Brochure : neuroguide DBS electrode delivery system
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apply innovation DBS electrode delivery system

Table of contents neuro guide  DBS electrode delivery system Precision, efficiency and safety Delivering precision in neurosurgery

neuro | guide™ DBS electrode delivery system Aiming high Renishaw’s neuroguide system allows you to implant and guide DBS electrodes to targeted anatomy within the brain. Using MRI, the target position can be verified to reduce the effects of brain shift on placement accuracy.2 neuroguide with the Elekta AB Leksell elements neuroguide can be integrated into your existing practice, used in combination with or instead of microelectrode recording. By requiring fewer trajectories through the approximate target volume, surgery times and the risk of haemorrhage are both reduced. In the event of a...

“The neuroguide system allows for accurate and safe DBS implantation. It provides clear verification of DBS implant position with minimal artefact, reduces operative time and haemorrhage risk, and in the event of a revision allows for re-insertion without having to repeat the stereotactic procedure.” Julian Evans Consultant Neurosurgeon, Salford Royal Hospital, UK

Precision, efficiency and safety More accurate A safe track record Perioperative verification Robust lead fixation Less invasive Faster surgery The rigid neuroguide rod ensures that the guide tube passes through the brain tissue without deflection, thereby reducing the risk of minor displacements of deep brain stimulation (DBS) leads from the target position.2 Using neuroguide, the reported haemorrhage rate for DBS is only 0.4%.1 It is known that when scanning DBS electrodes using a 3T MRI scanner, image distortion5 and localised heating around the electrode can occur. Using the neuroguide...

Transventricular routes Less invasive Non-stereotactic revisions The neuroguide technique ensures a straight trajectory during transventricular passage - e.g. periventricular gray (PVG) or elongated brainstem areas such as the pedunculopontine nucleus (PPN) - thus broadening surgical access routes.8 Implantation under general anaesthesia may reduce patient stress and lead to a more efficient procedure. The patient does not need to be subjected to the distress and pain associated with long awake surgeries for DBS.9 The implantation of a permanent guide tube bonded to the skull enables...

Delivering precision in neurosurgery Implant procedure In preparation for surgery, the patient is fitted with a frame under general anaesthesia. Stereotactic planning is carried out using your preferred planning method. Using the guide rod, a track is created to the target site. The neuroguide tube is then advanced into the brain along the guide rod. The guide rod is removed and the stylette introduced up to the surgical target. A perioperative MRI or CT scan is then performed to confirm the correct placement of the guide tube. The stylette is removed from the guide tube and replaced with a...

Advancing medicine through innovative technologies neuro | inspire™ - surgical planning software Renishaw is applying precision engineering technology to the challenges of functional neurosurgery. Our aim is to help leading clinicians to enhance the safety and cost-effectiveness of their procedures, improving patient outcomes through accurate delivery of implantable devices.11,12,13 neuro | mate® - stereotactic robot DIXI medical

Zrinzo LU, Hulzen ALJ van, Gorgulho AA, et al. Avoiding the ventricle: a simple step to improve accuracy of anatomical targeting during deep brain stimulation. Journal of neurosurgery. 2009;110(6):1283-90. Available at: http://www.ncbi.nlm.nih.gov/ pubmed/19301961. Daniluk S, Davies KG, Novak P, et al. Isolation of the brain-related factor of the error between intended and achieved position of deep brain stimulation electrodes implanted into the subthalamic nucleus for the treatment of Parkinson’s disease. Neurosurgery. 2009;64(5 Suppl 2):374-82; discussion 382-4. Available at: http://...

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