NAVIGATE WITH EASE

The Cube Navigation System simplifies CT-guided interventions  - even for double oblique access routes

Our smart navigation solution for image guided interventions using thin instruments is revolutionizing how those procedures can be performed - improving accuracy and efficiency with an easy to use and adopt solution.

 

HOW WE REVOLUTIONIZE IMAGE GUIDED INTERVENTIONS

Image guided navigation of thin instruments is commonly done in a trial & error free-hand fashion, yet accuracy of needle placement is a critical step for the success of image-guided percutaneous interventions. Inaccurate needle placement can lead to prolonged procedures, unwarranted radiation exposure due to additional control scans, adverse events, or failures such as non-diagnostic biopsy samples or insufficient treatment.

The Medical Templates Cube Navigation System (CNS) provides radiologists guidance for such procedures. It combines an intelligent planning software with a single use, sterile guidance device. A simple, revolutionary solution for image guided interventions – currently works with any CT, soon also with C-arms and other imaging modalities.

WHY USE THE CUBE NAVIGATION SYSTEM

INCREASE ACCURACY

Accurate needle placement means shorter procedures, less risk of complications, adverse events and successful treatments. Using the CNS has shown improved accuracy for both single and double oblique access routes. Read more

IMPROVE EFFICIENCY

With no setup or calibration time, using the CNS doesn't add any additional time to a procedure. In fact, studies have shown that the overall procedure time can be substantially reduced by 15-45% using the CNS with the Puncture/Access Cube. Furthermore, procedure time becomes more plannable making CT scheduling easier. Read more

REDUCE # OF SCANS

Inaccurate needle placement can lead to unwarranted radiation exposure. Studies have shown that using the CNS can reduce the number of control scans by improving accuracy of an intervention, especially for complex and double oblique punctures. Read more

CONVINCING RESULTS

RESULT

  • Use of CNS vs. conventional free-hand procedure resulted in a statistically significantly improved accuracy (3.4 mm ± 2.3 mm versus FHM 4.9 mm ± 3.2 mm)
     

  • Overall lower intervention time (168 s ± 28.5 s versus FHM 200 s ± 44.8 s)
     

  • Number of CT scans was reduced 2.3 versus FHM 2.8

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PHANTOM STUDY SUMMARY

  • Freehand vs. CNS with Puncture Cube - 72 Punctures, 36 per method

  • Single & double oblique targets at 5 & 10 cm depth

  • Variables: Error - distance to target; Time - total procedure time; Number of control scans

Mokry, A., Willmitzer, F., Hostettler, R. et al. Evaluation of a novel, patient-mounted system for CT-guided needle navigation—an ex vivo study. Neuroradiology 61, 55–61 (2019)

APPLICATION AREAS OF THE CUBE NAVIGATION SYSTEM (CNS)

PAIN THERAPY

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In pain treatment, hitting the target perfectly to inject the drug is paramount. The CNS with the Puncture Cube helps you to deliver with precision: faster, with fewer control scans and more consistent results.

NEEDLE BIOPSIES

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For a successful needle biopsy, reaching the target site – be it a lesion or nodule – is key for a correct diagnosis and effective treatment. The CNS in combination with the Access Cube not only helps to navigate the needle with millimeter precision, but also holds it in place once it is inserted. And because double oblique access paths are just as easy, you can really choose the access that is best for the patient.

INTERVENTIONAL ONCOLOGY

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Be it RF & microwave ablations, cryotherapy, laser induced thermotherapy, irreversible electroporation or vertebroplasties – the CNS with the Access Cube which supports thin instruments between 10-20G helps to get the tools to the target site and keep them there during the procedure.

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