iGuide CAPPA

Electromagnetic Needle
Guidance
Copyright Siemens AG 2007. All rights reserved.

iGuide CAPPA
Electromagnetic Needle Guidance
Real-time navigation
No additional radiation
Precise and fast needle
positioning
Integrated respiration motion
tracking
Double oblique access
Easy to use

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iGuide CAPPA
Possible Needle Procedures

Neuro:

vertebroplasties, kyphoplasties, spine applications,

discographies, spinal RFA

Liver:

biopsies, drainages, radiofrequency ablations,

needle procedures where motion has to be tracked

Thorax:

biopsies, AAA endoleak treatments, pleural abscesses

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iGuide CAPPA
How does it work?

Sensor in needle tip

Transmitter (Field
generator)

iGuide CAPPA
syngo DynaCT data
acquired with reference
panel

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Superimposes
magnetically tracking
data with
syngo DynaCT data

Outcome:
Realtime visualization of
needle tip in syngo DynaCT
dataset
registered with patient

iGuide CAPPA Workflow

Direct needle tracking with trajectory projection
Immediate DICOM image data transfer
and automatic registration
Display of cross-sectional views and
plane along the instrument trajectory
Realtime tracking of needle tip
(red line = needle) without system
interaction allows immediate needle
positioning
Visualization of needle trajectory
supports positioning
Monitoring of precision parameters
(green boxes)
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iGuide CAPPA Workflow

Needle path planning on demand
Definition of skin entry and target
points
Trajectory checking and correction,
if necessary
Navigation of instrument according
to pre-planned trajectory by
overlaying the two pairs of circles
(planned and current position of
target and entry point)

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iGuide CAPPA
Workflow

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iGuide CAPPA
Needle sets
Different needle sizes:
11G/14G/18G, varying from 50
mm to 200 mm in length
Dedicated Vertebroplasty
needle set
Sensor coils (9 mm, 0.8 mm )
integrated in the needle tips
Sterile medical device

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iGuide CAPPA
Integrated respiration motion tracking
Integrated respiration motion
tracking provides increased
confidence even when the patient
is breathing
Skin sensor tracks
respiration motion
Respiration curve is graphically
demonstrated on the monitor
Respiration curve

Skin sensor
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iGuide CAPPA
Installations

Spine:
Prof. Skalej, University of Magdeburg
(spinal RF Ablations, Vertebroplasties,
Kyphoplasties)

Liver, Thorax:

Dr. Meyer, University of Berlin

Dr. Cleary, Georgetown University,

Benjamin Franklin Campus (Charit)

Washington D.C., USA

Prof. Turjman, University of Lyon, France

Scientific:

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Prof. Kalender, Artis zeego, IMP, Erlangen

Clinical Study at University of Berlin, Germany,

Dr. Meyer

Lymph Node Biopsy

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Clinical Study at University of Berlin, Germany,

Dr. Meyer

AAA endoleak treatment

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Clinical Study at University Hospital of

Magdeburg, Germany, Prof. Skalej

Spinal radiofrequency ablation

11G/100 mm EMT Needle
RF ablation system from ProSurge

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Reduced radiation exposure

Progression of the needles is

excellently

depicted by iGuide CAPPA and anatomic detail is

provided by syngo DynaCT. No further
imaging is necessary during the intervention,
which reduces x-ray exposure of the
examiners compared to interventions performed
under CT fluoroscopy guidance.
Prof. Dr. Skalej, University Hospital of Magdeburg, Germany
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Clinical Study at University Hospital of

Magdeburg, Germany, Prof. Skalej

Discography
14G/18G with 150/200mm
EMT needle

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iGuide CAPPA
with Artis zee/AXIOM Artis
iGuide CAPPA is used in
conjunction with
syngo DynaCT on the systems
listed below:
Artis zee ceiling, floor,
biplane
Artis zeego
AXIOM Artis dTA, dFA, dBA

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iGuide CAPPA
Clinical benefits

Real-time navigation without radiation

Precise and fast needle positioning

Automatic registration of datasets
Direct needle tracking with trajectory projection
Needle path planning on demand
Integrated Motion tracking
Double oblique access

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Thank you

for your

attention!
Copyright Siemens AG 2007. All rights reserved.