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Accuro® Clinically Validated Epidural and Spinal Needle Guidance Instrument

Manufacturer: Rivanna Medical

Accuro is widely adopted and trusted to improve the safety, speed, and efficiency of neuraxial anesthesia procedures in clinical practices worldwide.


The easy-to-use Accuro Epidural Guidance system features Multi-Frequency BoneEnhance® Image Reconstruction for significantly enhanced bone-to-tissue contrast, and SpineNav3DTM AI-Enabled Spine Recognition for automated, real-time image guidance.


Accuro® automated epidural guidance technology is clinically proven to:

  • Increase first-attempt success rates*
  • Reduce needle passes*
  • Reduce placement times*
  • Significantly increase patient satisfaction with pain control*



  • Lumbar presetting features enhanced bone-to-tissue contrast and AI-enabled guidance for automated identification of spinal midline, epidural space and depth.
  • Thoracic presetting supports real-time paramedian epidurals and prescribes a "needle-track" towards the interlaminar space. Needle enhancement enables visualization of the Tuohy progressing along the prescribed needle-track pathway.
  • Accuro Pledge+ Service Plan offers comprehensive coverage and complete device replacement
    • Includes full coverage for telephone, technical, and application support
    • First device replacement shipped immediately at no charge regardless of the cause of damage
    • All software upgrades for the same product code and model are provided to you at no charge


*Performance claims: Singla et al., J Anesth Clin Res. (2019); D. Ghisi et al., Reg Anesth Pain Med. (2019); Ni, X., Li, Mz., Zhou, Sq. et al., J Anesth. (2021).

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