CLEAR GUIDE ONE
Computer-Assisted Instrument Guidance for Ultrasound

CLEAR GUIDE SuperPROBE: Optical Head on a linear ultrasound probe, with mounting bracket

CLEAR GUIDE SuperPROBE: Optical Head on a linear ultrasound probe, with mounting bracket

Instrument guidance for any ultrasound. Simply orient the interventional instrument so the target indicators line up, and insert in one confident step.

The CLEAR GUIDE ONE system centers on the handheld CLEAR GUIDE SuperPROBE, combining a conventional ultrasound probe with the Clear Guide Optical Head. It tracks interventional tools and provides real-time information to the CLEAR GUIDE CORE unit for live guidance display.

How does it help?

Conventional handheld 2D ultrasound is useful for intra-operative imaging, but does not provide for co-registration of imaging and tools. Guidance is often needed to help with hand-eye coordination and to achieve satisfactory targeting. The CLEAR GUIDE ONE shows instruments overlaid on live imaging, without further effort.

Ultrasound-guided intervention without navigation (left); CLEAR GUIDE ONE guidance with virtual instrument path (right)

Ultrasound-guided intervention without navigation (left); CLEAR GUIDE ONE guidance with virtual instrument path (right)

How does it work?

The Clear Guide technology visually tracks probe and tools relative to each other. Targets can be defined interactively on the CORE touchscreen.

Customary instruments (needles, ablator introducers, syringes, etc.) immediately work with the CLEAR GUIDE ONE, visible as insertion paths. For certain instruments, tip tracking also allows the monitoring of insertion depth.

For sterile interventions, CLEAR GUIDE SteriMASK sterile probe covers offer a complete solution.


What Clinicians Say About the CLEAR GUIDE ONE

CLEAR GUIDE ONE on-screen instrument guidance: target selected on live ultrasound stream, with overlaid instrument trajectory and CLEAR GUIDE PercepTIP position to monitor insertion depth.

CLEAR GUIDE ONE on-screen instrument guidance: target selected on live ultrasound stream, with overlaid instrument trajectory and CLEAR GUIDE PercepTIP position to monitor insertion depth.

The system is especially useful for aligning the needle when it is inserted far from the probe - such as for popliteal blocks.
— Dr. Paul E. Bigeleisen, MD / Professor of Anesthesiology, University of Maryland Hospital / Co-author of Ultrasound-Guided Regional Anesthesia and Pain Medicine, 2nd ed.
Having used the CLEAR GUIDE ONE in several of our procedures (such as vascular access and nerve blocks) over the last three months, I think it shows real promise to improve our efficiency and make deeper procedures easier. I also like the fact that it uses our existing ultrasound equipment and needles which has enabled a seamless integration with our existing workflow and processes.
— Dr. Irwin Gratz, Professor of Anesthesiology and Residency Program Director / Cooper University Hospital, Camden, NJ
CLEAR GUIDE ONE connected to a SonoSite M-Turbo ultrasound machine.

CLEAR GUIDE ONE connected to a SonoSite M-Turbo ultrasound machine.

For advanced practitioners, it will give an opportunity to access the areas that were considered unsafe with ultrasound or impossible to reach.
For beginners, it will give a level of confidence that they know where to start, where to finish, because for them the main problem is to keep the needle in-plane and to predict the place where the tip will shine out-of-plane. Therefore, elimination of complexity and uncertainty may help beginners to feel more comfortable, facilitate success in tough procedures and positively impact the learning curve.
— Dr. Michael Gofeld, MD / Department of Anesthesia / St Michael's Hospital, Toronto, ON
The CLEAR GUIDE ONE system may have the potential to better facilitate the use of ultrasound guidance for the administration of spinals and epidurals via the paramedian approach. The needle can be inserted outside of the ultrasound field and strict “in-line/in-plane” insertion for needle visualization appears to be unnecessary. Further research to evaluate the potential is certainly warranted.
— Dr. William Craig, MD / San Antonio, TX


What are potential clinical applications?

Clinical applications include: [ ► ]

What are potential clinical applications?

Clinical applications include: [ ▼ ]
  • Anesthesia:
  • Peripheral Nerve Blocks
    Central Line Insertion
    Spinal and Epidural Placement
    Pain Management
  • Orthopedics:
  • Fluid Drainage
    Cortisone Injections
  • Biopsies
  • Tumor Ablation
  • Arterial Catheterization
  • Central Vein Catheterization (CVC)

What are the potential benefits?

The CLEAR GUIDE ONE offers numerous potential advantages over other approaches: [ ► ]

What are the potential benefits?

The CLEAR GUIDE ONE offers numerous potential advantages over other approaches: [ ▼ ]

Enabling

The CLEAR GUIDE ONE is the smallest freehand navigation solution on the market for use with any ultrasound device.
Independent of the ultrasound machine's screen, guidance information is displayed on the CLEAR GUIDE ONE CORE touchscreen. The CLEAR GUIDE SuperPROBE comprises an optical head on an ultrasound probe. It is pre-calibrated during installation - no further setup is necessary.
  • Procedures on difficult or high risk patients
  • Procedures in smaller/rural facilities
  • Greater operator population

Accurate

There is no need to change interventional workflows. When guidance is needed, you switch on the CLEAR GUIDE ONE, and the needle path is shown on the live ultrasound image in real time.
The CLEAR GUIDE ONE supports variable insertion angles, as well as both in-plane and out-of-plane approaches - with freedom in choosing the insertion path, and certainty about the direction. With almost any interventional needle or tool under a wide range of external conditions - the CLEAR GUIDE ONE just works.
  • True 3-D guidance
  • Clinically relevant precision
  • Decreases malpractice exposure

Efficient

The handheld CLEAR GUIDE SuperPROBE attaches to the CLEAR GUIDE CORE touchscreen. With a standard ultrasound transducer, adding navigation to clinical workflows requires no other hardware (i.e. no EM transmitters, reference beacons, or IR cameras).
  • More procedures in any given time period
  • Leverage existing equipment
  • Utilize “favorite” needles

Cost effective

The CLEAR GUIDE ONE is unobtrusive enough to be used in any procedure - reducing valuable setup time.
Because of its constant presence, everyday interventions can be completed faster and with higher confidence.
Unlike existing navigation solutions that require large capital investments, the CLEAR GUIDE ONE is an accessory to existing ultrasound machines. The CLEAR GUIDE ONE augments existing workflows instead of forcing new steps onto clinical teams.
  • Minimizes re-insertions
  • Minimizes required training
  • No special needles or instruments required

Compatibility: What ultrasound can I use?

We are continually adapting the CLEAR GUIDE ONE to different ultrasound machines. Please see Compatibility for details.

Availability: How can I try it?

The CLEAR GUIDE ONE is available for immediate order by clinicians, researchers, and academic partners. Please contact us for details. [ ► ]

Availability: How can I try it?

The CLEAR GUIDE ONE is available for immediate order by clinicians, researchers, and academic partners. Please contact us for details. [ ▼ ]
The CLEAR GUIDE ONE:
  • has been cleared for clinical use in the United States by the FDA,
  • is Health Canada licensed for use in Canada, and
  • has received the CE Mark for sale in the 28 Member States of the European Union, as well as Iceland, Norway, Liechtenstein, Switzerland and Turkey.
Patent protected. Patents pending. All product names are trademarks of their respective owners.
CLEAR GUIDE ONE set up with cart-based ultrasound machine. The CLEAR GUIDE CORE computer is connected to the ultrasound video output, and the CLEAR GUIDE Optical Head is attached to the ultrasound probe.

CLEAR GUIDE ONE set up with cart-based ultrasound machine. The CLEAR GUIDE CORE computer is connected to the ultrasound video output, and the CLEAR GUIDE Optical Head is attached to the ultrasound probe.