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PathKeeper's innovative navigation system provides surgeons with full control over the surgery.  Its patented 3D real-time spine navigation technology yields the highest level of surgical accuracy,  enabling physicians to precisely place the surgical implants and significantly reduce the margin of error.   Unlike most spinal surgical environments, it offers a radiation-free theater which protects both the surgical staff and patient from radiation. 


The system has been designed to be highly mobile, for simple transition between operating rooms or clinics and its competitive pricing makes it a viable alternative for any sized medical institution.  





Unsurpassed accuracy for optimal surgical screw placement


PathKeeper is the only spinal surgery navigation system that provides sub-millimeter accuracy. This resolution is possible since the technology is capable of continuously tracking each spinal vertebra in real-time, taking into account patient movement and surgeon manipulation. As a result, physicians can precisely track and place surgical tools with unprecedented accuracy and safety.  

Current spinal navigation systems claim an accuracy level of 1.5-2 mm by tracking the spine using preoperative spinal snapshots.  These systems use markers connected to a specific anatomical landmark and do not account for spinal movement throughout surgery leading to a wider margin of error.  


PathKeeper’s patented real-time tracking technology uses a preoperative scan to define the patient’s anatomy. It then integrates images from the 3D camera and advanced AI and Deep Learning algorithm software to adjust the anatomical map in real-time. The anatomical map is updated 10 times per second and automatically re-registers . The system also alerts the surgeons of any movement of the patient’s anatomy during surgery.  

A key benefit of the real-time tracking technology is that surgeons do not need to pause the procedure in order to take spinal. Rather, the tracking system provides an accurate and real-time view of the procedure.  


The PathKeeper system has been designed with a small form factor for easy mobility. As such, it can be easily integrated into any sized operating room and does not get in the way of the surgical staff, surgical tools and operating room lighting.


The platform can be easily transferred between hospital operating rooms and is an ideal solution for Ambulatory Service Centers (ASC) with multiple locations.

A key differentiator of the PathKeeper solution is that does not require a CT scan within the operating room, saving significant space within the operating theater. 


Ionizing radiation during spinal surgery is a primary concern that affects the health and safety of both the medical staff and the patient. The commonly used “free-hand” technique, requires repeated fluoroscopy imaging to estimate the location and trajectory of the surgical screws.  Similarly, almost all navigation systems require multiple CT images to guide the surgeon. 


Unlike these methods, PathKeeper’s solution uses only a preoperational CT scan and offers a completely safe and radiation-free operating environment.


PathKeeper’s breakthrough technology is competitively priced, making it an affordable option for hospitals and clinics of all sizes and budgets.  The system is also highly cost effective.  It 30 second registration reduces operative time, and its continuous tracking eliminates the need to pause the procedure.  Since it does not require CT scanning during the procedure, the system eliminates the need for radiology equipment and support staff. The system has a small footprint that does not take up a lot of space in the operating room and since it is highly mobile, it can be easily transferred between operating rooms. 


Surgery planning has been proven to improve clinical outcomes in spine surgery, however, it has received limited adoption due to the complexity of current systems. Using AI and proprietary clinical algorithms, PathKeeper has developed a surgery planning platform that is easy to learn and operate. 


The platform uses common resources such as 2D & 3D Dicom viewer, pre-op and intra-op implant planning, cloud sharing between staff (including remote specialists) and PACS Integration to ensure precise planning.


PathKeeper has successfully completed 10 cadaver labs ranging from the cervical vertebrae to the lumbar, having inserted an average of 6-8 screws in the process.


  • Hospital for Special Surgery, NY, USA

  • Oxford University Hospital, Oxford, UK

  • Hadassah University Hospital, Jerusalem, Israel 

  • Rothman Orthopaedic Institute, NY, USA