vectorvision® ent system

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BrainLAB’s remarkable growth and success are attributed to its
employees. Since the company’s beginning, BrainLAB has placed
its first and greatest emphasis on hiring talented, dedicated and
visionary employees.
YOUR PARTNER FOR THE FUTURE
BrainLAB is a company based in Munich, Germany, that develops,
manufactures, and markets software-driven medical equipment.
BrainLAB’s products allow physicians to provide treatment
that improves medical outcomes while being more accurate, less
invasive, and less expensive than traditional surgery. For over 13
years, BrainLAB has been the leading innovator in the fields of
image-guided surgery and stereotactic radiosurgery. Today the
company has offices in thirteen countries and employs well over
400 people. BrainLAB’s core competency is integrating userfriendly
software into surgical procedures. By simplifying complex
technologies to fit all surgeons’ needs, BrainLAB is able to offer
superior software solutions to all customers. In addition, BrainLAB
can implement new ideas fast and efficiently by leveraging its
current technology base. BrainLAB’s success has been built on
innovative technologies along with reliable 24-hour service, and
a 100% focus on customers’ needs.
BrainLAB’s products for image-guided surgery have found
broad acceptance at more than 550 institutions worldwide,
including large university hospitals and private clinics as well as
smaller regional community hospitals and surgical centers.
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Joseph Doyle, Stefan Vilsmeier, Rainer Birkenbach
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THE DRIVE BEHIND OUR PRODUCTS
BrainLAB, located in Munich, Germany, is a think tank where over
100 engineers strive toward the same goal: to make BrainLAB
the leading provider of software for minimally invasive therapies
in a variety of medical sub-specialties.
In order to accomplish this, we have created a high-tech environment
in which employees from all over the world can generate
the most creative solutions.
1�BrainLAB’s general management has been with the company
since its early days. Stefan Vilsmeier, President and CEO (center),
Joseph Doyle, CFO (left), and Rainer Birkenbach, Executive
Vice President Research and Development (right), each have
extensive experience within the medical industry and with
BrainLAB. Once operating out of a one-room office, BrainLAB
now occupies a large office complex and is viewed as a global
leader in medical technology.
2�Quality assurance is essential in developing and marketing
the most innovative software-driven medical equipment available
today. At BrainLAB, every step of the process is overseen to
ensure the highest standards of German engineering are met. It
is these standards along with ISO 9001/13485 certification that
guarantee BrainLAB will continue to deliver the highest quality
products to our customers.
3�Rapid prototyping, speed of product development, and short
time to market have all been critical elements in BrainLAB’s success.
BrainLAB has remained on the cutting edge by being able to
quickly implement new ideas. Rainer Birkenbach, Executive Vice
President of Research and Development, ensures all products are
strictly monitored from their developmental stage to completion.
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4�Today’s patients are becoming increasingly educated as to
what the most advanced treatment methods are and where they
must go to receive them. Therefore, it is our policy to comprehensively
support our customers with marketing programs for
patients that will help drive their institutions’ economic success.
5�Training programs are held on a regular basis throughout
BrainLAB. It is extremely important that all employees are fully
trained in many aspects of our business. Since BrainLAB enjoys
such a large growth rate, continuous training is essential in
assuring constant organizational evolution is carried out flawlessly
and the company culture is maintained.
6�Stefan Vilsmeier founded the company in 1989 and he still
talks with more than 1,000 customers every year. This is indicative
of the constant customer interaction that has made BrainLAB
what we are today and determines where we will be in the future.
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4
6
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“Cutting-edge technology for image guidance in sinus
surgery. That’s why we chose BrainLAB.” Brent Senior, M.D.,
FACS, Associate Professor Otolaryngology/Head and Neck Surgery;
Chief, Rhinology and Sinus Surgery, University of North Carolina, USA
“Image-guided FESS should make complex FESS cases easier
for the surgeon, hospital staff, and patient - the BrainLAB
system is doing that for us.”
Dr. Winston Vaughan, Director of Stanford Sinus Center, USA
“BrainLAB offers the greatest flexibility and ease of use when
it comes to instrumentation, data transfer and OR setup of
any IGS system for sinus and skull base surgery.”
Rodney Schlosser, M.D., Assistant Professor, Director of Rhinology/ Sinus
Surgery, Medical University of South Carolina, USA
BRAINLAB’S INTERNATIONAL PRESENCE
At BrainLAB, customer participation in product development is
essential. Our goal is to continue to establish privileged relationships
with opinion-leading physicians throughout the world. Below are a
few of our key physician partners in the field of otorhinolaryngology.
Over 550 image-guided surgery sites worldwide have selected
BrainLAB as their IGS company of choice in the fields of ENT,
neurosurgery, and orthopedic surgery. Because of our rapidly
increasing image-guided system market share and desire to optimize
all products and processes, BrainLAB has initiated customer
satisfaction surveys. This third party survey* found that
VectorVision customers use their IGS systems more than twice
as much as any of our competitors. In addition, BrainLAB’s
VectorVision systems enjoy the highest uptime percentage of all
IGS systems. With one of the highest service engineer to customer
ratios, BrainLAB service engineers are able to reach over
90% of all customers within a very short time. With the upcoming
introduction of BrainLAB’s web-based i Help�, customer service
will be taken to the next level. iHelp enables BrainLAB’s customers
to instantly communicate with a BrainLAB Service
Engineer directly from the OR using the integrated web camera
installed on their image-guided system.
*Health IQ
“We evaluated all available image-guided surgery systems on
the market and BrainLAB delivered the most user-friendly,
technologically advanced system available today.”
Robert Bonham, M.D., P.A. Diplomat, American Board of Otolaryngology,
Consultant for Tenet Healthcare, Dallas, USA
“The fast and easy setup of the system, the intuitive user
interface and the high intra-operative precision make
VectorVision� one of the most advanced image-guided
surgery systems available. The posssibility of integrating preexisting
instruments, surgical endoscopes and microscopes
complement the superior product.”
Prof. Dr. Bernd Freigang, Director, Department of Otolaryngology,
Head and Neck Surgery Medical School, Otto-von-Guericke-
University, Magdeburg, Germany

MAP LEGEND
VectorVision �
Service Engineer
BRAINLAB REFERENCE SITES 2003
�University of North Carolina, Chapel Hill, NC, USA
�Medical University of South Carolina, Charleston, SC, USA
�Hospital of the University of Pennsylvania, PA, USA
�Sherman Hospital, Chicago, IL, USA
�Stanford University Medical Center, Stanford, CA, USA
�Danbury Hospital, Danbury, CT, USA
�RHD Hospital, Dallas, TX, USA
�Lewisville Hospital, Lewisville, TX, USA
�Harris Methodist, Bedford, TX, USA
�North Iowa Med Center, Mason City, IA, USA
�Delnore Hospital, Elgin, IL, USA
�Baptist Medical Center, Kansas City, MO, USA
�East Cooper Regional, Mt. Pleasant, SC, USA
�Universität München, Großhadern, Germany
�Medizinische Hochschule Hannover, Hannover, Germany
�Universitätsklinik Tübingen, Tübingen, Germany
�Johann-Wolfgang-Goethe University, Frankfurt, Germany
�Klinikum rechts der Isar, München, Germany
�Zentrum für Zahn-, Mund-, Kieferheilkunde, Köln, Germany
�Bundeswehrkrankenhaus Ulm, Ulm, Germany
�Klinikum Starnberg, Starnberg, Germany
�Universitätsklinik Hamburg-Eppendorf, Hamburg, Germany
�Evangelisches Krankenhaus Oldenburg, Oldenburg, Germany
�Universitätsspital Zürich, Zürich, Switzerland
�Queen Mary Hospital, Hong Kong, PRC
�Tuen Mun Hospital, Hong Kong, PRC
�Hôpital Edouard Herriot, Lyon, France
�Hôpital Lyon Sud, Lyon, France
�Hôpital La Citadelle, Liège, Belgium
�Fundación Hospital Son Llàtzer, Palma de Mallorca, Spain
�Beijing Tongren Hospital, Beijing, PRC
�Xian Xijing Hospital, Xian, PRC
�Gifu Prefectual Hospital, Gifu, Japan
�Tokai University Hachioji Hospital, Tokyo, Japan
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BENEFITS OF IMAGE-GUIDED SURGERY
CLINICAL BENEFITS The clinical benefits associated with
image-guided surgery (IGS) continue to drive its acceptance and
growth worldwide. IGS assists surgeons in performing less invasive
surgeries through smaller incisions and direct access to
specific targeted areas. Because image guidance promotes less
invasive surgery, patients in turn benefit. With BrainLAB systems
being fully integrated into virtually any operating room via endoscope,
microscope, ultrasound, and fluoroscope, the OR provides
a complete surgical solution.
FINANCIAL BENEFITS As medical technology advances, health
care professionals are under increased pressure to improve the
quality of health care as well as contain costs. Therefore, comprehensive
knowledge of proper procedural billing and coding is
essential when purchasing high-tech medical equipment such as
image-guided surgery. Since reimbursement is becoming
increasingly important for maximizing return on investment, it is
a requirement to have access to the most current coding procedures
and laws. For this reason, BrainLAB has put a team of
experts, dedicated to handling all reimbursement questions, at our
customers’ disposal. A Reimbursement Help-Line further
enhances our customer service.
In addition, multiple software applications such as ENT,
cranial, spine, knee, hip, and trauma can be installed on the
same system. The system can be used in multiple departments
throughout the hospital, thus increasing cost-efficiency.

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VECTORVISION ® ENT PROCEDURE
PATIENT REGISTRATION
1�Select laser registration mode
2�Scan surface with z-touch�
laser pointer
3�Verify registration accuracy

PATIENT IMAGING During diagnostic imaging, the patient is not
required to wear a headset or fiducial markers. The scan is taken
with a standard CT/MR protocol that ensures the optimum accuracy
and resolution required for image-guided surgery. Because
the CT/MR scan requires no headset or fiducial markers, the
need for an additional scan once required to perform image-guided
surgery is eliminated. This allows the surgeon to navigate
within his/her original diagnostic imaging scan, thus reducing
radiation exposure to the patient.
ATTACHMENT OF THE REFERENCE HEADBAND BrainLAB’s
Reference Headband is designed for usage in ENT and cranial
navigation cases. The headband ensures dynamic patient tracking
throughout the case and eliminates the need for invasive patient
immobilization or uncomfortable headsets. BrainLAB’s flexible
VELCRO�- band adjusts smoothly to the patient’s head and fits all
patient sizes. The innovative design avoids intra-operative shift and
guarantees navigational accuracy throughout surgery.
PATIENT REGISTRATION z-touch� laser registration forms
the basis of BrainLAB’s headset-free scanning and registration.
z-touch is a special laser pointer that allows to utilize each patient’s
head and facial anatomy for registration. Once the patient’s facial or
head surface is randomly scanned, BrainLAB’s advanced surfacematching
algorithm quickly calculates patient registration.
Physicians are able to accurately register patients without using
patient markers or headsets. Calculation errors, which may occur
through landmark-point coordination, are therefore eliminated.
INSTRUMENT CALIBRATION With BrainLAB’s redesigned
instrument calibration matrix (ICM), the tip of extremely bent or
curved instruments can easily be calibrated for use in navigation.
Calibration is quickly achieved by affixing the desired instrument
with one of BrainLAB’s wireless instrument adaptor clamps and
then touching the tip of the surgical instrument to one of the two
pivot points on the ICM. The software automatically calculates
the exact location of the instrument’s tip and the instrument is
ready for navigation. In addition, the instrument’s shape and
diameter can also be calibrated by inserting the shaft of the
instrument into the holes of the ICM.
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SET UP DISPLAY
Simultaneous display of
multiple views on the
monitor, e.g. axial, sagittal,
coronal, inline and
3D as well as live images
from endoscope, microscope,
or ultrasound.
PRE-DEFINED
SETTINGS
Pre-defined screen
setups optimized for
individual ENT procedures
available at the
touch of a finger.
REGISTRATION
SELECTION
Multiple registration
methods such as laser,
marker, or landmark
enable the user to
achieve an accurate registration
in a wide variety
of situations and cases.
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VECTORVISION ® ENT SYSTEM
The VectorVision ENT system provides surgeons with the widest range of ENT image-guided surgical capabilities
available and thus makes the system adaptable to the most demanding clinical situations. The system
instantly enables wireless tracking of pre-existing surgical instruments and gives the surgeon full control via the
touchscreen monitor. Additional optional features include Advanced 3D, Image Fusion, MRI and Microscope
Integration. VectorVision ENT is a highly sophisticated system designed for the most demanding user.
TOOLBOX
A collection of advanced software
features, including measurement
function, trajectory planning,
integration of live endoscopic
view, microscope and ultrasound,
as well as 3D display
options, is stored in the toolbox.
MULTIPLE IMAGE MODALITIES
Integration of multiple diagnostic
data (CT, MRI, PET, SPECT,
CT Angio, MR Angio) with various
display options on the
VectorVision screen.

VECTORVISION CAMERAS The VectorVision cameras are the
core unit of the tracking system. BrainLAB proprietary tracking
software algorithms make the underlying Northern Digital Inc.
technology the most reliable and accurate passive marker system
available.
VECTORVISION TOUCHSCREEN No mouse, no keyboard,
no hassle — the VectorVision touchscreen puts the physician in
complete control of the image-guided system. The ergonomic
design and arrangements of software buttons make it a fully
integrated system. Spring-loaded arms and a custom-fit sterile
drape allow flexible and safe positioning of the touchscreen
close to the surgical field.
PASSIVE MARKER TECHNOLOGY Passive marker technology
was pioneered by BrainLAB in 1996 and since then has set the
standard in instrument tracking. With passive markers, attaching
cumbersome wires and/or LED lights to instruments is no longer
necessary. Virtually any pre-existing surgical instrument is
instantly integrated into the surgical procedure.
BASIC VECTORVISION TECHNOLOGY
� Touchscreen and
cameras in storage position
� Small footprint
� User panel: Connectivity to the
network, microscopes, c-arm,
and other video sources
� Internal BUS system enables
future hardware upgrades
� ZIP-Drive
� On/Off Switch
� Brake pedal to lock the wheels
� Robust metal cover
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ORTHO ENT
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KOLIBRI ENT SYSTEM
The Kolibri system was designed with the goal of making image-guided surgery available to every patient. Since Kolibri
ENT is compact and affordable it is ideal for surgery centers and for hospitals with smaller case loads or hospitals in
need of additional treatment capacity. The system’s lightweight portable design makes it easy to move between multiple
facilities. With the ability to track pre-existing surgical instruments, to display live endoscopic video, and to control the
system via the touchscreen monitor, Kolibri’s integration into the surgical procedure is straightforward. Driven by
BrainLAB’s user-friendly software, the learning curve of the system is extremely short.
LOADING OF PATIENT DATA Patient data will be automatically
loaded upon data transfer completion. Using the hospital’s network
connection and the universal DICOM format, the new software
PatXfer assures a simple and time-saving data transfer.
Data on the scanner can be accessed and easily retrieved.
PATIENT SETUP BrainLAB’s Reference Headband is attached
to the patient’s head ensuring dynamic tracking throughout the
case and eliminating the need for invasive patient immobilization
and uncomfortable headsets. This dynamic reference device
allows for unprecedented freedom of movement during navigation
while maintaining a high degree of accuracy.
PATIENT REGISTRATION Equipped with the standard wireless
Softouch pointer the patient is easily registered within seconds.
The pointer uses a sensitive tip to detect the surface points on
the patient’s skin. For additional intra-operative registration, other
methods such as the z-touch� laser are also compatible with the
system.
NAVIGATION The Kolibri ENT interface guides the surgeon
through the procedure and provides continuous information on
instrument position and movement in multiple planes.
Simultaneously, a real-time endoscopic view can be displayed on
the navigation screen.

KOLIBRI FEATURES
� Portable design for use in multiple ORs
�Touchscreen monitor for simple system control
�Wireless tracking of instrumentation
�Instant integration of pre-existing surgical instruments
�Real-time endoscopic video display
�Mobile camera stand for optimal positioning
�Network connectivity and CD-writer, both standard
�Dimensions: 457 x 410 x 355mm
�Weight: 16 kg (30 pounds)
KOLIBRI CAMERA STAND
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VECTORVISION ® ACCESSORIES
BrainLAB offers a wide variety of accessories, which complement the VectorVision ENT and Kolibri ENT
image-guided surgery systems. With BrainLAB’s industry-leading, patented passive marker technology, the
surgeon can navigate instruments with an unequalled degree of freedom. The wireless design eliminates
cables, foot switches, and other restricting electronics. Each hardware component and accessory is highly
refined and engineered for optimum efficiency, durability, and ease of use.
POINTERS The universal VectorVision instrument, the Pointer, can
be used for multiple tasks, from patient registration and accuracy
verification to navigation for surgical resections. VectorVision
Pointers are lightweight, durable and available both sharp- and
blunt-tipped, depending on the specific surgical requirements. The
passive markers are attached to the Pointer via simple threads, and
ensure almost unlimited maneuverability, minimizing line of sight
issues. BrainLAB’s reflective marker spheres can be purchased as
pre-sterilized disposables or re-sterilizable for repeated use.
INSTRUMENT ADAPTERS With BrainLAB’s passive marker
instrument adapter clamps, virtually any pre-existing ENT instrument
– such as blakesly forceps, suction, microdebreeders, and
curettes can be integrated into the procedure. The small, lightweight
adapter clamps are easily attached via a thumbscrew and
stay rigidly affixed throughout the case. Due to the unlimited ability
to interchange the differently sized clamps and arrays, the surgeon
has access to the right instrument at the right time.
INSTRUMENT CALIBRATION MATRIX (ICM) In addition to an
instrument tip calibration, BrainLAB offers an easy, fast, and accurate
calibration of instrument diameter and vector. Within seconds,
BrainLAB’s ICM integrates uniquely shaped instruments such as
frontal sinus probes and suctions. The ICM expands the range of
instrumentation, which can be incorporated into navigated surgery.
SKULL REFERENCE ARRAY BrainLAB’s bone-anchored
Reference Star has been developed for usage in surgeries of the
lateral skull base and other complex ENT/neurosurgical procedures.
This dynamic reference device allows for unprecedented
freedom of movement during navigation while maintaining
BrainLAB’s high degree of accuracy. The Skull Reference Array
is a minimally invasive device that is directly attached to the
outer skull with a small self-taping screw. Three support pins stabilize
the fixation of the base. Since the surgeon does not have
to rely on fixed reference units like the Mayfield Clamp the head
of the patient can be moved freely during surgery to provide better
access to the areas of interest.

IMAGE COMPOSER BrainLAB’s Image Composer opens a new
dimension in the intra-operative visualization of diagnostic
images. Multi-modality image data can be merged into one unified
image. Information is automatically extracted and displayed
in this new image set to optimize the visualization of preferred
structures such as bone, vessel, and tissue, making all relevant
data available at a glance. Image Composer is the ideal software
package for the otolaryngologist who performs surgical procedures
at the skull base.
MICROSCOPE INTEGRATION VectorVision Microscope
Integration increases the functionality of the navigation system
and microscope, while at the same time optimizing the workflow
of both applications. By easily attaching BrainLAB’s specially
designed microscope adapter the microscope can be used to
navigate within a matter of seconds. Intelligent features such as a
virtual pointer, image injection and video display ensure that the
surgeon receives the best visual information when integrating a
microscope into the navigation system.
IGS-READY POINTER INSTRUMENTS The newly designed
pointer instrument set provides surgeons with a number of various
interchangeable tip shapes, ensuring maximum navigation flexibility
while maintaining high intra-operative precision throughout
surgery. The surgeon has the freedom to choose whatever tip is
appropriate for the scheduled indication.
The tips can be aligned and fixed in eight different orientations
making it easy to adjust the instrument to the surgical setting. The
probe has an integrated StarLink interface for the adaptation and
wireless tracking of the pointer in combination with an Instrument
Adapter Array.
IGS-READY SUCTION Standard suction devices are equipped
with the new StarLink interface providing the highest navigation
accuracy possible. Once the adaptor clamp is attached, calibration
is performed instantly.
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PATIENT HISTORY The patient, a 42-year-old female with a history
of motor vehicle accident, in which she suffered severe
frontal and naso-facial trauma. This included severely comminuted
frontal sinus facture and naso-orbito-ethmoid fracture. This was
repaired with extensive frontal bone and trans-nasal wiring. Ten
years later the patient developed Pott’s puffy tumor. This was
managed by a prolonged course of antibiotics, and endoscopic
drainage of the frontal recess and frontal sinus to the midline utilizing
a drill (Draf IIB procedure). At the time of the procedure,
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CHRONIC FRONTAL SINUSITIS WITH COMPLICATED
ANATOMY
Fig.1 Fig.2
Fig.3 Fig.4
VECTORVISION ® CASE REPORTS
the frontal recess exposure was carried to the limits of the
instrumentation, but an area of neo-osteogenesis and narrowing
remained laterally. Postoperatively, the inflammation was noted
to dramatically improve and the patient became and remained
asymptomatic. However, over the subsequent years the patient
developed endoscopic evidence of bony closure of the communication
to the lateral portion of the frontal sinus.
This endoscopically diagnosed bony stenosis of the lateral aspect
of the frontal recess was confirmed by CT imaging, which also
demonstrated the extensive hardware present from her previous
injury. Notably, the lateral portion of the right frontal sinus was
opacified, and this area was closed off from the remaining sinus
cavity and frontal recess by neo-osteogenic foci. On preoperative
endoscopy, normal landmarks could not be visualized in light of the
patient’s previous trauma and surgery.
TREATMENT Endoscopic frontal sinusotomy with removal of the
obstructing bone was recommended, and the patient consented to
proceed. Stereotactic navigational imaging was obtained using the
BrainLAB protocol. Endoscopically, two depressions were visualized
within the potential frontal drainage tract (Fig.1). Intra-operative
navigational imaging using the BrainLAB VectorVision ENT system
demonstrated the more medial recess to be the skull base (Fig.2),
while the lateral recess correlated with the likely drainage pathway
(Fig.3). These determinations were visualized in three dimensions.
Using a combination of markedly angled, powered diamond
burrs, frontal recess curettes, and forceps with angles designed
for frontal sinus surgery, sinusotomy was performed. Thick bone
was removed. A curved suction equipped with a BrainLAB
instrument adaptor clamp was calibrated and passed into the
sinus, confirming patency in three dimensions (Fig.4).
CONCLUSION Throughout the procedure, because of the optical
referencing of the system, no accuracy problems were encountered
secondary to the metallic hardware present in the surgical
vicinity. Postoperatively, the patient has done well, with excellent
trans-illumination of the sinus observed during office endoscopy.
David W. Kennedy, M.D.,
Rakesh K. Chandra, M.D., and James N. Palmer, M.D.
Hospital of the University of Pennsylvania

MINIMALLY-INVASIVE PITUITARY SURGERY (MIPS)
Fig. 1
Fig. 3
Fig. 2
MINIMALLY-INVASIVE PITUITARY SURGERY (MIPS)
PATIENT HISTORY A 56-year-old man was found confused in
the local park. On presentation to the emergency room, he was
found to be oriented to person and place, but not time.
Toxicology screening was normal. MRI of the head was obtained
with findings of a large compressing mass of the sella with ventricular
enlargement (Fig. 1) consistent with a large pituitary adenoma.
TREATMENT He was taken to the operating room where endoscopic
resection of the sellar tumor was performed via minimallyinvasive
pituitary surgery (MIPS) technique. Image guidance
utilizing BrainLAB VectorVision was utilized to assist in the resection.
The head was not pinned, being allowed to move freely using
the adjustable headband reference array for head localization
while using the system. Registration was performed utilizing the
touchless z-touch� registration technique. Instruments, including
angled open curettes, were tracked actively during the surgery,
allowing for real-time assessment of instrument position (Fig. 2).
This allowed maximum tumor resection while minimizing risk to
the patient.
CONCLUSION No CSF occurred. Pathologic examination
revealed pituitary adenoma. Post-op MRI shows very complete
tumor resection (Fig. 3).
Brent Senior, M.D., FACS
Associate Professor Otolaryngology/Head and Neck Surgery
University of North Carolina
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VectorVisioncompact
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Kolibri m 3
Novalis
BRAINLAB’S PRODUCTS
BrainLAB offers a large and diversified portfolio of unique and superior products for various medical subspecialties.�Image-guided
surgery enables the physician to track the position of a surgical instrument or implant
to guide it safely and precisely to its target.�Radiosurgery enables the non-invasive treatment of various
tumors using focused radiation.
VectorVision 2
ExacTrac X-ray
VECTORVISION� CRANIAL With VectorVision cranial, neurosurgeons
have the ability to track the position of virtually any surgical
instrument equipped with BrainLAB’s passive markers. Instruments
are continuously visualized relative to pre-operative diagnostic
images, giving surgeons the ability to see beyond the surface of
the surgical field using computer renderings. VectorVision cranial
provides safer and less invasive access to brain tumors, vascular
abnormalities, and other intra-cranial targets by minimizing the
size of craniotomies.
VECTORVISION� SPINE VectorVision spine gives surgeons
the ability to interactively select the ideal size and 3-dimensional
position of a pedicle screw in a virtual reality display. The surgeon
can then track his/her drill or awl in order to align it with the preplanned
pathway of the screw. VectorVision spine contributes to
lowering the risk of misplacement of screws and the complications
that can occur such as a failed fusion.
VECTORVISION� KNEE As VectorVision knee does not require
diagnostic images or pre-operative planning, the system is a time
and cost-efficient solution, which can be used for every total
knee replacement procedure. Using the VectorVision navigation
system for a total knee replacement ensures more precise
implantation of the prosthesis. The implant lifetime can thus be
potentially increased and the need of early revision surgeries
considerably reduced.
VECTORVISION� HIP With VectorVision hip, surgeons have the
ability to semi-automatically select the perfect size and shape
of an implant based on pre-operative 3-dimensional CT data of
the respective patient. Leg length and range of leg movement
are simulated, ensuring the optimum implant is selected and set.
During the surgical procedure, the surgeon is able to guide
his/her saws, drills, and reamers to ensure correct implant placement
is carried out according to plan.

VECTORVISION� TRAUMA VectorVision trauma has been specially
designed for trauma and emergency cases and offers intuitive
navigation on bone structures. Based on navigation in intra-operative
fluoroscopic images, VectorVision trauma supports the treatment
of fractures with interlocking nails and screws and therefore
significantly reduces radiation exposure for patient and surgeon.
BrainSCAN With BrainSCAN software, surgeons and physicists
are able to outline tumors and critical structures on CT and MR
images and then reconstruct all data in a 3-dimensional model. This
3-D model is then used to establish the physical and geometric parameters
of direct radiation beams to be aimed at the tumor. The goal
is to minimize the dose received by critical structures while maximizing
the dose received by the tumor. The “IMRT” option further automatizes
the planning process while refining the dose distribution.
NOVALIS� Novalis, BrainLAB’s dedicated system for non-invasive
stereotactic radiosurgery and radiotherapy (SRS/SRT),
represents cutting-edge technology for highly precise treatments
of brain as well as head & neck tumors, arteriovenous malformations
and certain functional disorders. Novalis Body features
image-guided radiosurgery for high precision treatment of body
targets. Based on its X-ray localization technology tumors can be
localized with sub-millimeter accuracy and patients can be positioned
automatically and with a higher degree of precision. With
Novalis Body, treatments for spine, lung, liver and other body
lesions can be carried out quickly and efficiently.
m3� BrainLAB’s high-resolution multileaf collimator with its fine
3 millimeter leaves has revolutionized radiosurgery by introducing
conformal treatment techniques that allow the dose to be precisely
tailored to the shape of the tumor. The reduced irradiation
of normal tissue and the homogeneous dose distribution within
the PTV contributes to superior and efficient patient care.
ExacTrac� X-ray The high-resolution x-ray imaging module features
clinically-implemented Image Guided Targeting as an upgrade
for existing Linacs. The high quality imaging of internal structures
and organs results in an extremely accurate setup of the target
volume and overcomes the limitations of conventional patient
positioning methods that are based on external skin markers.
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BrainLAB headquarters,
Munich, Germany
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