Integrated Neurosurgery Solutions
With over 55 years of delivering market-leading innovation, Medtronic Neurosurgery is uniquely positioned to support you in achieving your goals. Our comprehensive and integrated technologies are setting the standard in Integrated Neuroscience Centers. From sophisticated navigation and imaging solutions to integrated OR planning to technical and clinical consultants, Medtronic Neurosurgery supports your entire neuroscience team and your diverse program and facility needs.
As you look forward to the next 5–10 years, Neurosciences as a service line will combine several parallel and intersecting specialties. It will be key for hospital administration and clinical teams to strive for cohesive multidisciplinary programs in order to ensure patient care excellence.
Medtronic and Vega Medical bring the solutions and technologies to support your growth, streamline processes, as well as to handle the increased complexity across departments.
Navigation and Planning
The StealthStation™ surgical navigation system enables you to precisely track the location of surgical instruments throughout a procedure. It is intended as an aid for precisely locating anatomical structures in either open or percutaneous procedures. Indications include any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as the skull, a long bone, or vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy.
The StealthStation™ S8 surgical navigation system has an intuitive interface, improved patient registration software, and advanced visualization to navigate neurosurgery procedures. The system offers optical and Electromagnetic (EM) tracking capabilities and integrates with external devices like microscopes, ultrasound, and a broad array of Medtronic instruments. Explore the capabilities, applications, and technology of this powerful surgical technology.
- Create tumor models, white matter tracts, the cortical surface, and vessels with automatic 3-D segmentation tools
- Visualize structures and anatomy quickly through the automated blending of the 3-D model
- Plan your surgical approach with virtual craniotomy and virtual endoscope tools
- Merge images from CT, MRI, CTA, MRA, fMRI, PET, and SPECT
Simplified Patient Registration
- Automatic detection of fiducials
- Registration with or without fiducials, including automatic registration with the O-arm™ surgical imaging system
- Refinement of registrations with touch and trace techniques
- Accurate metrics on the quality of registration
The intuitive StealthStation™ S8 system enables clear visualization and surgical navigation of every segment in the spine. Whether your practice makeup is single-level degenerative, deformity correction, lateral access, or cervical procedures — the StealthStation™ S8 system can streamline your surgical workflow. The complete procedural solution seamlessly integrates with the broad portfolio of Medtronic navigated spinal instruments and implants.
During spine surgeries using the StealthStation™ S8 navigation system, you’ll have the option to preset trajectory projections, modify instrument transparency for optimal visualization, and preselect implants on whichever drivers or inserters you choose. Every navigated instrument has an on-screen tool card controls for easy and fast access.
StealthStation™ cranial planning solutions allow you to view and manipulate patient images and plan procedures before entering the OR.
- Use the same interface and workflow as the StealthStation™ S8 navigation system and StealthViz™ applications
- Review and merge scans; plan trajectories; and build models for tumor, shunt, or biopsy procedures
- Develop plans and view frame coordinates for stereotactic frame-based and DBS lead placement procedures
- Prepare DTI tractography using the StealthViz™ application
StealthViz™ software transforms complex data into useful information for planning and navigating procedures.
- Import multi-modality DICOM scans, including MRA, CTA, fMRI, PET, and MEG
- Visualize in 2-D and with sophisticated, fast 3-D volume renderings
- Fuse multi-modality images via StealthMerge™ software
- Segment critical anatomical structures with manual and semi-automatic tools
- Prepare fMRI activation maps for display in a StealthStation system as 3-D objects
- Explore and plan prior to entering the operating room
- Export results to a PACS or StealthStation™ system for use in neurosurgery
Image Guided Surgery
The O-arm™ system is an intraoperative 2D/3D x-ray imaging system that is designed to meet the workflow demands of the surgical environment. It can be used in a variety of procedures including spine, cranial, and orthopedics.
It is designed for 2D fluoroscopic and 3D imaging of adult and pediatric patients weighing 60 lbs or greater and having an abdominal thickness greater than 16cm, and is intended to be used where a physician benefits from 2D and 3D information of anatomic structures and objects with high x-ray attenuation such as bony anatomy and metallic objects. The O-arm O2 Imaging System is compatible with certain image-guided surgery systems.
Advanced Surgical Solutions
Along with StealthStation™ navigation, the O-arm™ system provides enhanced 3D visibility and surgical feedback. It also:
- Provides current patient data in the OR
- Enables advanced surgical approaches like MIS
- Provides additional information in challenging procedures, like heavier patients or patients with unusual anatomy
- Automatic registration keeps the process simple
The O-arm™ system also offers options for workflow efficiencies, such as:
- In procedures where pre-op axial/coronal/sagittal slice data is necessary, it may be possible to use the O-arm™ system to provide the initial data set
- Eliminating the need to send patients to be scanned in radiology
The O-arm™ System seamlessly interfaces with StealthStation™ solutions to enhance a significant number of cranial neurosurgery procedures helping clinicians obtain greater confidence in the achievement of surgical goals, including:
Intraoperative imaging to aid in the placement of:
- Deep Brain Stimulation electrodes
- Shunt catheters
- Percutaneous trigeminal neuralgia needles
- Biopsy needles
- Craniomaxillofacial implants
Intraoperative visualization of critical bony landmarks in procedures such as:
- Transsphenoidal approach
- Skull Base
Integrated Nexframe Procedure:
- Designed for planning and navigation using the Nexframe™ Stereotactic System
- Integration with O-arm™ imaging offers a patient registration option that eliminates bone fiducials
- The O-arm™ registration solution is equivalent in accuracy to the bone fiducial-based PointMerge registration
- Increase OR efficiency by eliminating the placement of fiducials and the subsequent scan prior to surgery
Close with confidence:
- Real-time, intraoperative imaging of devices such as DBS leads, microelectrodes, depth electrodes and biopsy needles
- O-arm™ 3D Imaging combined with image fusion on the StealthStation provides confirmation that the surgical goal was achieved
Your surgical team can use intraoperative imaging for optimized procedures. Improved visualization is critical during complex and minimally invasive procedures. The O-arm™ system is a trusted team member to be used before, during, and after surgery. Picture a surgical imaging system that provides you with real-time images adapts to your surgical workflows, moves fluidly in your or exceeds your expectations. The O-arm system’s high quality, versatile imaging provides the information you need to guide your clinical decision making.
The Mazor X™ robotic guidance system combines advanced software, robotic technology, and instrumentation to help you to deliver high-quality care and supports your commitment to more predictable surgical procedures.
The Mazor X robotic guidance system is indicated for precise positioning of surgical instruments or spinal implants during general spine surgery. It may be used in open, minimally invasive, or percutaneous procedures. The Mazor X system makes it possible for you to step into your OR with a detail-rich, complete surgical plan that you can execute using trajectory guidance. The system goes beyond individual pedicles, to enable the benefits of the entire construct design and execution. With the potential to improve patient care and outcomes, the system can help you drive workflow efficiency.
A third-generation surgical robotic guidance system, Mazor X builds on years of experience. In its first year, it was used in more than 1,000 procedures in more than 50 hospitals in the United States.
Optimized 2D|3D Imaging Performance
2D Imaging for localization, real-time anatomical updates, and verification.
3D Imaging – axial, coronal, sagittal, and oblique slice data give you an expanded view of your patient’s anatomy.
Powered Surgical Instruments
The IPC is indicated for cutting, removal, drilling, and sawing of soft and hard tissue, bone, and biomaterials. An intuitive user-interface aids in quick set-up and making proper cable connections. Powers up to 4 Medtronic handpieces at once.
The Midas Rex® Legend system is a standardized platform that includes both pneumatic and electric Midas Rex motors and an intuitive line of Legend attachments, chucks, and tools for almost every surgical need. This single, versatile system reduces the amount of equipment in the operating room.
A broad range of standard and specialty Legend attachments – small and large bore, angled, telescopic and footed:
- Feature a “snap, click, twist,” 3-step, quick release system
- Ergonomically designed and textured for grip and control
- Large, easily read markings identify matching attachments and tools
- Bold color coding identifies matching attachments and tools
Intraoperative NIM nerve monitors enable surgeons to identify, confirm, and monitor motor nerve function during a variety of surgical procedures to help reduce the potential risk of nerve damage.
Even with detailed knowledge of anatomy and surgical skill, motor nerves can sometimes be difficult to identify during surgery due to disease, a previous operation, or normal anatomical variations. Patients can suffer temporary or permanent damage if a nerve is irritated or injured. For example, during skull-based surgery, the facial nerve is commonly exposed and at risk for injury. Since this nerve controls all movements and expressions of the face, damaging this nerve can have devastating physical and emotional results.
By combining sophisticated hardware electronics and intuitive software, our NIM Nerve Monitoring Systems help surgeons perform critical procedures while preserving nerve function and improving patient safety.
The NIM-ECLIPSE™ allows for as many as 32 channels of simultaneous electroencephalography (EEG), evoked potentials (EP) and electromyography (EMG) monitoring. NIM-ECLIPSE™ Spinal System also provides for automatic pedicle screw monitoring with direct nerve and screw stimulation. During spinal surgery, the NIM-Eclipse may allow physicians to monitor critical neural pathways which helps prevent post-operative neurological deficits.
Deep Brain Stimulation
Deep brain stimulation (DBS) is a neurosurgical procedure involving the implantation of a medical device called a neurostimulator (sometimes referred to as a ‘brain pacemaker’), which sends electrical impulses, through implanted electrodes, to specific targets in the brain (brain nuclei) for the treatment of movement disorders, including Parkinson’s disease, essential tremor, and dystonia.
The Activa™ PC neurostimulator is a dual-channel device capable of delivering bilateral stimulation with a single device. Activa PC contains a non-rechargeable battery and microelectronic circuitry to deliver a controlled electrical pulse to precisely targeted areas of the brain.
The Activa™ RC neurostimulator is the first rechargeable deep brain stimulation device and has a 15-year longevity. It is the thinnest device available from Medtronic today. This dual channel device is capable of delivering bilateral stimulation.
The Activa™ SC neurostimulator is a single-channel device with a daily maintenance-free battery that provides predictable longevity. Two Activa SC neurostimulators are required for bilateral therapy. Activa SC contains a non-rechargeable battery and microelectronic circuitry to deliver a controlled electrical pulse to a precisely targeted area of the brain. The device is typically implanted subcutaneously near the clavicle, connected to an extension, and a lead implanted in the brain.
Medtronic offers minimally invasive solutions for hydrocephalus shunting, from adjustable pressure valves and antibiotic-impregnated catheters to neuronavigation systems that guide placement.
Shunting is the most common treatment for anyone with hydrocephalus (excess fluid buildup in the ventricles of the brain). Hydrocephalus shunting involves the implantation of two catheters and flow-control valve system to drain the excess accumulation of cerebrospinal fluid (CSF) from the brain’s ventricles (or the lumbar subarachnoid space) to another part of the body where it can be absorbed.
Strata® Pressure Valve
Strata® Adjustable Pressure Valve provides innovative technology for the treatment of hydrocephalus. Used for the treatment of hydrocephalus in children and adults, the PS Medical® Strata® Adjustable Pressure Valve diverts excess cerebrospinal fluid (CSF) from the cerebral ventricles to another part of the body where it can be absorbed. Its main feature is the ability for the caregiver to change the pressure/flow performance level settings of the valve without the need for revision surgery.
Delta® valves minimize overdrainage of cerebrospinal fluid (CSF). They’re part of a shunt system used to treat the symptoms of hydrocephalus. A shunt redirects excess CSF in the brain to another part of the body, allowing the brain’s enlarged ventricles to return to a more normal size.
CSF-Flow Control Valve
CSF-Flow Control valves are fixed pressure valves. They’re part of a shunt system used to treat the symptoms of hydrocephalus. A shunt redirects excess cerebrospinal fluid (CSF) in the brain to another part of the body, allowing the brain’s enlarged ventricles to return to a more normal size.
A lumboperitoneal (LP) shunt diverts cerebrospinal fluid from the spinal space in the lower back to the abdomen. It can be used to treat nonobstructive hydrocephalus, normal pressure hydrocephalus, elevated intracranial pressure, and idiopathic intracranial hypertension (pseudotumor cerebri).
Cranial Repair Products
Durepair™ is a non-synthetic dura substitute for repair of the dura mater during neurosurgical procedures. It uses patented technology to produce a strong yet flexible collagen matrix that can be applied as an onlay or suturable graft.
INVISx™ Cranial Fixation System
The INVISx™ Cranial Fixation System is a unique, two-sided clamping cranial fixation device used for skull flap replacement following a craniotomy procedure.
It consists of two locks made of polymer (plastic) material that is designed to fit within the osteotomy gap (kerf). These locks are then easily fixed in place using two ergonomically designed and reusable tools. Each INVISx Lock Assembly is designed to be implanted permanently. A lock consists of a superior cap interfaced with stem teeth, which gives the product a strong fixation. The clover design enhances adaptability to the anatomy.
TiMesh® Cranial Plating System
The TiMesh® system is a line of plates, screws, and meshes for use in reconstructive neurosurgical procedures, such as cranial flap fixation. The TiMesh system is also indicated for use in reinforcing weak bony tissues in orthopedic surgical procedures.