF-UCP190F. Simplify bronchoscopy and improve diagnostic confidence.

BF-MP290F

This scope facilitates access to peripheral lung regions for effective diagnostics. It provides an optimal ratio of outer diameter to working-channel size. A 3.0 mm distal-end outer diameter is combined with a 1.7 mm working-channel diameter.

EU-ME3

With more functions, better visualization, and enhanced operability, the EU-ME3 expands the dimensions of endosonography.The EU-ME3 ultrasound processor is unique in its ability to support a wide range of Endobronchial Ultrasound Bronchoscopy (EBUS) procedures, such as EBUS-guided transbronchial needle aspiration (EBUS-TBNA) and radial EBUS for peripheral bronchoscopy procedures.

PeriView FLEX

The PeriView FLEX needle is expected to help to increase the diagnostic yield in the periphery as well as to improve access to target sites thanks to enhanced needle flexibility.

UM-S20-17S

This ultrathin radial ultrasonic probe is just 1.4 mm in diameter at the distal end and is compatible with 2.0 mm diameter guide sheaths. It is the perfect size for 360° imaging of the peripheral lung or common bile or pancreatic ducts.

UM-S20-20R

The extra-slim UM-S20-20R ultrasonic probe allows detailed, high-resolution, 360° examination of even the narrowest of lumens via the working channel of a standard medical endoscope.

BF-P290

The slim BF-P290 video bronchoscope allows access to the distant lung. It is compatible with a radial EBUS probe and the GuideSheath procedure. BF-P190 also features the unique rotation function.

BF-XP290

The ultrathin BF-XP290 allows sampling from distant lung areas or within small anatomies. BF-XP190 also features the unique rotation function.
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Downloads

Peripheral Portfolio: Solutions Overview (PDF, 1365 KB)

Solutions for Access and Diagnosis of SPN.

BF-UCP190F: Slim EBUS Design (PDF, 2.4 MB)

GuideSheath Kit 2: Precision Solutions (PDF, 1223 KB)

Supporting High-Precision Examinations in the Peripheral Pulmonary Lesions.

Clinical Evidence

  1. 1.Meta-analysis of Guided Bronchoscopy for the Evaluation of the Pulmonary Nodule Chest Volume 142, Issue 2, August 2012, Pages 385-393 Jessica S. Wang Memoli, et al.
  2. 2.Radial Probe Endobronchial Ultrasound for Peripheral Pulmonary Lesions. A 5-year institutional experience. AnnalsATS Volume 11 Number 4. Alexander Chen, et al.
  3. 3.Endobronchial Ultrasound-Guided Transbronchial Biopsy Using Novel Thin Bronchoscope for Diagnosis of Peripheral Pulmonary Lesions Journal of Thoracic Oncology Volume 4, Issue 10, October 2009, Masahide Oki, et al.