The surgical micromanipulator, in the 4th generation of titanium alloy, provides a unique combination of both finding a surgical target and accurately inserting surgical instruments into a required area. The micromanipulator is a precise mechanism that is able to move freely: rotation in the tripod joint, tilting of the rail into two flat elevations and the ability to shift.

It is designed to secure:
— Endoscopes
— Camcorders
— Ultrasound sensors
— DVR cameras
— in addition to other tools

Its Parameters:
— Dimensions 86×85×81 mm — Tilt angles 48° and 46°
— Length of the return rail 45 mm — Manipulator weight 220 g
— The body parts are made of titanium alloy

Its intended use is for the fastening of the auxiliary tool.
Unlike the Micromanipulator, it does not incline.

Degrees of freedom:

— Rotation on the tripod swivel
— Longitudinal shift

It is designed to fix the micromanipulator or rail on the hinge and is responsible for bringing them into the surgical field beforehand. The vertical stand of the tripod is mounted onto the operating table with the standard clamp Maquet 1003.22-C; it is also possible to mount it onto the "Surgeon's Assistant’s Table" of the KOMPAS system whilst using standard eyelets. The horizontal links of the tripod have counterparts and can be assembled in the required quantity, on the last link there is a hinge with a rigid fixation. Each link connection has a mechanical protection that prevents an accidental fall out, during reconfiguration, while an operation takes place.

The length of the links, the height of the racks and their numbers can be changed when ordering.

Parameters:
— Length of each link (standard) 200 mm
— Maximum height 765 mm
— Weight of the assembled tripod (standard) 3.2 kg
— Permissible load for vertically downwards direction 7−8 kg
— Made of stainless steel

Minimal trembling in the hands is common for all surgeons.
However, in many cases, this trembling can significantly increase during the process of executing important duties.

Therefore, it is the obligation of microsurgery to improve
systems to help with the minimizing of trembling — the use of support for the surgeons hand

Practical benefits:
— Usage "at the right time and in the right place"
— Quick installation and removal
— Independence in the support of the right and left hand
— Support on the outer edge of the palm
— Mobility of the supporting surface
— Easy to adjust and fix
— Helps to operate in both a standing and sitting position
— Openness of the operating area

Allows you to install different combinations of surgical instruments.

Parameters:

— Dovetail adapters length is 170 mm
— Made of titanium alloy

The general element of the complex is the base.
It is designed to hold the patient’s head during neurosurgical procedures. The base has a swivel clamp for attaching one of the headrests and a basic adjustable bracket for attaching itself to any surgical table.

Allows you to accurately fix the object of manipulation using screws with pointed tips. The screws are in adjustable brackets. It is relatively easy and straightforward to fix the retractors on the upper arcs.

Allows you to fix the object of manipulation with screws that have soft stops. The screws are in adjustable brackets. The retractors are mounted onto the supportive side walls.

A plate with a platform that allows the mounting of up to 4 retractors of the Yasargil type and additional attachments. The design allows you to install it directly on the headrest or on a special vertical stand.

Multifunctional folding table of the assistant surgeon.
It is intended both for operations in a hospital and for the deployment of a mobile hospital by an on-site team of doctors in case of a disaster, COVID centers. It’s irreplaceable for expeditious transportation of equipment in a car.
It has an add-on in the form of an upper folding shelf that can expand to its side. It also consists of three blocks.
In the top block, the top cover opens, and has a rear flap for easy access during on-going surgery.
All upper planes are used during the operation to place the instrument on the sterile drape. You can put a laptop or a computer monitor onto the folding shelf.
The table is made of an aluminum slotted (with grooves on all sides) structural profile type, BOSCH Rexroth.
All grooves are designed to accommodate the fasteners (cage screws, threaded studs) on which you can mount any equipment — eyelets for a manipulator tripod, additional stands, tables, brackets — all without drilling holes!
The table comes with a mounting kit for self-assembly of the desired equipment. The retractable footrest with an additional wheel provides stability against tipping backwards when loading a folding shelf. The wheels also have brakes.
The table has a 220V extension cord for 5 sockets.

Dimensions and block weight:
— Upper without shelf 460×760 mm, h=450 mm, weight 20 kg
— Medium 460×760 mm, h=430 mm, weight 9.5 kg
— Lower (with wheels) 460×760 mm, h=400 mm, weight 9.5 kg

Iova Alexander is the doctor of Medical Sciences, a Professor, Neurosurgeon, a Doctor of Ultrasound Diagnostics, the Head of the Research Laboratory "Innovative Technologies of Medical Navigation" in the North-Western State Medical University named after I. I. Mechnikov, a Professor of the Department of Pediatric Neuropathology and Neurosurgery in the North-Western State Medical University in the name of I. I. Mechnikov, an expert in neurosurgery of Roszdravnadzor in St. Petersburg and the Leningrad Region, the scientific director of the neurosurgical service of the St. Petersburg State Budgetary Healthcare Institution "Children's City Multidisciplinary Clinical Specialized Center for High Medical Technologies" (formerly the Children’s City Clinical Hospital No. 1), and finally, a member of the city prenatal council. He annually performs more than 3,000 ultrasound examinations and more than 100 neurosurgical operations using minimally invasive technologies.

Since 1991, he was an employee of the Department of Pediatric Neuropathology and Neurosurgery in the North-Western State Medical University named after I. I. Mechnikov (former Len. GIDUV, St. Petersburg’s MAPO), 2001 — 2016 — head of the department.
In 1999, he founded the Center for Early Diagnosis (Screening) and Monitoring of Brain Diseases (Medical Center "Neurosonography").

His main scientific achievements are correlated with the development of the concept of "clinical-intrascopic neuropediatrics" (neuropediatrics in a "transparent patient"), new technologies in neurodiagnostics (transcranial ultrasonography, transcranial transfontanellar ultrasonography, ultrasonography of the scalp and skull, pansonoscopy, etc.) and neurosurgery (ultrasonic stereotaxic navigation, ventriculosubgaleal drainage with a reservoir catheter, transseptal ventriculoperitoneal
shunting, etc.), the creation of a mobile complex for minimally invasive neurosurgery.

In 2001 Alexander was awarded with his first national award "The Best Doctors of Russia" ("Vocation") in the nomination "New best diagnostic method".

His main professional interest is related to perinatal neurosurgery, neurosurgery of newborns and young children, neuroendoscopy, etc.

Under the guidance of Alexander Iova, 7 doctoral and 18 master’s theses were defended. He is the author of more than 400 publications and took part in 11 inventions.

Alexander became a member of the Board of the Association of Neurosurgeons of Russia (2002), member of the Scientific Council of the Russian Academy of Medical Sciences of Russia (2004) and the Ministry of Health of Russia for Neurosurgery (2004), Chairman of the Committee on Pediatric Neurosurgery of the Association of Neurosurgeons of Russia (2006) and member of the World Association of Neurosurgeons. Since 2001, he has been a member of the Board of the Association of Neurosurgeons of St. Petersburg, the Dissertation Council of the RNHI named after A. L. Polenov, and is in the editorial boards of the leading specialized journals in Russia ("Russian Neurosurgical Journal", "Children's Medicine of the North-West" and "Neurosurgery and Neurology of Pediatric Age").