Healthcare Professionals
Robotic Tool for Peripheral Vascular Intervention
The Magellan™ Robotic System
Interventions for the treatment of vascular disease are becoming more complex. Patients are asking for more minimally invasive solutions and the disease burden of vascular patients is driving more anatomic complexitya,b. For endovascular specialists, cases may often be unpredictable due to these factors and can result in longer procedure timesc, vessel damaged, excessive fluoro times and contrast volumee, and technical failure leading to surgical conversionf.
At Hansen Medical, we are committed to providing physicians with novel robotic tools with the goal of improving clinical outcomes, physician capabilities and workflow.
The Magellan™ Robotic System is a peripheral interventional platform that, used in combination with the NorthStar™ Robotic Catheter, will have the potential to provide endovascular specialists with the following advantages:
- Vessel navigation with less trauma than manual approachesg, i
- Fast and predictable proceduresh
- Catheter stability during the delivery and placement of therapeutic devices
- Physician protection from radiation exposure and procedural fatigue
- Precise robotic control of distal catheter tips, with proprietary technologies
The result is a new paradigm in peripheral vascular intervention.
The Magellan Robotic System is designed to integrate the necessary information and controls in an innovative and organized way when used for 2D and 3D navigation of the peripheral vasculature. The system, when used with the NorthStar Robotic Catheter, has the potential to provide the operator with an ergonomic environment that reduces radiation exposure during navigation of sheaths, guidewires, and catheters. The system integrates easily into existing interventional suites and hybrid operating rooms, in a matter of hours.
At Hansen Medical, we are passionate about creating robotic solutions that provide physicians with a better suite of tools for their procedural and therapeutic success. We believe that better tools will lead to better outcomes and care for vascular patients.
For More Information
Contact your local sales representative or Hansen Medical at info@hansenmedical.com or call 866-426-0804.
Magellan™ Robotic System and NorthStar™ Robotic Catheter — 510(k) Pending. Not available for sale in the U.S.
aHypertension and Diabetes. Fisman EZ, Tenenbaum A (eds): Cardiovascular Diabetology: Clinical, Metabolic and Inflammatory Facets. Adv Cardiol. Basel, Karger, 2008, vol 45, pp 82–106.
p. 83: “Between 1976 and 1988, the prevalence of diabetes (among people age 40–74 years) rose from 11.4 to 14.3% in the USA [7]. Similar increase in the prevalence of diabetes has been described in other parts of the world [8–10]. It is estimated that globally, the number of people with diabetes will rise from 151 millions in the year 2000 to 221 million by the year 2010 and to 300 million by 2025 [11]. The projections of increasing numbers of people with diabetes are driven mainly by the anticipated world population growth, especially amongst the middle-aged and elderly. This spectacular increase in the frequency of type 2 Grossman/Messerli 84 diabetes is being paralleled by a similar alarming increase in obesity [12] which is the major risk factor for type 2 diabetes. Type 2 diabetes is a descriptive term and a manifestation of a much broader underlying disorder. This combination of risk factors is partly responsible for the increased risk of cardiovascular disease in diabetes [16]. The prevalence of hypertension is expected to increase in the next 25 years from 26.5% in the year 2000 to 29.2% in the year 2025 [17]. The incidence of hypertension in patients with type 2 diabetes is approximately twofold higher than in age-matched subjects without the disease [18].
bRiga C, Bicknell C, Hamady M, Cheshire N. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino). 2011 Jun;52(3):353-62. Pp.353-4.
p. 353: "Preclinical studies and early experience suggest that robotically steerable endovascular catheters offer improve manoeuvrability at the catheter tip, enhanced positional control and "off-the wall" centreline navigation in a remote controlled fashion. These advanced systems have the potential to overcome some of the technical difficulties with manual catheter control, improve stability at key target areas, reduce the risk of vessel trauma, distal embolization and radiation exposure, whilst improving overall operator performance with short learning curves."
p. 354: "Technically complex cases inevitably take longer to perform, are highly dependent on operator skill and this increases both radiation exposure and contrast load." cites 13-16
p. 354 "The presence of unfavorable branch and iliac anatomy therefore, and especially in the presence of thrombus and calcification, may lead to embolization or dissection (24-26) with prolonged cannulation attempts and may render patients unsuitable for endovascular intervention. (27)."
p. 354: "This manual control, which often requires counter intuitive hand movements, can hinder overall stability and control at key target areas, necessitating frequent catheter changes and repeated cannulation attempts. The stable positioning of guidewires therefore, may be threatened, resulting in loss of vessel access and significantly prolonged overall procedure and fluoroscopic times. Repeated instrumentation especially in the presence of vessel tortuosity, angulation, thrombus or calcification, increases the risk of vessel dissection, perforation, and emologenic sequelae."
cRiga C, Bicknell C, Hamady M, Cheshire N. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino). 2011 Jun;52(3):353-62. Pp.353-4.
p. 354: "Technically complex cases inevitably take longer to perform, are highly dependent on operator skill and this increases both radiation exposure and contrast load." cites 13-16
p. 354: "This manual control, which often requires counter intuitive hand movements, can hinder overall stability and control at key target areas, necessitating frequent catheter changes and repeated cannulation attempts. The stable positioning of guidewires therefore, may be threatened, resulting in loss of vessel access and significantly prolonged overall procedure and fluoroscopic times. Repeated instrumentation especially in the presence of vessel tortuosity, angulation, thrombus or calcification, increases the risk of vessel dissection, perforation, and emologenic sequelae."
dRiga C, Bicknell C, Hamady M, Cheshire N. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino). 2011 Jun;52(3):353-62.
p. 353: "Preclinical studies and early experience suggest that robotically steerable endovascular catheters offer improve manoeuvrability at the catheter tip, enhanced positional control and "off-the wall" centreline navigation in a remote controlled fashion. These advanced systems have the potential to overcome some of the technical difficulties with manual catheter control, improve stability at key target areas, reduce the risk of vessel trauma, distal embolization and radiation exposure, whilst improving overall operator performance with short learning curves."
p. 354 "The presence of unfavorable branch and iliac anatomy therefore, and especially in the presence of thrombus and calcification, may lead to embolization or dissection (24-26) with prolonged cannulation attempts and may render patients unsuitable for endovascular intervention. (27)."
p. 354: "This manual control, which often requires counter intuitive hand movements, can hinder overall stability and control at key target areas, necessitating frequent catheter changes and repeated cannulation attempts. The stable positioning of guidewires therefore, may be threatened, resulting in loss of vessel access and significantly prolonged overall procedure and fluoroscopic times. Repeated instrumentation especially in the presence of vessel tortuosity, angulation, thrombus or calcification, increases the risk of vessel dissection, perforation, and emologenic sequelae."
eRiga C, Bicknell C, Hamady M, Cheshire N. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino). 2011 Jun;52(3):353-62.
p. 354: "Technically complex cases inevitably take longer to perform, are highly dependent on operator skill and this increases both radiation exposure and contrast load." cites 13-16.
fRiga C, Bicknell C, Hamady M, Cheshire N. Robotically-steerable catheters and their role in the visceral aortic segment. J Cardiovasc Surg (Torino). 2011 Jun;52(3):353-62.
p. 354 "The presence of unfavorable branch and iliac anatomy therefore, and especially in the presence of thrombus and calcification, may lead to embolization or dissection (24-26) with prolonged cannulation attempts and may render patients unsuitable for endovascular intervention. (27)."
gBismuth J, Kashef E, Cheshire N, Lumsden A. Feasibility and Safety of Remote Endovascular Catheter Navigation in a Porcine Model. J Endovasc Ther 2011;18:243–249.
p.248: “The present study indicates that vessel wall damage can be reduced, despite currently being able to navigate in only 2-dimensional imaging.”
p.248: “Due to its stability, the Hansen vascular catheter moves purposefully through the vessel, thus reducing the damage it causes, as reflected in the less significant intimal thrombus and surface disruption in the robotic cases versus the manual control.”
hBismuth J, Stankovic M, Gersak B, Lumsden A. The Role of Flexible Robotics in Overcoming Navigation Challenges in the Iliofemoral Arteries; A First-in-Man Study. Abstract Presented at 2011 Society of Vascular Surgeons; June 2011; Chicago, Illinois.
“Primary endpoints were successful cannulation of the target vessel with the Hansen Vascular Sheath”
“Endpoints were achieved in all limbs treated. The VCC performed as designed in all cases”
iData on File. Controlled GLP porcine study of 10 models.
