Minimally invasive technologies are opening up new options in the field of neurosurgery, especially in the diagnosis and therapy of defects of the intracranial ventricles and the skull base. Endoscopes with different viewing angles allow a view of the anatomy of the brain, which is not possible with a microscope. The use of special endoscopes, with or without working channels, and dedicated micro instruments enable the surgeon to perform more advanced operative interventions. A wide variety of interventions can be performed by an entirely endoscopic procedure, e.g., the removal of intraventricular cysts or tumors or the creation of the transnasal access to the pituitary gland and the skull base. Another field of application is the so-called endoscopically assisted micro­neurosurgery which utilizes endoscopes to perform high-risk interventions in order to inspect areas that cannot be directly visualized and thus greatly enhances the safety of neurosurgical interventions. KARL STORZ offers a wide range of instruments for intracranial interventions as well as for approaches to and procedures in the skull base area, complemented with a special pediatric portfolio. The scope of products is rounded off with a high-speed motor system with a multitude of drill, craniotomy and perforator handpieces.

Multimodal Visualization – NIR/ICG Vascular Fluorescence Endoscopy in Neurosurgery

The KARL STORZ OPAL1® NIR/ICG technology enables live visualization of structural landmarks beneath the tissue surface, with no latency, using near-infrared (NIR) imaging to detect indocyanine green (ICG). Neurosurgeons may benefit from enhanced endoscopic visualization of patient anatomy using NIR to detect ICG distribution in tissue. This enables intraoperative evaluation of tissue perfusion and vascularization, identification of critical neurovascular structures, differentiation of tissue planes between lesions and adjacent structures, and visual assessment of vessels and blood flow. The 4 mm rigid NIR/ICG neuroendoscopes are available in 0°, 30° and 45° for visible white light (VIS) and NIR illumination and imaging.

LOTTA® System for Intracranial Neurosurgery

Special Features: - Two unique ventriculoscopes – sheath diameter 4.5 mm and 6.8 mm – for the entire range of endoscopic intracranial procedures - 6° angle of view for direct visual control of instruments after exiting the working channel - Perfectly coordinated instrument sets for LOTTA® and Little LOTTA® - A wide range of support features such as, for example, possibility of rotation in the sheath and instruments with length markings for controlled application

Visualization and Instruments for Keyhole Neurosurgery

- À la carte concept for efficient compilation of a customized instrument set - VITOM® 3D system – a revolutionary solution for the visualization of microsurgical and open surgical interventions - Angled 2D telescopes with thin diameters for space-saving keyhole neurosurgery - TIPCAM®1 S 3D NEURO – 3D endoscopy in 0° and 30° - Delicate and ergonomic single-sheath micro instruments with straight or bayonet-shaped design - Unique TAKE-APART® bipolar forceps with various inserts

Visualization and Instruments for Endonasal Skull Base Surgery

- À la carte concept for efficient compilation of a customized instrument set - Diverse 2D telescopes with different directions of view - TIPCAM®1 S 3D NEURO – 3D endoscopy in 0° and 30° - Continuous vision thanks to effective lens cleaning systems - Wide range of standard instruments such as curettes, dissectors, scissors, hooks and knives

UNIDRIVE® S III NEURO – Multifunctional High-Speed Motor System for Neuro and Spine Surgery

Special Features: - Continuously variable high-speed handpieces with up to 100,000 rpm - Wide range of specially developed handpieces and shavers for efficient intraoperative applications - Clearly arranged menu guidance and rapid program selection thanks to integrated touch screen - Easy set-up and fast installation for a smooth OR workflow For opening the skull and subsequent craniotomy according to individual preferences by means of various dura protector or perforator attachments for the craniotomy handpiece

VITOM® 3D – 3D Visualization for Neurosurgery

The VITOM® 3D system provides many surgical disciplines with a revolutionary solution for the visualization of microsurgical and open surgical interventions. Application possibilities are similar to that of the operating microscope. The most important functions are controlled via the IMAGE1 PILOT which is mounted to the OR table in close proximity to the surgeon. - Smaller, lighter and more compact than an operating microscope Lower acquisition costs and creates synergistic effects with endoscopy by using the same video tower – thus combining the benefits of endoscopy and microscopy Ergonomic work – the user is not confined to the eyepiece Improved workflow – the OR team can view the procedure in the same image quality as the surgeon

Video Neuro-Endoscope for Intracranial Neurosurgery

Special Features: - Minimal outer diameter of 2.8 mm with integrated working channel of 1.2 mm - Continuously variable 270° deflection (up/down) for intuitive orientation and visualization of the entire ventricular system - Excellent image quality thanks to automatic focus and integrated LED light source - High torque stability makes it easy to insert and operate the video neuro-endoscope - Ergonomic work thanks to lightweight handle Note: Currently not available in CE markets