MIBRAR® Instruments

All MIBRAR® instruments were developed by Prof. Dr. med. Arsen Babayan specifically for micro-invasive procedures. They ensure maximum precision and safety with minimal impact on the patient's body. The MIBRAR® trademark is registered in the EU (No. 015764401).

Cyber Navi Hand™

Computer-controlled robotic arm for navigation — an innovative system ensuring maximum precision during micro-invasive interventions on the spine and joints.

Cyber Navi Hand™ combines advanced 3D surgical planning software with a robotic mechanical arm operating in three phases:

Three Phases of Cyber Navi Hand™

1. Planning. 3D visualization based on DICOM images (MRI, CT). Virtual modeling of the entire operation with selection of optimal angles and instrument insertion depth.
2. Fusion. Merging preoperative 3D images with intraoperative X-ray images in real time. The software calculates optimal positioning and instrument manipulation.
3. Mechanization. The robotic arm automatically positions instruments with precision up to 1 degree of angle and 1 mm of depth. Sensorimotor feedback confirms positioning completion.

Advantages of Cyber Navi Hand™

• Maximum instrument positioning precision
• Minimized radiation exposure — the system eliminates the need for numerous X-ray images
• Elimination of accidental organ and structure damage
• Reduced operation time
• Ability to plan complex multi-level interventions

Cyber Navi Hand™ software can be used not only for surgical planning but also for diagnosing spinal pathologies, as well as for individual patient consultations and video conferences.

Sono Control Arm™

Ultrasound control system with probe fixation — a special holder for the ultrasound probe, allowing the surgeon to free both hands for the procedure while maintaining constant visual control.

With traditional ultrasound use, one of the surgeon's hands is constantly occupied holding the probe. Sono Control Arm™ completely solves this problem.

Advantages of Sono Control Arm™

• Stable ultrasound probe fixation in any position
• Smooth movement with instant locking capability
• No radiation exposure (unlike X-ray control)
• Visualization of soft tissues, nerves, vessels — inaccessible to X-ray
• Dynamic real-time control

KNK — Mapping-Navigation-Coordination

Intraoperative navigation system (Kartierung-Navigations-Koordinationsvorrichtung) — a set of devices for precise planning and control of surgical access.

• C-arm attachments with protractors and laser pointers
• Intraoperative mapping grids
• Devices for determining vertebral displacements and rotations
• Software for functional spinal diagnostics

MIBRAR® Micro-Instruments

Endoscopes and Arthroscopes

• MIBRAR® Endoscope — for spinal interventions
• MIBRAR® Epiduroscope — a flexible steerable endoscope for the epidural space
• MIBRAR® Arthroscope — micro-sized arthroscope for joints

Spinal Probes

Specialized probes with a diameter from 0.3 mm to 1.5 mm for intradiscal and intra-articular procedures. Due to their minimal size, tissues are not cut but merely displaced, ensuring healing within a few hours — just like after a regular injection.

Additional Instruments

• Micro-perforators for vertebrae and cartilage
• Transpedicular perforators with trocars
• Percutaneous dilators for spinal segments
• Special constructions for fixation and transplantation

Video: MIBRAR® Methods in Action

RRBSW — Disc Regeneration

MIBRAR® Epiduroscopy

RRGGS — Joints