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Neurosurgery
and Spine

REAL-TIME ACTIVE IMAGING FOR
YOUR NEUROSURGERY PROCEDURES

Neuro-Oncology
Skull Base
Spine
Neurovascular
Pediatrics
Neuro-Oncology
Skull Base
Spine
Neurovascular
Pediatrics

16%

Increase in Overall Survival (OS) of patients with high grade gliomas (HGG) at 1 year using IOUS1

    Use intraoperative ultrasound during surgery to:

  1. Assist in the identification of brain shift after pre-operative scans
  2. Determine extent of resection and assess for residual tumor

High and low grade gliomas, metastases, astrocytomas, abscess drainage, hematoma evacuations. Dual Live Compare with live image on left and previous scan on the right side.

(1) Syed O Mahboob & Muftah Eljamel. Intraoperative image-guided surgery in neuro-oncology with specific focus on high-grade gliomas

58%

Further resection of tumor remnants after intraoperative ultrasound1

    Use intraoperative ultrasound during surgery to:

  1. Avoid injury by identifying blood vessels near the pituitary gland
  2. Access hard-to-reach areas and use through cranial endoports with BK Medical’s smallest transducer
  3. Monitor resection progress and assess for residual tumor

Deep seated tumors, pituitary adenomas, clival chordomas, meningiomas, and craniopharyngiomas

(1) Alomari, A., Jaspers, C., Reinbold, W. et al. Use of intraoperative ultrasound intracavitary (direct-contact) ultrasound for resection control in transsphenoidal surgery for pituitary tumors: evaluation of a microsurgical series. Acta Neurochir 161, 109-117 (2019). https://doi.org/10.1007/s00701-018-3747-x

63%

Intraoperative ultrasound changed the course of surgery1

    Use intraoperative ultrasound during surgery to:

  1. Reduce incision dimension, intraoperative fluoroscopy, and number of laminectomies1 with immediate visual feedback
  2. Confirm degree of decompression of neural structures2
  3. Guide screw insertion2

Spinal tumors, dural fistulas, Chiari malformations, arteriovenous malformations (AVMs), tethered spinal cord, spinal stenosis

(1) Harel R and Knoller N. Intraoperative spine ultrasound: application and benefits.
(2) Ganau, M., Syrmos, N., Martin, A. R., Jiang, F., & Fehlings, M. G. (2018). Intraoperative ultrasound in spine surgery: history, current applications, future developments. Quantitative imaging in medicine and surgery, 8(3), 261–267. doi:10.21037/qims.2018.04.02

Shorten

Operative time with intraoperative ultrasound1

    Use intraoperative ultrasound during surgery to:

  1. Locate AVM nidus and identify feeding arteries with color Doppler2
  2. Assess for resection of AVMs2
  3. Identify associated hematoma3
  4. Visualize preoperative embolization (e.g. Onyx®)

Arteriovenous Malformations (AVMs) and Aneursyms

(1) https://onlinelibrary.wiley.com/doi/full/10.7863/jum.2004.23.8.1065
(2) https://www.ncbi.nlm.nih.gov/pubmed/30839079/
(3) https://thejns.org/pediatrics/view/journals/j-neurosurg-pediatr/15/3/article-p291.xml

31%

Reduction in pediatric ventriculoperitoneal (VP) shunt revision rates with iUS1

    Use intraoperative ultrasound during surgery to:

  1. Guide safe, quick shunt placements
  2. Target the ventricle and confirm catheter placement in ventricle
  3. Reduce medical imaging hazards such as ionizing radiation
  4. Assess for brain shift and residual tumor

VP shunts, tumor resections, spinal procedures, AVMs. Burr-Hole Transducer (N11C5s)*

(1) Crowley RW, Dumont AS, Asthagiri AR, et al. Intraoperative ultrasound guidance for the placement of permanent ventricular cerebrospinal fluid shunt catheters: a single-center historical cohort study. World Neurosurgery. 2014;81(2):397-403. doi:10.1016/j.wneu.2013.01.039

A COMPLETE NEUROSURGERY PORTFOLIO

Craniotomy Transducer N13C5
has outstanding image quality with a wide field of view and deep penetration, enabling an overview of the lesion and anatomy, and helping determine adequacy of lesion removal.
N11C5s Transducer (9063)*
has deep penetration and a small footprint to guide burr hole procedures with precision, including shunt placements and biopsies.
Hockey Stick Transducer X18L5s*
provides excellent resolution in the extreme near-field. It is ideal for use in spinal procedures and within cranial resection cavities as its flexible tip can be adjusted to 0°, 30°, 60°, and 90° positions.
Minimally Invasive Transducer N20P6*
is BK’s smallest transducer making it ideal for accessing hard-to-reach areas in endonasal skull base, cranial endoport, and spinal procedures.

Neurosurgery and Spine

 

ACTIVE IMAGING IS REAL-TIME VISUAL GUIDANCE FOR DECISION SUPPORT

The only real-time intraoperative imaging modality

Scan instantaneously and repeatedly wth iUS, while iCT and iMRI scans interrupt the surgical workflow1 and require a set scan time.

Minimum radiation hazards to the patient

Unlike iCT, intraoperative ultrasound does not involve ionizing radiation.2

Comparable gross tumor resection rates to iMRI

In a recent article, iUS has demonstrated gross total resection (GTR) for High Grade Gliomas (HGG) that is not statistically different from iMRI and 5-ALA.3

(1) Coburger J, Nabavi A, König R, Rainer Wirtz C, Pala A. Contemporary use of intraoperative imaging in glioma surgery: A survey among EANS members. Clinical Neurology and Neurosurgery 163m 133-141 (2017).
(2) https://www.fda.gov/radiation-emitting-products/medical-imaging/ultrasound-imaging
(3) Mahboob S and Eljamel M. Intraoperative image-guided surgery in neuro-oncology with specific focus on high-grade gliomas. Future Oncology 13 (26) (2017).

DISCOVER THE NEW 

REAL-TIME VISUALIZATION HAS NEVER LOOKED THIS GOOD

Surgical Visualization and Guidance Systems

  • Enhanced Visualization: Improved algorithms for greater details around lesion borders, and automated high-resolution image settings.
  • Monitor Progress: Compare live images with previous scans simultaneously using Dual Live Compare, Picture in Picture, or Stored Image Compare.
  • Neurosurgeon Control: Remote control and Smart Button™ on sterilizable transducers allow neurosurgeon control of the image in the sterile field.
  • Simple and Customizable UI: Intuitively simple, Tru-Sense™ touch screen with customized user profiles for Basic to Advanced usage.
  • Adjustable Monitor: View images in portrait or landscape orientation, with monitor on an extendable, flexible arm for small spaces.
  • On-Demand Videos: Instructional videos on the system to quickly refresh on image orientation and needle guide assembly.

 

View System

  • Neurosurgeon Controlled: Sterilizable remote control for convenient operation of the system in the sterile field.
  • Small Footprint: Scanner design integrates seamlessly into the OR.
  • Simple & Easy to Use: Intuitive keyboard design.


View System

* Disclaimers
The Minimally Invasive Transducer N20P6 has not been licensed by Health Canada or CE-marked; N20P6 is compatible with bkActiv and bk5000 software version 5.16.2 and higher.
The Minimally Invasive Transducer N20P6 is compatible with NICO BrainPath® (diameters 11-13.5 mm; lengths 50-95 mm), Vycor ViewSite™ Brain Access System (widths: 12-28 mm; heights: 8-20mm; lengths: 3-7cm), and Neuroendoport® (diameters greater than 13 mm; lengths: 5.5-8.5 cm).
Use of the Hockey Stick Transducer X18L5s for intraoperative (neuro) has not been CE-marked.

bkActiv is not available in all countries. Ask your local representative about your options.

Burr-Hole Transducer (N11C5s) has been cleared for adults and children (>2 - 12 years)

EXCLUSIVE DIGITAL INTEGRATION WITH BRAINLAB

Surgical Visualization and Guidance’s active imaging solutions combined with Brainlab Navigation can be a powerful tool to provide critical information that helps neurosurgeons navigate procedures.

Brainlab Ultrasound Navigation Software provides updated images for navigation and enables real-time overlay of ultrasound imaging on preoperative MRI/CT, providing immediate information about brain shift. The digital transmission ensures no loss of ultrasound image quality.

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