Royal Philips has announced new imaging and workflow enhancements for its Kodex-EPD cardiac imaging and mapping system. The system is used to treat patients with atrial fibrillation (AF) at 40 sites worldwide with over 1,500 patients treated. The latest release includes improvements in imaging and mapping performance, as well as enhanced features to support cryoablation procedures.
Unlike traditional methods to image the heart during AF procedures such as computed tomography (CT) and X-ray fluoroscopy, the Kodex-EPD system uses a combination of sensors attached to the body and catheters inside the heart to image the anatomy and properties of the heart, using dielectric sensing technology. Electrophysiologists can create detailed 3D views of the heart of a patient in as little as three minutes and navigate to the target location more easily and efficiently, with the required precision and without using radiation.
“The new release of the Kodex-EPD system represents a significant step forward in terms of image quality and workflow efficiency for AF procedures, as we continue to work towards our longer term goal of providing real-time therapy assessment,” said Marlou Janssen, general manager Philips EPD Solutions. “By partnering with Medtronic and developing unique capabilities for cryoablation, we can give more physicians access to this truly innovative cardiac imaging and mapping system, and contribute to delivering efficient workflows with Medtronic’s best-in-class cryoablation therapy.”
Advances in the new release include faster, high-resolution imaging, improvements in mapping functionality and point density, as well as new visualisation options such as ‘multi-chamber’ view to help understand the relative positions of adjacent chambers and ‘glass view’, which provides physicians with an improved perception of 3D catheter location and orientation within the heart, Philips said in a press release. For cryoablation procedures, the Kodex-EPD system offers enhanced Occlusion assessment functionality with high accuracy and a simplified workflow.
“Using the Kodex-EPD imaging system’s ability to provide high resolution imaging, revealing specific pulmonary vein morphologies, has allowed me to personalize my ablation approach in Medtronic cryoballoon procedures,” said Marcin Kowalski, director of Electrophysiology at Staten Island University Hospital, New York, USA. “Using the two innovative technologies together has significant benefits for our patients.”
“Combining the short procedure times of cryoablation with the real-time imaging capabilities of the Kodex-EPD system, we have been able to further improve our efficient lab workflow” said Lukas Dekker, electrophysiologist at Catharina Hospital in Eindhoven, the Netherlands. “Moreover, fluoroless imaging with the Kodex-EPD system may reduce the dependency on fluoroscopy and pre-procedural CTs and thus help to reduce X-ray exposure to patients and staff, which is important to us.”
The Kodex-EPD cardiac imaging and mapping system is commercially available in the USA, Europe, and China.