DGNC 2025

The Robotic Suite creates an ecosystem of accuracy at every step of the surgical workflow by leveraging versatile software to combine three Brainlab products with state-of-the-art modalities: high resolution robotic imaging from Loop-X mobile imaging robot, data processing and precise navigation with Curve Navigation, and automated, stable surgical support with Cirq®, the next-generation robotic arm. 

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.

Rethink how you get there. 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. 

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. 

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. 

¹Not yet commercially available in several countries. 

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.  

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

We’re introducing our all-new Microscope Navigation¹—now fully integrated with the latest systems from Leica Microsystems and Carl Zeiss Meditec AG. Seamlessly navigate your ZEISS KINEVO® 900 S, the latest robotic visualization system, ZEISS PENTERO® 800 S, the reimagined advanced visualization system, and Leica ARveo 8, the digital visualization microscope featuring MyVeo, the all-in-one headset for immersive surgical visualization. All integrations support both cranial and spinal workflows.

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

¹Not yet commercially available. 

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: Forget everything you know about intraoperative ultrasound: Gain valuable real-time insights through the right orientation and 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. 

The AVALANCHE® PLUS neuromonitoring system by Langer Medical is setting new standards in terms of functionality, modularity and user-friendliness, while also bringing design and style into the operating theatre.

Its mindfully crafted User Interface can significantly streamline the user workflow by facilitating specific needs and tasks as efficient as possible, ultimately benefiting both healthcare professionals and their patients.

AVALANCHE® PLUS provides all the relevant IONM modalities, such as EMG, MEP, SEP, SEP Phase Reversal, EEG, D-Wave etc., enabling a unique approach to intraoperative neuromonitoring for every modern neuro and spine surgery clinic.

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.³

Get excited for a sneak peek at the new NBS 6 system⁴—featuring an all-new software experience with enhanced user guidance and a workflow-centric approach.

¹Vucic 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 

²Krieg 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 

³Vucic 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   

⁴Not yet commercially available