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Microscope Navigation

Seamless viewing.
Improved ergonomics.

Watch video Contact us

Microscope Navigation

Seamless viewing. Improved ergonomics.

Watch video Contact us

Redefining how surgeons experience navigation data

Seamless integration with Brainlab Cranial and Spine Navigation software

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
  • Seamless integration with Brainlab Cranial and Spine Navigation software
  • Support of all major vendors of surgical microscopes

See the Essential

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
Touch-based rotation of microscope views to reveal more anatomical detail
Visualization of anatomy shift by comparing vessels on the cortex with their corresponding MIP

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 MIP. 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 updates possible whenever required and feasible

Uninterrupted Viewing

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
Display of relevant information on navigation screen and in ocular
Navigation controlled robotic positioning allows ergonomic and hands-free use of the microscope

Navigation-Controlled Robotic Movement

Using a microscope should always be ergonomic, efficient and ideally handsfree. Microscope Navigation supports autonomous, full robotic alignment to any navigated instrument, planned trajectory or anatomical landmark, eliminating the need for surgeons to reposition the microscope by hand.

  • Full robotic alignment of microscope in six degrees of freedom with ZEISS KINEVO® 900
  • Auto-alignment to planned trajectory or navigated instrument axis (e.g. NICO BrainPath®)1
  • Robotic alignment in three degrees of freedom with e.g. HS 5-1000, Leica ARveo and Zeiss microscopes
  • Continuous repositioning according to defined anatomical landmark
  • Follow and focus on navigated instrument tip

Brainlab Microscope Navigation – Augmented Reality Visualizations

Product Integration Videos

Microscope Navigation with ZEISS KINEVO® 900 (3:44)

Microscope Navigation with Leica ARveo (3:10)

Explore clinical papers about Microscope Navigation

Clinical paper

Bopp et al. 2022

Investigates the capability of Microscope Navigation to evaluate intraoperative registration and navigation accuracy using AR-overlays of anatomical landmarks or cortical vascular structures.

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Clinical paper

Cabrilo et al. 2015

Case report on the application of augmented reality in bypass surgery to optimize workflow efficiency and facilitate minimally invasive procedures by superimposing essential anatomical information into the surgical field.

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Clinical literature library

Scientific validation of Microscope Navigation

Discover more publications about the techniques, clinical utility and benefits of Brainlab Microscope Navigation in cranial neurosurgery.

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Additional Information

Scientific One-Pager Microscope Navigation


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Available with ZEISS KINEVO® 900.