Pulse™

An integrated technology platform to enable better spine surgery

In a single, expandable platform, Pulse™ integrates multiple enabling technologies to improve workflow, reduce variability, and increase the reproducibility of surgical outcomes.

Our purpose is to transform outcomes through best-in-class surgical technology.

We focus on advancing global adoption of less disruptive surgery and improving the standard of care by pairing industry-leading procedures with enabling technologies.

Everything you need in a single platform.

Neuromonitoring

Global Alignment

Rod Bending

Radiation Reduction and Imaging

Navigation

Robotics

Smart Tools and More

Supporting 100% of Spine

The Pulse platform can be utilized in all spine cases. This level of utility currently rivals all competitive systems on the market, addressing a wider range of clinical challenges.

*The Pulse platform can be used in every procedure; however, not all modalities are cleared for every procedure.

Customized to meet your unique needs

Pulse has been designed to scale with you. The platform’s modular architecture allows for flexible technology packages. This enables surgeons to select the exact tools they need to address specific pathologies and spine surgeries.

More than the sum of the parts

Pulse is the first spine technology platform to integrate independent technologies for a more effective and meaningful delivery of information.

Connect everyone in the Operating Room

The platform’s built-in wireless functionality allows everyone in the OR to access the technologies independently. This means the spine surgeon, neurophysiologist, C-arm tech, and others can work simultaneously, while still communicating relevant information.

Enhanced integration with 3D mobile C-arm

While Pulse is an open imaging platform, it offers enhanced integration with Siemens’ cutting edge 3D mobile C-arm, the Cios Spin^®

The Cios Spin features dedicated 3D technologies, more efficiency in 3D imaging built on a smart plug-and-play concept, and more cost-effectiveness in surgery.

Click here to learn more about the Spine Precision Partnership™

Multiple technologies to help deliver a better procedure

Neuromonitoring

We believe neuromonitoring is a foundational requirement in every spine surgery. Our services and technology provide proprietary automated nerve detection with standardized setup and clinically validated alerts³ to help reduce variability and allowfor faster interpretation of neural information.

Learn more about Neuromonitoring

Global Alignment

Our Integrated Global Alignment (iGA) technology offers surgical planning and intraoperative assessment tools to help surgeons correct or restore spinal alignment. Leverage simplified preoperative planning which incorporates alignment parameters to help create a reliable plan prior to stepping into the OR. Intraoperatively assess the surgical approach and its effects on spinal alignment through real-time insights. Surgeons can later follow up postoperatively to assess the result of the procedure.

Learn more about iGA

Patient-specific Rod Bending

Bending spinal rods during surgery can be time-consuming and subjective. Our spinal rod bending technology is used to create patient-specific rods which are bent exactly toimplant locations. Bendini expedites manual rod manipulation through computer-assisted bend instructions, designed to benefit both surgeons and patient.

Learn more about Bendini

Smart Imaging with Radiation Reduction

The use of X-ray imaging in minimally invasive surgery has greatly enhanced visualization. X-ray imaging is correlated with radiation exposure, which has been shown to have a negative impact on health through repeated exposure.⁴ The LessRay* technology was designed to increase OR efficiency through streamlined imaging workflow, while also significantly reducing exposure to radiation for everyone in the room.⁵

Learn more about LessRay

Precision through 2D** and 3D imaging and navigation

Navigation in spine surgery offers the potential for more surgeons to adopt MIS techniques while improving implant accuracy and minimizing radiation. However, the complexity and time requirements of existing solutions has impeded adoption of navigation into the majority of spine surgeries. Pulse introduces a procedurally integrated navigation technology that features novel camera, array and workflow technologies to improve line of sight, ease-of-use, and surgical efficiency in the OR.

Robotics and Smart Tools

The Pulse platform provides an expandable software architecture to allow for additional applications. For example, the platform has been intentionally designed to integrate with robotics and other smart tools, keeping all enabling technologies in a single ecosystem. Surgeons and hospitals that invest into Pulse are investing into an integrated technology platform that can scale as they scale.

Independent access for everyone in the OR

^{1. Bindal RK, Glaze S, Ognoskie M, et al. Surgeon and patient radiation exposure in minimally invasive transforaminal lumbar interbody fusion. Neurosurg 2008;9(6)570-3.

2. Macario A. What does one minute of operating room time cost? J Clin Anesth 2010;22(4):233-6.22.

3. Tohmeh AG, Rodgers WB, Peterson MD. Dynamically evoked, discrete-threshold electromyography in the extreme lateral interbody fusion approach. J Neurosurg Spine 14:31-37, 2011.

4. Vano E, Kleiman NJ, Duran A, et. al. Radiation-associated lens opacities in catheterization personnel: results of a survey and direct assessments. JVIR 2013;24(2):197-204.

5. 21 Wang TY, Farber SH, Perkins SS, et. al. Internally randomized control trial of radiation exposure using ultra-low radiation imaging versus traditional C-arm fluoroscopy for patients undergoing single-level minimally invasive transforaminal lumbar interbody fusion. Spine
2017;42(4);217-23.

*The integration of the LessRay technology is currently under development and not available in Pulse. The timeline for availability cannot be guaranteed.

**2D Navigation technology is currently under development and not available in Pulse. The timeline for availability cannot be guaranteed.

Pulse is not a CE marked product}