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  • 2 hours ago
Specialist Breast Surgeon Dr Sara Clarke demonstrates the SCOUT Radar Localisation System and the Faxitron Path System
Transcript
00:00It has a clip in place. It's a little bit clipped, but you can actually see what the clip looks
00:05like on the plastic on there, just that little tiny straight one. It's about that big in our life. So
00:12it emits an infrared radar signal that can be detected using this probe, which we place on the patient. Sounds
00:21like that like that.
00:22You can see when we're a little bit further away from it, it entails we're about 10mm away, and then
00:30when we ride on it, we get that kind of signal back.
00:34So it's very accurate, and as we spoke before, it gives us the option of where we can place our
00:40incision. It really helps with three-dimensionalising breast surgery.
00:47So this is a patient image, de-identified, and what we've got here is that's the original clip that was
00:55placed at the time of biopsy.
00:57And then we've also got the scout radar clip there, so we know, looking at this image, that we have
01:02a good margin around the clip to make sure that we've got all the cancer.
01:09What I've done here also is I've put clips on the very edge of the specimen, so that if the
01:15margin was a bit close, I'd be able to tell which margin it was,
01:18and I could immediately go back and excise some more tissue.
01:21So you can also see here that this is the cancer itself. This is like darker, a little bit darker
01:28area.
01:28You can see it's got a good margin there. I probably went back and took a little bit more there,
01:33which I could just do instantly.
01:35But I'm seeing this image, so very clear, excellent image, very impressive, and it's really streamlined what we do in
01:42the operating field.
01:44Okay, we've got a little demonstration on how the machine works, so for the chicken breast, as our demonstration today
01:51with a few clips on it.
01:52So you'll just see how quickly that process works from that point of view.
02:01One of the really cool things is that when we get the specimen out, I can orient it, so I
02:11can like...
02:16Just so I've taken out in this orientation, if you sent that down to the lab to get an x
02:22-ray, they wouldn't know that,
02:23and they might not sit it like that, they might sit it some other way.
02:26So I can be like, that's exactly how I want the picture to be taken.
02:29Hand it off and it immediately goes.
02:32Yeah, so that's really, really very accurate.
02:44Can you pre-staple this chicken breast?
02:47Pre-staple this chicken breast.
02:49So specimen's obviously coming up.
02:51We'd have the patient details presented already into the system, and it is as simple as pressing start.
02:59So this would all be happening in the operating theatre.
03:02I'd be continuing with the operation, not wasting any time.
03:19It's actually usually quick because I think it's because it's such a large chicken breast.
03:26And so you can see these are the pre-flipped areas.
03:30And it gives a similar look to the breast tissue.
03:531, 2, 3, 5, 4, 3, 1, and you can see nämloulle.
03:573, 5, 5, 6, 7, 7, 9, 9.
03:593, 5, 6, 7, 9, 9, 9, 9, 9, 10, 10.
04:003, 11, 11, 12, 13, 13, 13, 14, if you can see that.
04:08Tell us to be that.
04:08So what, just me, havin you that to be that.
04:142, 13, 14, 15, 17, 15, and so I'm so happy.
04:16I'm so happy with the amount of money, and then I'm so happy.
04:16I'm so happy with that.
04:16You
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