Microwave Ablation System
Surgnova Healthcare Technologies (Zhejiang) Co., Ltd.
Product: Dophi — all models and sizes
FDA Clearance Information
The Surgnova microwave ablation system was cleared by the FDA via the 510(k) pathway on July 8, 2019. It is manufactured by Surgnova Healthcare Technologies and classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- Thermal ablation of primary liver tumors.
- Thermal ablation of metastatic liver tumors.
- Thermal ablation of benign thyroid nodules.
Clinical Applications
- Percutaneous microwave ablation of selected primary liver tumors.
- Percutaneous microwave ablation of selected metastatic liver tumors.
- Image-guided ablation of benign thyroid nodules.
- Treatment of selected tumors when surgical resection is not appropriate, when consistent with the device labeling and the treating clinician's judgment.
Reported off-label uses
- Microwave ablation of renal tumors.
- Microwave ablation of lung tumors.
- Microwave ablation of adrenal or bone tumors.
Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- The system uses a microwave generator and one or more compatible microwave ablation applicators; applicator diameter, active tip length and shaft length vary by model.
- Treatment planning depends on tumor size, shape, location, nearby blood vessels and heat-sensitive structures. Multiple overlapping ablations may be required for larger or irregular lesions.
- The applicator is generally placed percutaneously under ultrasound, CT or another appropriate imaging modality, with local anesthesia and sedation or general anesthesia selected according to the procedure.
- MRI safety and conditional-use status must be confirmed for the specific generator, applicator and accessories. Do not assume the system or an applicator is safe in the MRI environment.
- Contraindications and precautions may include inability to safely access the target, uncorrected bleeding risk, active infection, proximity to critical structures and patient-specific anesthesia risks. The current FDA-cleared labeling and manufacturer instructions should be reviewed before use.
Frequently Asked Questions
What are the clinical indications for the microwave ablation system?
The device is indicated for the ablation of primary and secondary liver tumors and benign thyroid nodules.
What outcomes have been reported in clinical studies?
Studies report high efficacy in achieving complete tumor ablation with precise control over ablation zones.
What complications have been reported?
Safety data indicate minor procedural complications, with a low incidence of severe adverse events.