Peripheral Bronchoscopy Solutions

Enhance Your Impact — Reach Further

Discover the unique, full solution from access to sampling peripheral lesions

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Access — Localizing the Lesion with Confidence

The diagnosis of peripheral pulmonary lesions has been a challenge over the past decades and the range of diagnostic procedures is wide. Bronchoscopy, with a reported pneumothorax rate of only 1.5%, is the least invasive approach to peripheral lesions 1 .

As the world leader in endoscopy, Olympus offers a choice of two bronchoscopic sampling solutions: The combination of a scope and the GuideSheath Kit 2 or the new ultrathin BF-MP190F/290F scope.

Olympus Contribution to Advancing Bronchoscopic SPN Diagnosis

57 clinical publications
on the utility of radial EBUS

hybrid bronchoscope

Thin 4.2 mm
peripheral bronchoscope

TBNA PeriView FLEX needle

First ultrasound
radial EBUS probe

GuideSheath approach with radial EBUS miniprobe

Ultrathin 3 mm hybrid scope for
deep lung access

Second-generation GuideSheath

Supporting Direct Access to the Periphery

The BF-MP190F ultrathin bronchoscope improves access to deep lung areas, helps approach the lesion, and in combination with the miniature ultrasound probe enables real-time imaging of the surrounding tissue allowing the clinician to determine the lesion's exact location and size.

Read more about the BF-MP190/290F Watch the BF-MP190/290F in action

Key Benefits of BF-MP190F

Facilitating Access to Peripheral Lung Regions

The cutting-edge slim design, combining fiber optics with a video chip in the handle of the bronchoscope, provides an optimal ratio of outer diameter to working-channel size. With the BF-MP190F bronchoscope, a 3.0 mm distal-end outer diameter is combined with a 1.7 mm working-channel diameter. This scope facilitates access to peripheral lung regions for effective diagnostics.

Advancing Maneuverability

An upward angulation range of 210° supports smoother insertion into the upper lobe bronchi and allows more of a bend in the scope when an EndoTherapy device is inserted into the endoscope’s working channel. The insertion tube can be rotated left or right by up to 120˚ by simply turning a ring on the control section of the scope.

Access and Efficient Sampling of Lesions

  • Accessing lung lesions in the periphery remains a clinical challenge. The exceptional GuideSheath Kit helps to improve diagnosis of peripheral lung lesions. Its clinical value has been demonstrated in over 57 clinical publications.
  • The GuideSheath is advanced and positioned under X-ray or with ultrasonic guidance at the center of a solitary pulmonary nodule.
  • Once positioned at the target site, the GuideSheath acts like an extended working channel, allowing safe and repeated access to the lesion for taking biopsies and cytology-brushing.

Key Benefits of the GuideSheath System

Less Invasive

Less invasive sampling technique compared to percutaneous or surgical sampling methods.

Multiple Sampling

Multiple sampling and the combination of different sampling methods help to increase yield and diagnostic success.

Reliable and Fast Access

Reliable and fast access to the lesion with less radiation for the patient, and even more precise detection of the center of the lesion is possible with an ultrasonic probe.

Peripheral TBNA Needle PeriView FLEX

While already providing established biopsy forceps and brushes, Olympus has released the new 21G biopsy needle PeriView FLEX compatible with the BF-MP190/290F and the GuideSheath. The needle is expected to help to increase the diagnostic yield in the periphery as well as to improve access to target sites thanks to enhanced needle flexibility.

Olympus Radial Ultrasound Miniature Probes

The BF-MP190F/290F scope and the GuideSheath are both compatible with the OLYMPUS radial EBUS probe. Studies report that the combination of either the GuideSheath 2 or of BF-MP190F/290F 3 with the ultrasound probe achieves over 90% lesion identification.

Watch the combination in action


Designed to access even the narrowest lumina, this radial ultrasonic miniature probe with an insertion tube of just 1.4 mm diameter is compatible with the thin 2.0 mm diameter GuideSheath. With an operating frequency of 20 MHz, this probe generates high-resolution 360° ultrasonic images and the Ultrathin Bronchoscope BF-MP190F.


This radial ultrasonic miniature probe allows detailed, high-resolution, 360° examination of narrow lumina with an operating frequency of 20 MHz, while being compatible with the 2.6 mm diameter GuideSheath.


Are you interested in our Peripheral Training or would you like to have a product demo? Send us a request and an Olympus consultant will contact you.

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Clinical Evidence

  1. 1.Meta-analysis of Guided Bronchoscopy for the Evaluation of the Pulmonary Nodule Chest Volume 142, Issue 2, August 2012, Pages 385-393 Jessica S. Wang Memoli, et al.
  2. 2.Radial Probe Endobronchial Ultrasound for Peripheral Pulmonary Lesions. A 5-year institutional experience. AnnalsATS Volume 11 Number 4. Alexander Chen, et al.
  3. 3.Endobronchial Ultrasound-Guided Transbronchial Biopsy Using Novel Thin Bronchoscope for Diagnosis of Peripheral Pulmonary Lesions Journal of Thoracic Oncology Volume 4, Issue 10, October 2009, Masahide Oki, et al.