EndoNaut
Overview
EndoNaut, developed by Therenva SAS, is a technologically advanced image fusion device with a patented solution for intraoperative 3D navigation and localization of devices. Utilizing AI algorithms, it provides high-quality image fusion to enhance confidence, accuracy, and visual comfort during catheterization procedures. The system is designed to significantly reduce X-ray dose and contrast media usage during aortoiliac procedures and Peripheral Artery Disease (PAD) treatments.
Surgeons can control EndoNaut directly from the interventional table via a smart touchscreen, allowing for easy addition of markers, measurements, and secure positioning of devices. It supports intraoperative tools such as predictive simulation of vascular deformation for precise visualization. EndoNaut is compatible with any mobile or fixed C-arm and can be connected to NAS or PACS servers for seamless data import and export without requiring an internet cloud connection.
The software offers modules for aortoiliac procedures and lower extremity procedures, adapting easily to most existing operating room environments. It also features auto-registration workflow and compensates for table and patient movements, ensuring continuous accuracy.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- AI-based Image Fusion Technology
- Autonomous Control from Interventional Table
- Significant Reduction of X-ray Dose and Contrast Media
- User-friendly Smart Touchscreen Interface
- Connectivity to NAS or PACS Servers
- Adaptability with Mobile and Fixed C-arms
- Intraoperative 3D Navigation and Localization
- Planning Review with Pre-surgical Data (from EndoSize)
- Intraoperative Guidance with Markers and Measurements
- Motion Detection and Auto-registration for Patient/Table Movements
Use Cases
- Endovascular treatment of aneurysmal and occlusive diseases
- Aorto-iliac procedures (EVAR, B/FEVAR, TEVAR)
- Peripheral Artery Disease (PAD) treatments
- Fluoroscopy X-ray guided procedures in chest, abdomen, pelvis, neck, and lower limbs
- Angioplasty and stenting procedures
- Recanalization and embolization
What Physicians Need to Know
Leverage EndoNaut's AI-based image fusion and 3D navigation for enhanced precision and reduced radiation/contrast exposure in endovascular interventions. Utilize the intuitive touchscreen control directly from the interventional table to streamline workflow. Integrate pre-operative planning from EndoSize for comprehensive procedural guidance. Regularly review the clinical validation data to understand the benefits in dose reduction and procedural accuracy for both aorto-iliac and peripheral artery disease treatments.
EndoNaut offers robust integration capabilities with existing hospital infrastructure, connecting directly to NAS or PACS servers for seamless DICOM data import and export. Its compatibility with a wide range of mobile and fixed C-arms (e.g., Ziehm C-arms) allows for flexible deployment across multiple operating rooms without requiring extensive IT or OR modifications. The system is designed for a 'plug and play' setup, facilitating easy integration into diverse interventional environments.
Details
| Category | Radiology & Imaging AI, Surgical AI |
| Pricing | Contact vendor for pricing — Available at an affordable cost; Contact vendor for specific pricing tiers. |
| Deployment | On-premise (connects to NAS/PACS, compatible with existing C-arms) |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
1 AI-estimated EndoNaut obtained FDA 510(K) clearance (K222070) on October 25, 2022. It is an image fusion software solution and computerized navigational system intended to assist X-ray fluoroscopy-guided procedures in the positioning of surgical instruments and endovascular devices. It is indicated for use by physicians for patients undergoing fluoroscopy X-ray guided procedures in the chest, abdomen, pelvis, neck, and lower limbs, for treatments like aneurysm repair, artery/vein embolization, or peripheral artery disease. |
| Integrations | |
| EHR | Not specified |
| Specialties | Cardiology, Interventional Radiology, Vascular Surgery |
What the Web Says
EndoNaut is an image fusion navigation system for endovascular surgery, designed to assist physicians in procedures such as aneurysm repair and peripheral artery disease treatment. It uses AI algorithms to merge fluoroscopy and CT images, providing intraoperative 3D navigation and localization of devices. The system aims to enhance confidence, accuracy, and visual comfort during catheterization procedures while significantly reducing X-ray dose and contrast media usage. It is compatible with various C-arms and can be controlled from the interventional table via a touchscreen.
Overall: PositiveStrengths
- Significantly reduces X-ray dose and contrast media volume for both patients and medical staff.
- Provides precise intraoperative 3D navigation and localization of devices.
- Compatible with most mobile and fixed C-arms, offering adaptability to various operating environments.
- User-friendly interface with touchscreen control directly from the interventional table.
- Offers cost-effective alternative to hybrid operating rooms.
- Integrates with preoperative planning software (EndoSize) and hospital IT systems (NAS/PACS).
Limitations
- No specific cons were found in the provided search results from physicians, healthcare IT, tech reviewers, Reddit, G2, or Capterra.
- The software is not eligible for reimbursement in Europe.
Based on reviews from: Therenva, Ziehm Imaging, Xograph Healthcare UK, Promedis, PubMed, accessdata.fda.gov
Last updated: 2026-07-20
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Videos
Product demos, reviews, and walkthroughs for EndoNaut.
Ziehm Vision RFD Hybrid Edition and Therenva EndoNaut Fusion Imaging System - Product Trailer
