Image-guided needle path planning in the Hybrid OR

iVATS in the Hybrid ORPerfecting image-guided thoracoscopic surgery with procedural intelligence

Our fixed C-arm portfolio with procedural intelligence allows you to standardize every step of your image-guided video-assisted thoracoscopic surgery (iVATS)6 workflow, so that you can keep time-at-risk and radiation exposure to a minimum in every case.

Consolidating needle localization and resection with iVATS
Minimally invasive removal of small lung nodules is common practice at this point, but splitting the procedure into two sessions using separate rooms no longer represents a state-of-the-art approach. Extensive time-at-risk, potential needle dislocation, the logistics of coordinating multiple teams across rooms, as well as patient discomfort during waiting times are strong arguments for a more streamlined approach. With our Hybrid OR solutions, you can ensure a standardized thoracoscopic workflow that combines needle localization and resection within just one session and one room. This enables you to treat every patient optimally and with utmost precision.

Contact Us

Procedural intelligence changes iVATS treatment

Our fixed C-arms with procedural intelligence help you standardize and speed up tumor localization1 as well as enhance precision and patient safety. 3D visualization of the thorax and small pulmonary nodules is possible directly on the operating table, allowing you to define the needle trajectory and mark the tumor without having to transport the patient between the radiology department and the OR. Intraoperative guidance software provides assistance throughout your iVATS procedures. With intelligent optimization of image quality and dose based on patient size and material in scope, along with automated C-arm positioning, treatment is greatly simplified. You can also standardize every workflow step thanks to iVATS Case Flow: select custom parameters for every procedure step just one time and then let the system set them automatically in the future.


Our assisted workflow for iVATS allows you to focus on precise tumor localization and resection. The guidance software supports you during all essential steps for optimal patient outcomes.

EVAR in the Hybrid OR

Images courtesy of Roessner et al., Mannheim University, 2017; Ramchandani et al., Houston Methodist, 2016

Hear what our customers are saying


Calvin Ng, Associate Professor, Division of Cardiothoracic SurgeryThe Chinese University of Hong Kong, Hong Kong, China

Yao Fong, Head of Division of Thoracic SurgeryChi Mei Medical Center, Tainan, Taiwan

Yin-Kai Chao, Chief of Division of Thoracic SurgeryChang Gung Memorial Hospital, Taoyuan, Taiwan

Review the clinical evidence

iVATS treatment using ARTIS pheno in the Hybrid OR offers many advantages compared to conventional two-room workflows involving CT-based needle localization in the radiology department followed by video-assisted resection in the OR.

Procedural intelligence helps reduce time-at-risk by up to 94%

Reduced time-at-risk
Any interval phase between needle localization and resection always poses a safety concern. Performing both steps during a single session and in just one room helps reduce time-at-risk by up to 94%.4

Procedural intelligence may result in 10% faster tumor localization

Faster tumor localization
ARTIS pheno offers a wide-space C-arm that gives you ample space with patients in lateral position, along with a laser cross for optimal needle path alignment. This may result in 10% faster tumor localization compared to conventional workflows.3

See how iVATS patients can benefit

Photo of lung cancer patient

For patients with early-stage lung cancer, a one-stop procedure with ARTIS pheno in the Hybrid OR may reduce time-at-risk by up to 94%4 – and minimize patient anxiety as well – compared to conventional two-room workflows. In addition, hybrid approaches potentially result in 47% less radiation exposure than is typically the case with preoperative CT scans.3

1

2

3

4

5

6