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Interventional radiologist planning a double-oblique spinal puncture using the CT-navigation system from Medical Templates

NAVIGATE WITH EASE

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

Our smart navigation solution revolutionizes how complex procedures can be performed- improving accuracy and efficiency with an easy-to-use and adopt solution.

SIMPLE, YET EFFECTIVE CT-NAVIGATION

The CT-navigation system from Medical Templates which consists of an Access or Puncture Cube and CT planning software, designed for Interventional radiologist who perform double-oblique spinal puncture, ablations, or needle biopsies

CT-navigated interventions are commonly done free-hand, yet accuracy of needle placement is critical for their success.

Inaccurate needle placement can lead to prolonged procedures, excessive radiation exposure, adverse events, or failures such as non-diagnostic biopsy samples or insufficient treatment.

The Cube Navigation System (CNS) provides radiologists with simple, reliable guidance. It combines intelligent planning software with a single use, sterile navigation device.

 

A revolutionary solution for image guided interventions – compatible with all CT modalities.

WHY USE THE CUBE NAVIGATION SYSTEM?

INCREASE ACCURACY

Accurate needle placement means shorter procedures, less risk of complications and adverse events, and more successful treatments. Use of the CNS has demonstrated 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% when using the CNS with the Puncture or Access Cube. Furthermore, procedure time less variable, making CT scheduling easier. Read more

FEWER 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 the accuracy of an intervention, especially for complex and double oblique punctures. Read more

CONVINCING RESULTS

  • First punctures performed with the CNS were more than 4x closer to the target (2.5mm ± 1.2mm vs. FHM 12.1mm vs. 7.7mm)

  • Final puncture locations were significantly more accurate (3.8mm ± 1.3mm vs. FHM 6.7mm ± 4.5mm, p=0.004)

  • Punctures required significantly less time (263.1 s ± 84.4 s vs. FHM 411.2 s ± 141.0 s) and needed only half the control scans (1.4± 0.6 vs. FHM 2.8±0.4, p<0.001)

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PHANTOM STUDY SUMMARY

  • Free-hand method (FHM) vs. CNS with Access Cube - 60 punctures, 24 per method with an additional 12 punctures using the Access Cube on a non-rigid phantom

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

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

Krammer, L., et al. (2022). The Access Cube: evaluation of a novel, patient-mounted system for CT-guided punctures - a phantom study. Presented at CIRSE Annual Conference, 2022, Barcelona, Spain.

APPLICATION AREAS

PAIN THERAPY

Icon of a a needle being percutaneously injected to provide pain therapy

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.  Compatible with needles 18-22G.

NEEDLE BIOPSIES

An icon of an oncology biopsy needle

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 choose the access that is best for the patient.

INTERVENTIONAL ONCOLOGY

An icon of a minimally-invasive instrument ablating a tumor

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

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