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Open or Closed: Choosing a Surgical Navigation Platform

18 March 2026 · 5 min read
Surgeon using a tracked instrument with Brainlab navigation on an open platform

When hospitals evaluate surgical navigation, the conversation often starts with brands and screens. The decision that matters more is architectural: is the platform open or closed. An open system works with imaging and implants the hospital already uses. A closed system ties navigation to one supplier's ecosystem, including the consumables.

Why openness pays off

An open, vendor-independent platform such as Brainlab navigation fits more of the cases a hospital actually does, and it protects the hospital from being locked into a single supply chain for implants and disposables. Over the life of the system, that flexibility usually matters more than any single feature.

Set of tracked navigation instruments for spine surgery
A tracked instrument set lets the system follow each tool against the plan, whichever implant system is used.

Registration and workflow

The second deciding factor is how quickly and reliably the patient is registered to the plan. Radiation-free surface matching and automatic registration through intraoperative imaging reduce setup time and exposure, and they make navigation something the team reaches for in every relevant case rather than only the hardest ones.

Spine navigation guidance during surgery
Fast, reliable registration is what makes navigation a routine tool rather than an occasional one.

Brainz helps hospitals weigh these trade-offs honestly, then supports the team with training so the platform is trusted from the first case. The right navigation system is the one that fits the most cases and locks in the fewest constraints.

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