Real-time intraoperative margin assessment
| Pappo (Israel) | Allweis (Israel) | Thill (Germany) | Schnabel (US/Pivotal) | Columbia (Subset of Pivotal) | Sebastian (US) | Blohmer (Germany) | Coble (US) | Kupstas (US) | Gooch (US) |
|
|---|---|---|---|---|---|---|---|---|---|---|
| Purpose | Substantiate diagnostic capabilities | Israeli Pivotal Trial Intended Use | MP in pure DCIS | US Pivotal Trial FDA Approval | Compare site results in Pivotal trial vs Pivotal as a whole | Post-Market Routine Use | Routine Use with Gross Assessment | Routine Use Full Cavity Shave | Routine Use | |
| Published | J Surg Research (2010) 160, 277-281 | Am J Surg (2008) 196, 483–489 | The Breast (2014) 23, 94-96 | Ann Surg Oncol (2014) 21:1589–1595 | ASBS 2015 (Poster) | SpringerPlus (2015) 4:198 | Arch Gynecol Obstet (2016) 294(2):361-7 | Am J Surg (2017) 213, 627-630 | Am J Surg (2017) 215(3): 400-403 | Ann Surg Oncol (2019) 26:1729 |
| Study Design | Direct point by point comparison to pathology | Prospective, Double Arm, Randomized, Controlled | Prospective, Single Arm, Controlled, Comparison to Historical Control in DCIS | Prospective, Double Arm, Randomized, Controlled | Retrospective Review of Pivotal Study Data | Retrospective, Single Arm, Comparison to Historical Control | Prospective, Single Arm, Controlled, Comparison to Historical Control Gross Assessment | Retrospective, Single Arm, Comparison to Historical Control Full Cavity Shave | Retrospective, Single Arm, Comparison to Historical Control post No Tumor on Ink Guideline | Retrospective Chart Review, Single Arm |
| Number of Patients | 753 Measurements | 293 | 109 | 596 | 46 | 351 | 322 | 256 | 240 | 341 |
| Number of sites/surgeons | 3 sites | 11 sites/35 surgeons | 3 Sites/3 Surgeons | 21 Sites/53 Surgeons | 1 site/3 Surgeons | 3 sites/4 Surgeons | 1 Site/5 Surgeons | 1 Site/1 Surgeon | 1 Site/2 Surgeons | 1 Site/5 Surgeons |
| Historical Re-ex rate | N/A | 12.7% | 39% | 25.8% | 0.35 | 25.8% | 30% | 15% | 15% | N/A |
| MarginProbe Re-ex rate | N/A | 5.6% | 17% | 19.8% | 0.04 | 9.7% | 14.5% | 6.6% | 5.8% | 9.7% |
| Relative Reduction | N/A | 56% | 56% | 23% - re-ex 62% reduction positive margins | 0.885 | 62% | 52% | 56% | 61.1% | 75% reduction positive margins |
| Cosmesis or Volume Notes | N/A | Cosmesis favorable | Cosmesis Favorable | Thin margin shavings resulted in high number of identified margins remaining positive despite significant MP performance 8-10cc additional tissue volume | Consistent performance across all historical re-ex rates 44-17% = 61% 30-10% = 67% 16-8% = 50% 12-4% = 67% | No difference in overall volume tissue | 32% reduction in overall tissue volume | No difference in overall tissue volume | Performance maintained regardless of density |
“I’ve only been utilizing MarginProbe for a few weeks, and it identified a positive margin that would have been missed, in my first surgery,” stated Dr. Naik. “This enabled me to shave some additional tissue right in the OR, preventing this patient from a second surgery and the anxiety that goes along with that. “It was an awesome feeling. You really cannot ask for more from the very first case.”
On May 2, 2019, new Georgia Governor Brian Kemp signed dense breast legislation, appropriately named “Margie’s Law”, into law. The new legislation will require all mammogram reports in the state of Georgia to inform women that they have dense breast tissue and what the implications of this finding may mean for them.
2019 was our busiest Breast Cancer Awareness Month ever! We supported races, attended galas and many other events all over the country in support of better breast cancer care for women and will continue to do so every day of the year!
“I always knew I wanted to be a surgeon because of the satisfaction that comes with helping others, and the immediate gratification of seeing the problem go away,” Dr. Kerry-Ann McDonald explained. “I specifically chose breast cancer surgery because it’s a field where there’s strong continuity of care."
Dr. Elizabeth Revesz has a unique background as an artist and sculptor. She was able to translate her precision, and her ability to see things in three dimensions, into a highly successful career in medicine.
Dr. Rabia Z. Bhatti with the AMITA Resurrection Medical Center has always had a strong interest in the art of surgery. “I actually love the way that patients recover,” she explained. “There’s a gratification behind treating patients and watching them get better. And after practicing general surgery for 15 years, I realized I could provide even better care to my patients by focusing, and staying ahead, on one specialty. That’s when I made the switch to breast surgery.”
“From now on, I’m going to use MarginProbe on all of my lumpectomy cases,” the Coordinated Health surgeon shared. “Somehow we have been losing control of how to use new technology to better the lives of patients and their care. That has been our battle and I think it is becoming more pronounced."
"One of the fun things about my job is that NO day is typical," Lisa explained. "I can start the day reviewing pathology reports and analyzing MarginProbe’s contribution to a surgeon’s outcomes in preparation for a data review, and then end the day by updating a training deck for our new hire training class. My position is never boring, and I get to have my fingers in everything!"
With 30 years in practice, Dr. Daniel Howard, a General Surgeon at Mercy Health — Lourdes Hospital, can still define exactly what attracted him to surgery. Dr. Howard’s practice at Mercy Health is the only facility in the state of Kentucky to take advantage of MarginProbe, and it’s leading the state, and the nation, in many other areas of breast cancer treatment.
Every breast cancer survivor has a unique story to tell, and Alexa G is no exception. Her experience highlights the importance of patients becoming their own strongest advocate.
The Johns Hopkins Breast Center at Johns Hopkins Hospital, the #3 hospital in the U.S. News & World Report’s 2018–19 Best Hospitals list, announced that it will be adding MarginProbe® as a regular part of its program after its participation in Dune Medical’s MarginProbe® Post Approval Study (PAS).
Dune Medical Devices has reached another milestone in their MarginProbe® Post Approval Study (PAS) as Johns Hopkins Hospital and Moffitt Cancer Center complete their patient enrollments for the trial.
Dune Medical Devices was thrilled to host Congresswoman Lucy McBath in a recent visit to their Alpharetta office. McBath is a member of the United States House of Representatives from Georgia's 6th congressional district. Since joining Congress in January of this year, she has shown support for multiple bills seeking to lower costs of healthcare for patients and help advance medical innovation.
As part of their whole-person care strategy, Dr. Wilson’s practice uses a new tool, known as MarginProbe, to ensure that a safe margin of tissue is removed around a cancerous tumor as that tumor is removed during surgery.
Dune Medical Devices has just completed the first in-man cases for Smart Biopsy, its percutaneous soft tissue biopsy device which leverages the real-time tissue characterization capability of its radio-frequency (RF) spectroscopy technology.
Lori Chmura and Tom Melba attended the 24th Annual Multidisciplinary Symposium on Breast Disease to exhibit MarginProbe, the only FDA approved intraoperative tool for margin assessment. Here are some of their favorite moments from the symposium.
Global breast surgeon thought leaders from the United States, Germany, Israel, the UK and Japan came together during an international investigator reception at the San Antonio Breast Cancer Symposium, hosted by Dune Medical.
After being awarded Medtech Woman of the Year for 2018 by MW@S, Lori joined Jason Rupp on the webinar to discuss her work with Dune Medical Devices, the challenges she faced as a woman in the medtech industry, and more.
Dune Medical CEO Lori Chmura and Chairman of the Board of Directors Amos Goren started the year off by attending the 37th Annual J.P. Morgan Healthcare Conference
With the year coming to an end we put together an overview of the many developments in breast cancer research and treatment from 2018.
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