Ambu’s VivaSight-DL

Supply Costs

Study: VivaSight Double Lumen Tube Cost Effective in Thoracic Surgery Involving One-Lung Ventilation

The cost of using Ambu’s VivaSight-DL was $299.96 per procedure, compared with $347.61 for a conventional double-lumen tube with a reusable bronchoscope.

A sterile, single-use double lumen tube is more cost effective for one-lung ventilation procedures in thoracic surgeries than a conventional double lumen tube with a reusable bronchoscope, potentially saving a hospital almost $30,000 annually.

That’s according to a new study in PharmacoEconomics-Open, a peer-reviewed Springer medical journal. The cost of using Ambu’s VivaSight-DL was $299.96 per procedure, compared with $347.61 for a conventional double lumen tube with a reusable bronchoscope.


Ambu’s VivaSight-DL © Ambu, Inc.

The study authors also found a significant reduction in bronchoscope use for OLV procedures, leading to increased patient safety and a better workflow. And any risk of cross contamination was eliminated since VivaSight-DL is a sterile, single-use product.

The study, funded by Ambu, was a randomized control trial conducted at a large university hospital in Denmark where about 600 one-lung ventilation (OLV) procedures are performed annually.

OLV is an essential part of most thoracic surgeries, and the most common method is intubation with a double lumen tube, or DLT. Intubation and airway management during lung-isolation procedures, however, present a series of challenges for even the most experienced medical team. DLTs can be difficult to insert and often move when a patient’s body moves. This can compromise patient safety and prolong surgery time.

Visualization during OLV improves patient safety and is increasingly recommended as good clinical practice. Doctors check for correct tube placement using a fiber-optic or video-enabled bronchoscope, both after tube insertion and after changing the patient’s position to the final lateral surgical position. This, however, further increases the risk of the tube being displaced.

Visualization can ensure more accurate and safer tube placement, significantly reducing the number of failed intubations as well as the time spent verifying the tube’s placement. The VivaSight-DL is the only single-use DLT with an integrated camera, enabling a more accurate tube placement.

The study had 22 patients in the conventional DLT arm and 30 in the VivaSight-DL arm. The differences in the cost per procedure resulted in an annual saving of $28,600 for a hospital doing 600 OLV procedures if the single-use devices were substituted for conventional ones. And a bronchoscope was only needed in 6.6 percent of OLV cases when using VivaSight-DL. That resulted in an incremental cost-effectiveness ratio of -$51.06 per bronchoscopy avoided.

Reusable bronchoscopes, of course, come with their own costs—purchasing, reprocessing (involving high-level disinfection), and general maintenance and repair. These costs are expected to increase in the future as more hospitals conduct more procedures.

Since this study’s conclusions were based on the results from a single institution, further study is needed to clarify whether VivaSight-DL is cost effective in larger or global clinical settings, the authors write.

Click here for more from the study and click here for a deeper dive into the costs associated with reprocessing bronchoscopes.

More Operating Room Articles
Study: VivaSight Double Lumen Tube Cost Effective in Thoracic Surgery Involving One-Lung Ventilation
Supply Costs
Intubation and airway management during lung-isolation procedures pose a series of challenges for even the most experienced medical team. A new study shows how hospitals can save money using Ambu’s sterile, single-use product.
Here’s How One-Lung Ventilation for Thoracic Surgery Can Be Done More Efficiently
Best Practices
Intubation and airway management during lung-isolation procedures pose a series of challenges for even the most experienced medical team. Ambu’s double lumen tube can help, according to a new study.
More From Single-Use Endoscopy
The hope is that awareness of the dysphagia problem will inspire new research and help connect people to resources for help.

Public Health

Swallowing is something that many people take for granted — yet for those who experience difficulty doing it, the challenges can drastically alter their quality of life.

No Outbreak, No Problem? Duodenoscopes May Still Harbor Contamination

Preventing Infection

A recent study found more than 5 percent of reprocessed duodenoscopes harbor “high-concern” organisms despite the lack of an infection outbreak.

Diagnostic bronchoscopy is effective as a tool for patients with COPD

Performing Procedures

Because COPD is a major risk factor for lung cancer and infection and often coexists with other diseases, there was concern that patients could have serious complications when bronchoscopy was performed.