CNS 2025

See our brand-new integration with ZEISS PENTERO® 800 S and ZEISS KINEVO® 900 S, the newest Robotic Visualization System from ZEISS.   

Microscope Navigation for cranial and spinal procedures brings patient data directly into view—supporting surgical accuracy through real-time, in-line visualization. Integrated augmented reality in the microscope’s optical path provides visual context to aid intraoperative decisions, adapt to anatomical changes and maintain procedural focus. 

Experience unique augmented reality views, navigation-controlled robotics and the possibility to correct registration errors with our exclusive Navigation Update feature.  

Both integrations are available for cranial and spinal workflows.  

Signature precision meets surgical experience with Spine Mixed Reality Navigation. We’re combining the reliability and precision of our established optical navigation system with advanced mixed reality. You’ll benefit from enhanced visualization, improved hand-eye coordination and optimized ergonomics. Innovate and elevate your practice with visualization beyond reality. 

Redefine accuracy, elevate outcomes. Experience a paradigm shift in surgical precision with the Brainlab Robotic Suite, an innovative trio engineered to optimize every phase of surgery. This integrated ecosystem of Loop-X, Curve Navigation System and Cirq®, addresses accuracy requirements at every step – ensuring efficient workflows, reducing complexity and maximizing marginal gains for better outcomes during surgical procedures.  

Now FDA-cleared, Cirq® expands its capabilities to support robotic-assisted alignment and trajectory planning for laser interstitial thermal therapy (LITT¹). Designed to work within the Brainlab ecosystem, Cirq® digitizes and integrates the entire process—from planning to execution, from diagnosis to therapy.  

Why it matters?  

• New compatibility with Monteris NeuroBlate®  

• Biopsy & LITT in a single streamlined workflow  

• Real-time tracking & precise guide tube alignment  

• Robotic-assisted accuracy within an integrated ecosystem  

 Don’t miss your chance to see Cirq® in action! 

¹ Litt application is only available in the United States.

Accurate alignment to the right trajectories: Cirq® boosts alignment accuracy as software visually guides users toward the region of interest. Before the surgery, Elements Trajectory Planning supports defining the right trajectories. During the procedure, real-time visualization of the biopsy window guides surgeons toward the predefined biopsy target. Other trajectories can also be acquired using a virtual instrument offset.  

Consistent stability and precision: The custom drill guide helps keep incisions minimally invasive while the dedicated biopsy anchor for the skull adds stability to the frameless setup. Cirq® can also track pre-calibrated biopsy needle insertion and biopsy positions can be saved with a simple click of a button.  

Seamless integration with navigation-ready instruments: With navigation-ready instruments, Cirq® is designed to seamlessly integrate into Brainlab planning and cranial navigation solutions as well as new and existing workflows. These features maximize its utility during biopsy workflows and beyond.  

A whole new dimension. In real time. At any time. We’re delivering innovative, science-backed technology to help surgeons achieve their goal of maximum safe resection, even if brain shift or other navigational inaccuracies occur.   

Real-time correlation of intraoperative ultrasound and pre-op MRI: Gain valuable insights through instantaneous correlation between ultrasound and familiar pre-op MRI images.  

Precision and confidence in navigating cranial resection challenges: Gain the navigational accuracy you need to address the greatest challenges in cranial resection: visualization of and compensation for brain shift, achievement of maximum safe resection and identification of residual tumor.  

Efficient intraoperative imaging without workflow interruption: Take advantage of our cost-effective, fast and straightforward intraoperative imaging technology that will not interrupt your workflow.  

Ultrasound Snap to MRI allows you to quickly realign preoperative MRI with intraoperative ultrasound, maintaining neuronavigation accuracy—even as anatomy shifts. This seamless workflow helps you correct registration errors in real-time and maintain surgical accuracy. 

When navigating, distraction-free concentration is essential. Detailed visualizations are tailored to show only clinically-relevant data, allowing the surgeon to focus on what’s necessary for their work.   

Informed approach planning requires consolidated clinical data. Cranial Navigation summarizes relevant and detailed anatomical information in one dedicated view, helping surgeons identify the optimal craniotomy before making the incision.  

Origin Remote Control allows for fast and efficient control of the navigation system with a tablet at any time during the procedure.  

The Disposable Pre-calibrated Suction¹ combines the functionality of a classic suction and a navigated pointer into one unique instrument. Its ergonomic, lightweight design supports seamless navigation, especially under the microscope.  

Available with an outer tube diameter of 2.7 mm (Charr 8) and 4.0 mm (Charr 12) and lightweight construction (14 g or 18 g) for comfortable instrument handling. Materials do not contain natural rubber latex, making it suitable for surgeries on patients with latex allergies.  

¹ Not yet commercially available in several countries (FDA clearance available). 

Increase resection rates: Preoperative nTMS analysis, combined with nTMS-based fiber tracking, improves the delineation of safe resection limits, leading to increased gross total rection rates and the potential for extended progression-free survival.^1,2 

Improve clinical outcomes: Using nTMS mapping results as a region of interest facilitates function-based fiber tracking and may improve motor outcomes in tumor resections.^1,2 

Discover the power of Nexstim nTMS combined with Brainlab Elements for Cranial Planning! Check out our hands-on demo to see how they work together to improve outcomes and find out why nTMS is an essential technique in neurosurgery.  

¹ Vucic S. et al., Clinical diagnostic utility of transcranial magnetic stimulation in neurological disorders. Updated report of an IFCN committee. Clin Neurophysiol. 2023 Jun:150:131-175 

² Krieg S. et al., Preoperative motor mapping by navigated transcranial magnetic brain stimulation improves outcome for motor eloquent lesions. Neuro Oncol. first published online February 9, 2014 

Make informed decisions with advanced tracking¹: Take full advantage of research-grade probabilistic tractography in your clinical practice to identify multiple fiber directions like crossing and fanning fibers, as well as fibers that may be present in edema.  

Use tracking templates to expedite your planning: Choose from a selection of tracking templates, (e.g., IFOF¹, CST) that enable efficient, standardized and reproducible tracking of important white matter tracts in the regions of interest. 

¹ Not yet commercially available in several countries. CE mark and FDA clearance available. 

Receive a semi-automatic segmentation proposal of diagnosed cranial tumors and segment one or multiple primary brain tumors based on contrast-enhanced T1-weighted MR images powered by the Anatomical Patient Model.  

Detailed quantitative analysis of segmented tumors, including volume, shape and growth rate metrics, provided by Elements SmartBrush. 

¹ Not yet commercially available in several countries. CE mark and FDA clearance available. 

Learn how Brainlab  Elements offers advanced planning to ensure accuracy and precision at every step of your DBS, sEEG, and epilepsy resection workflows. From industry-leading image fusion, patient-specific general cranial and basal ganglia segmentation to automated 3D lead localization, Brainlab Elements is designed to ensure the highest level of precision in a situation where millimeters matter.  

With the latest version of Elements Fibertracking¹, we bring research-grade CSD-based probabilistic tractography into clinical practice. 

Experience functional robotics with the Brainlab  Cirq® robotic arm for sEEG and LITT. Visit us to learn how this automated robotic platform seamlessly integrates advanced Elements planning and visualization software into the surgical space. Compact and surgeon-controlled, Cirq® offers an efficient solution that utilizes intelligent software features to provide the accuracy you expect for functional neurosurgery while potentially reducing clinical setup time. 

¹ Not yet commercially available in several countries.  CE mark and FDA clearance available. 

Navigation and robotics have made it clear that screw planning is becoming a necessity and standard practice in spine surgery. With Elements Spine Planning, you can benefit from level detection throughout the complete spine, automated measurements on 2D, and automated screw planning from cervical to sacrum on 3D. The automated functions deliver results and information in seconds, potentially saving time in daily routines and increasing efficiency of entire clinical workflows from planning to logistics to intraoperative data management. Navigation Software Spine & Trauma is the cornerstone of our spine workflow and acts as a central data hub as it seamlessly switches between applications, enabling the versatile surgery setup with Cirq®, Alignment Software Spine and Loop-X mobile imaging robot. Navigation of interbody instruments enables surgeons to navigate every step of their workflow, beyond screw placement.  

Review plans for spine surgery in 3D. The Mixed Reality Viewer¹ is a software that works in tandem with Brainlab Elements to produce hyper-realistic 3D patient data. In the context of spine surgery, this software enables medical professionals to review planned surgical procedures as well as explore anatomical structures and planned implant positions. When it comes to neurosurgical procedures, mixed reality technology enables healthcare professionals to gain a better understanding of a patient’s brain—layer by layer. This includes gaining insights into the location of a deep-seated tumor and identifying critical surrounding anatomical structures like the optical nerve, brainstem and fiber tracts.

¹ Not yet commercially available in several countries.