Navigation systems

StealthStation FlexENT™ navigation system

<p>The StealthStation FlexENT™ system is an image-guided surgery system that provides flexible hardware features and tiered software functionality.</p>

Ordering information

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Indications, Safety, and WarningsIntended use: indications for useThe StealthStation FlexENT™ system, with StealthStation™ ENT software, is intended as an aid for locating anatomical structures in either open or percutaneous ENT procedures. Their use is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as the skull, can be identified relative to images of the anatomy.This can include, but is not limited to, the following procedures:

Functional endoscopic sinus surgery (FESS)

Endoscopic skull base procedures

Lateral skull base procedures

ContraindicationsMedical conditions that contraindicate the use of a Medtronic computer-assisted surgery system and its associated applications include any conditions which may contraindicate the medical procedure itself.Warnings

The system hardware and software should be used only by qualified medical professionals who are trained in performing surgery and familiar with computer-assisted surgery systems.

If system navigation seems inaccurate and steps to restore accuracy are unsuccessful, abort use of the system.

Inspect all visible system components before use, including the localizers that accompany your system (that is, the side-mount emitter or the flat emitter). If visibly damaged, do not use the system. Abandon use of any component damaged during the procedure. Contact Medtronic navigation.

Inspect sterile device packaging and expiration date before use. Do not use any pre-sterilized device whose sterile packaging appears to be compromised or whose expiration date has passed. Contact Medtronic navigation.

Prior to use, examine instruments and blades for damage and deterioration. Do not use any bent, damaged, or compromised instruments or blades. Periodically inspect instruments or blades for damage during their use. Abandon use of any instruments or blades bent or damaged during the procedure. Contact Medtronic navigation.

Do not reprocess, resterilize, or reuse any single-use device. Attempts to reprocess or resterilize a single-use device may be ineffective and may compromise its structural integrity. Any reuse creates a risk of contamination which could result in patient injury, illness, or death.

Disposable devices are provided in sterile condition for single use only. After use, dispose of single-use devices according to local and national regulations.

Verify that all necessary instrumentation has been properly cleaned and sterilized before surgery. For sterilizable components, refer to the cleaning and sterilization instructions that accompany the component or to the equipment cleaning and sterilization sheet (9730713). For non-sterilizable components, refer to the StealthStation FlexENT™ system cleaning instructions (9736193).

Do not open sterile-barrier packages or containers until surgical use.

Do not modify the StealthStation FlexENT™ system, components or accessories, without prior written consent from Medtronic navigation. Prohibited modifications include but are not limited to: altering or repairing system components; updating the operating system, drivers, or anti-virus definitions; and installing any software that is not provided by Medtronic. Secure the system to prevent unauthorized modifications. Unauthorized modifications could render the system unsafe or ineffective for its intended use.

Use care during handling, storage, and cleaning of instruments to prevent physical injury and deformation of the instrument tip.

The system is not suitable for use in the presence of a flammable, anesthetic mixture with air, oxygen, or nitrous oxide.

Do not allow fluid to enter the electrical components of tracked instruments.

Do not reuse or reprocess a device where transmissible spongiform encephalopathy agents or Creutzfeldt-Jakob disease contamination is suspected or confirmed. Incinerate the potentially contaminated device according to national guidelines.

To prevent cross-contamination, always handle, transport, and reprocess devices that contact the central nervous system separately from other devices.

To avoid potential exposure to blood-borne pathogens and chemicals, use appropriate personal protective equipment when handling or disposing of Medtronic devices.

The side-mount emitter, the flat emitter, and the arm assembly that supports the side-mount emitter are not intended for sterile patient contact or interaction. If you place these items in the sterile field, bag or drape them.

Do not use the side-mount emitter or the flat emitter in ambient (room) temperatures greater than 30 C (86 F). Exceeding this temperature limit could result in navigational inaccuracy or patient or user harm from excessive temperatures.

Metallic or conductive objects in or near the electromagnetic navigation field can degrade navigational accuracy and the navigation volume. If metallic distortion causes excessive error, navigation may be disabled. To restore navigation, move metallic and conductive objects away from the navigation field.

Electrical noise in or near the electromagnetic navigation field can degrade navigational accuracy and the navigation volume. If electrical noise introduces excessive error, the system may automatically disable navigation. To restore navigation, move devices that produce electrical noise (such as electrocautery equipment and electric drills) away from the navigation field.

Radio frequency emitters typically found in an operating room can affect medical electrical equipment, such as the StealthStation FlexENT™ electromagnetic system.

Refer to the applicable package inserts and system manual for additional instructions, warnings, and cautions.

Before transporting the system cart, shut down the system and stow all components, and remove any loose items from the top of the cart.

Precautions

The system and its associated applications contain no user-repairable parts. For repair or replacement of any part of the system or application, contact a Medtronic navigation technical support representative.

The system mouse, keyboard, side-mount emitter, flat emitter, and articulating arm are not designed for sterilization and may be damaged if sterilization is attempted.

For procedures performed with the flat emitter, a surgical table with a radiolucent tabletop is recommended. If the surgical table has a metal frame or metal side rails, position the flat emitter at least 5 cm (2 in) away from the metal. Positioning the emitter closer may result in reduced navigational accuracy and volume.

If the surgical table to be used with the side-mount emitter has a metal frame or metal side rails, position the side-mount emitter at least 25 cm (10 in) away from the metal. Positioning the emitter closer may result in reduced navigational accuracy and volume.

Procedures performed with the side-mount emitter mounted to a surgical bed require a surgical bed featuring side rails because the arm assembly that supports the emitter connects to the side rails.

Caution: Federal law (United States) restricts this device to sale by or on the order of a physician.

Features

Flex forward for chronic rhinosinusitis patients

Chronic rhinosinusitis (CRS) is one of the most prevalent chronic diseases worldwide.¹ As a surgeon, you do all you can to bring relief to those who live with this condition. But what if you could do even more by having access to technology customized to your needs?

Image-guided navigation takes functional endoscopic sinus surgery (FESS) to the next level, helping you protect patients by:

Improving visualization with complex sinus anatomy^2-6
Optimizing your surgical strategies^2-6
Reducing major complications^7-10 and need for revision surgeries^11-13

The StealthStation FlexENT™ surgical navigation system can be configured to fit the needs of the operating room or the clinic.

Customizable hardware and software

Flex your way

The StealthStation FlexENT™ navigation system provides flexible hardware features and tiered software functionality. Configure the system to create a customized, economical navigation system to meet your unique facility and clinical needs.

Computer options

All-in-one touch screen computer with 4-wheel integrated cart
All-in-one touch screen computer - desktop

The StealthStation FlexENT™ offers flexible hardware features and tiered software functionality. Configure the system to meet your unique clinical needs.

The StealthStation FlexENT™ navigation system provides flexible hardware features and tiered software functionality.

Emitter options

Side electromagnetic emitter with clamp
Side electromagnetic emitter on a stand
Flat electromagnetic emitter

The StealthStation FlexENT™ system includes an electromagnetic emitter with a stand and a clamp.

Flex add-on options

Footswitch

The StealthStation FlexENT™ system offers upgradeable software features.

Upgradeable advanced software features

Third shelf for cart configuration

Expanding access to image-guided surgery technology

Reducing barriers. Expanding reach.

Medtronic has a longstanding dedication to advancing surgical technology. For more than 20 years, we have been a trusted partner to surgeons worldwide in the development of image-guided surgery technology for ENT procedures.¹⁴

More than ever, we are focused on bringing you closer to innovation that may not previously have been within your reach — wherever you perform surgery. That’s why we’re making StealthStation™ technology more attainable for more surgeons, with an image-guided surgery system that is designed to be configurable and economically flexible.

Ordering information

Reusable standard instrument set

CFN	Description	Quantitiy
9733452XOM	Reusable standard instrument set	1 each
9733445	Head frame kit	1 each
9733446	Registration probe	1 each
9733447	Straight probe	1 each
9733449	Straight suction	1 each
9733450	Curved suction, 70°	1 each
9733451	Curved suction, 90°	1 each
9733448	Ostium seeker	1 each
9733455	Instrument tray	1 each
9732379	Imaging protocol	1 each
9730713	Sterilization reference sheet	1 each

Supplemental instrument set

CFN	Description	Quantitiy
9734378XOM	Supplemental instrument set	1 each
9734306	Frontal suction, 45°	1 each
9734307	Frontal suction, 90°	1 each
9734308	Small straight suction	1 each
9734311	Elevator	1 each
9733446	Registration probe	1 each
9733445	Head frame kit	1 each
9734320	Instrument tray	1 each
960363	trap, ENT FESS	3 each
9732500XOM	Adhesive pad	25 each
9732501XOM	Silicone pad	3 each
9732379	Imaging protocol	1 each

Optional accessories

CFN	Description	Quantitiy
9735960	Side emitter	1 each
9734691XOM	Surgeon mouse kit	1 each
9733533XOM	Instrument tracker, ENT	1 each
9733534XOM	Patient tracker, ENT	1 each
9734887XOM	Axiem™ non-invasive patient tracker	1 each
9731831XOM	Emitter cover, sterile	1 each
9731132	Dynamic reference (DRF) (EM, bone fixation)	5 each
9732500XOM	Adhesive pads	25 each
9734320XOM	Supplemental instrument tray	1 each

Office-based solutions

CFN	Description	Quantitiy
9736226	StealthStation FlexENT™ software license	1 each
9736227	Planning, annotations, and virtual endoscopy	1 each
9736155	StealthMerge™ software	1 each
9735742	Stealth™ 3D software	1 each
9733533XOM	Instrument tracker, ENT	1 each
9734887XOM	AxiEM™ non-invasive patient tracker	1 each

Chaaban M, et al. Epidemiology and differential diagnosis of nasal polyps. Am J Rhinol Allergy. 2013; 27(6): 473–478.
Mert A, et al. An advanced navigation protocol for endoscopic transsphenoidal surgery. World Neurosurg. 2014;82(6 Suppl):S95–105.
Yao WC, et al. Centrifugal frontal sinus dissection technique: addressing anterior and posterior frontoethmoidal air cells. Int Forum Allergy Rhinol. 2015;5(8):761–763.
Bernardeschi D, et al. Use of bone anchoring device in electromagnetic computer-assissted navigation in lateral skull base surgery. Acta Oto-Laryngologica, 133:10, 1047–1052, 2013
Stelter K, et al, Evaluation of an image-guided navigation system in the training of functional endoscopic sinus surgeons. A prospective, randomized clinical study. Rhinology 49: 429–437, 2011
Strauss G, et al. Evaluation of a navigation system for ENT with surgical efficiency criteria. Laryngoscope. 2006 Apr;116(4):564–72.
Dalgorf M, et al. Image-guided surgery influences perioperative morbidity from endoscopic sinus surgery: a systematic review and meta-analysis. Otolarnygology. 2013; 149(1):17–29.
Ramakrishnan VR, et al. The use of image-guided surgery in endoscopic sinus surgery: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2013;3(3):236–241.
Vreugdenburg TD, et al. Stereotactic anatomical localization in complex sinus surgery: A systematic review and meta-analysis. Laryngoscope. 2016;126(1):51–59.
Citardi MJ, et al. Next-Generation Surgical Navigation Systems in Sinus and Skull Base Surgery. Otolaryngol Clin North Am. 2017;50(3):617–632.
Masterson L, et al. Image-guided sinus surgery: practical and financial experiences from a UK centre 2001-2009. J Laryngol Otol. 2012;126(12):1224–1230.
Ahn S, et al. Better surgical outcome by image-guided navigation system in endoscopic removal of sinonasal inverted papilloma. J Craniomaxillofac Surg. 2018;46(6):937–941.
Galletti, et al. Endoscopic sinus surgery with and without computer assisted navigation: A retrospective study. Auris Nasus Larynx. 2019; 46(4): 520–525.
Data on file.

StealthStation FlexENT™ navigation system

Features

Flex forward for chronic rhinosinusitis patients

Customizable hardware and software

Expanding access to image-guided surgery technology

Reducing barriers. Expanding reach.

Ordering information

Reusable standard instrument set

Supplemental instrument set

Optional accessories

Office-based solutions

United States

Customer Care Team