It is possible to implement using mouse A4tech x7 series (that I have. I think, it is also possible to implement for Razer mouse also, but I don't have it). Idea is simple - this mouse has macro commands to position cursor at specified coordinates, then add clicks and delays when needed.

I implemented similar macro to login into game, when it was a major problem. (ban me)

EDIT: maybe it is possible to implement for nostromo if use gamepad interface (num-pad on keyboard).