Radial EBUS / Guide Sheath Bronchoscopy for Peripheral Pulmonary Lesions

Supervised by Prof. Noriaki Kurimoto and Prof. Takehiro Izumo

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Peripheral Bronchoscopy with Radial EBUS
Radial EBUS / Guide Sheath Bronchoscopy for Peripheral Pulmonary Lesions

Table of Contents

Preparation

1) Preparing the Guide Sheath (GS)

For the latest products and instructions for use, please refer to the GuideSheath Kit 2 Quick Reference Guide.

GuideSheath Kit 2 Quick Reference Guide

① Insert the cytology brush, the biopsy forceps and the guiding device into the GS and position them as illustrated in <Fig. 1>. Next attach the ET stopper.

② Insert the Radial EBUS probe into the distal end of the GS so that the transducer at the tip of the probe extends from the distal end of the GS. Next, attach the US stopper.

【Cytology Brush】Align the distal end of the GS with the distal end of the sheath of Brush.

【Guiding Device】Extend the Guiding Device until the bending section of the second joint comes out of the sheath.

【Biopsy forceps】With the cups of the biopsy forceps open, withdraw the forceps as close as possible to the edge of the sheath.

【Radial EBUS probe】Position the transducer at the distal end of the probe so that it extends from the distal end of the GS. ^* The position of the ultrasonic transducer is illustrated in <Fig. 2>.

Note

Use the US stopper for the Radial EBUS probe and insert the probe in the direction of the arrow in <Fig. 3>.
It may be difficult to insert the Radial EBUS probe into the US stopper, due to resistance. If this occurs, place a piece of absorbent cotton, moistened with a disinfectant (ethanol), along the length of the Radial EBUS probe. This will ease the insertion of the probe.

For the latest product and instruction for use, please refer to the EU-ME3 Quick Reference Guide below.

Ultrasound settings, such as contrast and gain, can viewed in the Quick Reference Guide.

EU-ME3 Quick Reference Guide

2) Connecting Radial EBUS probe

To connect the Radial EBUS probe to the Probe Driving Unit, hold the probe with the connecting pin facing up and insert the probe straight into the Probe Driving Unit <Fig. 4>.
(If the connecting pin is not facing up; there may be difficulty disconnecting the Radial EBUS probe from the Probe Driving Unit) Be sure to turn off the ultrasound imaging equipment when connecting and disconnecting the Radial EBUS probe.

Preparation Actual EBUS-GS Procedures

Content Type

Procedure Guide