Cody Fisher
Senior Writer

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Eleanor Pena
CEO

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Cranial Surgery

Brainlab Cranial software is designed for both routine and complex surgical procedures, with intuitive user interfaces and automated workflows. Groundbreaking Elements applications help surgeons make the most of patient data during preoperative planning and even intraoperatively. Platforms like Curve® Navigation, Kick®, Loop-X* Mobile Imaging Robot and Buzz® Digital O.R. are transforming the surgical space and becoming integral to daily life in the operating room.

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1
Integrated O.R.s

SNT and Brainlab put surgery and patient results first with plug and play technology that works reliably under pressure.

2
Time-saving and insightful
documentation + reporting tools

We use technology that streamlines informed understanding for progressive decision making in the O.R.

3
Surgical planning technology

Create consistent outcomes through pre-emptive decision making and anticipated complications.

Bring your app idea to life with industry experts

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Pricing built for businesses of all sizes

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$49
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Software

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Elements ® Cranial planning applications

Elements, Brainlab’s world-leading suite of surgical planning applications. Efficient, effective, à la carte software modules serving multiple clinical specialties, including interactive and automatic segmentation applications for state-of-the-art planning of image guided surgery.

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Multi disciplinary, consistently designed, and easy to use. Maximise your workflow.

Applications:

V
Viewer 3D ©
Fast access to medical images and visualisation of surgical planning data
  • Quick and direct interaction with DICOM data
  • 3D multi-planar reconstructions in axial, coronal, sagittal, oblique
  • 3D volume rendering of CT, MR, PET, SPECT
  • Presets for skin, bone, vessel, DRR, MIP
  • Superimposition of dataset and planning data
  • Optional Smart Anatomy Cranial provides high level of anatomic context and detail
  • Stereoscopic visualisation in combination with a 3D monitor improves spatial orientation
V
Viewer Smart Anatomy Cranial ©
Review plans in realistic 3D specifically for brain tumor and vascular indications.
  • Review plans in realistic 3D specifically for brain tumor and vascular indications.- Automatically identifies superficial brain veins and vessels surrounding the tumor that may be critical during tumor resection or
    craniotomy
  • Peeling View intelligently adjusts object visibility through slider control
  • Automatically generates region-of-interest 3D visualisations of aneurysms and surrounding vessels (CTA, MRI TOF, 3D Digital
  • Subtraction Angiography)
  • Displays textbook-like visualization of surgical cases for planning, tumor board review, teaching and patient consultation
View technical guide
Browse on Brainlab
IF
Image Fusion ©
Merge image data for effective neurovascular treatment planning
  • Fully automated and highly accurate image fusion
  • Mutual information algorithm for dataset correlation within seconds
  • Region-of-interest definition for dataset correlation in areas with similar anatomy
  • Flexibility to contour on any dataset
SC
Segmentation Cranial ©
Thorough and automated anatomical mapping
  • Unique technology based on a patented Synthetic Tissue Model
  • Anatomical Mapping of Cranial MR datasets with thorough matching of all tissue classes
  • Automatic Segmentation of all relevant anatomical brain structures
  • Efficient and consistent automation of time-consuming contouring process
  • Intuitive, easy-to-use review and editing tools
View technical guide
SB
Smart Brush ©
Smart Brush© - Immediate and interactive tumor delineation
  • Immediate and interactive target delineation
  • Streamlined, multi-planar volume definition
  • Smart contour expansion with a click of the mouse or touch of the finger
  • Multiple modalities simultaneously considered in outlining
F
Fibre tracking ©
Easily enrich anatomical images with detailed information about eloquent white matter structures to preserve vital functions. Fibertracking processes and visualises patient-specific DTI data to enable more refined surgical approaches.
  • Brain Projection view for direct review and planning on the cortex
  • Dynamic live tracking in 2D, 3D and Brain Projection views
  • Drag-and-drop structure selection for region-of-interest based tracking
  • Anatomical templates (e.g. Broca area) automatically provide individual and reproducible regions-of-interest
  • Region-of-interest based tracking and live tracking mode can be combined to refine results
  • Deterministic dual-tensor tracking algorithm reveals details such as crossing fibers
View technical guide
Browse on Brainlab
T
Trajectory planning ©
Plan multiple trajectories for neurosurgical approaches with preconfigured view modes. Comprising all relevant data such as target structure, segmented objects and fiber tracts in one place, Trajectory Planning Cranial allows for well-informed approach planning.
  • Interactive target and entry point positioning
  • Flexible definition of trajectories based on AC/PC-relative or DICOM coordinates
  • Adjustable 3D trajectory shapes for case-specific visualization
  • Axial, Coronal, Sagittal, Probe’s Eye and Inline views for trajectory verification
Browse on Brainlab
Book a demo / appointment
N
Cranial Navigation ®

Introducing Brainlab's Cranial Navigation Application for detailed visualisation and intuitive control of your procedures.

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Multi disciplinary, consistently designed, and easy to use. Maximise your workflow.

Features: 

Time-Saving Registration
Regardless of the patient’s position, Brainlab Cranial Navigation offers multiple techniques for referencing them to the system. Z-touch® and Softouch® are based on surface matching, making patient registration quick and easy by simply touching the patients’ skin with either a pointer or a laser. As both devices register CT and MR images without headsets or markers, registration scans can be avoided, helping to reduce neuronavigation costs and radiation exposure to the patient and O.R. team.
  • Pointer registration with or without markers
  • Touch-sensitive surface matching with Softouch
  • Contact-free surface matching with Z-touch
  • Compatible with all current Brainlab Combined surface matching registration applications
  • Pre- and intraoperative landmark registration
Approach Planning
Informed approach planning requires consolidated clinical data. Cranial Navigation summarises relevant and detailed anatomical information in one dedicated view helping surgeons identify their optimal craniotomy before making the incision.
  • Automatic segmentation of skin, bone, cortical vessels and cerebrum
  • 3D preview of the lesion and critical structures before opening the skull
  • Virtual scalpel simulates craniotomy and creates a bone flap object that can be saved for documentation
  • Approach planning in 3D and correlated inline or axial, coronal, sagittal navigation views provides spatial orientation
Easy-to-use Navigation
When navigating, distraction-free concentration is essential. Detailed visualisations are tailored to show only clinically relevant data, allowing the surgeon to focus on what’s necessary for their work. Optimisation of displayed data through automated functions like data selection and layout composition reduce screen interaction, making Cranial Navigation even more user-friendly.
  • Smart Approach view dynamically adapts and zooms according to resection progress
  • Overlay mode with fused CT and ultrasound data consolidates relevant anatomical details
  • Dynamic 3D view provides 3D context around the tool tip to help with orientation
  • Smart layout automatically displays optimal patient data in the most suitable layout
Vascular Navigation
Cranial Navigation Angio, lets surgeons easily identify feeding and draining veins on navigated digital subtraction angiography (DSA) data or locate a nidus object with dedicated view layouts. Based on a co-registration of angiographies and subsequent neurovascular contouring it helps to improve orientation and adds clinical context from anatomical 3D data.
  • Combines co-registered angiography pairs and navigated MR/CT reconstructions
  • Interactively displays dynamic color-coded contrast flow projections to assist with surgical target identification and analysis
  • Visualises 2D DSA data as Color Intensity Projection (CIP) to help identify feeding and draining vessels
  • Displays nidus object on navigation data
Try it on for size? We’ll come to you.
Book a demo / appointment
Demo video
Download brochure
Navigated Disposable Stylet
The Disposable Stylet is designed for the navigated placement of shunts or ventricular catheters in neurosurgery, enabling their quick and easy freehand placement. The incorporated passive marker geometry is automatically recognised by the navigation camera, allowing for instant calibration.
  • Navigation-ready pre-calibrated tool
  • Shunt/catheter vendor independent
  • 1.1 mm diameter, 165 mm length
Robotic Biopsy Alignment
The Cirq alignment software facilitates intuitive manual arm positioning while the robotic module performs automatic trajectory alignment. Trajectories can conveniently be defined using Elements Trajectory Planning or the on-the-fly instrument offset acquisition within Cranial Navigation.
  • Automatic alignment to planned biopsy trajectory after manual arm positioning
  • Cirq Alignment Software provides visual guidance towards region of interest
  • Special biopsy anchor for the skull adds stability to the setup
Demo video
VarioGuide Alignment
Surgeons can confidently target pre-planned trajectories with Brainlab VarioGuide®. This frameless universal instrument holder offers continuous position feedback and precise step-by-step workflow guidance for shunt placement and endoscope guidance. For navigated biopsy, pre-planned trajectories can be quickly reached with the disposable pre-calibrated Biopsy Needle.
  • Bridges gap between head frame and freehand
  • Flexibly adapts to various instrument sizes (Ø 1.8 – 8 mm)
  • Disposable Biopsy Needle (Ø 1.8 mm) quickly reaches targets in frameless neurosurgical biopsy procedures
  • Pre-calibrated needle design seamlessly integrates into navigation workflow
Augmented Reality Visualisations
Augmented reality has become an essential technology in neurosurgery, virtually showing surgeons what lies beneath the surface digitally overlays the planned surgical target and surrounding structures as semi-transparent objects onto the real patient anatomy. These visualiations provide anatomical insight and spatial orientation throughout the procedure.
  • Provides meaningful context about the surgical situation without having to look away from it
  • Maintains navigation accuracy and corrects initial patient registration based on anatomical landmarks
  • Navigation-controlled robotic movement supports ergonomic and efficient alignment to navigated instruments and anatomical landmarks
  • Seamlessly integrates with all major surgical microscope vendors
  • Auto-detects connected microscopes, minimising setup effort
Live Intraoperative Imaging
Ultrasound Navigation provides real-time intraoperative imaging that complements cranial image guidance. With a small footprint and minimal interruption of the surgical workflow compared to other imaging modalities, it’s a suitable addition for almost every neurosurgical suite.
  • Overlays real-time ultrasound images in 2D or 3D
  • Provides accurate orientation as well as updates on resection progress
  • Allows for visualization and assessment of brain shift
  • 3D scanning of the cavity helps identify residual tumor and helps achieve the planned extent of resection
View technical guide
Automatic Image Registration
Automatic Image Registration (AIR) is the fundamental technology for seamless integration of intraoperative MRI or CT images with image guided surgery. AIR adds intraoperatively acquired data to surgical navigation, optimizing the workflow while maintaining the preoperative surgical plan.
  • Eliminates need to access anatomical landmarks
  • Accurate image registration
  • Available for various MR scanners
  • Universal integration of CT, rotational angiograph and cone-beam CT
Download / view presentationBrowse on Brainlab
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E
Elements ® Deep Brain Stimulation (DBS)

Advance your frame-based neurosurgical procedures with modular Elements software for stereotactic planning and experience a new level of arc and implant integration.

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Stereotactic Planning & Surgery Refined

Applications:

S
Basic Module – Elements Stereotaxy ©
Elements Stereotaxy consolidates fibers and atlas objects for more detailed trajectory planning and frame coordinates. Localisation of MR or CT images and arc coordinate calculation is available for a variety of stereotactic frame systems.
  • Case-specific 3D trajectory visualisation for deep brain stimulation, sEEG or biopsy
  • Intuitive AC/PC definition supports traditional target planning
  • Personalised trajectory templates can be saved
  • Compatible with new Leksell® VantageTM Stereotactic System from Elekta
BG
Advanced Module – Elements Segmentation Basal Ganglia ©
Elements Segmentation automatically contours 16 anatomical structures of the basal ganglia region, including Subthalamic Nucleus (STN), Globus Pallidus Internal (GPI), Ventral Intermediate (VIM) Nucleus. Based on MR data, this patient-specific atlas provides a detailed map for planning of stereotactic surgery procedures such as deep brain stimulation.
  • Patented Synthetic Tissue Model enables thorough anatomical mapping
  • Efficient and consistent automation of time-consuming contouring process
  • Intuitive review and editing tools
  • Individual segmentation possible in abnormal and asymmetric brains
F
Advanced Module – Elements Fibertracking ©
Elements Fibertracking processes and visualises DTI data to enable preservation of vital functions in eloquent white matter structures. Incorporated into the Elements for Stereotaxy workflow, segmented atlas objects like the VIM can be used as a seed point.
  • Region-of-interest tracking based on automatically segmented or manually contoured objects
  • Dynamic live tracking in 2D, 3D and Brain Projection views
  • Possibility to adjust Fractional Anisotropy value, maximum fiber angulation and length
  • Ideal in combination with Elements Cranial Distortion Correction, providing more accurate datasets through deformable co-registrations
LL
Advanced Module – Elements Lead Localisation ©
Elements Lead Localisation extends software support in functional neurosurgery beyond preoperative planning. Deep brain stimulation leads from any manufacturer are automatically detected in postoperative CT scans with their contacts visualised in relation to the patient’s anatomy.
  • Advance quality control right after stereotactic surgery with a reality check
  • Easy comparison of planned lead templates in 3D with actual lead positions
  • Unique orientation adjustment and full 3D lead model of directional Boston Scientific DBS leads
  • Facilitates seamless handover to neurologists and programming time reduction
Partnership with Boston Scientific
In place since 2015, a strategic collaboration with Boston Scientific Corporation provides patients and physicians with a comprehensive portfolio for deep brain stimulation therapy – a therapy intended to treat a variety of disorders, including Parkinson’s disease.

Boston Scientific distributes the Brainlab Elements planning portfolio with the Boston Scientific Vercise™ Deep Brain Stimulation family of systems in selected countries, offering physicians advanced device technology with sophisticated software capabilities.
Download / view presentationBrowse on Brainlab
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E
Third party integrations

Intro and so what line

CurveKickBuzz
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Multi disciplinary, consistently designed, and easy to use. Maximise your workflow.

Applications:

Demo video
View technical guide
Browse on Brainlab
V
Viewer 3D ©
Fast access to medical images and visualisation of surgical planning data
  • Quick and direct interaction with DICOM data
  • 3D multi-planar reconstructions in axial, coronal, sagittal, oblique
  • 3D volume rendering of CT, MR, PET, SPECT
  • Presets for skin, bone, vessel, DRR, MIP
  • Superimposition of dataset and planning data
  • Optional Smart Anatomy Cranial provides high level of anatomic context and detail
  • Stereoscopic visualisation in combination with a 3D monitor improves spatial orientation

‍

Download / view presentationBrowse on Brainlab
Book a demo / appointment

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Digitilisation is transforming the world. We are transforming your operating room

With an increase of unstructured data from video sources, intraoperative imaging and surgical documentation, managing and targeting the right data in the operating room has become more important than ever.

The O.R. of the future is as much about data augmentation and information integration as it is about high-tech medical devices. At Brainlab, our mission is to streamline device and information usage and enrich clinical data before, during and after surgery.

We do this by providing the surgical team with an advanced yet easy-to-use toolset aimed at improving documentation, communication, integration, and ultimately patient outcomes. Built as an open, modular platform, Brainlab integrated Digital O.R. gathers, manages and displays the right data in all setups, whether simple or complex, from straightforward general surgery to high-end hybrid O.R.s.

Find out more

Platforms

Curve ® Navigation

Brainlab’s most powerful and versatile image guided surgery
platform.

CurveTagTagCompatibility check
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Second nature doesn’t come more easily.
Constructed to move easily between and adapt to multiple operating rooms.
Customise with optical and electromagnetic tracking or choose to combine with a second Curve display cart, Buzz® Digital O.R. and third-party displays.
Planning has never been easier
  • Position the display and camera anywhere you need for your procedure.
  • Flexibly connect a range of devices—from intraoperative imaging to Cirq.
  • Create and optimise plans right before or even during the procedure with O.R. access to any Elements software.
  • Bring hyper-realistic mixed reality visualisations from the screen into the operating room.
Enhanced visualisation
  • View and navigate various datasets on the 32” display with 40% more viewing space compared to a 27”.
  • Experience a new level of detail with microscope or endoscope images displayed in 4K.
  • Activate live streaming to share your view with colleagues or students outside the O.R.
Works with your own devices
  • Wirelessly connect a tablet device and control Curve Navigation from anywhere in the O.R.
  • Plan pre- and intraoperatively with Brainlab Elements and review your plan with Mixed Reality right in the O.R. in hyper-realistic 3D. Curve perfectly combines Brainlab software with intraoperative imaging, surgical robotics and third party devices.
Post op - auto generated archiving and patient reports
  • Create reports or data archives automatically and export them to your preferred location such as a picture archiving and communication system (PACS), hospital information system (HIS), vendor neutral archive (VNA), USB drive or Brainlab’s Cloud Service (Quentry).
  • Client’s can easily access exported reports on their own devices for review or patient consultation.
Try it on for size? We’ll come to you.
Book a demo / appointment
1. Pre-op
Easy setup + planning reduces time and effort, and multi disciplinary technology options adapt effortlessly to
address the needs of different procedures
  • Easy and flexible positioning
  • Fast data setup
  • Access to all Elements applications
  • Hyper realistic mixed reality visualisations with Elements “Viewer 3D”
  • Optical tracking for cranial, spine, trauma, ENT and CMF procedures.
  • Electromagnetic tracking for spines, cranial and ENT procedures.
2. Intra-op
Display and control more content from different Elements applications + enhance the quality of your
procedures with impeccable 4K visual imagery guidance
  • Connect multiple devices + sources
  • 4K visualisation of microscope or endoscope images  
  • Live stream, record or capture your procedure while you work
3. Post-op
Automatic: Record keeping and insightful data analysis, patient reports for better communication, and educational material for learning and teaching
  • Connect multiple devices + sources
  • 4K visualisation of microscope or endoscope images  
  • Live stream, record or capture your procedure while you work
Download brochureBrowse on Brainlab
Book a demo / appointment
Kick ®
Rental available

Pure Navigation with Optical Tracking. Powerful, portable and minimalistic surgical navigation for surgeons seeking focused functionality.

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Powerful, portable and minimalistic surgical navigation
Robotic surgery adapts to your operating room
Kick® is the small, sleek and powerful navigation system that completes the Brainlab surgery platform portfolio. Shift easily between applications and dart between operating rooms; with its engineered minimalism, Kick is an ideal solution for navigation purists.
  • Sleek design with high performance
  • Drapable full HD capacitive touch display
  • Patient-centric data handling for optimised system operation and intuitive usability
  • Compatible with all current Brainlab Element's applications
  • Optical tracking with laser guidance
  • Light-weight, compact and portable
Smart Connections
The Kick operating system and user interface offer an intuitive way to access various applications. The system is compatible with all current Brainlab software and allows easy connection to external devices like endoscopes for combined functionality in the O.R.
  • Easy upload and storage of patient data
  • High speed network ports for access to PACS and network based devices
  • Integrated WLAN for wireless patient data transfer
  • Quick integration of surgical devices
  • Drag and drop display simplified for content management and intuitive system control
More Functionality
By adding Buzz Digital O.R, surgical teams can access even more features with Kick, like advanced planning, flexible control and additional viewing capabilities.
  • Remote access between Kick and Buzz
  • Integrated O.R. functionalities such as automatic patient worklist creation and web-based conferencing
  • Access to more Elements planning applications for image viewing and enrichment.
Watch videoBrowse on Brainlab
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Buzz ®

Centralised Information Hub. The next generation of O.R. integration with intuitive multi-touch user interface and future-proof design

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The next generation of O.R. integration with intuitive multi-touch user interface and future-proof design
O.R. Information & Control Center
Buzz, the next generation platform, is a network-based central information hub that routes, displays, interacts, streams, records and enhances medical images, software content and videos. Designed as a zero footprint open platform with practical touch interface, Buzz is prepped for every O.R.
  • Displays and controls data and video sources centrally on a user-friendly interface
  • Enables network-based routing of video and software content on multiple displays
  • Allows for audio/video conferencing and streaming
  • Integrates HIS and PACS for easy data handling and documentation
  • Enables surgical planning with Elements, such as Viewer, SmartBrush, Image Fusion, Dose Review and more
  • Integrates multiple 3rd party software through open platform architecture
Robust hardware
With state-of-the-art hardware components, Buzz is built to be a long-lasting mainstay in the operating room. Its durable yet sensitive glass front panel makes communication and utilisation in the O.R. easy and clear.
  • High resistance to water and dust for durability and easy maintenance (IP44)*
  • Audio and video components optimised for clear sound and picture
  • Responsive and accurate touch control on 42” display
  • Frontward folding, swiveling display for easy service access
  • Multi-touch based features like drag and drop, zooming and panning for intuitive device operation
Flexible setup
With two versatile hardware configurations, flexible integration possibilities, and simple mounting, Buzz can be easily installed in both newly constructed and existing operating rooms.
  • Recessed in-wall or mounted on-wall configurations adaptable to hospital needs
  • Separate compact 4RU computer located inside or outside O.R. facilitates optimal space usage
  • Network-based integration of hardware and video sources ensures uncluttered O.R. setup with minimal hardware footprint
  • Multiple connection ports (USB 2.0 & 3.0, DP, HD-SDI, Network) enable simple data transfer and device connectivity
  • Accessible from sterile field with Wi-Fi based remote control
Future-proof platform
With durable hardware and intelligent software, speed and performance are at the core of Buzz. The system’s purpose is to support the surgeon in their daily routine, enabling them to focus on the patient and the procedure now and in the future.
  • Fast system boot-up facilitates smooth O.R. workflows
  • State-of-the-art computer components ensure fast data transfer and technological longevity
  • Multiple hardware connection possibilities due to standard interfaces
  • 3rd party software can be integrated, displayed and controlled through Buzz
  • Various O.R. workflows can be consolidated on one single source, minimising the number of interfaces in the O.R.
Buzz Navigation
This zero footprint and MR-conditional platform combines the best of two worlds—Image Guided Surgery and Digital O.R. integration. Comprising a 42” wall-mounted display, 27” ceiling-mounted display and navigation camera, Buzz Navigation (Ceiling-Mounted) provides access from the sterile and non-sterile field to control data. Video routing, streaming and recording of content as well as navigation functions can all be managed from any display.
  • High performance platform supports workflows from advanced to navigation as well as capabilities
  • Easily accessible connection unit for integration of multiple intraoperative devices
  • Split screen layout enables routing of up to four sources onto one monitor to keep all data in sight
  • Ceiling-mounted components compatible with select 3rd party arm systems
  • Customisation includes an additional ceiling or wall-mounted display as well as external video routing technology (VoIP, 4K)
Buzz Compact
Buzz Compact condenses the core functionalities of a Brainlab Digital O.R. into a small yet powerful device. This flexible information hub addresses the essential video routing, documentation and archiving needs of various medical teams in clinics and hospitals.
  • Access DICOM viewer and other on a 15” all-in-one device
  • Designed with the same intuitive user interface as all other Brainlab software
  • Record videos using state-of-the-art 4K imaging
  • Install on wall or table stand for flexible placement
  • Integrates with existing infrastructure for easy installation
  • Rely on a future-proof asset with streamlined IT (HIS/PACS/VNA) integration and scalable software architecture
Watch videoBrowse on Brainlab
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CranialSpinal ENTOrthopaedic
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