FLUOPTICS. European leader in fluorescence imaging. The most gifted camera of its generation FLUOBEAM LYMPHATIC SURGERY

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FLUOPTICS European leader in fluorescence imaging www.fluoptics.com The most gifted camera of its generation FLUOBEAM LYMPHATIC SURGERY

Precise Identification of functional lymphatic vessels and lymph nodes during surgery Thanks to several years of development in collaboration with international clinical teams, FLUOBEAM was designed to fit in the operating room environment. FLUOBEAM is an integrated fluorescence imaging solution providing the surgeon with a real-time image of the fluorescence in the operative field. Its ease of use and ability to analyse images make it a major asset for surgeons.

Prevention, diagnosis and lymphatic surgery

Fluorescence is essential in visualizing lymphatic system for lymphedema Lymphedema is the most common disease of the lymphatics. Secondary lymphedema (due to surgery) is estimated to be approximalively 10 million people worldwide. Lymphedema can be addressed surgically. Precise identification of functional lymphatic vessels and/or lymph nodes is essential in helping surgeons during procedures. FLUOBEAM is a unique tool used to assess and analyse lymphatic drainage, efficiency and dysfunction. It allows for the precise identification of functional lymphatic vessels before lymphatico-venous anastomosis (LVA), and lymph nodes in lymph node transfer procedures.

FLUOBEAM IN ACTION Visualization of lymphatic vessels During consultation, FLUOBEAM can be used to image in real time functional superficial lymphatic vessels: to perform early diagnosis of lymphedema, to select the most appropriate treatment (surgical or not), and to plan for post-surgery follow-up. During surgery, FLUOBEAM can be used: to identify functional superficial lymphatic vessels that can be used for lymphatico-venous anastomosis (LVA), to avoid the harvesting of lymph nodes that do not drain the resected area by performing a reverse mapping, for post-surgery follow-up. Pr. Jaume Masia Plastic and Aesthetic Surgery, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain «It is essential to understand how the lymphedema works and so FLUOBEAM is really key for this kind of information. I just can t perform lymphatic surgery without fluorescence imaging.»

Small lymphatic vessels. Functional lymphatic vessels identification.

A lymphatic vessel identification going to the sentinel lymph node. Lymphatic vessel identification in direction of the axillary.

FLUOBEAM IN ACTION Sentinel node biopsy Sentinel lymph node (SLN) is the first lymph node that drains the tumour. The SLN procedure aims to detect, dissect and analyse this lymph node. Indocyanine green fluorescence imaging has recently been introduced as an alternative method to assist surgeons in lymph node dissection procedures. FLUOBEAM allows the vusalization of superficial lymphatic drainage and the detection of sentinel lymph nodes after skin incision for differentfor different types of tumours. Dr Charlotte Ngo Gynecological and Breast Cancer Surgery, Hôpital Européen Georges Pompidou, Paris, France "The ICG for detection of the SLN in early breast cancer is feasible; it is accurate, safe and cheap"

FLUOBEAM integrated solution Thousands of procedures already done. Plastic and reconstructive surgery. Parathyroid detection by autofluorescence and perfusion assessment. Lymphedema, wound care. Partial hepatectomy and liver transplantation. Sentinel lymph node biopsy for breast cancer and melanoma.

Installed Systems The FLUOPTICS technology is already used in: France, Germany, the UK, Switzerland, Belgium, Italy, Spain, Morocco, Denmark, Finland, Greece,the Netherlands, Poland, Singapore, the US, Kuwait, Thailand, Taiwan, Hong Kong and India. 100 machines 10 000 procedures 20 countries

FLUOBEAM is a Class IIa medical device, manufactured by Fluoptics CE N 0197. FLUOBEAM is indicated to visualize on a screen the flow, the distribution and/or the accumulation of Indocyanine green (ICG) before, during and after surgery for the indications such as: visualization of the blood flow, visualization of the lymphatic flow, visualization and identification of the bile ducts during hepatobiliary surgery, visualization and detection of primary liver tumors and/or hepatic metastases. FLUOBEAM is also indicated to facilitate the visualization of parathyroid glands by auto-fluorescence (natural fluorescence without ICG injection) during thyroid and parathyroid surgeries. Before the first use, user must read the medical device instructions for use and its label. Brochure_FA_LV_EN_v1_02/2018 2018 FLUOPTICS - All right reserved. Artistic direction : Patrick Delgado - welcome@inooui.design.com Photos : Daniel Michon - artechnique@artechnique.fr

life behind light FLUOPTICS www.fluoptics.com EUROPE Fluoptics Minatec-BHT Bât 52, Bât 52, 7, parvis Louis Néel, CS 20050, 38040 Grenoble Cedex 9 FRANCE Tél Tel: : +33 438 782 878 USA Fluoptics Imaging Inc. 185 Alewife Brook, Parkway, #410 Cambridge MA 02138 USA Tél Tel: :(561) 843 0220