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IV2
IV2 is a comprehensive surgical navigation system for ENT surgery. Using advanced technology and a high-precision CCD camera in the visible spectrum, it provides more accurate and reliable navigation during surgery.
Key Features
- Standalone planning station with full capabilities
- Compact design with high maneuverability
- Easy positioning of the surgeon's dedicated display
- Wide surgical coverage with long adjustable arms
Applications
ENT Applications
Like skull surgeries, ENT procedures require high precision to navigate very narrow pathways and cavities in this region. The navigation system in ENT can be used for:
- Sinus surgery
- Cyst and polyp removal
- Optic nerve decompression
Specifications
Image Data Transfer & Management
- Support for DICOM datasets including CT, MR, and PET
- Import from CD, DVD, and memory stick
- Review dataset tree structure
- Preview image data before loading
- Correct patient demographics that may be incorrectly recorded in DICOM images
- Automatic detection of dataset issues
- Automatic compatibility check for navigation requirements
- Determine medical image orientation from DICOM headers
- Correct image data orientation
- Add a new dataset to a patient record intraoperatively

Visualization
- Easy imaging tools: zoom, rotate, and pan
- Window level, transparency, color coding, and related adjustments
- Full-screen image display
- Graphical patient orientation indicator
- Auto-hiding toolbars for maximum screen area
- Distance measurement

Image-to-Image Fusion
- Automatic fusion across SPECT, PET, CT, and MR (T1, T2, MRA)
- Manual refinement using anatomical landmarks
- Free manual adjustment by comparing two images
- Build volumetric models from fused images
- Adjust color and transparency of fused layers
- Combine fusion methods to achieve the best result

Segmentation & 3D Reconstruction
- Automatic bone and skin segmentation from CT
- Easy semi-automatic segmentation of selected regions
- Color-coded display of segmented structures
- Individual color and transparency control per structure
- Specify VOI in 3D for segmentation
- Fast 3D reconstruction
- Standard 2D cross-section views from the 3D model
- Define critical anatomical regions for surgical alerts
- Automatic volume calculation of segmented regions

Composite Modeling
- Fast overlay of fused data and 3D models from various formats
- Individual opacity control per composite section
- Automatic validity check of composite models
- Automatic composite correction from updated fusion results
- Create multiple composite models

Surgical Planning
- Preoperative surgical simulation in a virtual environment
- Set and refine target and entry points on 2D images or 3D models
- Adjust visualization parameters such as color and opacity

Tracking Camera & Tools
- Wide field of view
- Automatic tool detection and validation
- Easy calibration and tool accuracy assessment
- Deactivate and reactivate individual tools
- Ergonomic instruments for surgical maneuvering
Registration
- Minimal-invasive registration workflow
- Automatic landmark suggestions by surgical region
- Manual landmark selection with 2D/3D position refinement
- Display landmark error in 2D and 3D for registration refinement
- Automatic landmark capture
- Automatic evaluation of newly selected landmarks
- Surface registration for higher accuracy
- Edit surface points to refine surface registration
- Report final registration error

Navigation
- Display tool orientation and tip in 2D and 3D
- Define check points for intraoperative registration verification
- Dynamic 3D model based on tooltip position
- Detect and compensate camera or patient displacement
- Concurrent endoscope and microscope video during navigation
- Freeze images for imaging, measurement, and other operations
- Display fused images in 2D and 3D
- Audio-visual alerts when tracker loses reference or tools
- Alerts when approaching predefined critical regions
- Intraoperative simulation with virtual tool tip
- Real-time distance between targets and tooltip
- Auto-measure distance from tooltip to arbitrary points
- 3D distance measurement
- Review medical images during navigation
- Automatic full-screen mode
- Auto-snapshot of surgeon-defined views

Accessories
- Registration tool
- Main pointer
- Headband
- Reference
- 45° detachable tool adapter
- Calibrator tool
- Straight detachable tool adapter
- 90° detachable tool adapter
- Marker 1
- Marker 2
- Sterilization and transport case

