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DGNC | 12.05.-15.05. Würzburg News / Exhibitions

Neurosurgery| ENT

Holographic Navigation Platform-The revolution in workflow

Holographic Navigation Platform-The revolution in workflow

Scopis® Hybrid Navigation

Intelligent navigation systems for neurosurgery with optical and electronic measuring technology.

1 system - 3 technologies

Optical tracking

The optical tracking offers highest measuring accuracy in a range of 0.3 to 0.5 mm. The results are much more reliable than with electromagnetic tracking. Further advantages are low susceptibility to failure and low costs of consumables.

Electromagnetic tracking

The slim design of the instruments provides full freedom of operation and allows the surgeon to reach all areas of the surgical site. The integration of the field generator in the headrest represents the space-optimal configuration of the electromagnetic navigation variant.

Hybrid Navigation

The Scopis® Hybrid Navigation System enables surgeons to decide on an indication-based basis which technology optimally supports the respective procedure. It is possible to use and change both technologies intraoperatively.

Here you will find detailed information

Optical Tracking

Highest accuracy. Large measuring range. Universal adapter system.

Highest accuracy

The optical tracking offers highest measuring accuracy in a range of 0.3 to 0.5 mm. The results are much more reliable than with electromagnetic tracking. Further advantages are low susceptibility to failure and low costs of consumables.

Large measuring range

The optical tracking impresses with its large measuring range, which enables the positioning of the camera up to a distance of two meters. This makes their placement flexible for all cranial work areas and working methods such as endoscopy and microscopy. In the OR design, the optical tracking system is easy to integrate and handle.

Universal adapter system

Optical trackers can be quickly and easily attached to conventional instruments with the help of special attachments. Existing instruments such as suckers, chisels or Blakesley pliers can thus be conveniently used for navigation. The patented adapter system is suitable not only for passive but also for active instruments such as shavers and drills.

Electromagnetic tracking

Highest ease of use. Bendable instruments. Intuitive workflow.

Highest ease of use.

The slim design of the instruments provides full freedom of operation and allows the surgeon to reach all areas of the surgical site. The integration of the field generator in the headrest represents the space-optimal configuration of the electromagnetic navigation variant.

Intuitive workflow

The number of operating and preparation steps has been consistently reduced to a minimum and represents the optimal solution for short-term use in surgery. The system can be used in less than 5 minutes and can therefore be used even in emergencies without a major loss of time.

Bendable instruments

The instruments of the electromagnetic tracking are made of a specially developed, particularly flexible material. In combination with the high-precision sensors, which are installed in the tips of the instruments, they can be bent without precision losses as needed. With an economical number of instruments thus versatile application scenarios can be covered.

Hybrid navigation

Intelligent navigation systems for neurosurgery.

Compact

The compact design of the system allows direct integration into all common endoscopy towers and is therefore always ready for use in cramped conditions.

Compatible

Whether for the connection to existing devices or for the utilization of radiological data - the system is equipped for all possible applications.

Intuitive

The simple menu navigation also allows new users a safe and comfortable operation.

Innovative

For the first time, the NOVA Augmented Reality (AR) navigation software provides supportive graphical displays in the real endoscopy and microscopy image. Patented optical instrument clamps and adapters help to integrate the existing instruments including endoscopes into the navigation environment.

Safe

Video and screenshot features support complete recording and documentation.

Navigated cranial procedures

Integration of functional MR imaging for Scopis® Hybrid Navigation.

The Scopis® software NOVA supports the fusion of image data from fMRI, PET-CT, SPECT and pre-calculated fiber paths directly into the patient's 3D models.

The planning of the operation is made more precise by the software and the surgeon gets an even better understanding of the patient's anatomy. Complicated brain structures become accessible through functional neuroimaging together with Augmented Reality (AR). Surgical results are thereby significantly optimized.

Advanced Image Fusion - fibers in the area of ​​the tumor

  • Automatic fusion
  • Fusion of up to 8 parallel records
  • Flexible color palette
  • Active subsegmentation
  • Automatic conversion of DWI to DTI
  • Tractography extension
  • Interactive mapping of fibers
  • Planning of the target area
  • Fiber brush and fiber tracking
  • Diffusion Tensor Imaging & Advanced Image Fusion
  • Microscope integration
  • Endoscopy integration
  • Ultrasonic
  • Biopsy Guide

Navigated spinal interventions

For cervical, thoracic and lumbar spine surgery and stabilization.

The Scopis® Hybrid Navigation System can be augmented with navigated spinal instruments and equipped for spine surgery.

Scopis® Navigated Spine Instruments combine a wide range of navigated instruments (such as taps, awls, probes, drills) with Scopis® innovations such as Augmented Reality (AR).

Universal adapter system

Optical trackers can be quickly and easily attached to conventional instruments with the help of special attachments. Existing instruments such as suckers, chisels or Blakesley pliers can thus be conveniently used for navigation. The patented adapter system is suitable not only for passive but also for active instruments such as shavers and drills.

Scopis® navigation software NOVA for the spine

  • Expansion modules spine surgery
  • For the placement of pedicle screws
  • Percutaneous and open spine surgery
  • Color-coded tracker
  • Modular piece and handle system
  • Instrument clamps available
  • Navigated awls, probes, taps and drilling
  • 2D / 3D C-arm integration
  • Microscope integration
  • Endoscopy integration
  • Ultrasonic

Holographic navigation platform
The revolution in workflow

Range of services

  • Compact, Compatible, Innovative, Intuitive, Safe
  • Spinal and Cranial Navigation
  • Holographic Navigation Platform - Revolution in Workflow
  • Augmented Reality (AR) in the endoscopy image
  • Integration interfaces for microscope, endoscope, 2D / 3D C-arms, ultrasound, CT and MRI
  • Outstanding price/performance ratio

Planning station and Augmented Reality

Future-proof. Pointing the way.

An external Scopis® planning station takes account of more complex usage circumstances in which a surgical external planning at the own workstation is desired. A network connection to other departments (radiology, etc.) allows flexible and fast access to external data.

The basic functions of marking planning points and paths are supplemented with extensive planning functions, especially for use in neurosurgery.

NOVA Plan supports advanced planning functions of cranial surgery such as diffusion tensor imaging with fiber tracking, functional magnetic resonance imaging (fMRI) and tumor segmentation.

With the unique segmentation tool tumors can be quickly and easily marked and measured.

With the software module Augmented Reality (AR) Scopis® offers, for the first time, the possibility to insert marked anatomical structures intraoperatively directly into the endoscopy and microscopy image.

Both single points and three-dimensional objects (for example, tumors) can be marked. In addition, access routes can also be defined as planning paths.

Tumor segmentation (3D)

Visualization of diffusion tensor

System integrations - find out more here

Navigated microscopy interface

Augmented Reality. Focus Navigation. Image Injection.

The navigated microscopy interface allows the incorporation of planning data directly into the microscope image.

This enables Augmented Reality (AR) for compatible microscopes with navigation interfaces (such as Carl Zeiss Pentero, Vario S88, NC4, Möller-Wedel HiR-1000/700, Leica).

The functionality varies depending on the type of microscope.

  • Carl Zeiss Pentero, Vario S88, NC4, Möller-Wedel HiR-1000/700, Leica M500N
  • Enables Augmented Reality functionality
  • Video navigation, video augmented reality
  • Focus tracking and focus navigation
  • Image Injection

Navigated microscope with augmented reality

Navigated microscope with tracker

Navigated ultrasound

Intraoperative ultrasound for optical and electromagnetic navigation.

Scopis® Navigated Ultrasound can extend the Scopis® Hybrid Navigation System, so that it can be used with intraoperative ultrasound imaging.

The Scopis® Navigated Ultrasound is fully integrated into the workflow for needle guidance, 3D reconstruction, measurement functions and Scopis® Augmented Reality (AR).

Navigation without preoperative images is thus possible. Both optical and electromagnetic navigation:

  • High quality beamformer in real time
  • 8 image enhancement modes
  • Doppler and B-mode
  • 3D reconstruction
  • Fusion MRI / ultrasound
  • EM and visual navigation
  • Linear, convex and phased arrays
  • Display of CT and MRI images
  • Measurement functions

Biopsy guide

Allows precise alignment of compatible biopsy needles.

The Scopis® Biopsy Guide supports the precise guidance of navigated biopsy needles in neurosurgery.

The flexible arm of the Biopsy Guide is firmly connected to the Mayfield Clamp. Then the guide is navigated and aligned to the destination.

The Scopis® Biopsy Guide is available as an accessory for clinical navigation systems from Scopis®.

  • For precise alignment of compatible biopsy needles
  • 2 joints for max. flexibility and precision
  • Frameless biopsy option

Primado2®

Primado2 wurde für die Neurochirurgie konzipiert und verfügt über eine überragende Kraft.

Neurosorb® Hirnwatten

Neurosorb® Patties werden aus 100% Baumwolle bzw. Viskose in einem speziellen Nadel- bzw. Wasserstrahlverfestigungs-verfahren hergestellt.