NAVIGATION

Don't go into surgery blind.

Image-guided surgery (IGS) is the use of real-time correlation of the operative field to a pre-operative imaging data set that reflects the precise location of a selected surgical instrument to the surrounding anatomic structures.  Although first developed for Neurosurgery, Endoscopic Sinus Surgery (ESS) rapidly is becoming one of the leading indications for this technology.

In Neurosurgery, the primary use of IGS is to locate an intracranial lesion for resection or biopsy.  In ESS, the main advantage is to avoid disrupting hazardous areas such as the brain and orbit. The development and rapidly growing popularity of IGS in sinus surgery are directly attributable to the risks of such disruptions.

Coast Surgical NAV develops products and procedural solutions for surgical applications for Neurosurgery, Spine, and ENT.  We support healthcare providers with advanced surgical navigation and imaging solutions, powered surgical tools and systems, intraoperative nerve monitoring devices, and surgical microscope navigation integration.

Our Clinical Specialists are certified to manage the equipment and identify if it is being used incorrectly or is damaged, and what actions to take to ensure its optimal use.

Neuro/Spine:
Image-guided systems are essentially like GPS (Global Positioning Satellite) systems from the anatomy of your head. These systems are used to aid the surgeon in the confirming the location of critical structures distorted by unusual anatomy or prior surgery.

To use the image-guidance navigation system, a CT or MRI, is performed using a specific navigation system protocol. The CT scan is transferred to a disk, which is then loaded into the image-guidance computer.  During surgery, a dynamic reference frame or patient tracker is positioned on the patient's head or next to the operative area.  The pre-operative scan images loaded into the system are then calibrated to the patient's anatomy using pre-set reference points, which may be the mask or markers or specific anatomic points on the face. The position of the sinus surgery instruments can then be tracked by the computer by integrating the information detected from the patient's pre-set reference points and comparing it to the information on the CT or MRI scan map.

Spine:
Intraoperative Imaging Integration – The navigation system interface with multiple intraoperative imaging systems, including iMRI, iCT, C-arms, and the O-arm® System – Medtronic’s 3D imaging and 2D fluoroscopy system, Brainlab Airo, or Ziehm C-Arms.

Tracking Technologies – Surgeons can choose between advanced optical surgical navigation camera, or the electromagnetic system.

Systems:

  • S7 Medtronic NAV System

  • Brainlab Curve

  • Stryker NAV3i

  • S8 Medtronic NAV System

Instruments:

  • As needed.

 

Note: Coast Surgical NAV possesses loaner systems and instruments, if needed.