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PathFinder - frameless stereotactic precision

PathFinder is redefining stereotactic neurosurgery
Key Features & Benefits
More Precise Targeting of Intracranial lesions
Simpler and Quicker, without a frame
Critical Procedures become Routine
Improved Efficiencies, not just in the O.R.
Benefits in a Wide Range of Procedures
Easy to Live With
Frequently Asked Questions
More Precise Targeting of Intracranial lesions
PathFinder uses the exact localising capabilities of high resolution medical imaging (CT, MRI) to achieve the precise targeting of intracranial lesions. PathFinder aligns tools with one or more skull entry points to intracranial targets defined by the surgeon. PathFinder can position a stereotactic probe to an accuracy of better than 1mm, and without the need to fit a cumbersome frame.
Pathfinder
PathFinder Brochure
PathFinder DataSheet
Pathfinder Technical Specification Sheet
Papers
M. S. Eljamel et al. 2007. (1)
M. S. Eljamel et al. 2006. (2)
M. S. Eljamel et al. 2006. (3)
M. S. Eljamel et al. 2006. (4)
P.S Morgan et al. 2004.
G. Sivakumar et al. 2005.
P.S Morgan et al. 2003.
P.A Finlay. 2001.
Latest News
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September 8th 2008
FreeHand robotic camera holder to be named as Innovation of the Year at SLS congress
August 21st 2008
Surgical robotics company Prosurgics hires President and establishes US organization
 
   
   

Simpler and Quicker, without a frame
PathFinder uses a simple system of Fiducial Markers attached to the patient’s head; completely removing the need to fit a stereotactic frame. Intelligent Registration automatically registers the patient to their scan. Intelligent Registration will be completed in less than two minutes, saving a typical frame fitting and set up time of one hour plus!
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Critical Procedures become Routine
The superior accuracy and guaranteed repeatability of PathFinder provides new confidence when performing procedures where gold-standard accuracy is required. From delicate biopsies to depth electrode implantation, PathFinder will lead the way.
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Improved Efficiencies, not just in the O.R.
PathFinder saves time by removing the need to fit a frame for stereotaxy. Saving time allows you to do more, providing benefits to additional patients and financial benefits to the hospital. PathFinder simplifies patient preparation, and can result in marked improvements in the efficiency of scanner usage.
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Benefits in a Wide Range of Procedures
PathFinder can be used whenever stereotactic positioning is required. Tumour biopsies with superior accuracy, but in a fraction of the time. Functional neurosurgery and leading-edge developments such as gene-therapy will all be enabled by PathFinder.
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Easy to Live With
PathFinder has been designed in conjunction with leading neurosurgeons to be simple to use and quick to learn. PathFinder is affordable for your institution, accommodating your existing instruments, and with minimising running costs.
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Frequently Asked Questions
What procedures are suitable for using PathFinder?
My department already has a surgical navigation system for neurosurgery, why would I want PathFinder?
I am very familiar with using my existing surgical planning system. Can I continue to use this with PathFinder?
What method is used by PathFinder to co-register the patient to the medical image?
How will PathFinder interface with our imaging system?
Will PathFinder work with my existing stereotactic instruments, operating table, etc?
We have a number of operating rooms used for neurosurgery. How easy is it to move PathFinder between them?
How does PathFinder maintain sterility in the surgical field?
What regulatory approvals apply to the PathFinder?
What are the running costs of the product, are there consumables involved?
What is the warranty duration on PathFinder?
Does the system require regular maintenance?

What procedures are suitable for using PathFinder?
PathFinder is an image-guided neurosurgical localiser for use in stereotactic neurosurgical procedures. All operations where a frame is presently used are potentially suitable for PathFinder. Initial experience with PathFinder has focused on stereotactic biopsies, but the superior accuracy, repeatability and convenience of this system are expected to provide significant benefits in more complex procedures including functional neurosurgery

My department already has a surgical navigation system for neurosurgery, why would I want PathFinder?
Surgical navigation systems provide significant benefits to surgeons in their ability to plan procedures with great accuracy and identifying the positions of instruments during the procedure, without using a frame. However, most surgeons acknowledge that the accuracy provided by such systems is less than that achievable with a stereotactic frame. The precision when using such a system is still largely dependent on the hand-eye-coordination of the surgeon. PathFinder extends image-guided surgery to its next stage in evolution, by directly linking the medical image to PathFinder, the full resolution and accuracy of the medical image is available at the patient. So PathFinder provides the same accuracy and certainty as a frame, but with all the convenience and flexibility of frameless surgery.

I am very familiar with using my existing surgical planning system. Can I continue to use this with PathFinder?
The PathFinder system incorporates the PathPlan surgical planning application which will allow you to plan multiple intra-cranial targets and associated entry-points. Presently this application must be used to create the operative plan for use with PathFinder. As a future option it is hoped to include an interfacing capability to widely used 3rd party surgical planning systems.

What method is used by PathFinder to co-register the patient to the medical image?
PathFinder uses Prosurgics' patent method of Intelligent Registration. A small number of skin-markers are attached to the head prior to imaging and are automatically detected by the PathPlan software. The PathFinder robot has a permanently mounted camera in its wrist which then locates these same markers in 3-D space during the registration process at the start of the operation. Registration takes less than 2 minutes, and does not require any active involvement from the surgeon. It is this unique process that enables PathFinder to achieve excellent standards of accuracy.

How will PathFinder interface with our imaging system?
PathFinder accepts medical images (CT or MRI) in DICOM format, so can interface with the vast majority of current systems. Network your system, or import scans via CD or DVD, the choice is yours.

Will PathFinder work with my existing stereotactic instruments, operating table, etc?
PathFinder is a standalone system and has been designed to interface with current head-fixation systems and operating tables. The end-effector will hold standard stereotactic tools, e.g. a guide cannula, so investment in new instruments will not be required.

We have a number of operating rooms used for neurosurgery. How easy is it to move PathFinder between them?
Because the system is free-standing, one person can easily wheel it between operating rooms.

How does PathFinder maintain sterility in the surgical field?
The PathFinder end-effector is detachable and should be sterilised along with your other surgical instruments. The robot arm should be covered with the single-use drape supplied.

What regulatory approvals apply to the PathFinder?
The CE mark affixed to PathFinder indicates compliance with the Medical Devices Directive 93/42/EEC. FDA 510(k) clearance for the USA has been received. Please check with Prosurgics or your local distributor for the regulatory position in your country.

What are the running costs of the product, are there consumables involved?
The running costs of PathFinder are small. The only per-patient consumable items required are a set of single-use Fiducial Markers, and the drape for the arm. Please check with Prosurgics or your local distributor for current pricing.

What is the warranty duration on PathFinder?
PathFinder is supplied with a parts and labour warranty with a minimum of 12 months duration. Please check with Prosurgics or your local distributor for the terms of warranty applicable in your country. We recommend that you protect your investment by purchasing one of our Extended Warranty packages at time of purchasing your system.

Does the system require regular maintenance?
To ensure the safe and reliable operation of your PathFinder, your system should be inspected by an accredited Prosurgics Service Agent twice per year.


 

 

 

 

 

 

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