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Cirq for Cranial Biopsies

Streamline your
biopsy workflow

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Cirq for Cranial Biopsies

Streamline your biopsy workflow

Get in touch

Cirq® is a robotic surgical system designed to assist surgeons precisely when and where support is needed. For cranial biopsies, the Cirq Robotic Alignment Module automatically aligns to patient-specific trajectories to guide tracked biopsy instruments and can thereby support increased patient comfort compared to frame-based cranial biopsy procedures.

Cirq® is a robotic surgical system designed to assist surgeons precisely when and where support is needed. For cranial biopsies, the Cirq Robotic Alignment Module automatically aligns to patient-specific trajectories to guide tracked biopsy instruments and can thereby support increased patient comfort compared to frame-based cranial biopsy procedures.

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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 in 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.

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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.

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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.

“The Cirq robotic alignment system, combined with bone screw fiducial registration, provides a safe and highly accurate method for brain tumor biopsies in children.”

– Neuro Oncol. 2022

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Interchange modules for more flexibility

The future of robotic surgery is modular. With its interchangeable modules, Cirq is a highly adaptable and versatile robotic surgical system.

Kinematic Unit

Precisely translates motor movement of Cirq Robotic Alignment Module with zero mechanical backlash

Cirq Robotic Alignment Module

Application specific, interchangeable module that enables precise robotic alignment to preplanned trajectories

Tracking array 

Highly accurate tracking array with locking mechanisms for rotational and longitudinal movement of guide tube

Bone anchor

Fixates trajectory based on patient anatomy. Locking mechanism stabilizes biopsy needle when taking a tissue sample.

Biopsy needle

Pre-calibrated biopsy needle for navigated tumor sample extraction in cranial biopsies

Product Features

Maximizing the potential of stereotaxy for cranial biopsies

Cranial biopsies require a high level of accuracy to reach the intended target while sparing surrounding critical structures in the brain. Stereotaxy is a tool that can be used to guide instruments accurately to a preplanned trajectory while keeping the incisions small. However, stereotactic devices can require a lot of expertise and manual steps to set the instrument guide to the preplanned trajectory.

As a robotic surgical assistant, Cirq addresses the challenges in cranial biopsies through the combination of advanced planning features, accurate registration options and real-time optical tracking to facilitate precise stereotactic procedures.

More than just positioning guidance

Real time tracking of the Biopsy Needle allows for constant visualization of the cutting window’s position to ensure full control of the sample collection. Acquiring the position of the sample can add valuable information for the histology or during the resection.

However, the Brainlab navigation software and Cirq work in tandem to not only provide trajectory-based positioning guidance, but also to perform the last, most critical alignment step with robotic accuracy.

Touch-based rotation of microscope views to reveal more anatomical detail

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Product Features

Outlining of pathological structure in the brain

Set the right depth, secure the right position

Setting the right depth for the drill stop is crucial to ensure safe drilling. The Bone Overlay and Bone Ruler 1 intuitively display the required information at the right time in the workflow. Then, the smart in-line measurement bone ruler helps users set the right drill depth.

After that, the bone anchor fixates the biopsy needle in relation to patients’ anatomy and locks it in place during sample collection.

Automatic assistance anytime, anywhere

As a slim and modular robotic platform, Cirq fits into almost any operating room allowing surgeons to leverage the advantages of robotics for all kinds of procedures – standard to complex. The system attaches easily to most O.R. tables and accommodates multiple imaging devices.

Touch-based rotation of microscope views to reveal more anatomical detail

Robotics for
every surgery patient

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Robotics for
every surgery patient

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See where else Cirq fits into surgery

Cranial Planning
Software modules serving multiple clinical specialties
Learn more
Cranial Navigation Application
Cranial Navigation
Detailed Visualization. Intuitive Control.
Learn more
Robotic Suite
Accuracy in Every Step
Learn more

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Feature not yet commercially available in several countries. Please contact your sales representative.

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