Overview

Complex procedures – made simpler

With its 20.5 x20.5 cm (8.1 in) square flat-panel digital detector, Innova IGS 520 offers 38% greater coverage than 17.7 cm (7 in) square panels and thus limit panning during your cardiac procedures. It is designed to help you achieve steep cardiac angulations. The system is designed from the ground to provide the image clarity you need while helping you keep dose as low as possible. It includes features like InnovaSense*1, an advanced patient contouring technology that uses an active sensor to assess movement of the gantry and select the optimal position for the image receptor relative to the patient. By reducing the distance from the receptor to the patient, the system optimizes imaging geometry and helps reduce radiation exposure. Powered by dedicated advanced applications, you can plan, guide and assess complex cardiac procedures.  

  • On percutaneous coronary interventions, you can use Innova OneTouch QA, stenosis analysis application to easily measure distances with auto-calibration.  

  • On structural heart procedures, a dedicated valve planning protocol helps you decide whether a patient is eligible for a
    procedure such as TAVI and define the valve plane.

Benefits


Excellent anatomical coverage


With its 20.5 x 20.5 cm (8.1 in) square flat-panel digital detector for EP procedures, Innova IGS 520 offers 38% greater coverage than 17.7 cm (7 in) square panels. It covers more anatomy, designed for fewer runs than smaller detectors, enabling efficient use of contrast and dose.

Superb image quality with high Detective Quantum Efficiency (DQE)


The proprietary angiography flat-panel detector offers one of the industry’s highest ratings for Detective Quantum Efficiency (DQE), a parameter internationally acknowledged as an index of detector performance in contrast- and dose-limited imaging performed in clinical studies. High DQE enables better-quality images at the same dose, or the same quality image at a lower dose.


Lower dose by design


GE designs systems from the ground up with the tried and trusted GE imaging chain, optimized to provide the image clarity you need while helping you keep dose as low as possible. Our dose-reduction features empower you to easily optimize and personalize dose settings from the tableside, while maintaining clinical details you need to make well-informed decisions. But improving dose management takes a strategy – what we call the GE Blueprint. It includes low-dose imaging technologies for minimally invasive procedures, but also considers the people, culture and processes around them.
Learn more.



Simple, centralized, automated controls


Control your system and images with integrated, intuitive tableside controls. With simple menus, the Central touchscreen lets you control most system functions, configure the system, modify imaging parameters, control your large display monitor, and manipulate advanced applications – all at the tableside. The comfortable, easy-to-grasp control knob makes it easy to pan the table, position the gantry, and perform procedures.

All-in-one large display monitor


The full-color 142 cm (56 in) diagonal 8 megapixel medical-grade large display lets you view multiple images from multiple sources. Get up to 120 customized layouts, easily changeable at tableside with the Central touchscreen. Zoom in comfortably without loss of detail or pixilation to get the clinical focus you need.


ASSIST

Power up your clinical decision making

The interventional field is growing with ever-expanding capabilities and migration to less invasive, safer and more cost-efficient procedures. With the new generation of GE's advanced interventional imaging software solutions, ASSIST, you can expand your clinical versatility and successfully plan, guide and assess increasingly sophisticated procedures with greater precision and dose efficiency.

PCI ASSIST

     PCI ASSIST2  helps improve visibility3 up to +85% in moving anatomy, and up to 75% in larger patients, at the same dose.

Plan

With OneTouchQA measure the size of the vessel and analyze the percentage of stenosis from tableside directly from the Central touchscreen. Then, determine the optimal diameter and length for the stents you require for the case.

Guide

StentVesselViz was used to open the first stent at the ostia level to get an optimal position for the second stent in the side branch. StentViz was used to guide the stents to reach minimal overlap.

Assess

With StentViz precisely evaluate the stent overlap, fracture and uneven deployment.

StentVesselViz enabled assessment of stent deployment in relation to the vessel wall.

Valve ASSIST 2 for Transcatheter Aortic Valve Implantation

Plan

Guide

Assess

0-click aorta segmentation and valve definition makes accurate valve sizing accessible to anyone.

Leverage planning directly in the exam room with intuitive table side user interface. Calcification Enhancement improves the visualization of moving contrasted structures.

Assess potential regurgitation with exceptional contrast visualization. Real time benefits of Ultrasound imaging5 or angiography all in one place.

Valve ASSIST 24  for Left Atrial Appendage Closure

Plan

Guide

Assess

Segment easily the atrium in a single click. Measure the appendage neck. Define and mark in advance trans-septal perforation.

Guide with confidence your trans-septal puncture and device deployment with pre-op CT overlay.

Ultrasound imaging5 can be integrated to our Large display monitor6. All information converge in one place to help you make fast decision.

Clinical Applications

Tools that empower

GE Healthcare offers a full suite of advanced applications designed to help optimize your lab efficiency and enhance clinical confidence as you plan, guide and assess complex procedures. They work across a large range of interventional procedures, yet are built to answer specific challenges. An example of brilliant innovation in interventional cardiology is StentViz technology, which automatically detects both the guidewire and the marker balls, helping you perform elastic registration while compensating for non-rigid stent deformation.

StentViz1

Enhance stent visualization
StentViz stent enhancement technology provides excellent visualization of stent borders and details, helping you assess stent deployment during coronary interventions. It automatically detects both the guidewire and the marker balls, helping you perform an elastic registration that allows compensation for non-rigid stent deformation. In addition, it removes radio-opaque objects for optimal stent visibility and robust performance.

Innova HeartVision

Live 3D guidance for cardiac procedures
Innova HeartVision overlays 3D prepared datasets from CT, MR or 3D rotational images on live fluoroscopic images in a single click to support localization and guidance of devices during cardiac procedures. It delivers image stabilization features with ECG-gated display or motion tracking to compensate for respiratory artifact, helping to provide a steady 3D reference during complex procedures.

Innova OneTouch QA1

Perform quantitative analysis with fingertip control
With the touch of a button, an auto-calibrated live monitor image pops up on the Innova Central touchscreen and shows the region of interest magnified. It allows you to drop your points of interest on the touchscreen for stenosis analysis and distance measurement. Moreover, you can analyze the vessel diameters at tableside using the joystick.
 

Valve Planning Protocol

Visualization and quantification of cardiac anatomy for planning treatment strategies The Valve Planning protocol in the Vessel IQ Xpress application lets you visualize cardiac anatomy with the degree of detail required to evaluate the presentation of the aortic valve.
Learn more.

InnovaSpin1

Visualize lesions and select the optimal angle in one injection
InnovaSpin* allows you to see the entire heart chamber and coronary anatomy with one cine run and one contrast injection.
 
 
 
 
 
 
 

Innova 3D Cardiac

Add a new dimension to your confidence
Innova 3D Cardiac delivers quick acquisition and reconstruction of 3D cardiac anatomy in the cath lab for intuitive navigation during complex procedures. It helps you acquire and reconstruct a 3D model of the left atrium or aortic root, providing a reliable match to the patient’s anatomy and delivering the information you need to plan access for the most challenging cardiac interventions.

Procedures

Percutaneous Coronary Interventions

When performing Percutaneous Coronary Interventions (PCI), excellent image quality at the lowest dose is key to clearly visualizing the coronary artery narrowing or blockage. It is also necessary to define the optimal angle and analyze vessel quality so as to ensure a safe deployment of guidewires and devices. At the end of the procedure, the ability to verify stent placement and the intra-vessel lumen is helpful in assessing the procedure outcome.

Plan

You can plan your procedure with InnovaSpin* to select the optimal angle with one injection. Then, with the One-Touch QA stenosis analysis, you can easily measure distances with auto-calibration, which you can activate at tableside with a single button press.

Guide

You can easily switch from the record mode to low-dose fluoroscopy at tableside to view the advancement and deployment of guidewires and devices. You will benefit from highly precise imaging while saving dose compared to a full record mode sequence.

Assess

With the subtracted guidewire view of StentViz, you can visualize the stent struts and borders within the stent with excellent clarity and verify the correct deployment of the stent.

Structural heart

Transcatheter Aortic Valve Replacement/Implantation (TAVR/TAVI) demands meticulous, detailed planning. During the procedure, precise guidance and precise device positioning are crucial. With Valve Assist solution, you can plan and guide challenging procedures with confidence.

Plan

Guide

Assess

Plan your therapy path and strategy with
the Valve Planning Protocol, which lets
you segment the aorta from the iliac
arteries to the aortic root and select the
access route. You can also measure the
aortic annulus and define the valve plane
to help select the device size to implant.
The Valve Planning Protocol lets you
measure the distance between the valve
leaflets and coronary ostia for planning
of the valve deployment.

Guide your device with Innova HeartVision, providing high precision for live 3D guidance to assist valve positioning and deployment4, while minimizing motion with ECG synchronization and image stabilization.

You can assess the positioning of the device with both angiography and ultrasound.

Percutaneous Pulmonary valve implantation

Percutaneous pulmonary valve implantation (PPVI) provides an alternative to early surgical re-intervention in patients suffering from congenital heart diseases involving the right ventricular outflow tract (RVOT). The procedure involves implanting a valve stent assembly by using a double balloon catheter delivery system.

Plan

Guide

Assess

Plan your procedure by segmenting
the anatomy of interest using pre-op CT
scans with CardXpress protocol on the
Advantage Workstation. When your
model is ready, you can export it to Innova HeartVision in a single click.

Guide your catheter in moving anatomy with an overall view of the 3D anatomy provided by Innova HeartVision. HeartVision has a motion correction feature – very important for such procedures. Before deployment of the prosthesis, you can verify the coronary flow through simultaneous balloon inflation in the pulmonary artery and contrast media injection in the aortic root.

Retrogade injection in the pulmonary artery using fluoroscopy helps you assess the procedure success and verify correct deployment of the valve.


Related

References

Education & Training