Domico Med-Device is grateful for the opportunity to share its carbon fiber Mayfield Adapter for interventional table extensions in the Hybrid OR. This innovation provides the positioning required for neurosurgeons to perform delicate procedures in the brain utilizing minimally invasive, x-ray guided techniques. The Mayfield Adapter eliminates the need for open brain surgery in an OR thereby reducing patient recovery times and post op infection risks. Working in conjunction with clinical personnel, the Mayfield Adapter was designed and is proudly manufactured in Fenton, MI.