declipse®SPECT Laparoscopy

Improved Guidance in Laparoscopic Sentinel Lymph Node Biopsy

declipse®SPECT Laparoscopy is an intraoperative 3D imaging system for precise, minimally invasive sentinel lymph node biopsy (SLNB). It generates 3D images of radioactively marked structures using freehand SPECT technology for easy and intuitive SLNB mapping. The intraoperative declipse®SPECT Laparoscopy system supports precise navigation and localization of SLNB. The declipse®SPECT Viewer supports preoperative imaging and helps to analyze images such as SPECT/CT and PET/CT, in situ, during the intervention.

picture shows result of research project; overlay of endoscopic video image is not part of the product

Supported clinical applications

SLNB in Cervix Carcinoma

SLNB in Prostate Carcinoma

SLNB in Endometrium Carcinoma

Thoracoscopic surgery of pulmonary nodules

Features & Benefits of declipse®SPECT Laparoscopy

  • SLNs can be visualized and localized easily, even close to the injection site
  • SLNs seen in lymphoscintigraphy can be found again reducing 24% of discrepancy between imaging and surgical findings1
  • 3D SPECT images can be acquired intraoperatively at any time during surgery enabling validation of complete resection of all SLNs and instant detection of residually labeled SLNs
  • Preoperative images can be navigated virtually and co-registered with the patient in the OR to simplify the localization and mapping of SLNs

How declipse®SPECT Laparoscopy works

declipse®SPECT Laparoscopy consists of a highly precise optical navigation system, a sensitive, lightweight, handheld and laparoscopic gamma detector and an advanced visualization interface for augmented reality video overlay of the generated 3D images for image guided SLNB.

The usage of the declipse®SPECT Laparoscopy is seemlessly integratable into the clinical workflow

Endoscopic hybrid imaging (research project; not part of Product)

What clinicians say

  • Prof. Dr. René Hornung
    Prof. Dr. René HornungHead of Department of Gynecology Kantonsspital St. Gallen, Switzerland
    The 3D declipse®SPECT Laparoscopy technology opens new horizons to minimally invasive surgery in gynecologic oncology. Sentinel lymph node biopsy during laparoscopic procedures seems to be easily feasible and may in the near future become standard of care for cervical and endometrial cancers.
  • 1: Holl, G., Dorn, R., Wengenmair, H., Weckermann, D. and Sciuk, J. Validation of sentinel lymph node dissection in prostate cancer: experience in more than 2,000 patients. Eur J Nucl Med Mol Imaging. 2009 Sep;36(9):1377-82
  • declipse®SPECT Laparoscopy for SLNB in endometrial and cervical cancer: Markus et al. 2016. “Sentinel Lymph Node Biopsy in Endometrial and Cervical Cancers Using Freehand SPECT—first Experiences.” Gynecological Surgery, August, 1–8. doi:10.1007/s10397-016-0969-x.
  • declipse®SPECT Laparoscopy for thorax surgery of pulmonary nodules: Müller et al. 2016. “Handheld Single Photon Emission Computed Tomography (Handheld SPECT) Navigated Video-Assisted Thoracoscopic Surgery of Computer Tomography-Guided Radioactively Marked Pulmonary Lesions.” Interactive Cardiovascular and Thoracic Surgery, May. doi:10.1093/icvts/ivw136.