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The PathKeeper system is 3D Optical Navigation system that utilizes AI algorithms and optical images, providing real-time, high-resolution imaging that guides spine surgeons navigating through complex anatomical structures with enhanced precision in the placement of spinal devices. The combination of navigation precision, efficient workflow and radiation-free imaging contribute to excellent surgical outcomes.


  • COMPLETE SYSTEM (planning, execution and analysis)

  • EFFICIENT WORKFLOW (quick operative set up and automated registration)

  • ENHANCED PRECISION (precise implant trajectory and placement)

  • AI ENABLED LEARNING (assist in planning and precise execution)

  • RADIATION FREE (eliminates intraoperative imaging radiation exposure)

  • MOBILE DESIGN (compact and easily transported between operating rooms)


PathKeeper Surgical delivers a cost-effective 3D Optical Navigation system for real-time,

radiation-free, precision spine surgery for operation rooms in hospitals and surgical centers.



The PathKeeper’s proprietary ultra-high resolution, laser-technology based camera enables enhanced precision in navigated spine surgery. The technology swiftly updates vertebral position on-demand without radiation intraoperatively. With a click of a button, the refresh corrects for patient or reference frame movement and surgeon manipulation. The surgeon can now precisely track surgical instruments and place implants accurately and safely. 



PathKeeper’s patent-pending rapid anatomical position updating technology uses a preoperative CT scan to obtain the patient’s anatomy in 3D. It then integrates intraoperative images from the 3D camera and proprietary software to adjust the anatomical map on-demand. The instant update of the anatomical map ensures a high level of accuracy is maintained throughout the surgery.



The PathKeeper system has been designed ergonomically with a small form factor for easy mobility. The lightweight system does not hinder the surgical staff throughout the procedure and can be easily maneuvered within the operating room or transferred between sites. As intraoperative radiation is not required for the PathKeeper system’s functionality, there is no need for a CT scanner in the operating room which frees up even more space for the surgical staff. 

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Ionizing radiation during spinal surgery is a primary concern that affects the health and safety of both the medical staff and the patient. Todays commonly used “free-hand” technique requires repeated fluoroscopy imaging to estimate the location and trajectory of the pedicle screws. Analogous navigation systems require multiple C-Arm images and/or CT/3D fluoro scans to guide the surgeon. 

PathKeeper’s solution uses only a preoperative CT scan, thus offering a safe and radiation-free operating environment.



3D navigated surgical planning has been proven to improve clinical outcomes in spine surgery, however, it has received limited adoption due to the complexity and limitations of current systems. PathKeeper’s proprietary algorithms allow for a surgery planning platform that is easy to learn and operate. 

The platform additionally supports common resources used by hospitals to ensure easy and smooth integration.

Disclaimer: The Pathkeeper system is not available for sale in the European Union

© 2023 all rights reserved to Pathkeeper Surgical

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