TwinStreamTM jet ventilator:
Shared airway procedures
The TwinStreamTM jet ventilator provides an unparalleled solution for procedures in a shared airway, when both surgeon and anaesthetist require access to the same upper airway (Laryngotracheal surgery) or lower airway (Interventional Pulmonology or Thoracic surgery). With over a decade of clinical use, the TwinStreamTM has proven itself an invaluable asset in numerous university hospitals across the European continent.
Reduced respiratory motion
The TwinStreamTM can also provide S-HFJVTM to conventionally intubated patients to immobilise the thorax and/or abdomen in Interventional Radiology, Interventional Cardiology or Interventional Urology. S-HFJVTM can reduce respiratory motion to a minimum, while assuring sufficient CO2 elimination, even during e.g. 5+ hour procedures.
'Superimposed' HFJV
Its unique combination of high-frequency (50-1500/min) and low-frequency ventilation (1-100/min) provides both optimal oxygenation and efficient CO2 elimination at the same time. This is why Superimposed High-Frequency Jet Ventilation (S-HFJVTM) can be used without any time limit.
TwinStreamTM configurations:
Single jet (HFJV):
- High-frequency jet ventilation
- Fully accessible airway
- Superior oxygenation
- 1/2-lumen Jet Catheters
- PP monitoring
- Gas monitoring in airway
- Laser Safe Mode (LSM)
- Automatic pressure alarm
Double jet (S-HFJVTM):
- High-frequency jet ventilation
- Low-frequency jet ventilation
- Fully accessible airway
- Superior oxygenation
- CO2 elimination
- Customised jet endoscopes
- 3/4-lumen Jet Catheters
- PIP, PEEP, MAP monitoring
- Gas monitoring in airway
- Laser Safe Mode (LSM)
- Automatic pressure alarm
Shared airway procedures:
Laryngotracheal surgery
Infraglottic jet ventilation allows for laryngotracheal surgery (e.g. tumor resection, polyp removal, cyst removal, etc.) by means of a thin (laser-resistant) Jet Catheter, ranging from 1 to 4 lumens (OD 2.7 - 6.6 mm).
Tubeless supraglottic jet ventilation allows for optimal laryngotracheal surgery without endotracheal tube or Jet Catheter restricting the surgeon’s view and access.
Even a challenging (sub)glottic stenosis can easily be treated supraglottically.
Laser Safe Mode (LSM) reduces the oxygen concentration in the airway down to the exact desired level to avoid any risk of airway fires.
Interventional Pulmonology
A jet bronchoscope or jet tracheobronchoscope comes with integrated channels for double jet ventilation, airway pressure monitoring and gas monitoring.
At the same time the 'open' jet endoscope provides optimal airway access for a wide array of shared airway procedures such as e.g.:
• restoring airway patency:
- laser surgery
- electrocautery
- cryotherapy
- argon plasma coagulation
- stent placement
• foreign bodies removal
• endobronchial ultrasound (EBUS)
• navigational bronchoscopy (CBCT)
• airway bleeding managment
Thoracic surgery
Several different types of Jet Catheters, ranging from 1 to 4 lumens, allow for shared airway procedures such as e.g. various resections (trachea, carina, pleura, lobe or lung).
A combination of Jet Converter and Jet Catheter allows switching from a wide endotracheal tube to a tiny Jet Catheter and back. During e.g. a tracheal resection this provides the surgeon with optimal working space when required.
During Single-Lung Ventilation the Jet Converter connects to a Double-Lumen Tube to gently ventilate the operated lung. HFJV provides optimal oxygenation, while its frequency range (up to 1500/min) reduces any lung motion to an absolute minimum.
Reduced respiratory motion:
Interventional Radiology
During tumour ablation the exact targeting of the tumour is essential for the accuracy of the therapeutic effect, as well as to avoid collateral damage of healthy tissue.
High-Frequency Jet Ventilation (HFJV) can attain a frequency as high as 1500/min, effectively reducing the respiratory motion to virtually nothing.
Superimposed High-Frequency Jet Ventilation
(S-HFJVTM) allows for optimal reduction of respiratory
motion in the thoracoabdominal environment, while
still guaranteeing optimal CO2 elimination, especially
during longer procedures, which may take up to 4-5
hours.
Interventional Cardiology
During treatment of cardiac arrhythmia by means of radiofrequency ablation (RFA) the stability of the contact force between catheter tip and cardiac tissue is of crucial importance.
Compared to conventional ventilation High-
Frequency Jet Ventilation (HFJV) is known to
improve the stability of this contact significantly.
Superimposed High-Frequency Jet Ventilation
(S-HFJVTM) allows for optimal reduction of respiratory
motion in the thoracoabdominal environment, while
still guaranteeing optimal CO2 elimination, especially
during longer procedures, which may take up to 4-5
hours.
Interventional Urology
During kidney stone treatment by means of shock wave lithotripsy the accuracy of the stone targeting can be increased by means of High-Frequency Jet Ventilation.
High-Frequency Jet Ventilation (HFJV) can attain a frequency as high as 1500/min, effectively reducing the respiratory motion to virtually nothing.
Superimposed High-Frequency Jet Ventilation (S-HFJVTM) allows for optimal reduction of respiratory
motion in the thoracoabdominal environment, while
still guaranteeing optimal CO2 elimination, especially
during longer procedures.
TwinStreamTM videos:
Rigid bronchoscopy
ENT surgery
TwinStreamTM accessories:
- Address: Mariannengasse 17, 1090 Vienna
- Phone number: +43 1 402 62 51 0
