Pinpoint Intro Talk Track Flashcards
Pinpoint overview
- It’s a laparoscopic system that combines HD white light and Fluorescence imaging
- in order to visualize perfusion
- visualize structural anatomy
- it assists in making critical decisions that may reduce occurrence of costly complications
Benefit to surgical practice
- you can visualize blood flow in vessels, tissues, and organs throughout the body
- icg binds to the plasma proteins in the blood. It is metabolized and excreted through the liver and then provides visualization of the hepatic artery and bile ducts
- in colorectal and esophageal gives precise visual assessment of blood flow and quality of tissue perfusion
- pinpoint allows intraopetative cholangiography that can help navigate vessels and structures in abberant anatomy and obesity to prevent bdi or hepatic artery injury
What is spy elite?
A flourescence imaging system used in open surgical procedures. Provides a real time assessment of tissue perfusion to intraoperative decision making in plastic breast reconstruction, open colorectal, and salvage procedures
What is the spy elite perfusion “assessment system?”
Really time assessment of tissue perfusion at the microcirculatory level.
Information that can help optimize surgical planning by helping predict and prevent tissue necrosis and other complications
How does it work
Icg binds to blood proteins and fluoresce under NIR to provide real time visual confirmation.
How do I use perfusion assessment info in plastic reconstructive surgeries?
In addition to clinical judgement. The system can help detect tissue that has compromised blood flow that might need debridement or resection before the patient leaves the OR
Spy can clarify boundaries of tissue viability to help the surgeon better manage flap and skin necrosis
- wound complications
- anastomotic patency
- amputation levels
- reduce post operative complications
