• Visualize complex anatomical variations.
• Identify tumor location, proximity, and invasion of vasculature.
• Define adequate margins of resection.
• Understand relationship to vascular structures.
• Assess surgical planning and check for vessel patency at the end of the procedure.

Use of ultrasound during complex redo open liver resection.

Use intraoperative ultrasound to:

• Enable visualization of disease staging at the time of surgery with excellent image quality.
• Guide and view needle placements in real-time.
• Verify your planned results by assessing pre- and post-ablation images together.

Advanced Laparoscopic Transducer I13C3f*

• Plan and target tumor biopsies and ablations with patented laser technology.
• Achieve preferred insertion angle on up to two needles with proprietary channel design.

*I13C3f has not been licensed by Health Canada.
Learn more about advanced laparoscopic transducer.

Imaging to guide cholecystectomies

Discover the clinical benefits of active imaging with intraoperative ultrasound for laparoscopic cholecystectomy procedures. Using bkActiv and the Advanced Laparoscopic Transducer, surgeons can visualize anatomy and monitor progress as many times as needed during the procedure.
Watch this video to see how it works

The value of iUS in cholecystectomies

iUS is beneficial for cholecystectomies due to its safety, quick and repeatable imaging capabilities and ability to detect choledocholithiasis and enable visualization of biliary tract anatomy.

• iUS has minimal safety risks as it is non-irradiating and does not required cannulation. ¹⁻³
• iUS can be used dynamically throughout dissection adding minimal time to a cholecystectomy procedure. iUS can also repeated, helping to assess common bile duct integrity at the end of the procedure.¹⁻⁵
• iUS helps differentiate between sludge, stone, polyps, cysts, and tumors when determining if there is a presence of gallstones in the common bile duct.⁵,⁶
• iUS uses color flow doppler to help differentiate between vessels and ducts and is overall effective at imaging difficult cases such as inflammation or fibrosis .¹,⁴⁻⁶
• Read case study: Safe, real-time visualization in a cholecystectomy case with intraoperative ultrasound.

1. Machi, J. (2009). The routine use of laparoscopic ultrasound decreases bile duct injury: a multicenter study. Surgical Endoscopy Journal, 23, 384-388.
2. Jamal, KN. (2016). Meta-analysis of the diagnostic accuracy of laparoscopic ultrasonography and intraoperative cholangiography in detection of common bile duct stones. Royal college of surgeons, 98, 244-249.
3. Recommendation for cholecystectomy protocol based on intraoperative ultrasound – a single-centre retrospective case-control study (nih.gov).
4. Dili, A. (2017). Laparoscopic ultrasonography as an alternative to intraoperative cholangiography during laparoscopic cholecystectomy. World Journal of Gastroenterology, 23, 5438-5450.
5. Intra-operative and laparoscopic ultrasound - Surgical Treatment - NCBI Bookshelf (nih.gov).
6. Intraoperative Sonography of the Biliary System : American Journal of Roentgenology : Vol. 177, No. 2 (AJR) (ajronline.org).

• Enable visualization of disease staging at the time of surgery with excellent image quality.
• Visualize complex anatomical variations and identify tumor location.
• Define adequate margins of resection.
• Guide and view needle placements.
• Assess surgical planning and check for vessel patency at the end of the procedure.

Read case study: Use of ultrasound during two stage laparoscopic liver resection.