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WORKFLOW

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SURGERY PLANNING 

PRE-SURGERY SCAN UPLOADED

The the patient’s CT or MRI data is uploaded into the PathKeeper system. 

SURGERY PLANNING ON WORKSTATION

The system enhances the CT or MRI scan using state-of-the-art AI and Deep Learning algorithm software that enables the surgeon to review the case and make a more accurate and quantitative decision as to how to perform the surgery.  To ensure precise planning, the platform is equipped with a 2D and 3D Dicom viewer pre-op and intra-op implant planning, cloud sharing between staff (including remote specialists) and PACS Integration.

SET UP & REGISTRATION

30 SECOND TOOL CALIBRATION:

The operating tools are equipped with markers and undergo a quick 30 second calibration process to ensure accurate coverage and tracking throughout the surgery. This set up period is significantly shorter than available navigation system which require 15-30 minutes.

Once the patient is prepped, the surgeon performs an additional 30 second registration process to verify that the 3D camera captures the scene correctly and matches the CT or MRI data to the patient’s anatomy. The system consistently takes 3D scans and continuously updates the registration.

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Once the patient is prepped, the surgeon performs an additional 30 second registration process to verify that the 3D camera captures the scene correctly and matches the CT or MRI data to the patient’s anatomy. The system consistently takes 3D scans and continuously updates the registration.

NAVIGATION & IMPLANTATION

REAL-TIME TRACKING:

The 3D camera continuously tracks the patient’s anatomy and the movement of the surgical tools. Using AI and machine learning software, it corrects the anatomical map multiple times per second to accurately reflect the operative stage.  The system is unique since it tracks each vertebra independently, not just the markers, making it immune to spinal movement due to surgical work (e.g. cage insertion). Furthermore, the system uses IR light which is unaffected by the surgery room illumination and does not interfere with the surgeon’s work. 

The navigation system guides the surgeon throughout the procedure and provides real-time feedback on the location and trajectory of the surgical tools. LED’s are used on the tracking tool itself to guide the surgeon to the correct clinical position.  Once the location of the pedicle screw has been established, the system generates a superimposed image of the recommended placement and guides the physician to perfectly align the trajectory of the screw to match the placement.

30 SECOND REGISTRATION PROCESS:

 AI GUIDED IMPLANTATION: