Urology Applications

CRYOABLATION OF THE PROSTATE AND KIDNEY

PROSTATE
CRYOSURGERY

• Minimally invasive.
• Outpatient procedure.
• Can be performed with spinal block.
• Appropriate for low, moderate and high risk patients.
• Treatment option for post-radiation recurrence patients.
• Technology improvements provide precise treatment.

V-PROBE® CRYOPROBE

5 POSITION VARIABLE CRYOPROBE INSTRUMENT

  • Next generation technology allows physicians to adjust the length of the isotherm to fit the prostate
  • Works with Endocare’s intraoperative prostate planning software to calculate cryoprobe placement and iceball length
  • Variable slider creates 5 different isotherms from the same cryoprobe; 1.5cm to 5.0cm

CRYOCARE CS® SYSTEM

  • Integrated ultrasound imaging
  • CRYOGUIDE™ planning software
  • Individual probe control
  • TEMPPROBE™ temperature monitoring system
  • Closed-loop urethral warming system

PRIMARY & SALVAGE EXAMPLES

FULL GLAND FREEZE

This illustration demonstrates the use of six V-PROBE cryoprobes positioned on both sides of the prostate separated by <2.0 cm. The V-PROBE isotherms are adjusted based on the size of the prostate so that only the prostate is encapsulated in lethal ice (<-40 ̊C). In this illustration, the ice balls from the V-PROBE cryoprobes are still forming and will eventually coalesce (typically at 10 minutes).

FULL FREEZE BEYOND THE PROSTATE CAPSULE

This illustration demonstrates the use of six V-PROBE cryoprobes positioned on both sides of the prostate separated by <2.0 cm. A full gland freeze encapsulates the entire prostate with lethal ice (<-40 ̊C). In this illustration, the ice balls from the V-PROBE cryoprobes are still forming and will eventually coalesce (typically at 10 min- utes). An extra safety margin can be created by extending the ice into the soft tissue beyond the prostate capsule.

RENAL
CRYOSURGERY

• Nephron sparing treatment
• Ability to treat tumors involving the collecting system
• Minimally invasive method of treating incidental tumors

RIGHT ANGLE SLIMLINERENAL PROBES

  • Multiple ice ball sizes, probe lengths and diameters

CRYOPROBE TECHNOLOGY

Patented Vacuum Insulation minimizes freezing up the shaft and patient skin damage.

RENAL CRYO APPLICATIONS

RENAL TUMOR FREEZE
USING ONE 3.8MM CRYOPROBE

This illustration demonstrates the use of one 3.8mm right angle cryoprobe positioned at the center of the tumor. The freeze encapsulates the entire tumor with lethal ice (<-40°C). In this illustration the ice ball from the cryoprobe is still forming and will eventually reach its maximum size (typically at 10 minutes). An extra safety margin is created by extending the ice a minimum of 1cm beyond the tumor.

RENAL TUMOR FREEZE
USING TWO 2.4MM CRYOPROBES

This illustration demonstrates the use of two 2.4mm right angle cryoprobes positioned on both sides of the tumor and separated by <2.0cm. The freeze encapsulates the entire tumor with lethal ice (<-40oC). In this illustration theice balls from the cryoprobes are still forming and will eventually coalesce (typically at 10 minutes). An extra safety margin is created by extending the ice a minimum of 1cm beyond the tumor.

RENAL TUMOR FREEZE
USING THREE 1.7MM CRYOPROBES

This illustration demonstrates the use of three 1.7mm right angle cryoprobes positioned on both sides and center to the tumor and separated by <1.0cm. A freeze encapsulates the entire tumor with lethal ice (<-40oC). In this illustration the ice balls from the cryoprobes are still forming and will even- tually coalesce (typically at 10 minutes). An extra safety margin is created by extending the ice a minimum of 1cm beyond the tumor.