Spontaneous intracerebral hemorrhage (ICH) is a life-threatening emergency with a 30-day mortality rate of nearly 40%. Fewer than 40% of survivors regain long-term functional independence. Timely intervention within the first 24 hours is crucial to improving outcomes, yet traditional neurosurgical procedures require complex, costly equipment and extensive surgical expertise. A minimally invasive, integrated solution is needed to enable faster, more accessible treatment.

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Pilotfish collaborated on the development of a disposable use endoscopy tool that serves as the core of the Neuroblade System - an all-in-one platform for minimally invasive neurosurgery. The device was designed to simplify critical interventions such as ICH evacuation by integrating multiple surgical capabilities into a single-use endoscopic instrument. Our human-centered design process focused on: • User Research: Conducting in-depth usability testing with neurosurgeons to refine ergonomics and functionality. • Proof of Concept: Developing and evaluating multiple design iterations through sketches and prototypes. • UX & Product Design: Ensuring a stable and comfortable grip for precision control in high-stakes surgical environments.