Physician Initiated Evaluation of EnVisio SmartClip for Intraoperative Localization of Breast Masses
Summary
This is a pilot study to estimate the success of the SmartClip device for accurate placement and reproducibility of intraoperative identification of in-breast lesions and for excision utilizing surgical navigation indicators.
Objective
Primary endpoints
- To determine the ability of localizing in-breast lesions using the Envisio Navigation and SmartClip system in surgery.
Secondary endpoints
To compare the placement of the SmartClip on preoperative imaging to clip location on specimen radiography
- To evaluate placement and visibility of the clip by breast radiologists
- To evaluate intraoperative use of the device system by surgeons
- To evaluate surgical outcomes (margins, specimen size, length of operation) with use of the SmartClip
Participants must have at least one and up to 3 sonographically or mammographically identifiable in-breast or axillary targets and consent to undergo a surgical resection using the SmartClip localization system at the McKinley operative suites at Moffitt Cancer Center. Multiple sites for localization may be used, up to a maximum of 3 SmartClips per patient. Mammographically or sonographically visible biopsy clips may be used as a localizing target.
Participants with sonographically or mammographically occult target lesions
Participants with greater than 35cm chest to bust depth
Participants undergoing mastectomy for resection of the targeted lesion
Inability to undergo surgery at the McKinley OR suites due to institutional anesthesia guidelines
Patients requiring use of more than 3 SmartClips to localize targets
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