Xpose 3 Positioner
Xpose 3 Positioner
Designed to securely lift the heart during off-pump bypass surgery and to easily position and access target vessels while maintaining hemodynamic stability.
The Xpose 3 Positioner is a third generation access device designed to securely lift the heart during off-pump bypass surgery to easily position and access target vessels, while maintaining hemodynamic stability.
Getinge Off-Pump family (featuring a stabilizer, positioner, and a blower mister) combines sleek form with superb function which enables surgeons to easily and confidently deliver the benefits of beating heart surgery. The Xpose 3 incorporates the preferred features from the Acrobat and Xpose product families: proven stability, strength and flexibility.
Intended for both apical and non-apical placement on the heart, this device provides exceptional maneuverability, greater access, and ease of use. The Xpose 3 device has a "clamshell" type retractor mount.
Combining the Xpose 3 Access Device with any Getinge stabilizer offers the ability to reach all major vessels of the heart with a low-profile system that is easy to use for off-pump CABGs.
Acrobat Off-Pump System Features
The Acrobat Off-Pump System provides the strength, flexibility, visibility, and the stability necessary in a variety of surgical situations.
The tissue-conforming suction cup uses a gentle vacuum to securely lift and hold the heart, designed for apical or nonapical placement. Proprietary active suspension technology allows normal cardiac motion and maintains stable hemodynamics.
The low-profile arm is designed for increased strength, and the innovative Flexlink™ technology features interlocking links that enable greater maneuverability.
Xpose 3 features a streamlined “clamshell” type retractor mount
Beating Heart Surgery
Off-pump coronary artery bypass (OPCAB) uses local stabilization of the heart that allows the surgeon to operate while the heart still beats. In contrast, conventional bypass surgery stops the heart and puts the patient on a heart-lung machine during the bypass procedure.
The potential benefits of beating heart surgery compared to on-pump surgery may include:1
- Reduced incidence of a common irregular rhythm post-operatively (Afib)
- Fewer cognitive and neurological effects (for example, a stroke)
- Lower incidence of post-operative respiratory failure
- Faster recovery rates
- Shorter hospital stays
- Fewer wound complications
- Fewer blood transfusions needed
Puskas J, Martin J, Cheng D, et al. ISMICS Consensus Conference and Statements of Randomized Controlled Trials of off-Pump versus Conventional Coronary Artery Bypass Surgery. Innovations: 2015;10:219-229.