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EquiLOX Expandable Lumbar Cage System: Designed for an Efficient TLIF and PLIF Workflow

A streamlined expandable lumbar cage solution combining controlled expansion, lordotic options, and post-expansion graft delivery.

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Key Takeaways

Designed for TLIF and PLIF procedures.
Streamlined workflow: Size. Insert. Expand. Backfill.
Minimal 7mm starting height with a tapered leading edge.
Distal expansion with up to 5mm of variable height adjustment.
Large through-cage fusion area designed to preserve graft space.
Post-expansion backfilling through a small cannula.
Available in 24mm and 28mm lengths, with a width of 10mm.
Lordotic options from 3° to 9°, with custom 12° and 15° options available upon request.
Expandable titanium construction supporting a practical insertion-to-graft-delivery workflow.

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JUPITER, FL – July 2026 — The EquiLOX Expandable Lumbar Cage System is a TLIF and PLIF expandable lumbar cage designed around a practical workflow from implant sizing through post-expansion graft delivery. Its expandable titanium construction, minimal starting height, lordotic options, and backfilling capability support a streamlined approach to posterior lumbar interbody fusion procedures.

Captiva Spine, Inc. continues to highlight EquiLOX as an expandable lumbar interbody solution designed to maximize expansion without sacrificing through-cage fusion area. The system is built around a straightforward four-step procedural sequence:

Size. Insert. Expand. Backfill.

The EquiLOX expandable lumbar cage features a minimal starting height, tapered leading edge, distal expansion mechanism, and post-expansion backfilling capability. Together, these features support an efficient workflow from implant selection and insertion through controlled expansion and graft delivery.

A Streamlined Expandable Lumbar Cage Workflow

The EquiLOX™ workflow begins with selecting the appropriate implant dimensions for the surgical plan. The expandable lumbar cage is then inserted at its starting height before being expanded within its designated height range.

Following expansion, compatible flowable bone graft material can be delivered through a small cannula to backfill the implant. This sequential approach connects the primary procedural steps within one coordinated workflow:

Size the implant based on the surgical plan.
Insert the expandable lumbar cage at its minimal profile.
Expand the implant within its designated height range.
Backfill the implant with compatible graft material.

This workflow is intended to provide a practical transition from implant placement through graft delivery without sacrificing the large through-cage fusion area.

Controlled Expansion and Post-Expansion Backfilling

EquiLOX incorporates a distal expansion mechanism that provides controlled, variable height adjustment. The 7mm expandable lumbar cage provides 4mm of expansion, reaching a maximum height of 11mm. All other available options provide up to 5mm of variable expansion.

The implant’s design preserves an open through-cage area following expansion. This allows compatible flowable bone graft material processed to pass through small cannulas to be delivered after the cage has been positioned and expanded.

Post-expansion backfilling is integrated into the EquiLOX workflow rather than treated as a separate procedural consideration. The result is a clear progression from sizing and insertion to expansion and graft delivery.

“EquiLOX was developed around a straightforward TLIF/PLIF workflow,” said Dale Mitchell, President of Captiva Spine. “The system gives surgeons a practical sequence from sizing and insertion to expansion and backfilling.”

EquiLOX Expandable Lumbar Cage Sizes

The EquiLOX™ TLIF and PLIF expandable lumbar cage is available in a 10mm width with 24mm and 28mm length options. Available starting heights range from 7mm to 12mm, with expanded heights ranging from 11mm to 17mm, depending on the selected implant.

The current offering includes 3°, 6°, and 9° lordotic options. Custom 12° and 15° options are also available upon request.

24mm Length x 10mm Width

7mm to 11mm height, 3° lordosis
8mm to 13mm height, 3° lordosis
9mm to 14mm height, 6° lordosis
10mm to 15mm height, 9° lordosis*
11mm to 16mm height, 12° lordosis*
12mm to 17mm height, 15° lordosis*

28mm Length x 10mm Width

7mm to 11mm height, 3° lordosis*
8mm to 13mm height, 3° lordosis
9mm to 14mm height, 6° lordosis
10mm to 15mm height, 9° lordosis
11mm to 16mm height, 12° lordosis*
12mm to 17mm height, 15° lordosis*

*Custom options available upon request.

The 7mm cage expands 4mm to a maximum height of 11mm. All other options provide up to 5mm of variable expansion.

Lordotic Expandable Lumbar Cage Options

The EquiLOX system provides multiple lordotic profiles across its available implant sizes. The standard offering includes 3°, 6°, and 9° options, depending on the selected implant configuration. Custom 12° and 15° lordotic options are available upon request.

These options allow the implant dimensions and lordotic profile to be selected according to the surgical plan. The available range also provides surgeons and facilities with a defined selection of expandable lumbar cage configurations within a single procedural system.

Supporting TLIF and PLIF Procedures

TLIF and PLIF procedures may require implant options that accommodate the selected surgical approach, the available disc space, and the planned implant dimensions. EquiLOX begins with a minimal insertion profile and provides variable expansion after placement.

The tapered leading edge and available 7mm starting height are designed to support implant insertion. Once positioned, the cage can be expanded within the range specified for that implant. Its distal expansion mechanism preserves access to the through-cage area for subsequent graft delivery.

Expandable lumbar cage technology is also discussed throughout the clinical literature in relation to posterior lumbar interbody fusion procedures. A peer-reviewed review available through the National Institutes of Health provides additional background on the designs and use of expandable cages in lumbar interbody fusion.

Expandable Titanium Construction

EquiLOX™ incorporates expandable titanium construction with a large graft window and through-cage fusion area. The implant is designed to provide expansion while maintaining space for compatible graft material.

The system brings together several procedural features within one expandable lumbar interbody platform:

Minimal starting height
Tapered leading edge
Controlled distal expansion
Variable height adjustment
Multiple lordotic profiles
Large through-cage area
Post-expansion backfilling
24mm and 28mm length options

These features reflect Captiva Spine’s continued focus on practical lumbar interbody solutions for modern spine procedures.

Captiva Spine continues to expand access to the EquiLOX Expandable Lumbar Cage System for TLIF and PLIF procedures. To learn more about EquiLOX™ or discuss availability, contact Captiva Spine at info@captivaspine.com.

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to develop reliable systems that offer clinical and economic solutions to the spine market.

Captiva Spine – Strength Through Connections

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See More EquiLOX

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Frequently Asked Questions (FAQ)

What is the EquiLOX Expandable Lumbar Cage System?

EquiLOX is an expandable titanium lumbar interbody system designed for TLIF and PLIF procedures. It combines a minimal starting profile, controlled distal expansion, lordotic options, and post-expansion backfilling.

Is EquiLOX a TLIF and PLIF expandable lumbar cage?

Yes. EquiLOX is designed as a TLIF and PLIF expandable lumbar cage with multiple starting heights, expanded heights, lengths, and lordotic profiles.

What is the EquiLOX procedural workflow?

The system follows four primary steps: Size. Insert. Expand. Backfill. This sequence connects implant selection and insertion with controlled expansion and graft delivery.

How much does the expandable lumbar cage expand?

The 7mm implant provides 4mm of expansion, reaching a maximum height of 11mm. All other available EquiLOX options provide up to 5mm of variable expansion.

What EquiLOX sizes are available?

EquiLOX is available in a 10mm width with 24mm and 28mm lengths. Starting heights range from 7mm to 12mm, while expanded heights range from 11mm to 17mm, depending on the selected implant.

What lordotic options are available?

The current offering includes 3°, 6°, and 9° lordotic options, depending on implant size. Custom 12° and 15° options are available upon request.

Can EquiLOX be backfilled after expansion?

Yes. The expandable lumbar cage supports post-expansion backfilling and is compatible with flowable bone graft options processed to pass through small cannulas.

What is the difference between starting height and expanded height?

Starting height is the implant height before expansion and during insertion. Expanded height is the maximum available height after the implant has been expanded. The available range depends on the selected EquiLOX implant.

Captiva Spine Announces Initial U.S. Case Series for the WatchTower ROAM Spine Navigation System Powered by MIRRA with Aaron Creek, M.D.

WatchTower spine navigation system powered by MIRRA — *Captiva Spine – WatchTower Spine Navigation System powered by MIRRA.*

WatchTower®, Powered by MIRRA™, a next-generation system enhancement, is designed to automate 2D-to-3D registration using pre-op CT and C-arm images. The system eliminates the need for expensive intra-operative CT imaging equipment and reduces dependence on and costs of operator support, improving affordability and broadening adoption.

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Key Takeaways

WatchTower Spine Navigation, powered by MIRRA, automates 2D-to-3D registration using existing pre-op CT and C-arm images.
The system eliminates the need for costly intra-operative CT equipment, improving affordability and adoption.
MIRRA enhances simplicity and efficiency, providing automatic alignment and mapping for surgeons.
WatchTower is designed for broader market adoption and is accessible to various healthcare facilities without heavy investment.
Captiva Spine focuses on delivering innovative spinal care solutions that enhance quality while managing healthcare costs.

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JUPITER, FL – April 2026 — Captiva Spine®, Inc., today announced an initial U.S. case series with Aaron Creek, M.D., of The Neck and Back Institute of Florida, centered on the evaluation of the WatchTower ROAM Spine Navigation System Powered by MIRRA™.

MIRRA offers Smart Registration for the WatchTower Spine Navigation System

The WatchTower Spine Navigation System is a 2D-to-3D navigation platform that uses a pre-op CT and standard AP and lateral C-arm images to enable real-time 3D spine navigation. WatchTower’s proprietary registration algorithm eliminates dependence on expensive intra-operative CT scanning equipment, enabling 3D navigation with equipment the facility already has – the C-arm.

MIRRA — Map, Identify, Register, Report, and Align — is the next generation of enhanced registration software for the WatchTower Spine Navigation System. At the click of a button, MIRRA is designed to automatically run a proprietary algorithm to accurately align, identify, map, and register a CT scan. MIRRA then provides the surgeon with a concise report for inspection before initiating 3D spine navigation.

Intuitive design improves simplicity and efficiency for spine navigation

“Registration is the workflow step that makes 3D spine navigation of any kind possible. It is the most consequential step,” said Dale Mitchell, President of Captiva Spine. “Our objective with MIRRA is to make the WatchTower® Spine Navigation System automatic and intuitive, which translates to efficient ease of use.”

“MIRRA is a breakthrough solution,” said Dr. Creek. “I’ve completed over 250 cases with the WatchTower Spine Navigation System and have firsthand experience with other spine navigation systems. WatchTower has become my go-to platform. WatchTower, powered by MIRRA, is simple and intuitive, adding a new level of reliability and efficiency I know my peers will appreciate.”

System design enables broader market adoption without compromise

WatchTower, powered by MIRRA, aligns with Captiva’s broader product plans and the market’s growing demand for enabling technology that can be extended to additional service sites without imposing major infrastructure or financial burdens. WatchTower improves access to enabling technology by reducing initial investment and long-term operating expenses, thereby lowering the total cost of ownership.

“As important as the clinical utility is”, said Mitchell, “the broader impact of WatchTower Spine Navigation System is its applicability to a wider range of service sites. WatchTower is well-suited for traditional major metropolitan medical centers and smaller community hospitals. With MIRRA automation and no dependence on intra-operative CT scanning, it is also well positioned for outpatient centers (ASC), critical access hospitals (CAH), and rural access hospitals (RAH) seeking to avoid major CT scanner purchases and reduce long-term operating costs.”

“Medical costs are a national debate, and surgeons are increasingly involved in managing the business of medicine,” said Dr. Creek, “I operate at a variety of institutions. While MIRRA is impressive, I am equally impressed by how effectively my navigation distributor can support cases across multiple facilities during the week, with the same unit. This underscores the value of the system’s transportability for real-world use. Technologies like WatchTower Spine Navigation play a significant role in delivering quality care across all service sites. WatchTower provides me the performance I need for my patients while also managing costs.”

Advancing Commercial Readiness for WatchTower Spine Navigation System Powered by MIRRA

Captiva will initiate these advanced updates for WatchTower System customers in mid-2026 and accelerate commercial placements to meet demand. Contact Captiva Spine at info@captivaspine.com.

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to develop reliable systems that offer clinical and economic solutions to the spine market.

Captiva Spine – Navigating Today.

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This Press Release is also featured on EINPressWire.com, OrthoSpineNews.com, TheSpineMarketGroup.com, Orthoworld.com, BeckersSpine.com, RYOrtho.com

Frequently Asked Questions (FAQ)

What is MIRRA?

MIRRA stands for Map, Identify, Register, Report, and Align. It is a next-generation software enhancement for the WatchTower Spine Navigation System designed to automate and simplify the registration workflow.

Why is registration important in spine navigation?

Registration is the step that connects the patient’s imaging to the navigation workflow. As noted in the article, it is the most consequential step because it makes 3D spine navigation possible.

How does the WatchTower Spine Navigation System work?

The WatchTower system is a 2D-to-3D spine navigation platform that uses a pre-operative CT scan along with standard AP and lateral C-arm images to enable real-time 3D spine navigation.

What makes WatchTower different from systems that rely on intraoperative CT?

WatchTower is designed to eliminate dependence on expensive intra-operative CT scanning equipment by using imaging tools many facilities already have, particularly the C-arm. This can reduce infrastructure burden and lower the total cost of ownership.

Why is WatchTower ROAM well-suited for multiple service sites?

The system is positioned for broader adoption because it avoids reliance on intra-operative CT, reduces cost barriers, and supports use across a wider range of facilities, including major medical centers, community hospitals, ambulatory surgery centers (ASC), critical access hospitals (CAH), and rural access hospitals (RAH).

When will these MIRRA-powered updates become available?

Captiva Spine stated that it plans to initiate these advanced updates for WatchTower system customers in mid-2026 and accelerate commercial placements to meet demand.

Captiva Spine WatchTower Spine Navigation System AI Enabling Technology

Captiva Spine Announces FDA Clearance for Flat-Panel C-Arm Image Calibrators and AI-Assisted Registration for WatchTower Spine Navigation, Advancing Efficiency, Radiation Reduction, and Future-Ready Access

Today’s facilities demand enabling technologies that integrate seamlessly into existing workflows without driving up costs or requiring new infrastructure. The WatchTower Spine Navigation System was designed around this philosophy: simple setup, familiar imaging, and precise guidance without workflow disruption.

JUPITER, FL – November 2025 — In an era when technology is rapidly reshaping spine surgery and contributing to the standard of care in spine, navigation platforms still struggle to strike a balance between precision and practicality, especially in outpatient settings where cost, space, and radiation exposure are most critical. Captiva Spine® is addressing this challenge head-on with a series of advancements to its WatchTower® Spine Navigation System, aiming to make spine navigation more straightforward and accessible in the next generation of surgical environments.

Captiva Spine announced U.S. Food and Drug Administration (FDA) 510(k) clearance for new 21 cm and 31 cm Flat-Panel C-Arm Image Calibrators and AI-assisted 2D-to-3D image registration. For its WatchTower Spine Navigation System, these are advancements that further define the essential role of enabling technology.

The Challenge: Balancing Precision, Practicality, and Cost

For years, spine navigation has wrestled with trade-offs between precision and practicality. High-cost, CT-based systems deliver accuracy but introduce complexity, time, and radiation exposure, factors that can slow adoption and limit accessibility.

Today’s facilities demand enabling technologies that integrate seamlessly into existing workflows without driving up costs or requiring new infrastructure. The WatchTower Spine Navigation System was designed around this philosophy: simple setup, familiar imaging, and precise guidance without workflow disruption.

The Solution: Real-Time 3D Navigation Using the C-Arm Your Facility Owns

WatchTower transforms standard C-arm fluoroscopy into a real-time 3D navigation environment, eliminating the need for intraoperative CT. With the newly cleared flat-panel calibrators, the system now supports the latest square-detector C-arms that deliver sharper, lower-dose images.

This release extends compatibility while maintaining support for 9” and 12” round C-Arm image intensifiers, ensuring continuity for all users. By combining real-time navigation with lower radiation and broader hardware compatibility, WatchTower continues to build on both safety and scalability.

“These clearances go beyond simple compatibility; they reaffirm Captiva’s commitment to keeping facilities ahead of the curve,” said Dale Mitchell, President of Captiva Spine. “As imaging evolves, WatchTower evolves with it, whether using round or flat-panel detectors, surgeons can expect consistent precision and an even safer environment for their teams and patients.”

AI-Assisted Registration: Intelligent Alignment

The newly cleared AI-assisted image registration is more than a feature; it is a foundation for Captiva Spine’s next-generation software environment (UI/UX). This AI alignment engine automates key steps while maintaining surgeon control and verification, reducing operator dependency and improving consistency.

This next phase of WatchTower software is targeted to debut commercially in 2026, alongside a redesigned user interface and workflow enhancements focused on faster setup and intuitive intraoperative guidance.

“Our development path has always been surgeon-led,” said Erik Gottschalk, Director of Sales. “Each update responds to what surgeons need in real practice: fewer steps, faster registration, and adaptable imaging options. The use of AI capabilities dramatically improves scalability, allowing less dependency on the technical operator, and is even more user-friendly at the point of use.”

A Surgeon’s Perspective: Precision Without Complexity

“WatchTower has become an essential part of my workflow,” said Simon Chao, MD, Orthopedic Spine Surgeon at University Orthopedics serving the greater Boston, MA area. “It’s reliable, precise, and fully compatible with the imaging systems we already use. The addition of flat-panel integration further reduces radiation without altering how we operate, enabling WatchTower utilization at more facilities using this newer version of C-Arm fluoroscopy.”

This alignment between surgeon experience and system design underscores a broader trend: enabling technology succeeds when it simplifies, rather than replacing, existing processes and workflows. The market favors systems that are intuitive, open, and scalable, those that can be adopted without disrupting established routines.

Beyond Spine Navigation: A Complete Spine Solutions Portfolio

Captiva Spine’s commitment to enabling technology extends beyond navigation. The company offers a comprehensive portfolio of spinal solutions, including cervical fixation and interbody cages, lumbar fixation, expandable cages, and sacroiliac joint fusion systems.

This full continuum of care allows Captiva to deliver integrated solutions, from planning and navigation to final fixation, making the company a single-source partner for hospitals and ASCs seeking both clinical and economic value.

“We provide a complete ecosystem of spinal solutions supported by enabling technology that improves efficiency, safety, and access. Navigation enhances every implant we make, and every implant reinforces the value of navigation,” added Mitchell.

Mobility, Openness, and Economic Efficiency

The WatchTower ROAM Spine Navigation System configuration offers full-function navigation in a compact, mobile footprint, making it ideal for hospitals and ASCs. With rapid setup and open-platform compatibility across implant systems, ROAM supports procedural flexibility from cervical and lumbar fusion to SI joint fixation, all without dependence on proprietary robotics or specialized infrastructure.

In a climate where capital budgets are under pressure, WatchTower provides a pragmatic path forward, offering advanced navigation that fits within existing environments, staffing, and equipment.

Captiva Spine will showcase the WatchTower ROAM Spine Navigation System at the N orth American Spine Society (NASS) 2025 Annual Meeting in Denver, Colorado, November 14-16. Attendees will have the opportunity to experience WatchTower’s unique combination of adaptability, precision, and real-time 3D spine navigation firsthand.

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to develop reliable systems that offer clinical and economic solutions to the spine market.

Captiva Spine – Navigating Today.

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Captiva, a privately held organization, has recently unlocked opportunities for strategic investment and continues to build distribution partnerships, capitalizing on its current momentum to expand market share in 2025 and beyond. For investment or distribution inquiries, contact us at info@captivaspine.com.

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This Press Release is also featured on PrWeb.com; TheSpineMarketGroup.com;

Captiva Spine’s WatchTower Spine Navigation Platform Enhancements Accelerate Clinical Adoption

Dr. Aaron Creek with the Captiva Spine WatchTower Spine Navigation Platform for ASCs and Rural Access Hospitals — *Aaron Creek, MD of The Neck and Back Institute of Florida, Miramar Beach, FL*

The WatchTower Spine Navigation System is designed to be uncomplicated, compact, and cost-effective. The Navigation Platform empowers surgeons with CT-based accuracy and streamlined workflows, eliminating the need for intraoperative CT scans.

Jupiter, FL – April 2025 – Captiva Spine®, a privately held medical device company specializing in spinal implants and enabling surgical technologies, announced today that it doubled year-over-year revenue month-to-date (MTD) in Q1 2025. This substantial growth is directly attributed to the accelerated market adoption of the company’s WatchTower Spine Navigation System and the newly launched ROAM unit, which boasts a compact footprint, WatchTower’s 2D to 3D registration capabilities, and an updated navigation platform.

This performance highlights the company’s continued commitment to delivering cost-effective, scalable navigation technology to underserved market segments, including Ambulatory Surgery Centers (ASCs) and Rural Access Hospitals (RAHs), two key verticals in the evolving U.S. spine care landscape.

“The WatchTower System offers a best-in-class navigation platform that’s efficient and accurate. Its compact design and ability to work with any implant make it a game-changer for all types of spinal cases,” said Aaron Creek, MD of The Neck and Back Institute of Florida, Miramar Beach, FL. Additionally, the WatchTower System is a breakthrough for rural communities like ours. Its simplicity and affordability finally bring advanced spinal navigation within reach for our patients.”

Dr. Mark Grubb with the Captiva Spine WatchTower Spine Navigation Platform for ASCs and Rural Access Hospitals — *Mark Grubb, MD of the Center for Orthopedic and Spine Institute, Cleveland, OH*

“ASC budgets demand careful management, but a commitment to procedural quality must remain unwavering. WatchTower’s advanced 2D to 3D registration algorithm affords an economical real-time 3D navigation alternative for the ASC by leveraging the imaging equipment we already own, C-arms,” said Mark Grubb, MD of the Center for Orthopedic and Spine Institute, Cleveland, OH. “Additionally, bringing navigation into the ASC eliminates anatomical ambiguity and has aided us in opening additional service lines like SI fusion.”

Captiva Spine’s WatchTower Spine Navigation System will be featured at the AANS (American Association of Neurological Surgeons) Annual Meeting held in Boston, MA, April 25-27, 2025.

Growth Story: A Scalable Platform, Expanding Market

Captiva’s performance in Q1 reflects strong adoption of multi-site procedures and implant systems. WatchTower’s open navigation architecture allows a consistent experience across the full-featured WatchTower SNS and the compact mobile ROAM platform. This created new procedural volume and positions Captiva as a long-term partner in spine care transformation.

Key drivers of Q1 growth included:

The rapid adoption of WatchTower ROAM in ASC settings, where portability, price, and efficiency are critical.
Strategic expansion into RAH facilities, with many adopting spine navigation for the first time.
Repeat utilization and add-on implant pull-through support procedural revenue and recurring business.
New distribution partnerships and expanded geographic reach across core U.S. spine markets.

“Our universal navigation platform, launched earlier this year, continues to drive adoption by making enabling technology more accessible across high-growth outpatient centers and underserved community hospitals,” said Dale Mitchell, President of Captiva Spine. “This platform has opened the door to new partnerships with independent distributors and spine implant companies, allowing WatchTower Navigation to enhance its clinical offerings. Our strong year-over-year revenue growth reflects the platform’s alignment with clinical needs and economic priorities in today’s spine care market.”

Looking Ahead: Strong Pipeline, Continued Expansion, and AI (Artificial Intelligence)

Following its Q1 performance, Captiva Spine is entering Q2 and Q3 with a robust sales pipeline. The company will continue to schedule system placements in existing territories and expand its navigation and core implant presence into new high-growth territories. Additionally, WatchTower’s agnostic capabilities have opened the opportunity for strategic industry partnerships. Captiva expects this system capability to provide additional partnership opportunities in the thoracolumbar and SI fusion markets.

Later this year, the company will also announce additional product enhancements and software updates with AI to increase procedural utility, simplify operator tasks, and integrate across more procedures.

Captiva, a privately held organization, has recently unlocked opportunities for strategic investment and continues to build distribution partnerships, capitalizing on its current momentum to expand market share in 2025 and beyond. For investment or distribution inquiries, contact us at info@captivaspine.com.

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to develop reliable systems that offer clinical and economic solutions to the spine market.

Captiva Spine – Navigating Today.

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This Press Release is also featured on PrWeb.com

Captiva Spine Introduces ASC-Ready WatchTower ROAM, a Compact, Mobile Spine Navigation System Following the Publication of a Prospective Randomized Comparative Clinical Study of Accuracy and Safety Data

Enhanced Precision, Safety, and ASC Economics Backed by Clinical Research.

Jupiter, FL – May 2024 – Captiva Spine®, a medical technology organization connecting healthcare professionals, distribution specialists, and healthcare facilities with cutting-edge spinal care technology, recently received a US FDA 510(k)-clearance notice for the WatchTower® ROAM™. This new product is a compact version of their already ASC-READY WatchTower® SNS (Spine Navigation System) platform. The debut of the WatchTower ROAM follows closely after a recently published study in the Journal of Neurosurgery: Spine (JNS), affirming the effectiveness of the WatchTower Spine Navigation System and its novel 2D registration of a pre-operative CT for real-time 3D surgical navigation.

A Compact, Powerful, and Cost-Effective Spine Navigation System.

The WatchTower ROAM System allows spine surgeons who service multiple operative locations, especially Ambulatory Surgery Centers (ASC), to have a consistent navigation platform that can be relocated to various surgical sites within the community. This can be highly beneficial when a surgeon’s surgical volume is split between multiple locations, providing an economical alternative to acquiring a navigation system at every location. The WatchTower ROAM is designed to be more transportable.

Dale Mitchell, president of Captiva Spine, expressed his excitement about the new WatchTower ROAM, “the ROAM is a significant advancement towards navigation becoming a more practical standard of care through accessibility and affordability to previously underserved facilities. By integrating the real-time 3D spine navigation software used in the WatchTower SNS, ROAM can offer surgeons an affordable, efficient, powerful, and mobile device.”

In addition to the clearance of WatchTower ROAM, the FDA granted 510(k) clearance for calibrator compatibility with 9” and 12” C-arm image intensifiers, making the system compatible with more C-arms in more locations.

Accurate. Efficient. Reduced Radiation.

The WatchTower ROAM clearance follows closely after a study published in the Journal of Neurosurgery: Spine (JNS). The registration method and algorithm used in the WatchTower SNS system was the subject of a recent randomized study comparing it to an intra-operative CT scan-based system. A team led by Jau-Ching Wu MD, PhD, a Neurosurgeon at Taipei Veterans General Hospital and Assistant Professor at the National Yang-Ming University (et al.) has published a study in the Journal of Neurosurgery: Spine (JNS), Comparison of intraoperative cone-beam CT versus preoperative fan-beam CT for navigated spine surgery: a prospective randomized study,¹ highlighting the clinical utility and benefits of the unique registration method compared to a commonly available intra-operative CT-based navigation platform. The study concludes that the preoperative CT-based spinal navigation system matches the accuracy and safety of the conventional CT-based intra-operative system. Additionally, it offers the advantages of a more rapid workflow and lower intra-operative radiation exposure.

The WatchTower SNS platform uses a novel 2D registration algorithm to register a pre-operatively taken CT scan using an AP and Lateral X-ray to provide real-time 3D surgical navigation.

Get Enabling Technology in Your Facility

For those interested in seeing the ASC-READY WatchTower Spine Navigation System in action, along with our range of cervical, lumbar, and SI fusion solutions, Captiva Spine® invites you to visit our website at www.captivaspine.com/spine-navigation to schedule a demonstration. We welcome inquiries from healthcare providers, surgical facilities, and distribution professionals. To get in touch with us directly, please email our team at info@captivaspine.com

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to create reliable systems that provide clinical and economical solutions to the spine market.

Captiva Spine – Navigating Today.

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This Press Release is also featured on PrWeb.com

Published online November 24, 2023; DOI: https://doi.org/10.3171/2023.9.SPINE23422

Captiva Spine Shares the Publication of a Prospective Randomized Comparative Clinical Study of Accuracy and Safety Data in line with the WatchTower Spine Navigation System

Study: 3D surgical navigation compared to navigation systems that utilize intra-operative CT scanners.

Jupiter, FL – April 2024 – Captiva Spine®, a medical technology organization connecting healthcare professionals, distribution specialists, and healthcare facilities with cutting-edge spinal care technology, shares a recently published study in the Journal of Neurosurgery: Spine (JNS), affirming the effectiveness of the WatchTower Spine Navigation System and its novel 2D registration of a pre-operative CT for real-time 3D surgical navigation compared to navigation systems that utilize intra-operative CT scanners.

Enhanced Precision, Safety, and ASC Economics

Real-time 3D surgical Navigation is emerging as the standard of care in spine surgery. It has been shown to minimize radiation exposure for surgeons and staff while enhancing the surgeon’s view of the anatomy.

To date, navigation systems have relied on intra-operative CT scanning or touch registration of a pre-op CT scan to facilitate 3D navigation. These methods of importing medical imaging into the operating room: 1) Require open exposures, in the case of touch systems, that limit the value of the technology for percutaneous procedures. -or- 2) An intra-operative CT scanner is required, which, while preserving percutaneous procedure capabilities, is cumbersome for surgical workflow and expensive for acquisition.

The WatchTower Spine Navigation System streamlines the surgical workflow by registering a pre-operative CT scan into the operating room with 2D c-arm imaging, using a sophisticated algorithm to provide real-time 3D navigation during surgery. This allows the surgeon to percutaneously navigate instruments and implants with enhanced accuracy, reduce intra-operative radiation for the patient and staff, and do so with the equipment the facility already owns, a c-arm, eliminating the need to purchase an intra-operative CT scanner.

Accurate. Efficient. Reduced Radiation. Backed by Clinical Research.

The registration method and algorithm used in the WatchTower SNS system was the subject of a recent randomized study comparing it to an intra-operative CT scan-based system. A team led by Jau-Ching Wu MD, PhD, a Neurosurgeon at Taipei Veterans General Hospital and Assistant Professor at the National Yang-Ming University (et al.) has published a study in the Journal of Neurosurgery: Spine (JNS)¹, “Comparison of intraoperative cone-beam CT versus preoperative fan-beam CT for navigated spine surgery: a prospective randomized study,” highlighting the clinical utility and benefits of the unique registration method compared to a commonly available intra-operative CT-based navigation platform. The study concludes that the preoperative CT-based spinal navigation system matches the accuracy and safety of the conventional CT-based intra-operative system. Additionally, it offers the advantages of a more rapid workflow and lower intra-operative radiation exposure.

Captiva Spine’s ASC-READY WatchTower Spine Navigation System will be featured at the ISASS (International Society for the Advancement of Spine Surgery) Annual Meeting held in Miami Beach, FL, April 27-28, 2024.

The President of Captiva Spine, Dale Mitchell, reflected on the recent JNS article, “The clinical experience documented in the recent JNS study demonstrates that excellent outcomes are achieved with the WatchTower SNS platform. This has profound market implications as it shows that 3D surgical navigation can be performed using pre-operative imaging without touch registration or the need for intra-operative CT scanning.”

Mitchell continued, “Eliminating the need for intra-operative scanners or open registrations for the first time provides a cost-effective navigation platform for the ASC environment and community hospital a reality. The WatchTower SNS underscores Captiva Spine’s commitment to providing clinical and economic solutions to the market.”

Get Enabling Technology in Your Facility

For those interested in seeing the ASC-READY WatchTower Spine Navigation System in action, along with our range of cervical, lumbar, and SI fusion solutions, Captiva Spine® invites you to visit our website at www.captivaspine.com/spine-navigation to schedule a demonstration. We welcome inquiries from healthcare providers, surgical facilities, and distribution professionals. To get in touch with us directly, please email our team at info@captivaspine.com

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to create reliable systems that provide clinical and economical solutions to the spine market.

Captiva Spine – Navigating Today.

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This Press Release is also featured on PrWeb.com

Published online November 24, 2023; DOI: https://doi.org/10.3171/2023.9.SPINE23422

Captiva Spine WatchTower Spine Navigation First Case in US using enabling technology

Captiva Spine Announces Completion of First U.S. Cases with the New WatchTower Spine Navigation System, “A game-changer for facilities doing spine surgery.”

WatchTower™ Spine Navigation and Robotics: Sophisticated 2D Registration Algorithm Eliminates the Need for Intraoperative 3D Imaging

March 2023—Orlando, FL: Captiva Spine, a spinal technology organization dedicated to providing clinical and economical solutions in spine care, announced the completion of the first U.S. cases series using its new state-of-the-art WatchTower Spine Navigation System. Dr. Hunaldo Villalobos of the Central Florida Neurosurgery Institute performed the surgeries at facilities in the Orlando, FL, area.

The WatchTower Spine Navigation and Robotics Systems streamline the surgical workflow by merging a pre-operative CT scan with 2D imaging using a sophisticated algorithm to provide real-time 3D images of the patient’s spine during surgery. This allows the surgeon to navigate the spine with enhanced accuracy and precision, intended to improve patient outcomes and reduce the risk of complications. Additionally, the system eliminates the need for intraoperative 3D imaging for registration, minimizing operative time and radiation exposure for patients and staff and enhancing the safety and efficiency of spine surgeries.

“A fast, accurate, and inexpensive system makes navigation equipment installation at an ambulatory surgery center (ASC) feasible.”

“Captiva Spine’s WatchTower will be a game-changer for facilities doing spine surgery.” Said Dr. Hundaldo Villalobos. “The system’s ability to register without relying on intraoperative CT scans or surface mapping through an open exposure makes it highly efficient and able to transform procedural workflow.” Dr. Villalobos further mentioned, “Speed of workflow was very impressive, including a decrease of set up time and implementation for the entire staff. Having a fast, accurate, and inexpensive system makes navigation equipment installation at an ambulatory surgery center (ASC) feasible.”

Dale Mitchell, President of Captiva Spine, expressed excitement over the first US cases with the WatchTower Spine Navigation System, stating, “We are thrilled to see our technology making a real impact in the operating room. Our team has worked tirelessly to bring this system to market and ensure its sophisticated technology is still practical and easy to use. This milestone reinforces our vision of providing clinical and economical solutions to the market.”

Get Enabling Technology in Your Facility

WatchTower Spine Navigation System US placements will be available by the end of 2Q23. For more information about the Captiva Spine WatchTower Spine Navigation and Robotics System and our other spinal fusion solutions, please visit www.captivaspine.com/spine-navigation

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To take advantage of Captiva Spine’s innovative technologies and incorporate them into your healthcare offerings, please don’t hesitate to contact us. We welcome inquiries from healthcare providers, surgical facilities, and distribution professionals. To get in touch with us directly, please email our team at info@captivaspine.com

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately held medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to create reliable systems that provide clinical and economical solutions to the spine market.

Captiva Spine – Navigating Today.

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Daniel McPhillips
Director of Enabling Technologies & Market Development
561-277-9480 ext. 706

This Press Release is also featured on: PrWeb.com, OrthoSpineNews.com, Orthoworld.com, Spine-Market.com, SPINEMarketGroup

real-time 3D spine navigation and robotics

Captiva Spine Expands Management Team to Support Roll-out of the New WatchTower™ Spine Navigation and Robotics System

WatchTower™ Spine Navigation and Robotics: Expanding Management Team

Captiva Spine is a medical device organization located in Jupiter, Florida, dedicated to delivering smart, elegant, and intuitive spinal fusion solutions. Today Captiva Spine announced the expansion of its management team to accelerate the roll-out of its WatchTower Spine Navigation and Robotic System. Daniel McPhillips has joined Captiva Spine as the Director of Enabling Technologies and Market Development. “Dan will be a great asset to the roll-out of the WatchTower Spine Navigation and Robotics System,” said Dale Mitchell, President of Captiva Spine. “Dan has been at the forefront of numerous technological inflection points in the spine market going back to the first MIS pedicle screw systems and cage IDE/PMAs. His most recent experience focused on innovations in percutaneous interbody fusion.”

The WatchTower Spine Navigation System promises to provide surgeons with a next-generation navigation and robotics system for the Ambulatory Surgery Center (ASC) and specialty hospital. WatchTower Spine Navigation eliminates the need for inter-operative CT imagery. This offers exceptional procedural efficiency, radiation safety, and a cost-effective navigation solution for these new service sites. The spine navigation system has received 510(k) clearance from the FDA (U.S. Food and Drug Administration) and is available for commercial use.

The WatchTower Spine Navigation and Robotics System eliminates the need for intraoperative CT imagery. This offers exceptional procedural efficiency, radiation safety, and cost-effective navigation…

“Spinal fusion procedures have become less invasive and post-operative significantly more effective, making same-day lumbar fusion surgery a reality,” said Dan McPhillips. “This, along with the recent changes in the CMS in-patient-only list, makes ASC MIS spinal fusion a real opportunity for surgeons and patients. I am excited to join Captiva because the WatchTower Spine Navigation and Robotics System offer advanced spine navigation capabilities yet are economically practical for the ASC setting.”

Vertical Integration at Captiva Spine

“At Captiva Spine, we always strive to provide smart, elegant, and intuitive spinal solutions, but more than that, we are working to provide a solid vertically integrated procedural platform,” said Dale Mitchell. The WatchTower System is a synergistic addition to support our newest generation TowerLOX-EXT MIS Extended Tab Pedicle Screw System and TransFasten Posterior SI Joint Fusion System.”

TowerLOX-EXT is the next-generation extended tab MIS screw system from Captiva Spine. It affords the surgeon the state-of-the-art MIS extended tab design they expect with significantly more reduction and spinal re-alignment utility than other systems on the market.

The TransFasten Posterior SI Fusion System is a unique approach to posterior MIS sacroiliac joint fusions, offering increased efficiency while reducing the invasiveness of traditional sacroiliac joint fusions. The system’s patented carpentry has been developed to ensure ease of use, immediate stabilization of the motion segment, and an optimal environment for fusion. Experience the benefits of TransFasten for yourself and discover how our innovative system may help achieve the results patients are looking for.

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To take advantage of Captiva Spine’s innovative technologies and incorporate them into your healthcare offerings, please don’t hesitate to reach out to us. We welcome inquiries from healthcare providers, surgical facilities, and distribution professionals. To get in touch with us directly, please email our team at info@captivaspine.com

About Captiva Spine, Inc.

Captiva Spine, founded in 2007, is a privately owned medical device company that brings healthcare providers, distribution professionals, and surgical facilities together with innovative spinal care solutions. With a focus on quality, Captiva Spine strives to build and maintain sincere, honest, and collaborative relationships to earn mutual trust and openness. By doing so, we aim to become the preferred provider of smart, elegant, and intuitive spine care solutions.
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Daniel McPhillips
Director of Enabling Technologies & Market Development
561-277-9480 ext. 706

This Press Release is also featured on: PrWeb.com, SpineMarketGroup, Spine-Market.com, OrthoSpineNews, Becker’s Spine Review,

Captiva Spine announces an exclusive strategic partnership with REMEX Medical for Spine Navigation and Robotics, adding to their expanding product portfolio

Spine Navigation and Robotics: Exclusive Strategic Partnership

Captiva Spine is a medical device organization located in Jupiter, Florida, dedicated to delivering smart, elegant, and intuitive spinal fusion solutions. They announced today its long-term exclusive strategic partnership with REMEX Medical, a developer of advanced navigation and robotics technologies located in Taichung, Taiwan; for real-time 3D spine navigation with future developments in practical robotic solutions.

Captiva Spine looks forward to serving the substantial demand and need for both navigation and surgical robots for spinal applications. For underserved hospitals and Ambulatory Surgery Centers (ASCs) throughout the U.S., this technology will serve as a platform to expand the company’s products and services with enhanced enabling technology to support MIS technology. Specifically, Captiva Spine will be starting with their CapLOX Pedicle Screws, TowerLOX-EXT MIS Extended Tab Pedicle Screws, and TransFasten Posterior SI joint fusion system.

Future Developments in Spine Navigation and Robotics

Nelson Lin, CEO of REMEX Medical, said, “we are very pleased to enter the US marketplace with our new strategic partner, Captiva Spine. We share an enthusiasm and commitment to providing ongoing advancements for the betterment of spine care. REMEX has been researching and developing this platform for eight years with proven clinical performance.”

The navigation system has 510(k) clearance from the FDA ( U.S. Food and Drug Administration) and is available for commercial use. The navigation unit is a small on-site unit for more facilities looking to take advantage of the benefits of readily available, easy-to-use spine navigation. This model offers physicians, orthopedics, and neurosurgeons easy-to-use, cutting-edge technology to pre-plan and visualize their surgical approach. This platform utilizes preoperative CT scans and rapid intraoperative registration for accurate real-time 3D navigation with limited radiation exposure to staff and patients.

Cost-Effective, Real-Time 3D Navigation and Robotics that’s user-friendly

The spine navigation platform will be demonstrated at Captiva Spine’s booth (#3731) at the 2022 North American Spine Society (NASS) Annual Meeting, in Chicago, IL, October 12-14.

“This platform for spine navigation helps fulfill our commitment to being a clinical and economical solution with advanced enabling technology for spine care,” said Dale Mitchell, President of Captiva Spine. “We plan to have a technically advanced navigation platform to improve spine procedural efficiency and be economically feasible for the growing number of ASCs and specialty hospitals throughout the United States,” Mitchell continued.

Improving and Expanding the Spine Navigation Platform

Spine Navigation allows surgeons to oversee the precise placement of MIS pedicle screws while situated directly at the operation site, guided by navigation technology. “Our goal is to provide a technology for reproducibility of screw accuracy and placement with higher confidence and safety in difficult areas is also a goal in mind, as well as improving screw insertion times, especially in cases of difficult anatomy,” said Mitchell.

Captiva Spine is planning to expand the system’s capabilities to include robotics. Both platforms are intended to improve the reproducibility and accuracy of applicable procedures to meet the growing demand for enabling solutions worldwide.

Inquiries from physicians and industry professionals looking to incorporate intelligent and innovative technologies into their offerings are always welcome. Captiva Spine can be contacted directly by phone at 561-277-9480.

About Captiva Spine, Inc.

Captiva Spine is a privately owned medical device organization founded in 2007. Captiva Spine supports spine surgeons, tenured spine distributors, and healthcare facilities. In providing patients with progressive spinal care and an obsessive focus on quality, they strive to create and maintain sincere, honest, collaborative relationships. Valuing their relationships fosters the mutual trust and openness needed for Captiva Spine to be a conduit of high-quality, smart, elegant, and intuitive patient solutions. Captiva Spine operates as a family of industry professionals that take pride in delivering these solutions responsibly and ethically. While never losing sight of what they refer to as the Human Factor, they find joy in their daily lives and serve the needs of their customers with sincere, professional enthusiasm.