Intended Use

Pulse Navigation is intended as an intraoperative image-guided localization system in either open or minimally invasive spinal surgical procedures. It enables computer-assisted navigation by virtually displaying tracked instruments and implants on a patient's 3D radiographic image data derived from CT or Cone Beam CT scans.

Technology

The device comprises hardware and software including fiducial-based registration using patient reference hardware (Pulse ICT Adapter and ExcelsiusGPS ICT Fixture) to provide a rigid anatomical reference. It employs an infrared camera to track instruments in 3D space, which are superimposed on CT/Cone Beam CT images for navigation. The system components include Pulse NVM5 for nerve monitoring, Pulse LessRay for fluoroscopic image enhancement, and Pulse Navigation software for stereotactic surgical localization.

Performance

Nonclinical system, software, and instrument verification and validation testing were performed demonstrating compliance with design inputs and user needs. Testing included qualitative validation confirming intended use, usability engineering standards, and positional accuracy standards according to ASTM and IEC guidelines. These tests showed system performance meeting requirements and substantial equivalence to predicate devices.

Predicate Devices

No predicate devices specified

Device Timeline

  • 1

    Submission

    12/11/2024

    1 month
  • 2

    FDA Approval

    1/10/2025

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