Integrated planning, navigation and robotic targeting for tumor ablation

*as provided by the device manufacturer or as determined by the clinician

Tumor ablaTion Current practiceToday, clinicians plan their interventional

oncology procedures by viewing 2 dimensional

CT slices, and combining what they see with their

understanding of human anatomy, to determine

the optimal approach to target the tumor. They

must determine the probe trajectory path and

the amount of energy needed to destroy the

tumor, while sparing healthy tissue.

Multiple energy probes must be manually

advanced into the tumor one at a time, without

coming in contact with one another, and without

damaging vital organs.

All this while factoring in the potential for organ

movement during patient respiration. It’s not

surprising the procedure is performed by only

the most skilled and practiced clinicians.

Clinicians can now visualize and plan an

entire ablation procedure in 3D - pre-operative

registration, segmentation and visualization of

multiple VOI, multi probe placement planning,

estimated ablation volume* visualization, probe

placement sequence, all before advancing a single

probe into the patient.

Once the plan is confirmed, MAXIO’s

robotic targeting system combined with adaptive

intra-operative registration provides spatial

positioning and orientation for a probe guide,

through which the clinician then carefully advances

each probe and performs the ablative procedure.

Once ablation has been completed, MAXIO’s

visualization tool allows the clinician to verify if the

procedure was executed as planned and determine

whether additional treatments may be required.

MAXIO’s reporting tool then generates the required

reports.

maXio A new approach

Tumor ablation made easier and more predictable.

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Tumor Ablation is heading in a whole new direction... And MAXIO is leading the way.

Clinicians benefit from MAXIO’s intelligent planning suite and robotic targeting...

• Registering pre-operative images

and off-line plan with current CT

images

• Organ specific tumor visualization

and segmentation

• Multiple VOI, multi-probe placement

plan for multiple procedures

• Accurate placement without

fluoroscopic radiation

• Ability to treat hard to access and

large tumors

• Post procedure verification

MAXIO® provides pre-operative planning assistance and intra-operative guidance to the

surgeon by creating a reconstructed image model of received CT data and by visually

representing the planned path and position(s) of one or more instruments on the model.

MAXIO®’s multi-axis electromechanical stereotactic arm assists in instrument placement.

MAXIO® additionally is intended to display instrument performance data provided by the

instrument manufacturer or as specified by the user. The device is also intended to monitor

patient and respiratory movements and to overlay images during and after image guided

procedures. MAXIO® is intended for use in percutaneous procedures such as biopsy, aspiration,

ablation etc., for organs and anatomical structures where CT is currently used for visualization.

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integrated planning, execution and verification of interventional oncology procedures.

Pre-operative

MAXIO’s powerful planning software provides 2D and 3D visualization of the affected region, and a wide range of tools to aid the development and execution of the plan.

1. Roll MAXIO into position and register to the CT table using InstaRegTM [A]

2. Prepare the patient, obtain CT images on MAXIO [B]

3. Register current images with pre-operative images or plan, if available

4. Segment one or more Volumes of Interest, identify no-go regions, define tumor margins

5. Target tumor, with upto 6 probes, on 2D / 3D image

6. Visualize and edit estimated ablation volumes*

7. Enable MAXIO’s robotic arm to position the probe guide for the procedure [C]

8. Manually advance each probe through the probe guide to reach the tumor

9. Perform intra-operative registration to verify probe placement and adapt subsequent plan(s), if needed

10. Ablate tumor as planned

11. Register post-operative and pre-operative organ images

12. Verify if volume within tumor margin is ablated fully, extend treatment if needed

13. Generate patient reports to document procedure

14. Image registration may be used to monitor tumor progression during follow-up visits

intra-operative

MAXIO allows clinicians to move seamlessly from planning to execution. With the click of a button, the arm moves into position for the clinician to advance the probes. Intra-operative registration allows verification of probe(s) placement prior to ablation

*Step 6 is optional. Ablation volumes as provided by the device manufacturer or as determined by the clinician

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intra-operative

MAXIO allows clinicians to move seamlessly from planning to execution. With the click of a button, the arm moves into position for the clinician to advance the probes. Intra-operative registration allows verification of probe(s) placement prior to ablation

Post operative

Post-procedure images can be viewed, and compared to the plan or pre-operative images

B

D

AA

C

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MAXIO tucks away when not in use.

• Works with all DICOM3 CT images

• Supports RF, MW, IRE, Cryo ablation

• Organ specific* workflow packages for liver,

lung & renal ablation

• Patient and Respiratory motion management.

• Sterile disposable kit* to enhance clinical

efficiency

* Please contact your Perfint representative for details

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multi phasic contrast image of liver co registered prior to procedure planning on maXio suite

multiple probe / multiple Voi planning

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intuitive one touch segmentation helps segment organs & tumor

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Clinicians are better able to plan interventional

oncology procedures with the help of MAXIO’s

visualization and planning software, then

successfully perform the procedure with the help

of MAXIO’s targeting system.

Hospitals are looking for efficiency

and it’s the goal of MAXIO to make

interventional procedures faster, and more

predictable, a key challenge to scheduling of the

CT suite.

Patients deserve access to life-saving treatments

that are safe and effective. MAXIO strives to

reduce the potential for unintended organ

damage due to repeat punctures, and is likely to

reduce the need for repeat scans which would

mean less radiation exposure for the patient.

With maXio everyone benefits...

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All claims of product performance and indications for use contained within this document relate only to data submitted to and reviewed by regulatory authorities in those jurisdictions in which clearance(s) and/or approval(s) have been obtained. No product performance claims or indications for use are made for jurisdictions in which such clearance(s) and/or approval(s) have not been obtained.

“Together with clinicians,

improve quality of life of

those fighting cancer”

Perfint Healthcare Corporation+1 435-761-0448 | info@perfinttech.com

www.perfinthealthcare.com

Contact your local sales representative to learn more about maXio.