FAQs
Common questions about Bolt — straight answers on workflow and accuracy.
System
Yes — Bolt is system-agnostic, designed to work with virtually any system.
Through a subscription — zero capital, maintenance-free, with ongoing upgrades and improvements included.
You do. No waiting for reps or technicians, no dependence on complex integrated systems — you control the case with minimal staff assistance.
None needed. If a unit isn't functioning for any reason, a replacement is supplied the next day or sooner.
Bolt has demonstrated accuracy equivalent to CT-Nav and superior to fluoroscopic navigation.3
3 Arts M, Nijeholt G, Van Eeckhoven, Wolfs J. Accurate placement of thoracolumbar pedicle screws using a handheld iOS-based navigation device: a prospective intra-patient agreement study. Spine Journal. 2024;24(9):1671-1677.
Technical
No — no O-arm, no special imaging. Bolt uses standard lateral and AP X-rays taken once the patient is positioned, combined with images from the patient's diagnostic MRI or CT.
You don't. Bolt requires no registration — no reference frame, no tracking array.
Bolt is built for intraoperative planning — so you can adjust to any changes or variances that come up during the case, in the moment.
The unit is password-protected and can be disabled remotely. Bolt supplies up to three replacements per calendar year.
Patient
Bolt accounts for it. The system can accommodate up to 15 degrees of axial rotation without meaningful impairment to screw accuracy.
A true lateral image is necessary, so multiple X-rays may be needed to ensure the end plates of the vertebral body line up for each segment that will receive pedicle screws. If the axial imaging study doesn't adequately show both pedicles in a single slice, separate images can be captured and labeled accordingly — for example, L4 Right and L4 Left.
No. Bolt is not integrated with the EMR. The system allows the user to capture images of the axial slices of the levels to be operated on — from the patient's diagnostic MRI or CT — plus lateral and AP X-rays of those levels once the patient is positioned on the table.
Yes, as long as the lateral images captured by Bolt are taken in that orientation and the system is used while the patient stays in that exact position. The patient cannot be airplaned while capturing images or using the system.
