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Neurosurgical

Anatomics has developed the Neuro Care bundle of products for neurosurgeons with a choice in patient-specific cranial reconstruction materials with porous and non-porous polymers and a titanium mesh option. A CT-based BioModel replica and Implant Trial allow for precise implant deployment. Our off-the-shelf StarPore® implants, DuraShield® and SkullPro® patient matched wearables complete the Neuro Care bundle to support neurosurgical treatment pathways. Neuromonitoring products from Raumedic provide an ideal adjunct to the Neuro Care bundle.

Cranial Implants

Cranial reconstruction restores skull contour and protects intracranial structures following craniectomy surgery. Anatomics cranial implants are patient-specific from CT scan data and use biologically inert materials with a proven clinical history and safety. Each implant is supplied with an accompanying BioModel replica of the patient’s anatomy for implant verification.

AnatomicsAcrylic Cranial Implant

Manufactured from polymethylmethacrylate (PMMA) for placement in a craniectomy defect as an inlay to restore bone structure without a palpable margin. The benefits of AnatomicsAcrylic can be:

  1. Clear vision through the implant
  2. Pre-drilled
  3. Easy to modify
  4. CT and MRI compatibility
  5. Simple removal for revision
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StarPore® Cranial Implant

StarPore® implants are an advanced polymer tissue scaffold manufactured from porous polyethylene for placement either in a craniectomy defect as an inlay to restore bone structure without a palpable margin or over a craniofacial defect as an augmentation onlay. The benefits of StarPore® can be:

  1. Tissue Integration
  2. Simple fixation at any location
  3. Easy to modify
  4. Will not crack
  5. Pre-soak antibiotic options
  6. CT and MRI compatibility
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AnatomicsTitanium Cranial Implant

Manufactured from surgical grade titanium mesh for placement over a craniectomy defect as an onlay implant. The benefits of AnatomicsTitanium can be:

  1. Overlap the bone margins
  2. Clear vision through the implant
  3. Simple fixation anywhere
  4. Easy to modify
  5. Tissue integration
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Implant Trial Surgical Tool

Implant Trials are designed by Anatomics engineers to assist the surgeon in confirming the fit of an Anatomics implant in certain cases. Existing tissue at the surgical site area may need modification to achieve optimal implant fit. An Implant Trial acts as a proxy for the implant to allow the surgeon to prepare the donor site appropriately. This reduces handling and potential contamination of the actual implant.

Neurosurgical Template Guide

BioModel Surgical Tool

BioModels are an anatomical model derived from the patient's CT scan data to provide tactile representation of the patient’s anatomy and condition. BioModels may assist with diagnosis informed consent, and precise planning of the sequence of surgery. BioModels may be used to plan incisions and osteotomies and can be sterilised and used as an intra-operative navigation tool. Clinical data shows BioModels reduce total surgery time and therefore reduce patient exposure to anaesthetics and blood loss. In neurosurgery, BioModels have demonstrated utility in skull base surgery, cerebrovascular anomalies, tumour resection and cranial reconstruction.

Pterional Implant Off-the-Shelf

This StarPore® implant has been designed to correct temporal hollowing caused by wasting of the temporalis muscle. Temporal hollowing is a depression in the temple area above the cheeks and behind the eyes often seen following the pterional surgical approach in which the temporalis muscle is mobilised away from the skull to allow brain access. The StarPore® Pterional Implant is supplied in standard left and right-side shapes and is easily modifiable intra-operatively. It is screwed directly onto the skull in the desired position.

Burr Hole Implant Off-the-Shelf

The StarPore® Burr Hole implant is used to correct small holes in the skull created during craniotomy surgery. The implant features a low-profile flange that extends over the defect to allow for optional screw fixation. Multiple sizes are available to suit surgeon preferences.

Sellar Implant Off-the-Shelf

The StarPore® Sellar Implant is designed to repair the floor of the Sellar Turcica (Pituitary Fossa) following trans-sphenoidal surgery. The implant is oversized and features two tabs to provide the surgeon flexibility with modification and handling.

Patch Implant Off-the-Shelf

A contoured rectangular sheet implant designed to fit smaller full or partial thickness craniofacial defects. Available in two sizes (90mm x 50mm and 110mm x 80mm) with one thickness (4mm) the implant can be cut and carved to correct defects where a patient-specific solution is not optimal or possible.

DuraShield® Off-the-Shelf

DuraShield® is a pre-formed, concave silicone implant designed to separate the dura mater from the overlying skin flap and maintain the separate tissue planes, thereby reducing the need for lengthy dissection at the time of cranioplasty. This may assist in reducing complications associated with decompressive craniectomy reconstruction. DuraShield® is anatomically contoured to ensure easy application to the brain surface, regardless of the size of the craniectomy. DuraShield® can be trimmed at the time of implantation and placed over the dura within the bone defect, ensuring optimal fit for each patient.

SkullPro®

Options for covering skull defects after craniectomy are usually limited to unsuitable sports helmets. Anatomics has pioneered SkullPro® as a slim, patient matched and contoured alternative to provide an aesthetic cover for skull deformity. SkullPro® has a thin, tough nylon shell selected to cover an individual patient’s skull defect. The shell sits inside a washable and hypoallergenic fabric pocket which is then held in place with a breathable mesh band or beanie. SkullPro® offers patients a superior and hygienic alternative to sports helmets.

Neuromonitoring

Anatomics distributes a range of microchip catheters designed for the reliable and easy measurement of intracranial parameters. Raumedic neurosurgical catheters and accessories are used for reliable measurement of brain pressure (ICP), partial oxygen pressure (piO2) in interstitial fluid and brain temperature (TBr). Depending on the microchip selected up to three of these functions can be measured with a single catheter. Raumedic catheters allow early detection of cerebral damage, quickly and accurately displaying any parameter change on the patient monitor.

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