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Surgical procedures are safer and more effective today due to major developments in anesthesia, technology, and techniques. Today, surgeons can diagnose, treat, and manage diseases and conditions once thought inoperable.

Read below and visit our Patient Guide for more information on how this approach can help you or your loved ones. 


Overview: 
While individual technologies have been available for more than a decade, they have primarily been used independent of one another. Neurosurgery has now evolved to reach the Final Frontier of minimally disruptive surgery by using an approach that can realize the full potential of each technology component. The approach is taught to surgeons through an extensive course and instructional oversight.


This surgical approach employs several advanced technologies in the areas of brain imaging, neuro-navigation, atraumatic access, high-definition optics, automated resection (removal) of the abnormality, and tissue collection for regenerative medicine.



Image Interpretation & Trajectory Planning/ Mapping 
Advanced imaging platforms are used to reveal the finer structural details of the tissue and fiber tracts within the brain. Finally, neurosurgeons can see the most delicate structures of the brain that allow them to plan their surgical pathway in the finest detail before the procedure begins and then actively use this information during the actual surgery to avoid critical structures.

Dynamic Navigation
Navigation technology is used like a GPS system in the brain. When combining navigation with the new advancement in access technology, real-time guidance can be achieved to deep subcortical regions of the brain, further enabling the neurosurgeon to safely access these areas.

Safe Access & Cannulation
BrainPath  is an innovative and groundbreaking atraumatic access technology dramatically changing how surgeons can safely move through the natural folds and delicate

structures of the brain. The obturator is uniquely designed with an atraumatic tip that minimizes tissue damage by displacing tissues of the brain during advancement to the targeted abnormality. The sheath remains in the brain during the procedure after the obturator is removed to serve as a protective portal for surgeons to easily maintain access to the surgical site.
 
HD Optics
High definition optics capabilities give the surgeon unobstructed and unprecedented clarity. Visualization is uniquely achieved from above the surgical field, allowing surgeons space to work with multiple surgical instruments to more effectively manage bleeding and or remove the abnormality.

 

Automated Resection
Removal of the soft tissue is achieved using a low profile, multifunctional tool smaller than a pencil that generates no heat during operation. The device allows for precise and controlled tissue removal1 without injury to adjacent critical structures2. During operation, tissue is collected in a sterile and intact form in a unique tissue capture filter

Regenerative Medicine/ Directed Therapy Options 
The ability to uniquely collect tissue in a viable form provides clinicians the opportunity to pursue regenerative medicine options. This is what can give patients hope – hope for better immediate outcomes and for advancements in improved future outcomes.

 
Citations:
1Dlouhy BJ, Dahdaleh NS, and Greenlee JD. Emerging Technology in Intracranial Neuroendoscopy: Application of the NICO Myriad,
Neurosurgical Focus. Vol. 30, p. 8. April 2011
2 McLaughlin N, Ditzel Filho LF, Prevedello DM, Kelly DF, Carrau RL, and Kassam AB. Side-Cutting Aspiration Device for Endoscopic and Microscopic Tumor Removal, Journal of Neurological Surgery: Skull Base. Vol. 73, p. 11. February 2012.