What happened
Dune Medical Devices makes the MarginProbe System, a handheld probe that uses radiofrequency spectroscopy to measure the electrical properties of tissue removed in lumpectomy. A classification algorithm, tuned on tissue measurements matched to pathology, classifies each reading as positive or negative for cancer. From September 2008 to March 2010, 596 women with breast cancer were randomized after the main excision. Most were treated in Israel and the rest in the United States. In the device arm, surgeons probed the specimen and could shave more tissue. FDA reviewers report that complete re-excision of positive margins rose from 22.4% to 71.8%. They report that re-operations fell by 5 percentage points, from 25.8% to 20.8%, with p = 0.3177. The reviewers write that the contribution of the device was not assessed, because surgeons did not record why they took each extra shave. Device use also removed more tissue. FDA approved the system on 27 December 2012 and found that benefits outweigh risks for surgeons who do not routinely shave every cavity margin.
Sources
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Regulatory document, by authors with no tie to the system.
U.S. Food and Drug Administration, Center for Devices and Radiological Health. Summary of Safety and Effectiveness Data (SSED), P110014: Dune Medical Devices MarginProbe System. Approved 2012-12-27.
The results from the pivotal clinical study indicate that the device when used as an adjunctive tool for identification of cancerous tissue at the margins (≤ 1mm) of the ex-vivo lumpectomy specimen following primary excision of breast cancer, there was a 5 percentage point reduction in re-operation.
Details
AI system
- Workflow
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Surgeons probed the margins of the main specimen right after excision. Surgeons completed a training phase before they randomized patients.
Follow-up
- Conditions for replication
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The patient has previously diagnosed breast cancer and undergoes lumpectomy. The surgeon does not routinely shave every cavity margin in the same operation.
Entry details
- Sector
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Healthcare.
- Purpose
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Dune Medical Devices built the MarginProbe System to help surgeons identify cancerous tissue at the margins of the main lumpectomy specimen during surgery.
Not yet checked: model, release, provider, role, configuration, inputs and outputs, autonomy, human oversight, AI contribution, beneficiaries, reach, distribution and access, duration, every measurement question, every money question, ownership and control, dependencies, cross-border connections, geopolitical implications, replication attempts, availability, institutional decision, grounds, action and result, success criterion, every evidence question, observed or intended, alternative assessments, related entries, other identifiers, category mappings.
Cite this record
Peter H. Vartanian. (2026). MarginProbe helped surgeons remove cancer left at lumpectomy margins (AIBD-0794). Artificial Intelligence Benefits Database, edition of 31 October 2026. https://petervartanian.xyz/aibd/records/AIBD-0794.html (archived at https://doi.org/10.7910/DVN/AADSII, version 4.0)