Technology
Sutter Roseville Medical Center
Sutter Roseville Medical Center and Sutter Health take pride in our ability to provide our community with the latest technological advancements to ensure the best possible healthcare and the best possible outcome for you and your family.
- The Barrx Procedure
- Endoscopic Ultrasound or (EUS)
- Robotic-assisted Surgery Now Available
- superDimension - The Most Advanced and Complete Lung Navigation System
- Endobronchial Ultrasound (EBUS)
- Surgical Navigation System in Use for Joint Replacement
In partnership with the Sutter Roseville Medical Center Foundation, we are pleased to announce the addition of the following equipment and advanced services:

For more information about the Barrx Procedure, visit CureBarretts.com
For additional information about Capitol Gastroenterology Medical Group, the physician team or getting copies of needed forms, please visit their website or call (916) 773-6200.
The Barrx Procedure
Sutter Roseville Medical Center is pleased to offer the Barrx Procedure for the treatment of Barrett's Esophagus as a result of Gastrointestinal Esophogeal Reflux Disease or GERD.
The Barrx Procedure uses Radiofrequency ablation (RFA) as an electrode mounted either on a balloon or endoscope to deliver heat energy to the diseased lining of the esophagus. A number of studies have demonstrated that RFA safely results in a high rate of complete eradication of Barrett's esophagus, as well as reduces progression of the disease to high-grade dysplasia and cancer. Because of a favorable safety profile, studies have been performed assessing the efficacy of RFA for the earliest stages of Barrett's, as well as later stages.
Radiofrequency ablation (RFA) therapy has been shown to be safe and effective for treating Barrett’s esophagus. Radiofrequency energy (radio waves) is delivered via a catheter to the esophagus to remove diseased tissue while minimizing injury to healthy esophagus tissue. This is called ablation, which means the removal or destruction of abnormal tissue.
While you are sedated, a device is inserted through the mouth into the esophagus and used to deliver a controlled level of energy and power to remove a thin layer of diseased tissue. Less than one second of energy removes tissue to a depth of about one millimeter. The ability to provide a controlled amount of heat to diseased tissue is one mechanism by which this therapy has a lower rate of complications than other forms of ablation therapy.
Larger areas of Barrett’s tissue are treated with the balloon-mounted catheter. Smaller areas are treated with the endoscope-mounted catheter. Both are introduced during an upper endoscopy procedure, which is a thin, flexible tube inserted through a patient’s mouth.
Radiofrequency ablation for Barrett's esophagus has been used in more than 60,000 cases and the devices are cleared by the U.S. Food and Drug Administration. The balloon-based catheter has been available commercially since January 2005, the endoscope-mounted catheter since January 2007.
Physicians performing the Barrx Procedure include:
Ronald Hsu, M.D.
Endoscopic Ultrasound or (EUS) | back to top
Sutter Roseville Medical Center now offers Endoscopic Uultrasound (EUS) and EUS Fine Needle Aspiration (FNA). This type of endoscopy is performed with an instrument that combines endoscopy and ultrasound in order to obtain images and information about the digestive tract and the surrounding tissue and organs. Specialty physicians and equipment is needed to perform this level of diagnostics.Through a generous philanthropic gift from the Sutter Roseville Medical Center Foundation and the advent of a new highly trained physician, one of only a few in Northern California, this advanced technology is now available to patients requiring this higher level of diagnosis.
Physicians performing this procedure include:
For more information contact:
Capitol Gastroenterology Consultants Medical Group
4 Medical Plaza, Suite 205
Roseville, CA 95661
Phone: 916-773-6200
685 Twelve Bridges Road, Suite G
Lincoln, CA 95648
Phone: 916-782-4550
6555 Coyle Ave., Suite 330
Carmichael, CA 95608
Phone: 916-965-9650
Or visit the following websites:
Robotic-assisted Surgery Now Available | back to top
Robotic-assisted surgery using a new da Vinci® Surgical System is now available at Sutter Roseville Medical Center. The robotic platform is designed to enhance surgical ability for surgeons while using a minimally invasive approach. Currently hospital surgeons are using the system primarily for gynecologic procedures such as hysterectomies for various uterine conditions; myomectomies for uterine fibroids; and sacrocolpopexies for pelvic organ prolapse. Plans call for expanded use of the system in the future for urologic procedures such as removal of the prostate and other general surgeries.
Minimally invasive surgery or MIS translates into many patient benefits, including less pain, shorter hospital stays, a shorter recovery and faster return to normal daily activities.
About 500 da Vinci® systems are in use worldwide with multiple systems within the Sutter Health Sacramento Sierra Region. Da Vinci® cannot operate without a surgeon’s expertise. The system is designed to scale, filter and seamlessly translate the surgeon’s movements into more precise movements through its robotic instruments. Surgeons sit at a console in the operating room and control four interactive robot arms that operate on the patient using a high performance vision system. The surgical instrument design features jointed wrists, which exceed the natural range of motion of the human hand, thus enabling surgeons to operate with greater dexterity and control.
Watch and learn the benefits of da Vinci Robotic Surgery
Physicians performing surgery using the da Vinci Surgical System include:
- Carolina Alvayay, M.D.
- Rita Biesen-Bradley, M.D.
- Larry W. Bowen, M.D., FACOG
- Kevin S. Elliott, M.D.
- Tatiana I. Fromlak, M.D., FACOG
- Jacqueline Ho, M.D.
- Olivia Juhn, M.D.
- Ranganath Pathak, M.D.
- David H. Scates , M.D.
- Yee, David S., M.D. MPH
For more information contact:
5 Medical Plaza Drive, #130
Roseville, California 95661
Phone: 916- 797-1222
Or visit our webpages by sub-specialty:
Da Vinci is a registered trademark of Intuitive Surgical, Inc.
superDimension - The Most Advanced and Complete Lung Navigation System | back to top
For a number of years, Sutter Roseville Medical Center has used the superDimension i·Logic#0153; System and Electromagnetic Navigation Bronchoscopy#0153; (ENB) to provide minimally invasive access to lesions deep in the lungs as well as mediastinal lymph nodes. By extending the reach of conventional bronchoscopes, the i·Logic System enables physicians to diagnose benign and malignant lung lesions enhancing treatment decisions and avoiding the need for higher-risk procedures.
As the incidence of lung disease grows in the United States, the challenge of early and accurate diagnosis and treatment of lung lesions is becoming more critical. There is an urgent need for a reliable, minimally invasive tool for accessing lung lesions, especially those located beyond the reach of traditional bronchoscopes.
Peripheral lung lesions are beyond the reach of conventional bronchoscopes. Although 1 in 500 chest x-rays show a peripheral lesion, 65 percent of traditional bronchoscopes fail to reach these distant lesions. More invasive diagnostic techniques are then necessary, posing a greater potential for complications such as pneumothorax. Patients with poor lung function may not tolerate more invasive procedures, leaving them with "watchful waiting" as their only option. Yet, early diagnosis and treatment are crucial for improving survival rates in malignant lung disease. Studies show that lung lesions diagnosed early (Stage I) result in a higher survival rate compared to those lung cancer patients diagnosed at Stage III or IV where survival rates typically are much lower.
Physicians performing these procedures include:
For more information contact:
5 Medical Plaza Drive, #140
Roseville, California 95661
Phone: (916) 789-8375
Pulmonary Medicine Associates
5 Medical Plaza Drive, #190
Roseville, California 95661
Phone: (916) 786-7498
Or visit the following website:
superDimension and iLogic are trademarks of superDimension, Inc.
Endobronchial Ultrasound (EBUS) | back to top
Sutter Roseville Medical Center is pleased to offer this relatively new procedure used in the diagnosis of lung cancer, infections, and other diseases causing enlarged lymph nodes in the chest.EBUS allows physicians to perform a technique known as transbronchial needle aspiration (TBNA) to obtain tissue or fluid samples from the lungs and surrounding lymph nodes without conventional surgery. The samples can be used for diagnosing and staging lung cancer, detecting infections, and identifying inflammatory diseases that affect the lungs, such as sarcoidosis or other cancers like lymphoma.
During the conventional diagnostic procedure, surgery known as mediatinoscopy is performed to provide access to the chest. A small incision is made in the neck just above the breastbone or next to the breastbone. Next, a thin scope, called a mediastinoscope, is inserted through the opening to provide access to the lungs and surrounding lymph nodes. Tissue or fluid is then collected via biopsy.
With EBUS however, the physician can perform a needle aspiration on lymph nodes using a bronchoscope inserted through the mouth. A special endoscope fitted with an ultrasound processor and a fine-gauge aspiration needle is guided through the patient’s trachea. No incisions are necessary.
Benefits of EBUS
- Provides real-time imaging of the surface of the airways, blood vessels, lungs, and lymph nodes
- The improved images allow the physician to easily view difficult-to-reach areas and to access more, and smaller, lymph nodes for biopsy with the aspiration needle than through conventional mediatinoscopy
- The accuracy and speed of the EBUS procedure lends itself to rapid onsite pathologic evaluation. Pathologists in the operating room can process and examine biopsy samples as they are obtained and can request additional samples to be taken immediately if needed
- EBUS is performed under moderate sedation or general anesthesia
- Patients recover quickly and can generally go home the same day
Physicians performing endobronchial ultrasound include:
For more information regarding this procedure, contact:
Pulmonary Medicine Associates
5 Medical Plaza Drive, #190
Roseville, California 95661
Phone: (916) 786-7498
Or visit the following website:
Surgical Navigation System in Use for Joint Replacement | back to top
For a number of years, we have been using a computer-assisted joint surgical navigation system for a variety of joint replacement procedures such as knee and hip. Our orthopedic surgeons use the joint mapping and navigation system that allows them to visualize or see the joint more completely than ever before.The navigation system provides a complete, real-time 3-D view of your joint, enabling surgeons to align all parts of your joint, including the new prosthetic devices, with greater accuracy than ever before. It also allows them to use minimally-invasive surgical techniques that leave your normal tissues intact while areas of your joint affected by arthritic disease are safely removed and replaced with new materials.
Image guided navigation technology for orthopedic surgery is an innovative procedure designed to allow a surgeon to align an artificial joint with greater precision within the body. Precise alignment is an important factor that may reduce joint wear and extend the life of the implant. Use of the system has many potential benefits including improved joint stability and range of motion.
Orthopedic navigation technology is similar to directional tracking systems used in cars and ships - it is, in effect, a global positioning system (GPS) for the surgeon. Infrared sensors placed in the operating room act like satellites constantly monitoring the location of markers and instruments placed along your anatomy.
As the surgeon moves an instrument within your joint, the infrared sensors calculate its position and smart wireless instruments instantaneously transfer the data to a computer in the OR. This information is then displayed as an interactive model of the anatomy or "blueprint" that supplies the surgeon with the optimum angles, lines and measurements needed to align your implant.
According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) about 500,000 hip and knee replacement procedures are performed annually in the United States. This figure is expected to increase as the population ages and arthritis affects more people. Currently, more than 70 million Americans suffer from some form of this degenerative disease.
Physicians performing computer -assisted joint Navigation knee and hip replacement include:
For more information contact:
3 Medical Plaza Drive, #110
Roseville, California 95661
Phone: (916) 797-4725
6403 Coyle Avenue, #170
Carmichael, California 95608
Phone: (916) 965-4000
Or visit the following website:
