FAQ
Optimal Clinical Cases Using the NICO Myriad
What are the best guidelines for use of the NICO Myriad?
In general, the NICO Myriad should be considered for use when:
  • A minimally invasive approach or corridor access is desired to achieve reduced morbidity through minimized brain retraction, shorter resection times, greater extent of resection, and a more complete gross total resection of tumors, hematomas, tissue abnormalities, and cysts
  • Critical structures are involved and using no heat or causing no traction on surrounding tissue can minimize or eliminate collateral tissue damage.
  • Access to hard-to-reach or once inoperable tumors is required for safe, precise and controlled removal
  • Sterile tissue acquisition and preservation is required without crush artifact for delivery of personalized medicine in immunotherapy and chemotherapy.
What are the best specific cases for use of the NICO Myriad?
The cases listed below represent specific cases where the NICO Myriad has delivered improved and measurable outcomes in more than 1,100 cases at over 100 facilities during the past 3 years. The cases have been separated into Pediatric and Adult Neurosurgery categories.
Pediatric Neurosurgery Cases
Working Channel Endoscope (GAAB, MINOP, Oi)
  • Intraventricular Tumors (Colloid/Arachnoid Cyst, Hypothalamic Hamartoma, Pineal Region lesions)
  • ETVs
  • Septal Fenestrations
  • Conversion of two procedures into one for biopsy and resection
  • IVH (Intraventricular Hematoma)
Endonasal Approach
  • Craniopharyngioma
  • Recurrent or MacroAdenoma Pituitary Tumors
  • All “non-suckable” tumors
  • Tumors intertwined with and involving critical structures, such as but not limited to the Optic Nerve, Anterior Cerebral Artery, Posterior Communicating Artery, Internal Carotid, etc.
Open Procedures
  • Medulloblastoma
  • Brain Stem Glioma or brain stem abnormalities in general
  • Ependymoma or anything in the Middle or Posterior Fossa
  • CP Angle Tumors (somewhat rare in children, but the Myriad performs well)
  • Abnormalities involving eloquent areas of the brain and associated cortical fibers
Port Cases
  • Intraparenchymal Tumors
  • Subcortical Abnormalities
    • Tumors
    • Hematomas (ICH)
    • Abscesses
Oncological Applications
Whenever advanced patient therapy is being performed, such as immunotherapy regimens and patient specific targeted chemotherapy, and viable tissue samples are required.
Adult Cases
Working Channel Endoscope (GAAB, MINOP, Oi)
  • Intraventricular Tumors (Colloid Cyst, Arachnoid Cyst, Pineal Region lesions, etc.)
  • ETVs
  • Septal Fenestrations
  • Conversion of two procedures into one for biopsy and resection
  • IVH (Intraventricular Hematoma)
Endonasal Approach
  • Craniopharyngioma
  • Chordoma
  • Recurrent or MacroAdenoma Pituitary Tumors
  • All “non-suckable” tumors
  • Tumors intertwined with and involving critical structures, such as but not limited to the Optic Nerve, Anterior Cerebral Artery, Posterior Communicating Artery, Internal Carotid, etc.
  • Any tumor in the Suprasellar region
Port Cases
  • Intraparenchymal Tumors
  • Subcortical Abnormalities
    • Tumors
    • Hematomas (ICH)
    • Abscesses
Open Procedures
  • Acoustic Neuroma
  • Tentorial Meningioma
  • GBM (although these are typically vascular and require much cautery)
  • Anything in the Middle or Posterior Fossa
  • Chordoma
  • Pineal Region Tumors
  • CP Angle Tumors
  • Abnormalities involving eloquent areas of the brain and associated cortical fibers
Oncological Applications
Whenever advanced patient therapy is being performed, such as immunotherapy regimens and patient specific targeted chemotherapy, and viable tissue samples are required.
where to find us
Global Surgical Distribution (GSD)
115 The Promenade, Camp Hill, Queensland, Australia, 4152
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