Lower fluoroscopic dose in the OR
With the new interface, Ziehm Imaging and Stryker present a link to the active Stryker navigation system with fully automatic registration for image-guided surgery. For the first time, doctors are able to integrate intraoperative X-ray images from the latest generation of mobile C-arms into Stryker navigation. The new Ziehm Vision FD Vario 3D flat-detector offers excellent distortion-free 2D image quality as well as efficient intraoperative 3D imaging. This technology provides the surgeon with a precise depiction of even the most detailed bony structures or complex fractures. The Stryker navigation station can access the most recent fluoroscopic datasets and use them immediately for further procedural interventions. Surgeons and the OR team benefit from an improved visual orientation to patient anatomy during surgery and reduced radiation exposure. Due to these combined technologies, X-ray dose levels can be kept to a minimum. Moreover, a postoperative CT scan may be considered unnecessary.
Highly precise image data for better surgical results
With this new development, Stryker and Ziehm Imaging aim to pursue the qualitative improvement of navigated surgery through particularly detailed intraoperative imaging. The Stryker navigation system is unique in its use of a high-precision, active 3-CCD camera system, which enables much more accurate localization of anatomic structures as well as the instruments deployed in surgery, when compared to traditional solutions. In minimally-invasive surgery, navigation provides the surgeon with a comprehensive overview of the intervention in spite of very small incisions. This helps, for example, in the correct calculation of optimal pedicle screw placement in the spine. High-resolution C-arm images contribute to providing precise information to the surgeon, resulting in improved OR safety and improved clinical results.
First worldwide installation in the Neurocenter of the University Medical Center in Freiburg, Germany
Dr Hubbe, senior physician at the Neurocenter of the University Medical Center Freiburg successfully carried out the first ever spinal surgery with this new technology. He explained: “The combination of navigation and intraoperative 3D imaging enables us to employ minimally-invasive treatment methods. The combination of high navigation accuracy and the comfortable clearance of the 3D C-arm allows us to routinely carry out surgeries in the way we are accustomed, without having to adapt to a new clinical workflow that would otherwise be required by the introduction of new technology. The systems adapt themselves to clinical procedures. Both patients and users benefit equally from these modern treatment methods.”
“Through the open Ziehm NaviPort 3D interface, our three dimensional image volumes can be used directly by Stryker navigation systems”, explained Martin Herzmann, Director Global Marketing for Ziehm Imaging. “Complex operations consequently become safer for patients and are often carried out with a lower radiation dose for the surgical team surgeon and patient. By combining our imaging technology with Stryker’s active navigation, we can contribute to making surgeries faster and less invasive for the patients.”
“The better the quality of the 3D data and intraoperative images available to our navigation, the more precise the navigation results will be,” added Joachim Sprung, Marketing Manager of Navigation for Stryker. “Through our active infra-red camera system, which permits an accuracy of navigation of up to 0.07mm, and our newest software generation, we are able to optimally use high-quality intraoperative images from Ziehm Imaging mobile C-arms for navigated surgery. Physicians and patients benefit from increased precision in the operating room. High image quality contributes systematically to the improvement of clinical results.”
About Ziehm Imaging
Ziehm imaging specializes in the development, manufacturing and worldwide marketing of mobile X-ray-based imaging solutions. The company has been market leader in Germany for more than seven years as well as in many other European countries for two years. Today, Ziehm Imaging is a global systems provider, employing over 250 people worldwide. Extensive in-house development know-how is reflected in the Ziehm Imaging C-arms’ high medical imaging performance, intelligent generator technology, significant dose savings and seamless digital network integration. Building on competence and creativity, as well as continuous dialog and close cooperation with renowned universities, research centres and hospitals, Ziehm Imaging has developed groundbreaking technologies that have made the company a global trendsetter in intelligent interventional imaging. Ziehm Imaging products are known for their outstanding versatility and their easy handling for a wide variety of medical applications. In addition, they offer seamless integration into existing IT environments for digital image data acquisition, image evaluation and image management.
Please see www.ziehm.com for more information.
