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Touch Screen Benefits:
• Real-time tumescence monitoring allows surgeons to make
optimal nerve sparing decisions.
•
Graphical display gives surgeons continuous
feedback
of penile tumescence allowing for quick
response
interpretation.
• Bold graphics, clearly visible from the
operating
table,
combined with audible tones.
Key System Benefits:
• Rapid nerve function determination.
• Intra-operatively confirms nerve function
status during
and after prostate cancer removal.*
• Advanced stimulation algorithm allows
for
nerve identification
optimization.
• Adjustable current settings adapts to
patient’s response.
• Reaches difficult areas: flexible probe
tip and ergonomic handle offer 180 degree range.
* Stimulation specificity: broad, focused,
and laparoscopic probe choices.
• Tumescence response analysis: Print record
for archive and evaluation.
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The Challenge:
Prostate surgery
requires a customized nerve sparing approach because
each
patient’s anatomy, disease stage, and cancer location are unique.
The most experienced surgeons
have difficulty in visual approximation of the hidden and sensitive cavernosal
nerves. Doctors
and their patients are frustrated in having to wait 6 months to
a year to determine if the nerve sparing procedure was successful. In
addition, popular drugs used in
ED treatment are not effective on patients whose
nerves are damaged during surgery.1
The Solution:
CaverMap Surgical Aid
allows a surgeon to identify and map the sensitive
cavernosal nerves responsible for potency. The system
precisely
applies a mild electrical stimulation
for a measured tumescence response. The CaverMap diagnostic allows a
surgeon to detect and avoid the
nerves course
around the prostate, thereby improving their nerve sparing
standards. A positive response verifies nerve
intactness after the cancer is removed. CaverMap helps optimize nerve
sparing technique by enhancing surgical decisions with
measured feedback.
Using
state-of-the-art electronics, the CaverMap Surgical Aid
System delivers a break-through patented cavernosal nerve
location technology. This next
generation system integrates leading-edge nerve stimulation
and ultra-sensitive sensing technologies with a new enhanced
surgeon interface.
*data on file
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"For each 1% increase in post RP
maximum tumescence/detum. with CaverMap stimulation, the
relative risk for recovery of erections was 1.22 (95CI) with
0.98-1.53." 3
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Recommended Reading:
1. Treatment of erectile dysfunction after radical
prostatectomy with Sildenafi
l Citrate (Viagra). Craig D. Zippe et al. Dept. of Urology
& Biostatistics
and Andrology - Oncology research laboratory, The Cleveland
Clinic Foundation; and Lutheran Hospital, Cleveland Ohio, July
1998
2. The Cavermap Surgical Aid ® has high specifi city in
identifying the neurovascular
bundle (NVB) during radical prostatectomy. Pierre I
Karakeiewicz, Sharokh Shariat, John Gore, Amir Naderi, Peter Scardino,
and Kevin Slawin, New York, New York, and Houston TX.
Accepted for publication at the 2001 annual meeting of the American
Urological Association.
3. Quantitative assessment of the response to Cavermap® nerve stimulation
at radical prostatectomy. Farhang Rabbani, NY, NY; Paul Cozzi,
Sydney Australia; Peter T. Scardino, NY, NY.
4.
The rationale for and results of nerve grafting during radical prostatectomy.
Peter Scardino, Edward Kim, UROLOGY 57, 2001
5. Intra-Operative cavernous nerve stimulation with penile
tumescence monitoring
during nerve sparing radical prostatectomy: results of
a phase 3 trial. Laurence Klotz, Michael Jewett, and Sender Herschorn,
Toronto; S. Larry Goldenberg, Martin Gleve, Vancouver; Jeremy
Heaton, Kingston; Richard Casey, Oakville; and Joseph Chin, London,
Canada.
*data on file
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