Navient Cranial

Simple, Accurate
and Affordable

1
Why do we need Navigation System?

▪ Benefits for Patients:

▪ Improved surgical accuracy
▪ Less revision rates
▪ Decrease tissue damage and reduces recovery time
▪ Benefits for Surgeons:
▪ Enables minimally invasive surgery
▪ Enables Preoperative planning
▪ Reduces stress
▪ Reduces surgery time and operating room costs

2
Drawbacks of current Navigation System?

Despite of all benefits of navigation systems, the surgeons are reluctant to routinely use this
technology. The main reasons are:
▪ Cumbersome set-up process
▪ Complex to operate
▪ Too expensive to buy and ongoing disposable costs

3
Navient competitive advantages
▪ Quick & easy set up
▪ Compact, foldable and portable cart
▪ Streamlined software user interface

▪ Fast & accurate registration ▪ The most affordable system in the market

▪ Greater accuracy with optical tracker ▪ Reusable sterilisable instruments

▪ No consumable and cost per procedure

4
Simple, sleek and elegant design

Navient Cart:

▪ Compact, lightweight and portable

▪ Variable Height: 135cm – 190cm

▪ Small footprint: 40cm x 50cm

▪ Light weight: 30kg

Computer & Monitor:

▪ 27” Full HD touchscreen monitor

▪ Intel® Core™ i7 quad core processor

▪ 16GB 3200MHz DDR4 RAM

▪ 1TB NVMe PCIe M.2 SSD Drive

5
Software Features
• Import Dicom images from DVD, USB
and PACS
• Fast and accurate image fusion
• Automatic detection of fiducials for
registration
• Anatomical landmark registration
• Trace registration
• Biopsy trajectory planning and
navigation
• Virtual tip extension
• Axial, coronal, sagittal, and 3D
probe’s eye view

6
Software Features
• Easy manipulation of 2D and 3D
images
• Video documentation of surgical
operation
• Warnings issued if line of sight
interrupted
• Gesture based user interface control
• Smart Zoom magnifies navigation area
• Instrument tip accuracy verification
• Remote support and software update

7
 Quick registration and accurate navigation
▪ Fast registration (takes less than a minute)
• Landmark based registration
• Trace based registration

Navient Tracking device:

• Infrared optical tracking system
• Live video stream
• 0.2mm calibration accuracy
Camera status LED
• Permanent markers IR LED indicator

• Reusable and sterilizable instruments

▪ Optical tracking system is superior over EM because of:

• Greater accuracy
• No interference from metals in the OR
• No wires to the instruments
• Simpler and more user friendly Tracking
cameras

8
Affordable and no consumables
▪ Steam sterilizable instruments
▪ Universal adaptors
▪ No consumable and cost per procedure
▪ Permanent markers
▪ Biopsy and Tumor resection solutions
▪ Pre-calibrated navigation probes

9
Navient Instruments

10
Standard Cranial Instruments

Articulated Arm

Universal tracker

Straight Probe
Calibrator
Registration Probe
Reference Frame

11
Biopsy Instruments

Biopsy Aiming Device

Reducing Tube

Universal C-Clamps
Universal tracker

Biopsy Probe

Dual Attachment

Articulated Arm

12
ENT Instruments

Registration Probe
Bayonet Probe

Maxillary Seeker
Universal Tracker
Frontal Seeker

Universal Tracker

Calibrator
Universal C-Clamps

13
Software workflow

14
Software Features

• Import Dicom images from PACS, Network, USB, DVD

• Fast and accurate image fusion
• Trace and Landmarks registration
• 3D Tumor & Sinus modeling and navigation
• 3D automatic front clip
Auto front clip 3D Sinus modeling
• Virtual tip extension
• Video documentation of surgical operation
• Gesture based user interface control
• Smart Zoom magnifies navigation area
• Remote support and software update

Trace registration Image fusion

15
Software workflow

Select procedure type Load patient scan

16
Step 1: IMAGES

Step 1 - IMAGES: Review the patient scan. Step 1 - IMAGES: Merge CT and MRI images
and Navigate on the fused images

17
Step 2 - PLANNING

Step 2 – PLANNING (Landmarks): Mark 7 CT Step 2 – PLANNING (3D modeling): Create 3D Step 2 – PLANNING (Targets): For Biopsy
landmarks on the 3D patient scan model of the tumor. cases, set the Biopsy Target and Entry points

18
Step 3 & 4: SETUP & REGISTRATION

Step 3 - SETUP: fix the articulating arm to skull fixation device Step 4 - REGISTRATION: Using registrator, perform landmark
(Mayfield), position the tracker, and verify the instruments’ tips accuracy. based & Trace based registrations.

19
Step 5: NAVIGATION

Step 5 - NAVIGATION: Real-time navigation – Biopsy guide – Tip Extension - smart zoom feature, …

20