Microscope Navigation


Redefining how surgeons experience navigation data.


Microscope Navigation Software
Microscope Integration with Neuronavigation

Freedom of Choice

The way microscopes are used in the O.R. is in transition: Brainlab accommodates neurosurgeons’ needs in both the traditional approach of looking through the ocular as well as the more recent utilization of exoscope video images displayed on a dedicated screen. Reflective markers attached to the microscope enable visual tracking of optical axis and focal point. Combined with the new robotic capabilities of microscopes, navigation now plays an indispensable role in performing state-of-the-art surgeries. 

  • Auto-detection of connected microscope minimizes setup effort
  • Support of all major vendors of neurosurgery microscopes
  • Seamless integration with Brainlab Cranial Navigation software
Augmented visualization of planned structures including eloquent fiber tract information


Augmented reality has become an essential technology in neurosurgery. Microscope Navigation visualizes the planned surgical target and surrounding structures as semi-transparent volumes mixed with the anatomy seen, providing better spatial orientation throughout the procedure. Touch-based rotation of the displayed 2D video image or Probe’s Eye reconstruction reveals underlying structures in 3D for more anatomical insight.

  • Immediate Maximum Intensity Projection (MIP) for more vascular detail
  • Virtual 360° Target view improves assessment of critical areas, e.g. aneurysm
  • Visualization of eloquent fiber tract information
Detection of anatomy shift

Maintain accuracy

In order to maintain navigation accuracy, especially after craniotomy, anatomy shift can now be visualized by comparing vessels on the cortex with their corresponding MIP¹. Patient registration is then updated through touch-based matching of vessels and MIP on the navigation screen.

  • Correct initial patient registration based on anatomical landmarks
  • Adjustable windowing to ensure clear MIP
  • Repeated update possible whenever required and feasible
PiP visualization of navigation views in the ocular


Microscope Navigation not only displays relevant information on the navigation screen, but also injects this data directly into the ocular, providing surgeons meaningful context without distracting from the surgical situation.

  • Augmented visualization supports approach planning and spatial orientation
  • Picture-in-Picture navigation views contribute to more ergonomic viewing
  • Navigation remote control via microscope hand grip
Robotic alignment of microscope to a navigated instrument


Using the microscope should always be ergonomic, efficient and ideally hands-free. Microscope Navigation supports the robotic alignment to any navigated instrument. With the microscope moving autonomously – starting at any position until it reaches its new position with center and focus on the navigated tool – surgeons no longer need to re-align the microscope by hand.

  • Full robotic alignment in six degrees of freedom³
  • Automatic alignment to a point, trajectory, or any navigated instrument
  • Smart Autofocus on navigated instrument tip


FDA clearance pending.


Commercial availability pending.


Available for select microscopes.