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Product Information 2022 English
In the picture from left to right : Manuel Noras (CEO), Daniel Gareis (CTO), Hubert Noras (Founder)
Dear Valued Customer,
NORAS has been present internationally for over 35 years and has built a solid reputation due to
its customer-oriented service. Besides our products, our slogan „we build your vision“ reflects
exactly what we offer our customers: We are a competent partner with the planning and realiza-
tion of your individual ideas and concepts.
Our development and production is taking place mainly in Germany. The final assembly and final
inspection is done manually by skilled employees, which provides an extra quality advantage.
Within this catalog, you will find a summary of our products and the necessary order information.
You will also learn more about our Research & Development area and customer-specific produc-
tions.
We look forward to working with you in the future and to fulfill your vision.
Best Regards,
Your NORAS MRI products Team,
Manuel Noras
Technical changes reserved
113238
Issue EN
May 2022
2 3
IN SUMMARY
COMPANY HISTORY
1986 2006 MAMMA DIAGNOSTICS AND BIOPSY
Founding of the NORAS Roentgen- und Medi- Development of a Patient Rest for MR breast Biopsy Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
zintechnik GmbH. examination and breast biopsy.
Initially, the company is engaged in the impro- Cranio-caudal Fixation Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
vement of MR imaging of surface coils. Through 2007 BI 6 Comfort Coil 1.5T & 3T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
the in-house development of the first movable Development of an 1.5T MR Breast Coil for inte- Breast Biopsy and Fixation Unit Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
spine coil in cooperation with SIEMENS and the gration with the Patient Rest.
Optional Components for Post&Pillar Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Institute for Imaging Diagnostics Dr. Wolfgang Development of a positioning unit and fixation
Keil in Würzburg, NORAS made a name for its- device for MR biopsy with the GE 8Ch Breast Optional Components for Grid Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
elf among MR users. Coil. Breast BI 7 MR Coil Set 1.5T & 3T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Breat Biopsy and Fixation Unit Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
1990 2008
Optional Components for Post&Pillar Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Establishment of a branch office in Suhl, Ger- Focus on the core competence MRI products
many. and therefore shutdown of the Suhl branch. Optional Components for Grid Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Complete rebranding to NORAS MRI products Optional Components for cranio-caudal Fixation Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
NORAS MRI products GmbH 1993 GmbH. Breast Biopsy 4-Channel Coil BI 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
General agent for MRI Devices Corporation, Development of a 3T Breast Coil for integration
Leibnizstraße 4 USA. with the Patient Rest. Breast Biopsy and Fixation Unit Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
97204 Höchberg Optional Components for Post&Pillar Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Germany 1995 2009 Optional Components for Grid Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Start of developing a fixation unit and positio- NORAS becomes vendor for the Siemens He-
Manual coordinate calculation for the Breast BI 7 MR Coil Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Tel.: +49 (0) 9 31-2 9927-0 ning system for MR-guided biopsy, which was althcare AG. Development of a transfer soluti-
Fax: +49 (0) 9 31-2 99 27-20 patented 1996 under DE19626286C2. on for the Philips Neurosurgery concept. Adap- Manual coordinate calculation for the Post & Pillar Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
tion of the OR Head Coil to Philips 3T systems. Angulated, manual coordinate calculation for the Post & Pillar Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
mri@noras.de 1998 Manual coordinate calculation for the Grid Biopsy System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
www.noras.de Development and production of a flexible OR 2010
head coil for the 0.2T Vertical Field Concerto Development of an improved OR Head Holder.
from SIEMENS. Development of a 4Ch Dental Coil.
Adaption of the OR Head Coil to Philips 1.5T DEDICATED MR RECEIVING COILS
2001 systems. Hiring of a field representative for the Variety 16-Channel Multipurpose Coil 1.5T & 3T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Production of an OR Head Holder for integrati- U.S. market.
on with a SIEMENS head coil. Typical Applications and Positioning Aids - Orthopedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
2011/2012 Typical Applications and Positioning Aids - Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
2002 Development of a 4Ch Orbit-Array and an 8Ch Available Coil Packages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
MRI Devices Europe GmbH (later Invivo) was Elbow-Array.
Optional Components for the Variety 16-Channel Multipurpose Coil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
established, for which Hubert NORAS was the Development of a new version of the OR Head
managing director until 2005, besides admi- Holder, MR guided prostate biopsy devices. Mandibula 15-Channel Dental Coil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
nistrating his own companies.
2013/2014
2003 Development of the Variety 16Ch Multipurpo-
Development and production of an OR Head se Coil and the Uni-Lift Prostate Interventional NEUROSURGERY
Holder for SIEMENS, Erlangen, Germany, with Device.
an interface to Brainsuite® from the BrainLab Intraoperative Neurosurgery solution from NORAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
AG, Munich, Germany. 2015/2016 OR Head Holder LUCY & OR Head Coil 1.5T / 3T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Development of the Endocavity 2-Channel Coil
2004 and advanced USA market entry. Optional Components for NORAS OR Head Holder LUCY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Development of an 8Ch OR Head Coil 1.5T, to- Development of the Mandibula 15-Channel OR Head Holder FLEXIBILITY & OR Head Coil 1.5T / 3T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
gether with RAPID Biomedical GmbH in Rimpar Dental Coil as well as project start of HYPMED. OR Head Holder HEIDBERG & OR Head Coil 1.5T / 3T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
near Wuerzburg, Germany, for integration with
Optional Components for OR Head Holder FLEXIBILITY and Upgrade Kit HEIDBERG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
the OR Head Holder. 2017/2018
Relocation to a new office, including produc- Development of the Breast Biopsy 7-Channel Development of the Noras OR Head Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
tion facilities, in Hoechberg near Wuerzburg, Coil BI 7 and the OR Head Holder LUCY.
Germany.
2020
2005 Development of the Encompass™ 15 channel
Development of an 8Ch (2x4) CPC coil, rotatab- head coil 1.5T. Achieved MDR certificate. ADDITIONAL CONTENT
le in 2 axes for parallel imaging. Press Reports and Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Internal restructuring and establishment of the 2021 NORAS Company Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
business sector MRI products. Development of the BI 6 Comfort Breast Biopsy
Coil.
4 5
Biopsy Methods Cranio-caudal Fixation Units
MAMMA
MAMMA
Choose your preferred Breast Biopsy Method With the NORAS Cranio-caudal Fixation Units you can optionally immobilize/fixate one or both breasts at the same time. Using this device, one can
save up to 50% of scanning time, while reducing non-desired motion artifacts.
NORAS offers two different biopsy methods, each with its own advantages. Both methods are available for our Breast Biopsy Coils BI 4 and BI 7 and
support MR-guided wire placement for 12, 14, 16, and 18 Gage, as well as Vacuum Gun Biopsies.
l Coil BI 4
The Post & Pillar Method
nn e
ha
-C
High accuracy due to accurate coordinate 4
sy
op
BI 4 adjustment
For Brea s t Bi
el Coil
For Breast Biopsy 4 - Chann
Angular needle guidance 15 ° and 30 ° pos-
terior and anterior
Sterile disposable needle guide sleeves are
available*
For Breast BI 7 MR Coil Set * distributed by NORAS
The Grid Method
BI 4
el Coil
For Breast Biopsy 4 - Chann
Easy to use biopsy method
ilS et
Multiple biopsies in one process
Co
R
I 7M
Sterile disposable grids are available* For Breast B
For Breast BI 7 MR Coil Set * distributed by NORAS
Both methods are compatible with the following Vacuum Guns:
C.R. Bard Vacora™ Suros Surgical ATEC™ Devicor Mammotome™ SenoRX Encor MRI™
6 7
BI 6 Comfort Coil 1.5T & 3T Breast Biopsy and Fixation Unit Sets
MAMMA
MAMMA
For Breast Biopsy 6-Channel Coil BI 6 Comfort
The NORAS BI 6 Comfort Coil Set is designed as an innovative solution to adapt to the requirements part number
in your practice workflow. The height-adjustable coil frame includes a 6-channel „phased array“ with
a high element density for high-resolution imaging. With a generous lateral and medial access to the
biopsy, the BI 6 Comfort coil gives you the flexibility to perform your biopsy in a patient-centered
manner. Breast Biopsy Set Post&Pillar: autoclavable and reusable 118941
Designed for an optimized workflow and tailored to the patient‘s needs.
The coil and any biopsy and fixation unit
components can be purchased directly Breast Biopsy Set Grid disposable: autoclavable and reusable; with
disposable grids in sterile packaging*
118943
from NORAS. We will be happy to advise
you personally on this. * distributed by NORAS
Breast Biopsy Set Grid reusable: autoclavable and reusable 118944
Optional Components for Post&Pillar Biopsy System
For Breast Biopsy 6-Channel Coil BI 6 Comfort
Post&Pillar and Grid Biopsy System
part number
The Post & Pillar biopsy system is designed for targeted needle
guidance, which can be moved both left-right and anterior-poste-
Post&Pillar positioning unit with telescope bar: autoclavable and
rior. Additionally, it supports angulated biopsies.
reusable
111259
As an alternative, disposable* or reusable biopsy grids can be used
to perform biopsies also at numerous lesions at the same time.
Adapters for all compatible biopsy needles and vacuum guns are
available directly from NORAS.
Post&Pillar Needle Guide: autoclavable and reusable; able to be angu-
* distributed by NORAS lated by 15° and 30°
111451
Cranio-Caudal Fixation Units
Specially developed fixation units for cranio-caudal fixation of the Post&Pillar marker: autoclavable and reusable; (remove marker liquid
breast are available as an option to avoid motion artifacts and re- before autoclaving and refill afterwards)
111300
duce scan time.
LED Light System
Integrated innovative LED light system provides an optimally illuminated working environ-
ment to support your biopsy workflow.
8 9
part number Optional Components for Grid Biopsy System
MAMMA
MAMMA
18G 112654 For Breast Biopsy 6-Channel Coil BI 6 Comfort
part number
16G 112597
Post&Pillar needle guide sleeves*: disposable in sterile packaging
14G 112655
12G 112653 16G 18G 14G 12G Grid Marker Block: autoclavable 111251
* distributed by NORAS
Base unit fixation plate: can be used laterally, medially and cranio-cau-
dally and is used as adapter for slat plates and grids
111242
Grid biopsy unit: lateral, medial, CC; autoclavable and reusable 111252
Base plate 111292
Grid biopsy unit height adjustable: lateral; autoclavable and reusable 117143
Slat plate horizontal: medial and cc 111212
Grid biopsy unit height adjustable*: lateral; disposable in sterile
packaging; packaging consists of 5 grids
112235
* distributed by NORAS
Slat plate horizontal: lateral 111301
Grid biopsy unit height adjustable*: medial, CC; disposable in sterile
packaging; packaging consists of 5 grids
112238
* distributed by NORAS
C.R. Bard Vacora MR10062-VAC
Adapter Vacuum Guns for Post&Pillar System: Suros Surgical ATEC MR10062-AT 18G 112660
autoclavable ; 2-pack SenoRX EnCor 10G MR10062-SE 16G 112143 18G 16G
SenoRX EnCor 7G 113315 Grid needle blocks*: disposable in sterile packaging
14G 112659
12G 112731 14G 12G
* distributed by NORAS
Guidance bracket for Invivo disposable needle guidance MR10062-MHA
Disposable needle guidance (Multi Hub Assembly): not for 7G 113692
Adapter Vacuum Guns for Post&Pillar System Devicor Mammotome:
autoclavable
MR10062-ET2
10 11
Breast BI 7 MR Coil Set 1.5T & 3T NORAS product solutions for Breat Biopsy and Fixation Unit Sets
MAMMA
MAMMA
Exclusively for the new Siemens MRI scanner generation for Breast BI 7 MR Coil Set 1.5T & 3T part number
Vida and Sola
Please contact your SIEMENS
The Noras Breast BI 7 MR Coil Set 1.5T & 3T is an innovative solution designed to Breast Biopsy Set for Breast BI 7 on request
representative for more information
offer flexible use to meet the needs of the procedure to be performed in your
clinic.
Using the same set of comfort cushions, it can be combined with the Breast 18
You can obtain all components
imaging coil from Siemens.
The rigid coil frame forms a high element-density, 7-channel „phased array” con- Breast Biopsy and Fixation Unit di-
figuration for high resolution imaging. One sided medial and up to two-sided rectly from NORAS. We will be plea-
lateral biopsy access is possible. sed to give you personal advice.
Cranio-caudal fixation Breast BI 7 on request
Patented lighting system
integrated
Optional Components for Post&Pillar Biopsy System
for Breast BI 7 MR Coil Set 1.5T & 3T
part number
Post&Pillar Needle Guide Pillar Breast BI 7: autoclavable 118621
Post&Pillar and Grid Biopsy System
The Post & Pillar biopsy system is designed for targeted needle Post&Pillar Needle Guide Breast BI 7: autoclavable 118654
guidance, which can be moved both left-right and anterior-pos-
terior.
Additionally, it supports angulated biopsies. As an alternative,
disposable biopsy grids* can be used to perform biopsies also at
numerous lesions at the same time.
Disposable adapters* for all compatible biopsy needles and vacu-
um guns are available directly from NORAS. Post&Pillar Marker Breast BI 7: autoclavable 118946
* distributed by NORAS
Fixation Units: medio-lateral and cranio-caudal
Horizontal Slat Plate Breast BI 7 medial: autoclavable 118649
Specially developed fixation units for medio-lateral or also cranio-
caudal fixation of the breast are available as an option to avoid
motion artifacts and reduce scan time.
Horizontal Slat Plate Breast BI 7 lateral: autoclavable 118622
12 13
part number
Optional Components for cranio-caudal Fixation Unit
MAMMA
MAMMA
18G 118952 for Breast BI 7 MR Coil Set 1.5T & 3T
16G 118953 18G 16G
Post&Pillar Needle Guide Sleeves disposable BI 7*: sterile; 5-pack part number
14G 118954
12G 118955
* distributed by NORAS 14G 12G
Cranio-caudal fixation unit BI 7: single element 118719
C.R. Bard Vacora 118956
Post&Pillar Needle Guide Sleeves disposable BI 7*: for use with MR Suros Surgical ATEC 118957
compatible Vacuum Guns ; sterile; 5-pack SenoRX EnCor 10G 118958
CC-320-Plus Cushion Breast 118193
* distributed by NORAS
SenoRX EnCor 7G 118950
Optional Components for Grid Biopsy System
for Breast BI 7 MR Coil Set 1.5T & 3T
part number
Grid Biopsy Unit disposable medial BI 7*: sterile; 5-pack 118979
* distributed by NORAS
Grid Biopsy Unit disposable lateral BI 7*: sterile; 5-pack 118980
* distributed by NORAS
Grid Marker Block: autoclavable 111251
18G 112660
16G 112143 18G 16G
Grid Needle Blocks disposable*: sterile
14G 112659
12G 112731
* distributed by NORAS 14G 12G
Breast Elevation Plate Breast BI 7 118761
14 15
Breast Biopsy 4-Channel Coil BI 4 NORAS product solutions for Breast Biopsy and Fixation Unit Sets
MAMMA
MAMMA
Exclusively for Siemens MRI Scanner for Breast Biopsy 4-Channel Coil BI 4
part number
Please contact your SIEMENS
representative for more information
Breast Biopsy Set Post&Pillar: autoclavable and reusable 118941
The Patient Rest can be used for diagnostic
imaging with the 4Ch coil and also with the
optional Siemens 16Ch coil. This solution is
only available through Siemens.
Breast Biopsy Set Grid disposable: autoclavable and reusable; with
disposable grids in sterile packaging*
118943
* distributed by NORAS
Breast Biopsy Set Grid reusable: autoclavable and reusable 118944
SIEMENS 16-Channel Diagnostic Coil
The NORAS Breast Biopsy 4-Channel Coil BI 4 was developed for the
Siemens TIM system and serves with its 4Ch array coil for diagnostics
as well as biopsy removal. The design of the whole setup is very open Cranio-caudal Fixation Unit CC-320-PLUS 118341
to ensure optimal access to the breast for interventions. Optionally,
you can use the 16Ch coil* for optimized imaging (spectroscopy pos-
sible) with the same Patient Rest.
* distribution via Siemens Healthineers
The Breast Biopsy Kit consists of a complete Post&Pillar positioning
unit and two disposable grids for medial, lateral and cranio-caudal
access. The biopsy set is compatible with the c oordination software
from Siemens, and therefore cannot be rotated by 360°.
* distributed by NORAS
Optional Components for Post&Pillar Biopsy System
The original components are available th-
rough NORAS or through authorized re-sel-
for Breast Biopsy 4-Channel Coil BI 4
lers. part number
Post&Pillar positioning unit with telescope bar: autoclavable and
reusable
111259
Case
The Breast Biopsy Kit consists of a steam ste-
rilizable fixation unit including Post&Pillar po-
sitioning unit. Post&Pillar Needle Guide: autoclavable and reusable; able to be angu-
The sterile pieces* that are necessary for the lated by 15° and 30°
111451
biopsies are not part of the delivery content
but can be ordered separately.
Part of the biopsy kit is a 12G non-sterile trai-
ning needle, including sleeve and cube, as well
as two training grids (medial/CC and lateral).
Post&Pillar marker: autoclavable and reusable; (remove marker liquid
before autoclaving and refill afterwards)
111300
* distributed by NORAS
16 17
part number
Optional Components for Grid Biopsy System
MAMMA
MAMMA
18G 112654 for Breast Biopsy 4-Channel Coil BI 4
part number
16G 112597
Post&Pillar needle guide sleeves*: disposable in sterile packaging
14G 112655
12G 112653 16G 18G 14G 12G Grid Marker Block: autoclavable 111251
* distributed by NORAS
Base unit fixation plate: can be used laterally, medially and cranio-cau-
dally and is used as adapter for slat plates and grids
111242
Grid biopsy unit: lateral, medial, CC; autoclavable and reusable 111252
Base plate 111292
Grid biopsy unit height adjustable: lateral; autoclavable and reusable 117143
Slat plate horizontal: medial and cc 111212
Grid biopsy unit height adjustable*: lateral; disposable in sterile
packaging; packaging consists of 5 grids
112235
* distributed by NORAS
Slat plate horizontal: lateral 111301
Grid biopsy unit height adjustable*: medial, CC; disposable in sterile
packaging; packaging consists of 5 grids
112238
* distributed by NORAS
C.R. Bard Vacora MR10062-VAC
Adapter Vacuum Guns for Post&Pillar System: Suros Surgical ATEC MR10062-AT 18G 112660
autoclavable ; 2-pack SenoRX EnCor 10G MR10062-SE 16G 112143 18G 16G
SenoRX EnCor 7G 113315 Grid needle blocks*: disposable in sterile packaging
14G 112659
12G 112731 14G 12G
* distributed by NORAS
Guidance bracket for Invivo disposable needle guidance MR10062-MHA
Disposable needle guidance (Multi Hub Assembly): not for 7G 113692
Optional Components for cranio-caudal Fixation Unit
for Breast Biopsy 4-Channel Coil BI 4
part number
Adapter Vacuum Guns for Post&Pillar System Devicor Mammotome:
autoclavable
MR10062-ET2
Cranio-caudal fixation unit CC-320-PLUS: single element 118086
CC-320-Plus Cushion Breast 118193
18 19Manual coordinate calculation for the Post &
MAMMA
MAMMA
Pillar Biopsy System
1 2
Perform a measurement with transversal slices and look for Start the „distance“ tool (menu, right center → „Extras“ → „di-
the slice on which one you can see the marker. stance“ (ruler)).
Manual coordinate calculation for the Breast
3 4
BI 7 MR Coil Set
On the following pages you will find instructions for the manual coordinate calculation of the BI 7 Post & Pillar Mark that line with a left-click and select the marked line with
and Grid Biopsy Method, which is located on the user interface of your Siemens MR-system. a right-click. In the context-menu, select „copy“. By doing so,
Draw a line, straight through the pointer. the line is copied and can be pasted into other slices.
Besides the manual calculation of coordinates, additional solutions for software-supported coordinate calcu-
lation are offered by third-party providers.
Please contact NORAS or your Siemens representative directly if you have any questions regarding compatibi-
lity and application.
5 6
Select the „distance“ tool again and measure the distance
between the lesion and the reference line that you inserted
in step 5. Please note these measurements on a separate piece
of paper.
Scroll through the other slices until you find the lesion that In this example the Post & Pillar positioning unit has to be mo-
you want to perform a biopsy on. Right-click on this slice und ved 31 mm from the starting position to anterior (because the
select „Paste“. patient is lying in the prone position).
20 21Angulated, manual coordinate calculation for
MAMMA
MAMMA
the Post & Pillar Biopsy System
Perform the steps 1. to 10. from the user manual for the straight, manual calculation of coordinates.
If you notice during the straight biopsy that, for example, one of the bars of the grid is in the way of the biopsy, or if you prefer to continue with an
angulated biopsy for any other reason, you can also work with an angulation of 15 or 30 degrees toward the top or the bottom.
7 8
13 14
In order to determine the shift from head to feet (Post & Pillar
positioning unit to the left or to the right), view the slice po-
sition of the marker and lesion at the transversal slices. The The lesion you have chosen in step 5 is located in our example
marker from step 1 is located on slice-position („SP“=Slice Po- on slice position H14.9. Hence, the difference is 14.9 mm – 0.5
sition) H0.5, therefore 0.5mm towards the head from the laser mm = 14.4 mm. In order to reach the lesion, you have to move ow, an angle of 15 degrees (in this example) has to be dra-
N
positioning. the Post & Pillar positioning unit by 14mm towards the head. wn to the original marker line. To do so, one needs to use the
tool, which you find on the right hand side under „Extras” → Draw the first line, in this example from right to left, through
„Angle“. the marker toward the lesion.
9 10
15 16
The second line has to have
appropriate length toward
Move the Post&Pillar unit with the marker according to the cal- the left so it lasts at least un-
culated coordinates (in our example 31mm downwards (ante- Perform a control scan in order to check that the marker is Draw the second line with an angle of 15 degrees from right derneath the pivot point of the Post & Pillar marker. You can
rior) and 14 mm towards the head). located in front of the lesion. to left. This can also be done slightly underneath the first line. also extend that line afterwards by pulling its right endpoint.
Please be aware that in this example, where we create the ang- The new Marker design shows the pivot point as a black cross
le counterclockwise, we will prepare an angle of 165 degrees. inside the marker.
11 12
17 18
Now, go ahead and move the second line (which forms an
se the „distance” tool again in order to measure the pun-
U
angle of 15 degrees with the first line) so that it has its left Choose the „distance” tool und draw a new line perpendicular
cture depth from the surface of the skin to the middle of
endpoint in the center of the lesion. To do that, left-click the to the first line through the marker at the height of the pivot
the lesion (in this case 31 mm). Subtract an offset, depending
second line, hold down the left mouse key and move the line point, marked by the black cross inside the marker. It might
on the biopsy system (normally about 5-10 mm), in order to
Perform a control scan in order to check that the end of the with the mouse. help to start this line a little below the line through the marker.
position the cannula lies in front of the lesion. Now puncture
the breast with the trocar using this offset-corrected depth needle is positioned in front of
(starting at skin surface). Afterwards pull the needle out of the lesion.
the trocar and insert the plastic-bar into the cannula instead.
The plastic-bar causes fewer artifacts than the needle and pre- The further biopsy may then be carried out by
vents blood back-flow into the cannula. authorized personnel.
22 23MAMMA
MAMMA
19
Now move this new line, till the one ends reaches the referen-
ce line through the marker and shorten it, so that is will touch
the 15 degree line on the other end. You line now shows on the
distance you need to move our needle guide in order to use a
15 degree angulation. In this example: 15mm up (posterior).
Manual coordinate calculation for the Grid Biopsy
20 21 System
In the following the Grid localization process with medial/lateral access
while using sagittal imaging slices is b
riefly described.
The grid pattern itself is used to locate the position of the lesion.
The grid plate is mounted on the biopsy unit for the fixation of the breast. The pattern of this grid is visible on the
sagittal MR-image at the edge of the breast. Therefore the grid position lying directly in line with the lesion can be
After movement (here 15 mm posterior) and angulation of the
identified manually. A needle block is inserted into that grid position.
marker (here 15 degrees toward anterior, hence toward the After the puncture with the trocar, perform another control
floor), perform a control scan in order to check that the marker scan in order to check that the end of the cannula lies right in
points at the lesion. Now, determine similarly to step 11 the front of the lesion.
puncture depth from the skin surface to the center of the The further biopsy may then be carried out by autho-
lesion (here 30.5 mm without offset). rized personnel.
The lesion is marked by using the imaging tools on the scanner user interface, e.g. a circle or a cross. This marking
is copied and pasted into the parallel sagittal slice, which shows the grid pattern. Now it can be easily seen, where
the needle block and the needle need to be positioned. Additionally, a MR-visible marker block for better orienta-
tion on the grid can be used (in this imaging example, the marker is sitting in the middle of the grid).
With the knowledge of the number and thickness (plus a potential gap between slices) of the sagittal imaging
slices from the surface of the grid to the lesion, the penetration depth can be easily calculated.
24 25Variety 16-Channel Multipurpose Coil 1.5T & 3T Typical Applications and Positioning Aids - Orthopedics
THE ONE FOR ALMOST EVERYTHING
Variety 16-Channel Multipurpose Coil 1.5T 117235
Variety 16-Channel Multipurpose Coil 3T 117234
Variety long 16-Channel Multipurpose Coil 3T 119722
The „Variety“ Coil is a 16-channel multipurpose array, which has been developed for high flexibility during examination of challenging anatomic Hand and Wrist
VARIETY
regions. A good example for such areas is the imaging of musculoskeletal areas.
VARIETY
The size of the coil halves enables imaging of the whole hand and wrist.
A special positioning aid, in which the bottom coil half can be placed, creates a sta-
ble and flat surface to put the hand on.
High signal quality based on a design with 8+8 array elements
If needed, the second coil half can be put on top of the hand.
with high coil element density
Alternatively, the hand can be positioned “standing up“ using our elbow positio-
ning aid (see illustration below right).
High resolution examinations of even small body regions with
reduced scan durations
High speed image acquisition due to the possibility of accele-
rated imaging in all directions
Application for diagnosis in orthopedics, pediatrics and in
veterinary medicine
Enables motion studies of all joints
Enables mounting very close to anatomical region of interest
through dedicated positioning aids (optimal image quality)
Elbow
• Compatibility with Siemens coil portfolio For smaller elbows (e.g. kids) a single coil half can be used to be wrapped around the
NEW: Siemens Coil File available • No need to remove the spine coil anymore elbow. This coil half can then be fixated using Velcro® strips.
For bigger elbows, the size adjustable positioning aid can be used.
Each half of the coil is based on an 8-channel array, which can be used separately as a surface array for coverage of various body areas. The indivi-
dual coil elements in each array have a small diameter of approximately 7 cm. This design results in a high signal quality, which allows for highest
achievable resolutions.
Based on the high mechanical FLEXIBILITY and on the small size of its array elements the “Variety“ covers a much larger field of applications for high
resolution imaging in comparison to standard flexcoils. Through the use of Velcro® strips and dedicated positioning aids the “Variety“ Array can be
adjusted very well to curved anatomical regions.
The Variety 16-Channel Multipurpose Coil from NORAS MRI products is compatible to all Siemens Tim® systems. NORAS is currently working on
compatible solutions for other manufacturers of MR-scanners. Kindly contact us in case you have any questions regarding the compatibility of the
NORAS 16-Channel Multipurpose Array for your scanner.
26 27Typical Applications and Positioning Aids - Pediatrics
Shoulder Pediatrics small (0 - 6 months)
A special sloped positioning device allows comfortable support on the lower coil
half.
For fixation of the upper coil half, you can use e.g. sandbags.
VARIETY
VARIETY
Pediatrics medium (6 - 36 months)
Knee, Foot and Ankle
The stageless adjustment of the positioning device allows for proper support of pa-
tients with a body size of up to 2.1 m and for knees with high or low volume.
The flexible design also allows imaging in flexed and stretched position. Further-
more, an optional supporting element for imaging in flexed position is available.
We advise to use always the positioning aids in combination to enable support and
less motion of the patient.
Pediatrics large (4 - 8 years)
28 29VARIETY
VARIETY
Hand at 3T (Siemens Skyra) Hand at 3T (Siemens Skyra) Wrist at 3T (Siemens Skyra) Elbow at 3T (Siemens Skyra) Elbow at 3T (Siemens Skyra) Foot at 3T (Siemens Skyra)
Sequence parameters: 0.34 x 0.34 x 2 mm³; Sequence parameters: 0.29 x 0.29 x 1.5 mm³; Sequence parameters: 0.23 x 0.23 x 3 mm³; Sequence parameters: 0.5 x 0.5 x 2 mm³; Sequence parameters: 0.6 x 0.6 x 3 mm³; Sequence parameters: 0.31 x 0.31 x 2 mm³;
TR=3000ms; TE=58ms; TA=2:21; TR=34ms; TE=20ms; TA=2:44; TR=600ms; TE=14ms; TA=1:47; TR=729ms; TE=10ms; TA=2:54 min; TR=3000ms; TE=41ms; TA=4:33; TR=650ms; TE=11ms; TA=2:01 min;
PAT-Factor: 2; FOV: 220 x 220. PAT-Factor: 3; FOV: 220 x 220. PAT-Factor: 2; FOV: 90 x 90. FOV: 89 x 260. PAT-Factor: 2; FOV: 200 x 200. PAT-Factor: 2; FOV: 120 x 120.
Shoulder at 3T (Siemens Skyra) Shoulder at 3T (Siemens Skyra) Knee at 3T (Siemens Skyra) Knee at 3T (Siemens Skyra) Ankle at 3T (Siemens Skyra) Ankle at 3T (Siemens Skyra)
Sequence parameters: 0.36 x 0.36 x 3 mm³; Sequence parameters: 0.41 x 0.41 x 3.2 mm³; Sequence parameters: 0.36 x 0.36 x 2.5 Sequence parameters: 0.31 x 0.31 x 3 mm³; Sequence parameters: 0.33 x 0.33 x 2 mm³; Sequence parameters: 0.39 x 0.39 x 3 mm³;
TR=600ms; TE=24ms; TA=3:34 min; TR=2500ms; TE=34ms; TA=2:40 min; mm³; TR=525ms; TE=11ms; TA=2:26 min; TR=2500ms; TE=24ms; TA=2:27 min; TR=31ms; TE=18ms; TA=2:53 min; TR=3100ms; TE=34ms; TA=2:47 min;
PAT-Factor: 2; FOV: 160 x 160. PAT-Factor: 2; FOV: 150 x 150. FOV: 150 x 150. PAT-Factor: 2; FOV: 140 x 140. PAT-Factor: 3; FOV: 150 x 150. PAT-Factor: 2; FOV: 150 x 150.
Hip at 3T (Siemens Skyra) Hip at 3T (Siemens Skyra) Jaw joint at 3T (Siemens Skyra) Child at 3T (Siemens Skyra) Child at 3T (Siemens Skyra) Child at 3T (Siemens Skyra)
Sequence parameters: 0.46 x 0.46 x 2 mm³; Sequence parameters: 0.43 x 0.43 x 1.2 mm³; Sequence parameters: 0.23 x 0.23 x 2 mm³; Sequence parameters: 0.35 x 0.35 x 4 mm³; Sequence parameters: 0.31 x 0.31 x 3.5 mm³; Sequence parameters: 0.34 x 0.34 x 3 mm³;
TR=600ms; TE=11ms; TA=3:48 min; TR=12.6ms; TE=5.1ms; TA=4:50 min; TR=3000ms; TE=95ms; TA=1:42 min; TR=2410ms; TE=95ms; TA=5:39 min; TR=600ms; TE=20ms; TA=5:46 min; TR=633ms; TE=23ms; TA=7:32 min;
FOV: 119 x 119. PAT-Factor: 3; FOV: 199 x 220. FOV: 120 x 120. PAT-Factor: 2; FOV: 181 x 223. PAT-Factor: 2; FOV: 181 x 200. PAT-Factor: 2; FOV: 165 x 220.
30 31Technical Specifications Optional Components for the Variety 16-Channel Multipurpose Coil
Coverage Wrap Diameter
Variety 16-Channel Multipurpose Coil (one coil half) part number
Variety Positioning Aid Set Orthopedics
118353
(incl. Positioning Aids Elbow, Shoulder and Knee/Foot/Ankle)
20 cm x 22 cm 5.5-8 cm
Variety Positioning Aid Set Pediatrics
118354
(incl. Positioning Aids Pediatrics small, medium and large)
VARIETY
VARIETY
Variety 16-Channel Multipurpose Coil (both coil halves)
20 cm x 44 cm 11-17 cm Variety Positioning Aid Multipurpose 118398
Variety Positioning Aid Elbow 118468
Available Coil Packages
Variety Positioning Aid Shoulder 118413
part number
Variety 16-Channel Multipurpose Coil 1.5T,
Cable Length: 100 cm, consisting of:
• Variety 16-Channel Multipurpose Coil 1.5T 2 pc. Variety Positioning Aid Knee, Foot and Ankle 118463
• Variety Clip 2 pc. 117235
• Variety Positioning Aid Multipurpose 2 pc.
• Velcro® Fastener 300 4 pc.
• Velcro® Fastener 500 4 pc.
• Velcro® Fastener 500 back-to-back 4 pc. Variety Positioning Aid Pediatrics small 118465
Variety 16-Channel Multipurpose Coil 3T,
Cable Length: 100 cm, consisting of:
Variety Positioning Aid Pediatrics medium 118467
• Variety 16-Channel Multipurpose Coil 3T 2 pc.
• Variety Clip 2 pc. 117234
• Variety Positioning Aid Multipurpose 2 pc.
• Velcro® Fastener 300 4 pc.
• Velcro® Fastener 500 4 pc.
• Velcro® Fastener 500 back-to-back 4 pc. Variety Positioning Aid Pediatrics large 118412
Variety lang 6-Channel Multipurpose Coil 3T,
Cable Length: 150 cm, consisting of:
Variety Positioning Aid Inlay 118415
• Variety lang 16-Channel Multipurpose Coil 3T 2 pc.
• Variety Clip 2 pc. 119722
• Variety Positioning Aid Multipurpose 2 pc.
• Velcro® Fastener 300 4 pc.
• Velcro® Fastener 500 4 pc.
• Velcro® Fastener 500 back-to-back 4 pc
32 33Mandibula 15-Channel Dental Coil Mandibula 15-Channel Dental
Coil 1,5T for SIEMENS Scanner 118487
High-Resolution Imaging for Diagnostics in Orthodontics
Mandibula 15-Channel Dental
Coil 3T for SIEMENS Scanner 118871
Our Mandibula 15-Channel Dental Coil is a multi-element receive array and positi-
oning system for three-dimensional (3D) high-resolution dental and maxilloman-
dibular MRI images.
Application areas for the NORAS Mandibula 15-Channel Dental Coil are:
Intraoperative Neuro-
• Mandibular joint disease surgery solution from
•
•
Oral and maxillofacial surgery
Parodontology NORAS
• Forensics
• Oral surgery
DENTAL
• Orthodontics
• Endodontics As early as 2005, NORAS MRI products GmbH presented the
• Imaging of the gums (e.g., palatal mucosa thickness) first MR compatible head holder with receiving coils and was
• Imaging of the major salivary glands thus the pioneer in the field of intraoperative MRI imaging in
• Exclusion of organic causes of atypical facial pain the field of neurosurgery. With the innovative head holder
NORAS was able to quickly establish a leading position in
NEURO
For more detailed application fields please visit https://www.noras.de/en/
neurosurgery solutions.
Based on a creative and respectful cooperation with leading
Transversal view neurosurgeons from Germany, Switzerland, the US and Ca-
nada NORAS has created the head holders FLEXIBILITY and
Advantages: HEIDBERG in 2013.
High resolution dedicated MR imaging in dental area The head holder HEIDBERG became a strong alternative to
High resolution movement studies of the jaw joint older versions of NORAS head holders. Both head holder sys-
tems convince besides excellent image quality with a unique
Coil element underneath chin can be moved in and out for motion
sterile concept and an optimized workflow.
studies, e.g. on the jaw joint
Easy to position and adjustable for most patients The constant innovations are based on requirements, ideas
and challenges that leading neurosurgeons experience in
Excellent patient comfortability their everyday work.
Optional mirror attachable for claustrophobic patients
The increased reliability and high availability of the Head
Minimized unwanted signal distortions (vibration, movement etc.) Holders FLEXIBILITY and HEIDBERG are proven in e.g. yearly
more than 200 successfully completed cases in Europe using
these advanced systems for MR-based neurosurgery.
Thanks to ongoing enhancements and innovations, NORAS
Sagittal view belongs to the drivers of intraoperative MR imaging.
This was proven again in 2018: The new LUCY head holder
combines years of experience in the field of MRI with new
applications thanks to its CT compatibility.
Panoramic teeth view
With constant innovation and new developments the NO-
RAS MRI products Ltd is a reliable partner for MR-supported
neurosurgery.
34 35OR Head Holder LUCY & OR Head Coil 1.5T / 3T
Overview
For Siemens MAGNETOM Aera 1,5T, Sola 1.5T, Collision check with
Sola fit 1,5T/ MAGNETOM Skyra 3T, Vida 3T, bore gauge
MR- and X-Ray compatible for multimodal applications Vida fit 3/ Philiips INGENIA 1,5T, INGENIA Am-
bition 1,5T/ INGENIA 3T, INGENIA Elition 3T*
Brainlab AIR Support
LUCY is an innovative neurosurgery solution that com- Optional components
bines the functions of a head holder for secure fixation
of the skull during interventions and an MR coil for
intra-operative imaging.
The head holder is compatible with the established
8-Channel NORAS Head Coil setup. Thanks to the radiot-
ranslucent material, the OR Head Holder LUCY (without Excellent access to the
the NORAS OR Head Coils) can also be used in the X-ray intervention area
environment – CT and angiographie – for intra-operati-
ve imaging. Besides tumor resections, „deep brain stimu-
lations” (DBS) and minimally invasive pituitary surgery,
the system also supports awake craniotomies. Flexible patient
positioning
The NORAS OR Head Holder LUCY and the NORAS OR
Head Coil 1.5T / 3T can be used with the MR systems No sterilization of the
Siemens Magnetom Aera 1,5T, Sola 1.5T, Sola fit 1,5T, coils and cables neces-
NEURO
NEURO
Skyra 3T, Vida 3T and Vida fit 3T together with the Combi sary
Dockable Table. Due to the compatibility to the new
transferboard from Maquet our solution can be com-
bined with the nexaris Angio-MR-CT and the Artis pheno
Angiography System.
Furthermore, the OP Head Holder LUCY and the NORAS
OP Head Coils can be used with the Philips MR-Syste-
men Ingenia 1,5T, Ingenia Ambition 1,5T, Ingenia 3T and
Ingenia Elition 3T.
* Please contact us if you have any questions about the compatibility of the OR head holder LUCY and the
head coil of NORAS.
The design provides a comfortable positioning of the patient in prone, supine or lateral position on the OR table.
8-channel coil setup 1.5T / 3T
The head frame of the NORAS OR Head Holder allows exact adaptation to the patient‘s head size. For optimal access to the
area of intervention, the head frame can be pivoted, rotated, tilted and adjusted in height.
A secure attachment of the patient‘s head is ensured by the three-point fixation. With the help of the integrated force
indicator, the required clamping force can be checked exactly.
The entire system is height-adjustable to achieve optimal patient positioning in 70 cm bores (Siemens/ Philips) as well
as in Siemens CT scanners. In addition, the entire structure can be moved along the head-foot-axis and the horizontal
axis. Integrated force
indicator 3-point fixation
The Noras 2x4 Ch coil concept, with the ability to position both coil halves close to the head, provides excellent image
quality.
The OR Head Holder LUCY can be used in combination with the nexaris Angio-MR-CT and the Artis pheno Angiography
System.
LUCY is compatible with various surgical equipment (GREENBERG ™, VarioGuide ™, LEYLA retractors) and supports the
navigation system of Brainlab. Radiotranslucent Removable and height
material adjustable lower coil
Thanks to a unique sterile concept, neither cables nor coils need to be sterilized! element
36 378-Channel Coil setup 1.5T / 3T 3-point fixation with integra-
Coil system
Fixation
The NORAS 8-channel coil system provides homoge-
ted force indicator
neous illumination and good imaging of the interven- Choose the right clamping force for a secure position of
tion area. the patient‘s head!
The two-part construction of the coil system allows the The integrated force indicator on the rear end of the
removal of the coil halves in the preparation phase and one-point fixation allows you to control the tension be-
during the intervention, which allows excellent access fore and during the procedure.
to the region of interest.
The lower coil can be placed close to the patient‘s head
due to the height adjustment possibility!
Optional Components for NORAS OR Head Holder LUCY
part number
All Purpose Arch Set LUCY: The All Purpose Arch can be attached in
NEURO
NEURO
different angles to the toothing of the clamps in head-foot direction.
If mounted in foot direction, the scalp can be sewed onto the arch or
mounted with rubber bands or hooks. If mounted in the front, the 119672
arch serves as a hand rest. Additionally GREENBERG™ retractors can be
height adjustable lower coil
mounted onto the arch by using various GREENBERG™ retractors.
VarioGuide™ Adapter LUCY: With this adapter, the BrainLab VarioGui-
de™ Biopsy Arm can be mounted on the left or right side of the Head 119671
Holder.
GREENBERG™ Retractor Adapter: This additional adapter can be atta-
ched to the All Purpose Arch and serves as an adapter of several GREEN-
114295
BERG™ and Budde® Halo retractors. It can be flexibly mounted on the
Sterile workspace: protection All Purpose Arch.
Sterile concept
and time saving
Thanks to a unique sterile concept, neither cables
nor coils need to be sterilized! LEYLA Retractor Socket: The socket serves as mount of the various
LEYLA® Retractors. The top part can be rotated horizontally in various 113243
The sterile work area is delimited with two surgical di- angles. The bottom part is inserted into the dove tail of the Clamps (p/n
sposable drapes. Thus, coils and cables as well as most 11937) or of the GREENBERG™ Retractor Adapter and locked tightly.
of the components of the head-holder can be used in
a non-sterile environment.
The newly designed clamping mechanism ensures Pediatrics Set LUCY: With the help of the „One-point Fixation with
easy handling for optimum surgical drape protection! Force Indicator Pediatrics LUCY“ and the „Two-point Fixation Pediatrics
LUCY“ it is possible to respond to the smaller head geometry of pediat-
ric patients and to safely tension the head during surgery (and intraope- 120368
rative imaging). The set is completed by 6 skull pins with small tips and
a special strainer basket for small parts to store the sterile skull pins in
the operating theatre.
38 39OR Head Holder FLEXIBILITY & OR Head Coil 1.5T / 3T Brainlab AIR Support
Overview
established Neurosurgery Solution for intraoperative MRI
For Siemens Magnetom Aera 1,5T /
Magnetom Skyra 3T / Magnetom Vida 3T &
Vida fit 1,5T / Magnetom Sola 3T & Sola fit
1,5T / Philips Ingenia 1.5T & 3T/
Maquet Magnus OR Table & Otesus Plus /
Trumpf -TruSystem 7500
Fixation with up to
No sterilization seven points possible
of the coils and
cables necessary
8-channel coil setup 1.5T / 3T
Removable lower
coil element
Flexible patient positioning
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NEURO
FLEXIBILITY is an established Neurosurgery Solution for intraoperative MRI. The
head holder ensures safe immobilization of the head during an open skull surgery
NORAS MRI products has developed a “Sterile Concept” The sterile area is located between the two dra-
Sterile Concept
while also supporting the NORAS OR head coil system, already convinced with its
for the NORAS OR Head Holder and Head Coils. This was pes. Just the lower drape, in the picture turquoi-
excellent image quality.
done in cooperation with the Neurosurgical University se, is getting perforated (the screws of the clamps
Hospital of the University Clinical Center Heidelberg, penetrate the lower drape). The second drape, in
The Head Holder & OR Head Coils are available for Siemens and Philips 1.5T and 3T
the Neurosurgical Clinic of the University of Ulm at the picture violet, is not being penetrated at all.
MR systems. The coils and cables can stay non-sterile.
BKH Guenzburg and the Neurosurgery Center of the
ASKLEPIOS Clinic North – Hamburg/Heidberg.
Due to this concept, there is no need to sterilize the co-
ils and cables.
The NORAS OR Head Holder FLEXIBILITY allows supine, prone, lateral positioning of the patient and supports awake cra- During the development process, NORAS emphasized
niotomies, DBS and minimally invasive pituitary surgery: that the coils and cables as well as most components
of the Head Holder can be used in an unsterile environ-
FLEXIBILITY is is also suitable for pediatric applications. ment. The basic concept is to create a sterile chamber
in between the patient’s head and the top coil with two
The Head Holder is designed as a three-point fixation in the lateral level. Furthermore, the surgeon has the option of using sterile OR drapes.
up to seven fixation points. A compatible version of the reference star and head
holder adapter has been developed in collaboration
For optimum access to the area of intervention, the head frame can be tilted, swiveled and rotated. with BrainLab AG. The reference star can now be tightly
attached to the head holder without perforating the
The NORAS OR Head Holder FLEXIBILITY is height-adjustable, which enables excellent patient positioning in 70 cm bore sterile OR drapes.
systems Philips Ingenia and Siemens Magnetom Aera / Skyra / Sola & Sola fit / Vida & Vida fit. This sterile concept is offered to all existing customers
as an upgrade kit HEIDBERG.
There is the possibility to move the setup along the head-feet-direction, which is very convenient when positioning the
patient on the OR table.
Left: Setup with All Purpose Arch, Multifunctional
The NORAS OR Head Coils provide very good field homogeneity and excellent image quality. Bar System, VarioGuide™ Adapter and BrainLab
Drape Link Reference Star.
Due to a proven sterile concept, there is no need to sterilize the coils and cables.
Right: Setup with two All Purpose Archs, VarioGui-
The Head Holder is compatible to various operating tools (e.g. GREENBERG™, VarioGuide™, LEYLA-Retractors) and sup- de™ Adapter and BrainLab Drape Link Reference
ports the navigation systems of Brainlab and Medtronic. Star.
40 41Flexible Pinning Possibilities OR Head Holder HEIDBERG & OR Head Coil 1.5T / 3T
Fixation Concept
Upgrade-Kit for our existing customers
There are now three mounting points for height-adjus-
table bottom pins. For the upper pins, a combination
of one 2-point fixation and a 1-point fixation or two
2-point fixations can be mounted on each side of the
head frame. This enables flexible pinning combinations The Head Holder HEIDBERG is a further development of the older
in consideration of all patient positioning options. NORAS OR Head Holder versions for our existing customers. With
the improved HEIDBERG model, several product features of our es-
tablished neurosurgery solution FLEXIBILITY are available.
Clamping Device with Force The head holder ensures a secure stabilization of the head during
the neurosurgical interventions. Thanks to the NORAS 8-channel
Indicator OR Head Coils, excellent image quality can be achieved.
The Clamping Device with Force Indicator allows the
surgeon to apply a defined pinning force during fixati-
on of the patient‘s head. Once the desired force is rea-
ched, the fixation rod is tightened up by a lock lever and
the clamping device can be removed.
We recommend all customers and users of older NORAS
Head Holder versions – SI7000, SI7000-MQ, SI7300 or
113056 or 113066 (version 4) – to upgrade their systems
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with the HEIDBERG upgrade kit.
NORAS OR Head Holder FLEXIBILITY in the application The NORAS OR Head Holder HEIDBERG allows flexible and comfortable patient positioning and supports awake cranioto-
mies, DBS and minimally invasive pituitary surgery.
The OR Head Holder is suitable for use in pediatrics.
The Head Holder is designed as a three-point fixation in the lateral level. Furthermore, the surgeon has the option of using
up to seven fixation points.
For optimum access to the area of intervention, the head frame can be swiveled and rotated.
The NORAS OR Head Coils provide very good field homogeneity and excellent image quality.
The OR Head Holder HEIDBERG is easy to clean. Furthermore, none of the cables nor any of the coils needs to be sterili-
zed.
The Head Holder is compatible to various operating tools (e.g. GREENBERG™, VarioGuide™, LEYLA-Retractors) and sup-
ports the navigation systems of Brainlab and Medtronic.
42 43Optional Components for OR Head Holder FLEXIBILITY and Upgrade HISTORICAL OVERVIEW
Kit HEIDBERG
part number
Development of the Noras OR Head Holder
Multifunctional Bar System: Through the modular setup of toothed
joint parts and bars, the bar system can be adjusted ideally. GREEN-
BERG™ retractors can be mounted onto the bars and Budde® Halo re-
113217
tractors can be clamped onto the joint parts. The ending of the joint
parts is composed of a LEYLA Retractor Socket, which can be turned Head Holder SI7000 // Head Holder SI7000-MQ
and locked vertically in various angles.
for Trumpf Miyabi Shell for Maquet bearing 1180-71A0 and 6042-01C0
The NORAS Head Holder SI7000 has been developed for the use with the Trumpf OR table Jupiter in combination with the Siemens Neuro Miyabi
Shell for Siemens 1.5T and 3T MR systems (Espree, Symphony, Avanto, Verio, Trio). The NORAS Head Holder SI7000-MQ has been developed for the
use with the Maquet bearing 1180-71A0 and 6042-01C0 for Philips Achieva 1.5T and 3T MR systems.
VarioGuide™ Adapter: With this adapter, the BrainLab VarioGuide™ 111815
Biopsy Arm can be mounted on the left or right side of the Head Holder.
NEURO
NEURO
All Purpose Arch: The All Purpose Arch can be attached in different
angles to the toothing of the clamps in head-foot direction.
If mounted in foot direction, the scalp can be sewed onto the arch or
113220
mounted with rubber bands or hooks. If mounted in the front, the
arch serves as a hand rest. Additionally GREENBERG™ retractors can be
mounted onto the arch by using various GREENBERG™ retractors.
GREENBERG™ Retractor Adapter: This additional adapter can be atta-
ched to the All Purpose Arch and serves as an adapter of several GREEN-
BERG™ and Budde® Halo retractors. It can be flexibly mounted on the
114295
Head Holder SI7300
All Purpose Arch. For Siemens Magnetom Espree, Symphony and Verio with Rotating Table
The NORAS Head Holder SI7300 has been exclusively developed for the Siemens MAGNETOM systems with rotating table. This combination allows
lateral left or right patient positioning. Numerous variations of surgeries are possible, e.g. awake craniotomies in lateral position are feasible. Besides
the standard components, further special components are available for the SI7300.
LEYLA Retractor Socket: The socket serves as mount of the various
LEYLA® Retractors. The top part can be rotated horizontally in various
angles. The bottom part is inserted into the dove tail of the Clamps (p/n 113243
11937) or of the GREENBERG™ Retractor Adapter and locked tightly.
Pediatric Set: The Pediatric Set has been developed in order to fulfill
the requirements of pediatric demands. It includes a vacuum cushion,
which effectively supports the child‘s head.
Another component is a fixation force gauge with a hysteresis free cera-
114804
mic spring, which provides accuracy between 0N to 60N. A set of 6 tita-
nium pins with small tips is included.
44 45HISTORICAL OVERVIEW
Head Holder 113056 // Head Holder 113066 (Version 4) NORAS Product
for Trumpf Miyabi Shell for Maquet bearing 1180-71A0 and 6042-01C0 Development
The NORAS Head Holder 113056 has been developed for the use with the Trumpf OR table Jupiter in combination with the Siemens Neuro Miyabi
Shell for Siemens 1.5T and 3T MR systems (Espree, Symphony, Avanto, Verio, Trio). The NORAS Head Holder 113066 has been developed for use with
the Maquet bearing 1180-71A0 and 6042-01C0 for Philips Achieva 1.5T and 3T MR systems. NORAS has small administrative procedures due
In contrast to the previous Head Holders SI7000 and SI7000-MQ, a new sterile concept has been realized. During the development process, NORAS to the small size of the company. This results in
emphasized that the coils and cables as well as most components of the Head Holder can be used in an unsterile environment. The basic concept development processes being able to be adjus-
is to create a sterile chamber in between the patient’s head and the top coil with two sterile OR drapes. For this reason, only one top array coil is ted quickly and accurately per the customer’s re-
required. Furthermore, the bottom array coil can now be removed for better access during the intervention. quest. Nevertheless, all necessary departments
for MR coils and MR equipment are located in
one building.
Starting with the mechanical development and
the coil development department, continuing
with the creation of a prototype and the stress
tests up to the approval as a medical product,
everything is being done in exceptional team
collaboration.
NEURO
Locations of the NORAS Head Holder worldwide
In the in-house coil R&D department new coil projects
are being processed and already existing coils are being
advanced according to the state of the art.
This map shows the locations of existing clients of our neurosurgery-solutions allover the world (Status July 2018).
46 47PRESS REPORTS AND STUDIES
HYPMED
Innovative Breast-cancer research project HYPMED from NORAS MRI products GmbH gets EU
funding over six million euros. Reviewers explicitly praise the scientific and clinical potential of the
proposal.
Würzburg/Brüssel, 07.09.2015 – The from NORAS supported and led by Uniklinik RWTH Aachen project proposal HYPMED (develop-
ment of a hybrid MRT/PET-system for diagnostics of breast cancer) achieved top marks from the reviewers of the EU-program „Horizon
2020“ and unlimited funding recommendation. The innovative concept was praised by the reviewer commission: „The project has an
extremely high potential. We expect, that the new approach of the HYPMED project will lead to earlier and better diagnosis of breast
cancer by using determined MR/PET-imaging.“
All of the mechanical develop-
ments, from the phase of plan- „The HYPMED-project combines medical competence and physical-technical competence as well with engineering expertise in an
ideal matter. It shows what potential the Uniklinik RWTH Aachen has in the field of medicine and technology “, highlights the project
ning up to series production are
leader, Univ.-Prof. Dr. med. Christiane Kuhl, director of the clinic for diagnotic and interventionel radiology at Uniklinik RWTH Aachen.
being edited on our 3D-CAD Sys-
Together with the RWTH Aachen and other partners from all over europe NORAS will work on the HYPMED project. The Horizon
tem (Solidworks).
MEDIA
2020-program is highly competetive; only two percent of the submitted proposals receive funding. It is extremely exceptional to score
with full points from the reviewers in such a competition.
Mechanical adjustments and
quick developments of prototy-
pes are also being performed in
the in-house department, besides Diagnose breast cancer earlier and improve treatment
the collaboration with different
development partners. Breast cancer is still the leading cause of cancer related deaths among women. That’s why the search for new possibilities to diagnose
the illness in an early state and to treat it is still in the focus of scientific research nowadays. The HYPMED-project aims to develop a new
device for medical imaging based on the basic science of physics over the engineering implementation into the clinical test. The new
device will deliver a so far not possible combination of breast-MRI and PET (positron emission tomography) thus pushing the frontiers
globally in breast cancer research. “With the new device every conventional MR-system can be become a so called hybrid system if
needed. It will allow us to recognize even the smallest changes and improve the assessment of tumor aggressiveness”, elaborates Prof.
Kuhl. “Such imaging modalities are desperately needed for a targeted treatment”. This is not only true for breast cancer. The new con-
cept will also allow for other diseases new diagnostic possibilities. “With the success of the HYPMED-project a new chapter in medical
imaging will be written”, says Prof. Kuhl
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