Peripheral Bronchoscopy Solutions

Enhance Your Impact — Reach Further

Discover the unique, full solution to access, identify and sample peripheral lesions

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Access — Localizing the Lesion with Confidence

Getting closer to the periphery with the ultra-thin scope or with a combination of a scope and the GuideSheath.

Identify — Real-Time Lesion Confirmation

The clinical value of utilizing the miniature ultrasound probes in the periphery has been proven in numerous clinical studies.

Sampling — Dedicated Devices for the Periphery

Expanding the Olympus peripheral sampling portfolio with a new 21G flexible aspiration needle designed to improve clinical outcomes.

Access — Localizing the Lesion with Confidence

The diagnosis of peripheral pulmonary lesions has been a challenge over the past decades and the range of diagnostic procedures is wide. Bronchoscopy, with a reported pneumothorax rate of only 1.5%, is the least invasive approach to peripheral lesions 1.

As the world leader in endoscopy, Olympus offers a choice of two bronchoscopic sampling solutions: The combination of a scope and the GuideSheath Kit 2 or the new ultrathin BF-MP190F/290F scope.

The New Ultrathin Bronchoscope: BF-MP190F

Supporting Direct Access to the Periphery

The new BF-MP190F ultrathin bronchoscope improves access to deep lung areas, helps approach the lesion, and in combination with the miniature ultrasound probe enables real-time imaging of the surrounding tissue allowing the clinician to determine the lesion's exact location and size.

Read more about the BF-MP190/290F Watch the BF-MP190/290F in action

Key Benefits of BF-MP190F

Facilitating Access to Peripheral Lung Regions

The cutting-edge slim design, combining fiber optics with a video chip in the handle of the bronchoscope, provides an optimal ratio of outer diameter to working-channel size. With the BF-MP190F bronchoscope, a 3.0 mm distal-end outer diameter is combined with a 1.7 mm working-channel diameter. This scope facilitates access to peripheral lung regions for effective diagnostics.

Advancing Maneuverability

An upward angulation range of 210° supports smoother insertion into the upper lobe bronchi and allows more of a bend in the scope when an EndoTherapy device is inserted into the endoscope’s working channel. The insertion tube can be rotated left or right by up to 120˚ by simply turning a ring on the control section of the scope.

Access and Efficient Sampling of Lesions

  • Accessing lung lesions in the periphery remains a clinical challenge. The exceptional GuideSheath Kit helps to improve diagnosis of peripheral lung lesions. Its clinical value has been demonstrated in over 57 clinical publications.
  • The GuideSheath is advanced and positioned under X-ray or with ultrasonic guidance at the center of a solitary pulmonary nodule.
  • Once positioned at the target site, the GuideSheath acts like an extended working channel, allowing safe and repeated access to the lesion for taking biopsies and cytology-brushing.

Key Benefits of the GuideSheath System

Less Invasive

Less invasive sampling technique compared to percutaneous or surgical sampling methods.

Multiple Sampling

Multiple sampling and the combination of different sampling methods help to increase yield and diagnostic success.

Reliable and Fast Access

Reliable and fast access to the lesion with less radiation for the patient, and even more precise detection of the center of the lesion is possible with an ultrasonic probe.

Peripheral TBNA Needle PeriView FLEX

While already providing established biopsy forceps and brushes, Olympus has released the new 21G biopsy needle PeriView FLEX compatible with the BF-MP190/290F and the GuideSheath. The needle is expected to help to increase the diagnostic yield in the periphery as well as to improve access to target sites thanks to enhanced needle flexibility.

Olympus Radial Ultrasound Miniature Probes

The BF-MP190F/290F scope and the GuideSheath are both compatible with the OLYMPUS radial EBUS probe. Studies report that the combination of either the GuideSheath 2 or of BF-MP190F/290F 3 with the ultrasound probe achieves over 90% lesion identification.

Watch the combination in action

UM-S20-17S

Designed to access even the narrowest lumina, this radial ultrasonic miniature probe with an insertion tube of just 1.4 mm diameter is compatible with the thin 2.0 mm diameter GuideSheath. With an operating frequency of 20 MHz, this probe generates high-resolution 360° ultrasonic images.

UM-S20-20R

This radial ultrasonic miniature probe allows detailed, high-resolution, 360° examination of narrow lumina with an operating frequency of 20 MHz, while being compatible with the 2.6 mm diameter GuideSheath.

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Related Products

BF-MP190F

This scope facilitates access to peripheral lung regions for effective diagnostics. It provides an optimal ratio of outer diameter to working-channel size. A 3.0 mm distal-end outer diameter is combined with a 1.7 mm working-channel diameter.

GuideSheath Kit 2

Combined with a 2.0 mm or 2.8 mm working-channel bronchoscope, the GuideSheath Kit 2 acts like an extended working channel, allowing safe and repeated access to the lesion with the dedicated needle, brush and forceps.

PeriView FLEX

The PeriView FLEX needle is expected to help to increase the diagnostic yield in the periphery as well as to improve access to target sites thanks to enhanced needle flexibility.

UM-S20-17S

This ultrathin radial ultrasonic probe is just 1.4 mm in diameter at the distal end and is compatible with 2.0 mm diameter Guide Sheaths. It is the perfect size for 360° imaging of the peripheral lung or common bile or pancreatic ducts.

UM-S20-20R

The extra-slim UM-S20-20R ultrasonic probe allows detailed, high-resolution, 360° examination of even the narrowest of lumens via the working channel of a standard medical endoscope.

BC-205D-2010

The BC-205D-2010 single-use cytology brush BC-205D-2010 for 1.7mm working channel.

FB-433D

The FB-433D single-use oval-cup biopsy forceps FB-433D for 1.7mm working channel.

BF-P190

The slim BF-P190 video bronchoscope allows access to the distant lung. It is compatible with a radial EBUS probe and the GuideSheath procedure. BF-P190 also features the unique rotation function.

BF-XP190

The ultrathin BF-XP190 allows sampling from distant lung areas or within small anatomies. BF-XP190 also features the unique rotation function.
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Downloads

Peripheral Diagnostics (PDF, 1083 KB)

Solutions for Access and Diagnosis of SPN.

BF-MP190F Product Brochure (PDF, 721 KB)

Ultrathin Bronchoscope Ideal for Peripheral Lung Regions

GuideSheath Kit 2 (PDF, 2439 KB)

Supporting High-Precision Examinations in the Peripheral Pulmonary Lesions.

Clinical Evidence

  1. 1.Meta-analysis of Guided Bronchoscopy for the Evaluation of the Pulmonary Nodule Chest Volume 142, Issue 2, August 2012, Pages 385-393 Jessica S. Wang Memoli, et al.
  2. 2.Radial Probe Endobronchial Ultrasound for Peripheral Pulmonary Lesions. A 5-year institutional experience. AnnalsATS Volume 11 Number 4. Alexander Chen, et al.
  3. 3.Endobronchial Ultrasound-Guided Transbronchial Biopsy Using Novel Thin Bronchoscope for Diagnosis of Peripheral Pulmonary Lesions Journal of Thoracic Oncology Volume 4, Issue 10, October 2009, Masahide Oki, et al.

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