Ultrasound Made Simple with Accuro Neuraxial Guidance.

Improve first-insertion success rates, particularly in cases with challenging patient anatomy, utilizing Accuro’s enhanced bone-to-tissue contrast and AI-enabled image guidance for automated identification of the spinal midline, interlaminar space, and depth.

SEE more than 5-10X^* enhancement of bone-to-tissue contrast with Multi-Frequency BoneEnhance^® Image Reconstruction technology.
FIND the ideal insertion point with Midline (red dashed line) and Cross Hair indicators.
AUTOMATICALLY IDENTIFY epidural location with success rates exceeding 94%^* using AI-Enabled SpineNav3D^™ Image Recognition technology.
MARK needle placement or perform real-time needle guidance with the Accuro Locator needle guide.

CUSTOMER UPDATE

Accuro Sales and Support Update

RIVANNA will discontinue sales of new Accuro systems on December 31, 2026. Eligible final system orders must be placed by December 1, 2026. Existing warranties and service plans will continue to be honored according to their written terms.

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Improve Decision-Making, Patient Safety, and Satisfaction

Ensure Precision in Neuraxial Anesthesia
Accuro guides you to the precise intervertebral space using graphical indicators and enhanced bony landmark visualization, improving localization of the desired intervertebral space and first-attempt success in neuraxial anesthesia.
Navigate Challenging Patient Anatomy
Clinically proven to increase first-attempt success rates, especially with complex patient anatomies. Accuro improves practice efficiency, patient safety, and outcomes.
Replace ‘Blind’ Palpation with Accuracy
Accuro offers ease of use and superior accuracy compared to traditional ‘blind’ palpation methods, supported by randomized controlled trials.
Experience Simply Superior Technology
- Automated image interpretation
- Enhanced bony landmark visualization
- Portable and handheld with a rotatable touchscreen display
- Pocket-sized and battery-operated

Watch the Case Study

Intervertebral level identification and image-guided epidural placement in parturient presenting post-trauma spinal instrumentation and scarring.

What Clinicians Are Saying About Accuro Neuraxial Guidance

Associate Professor of Anesthesiology
Director of Obstetric Anesthesia
University of Virginia Medical Center

Mohamed Tiouririne, MD

“

As the PI for the first clinical studies performed with Accuro, I have been impressed with the sensitivity and specificity of the automated SpineNav3D software.”

”

Assistant Professor of Anesthesiology
Yale School of Mediciner

Antonio Gonzalez, MD

“

Accuro sets a new standard in spinal procedures. As a go-to device for both practice and resident training, Accuro has boosted our first-attempt success rates, minimized back pain and wet taps, and enhanced efficiency. Ultimately, we’re elevating patient care with this game-changing technology.

”

Program Director, Obstetric Anesthesia Fellowship
Massachusetts General Hospital

Rebecca Minehart, MD, MSHPEd

“

Accuro revolutionizes spinal navigation with its handheld, one-handed design and advanced SpineNav3D technology. The device not only provides crystal-clear ultrasound imaging but also enhances visualization of bony structures and accurately measures depth to the epidural space—a unique and game-changing feature.

”

"As the PI for the first clinical studies performed with Accuro, I have been impressed with the sensitivity and specificity of the automated SpineNav3D software."

Mohamed Tiouririne, MD
Associate Professor of Anesthesiology
Director of Obstetric Anesthesia
University of Virginia Medical Center

"Accuro sets a new standard in spinal procedures. As a go-to device for both practice and resident training, Accuro has boosted our first-attempt success rates, minimized back pain and wet taps, and enhanced efficiency. Ultimately, we're elevating patient care with this game-changing technology."

Antonio Gonzalez, MD
Assistant Professor of Anesthesiology
Yale School of Medicine

"Accuro revolutionizes spinal navigation with its handheld, one-handed design and advanced SpineNav3D technology. The device not only provides crystal-clear ultrasound imaging but also enhances visualization of bony structures and accurately measures depth to the epidural space—a unique and game-changing feature."

Rebecca Minehart, MD, MSHPEd
Program Director, Obstetric Anesthesia Fellowship
Massachusetts General Hospital

Accuro Use Cases: From Challenge to Triumph.

Patients with above-normal BMI face a higher risk of epidural failure due to less apparent spinal bony structures. Additionally, those with atypical spinal conditions, such as scoliosis or prior surgeries, also face significant risk. Learn how Accuro delivers results for patients with challenging anatomy.

Morbid Obesity: 160 kg and BMI of 60

Dr. Launius highlighted that Accuro provided crucial data; he swiftly achieved loss of resistance and successfully placed the epidural catheter on the first attempt.

Spinal Hardware & Significant Compression

Stephen Garber, MD, an Anesthesiologist at Saddleback Medical Center, used Accuro to facilitate midline and intervertebral space detection for a successful epidural placement during L&D.

Scoliosis with Significant Intravertebral Rotation

Brandon Togioka, MD, Associate Professor at Oregon Health & Science University and Vice Chair of Clinical Research for Anesthesiology @ OHSU, explains.