Hospital-Grade Spine Navigation Built for the ASC
Tier-1 navigation accuracy at a fraction of the capital cost — open platform, implant-agnostic, and engineered for the speed and economics of outpatient spine.
For Surgeons
The same quality and accuracy as major navigation platforms — powered by the industry's premier optical tracking camera. Keep your preferred implants, lessen the capital outlay, and run a faster, smaller-footprint workflow identical or better than legacy.
For Facilities
Lower cost than any legacy navigation and imaging system stack. No forced implant contracts. Predictable per-case economics. Enables outpatient lumbar fusion migration.
For Distributors
Own the service revenue. Bundle with your implant portfolio. Protect and expand your business — no OEM lock-in.
The Vexus Platform
A complete navigation ecosystem designed from the ground up for ambulatory spine surgery — from advanced imaging compatibility to intraoperative guidance to business intelligence.
VexNav Op.N System
Compact, mobile spine navigation unit with real-time 3D visualization and sub-millimeter accuracy — purpose-built for ASCs.
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VexGuide Instrument Tracking
Compatible with existing navigation enabled instruments — no new instruments required. Faster registration and workflows than traditional navigation.
Learn MoreComplete Solutions
From 3D imaging compatibility to distributor fleet management — every tool you need to build and scale a navigation practice.
VexImage 3D Imaging Compatibility
Intraoperative CT from the C-Arm you already own. Compatible with all major intraoperative 3D imaging devices — featuring Pulmera C-Arm to CT™, C-Beam™ technology.
VexConnect Distributor Platform
Business intelligence and fleet management platform for distributors — monitor utilization, track cases, and grow your navigation business.
Why Vexus
Spine surgeons in ASCs deserve hospital-grade navigation without the capital burden, the oversized footprint, or the workflow disruption — and distributors deserve to own the economics.
Capital-light Vexus navigation paired with Pulmera's capital-free C-Beam imaging eliminates the $500K–1M stack legacy systems require.
The smallest OR footprint in navigation. No mid-case scrub out, no machine swap from a 3D imaging device to a C-arm — maximizing block time utilization and reducing room turnover.
Works with every pedicle screw system. The surgeon picks the implant — Vexus provides the guidance.
The only navigation platform built for distributors to sell and manage both technology and service. This provides flexibility for distributors and facilities to execute customized models that work best for both parties.
Intraoperative CT on the Jackson table. The standard of care, preserved.
Vexus registers directly to an intraoperative cone beam CT, acquired with the patient in the position you'll operate in. No supine-to-prone mismatch. No segmentation drift. No assumptions about a spine that may have moved.
Patient is scanned supine. Then repositioned prone onto the Jackson table.
For dynamic spondylolisthesis and mobile segments — the patients you're fusing — vertebrae translate, slip angles change, and anatomy can shift between the scanner and the OR. Prior titanium interbodies produce artifact on the endplates and challenge the segmentation your registration depends on. By the time fluoro tries to match pre-op anatomy to the patient on the table, it's matching to a spine that no longer exists.
One spin on the Jackson table. No Pre-Op CT.
The CT is acquired with a C-Arm in the position you'll operate in. No supine-to-prone mismatch. No segmentation guesswork. No synthetic anatomy inferred by a model. The anatomy on the screen is the anatomy under your instrument — measured, not estimated — in the workflow you already use.
3D spin on the C-arm you already own
Reconstruction. Plan and place in the same case.
Capital cost for a dedicated 3D imaging system
Ready to Own Your Navigation Business?
Whether you're a spine distributor exploring navigation for the first time or a surgeon looking for ASC-grade precision, we'd love to show you the Vexus platform.