EMIG GmbH - Official distributor of medical equipment in the following regions of Europe and beyond:

Meyer & Haake – Ukraine, Austria, Germany (Bavaria); RiwoSpine – Ukraine, Moldova, Estonia;
Inomed – Ukraine, Moldova, Estonia; Fluoptics – Ukraine.

Equipment Unit

RIWOspine Equipment Unit

The complete device network for full endoscopic spinal surgery guarantees highest functionality and safety in the OR. The 55" 4K camera system for spine surgery is the centerpiece of the unit and marks a new standard in endoscopic visualization. All devices required for endoscopic spine procedures are positioned in a space-saving and user-friendly manner.

The integrated core nova OR system impresses with its simple and ergonomically directly accessible control unit. The status information of all connected devices is visible at all times and guarantees the necessary overview to surgeons and OR staff. Altogether this makes operating considerably easier.

More information

Überblick
Equipment Unit
Fluid Management
Radiofrequency Surgical System
Burrs and Shaver System
OP-Integration

Endoscopically brilliant - ENDOCAM Logic 4K for full-endoscopic spine surgery

ENDOCAM pictures cast a spell over the viewer and offer a brilliant visual experience in endoscopy. Clear and razor sharp images in realistic colors enable the recognition of smallest structures with a detailed spatial depth effect. Optimized high performance for your OR.

High operating comfort due to relaxed sense of sight
Very good orientation due to slight tissue differentiation
Vivid and high-contrast images ideally support the surgeon
Impressively sharp image quality for optimal intraoperative imaging
Optimum detail recognition by means of brilliant resolution

Plastic and reconstructive surgery

We define a new quality of imaging in full-endoscopic spine surgery. With Richard Wolf camera systems, very small and fine structures can be clearly identified and differentiated.

Recognizing details is important for spine surgery. A clear, meaningful picture to identify structures is the prerequisite for a safe surgery. Thanks to state-of-the-art video technology, Richard Wolf's camera systems make the finest structures appear clearly.

The new 4K camera system from Richard Wolf provides the latest image technology for endoscopic spine surgery. With a brilliant visual impression improves the spatial orientation and depth effect and facilitates the surgical procedure in spine surgery.

SIM - Special Imaging Modes algorithms additionally help to improve tissue differentiation depending on surgical requirements.

The new 4K Camera System from Richard Wolf defines a new quality of imaging in full-endoscopic spine surgery. 4K provides a significantly higher resolution of the endoscopic image compared with the existing HD standard. As a result, very small and fine structures can be clearly displayed and identified. The richness of detail leads to an almost three-dimensional visual impression so that the spatial orientation and depth effect are improved.

The VERTEBRIS endoscopes generate a uniformly illuminated image with sharp margins. The power of the LED light source and the optimized light fiber complements the new increase in camera resolution. New manufacturing technology allows the ergonomically styled metallic camera head to be lightweight and ideal for steam sterilization and chemical sterilization procedures. Multiple signal processesing options are available and operate at a full 4K resolution.

Endocam Logic 4K

Recognizing details is absolutely crucial in minimally invasive spine surgery. A clear, informative image is a prerequisite for delivering safe treatment. The HD technology means that the Richard Wolf camera systems are capable of producing pin-sharp images of the most delicate structures. The HD systems meet the needs of the most discerning endoscopic user, from the endoscope to digital transmission, display, and storage of images.

Digital camera heads, intelligent LED light sources, efficient light cables and brilliant monitors are central components that forms this generation to a high quality camera system.

SIM - Special Imaging Modes

"Special Imaging Modes" (SIM) provide digitally processed visualization that is enhanced from standard, natural white-light imaging.

Six new Special Imaging Modes are available are selectable by the user. These are special image-processing algorithms that can be helpful for improving tissue differentiation depending on the situation. Once a SIM is selected, it can be activated by the press of a button on the camera head. No additional hardware is required for SIM.

HDR

HDR High describes the use of the entire dynamic range of the image material. Dark image areas are lightened and very bright, over-exposed areas are darkened. The endoscopic image supplies more information in these boundary areas.

FLUID CONTROL Arthro is a new pump system for arthroscopy and full-endoscopic spine surgery. The particular strength of this system consists of a combination of high performance and cost-effective overall concept. The new software and technical enhancements make FLUID CONTROL Arthro ideal for interventional and surgical procedures.

The particularly refined control quickly equalizes the pressure but also recognizes abrupt interruptions in the irrigation flow, for example by blocking the outflow on the endoscope. Optical and acoustic alerts are given when critical overpressures occur.

Spine Mode

The unique SPINE MODE is specially developed for use in full-endoscopic spine surgery and guarantees the highest level of safety for perfusion management inside the spinal canal:

Avoidance of perfusion-related compression of neural structures through intelligent pressure and flow management for all VERTEBRIS diskoscope systems
Achievement of clear endoscopic image quality due to optimized ratio of high Inflow rate and low Outflow resistance
Low consumption of irrigation fluid through optimally regulated flow performance

Safety is our commitment

FLUID CONTROL Arthro keeps track of components. The system is fitted with intelligent transponder technology recognizing automatically whether the tube is a system-compatible Richard Wolf tube, the tube type and the number of applications still permitted (for reusable tubes).

Single genius - Ingeniously doubled

FLUID CONTROL Arthro combines the irrigation and suction pump in a single unit. A vacuum pump is integrated alongside the roller pump for irrigation. This makes significant cost savings.

Comprehensive user comfort

The new equipment design with sloping front panel makes the large touchscreen conveniently accessible.

Präzise und gewebeschonend

Der Radioblator RF4 Radiofrequenzgenerator mit einer Arbeitsfrequenz von 4 MHz ist das Herzstück eines effektiven gewebeschonenden Koagulationssystems. Im Vergleich zu marktüblichen Hochfrequenzgeräten ist die Stromfrequenz des RF4 etwa 10 mal höher.

Während eine sichere Koagulation und Ablation des Gewebes an der Elektrode durch direkten Kontakt mit dem Gewebe erreicht werden kann, erfahren benachbarte Gewebebereiche signifikant weniger Wärme. Das Auftreten von thermisch induzierter Gewebenekrose und Reizungen in benachbarten Nerven wird dadurch minimiert. Die aktiv artikulierende TipControl RF-Elektrode ermöglicht die kontrollierte Positionierung der Radiofrequenzapplikation im Gewebe.

Um die Ecke gedacht - das TipControl Konzept

TipControl-Instrumente können am distalen Ende abgewinkelt werden. Sie werden insbesondere bei vollendoskopischen Operationen an der Wirbelsäule eingesetzt, um einen ausreichenden Bewegungsspielraum durch minimalinvasive Zugänge zum Operationsgebiet zu erreichen.

TipControl RF Instrumente

Präzise fokussierte 4 MHz-Radiofrequenz-Technologie für die vollendoskopische Chirurgie an der Wirbelsäule. Ihre Vorteile in Funktion und Ergonomie:

360° Handling ohne Positionsänderung von der Hand
Ergonomische Griffform für optimale Anwendung mit allen vollendoskopischen Zugängen
Maximale Sicherheit dank Daumen-Ringführung
Verschiedene Arbeitslängen für Interlaminare und transforaminale Anwendungen
Gezielte Anwendung und Präzision dank der abwinkelbaren Gelenkspitze

Radioblator RF 4 MHz

Der präzise fokussierte Effekt der 4 MHz-Technologie, um das periphere Gewebe zu konservieren, macht den Radioblator RF 4 MHz ideal für Anwendungen in der Nähe von empfindlichen Strukturen, wie z. B. Neurochirurgie und Wirbelsäulenchirurgie. Die komplette Radiofrequenz-Chirurgie-Lösung bietet effiziente Ablation, schonende Koagulation und eine Reihe von Schneidmodi in monopolaren oder bipolaren Anwendungen.

The expansion of indications for full-endoscopic techniques to treat conditions ranging from disk herniations to bony spinal canal stenosis requires efficient bony and soft-tissue resection. The powerful PowerSpeed AS1, M5 motor and High-speed handpieces, and associated burrs and resectors meet this requirement.

A wide range of sterile and reusable burrs are available for every application and every surgical need. Several innovative burrs and shavers have been developed specifically as integral parts of many of the VERTEBRIS instrument sets.

NEW PowerSpeed AS1 Motor System

The PowerSpeed AS1 universal motor system for surgical intervention on the spine combines power and speed at once. In combination with the use of various motor handpieces and tools the PowerSpeed AS1 provides fast, powerful and reliable resection and drilling of bone and soft tissue at the spine.

One of the innovations is the special developed bluetooth foot-switch, which can be used as a wireless connection to PowerSpeed AS1-Control unit.

Modern, intuitive operation via touchscreen
Wireless bluetooth foot-switch
Werkzeugerkennung mittels RFID-Chip
Integrated communication interface to FLUID CONTROL Arthro 2204
Use of shaver and high-speed handpieces possible
Additional control and operation via core nova OP integration
Universally applicable for spine surgery, bronchoscopy and arthroscopy

TipControl Burr

A key benefit of endoscopic surgical procedures for the spinal column is that the angled direction of view enables users to "look around corners" and this permits greater visualization over a larger area during an operation. It is absolutely crucial that the working instruments (and abrading instruments) can be adjusted and angled to the match the field of view in order to perform efficient interventions during endoscopic procedures.

TipControl Nucleus Resector

The new deflectable TipControl Nucleus Resector is used for efficient resection of disc material in the lumbar spine.

This disposable resector blade connects to the M5 handpiece, and a robust mechanism allows a lever at the handpiece end to actively deflect the distal tip. This allows the resector to reach much of the disc space, and much of the nucleus tissue can be readily removed. The oscillating mode of the M5 motor handpiece allows effective resection of stronger disk material, while the connected suction facilitates its evacuation.

Sterile Disposable Burrs and Nucleus Resectors

Disposable instruments for optimized abrading and resection performance in challenging full-endoscopic operations deliver time savings with maximum precision.

PowerStick M5 motor handle without any risk of sensitive soft-tissue structures being sucked into the rotating burr.

core nova

Particularly in spine surgery, images from various imaging media (X-ray, MRT, endoscopic image) can be optimally presented to the surgeon, documented and retrieved at any time. Networking all the equipment in the operating room (OR) is one of the most important functionalities in order to generate optimum efficiency and quality for surgeons and operating-room personnel.

All the planning and configuration of the core nova system is tailored to function processes and working procedures for individual hospitals in accordance with the needs profile that has been drawn up.

All modules are perfectly integrated and tailored to each other. This is completed by installation, start-up and maintenance of the systems to ensure streamlined, routine functioning of the operating room every day.

Today, it is possible to already set up a modern core nova operating theater with a low initial investment. Continuous expansion of the system is possible at any time using connectivity and the reliable plug-and-play procedure, without the need for any complex configurations. The total operating costs of the system are remarkably low.

Advantages at a glance

core nova is the result of know-how and vision for a completely new technological platform of operating room integration and consistent implementation of the system based on powerful and secure network technologies.

core nova offers many different options for introducing integration in the operating room and ensuring efficient and universal integration of devices and systems – for example intraoperative documentation using the endoscopy camera, professional media management and control of medical instruments.

core nova can be expanded at any time, independently of the initial configuration. The resources required for expansion are kept to a minimum with network technologies and modularity, and practical solutions are possible for any challenge – optimized to customer requirements, international standards and technological developments.

Today, core nova permits implementation of the latest, network-based OR integration to meet the requirements of the future.

core.browser 1.6

core.browser 1.6 is the gate to the modern operating room that does not require a technical room nor a separate server rack – it runs directly on an endoscopic cart to save costs, time and space. Data from hospital networks will be available from the convenience of the mobile endoscopic unit for assignment and revision along with intuitive and easy access to medical device operations.

Captured images and videos are fully integrated into the digital workflow.

Overall, core.browser 1.6 is a day-to-day solution that perfectly supports the OR workflow with its clarity and simplicity.

DICOM Workflow with core nova

Registration:

Patient data is entered into hospital's IT system and gets an ID.
Scheduling:

OR is scheduled and registered.
DICOM Worklist:

Patient name is displayed on the core.browser worklist and gets selected to start the OR procedure. All images and videos recorded during the procedure get tagged with the ID.
Archiving:

OR procedure gets closed. Images and videos are stored inside the digital archive.
Call-up:

Images and videos can be called-up at any time again.