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FLUOBEAM LX Red

A dedicated camera for thyroid and parathyroid surgery

FLUOBEAM LX Red is an imaging device configured for enhanced visualization of parathyroid glands during thyroid and parathyroid surgery, offering surgeons optimal control during use throughout the procedure.

FLUOBEAM LX Red is the only imaging system that allows the visualization of autofluorescence signals even after multiple Indocyanine Green (ICG) injections.

Getinge FLUOBEAM LX Red
Getinge FLUOBEAM LX Red
Getinge FLUOBEAM LX Red

A powerful parathyroid imaging solution

FLUOBEAM LX Red combines autofluorescence and fluorescence perfusion imaging to provide surgeons with enhanced visualization during surgery.

It’s the only imaging system that allows the visualization of autofluorescence signals even after multiple Indocyanine Green (ICG) injections.

Fluobeam-LX-red-autofluorescence

Autofluorescence

Highly sensitive, FLUOBEAM LX Red allows to early detect parathyroid glands by autofluorescence with an optimized real-time display, a high depth of field and a compatibility with ambient operating room lights.

Fluobeam-LX-Red-perfusion-assessment

Perfusion assessment

Parathyroid glands perfusion assessment during and at the end of surgery, provides valuable information on the quality of surgery and also informs on possible postoperative complications.

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Real-time imaging

The FLUOBEAM LX Red allows for the detection and imaging of the parathyroid glands in real time (25 frames/second) and in ambient light thanks to an optimized optical filtering. With the surgical lights on, autofluorescence can still be used by turning the lights away from the incision.[1]
This allows an easier integration of autofluorescence in the surgical workflow.

A clear image from 8 to 13 cm

To ensure a clear image, the camera operates with a very large depth of field not forcing the surgeon to adjust the focus. The focusing distance and large depth of field correspond to a natural holding of the camera above the incision and maintains the necessary sharpness of the area of interest to locate weak signals of the parathyroid glands.

Class 1 Laser

Most existing fluorescence imaging systems use Class 3R laser illumination which can be dangerous under certain operating conditions. Our class 1 laser ensures total safety for the eyes of the users. This choice of optical safety was made without compromising the unmatched sensitivity of the system.

Joystick control

Designed to be easily held and manipulated in the surgical field, FLUOBEAM LX Red offers optimized ergonomics with a joystick that simplifies the navigation and the selection of the software functionalities, directly by the surgeon.

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Real time imaging

With a high frame rate for real-time display (25 frames/s) in autofluorescence and a high depth of field (> 5cm), with FLUOSOFT LX Red imaging software, surgeons can work in optimized conditions with an easy interpretation of images and manipulation of the device. [2]

Fluorescence imaging brings benefits in thyroid surgery

Reduction of transient hypocalcemia

Several clinical teams using FLUOBEAM LX Red have demonstrated that the use of autofluorescence as a tracking tool during thyroid surgery leads to better preservation of the parathyroid glands and their functions. This leads to a significant reduction in the rate of transient post-operative hypocalcemia.[3],[4]

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Preservation of the parathyroid glands

On average, pathologists find that a parathyroid gland is inadvertently removed in 10% to 25% of thyroidectomies.[5]

With the use of autofluorescence imaging, the parathyroid glands are early detected and can be preserved in most cases.

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More reimplantations

Autofluorescence can be coupled with the use of fluorescence imaging by injection of indocyanine green. This allows the identification of the vessels that supply the parathyroid glands and thus avoids any risk of devascularization.

In cases where the parathyroid glands could not be preserved, their identification by autofluorescence makes it possible to locate them in the removed specimen and to proceed to their reimplantation.

Thyroid surgery

Assists with the visualization of parathyroid glands by autofluorescence

Parathyroid glands naturally emit fluorescence in the deep red spectrum without any dye injection. This is called autofluorescence. FLUOBEAM LX Red helps the surgeon visualize in real-time parathyroid glands.

ICG angiography – Assists with the visualization of parathyroid glands vessels

By easily combining autofluorescence and indocyanine green angiography during the procedure, FLUOBEAM LX Red allows a clear identification of vessels that perfuse parathyroid glands to assist with their preservation during thyroid dissection.

Assists with the visualization of parathyroid glands after thyroid resection

It is commonly known that complications such as transient hypocalcemia are linked to the unexpected excision of parathyroid glands or the alteration of the vascularization  of these glands during thyroid surgery.

After intravenous injection of indocyanine green, FLUOBEAM  LX Red allows surgeons to clearly visualize the vascularization and perfusion of the parathyroid glands to assist with the assessment their viability. 

Autofluorescence visualization after ICG injections

FLUOBEAM LX Red allows the visualization of the autofluorescence signal even after multiple Indocyanine Green (ICG) injections.

  1. 1. Use of Indocyanine Green Fluorescence During Total Thyroidectomy to Identify Parathyroid Glands and Prevent Hypoparathyroidism. Surg Technol Int. 2023 Dec 29;43 Zhang D, Sun H, Frattini F, Kim HY, Wu CW, Donatini G, Cestari A, Bertoli S, Barbieri D, Bussi M, Dionigi G.

    https://pubmed.ncbi.nlm.nih.gov/38237113/
  2. 2. Intraoperative near‐infrared imaging of parathyroid glands: A comparison of first‐ and second‐generation technologies. Akbulut S. et al. J Surg Oncol. 2020;1–6.

  3. 3. Impact of autofluorescence-based identification of parathyroids during total thyroidectomy on postoperative hypocalcemia: a before and after controlled study, Benmiloud et al., Surgery 163 (2018) 23–30

  4. 4. Impact of near-infrared fluorescence imaging plus indocyanine green fluorescence on postoperative hypoparathyroidism rates after total thyroidectomy and central neck lymph node dissection, Di Lorenzo et al., BJS, 2024, znae022

  5. 5. The use of near‑infrared autofluorescence during total laryngectomy with hemi‑ or total thyroidectomy. Diego Barbieri, Michela Nicole Melegatti, Alessandro Vinciguerra, Pietro Indelicato, Leone Giordano, Stefano Bondi, Matteo Biafora, Matteo Trimarchi, Mario Bussi. European Archives of Oto-Rhino-Laryngology. 2022 August 03

    https://link.springer.com/article/10.1007/s00405-022-07584-4
  6. 6. Association of Autofluorescence-Based Detection of the Parathyroid Glands During Total Thyroidectomy With Postoperative Hypocalcemia Risk Results of the PARAFLUO Multicenter Randomized Clinical Trial

    https://jamanetwork.com/journals/jamasurgery/fullarticle/2753821?resultClick=1