SpineMap® 3D Spine
Navigation Software
·
Quick Reference Guide
Table of Contents
1. Change User Settings
7. System Setup
2. Change User Defined Views
8. System Setup w/ Intra-Op Imaging
3. Image Import
9. Registration
4. Patient
10. Navigation
5. Planning
11. Back Up Patient Records
6. Registration Planning
12. Shut Down
Change User Settings
To Change User Settings
z
Under Administration on Home
Screen select “Change user
settings…”
z
Select appropriate tab where
change is to be made
(Planning / Navigation / Stryker
Contact Information)
Change User Settings (cont’d)
Planning
z
To change colors of Crosshair cursor / Measure line /
Image annotations, select the
colored box and choose the
desired color
Change User Settings (cont’d)
Navigation
z
To change Tool Axis / Virtual tool tip
elongation / Tool axis projection
indicator, select the colored box and
choose the desired color
z
To remove the crosshairs in
Navigation, deselect the box next to
“Show cross hair”
z
To turn off or change time delay
before switching to full screen either
deselect box next to “Automatic full
screen…” or change time
accordingly
Change User Settings (cont’d)
Stryker Contact Information
z
To add local Stryker
Representative’s contact
information, place cursor in text
box and type in appropriate
information
Change User Defined Views
To Set a User Defined View
z
Under Administration on Home
Screen select “Change user
defined views…”
z
Select “Create”
z
Choose navigation screen layout
−
1x1, 2x1, 2x2, 3x2
z
Select view for each quadrant
z
In text box, type in name for
created view (will be stored as
default view and can be changed
in navigation)
Note: same view may be selected for
multiple quadrants except for volume
rendering
Image Import
Import Image from Data Medium
z
From the Home Screen, select “Start
New Case”
−
When using intra-op 3D C-arm, select
“Start 3D C-arm Scan”
z
After data medium is inserted,
system will automatically detect it
and begin importing its contents
z
Select correct patient file and series
z
In the preview screen, ensure
images are properly oriented
z
RAM indicator shows used main
memory of image set imported
z
If file size is too large, use crop
feature
or half resolution feature
Patient
Confirm Patient Data, Select Surgery Direction and
Planning Features
z
Surgeon has ability to write
notes and mark diagnosis
z
Select surgical direction for
procedure
z
−
Anterior / Posterior will be used for
posterior spinal fusions
−
Left / Right will be for XLIFs,
translateral approaches or similar
procedures
−
Head / Foot will be for trans-1
screws or similar approaches
Choose desired planning and
navigation features by selecting
or deselecting the boxes
accordingly
Planning
Screw Planning
z
Highlight “Screws” in features
box and select “New Screw”
−
Select “Generic” or “Xia” from
drop-down menu
z
Place cross hair on desired
entry point
z
Select “Set head point”
z
Click and drag head point or
screw tip to rotate screw
z
Click and drag center of screw
to change entire position
z
Click “Rename” to select screw
name or type in desired name
Planning (cont’d)
Window Width and Level Adjustments, Surface Level
z
To adjust window width, hold right mouse button while scrolling
across screen
z
To adjust window level, hold right mouse button while scrolling up or
down screen
z
To adjust surface level, hold right mouse button while scrolling up or
down over volume rendering
Planning (cont’d)
Local Correlations
z
Highlight “Local
Correlations” in feature box
and select “New Local
Correlation”
z
Select base set (e.g. CT01)
for local correlation
z
Adjust bounding box to
incorporate desired level to
correlate
−
z
Cover only rigid structures,
not including joints
Select “Accept Region”
Planning (cont’d)
Local Correlations
z
Choose data set to correlate
z
Manually adjust scans so
anatomical structures line up on
top of each other
z
Click “Automatic Matching” to
correlate images
z
Click “Rename” to select local
correlation name or type in
desired name
z
Select “Confirmed,” if
correlation accuracy is
accepted, in order to proceed
with navigation
Planning (cont’d)
Anatomical Systems
z
Highlight “Anatomical Systems”
in feature box and create new
anatomical system
z
Select image set from which
system will be created
z
Name system and click “Set
Origin”
z
Rotate images by dragging
rounded arrows outside of origin
Note: multiple anatomical systems can be
created for one image set
Planning (cont’d)
3D Models
z
Highlight “3D Models” in
features box
z
Select image set for 3D model
import in drop-down menu
z
Select 3D model to be used
and click “Import”
z
Move crosshair cursor to
desired position and click “Set
Rotation-Center” to set rotation
center of 3-D model
z
If model is properly sized and
positioned click “Confirmed”
Registration Planning
Picking Anatomical Points for Point-to-Point Registration
z
Highlight CT image set to
register from and select “New
Reference Set”
z
Place cross hairs on a
reproducible anatomical
structure and select “Set” next
to Point 1
−
Repeat this step for each
registration point
−
Minimum of 3 points must be
selected to complete a reference
set
−
Minimum of 4 points must be
selected if designating as rescue
points
Registration Planning (cont’d)
Begin Surface Matching Algorithm
z
After all reference points have
been selected , highlight
“Surface Matching”
z
Select same CT set from
previous steps
z
Adjust surface level to desired
settings
z
Select “Calculate” to begin
surface matching algorithm
−
Note: reduces surface matching
time in navigation
System Setup
Activate Smart Instruments
z
Load sterile batteries in each
Smart Instrument
z
Initialize Smart Instruments by
facing the LEDs toward the
camera and press and hold the
Select button for 2-3 seconds
z
Touch the pointer’s tip on the
center of one of the validation
disks and press the Select
button
z
Once all instruments are
initialized and validated, click
“Next” to proceed
Note: You will not be able to proceed if
the patient tracker is not turned on.
System Setup w/ Intra-op Imaging
Start 3D C-arm Scan
z
Select “Start 3D C-arm Scan”
z
Select appropriate C-arm and
select “Scan Intra-operatively”
z
Turn on and validate all Smart
Instruments
z
Note: With Siemens the C-arm
tracker must be initialized;
however, there is no C-arm
tracker for Ziehm
Registration
Conduct Point-to-Point Registration
z
Surgeon chooses appropriate
reference set and uses “Select”
button on Smart Instrument to
digitize pre-planned points
z
After registration is complete, press
“Next” to continue
z
Surgeon must confirm registration
accuracy before proceeding to
navigation
z
If surface refinement is chosen, use
Smart Instrument to digitize at least
30 points around area of interest;
then select “Calculate”
z
Surgeon must confirm registration
accuracy
Navigation
Intra-Op Navigation Features
z
Zoom; Rotate 3D; Cut 3D Image;
Create Annotations; Show / Hide
Annotations; Measurements
(feature must be selected in Patient
tab); Show / Hide Screws; Freeze
Image; Screenshot
z
Create Intra-Op Screw; Create
Intra- Op Trajectory Entry Point
z
Virtual Tip
z
−
Turn on and off for easy screw sizing
−
Default Length and Diameter can be
changed in User Settings
Compositions / Local Correlations
Backup Patient Records
Copy Patient Records and Screenshots
z
In Administration on Home Screen, select “Backup Patient
Records”
z
Select or deselect appropriate files
z
Insert digital medium
−
System will determine if medium has enough available space
z
Select “Backup” or “Delete” according to desired action
z
Status bar will progress as the information is being written or
deleted
Shut Down
Powering Off Navigation System
z
Select “Shut Down” on the Application Manager Screen
z
A dialogue box will appear, select “Shutdown”
−
z
Note: After “Shutdown” is selected, the system will safely power down
Unplug system and rewind power cord
The information presented in this presentation is intended to
demonstrate a Stryker product. Always refer to the package insert,
product label and/or user instructions before using any Stryker product.
Products may not be available in all markets. Product availability is
subject to the regulatory or medical practices that govern individual
markets. Please contact your Stryker representative if you have
questions about the availability of Stryker products in your area.
Stryker Corporation or its divisions or other corporate affiliated entities
own, use or have applied for the following trademarks or service marks:
SpineMap, Stryker and Xia. All other trademarks are trademarks of their
respective owners or holders.
Literature Number: 9100-001-375 Rev. None
SWR/PS 1k 8/10
Copyright © 2010 Stryker
Printed in USA