FLUOBEAM® LM - Fluorescence Imaging System

FLUOBEAM® LM is intended for on-screen visualization of indocyanine green (ICG) flow and accumulation before, during and after surgery for indications such as:

  • visualization of blood flow,
  • visualization of lymphatic flow,
  • visualization and identification of bile ducts during hepatobiliary surgery,
  • visualization and detection of primary liver tumors and/or liver metastases.

FLUOBEAM® LM also facilitates visualization of the parathyroid glands by autofluorescence (natural fluorescence without ICG injection) during thyroid and parathyroid surgery.

Plastic and reconstructive surgery

FLUOBEAM® LM provides surgeons with accurate information to help locate perforators during free flap reconstruction procedures and assess tissue perfusion during reconstructive surgery and after skin-sparing mastectomies.

Benefits:

  • Intraoperative identification of perforator and perforator angiosome
  • Intraoperative assessment of tissue perfusion in real time
  • More precise definition of flap shape according to perfusion areas
  • Relative quantification tool (additional information to improve method specificity)
  • Early recognition of ischemic complications
  • Postoperative monitoring

Clinical cases:

  • Perforator identification
  • Flap modeling based on blood supply area
  • Assessment of skin blood supply after skin-sparing mastectomy

Axillary sentinel lymph node biopsy

FLUOBEAM® LM provides surgeons with accurate information to successfully identify and remove sentinel lymph nodes in breast cancer patients.

Benefits:

  • High detectability (similar to radioisotope)
  • Direct visualization (lymphatic drainage and sentinel lymph node)
  • Simple patient care path (one injection on the day of the procedure)
  • No need to inject radioactive marker
  • Minimized risk (low rate of allergic reactions compared to methylene blue)
Visualization of superficial lymphatic drainage (system)
Fluorescence imaging of the sentinel node in situ
Ex vivo sentinel node fluorescence imaging

Lymphatic Drainage Visualization

FLUOBEAM® LM is used for real-time visualization of the superficial lymphatic system to assess the stage, diagnosis and qualification for possible treatment in patients with lymphedema.

Benefits:

  • Early identification and localization of lymphatic damage to determine appropriate treatment (including surgery)
  • Accurate visualization of functional lymphatic vessels before lymphovenous anastomosis (LVA)
  • Accurate localization of lymph nodes during lymph node transfer surgery
  • Monitoring after surgical and conservative treatment
  • Possibility of retrograde mapping (ARM)
Functional lymphatic system
Mapping before LVA
Small lymphatic vessels

Ergonomics and intuitiveness

The design of the FLUOBEAM® LM optical head provides the surgeon with complete autonomy during surgical procedures, allowing him to control all acquisition and visualization parameters from a sterile area.

The joystick allows smooth navigation through the software functions while using the device

  • Ease of use
  • Intuitive navigation in acquisition modes
  • Ergonomic optical head holder
  • Joystick for controlling software functionalities
  • No contact with the sterile field

High performance and safety

FLUOBEAM® LM is an ergonomic and optically safe system. The optical head equipped with a sensitive near-infrared camera excites the fluorescent agent using a class 1 laser, which is harmless to the eye even in direct vision.

The power of the class I laser and the quality of optical filtration allow the surgeon to operate at a working distance of up to 8 cm.

  • Class I Safe Excitation Laser
  • Optimized Real-Time Display
  • High Sensitivity

FLUOSOFT LM - Indication-oriented software

FLUOSOFT™ LM imaging software offers several operating modes that can be customized depending on clinical indications:

  • high sensitivity for low fluorescence applications,
  • pseudo-colorization with relative quantification for perfusion assessment,
  • automatic detection of perforating vessels before flap resection,
  • panoramic imaging of lymphatic drainage.

Switching between software functions can be operated via a joystick located directly on the camera handle or via a touch screen. The entire software is translated into Polish. This approach combined with programmed operating modes allows avoiding operating errors and ensures high reliability of results.

Perforator identification
Free lobe blood supply area
Assessment of skin perfusion after amputation with skin-sparing
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