NuVasive has announced the launch of its Pulse integrated technology platform. According to a press release, “Pulse is the first, single platform to include multiple technologies designed to help surgeons adopt more efficient, less disruptive surgical approaches in all spine procedures.”
Engineered to improve workflow, reduce variability and increase surgical reproducibility, “Pulse addresses a broader range of clinical challenges in the operating room (OR) compared to any other enabling technology in the spine market,” the release continues.
The Pulse platform combines neuromonitoring, surgical planning, rod bending, radiation reduction, imaging and navigation functions, with extensible capabilities to enable increased surgical efficiencies in the OR. These integrated technologies are designed to improve a surgeon’s ability to utilise minimally invasive surgery (MIS) techniques, which have been shown to reduce blood loss, hospital stays and result in less operative morbidity compared to open spine surgery.
“NuVasive’s Pulse platform provides an unmatched surgical experience due to its responsive and optimised workflow features,” said Juan Uribe, chief of the division of spinal disorders at Barrow Neurological Institute (Arizona, USA). “The benefits of the advanced navigation and imaging, coupled with neuromonitoring, allow for optimised outcomes for patients, while gaining impactful efficiencies for my OR staff and hospital system.”
NuVasive completed limited clinical release testing of the Pulse platform, providing initial validation that its structural design supports broad clinical utility throughout the entire surgery, and is useable in 100 percent of spine surgeries, from fusions to complex corrections. Its independent device access allows OR staff to simultaneously view the technologies’ imaging and insights in real time and in parallel. In addition, the open and modular architecture of the Pulse system allows for flexible technology packages.
“The Pulse platform is uniquely engineered to equip surgeons with a single platform of integrated technologies necessary to perform all spine surgeries, including minimally invasive approaches,” said J Christopher Barry, chief executive officer of NuVasive. “Pulse provides an intuitive surgeon experience by anticipating user needs and fusing these technologies to create a seamless, optimised OR workflow, while addressing a broad range of clinical challenges. This is a pivotal step in our strategic vision to deliver end-to-end solutions that enable predictable clinical and economic outcomes in spine surgery.”
Pulse platform hardware and software modules
The Pulse platform includes the following enabling technologies, with a modular architecture allowing surgeons and hospitals the flexibility to meet their needs in all spinal cases:
- 2D- and 3D-imaging and navigation: Image transferring for both 2D- and 3D-imaging that combines novel camera, array and workflow technologies to improve line of sight, ease of use and surgical efficiency in the OR. Through NuVasive’s Spine Precision Partnership with Siemens Healthineers, Pulse leverages the Cios Spin cutting-edge 3D mobile C-arm.
- Surgical planning with integrated global alignment (iGA): Preoperative planning software that incorporates alignment parameters, implant integration, surgical modeling and other tools to help create a reliable plan prior to stepping into the OR. iGA is the only system on the market able to intraoperatively assess the surgical approach and effects on spinal alignment through real-time insights.
- Neuromonitoring: Automated nerve detection system with standardized setup and clinically validated alerts that help reduce variability and allow for faster interpretation of neural information.
- Smart imaging with radiation reduction through LessRay: Imaging system designed to take low-quality, low-dose images and improve them to look like conventional full-dose images. LessRay significantly reduces exposure to radiation for everyone in the OR by as much as 80 percent compared to standard fluroscopy.1
- Rod Bending with Bendini: Spinal rod-bending technology used to create patient-specific rods, which are bent exactly to implant locations, expediting manual rod manipulation through computer-assisted bend instructions without leaving the OR.
The Pulse platform features extensible capabilities for robotics and smart tools and the company plans to unveil its spine robotics module at the North American Spine Society 2019 Annual Meeting (NASS; 25–28 September, Chicago, USA).
- Wang TY, Farber SH, Perkins SS, et al. Internally randomised control trial of radiation exposure using ultra-low radiation imaging versus traditional C-arm fluoroscopy for patients undergoing single-level minimally invasive transforaminal lumbar interbody fusion. Spine 2017;42(4);217-23.