Uncompromised Exposure Spine Catalog FIRST EDITION

Transcription

1 Uncompromised Exposure Spine Catalog FIRST EDITION Cervical Spine Access - Lumbar Spine Access

2 SPINE CATALOG / THOMPSON RETRACTOR Table of Contents Thompson Retractor: Innovation in Surgical Retraction... 3 Thompson Retractor Exclusive Features Cervical Spine Access Cervical Retractor System Cervical Spine Blades Anterior Lumbar Spine Access Anterior Lumbar System Anterior Lumbar Ring System Anterior Lumbar Spine Blades Open Posterior Lumbar Spine Access Open Posterior Lumbar System Open Posterior Lumbar Blades MIS Posterior Lumbar Access MIS PLA System MIS PLA Blades Retractor System Components + Accessories Product Index For the most up-to-date version of this catalog, as well as Service and Warranty information, please see our website:

3 Thompson Retractor Innovation In Surgical Retraction Thompson Surgical Instruments, Inc. is the market leader in surgical retraction and the original manufacturer of the table mounted retractor. In use for over fifty years, the Thompson Retractor is the only mechanical retractor to offer one frame for all exposure needs, multi-planed independent retraction, and unlimited customization. We understand the value of exposure in successful surgery and are dedicated to providing innovative, high quality retractor systems that deliver safe, versatile, low-profile retraction. Spine surgeons especially will benefit from the Thompson Retractor s versatility and ability to independently retract and position every blade safely. VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 3

4 SPINE CATALOG / EXCLUSIVE FEATURES Thompson Retractor Exclusive Features Uncompromised Spine Exposure Thompson is dedicated to offering the most forward thinking, proven, and high quality features as a part of our spine retractor line. These exclusive, often patented, features define Thompson and allow for Uncompromised Exposure. 4 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

5 Sterile Mount Rail Clamp Thompson's table mounted frame eliminates retractor shifting. Top control eases attachment to table, as well as adjustments, within the sterile field. Truly Independent Frame Arms Arms can be independently adjusted to create a low-profile work space. Independent movement enables safe, versatile retraction without dependence on adjacent arm position. One-Piece Clip-On Handles Independent blade retraction is attained with independent handles. Joint clips anywhere on frame and quickly secures. One-piece reduces inventory and instrument counts. NEW Quick Angle Handles Blades can be toed in or out 45º to help maintain a lowprofile operating field and achieve better exposure. Upgraded "pinch" joint feature allows for easier removal from frame. S-Lock Technology Option to naturally align with tissue in the swivel position, or eliminate swivel and precisely place blades in locked position. Easily switch from swivel to locked with the push of a button. Micro-Adjustable Technology Micro-Adjustable Handles enable increased leverage and precise blade retraction with micro-adjustability. VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 5

6 CERVICAL SPINE ACCESS / CERVICAL SYSTEM Cervical Spine Access Central, Stable Exposure The Thompson Retractor for cervical spine access offers secure, table mounted solutions that prevent shifting, or "rise up" in the incision. Independent retraction and blade positioning eliminates the need for excess retraction required by selfretaining retractors to stay in place. Thompson s Cervical System provides independent, safe retraction of the esophagus, trachea, and nerves, as well as the ability to elevate the longus colli. I use the Thompson retractor on every anterior cervical case, even single level procedures. The set up takes me less than minutes and the improved exposure and solid non-mobile retraction provided is phenomenal. - Vincent Traynelis, MD True Central Exposure Independent blade positioning creates superior visibility with no retractor migration. Eliminates Over-Retraction Frame arms are independently adjusted, providing more control for safe, versatile, low profile retraction Fast Set Up Frame can be set up in under two minutes, and is ideal for single or multi-level procedures. SYSTEM NOTICE: Ideal for anterior or posterior cervical procedures. 6 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

7 Cervical System Components D H G E C I A B F J K L M N F B A CERVICAL SYSTEM #SL8017 REF QTY A Elite III Rail Clamp w/1 Cam Joint 11" 4390ACS B 0" Angled Arm (10" x C 4 Cam II Clip-on Quick Angle 8" SL416WGP D 1 Micro-Adjustable II Clip-on Quick Angle 7 ¾" SL45007CGP E T-Handle 6000 F Rail Extender 15" Single Clamp 5844 G 1 Extension Arm 1" with Hinge Joint 44014HS H 1 Depth Gauge - Anterior Cervical 4651 I Manipulator Handle 48 J Radiolucent Concave Lateral 3mm x 35mm (1" x 1 3 8") Radiolucent Concave Lateral 3mm x 40mm (1" x 1 ½") Radiolucent Concave Lateral 3mm x 45mm (1" x 1 ¾") Radiolucent Concave Lateral 3mm x 50mm (1" x ") Radiolucent Concave Lateral 3mm x 55mm (1" x 1 8") Radiolucent Concave Lateral 3mm x 60mm (1" x 3 8") Radiolucent Concave Lateral 3mm x 65mm (1" x ½") Radiolucent Concave Lateral 3mm x 70mm (1" x ¾") Radiolucent Concave Lateral 3mm x 75mm (1" x 3") SL4631AT SL46314AT SL46316AT SL46318AT SL4630AT SL463AT SL4634AT SL4636AT SL4638AT REF QTY K L M N 1 Radiolucent Concave Lateral 3mm x 80mm (1" x 3 1 8") Radiolucent Concave Longitudinal 3mm x 40mm (1" x 1 ½") Radiolucent Concave Longitudinal 3mm x 50mm (1" x ") Radiolucent Concave Longitudinal 3mm x 60mm (1" x 3 8") Radiolucent Concave Longitudinal 3mm x 70mm (1" x ¾") Radiolucent Concave Micro 14mm x 40mm (½" x 1 ½") Radiolucent Concave Micro 14mm x 50mm (½" x ") Radiolucent Concave Micro 14mm x 60mm (½" x 3 8") Radiolucent Concave Micro 14mm x 70mm (½" x ¾") Radiolucent Concave Tapered 3mm x 40mm (1" x 1 ½") Radiolucent Concave Tapered 3mm x 50mm (1" x ") Radiolucent Concave Tapered 3mm x 60mm (1" x 3 8") Radiolucent Concave Tapered 3mm x 70mm (1" x ¾") Radiolucent Odontoid 0mm x 90mm (¾" x 3 ½") SL46330AT SL45161AT SL4516AT SL45163AT SL45164AT SL4651AT SL46516AT SL4650AT SL4654AT SL45644AT SL45646AT SL45648AT SL45650AT SL45666AT 1 Instrument Case w/pin Mat " x 11" x 3½" 50000G 1 Instrument Case - Expanded Anterior Cervical 50000EAC VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 7

8 CERVICAL SPINE ACCESS / BLADES CONCAVE LATERAL BLADES ( Continued ) with teeth ( optional ) Concave Lateral Ideal for medial and lateral retraction for multi and single level procedures. Concavity helps protect tissue. Radiolucent 3mm x 100mm (1" x 4") Radiolucent 3mm x 105mm (1" x 4 1 8") Radiolucent 3mm x 110mm (1" x 4 3 8") Radiolucent 3mm x 115mm (1" x 4 ½") Radiolucent 3mm x 10mm (1" x 4 ¾") Radiolucent mm x 60mm ( 7 8" x 3 8") Radiolucent mm x 70mm ( 7 8" x ¾") Radiolucent mm x 80mm ( 7 8" x 3 1 8") SL46338AT SL46340AT SL4634AT SL46344AT SL46346AT SL45150AT SL45151AT SL4515AT CONCAVE LATERAL BLADES 18mm x 70mm ( 5 8" x ¾") 19mm x 55mm (¾" x ¼") 5mm x 30mm (1" x 1 ¼") 5mm x 35mm (1" x 1 ½") 5mm x 50mm (1" x ") 5mm x 60mm (1" x 3 8") 5mm x 70mm (1" x ¾") 5mm x 85mm (1" x 3 3 8") Radiolucent 3mm x 35mm (1" x 1 3 8") Radiolucent 3mm x 40mm (1" x 1 ½") Radiolucent 3mm x 45mm (1" x 1 ¾") Radiolucent 3mm x 50mm (1" x ") Radiolucent 3mm x 55mm (1" x 1 8") Radiolucent 3mm x 60mm (1" x 3 8") Radiolucent 3mm x 65mm (1" x ½") Radiolucent 3mm x 70mm (1" x ¾") Radiolucent 3mm x 75mm (1" x 3") Radiolucent 3mm x 80mm (1" x 3 1 8") Radiolucent 3mm x 85mm (1" x 3 3 8") Radiolucent 3mm x 90mm (1" x 3 ½") Radiolucent 3mm x 95mm (1" x 3 ¾") SL45640A SL45150A SL45156A SL45157A SL45151A SL45158A SL45159A SL4515A SL4631AT SL46314AT SL46316AT SL46318AT SL4630AT SL463AT SL4634AT SL4636AT SL4638AT SL46330AT SL4633AT SL46334AT SL46336AT with teeth ( optional ) Concave Micro Provides excellent exposure for microsurgical operations. Narrow blade face allows better drill access for discectomy procedures. CONCAVE MICRO BLADES Radiolucent 14mm x 35mm (½" x 1 3 8") SL46510AT Radiolucent 14mm x 40mm (½" x 1 ½") SL4651AT Radiolucent 14mm x 45mm (½" x 1 ½") SL46514AT Radiolucent 14mm x 50mm (½" x ") SL46516AT Radiolucent 14mm x 55mm (½" x 1 8") SL46518AT Radiolucent 14mm x 60mm (½" x 3 8") SL4650AT Radiolucent 14mm x 65mm (½" x ½") SL4653AT ** Radiolucent 14mm x 70mm (½" x ¾") SL4654AT ** Radiolucent 14mm x 75mm (½" x 3") SL4656AT ** Radiolucent 14mm x 80mm (½" x 3 1 8") SL4658AT ** Any of the Radiolucent Concave Lateral Blades may be ordered with teeth by adding a T to the end of the part number. Any of the Radiolucent Concave Micro Blades above may be ordered with teeth by adding T to the end of the part number. ** Slightly thicker blade 8 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

9 with teeth ( optional ) Concave Tapered Ideal for medial and lateral retraction for multi and single level procedures. Concavity helps protect the tissue. Narrow distal end allows better drill access for discectomy procedures. CONCAVE TAPERED BLADES Concave Longitudinal Ideal for longitudinal, medial, or lateral retraction. Blunt, concave distal end matches vertebral body for better longitudinal exposure. CONCAVE LONGITUDINAL BLADES 5mm x 30mm (1" x 1 ¼") SL45160A 19mm x 35mm (¾" x 1 3 8") SL45643A 5mm x 50mm (1" x ") SL45161A 19mm x 45mm (¾" x 1 ¾") SL45645A 5mm x 70mm (1" x ¾") SL4516A 19mm x 50mm (¾" x ") SL45646A Radiolucent 3mm x 30mm (1" x 1 ¼") SL45160AT 45mm x 50mm (1 ¾" x 3 8") SL45641A Radiolucent 3mm x 40mm (1" x 1 ½") SL45161AT 45mm x 65mm (1 ¾" x ¾") SL4564A Radiolucent 3mm x 50mm (1" x ") SL4516AT Radiolucent 3mm x 35mm (1" x 1 3 8") SL45643AT Radiolucent 3mm x 60mm (1" x 3 8") SL45163AT Radiolucent 3mm x 40mm (1" x 1 ½") SL45644AT Radiolucent 3mm x 70mm (1" x ¾") SL45164AT Radiolucent 3mm x 45mm (1" x 1 ¾") SL45645AT Radiolucent 3mm x 80mm (1" x 3 1 8") SL45165AT Radiolucent 3mm x 50mm (1" x ") SL45646AT Radiolucent 3mm x 90mm (1" x 3 ½") SL45166AT Radiolucent 3mm x 55mm (1" x 1 8") SL45647AT Radiolucent 3mm x 100mm (1" x 4") SL45167AT Radiolucent 3mm x 60mm (1" x 3 8") SL45648AT Radiolucent 3mm x 110mm (1" x 4 3 8") SL45168AT Radiolucent 3mm x 65mm (1" x ½") SL45649AT Radiolucent 3mm x 70mm (1" x ¾") SL45650AT Radiolucent 3mm x 75mm (1" x 3") SL45651AT Radiolucent 3mm x 80mm (1" x 3 1 8") SL4656AT Radiolucent 51mm x 50mm (" x ") SL45641AT Radiolucent 51mm x 65mm (" x ½") SL4564AT Any of the Radiolucent Concave Tapered Blades may be ordered with teeth by adding a T to the end of the part number. Odontoid Ideal for anterior odontoid and longitudinal cephalad retraction. ODONTOID BLADE BLADE NOTICE Aluminum blades also available, call for more information Radiolucent 0mm x 90mm (¾" x 3 ½") SL45666AT VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 9

10 CERVICAL SPINE ACCESS / BLADES Malleable Ideal for longitudinal cephalad retraction. Malleable design offers versatility. MALLEABLE BLADES Midline Midline blades provide excellent access and visibility under the mandible and when extensive anterior cervical vertebra exposure is needed. MIDLINE BLADES 5mm x 110mm (1" x ") SL45656A 13mm x 90mm (½" x 3 ½") SL45657A Right 70mm x 83mm ( ¾" x 3 ¼") SL45750A Radiolucent 5mm x 110mm (1" x ") SL45656AT Left 70mm x 83mm ( ¾" x 3 ¼") SL45751A Radiolucent 13mm x 90mm (½" x 3 ½") SL45657AT Left 57mm x 83mm ( ¼" x 3 ¼") SL45755A Right 57mm x 83mm ( ¼" x 3 ¼") SL45754A Radiolucent Right 70mm x 83mm ( ¾" x 3 ¼") SL45750AT Radiolucent Left 70mm x 83mm ( ¾" x 3 ¼") SL45751AT Radiolucent MIS Reverse Tapered ( Syd ) Excellent exposure while maintaining a minimal incision size. MIS TAPERED BLADES ( Radiolucent ) Army-Navy Radiolucent 15mm x 3mm x 35mm ( 5 8" x 1" x 1 3 8") Radiolucent 15mm x 3mm x 40mm ( 5 8" x 1" x 1 ½") Radiolucent 15mm x 3mm x 45mm ( 5 8" x 1" x 1 ¾") Radiolucent 15mm x 3mm x 50mm ( 5 8" x 1" x ") Radiolucent 15mm x 3mm x 55mm ( 5 8" x 1" x 1 8") Radiolucent 15mm x 3mm x 60mm ( 5 8" x 1" x 3 8") Radiolucent 15mm x 3mm x 65mm ( 5 8" x 1" x ½") Radiolucent 15mm x 3mm x 70mm ( 5 8" x 1" x ¾") Radiolucent 15mm x 3mm x 75mm ( 5 8" x 1" x 3") SL4564AT SL4565AT SL4566AT SL4567AT SL4568AT SL4569AT SL45630AT SL45631AT SL4563AT Retracts shallow or superficial tissue. ARMY-NAVY BLADES ( Radiopaque ) 13mm x 55mm (½" x 5 8") SL4560A 13mm x 65mm (½" x 5 8") SL4561A 13mm x 75mm (½" x ") SL456A BLADE NOTICE Aluminum blades also available, call for more information 10 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

11 with teeth ( optional ) Concave Medial Retracts anterior neck anatomy medially for anterior cervical spine exposure. CONCAVE MEDIAL BLADES ( Radiopaque ) Meyerding Ideal for laminectomies and muscle retraction. MEYERDING BLADES 16mm x 51mm ( 5 8" x ") SL45614A 13mm x 50mm (½" x ") SL451A 16mm x 75mm ( 5 8" x 3") SL45600A 13mm x 75mm (½" x 3") SL4514A 16mm x 100mm ( 5 8" x 4") SL45601A 13mm x 100mm (½" x 4") SL4516A 5mm x 60mm (1" x 3 8") SL45610A 19mm x 50mm (¾" x ") SL45A 5mm x 75mm (1" x 3") SL45611A 19mm x 75mm (¾" x 3") SL454A 5mm x 100mm (1" x 4") SL4560A 19mm x 100mm (¾" x 4") SL456A 5mm x 15mm (1" x 5") SL45603A 5mm x 50mm (1" x ") SL453A 51mm x 60mm (" x 3 8") SO4561A 5mm x 75mm (1" x 3") SL4534A 51mm x 75mm (" x 3") SO45613A 5mm x 100mm (1" x 4") SL4536A 51mm x 100mm (" x 4") SO45615A 3mm x 70mm (1 ¼" x ¾") SL45153A 51mm x 15mm (" x 5") SO45616A 38mm x 70mm (1 ½" x ¾") SL45154A Radiolucent 51mm x 60mm (" x 3 8") SO4561AET 38mm x 85mm (1 ½" x 3 3 8") SL45155A Any of the Meyerding Blades above may be ordered with teeth by adding a T to the end of the part number. Depth Gauge Measures the incision depth to aid in blade selection. Mini-Richardson Muscle retraction for exposure with small or mini-incision. MINI-RICHARDSON BLADES ( Radiopaque ) DEPTH GAUGE Anterior Cervical Depth Gauge 157.5mm (6 ¼") mm x 5mm (¾" x 1") 19mm x 51mm (¾" x ") 5mm x 3mm (1" x 1 ¼") SL4615 SL4615A SL4616 BLADE NOTICES: For longer cervical options, see Radiolucent Concave Renal Vein Blades, page 15. Aluminum blades also available, call for more information VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 11

12 ANTERIOR LUMBAR SPINE ACCESS / ANTERIOR LUMBAR SYSTEM Anterior Lumbar Access Low Profile, Stable Exposure The anterior approach to the lumbar spine is heavily dependent on the ability of the access surgeon to provide exposure quickly and safely. The Thompson Retractor provides safe and effortless Uncompromised Anterior Lumbar Exposure, eliminating of shift or rise up in the wound, and possibly reducing the risk of vascular, nerve, and ureter injury. The Thompson Spine Frame allows me to do cases which I would not have thought possible a few years ago and is absolutely essential in us developing these novel and extensive approaches. - Bronek Boszczyk, MD Exclusive Reverse Lip Blades Stabilizes retraction by engaging the lateral aspect of the vertebral body. Quick + Easy Blade Attachment Add / remove blades, or switch from swivel to locked positions with the simple push of a button Radiolucent, Strong Blades Superior strength prevents excessive flexing under heavy retraction. Available up to 50mm deep to accommodate all patient sizes. SYSTEM NOTICE: Non-S-Lock system available, but may require a longer lead time. Please call for more information. 1 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

13 Anterior Lumbar System Components B J D I N C G E A H F L M O K P Q R S T ANTERIOR LUMBAR SYSTEM #SL8019 REF QTY REF QTY A 1 Elite III Rail Clamp with 1 Cam Joint 16" 4390ACL B 1 Crossbar with Cam III Joints 4" 43900BC C 0" Angled Arm (10" x R Radiolucent Reverse Lip Tapered 5mm x 100mm (1" x 4") Radiolucent Reverse Lip Tapered 5mm x 150mm (1" x 5 7 8") SL4660TET SL4665TET D 4" Angled Arm (8" x N E 5 Cam II Clip-on Quick Angle 8" SL416WGP F 1 Micro-Adjustable II Clip-on Quick Angle 10" SL45006CGP Radiolucent Reverse Lip Tapered 5mm x 00mm (1" x 7 7 8") Radiolucent Reverse Lip Rigid 5mm x 110mm (1" x 4 3 8") SL4670TET SL4661RET G T-Handle 6000 H 1 Quick Angle Hand Held Adapter SL418G I 1 Suction for Anterior Lumbar Surgery 5134 S Radiolucent Reverse Lip Rigid 5mm x 130mm (1" x 5 1 8") Radiolucent Reverse Lip Rigid 5mm x 150mm (1" x 5 7 8") SL4663RET SL4665RET J 1 Anterior Lumbar Depth Gauge 335mm 5136 K Radiolucent Malleable Renal Vein 5mm x 140mm (1" x 5 ½") Radiolucent Malleable Renal Vein 5mm x 190mm (1" x 7 ½") SL46119BET SL46119CET L Radio. Malleable 51mm x 03mm (" x 8") SL461ET M 1 Radio. Harrington 64mm x 15mm ( ½" x 6") SL46160ET T Radiolucent Reverse Lip Rigid 5mm x 170mm (1" x 6 5 8") Radiolucent Reverse Lip Rigid 5mm x 190mm (1" x 7 ½") Radiolucent Reverse Lip Rigid 3mm x 10mm (1 ¼" x 4 ¾") Radiolucent Reverse Lip Rigid 3mm x 140mm (1 ¼" x 5 ½") SL4667RET SL4669RET SL468RET SL4684RET N 1 Radio. Splanchnich 51mm x 115mm (" x 4 ½") SL46145ET O Radio. Balfour 65mm x 7mm ( ½" x ¾") SL46140ET 4 Radio. Concave 5mm x 100mm (1" x 4") SL46560 Radiolucent Reverse Lip Rigid 3mm x 160mm (1 ¼" x 6 ¼") Radiolucent Reverse Lip Rigid 3mm x 180mm (1 ¼" x 7") SL4686RET SL4688RET 4 Radio. Concave 5mm x 10mm (1" x 4 ¾") SL4656 P 4 Radio. Concave 5mm x 140mm (1" x 5 ½") SL46564 Q 4 Radio. Concave 5mm x 160mm (1" x 6 ¼") SL Radio. Concave 5mm x 180mm (1" x 7") SL46568 Radiolucent Reverse Lip Malleable 5mm x 00mm (1" x 7 7 8") SL4619ET Radiolucent Reverse Lip Rigid 3mm x 00mm (1 ¼" x 7 7 8") SL4690RET 1 Instrument Case 50000G 1 Instrument Case - Exp. Reverse Lip ASA 50000ERL 1 Instrument Case - AL Renal Vein Blades 50000ALR 1 Instrument Case - Anterior Lumbar 50000ALT Radiolucent Reverse Lip Malleable 3mm x 00mm (1 ¼" x 7 7 8") SL46193ET VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 13

14 SYSTEMS / ANTERIOR LUMBAR RING Anterior Lumbar Ring System Stable, Independent Retraction The low-profile Thompson Anterior Lumbar Ring System provides effortless, Uncompromised Exposure to the lumbar spine. The versatile ring frame allows for quick, precise placement of the handles around the surgical site while providing the surgeon with an unobstructed view of the working area. New Free and Dual Angle handles allow for infinite positioning of blades. With S-Lock Technology, add/remove blades, or switch from swivel to locked positions with the simple push of a button. Thompson s Anterior Lumbar Ring System provides a simple, safe, and intuitive platform to achieve consistent midline spine exposure using minimal incision size while affording maximal exposure of the anterior spine. - Jonathan E. Schoeff, MD Secure Retraction Low profile Circle Joints easily clip on and off the ring frame, while providing strong, secure attachment for retractor handles. Stable Bilateral Set-Up Versatile extension arms stabilize the ring frame while maximizing the working area around the operative site. Free and Dual Angle Handles Allows for precise, tactile blade positioning. Dual Angle Handles allow for additional micro-adjustments to the angulation of the blades. 14 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

15 Anterior Lumbar Ring System Components F C E C D B G A B A H I J K L M N ANTERIOR LUMBAR RING SYSTEM #SL803 REF QTY REF QTY A Elite III Rail Clamp with 1 Joint 11" 4390ACS B Extension Arm with Fixed Hinge Joint 44615FH C Ring Frame Half 13 ½" 444 I 4 J 4 Radiolucent Concave Renal Vein 5mm x 100mm (1" x 4") Radiolucent Concave Renal Vein 5mm x 10mm (1" x 4 ¾") SL46560 SL4656 D 6 Circle Joint ½" x ¼" 4100 E 4 Free Angle Handle SL410 F Dual Angle Handle SL4101 K 4 L 4 Radiolucent Concave Renal Vein 5mm x 140mm (1" x 5 ½") Radiolucent Concave Renal Vein 5mm x 160mm (1" x 6 ¼") SL46564 SL46566 G Hex Tool 3 16" with T-Handle 6001 H 4 Instrument Case with Pin Mat 50000G Radiolucent Concave Renal Vein 5mm x 80mm (1" x 3 1 8") SL46558 M 4 N 4 Radiolucent Concave Renal Vein 5mm x 180mm (1" x 7") Radiolucent Concave Renal Vein 5mm x 00mm (1" x 7 7 8") SL46568 SL Instrument Case - AL Renal Vein 50000ALR SYSTEM NOTICE Elite Rail Clamp and Extension Arm may be ordered as a one-piece, permanently attached component, #44616EFH. VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 15

16 ANTERIOR LUMBAR SPINE ACCESS / BLADES Rigid Tapered Malleable Reverse Lip ( Brau ) Rigid Reverse Lip Blades engage at the lateral aspect of the disc and vertebral body to expose the anterior lumbar spine. BRAU REVERSE LIP RIGID BLADES ( Reduced Horizontal Length ) Radiolucent Rigid 5mm x 100mm (1" x 4") Radiolucent Rigid 5mm x 110mm (1" x 4 3 8") Radiolucent Rigid 5mm x 10mm (1" x 4 ¾") Radiolucent Rigid 5mm x 130mm (1" x 5 1 8") Radiolucent Rigid 5mm x 140mm (1" x 5 ½") Radiolucent Rigid 5mm x 150mm (1" x 5 7 8") SL4660RET SL4661RET SL466RET SL4663RET SL4664RET SL4665RET BRAU REVERSE LIP RIGID BLADES ( Continued ) Radiolucent Rigid 3mm x 170mm (1 ¼" x 6 5 8") SL4687RET Radiolucent Rigid 3mm x 180mm (1 ¼" x 7") SL4688RET Radiolucent Rigid 3mm x 190mm (1 ¼" x 7 ½") SL4689RET Radiolucent Rigid 3mm x 00mm (1 ¼" x 7 7 8") SL4690RET Radiolucent Rigid 3mm x 10mm (1 ¼" x 8 ¼") SL4691RET Radiolucent Rigid 3mm x 0mm (1 ¼" x 8 5 8") SL469RET Radiolucent Rigid 3mm x 30mm (1 ¼" x 9") SL4693RET Radiolucent Rigid 3mm x 40mm (1 ¼" x 9 ½") SL4694RET Radiolucent Rigid 3mm x 50mm (1 ¼" x 9 7 8") SL4695RET Radiolucent Rigid 5mm x 160mm (1" x 6 ¼") Radiolucent Rigid 5mm x 170mm (1" x 6 5 8") Radiolucent Rigid 5mm x 180mm (1" x 7") Radiolucent Rigid 5mm x 190mm (1" x 7 ½") Radiolucent Rigid 5mm x 00mm (1" x 7 7 8") SL4666RET SL4667RET SL4668RET SL4669RET SL4670RET Reverse Lip ( Brau ) Tapered Tapered design is ideal for working around osteophytes. BRAU REVERSE LIP TAPERED BLADES ( Reduced Horizontal Length ) Radiolucent Rigid 5mm x 10mm (1" x 8 ¼") SL4671RET Radiolucent Tapered 5mm x 100mm (1" x 4") SL4660TET Radiolucent Rigid 5mm x 0mm (1" x 8 5 8") SL467RET Radiolucent Tapered 5mm x 150mm (1" x 5 7 8") SL4665TET Radiolucent Rigid 5mm x 30mm (1" x 9") SL4673RET Radiolucent Tapered 5mm x 00mm (1" x 7 7 8") SL4670TET Radiolucent Rigid 5mm x 40mm (1" x 9 ½") SL4674RET Radiolucent Tapered 5mm x 50mm (1" x 9 7 8") SL4675TET Radiolucent Rigid 5mm x 50mm (1" x 9 7 8") Radiolucent Rigid 3mm x 100mm (1 ¼" x 4") Radiolucent Rigid 3mm x 110mm (1 ¼" x 4 3 8") Radiolucent Rigid 3mm x 10mm (1 ¼" x 4 ¾") SL4675RET SL4680RET SL4681RET SL468RET Reverse Lip ( Brau ) Malleable Malleable design is ideal for vessel or soft tissue retraction. BRAU REVERSE LIP MALLEABLE BLADES Radiolucent Rigid 3mm x 130mm (1 ¼" x 5 1 8") SL4683RET Radiolucent Malleable 5mm x 00mm (1" x 7 7 8") SL4619ET Radiolucent Rigid 3mm x 140mm (1 ¼" x 5 ½") SL4684RET Radiolucent Malleable 3mm x 00mm (1 ¼" x 7 7 8") SL46193ET Radiolucent Rigid 3mm x 150mm (1 ¼" x 5 7 8") Radiolucent Rigid 3mm x 160mm (1 ¼" x 6 ¼") SL4685RET SL4686RET BLADE NOTICE: Original longer horizontal neck sizes still available, call for details. 16 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

17 Concave Renal Vein Rigid, low profile vessel retraction. CONCAVE RENAL VEIN BLADES ( Reduced Horizontal Length ) Rigid Renal Vein Rigid vessel retraction. RIGID RENAL VEIN BLADES Radiolucent 5mm x 80mm (1" x 3 1 8") SL46558 Radiolucent 5mm x 90mm (1" x 3 ½") SL46559 Radiolucent 5mm x 100mm (1" x 4") SL46560 Radiolucent 5mm x 110mm (1" x 4 3 8") SL46561 Radiolucent 5mm x 10mm (1" x 4 ¾") SL4656 Radiolucent 5mm x 03mm (1" x 8") Radiolucent 5mm x 140mm (1" x 5 ½") Radiolucent 5mm x 191mm (1" x 7 ½") Radiolucent 5mm x 54mm (1" x 10") Radiolucent 5mm x 305mm (1" x 1") SL46118RET SL46119RET SL4610RET SL4611RET SL461RET Radiolucent 5mm x 130mm (1" x 5 1 8") Radiolucent 5mm x 140mm (1" x 5 ½") Radiolucent 5mm x 150mm (1" x 5 7 8") Radiolucent 5mm x 160mm (1" x 6 ¼") Radiolucent 5mm x 170mm (1" x 6 5 8") Radiolucent 5mm x 180mm (1" x 7") Radiolucent 5mm x 190mm (1" x 7 ½") Radiolucent 5mm x 00mm (1" x 7 7 8") Radiolucent 5mm x 10mm (1" x 8 ¼") Radiolucent 5mm x 0mm (1" x 8 5 8") Radiolucent 5mm x 30mm (1" x 9") Radiolucent 5mm x 40mm (1" x 9 ½") Radiolucent 5mm x 50mm (1" x 9 7 8") SL46563 SL46564 SL46565 SL46566 SL46567 SL46568 SL46569 SL46570 SL46571 SL4657 SL46573 SL46574 SL46575 Concave Renal Vein Renal vein or vessel retraction. RIGID CONCAVE RENAL VEIN BLADES 5mm x 140mm (1" x 5 ½") Rigid SL46119B CONCAVE RENAL VEIN BLADES 5mm x 191mm (1" x 7 ½") Rigid SL46119C MALLEABLE CONCAVE RENAL VEIN BLADES Radiolucent 5mm x 140mm (1" x 5 ½") Radiolucent 5mm x 190mm (1" x 7 ½") SL46119BET SL46119CET VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 17

18 ANTERIOR LUMBAR SPINE ACCESS / BLADES + ACCESSORIES With Lips Anodized Aluminum Small Lips Balfour Costal margin or abdominal wall retraction. BALFOUR BLADES * Harrington ( "Sweetheart" ) Ideal for organ or soft tissue retraction. HARRINGTON BLADES Radiolucent [with lips] 3mm x 3mm (1 ¼" x 1 ¼") SL4614ET Radiolucent 64mm x 15mm ( ½" x 6") SL46160ET Radiolucent [with lips] 3mm x 3mm (1 ¼" x 1 ¼") [Anodized Aluminum] Radiolucent [with lips] 51mm x 51mm (" x ") [Anodized Aluminum] SL4614EB SL4614PEB Radiolucent 64mm x 03mm ( ½" x 8") Radiolucent 64mm x 54mm ( ½" x 10") Radiolucent 64mm x 10mm ( ½" x 4") SL46163ET SL46164ET SL46165ET Radiolucent [with lips] 65mm x 7mm ( ½" x ¾") SL46140ET ** Radiolucent [with lips] 65mm x 7mm ( ½" x ¾") Radiolucent [with lips] 65mm x 7mm ( ½" x ¾") [Anodized Aluminum] Radiolucent [small lips] 65mm x 7mm ( ½" x ¾") Radiolucent [small lips] 65mm x 7mm ( ½" x ¾") [Anodized Aluminum] SO46140ET SO46140EB SO46140CET SO46140CEB Radiolucent [with lips] 83mm x 70mm (3 ¼" x ¾") SL46141ET ** Radiolucent [with lips] 83mm x 70mm (3 ¼" x ¾") Radiolucent [with lips] 83mm x 70mm (3 ¼" x ¾") [Anodized Aluminum] Radiolucent [small lips] 83mm x 70mm (3 ¼" x ¾") Radiolucent [small lips] 83mm x 70mm (3 ¼" x ¾") [Anodized Aluminum] Radiolucent [with lips] 83mm x 17mm (3 ¼" x 5") SO46141ET SO46141EB SO46141CET SO46141CEB SO46141DET Deaver Aids in soft tissue retraction. DEAVER BLADES (NON MALLEABLE) Radiolucent [with lips] 83mm x 17mm (3 ¼" x 5") [Anodized Aluminum] SO46141DEB Radiolucent 5mm x 17mm (1" x 5") Radiolucent 38mm x 17mm (1 ½" x 5") SL46170ET SL4617ET * Any Balfour blades may be ordered with small lips or without lips. Call to order. ** For anterior lumbar use only. Radiolucent 51mm x 17mm (" x 5") Radiolucent 64mm x 17mm ( ½" x 5") SL46174ET SO46175ET Radiolucent 76mm x 17mm (3" x 5") SL46176ET ** Radiolucent 76mm x 17mm (3" x 5") SO46176ET BLADE NOTICE: Radopaque blades also available, call for details. Radiolucent 10mm x 17mm (4" x 5") SL46178ET ** Radiolucent 10mm x 17mm (4" x 5") SO46178ET 18 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

19 Malleable Ideal for soft tissue retraction. Malleable design offers versatility. MALLEABLE BLADES Splanchnich Soft tissue retraction. SPLANCHNICH BLADES Radiolucent 5mm x 110mm (1" x 4 ½") SL45656AT Radiolucent 5mm x 15mm (1" x 6") SL46148ET Radiolucent 13mm x 90mm (½" x 3 ½") SL45657AT Radiolucent 5mm x 03mm (1" x 8") SL46149ET Radiolucent 13mm x 64mm (½" x ½") SL46115ET Radiolucent 51mm x 114mm (" x 4 ½") SL46145ET Radiolucent 13mm x 15mm (½" x 6") SL46116ET Radiolucent 51mm x 15mm (" x 6") SL46146ET Radiolucent 13mm x 03mm (½" x 8") SL46117ET Radiolucent 51mm x 03mm (" x 8") SL46147ET Radiolucent 5mm x 03mm (1" x 8") SL46118ET Radiolucent 5mm x 10mm (1" x 4") SL46118PET Radiolucent 51mm x 54mm (" x 10") SL461AET Radiolucent 51mm x 03mm (" x 8") SL461ET Radiolucent 64mm x 54mm ( ½" x 10") SL4614ET Radiolucent 76mm x 54mm (3" x 10") SO4614AET Radiolucent 10mm x 54mm (4" x 10") SO4614BET Suction for Anterior Lumbar Surgery ( SALS ) Specially designed to fit narrow collapsed disc spaces, while oval shape helps reduce clogging. Also sturdy enough to be used as a distractor while working in the disc space. SALS SUCTION TIP Suction for Anterior Lumbar Surgery 5134 Depth Gauge Measures the incision depth to aid in blade selection. DEPTH GAUGE Anterior Lumbar Depth Gauge 335mm (13 1 8") 5136 BLADE NOTICE: Radopaque blades also available, call for details. VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 19

20 OPEN POSTERIOR LUMBAR SPINE ACCESS / POSTERIOR LUMBAR SYSTEM Posterior Lumbar System Narrow to Wide Exposure for Complex Needs When MIS isn't an option, open approaches may become necessary. The open Posterior Lumbar System is ideal for various procedures from deformity correction to discectomies. This retractor provides focal and dependable retraction in the space between the transverse processes. This exposure facilitates a transformaminal decompression, pedicle fixation, and intertransverse fusion in those patients in which an open approach is indicated. The system easily adapts to single or multilevel situations. - Vincent Traynelis, MD Nerve Root Retractors Available in 90º and 45º options Posterior lumbar nerve root retraction Flexible Blade Holder attaches to the frame and holds blades in position Micro-Adjustable Strength Precise, micro-adjustable retraction Increased leverage and strength when needed Quick and easy adjustment Blade Sizes 3 widths for single to multi levels Extra deep blades for large patients System is compatible with all cervical. posterior lumbar, and MIS PLA blades in catalog SYSTEM NOTICE: For MIS Posterior Lumbar Access, see our MIS PLA System. 0 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

21 Posterior Lumbar System B E F R S D Q P E A C G H I J K L M N O POSTERIOR LUMBAR SYSTEM #SL800 REF QTY REF QTY A 1 Elite III Rail Clamp with 1 Cam Joint 16" 4390ACL B 1 Crossbar w/ Cam Joints 4" (11" x 13") 43900BC C 4" Angled Arm (8" x 45º 4414N K L Radiolucent Concave Posterior Lumbar 45mm x 100mm (1 ¾" x 4") Radiolucent Concave Posterior Lumbar 60mm x 100mm ( 3 8" x 4") SO45674ATTC SO45675ATTC D 1 Flexible Blade Holder with Cam Joint 4140C F 4 Micro-Adj II Clip-on Quick Angle 7 ¾" SL45007CGP E T-Handle 6000 M N Radiolucent Concave Posterior Lumbar 3mm x 10mm (1" x 4 ¾") Radiolucent Concave Posterior Lumbar 45mm x 10mm (1 ¾" x 4 ¾") SO45676ATTC SO45677ATTC G Radiolucent Concave Posterior Lumbar 3mm x 80mm (1" x 3 1 8") SO45670ATTC O Radiolucent Concave Posterior Lumbar 60mm x 10mm ( 3 8" x 4 ¾") SO45678ATTC H Radiolucent Concave Posterior Lumbar 45mm x 80mm (1 ¾" x 3 1 8") SO45671ATTC P 1 Nerve Root Retractor 90º 5mm x 13mm (¼" x 4 7 8") 4575A I Radiolucent Concave Posterior Lumbar 60mm x 80mm ( 3 8" x 3 1 8") SO4567ATTC Q 1 Nerve Root Retractor 45º 8mm x 145mm ( 3 8" x 5 ¾") 45753A J Radiolucent Concave Posterior Lumbar 3mm x 100mm (1" x 4") SO45673ATTC R 1 Prong Retractor 75mm (3") SL45760A S 1 Prong Retractor 100mm (4") SL45761A Instrument Case 50000G VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 1

22 OPEN POSTERIOR LUMBAR SPINE ACCESS / BLADES + ACCESSORIES Concave Posterior Lumbar Lateral muscle retraction for posterior lumbar procedures. CONCAVE POSTERIOR LUMBAR BLADES Prong Retractors Retracts off of the spinous process, or bone, to increase access around the retractor for procedures such as drilling. PRONG RETRACTORS ( Radiopaque ) Radiolucent 3mm x 80mm ( 7 8" x 3 1 8") Radiolucent 45mm x 80mm (1 ¾" x 3 1 8") Radiolucent 60mm x 80mm ( 3 8" x 3 1 8") Radiolucent 3mm x 100mm ( 7 8" x 4") Radiolucent 45mm x 100mm (1 ¾" x 4") Radiolucent 60mm x 100mm ( 3 8" x 4") Radiolucent 3mm x 10mm ( 7 8" x 4 ¾") Radiolucent 45mm x 10mm (1 ¾" x 4 ¾") Radiolucent 60mm x 10mm ( 3 8" x 4 ¾") Radiolucent 3mm x 150mm ( 7 8" x 5 7 8") Radiolucent 45mm x 150mm (1 ¾" x 5 7 8") Radiolucent 60mm x 150mm ( 3 8" x 5 7 8") Radiolucent 3mm x 180mm ( 7 8" x 7") Radiolucent 45mm x 180mm (1 ¾" x 7") Radiolucent 60mm x 180mm ( 3 8" x 7") SO45670ATTC SO45671ATTC SO4567ATTC SO45673ATTC SO45674ATTC SO45675ATTC SO45676ATTC SO45677ATTC SO45678ATTC SO45679ATTC SO45680ATTC SO45681ATTC SO4568ATTC SO45683ATTC SO45684ATTC 75mm (3") SL45760A 100mm (4") SL45761A SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

23 Nerve Root Retractors Held in place by the Flexible Blade Holder and provide posterior lumbar nerve root retraction. NERVE ROOT RETRACTORS ( Radiopaque ) Flexible Blade Holder Attaches Nerve Root Retractors to the frame as needed. FLEXIBLE BLADE HOLDER 90º 5mm x 13mm (¼" x 4 7 8") 4575A 45º 8mm x 145mm ( 3 8" x 5 ¾") 45753A Flexible Blade Holder with Cam Joint ( For use with Nerve Root Retractors ) 4140C ( Used with 4140C Flexible Blade Holder ) VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 3

24 MIS POSTERIOR LUMBAR SPINE ACCESS / MIS PLA SYSTEM MIS Posterior Lumbar Access Uncompromised MIS and Mini-Open Posterior Lumbar Exposure The MIS Posterior Lumbar Access ( PLA ) System allows spine surgeons to accomplish minimal access with maximum visualization. Utilizing a versatile frame platform, the system provides flexible, independent retraction and angling from all directions while also providing controlled and stable exposure. The MIS PLA System provides excellent exposure for Transforaminal Lumbar Interbody Fusion, Posterior Lumbar Interbody Fusion, Decompression, and Pedicle Screw Fixation. MIS Tubular Exposure Low profile, simple set up Tubular or split tube visualization Integrated lighting eliminates the need for a headlamp 3 or 4 blade Mini-Open Exposure Independent attachments Create three or four blade exposures Achieve lateral visualization Blade Selection Black radiolucent Caudal / Cephalad blades reduce glare and improve visualization Medial and Lateral blades with Lips or Teeth prevent muscle creep & expand exposure Hooks are ideal for medial side SYSTEM NOTICE Add-On Kits available: PLA Midline Blade Add-On Kit #8104 MIS Retractor Lite LED Kit #40001MIS 4 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

25 MIS PLA System Components C F G U D E I A B H J K L M N O Q P R S MIS PLA SYSTEM #SL801 REF QTY A 1 Elite II Rail Clamp with 1 Joint 16" 4190ACL B 1 MIS Spine Frame Articulating Arm 4138N C 1 MIS Spine Frame Rack 00mm D 1 MIS Spine Frame Left Arm E 1 MIS Spine Frame Right Arm F 1 MIS Spine Frame U-Bar Add On 471 G 1 MIS Spine Frame L-Bar Add On 4713 H 1 ¼" Side Clip x ¼" Slide w/thumb Screw 4705T I 1 S-Lock Quick Angle Handle 6" SL45003G J 1 S-Lock Interchangeable Head with ¼" Scissor SL4501S K T-Handle Instrument Case - MIS Spine Frame 50000MSF L 1 Dilator #1-7mm M 1 Dilator # - 1mm 4583 N 1 Dilator #3-17mm O 1 Dilator #4-1mm P 1 Caudal/Cephalad Right mm x 40mm 4594R Q 1 Caudal/Cephalad Left mm x 40mm 4594L 1 Caudal/Cephalad Right mm x 50mm 4595R 1 Caudal/Cephalad Left mm x 50mm 4595L 1 Caudal/Cephalad Right mm x 60mm 4596R 1 Caudal/Cephalad Left mm x 60mm 4596L 1 Caudal/Cephalad Right mm x 70mm 4597R 1 Caudal/Cephalad Left mm x 70mm 4597L 1 Caudal/Cephalad Right mm x 80mm 4598R REF QTY 1 Caudal/Cephalad Left mm x 90mm 4599L 1 Caudal/Cephalad Right mm x 100mm 45930R 1 Caudal/Cephalad Left mm x 100mm 45930L 1 Caudal/Cephalad Right mm x 110mm 45931R 1 Caudal/Cephalad Left mm x 110mm 45931L 1 Caudal/Cephalad Right mm x 10mm 4593R 1 Caudal/Cephalad Left mm x 10mm 4593L R 1 PLA Medial/Lateral w/lip 40mm SL46704AT 1 PLA Medial/Lateral w/lip 50mm SL46705AT 1 PLA Medial/Lateral w/lip 60mm SL46706AT 1 PLA Medial/Lateral w/lip 70mm SL46707AT 1 PLA Medial/Lateral w/lip 80mm SL46708AT 1 PLA Medial/Lateral w/lip 90mm SL46709AT 1 PLA Medial/Lateral w/lip 100mm SL46710AT 1 PLA MMedial/Lateral w/lip 110mm SL46711AT 1 PLA Medial/Lateral w/lip 10mm SL4671AT S 1 PLA M/L w/fine Teeth 13½mm x 40mm SL46604ATT 1 PLA M/L w/fine Teeth 13½mm x 50mm SL46605ATT 1 PLA M/L w/fine Teeth 13½mm x 60mm SL46606ATT 1 PLA M/L w/fine Teeth 13½mm x 70mm SL46607ATT 1 PLA M/L w/fine Teeth 13½mm x 80mm SL46608ATT 1 PLA M/L w/fine Teeth 13½mm x 90mm SL46609ATT 1 PLA M/L w/fine Teeth 13½mm x 100mm SL46610ATT 1 PLA M/L w/fine Teeth 13½mm x 110mm SL46611ATT 1 PLA M/L w/fine Teeth 13½mm x 10mm SL4661ATT 1 Caudal/Cephalad Left mm x 80mm 4598L 1 Caudal/Cephalad Right mm x 90mm 4599R 1 Instrument Case - PLA Blades and Sequential Dilators 50000PLA VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 5

26 MIS POSTERIOR LUMBAR SPINE ACCESS / BLADES with teeth ( optional ) Caudal / Cephalad Left and Right black radiolucent blades reduce glare and improve visualization. Compatible with MIS PLA System only. CAUDAL / CEPHALAD BLADES Medial / Lateral Prevent muscle creep & expand exposure. MEDIAL / LATERAL BLADES W/LIP ITEM DESCRIPTION LEFT PART # Radiolucent R mm x 40mm ( 7 8" x 1 ½") 4594R Radiolucent L mm x 40mm ( 7 8" x 1 ½") 4594L Radiolucent R mm x 50mm ( 7 8" x ") 4595R Radiolucent L mm x 50mm ( 7 8" x ") 4595L Radiolucent R mm x 60mm ( 7 8" x 3 8") 4596R Radiolucent L mm x 60mm ( 7 8" x 3 8") 4596L Radiolucent R mm x 70mm ( 7 8" x ¾") 4597R Radiolucent L mm x 70mm ( 7 8" x ¾") 4597L Radiolucent R mm x 80mm ( 7 8" x 3 1 8") 4598R Radiolucent 13.5mm x 40mm (½" x 1 ½") Radiolucent 13.5mm x 50mm (½" x ") Radiolucent 13.5mm x 60mm (½" x 3 8") Radiolucent 13.5mm x 70mm (½" x ¾") Radiolucent 13.5mm x 80mm (½" x 3 1 8") Radiolucent 13.5mm x 90mm (½" x 3 ½") Radiolucent 13.5mm x 100mm (½" x 4") Radiolucent 13.5mm x 110mm (½" x 4 3 8") Radiolucent 13.5mm x 10mm (½" x 4 ¾") SL46704AT SL46705AT SL46706AT SL46707AT SL46708AT SL46709AT SL46710AT SL46711AT SL4671AT Radiolucent L mm x 80mm ( 7 8" x 3 1 8") Radiolucent R mm x 90mm ( 7 8" x 3 ½") Radiolucent L mm x 90mm ( 7 8" x 3 ½") Radiolucent R mm x 100mm ( 7 8" x 4") Radiolucent L mm x 100mm ( 7 8" x 4") Radiolucent R mm x 110mm ( 7 8" x 4 3 8") Radiolucent L mm x 110mm ( 7 8" x 4 3 8") Radiolucent R mm x 10mm ( 7 8" x 4 ¾") Radiolucent L mm x 10mm ( 7 8" x 4 ¾") 4598L 4599R 4599L 45930R 45930L 45931R 45931L 4593R 4593L MEDIAL / LATERAL BLADES W/FINE TEETH Radiolucent 13.5mm x 40mm (½" x 1 ½") SL46604ATT Radiolucent 13.5mm x 50mm (½" x ") SL46605ATT Radiolucent 13.5mm x 60mm (½" x 3 8") SL46606ATT Radiolucent 13.5mm x 70mm (½" x ¾") SL46607ATT Radiolucent 13.5mm x 80mm (½" x 3 1 8") SL46608ATT Radiolucent 13.5mm x 90mm (½" x 3 ½") SL46609ATT Radiolucent 13.5mm x 100mm (½" x 4") SL46610ATT Radiolucent 13.5mm x 110mm (½" x 4 3 8") Radiolucent 13.5mm x 10mm (½" x 4 ¾") SL46611ATT SL4661ATT 6 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

27 Hook Hook blades are ideal for medial side. HOOK BLADES PLA Midline Midline or paraspinal muscle-splitting approaches. Compatible with MIS PLA System only. PLA MIDLINE BLADES Radiolucent 40mm (1 ½") Radiolucent 50mm (") Radiolucent 60mm ( 3 8") Radiolucent 70mm ( ¾") Radiolucent 80mm (3 1 8") Radiolucent 90mm (3 ½") Radiolucent 100mm (4") Radiolucent 110mm (4 3 8") Radiolucent 10mm (4 ¾") SL45764 SL45765 SL45766 SL45767 SL45768 SL45769 SL45770 SL45771 SL4577 Radiolucent mm x 30mm ( 7 8" x 1 1 8") Radiolucent mm x 40mm ( 7 8" x 1 ½") Radiolucent mm x 50mm ( 7 8" x ") Radiolucent mm x 60mm ( 7 8" x 3 8") Radiolucent mm x 70mm ( 7 8" x ¾") Radiolucent mm x 80mm ( 7 8" x 3 1 8") Radiolucent mm x 90mm ( 7 8" x 3 ½") Radiolucent mm x 100mm ( 7 8" x 4") Radiolucent mm x 110mm ( 7 8" x 4 3 8") Radiolucent mm x 10mm ( 7 8" x 4 ¾") 4598 Radiolucent mm x 130mm ( 7 8" x 5 1 8") Radiolucent 7mm x 30mm (1" x 1 1 8") Radiolucent 7mm x 40mm (1" x 1 ½") Radiolucent 7mm x 50mm (1" x ") PLA Dual Blade Adapter Add to MIS Spine Frame Arms to enable multiple level exposure by using PLA Midline Blades per side. PLA DUAL BLADE ADAPTER MIS Spine Frame Dual Blade Adapter ( required for use ) Radiolucent 7mm x 60mm (1" x 3 8") Radiolucent 7mm x 70mm (1" x ¾") Radiolucent 7mm x 80mm (1" x 3 1 8") Radiolucent 7mm x 90mm (1" x 3 ½") Radiolucent 7mm x 100mm (1" x 4") Radiolucent 7mm x 110mm (1" x 4 3 8") 4599 Radiolucent 7mm x 10mm (1" x 4 ¾") Radiolucent 7mm x 130mm (1" x 5 1 8") VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 7

28 SYSTEM COMPONENTS + ACCESSORIES / INSTRUMENT CASES System Components + Accessories Instrument Trays... 9 Rail Clamps Rail Attachments Crossbars Frame Arms Retractor Handles Illumination S-LOCK NOTICE: Non-S-Lock blades and retractor handles are still available, but may require a longer lead time. Call for more information. 8 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

29 A C ORGANIZED INSTRUMENT TRAYS - ANTERIOR LUMBAR SPINE REF ORGANIZED INSTRUMENT TRAYS - ANTERIOR CERVICAL SPINE REF AL Renal Vein Blades 50000ALR Anterior Cervical 50000ACT Anterior Lumbar 50000ALT C Expanded Anterior Cervical 50000EAC A Expanded Reverse Lip ASA 50000ERL Cervical Blade 50000UAC Reverse Lip ASA 50000RLT Cervical Blade Tray (Insert for 50000UAC) 50000UACT B D ORGANIZED INSTRUMENT TRAYS - MIS PLA INSTRUMENT TRAYS REF REF Midline Blades 50000ML D " x 11" x 3 ½" w/pin Mat 50000G B MIS Spine Frame 50000MSF 6" x 10" x 5" 50000BL PLA 50000PLA VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 9

30 SYSTEM COMPONENTS + ACCESSORIES / FRAME COMPONENTS + ACCESSORIES Rail Clamps + Extenders + Table Adapters Providing stable support on the OR table for the crossbars and support arms Thompson rail clamps attach to the OR bedrail over the sterile drapes and securely hold the crossbar and frame arms. Available in various heights including an Infinite Height version to meet a variety of surgeon needs and procedures. A D E F TABLE ADAPTER Easily connects to Jackson Spine tables to add a standard bed rail for applying a table mounted Thompson Retractor System to your operation. REF A Jackson Spine Frame Adapter 4197 ELITE III RAIL CLAMPS Top control of the Elite III Rail Clamp allows attachment to the OR table within the sterile field. Various heights available. REF D 11" (5cm) with 1 Cam Joint 4390ACS 16" (41cm) with 1 Cam Joint 4390ACL E 18" (45cm) with 1 Cam Joint 4390AC B C 18" (45cm) with Cam Joints 43903AC 16" (41cm) with Cam Joints 43903ACL " (55cm) with 1 Cam Joint 43904AC " (55cm) with Cam Joints 43905AC 6" (65cm) with 1 Cam Joint 43906AC 6" (65cm) with Cam Joints 43907AC RAIL EXTENDERS Apply a Rail Extender to your OR table to increase your rail length or width and provide more attachment options for Thompson rail clamps. REF B Rail Extender 15 Single Clamp 5844 Rail Extender 0" Single Clamp C Rail Extender 14 Long with ¼" Offset Dual Clamp Rail Extender " Dual Clamp " (5cm) with 1 3 8" Cam Joint 4390S INFINITE HEIGHT RAIL CLAMPS ( IHRC ) The infinite Height Rail Clamp quickly adjusts to any height between 13" - " and accommodates all patient sizes. REF F IHRC with 1 Cam Joint 4390IRC IHRC with Cam Joints NOTICE: Elite II Rail Clamps still available. Call for information IRC 30 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

31 Crossbars + Frame Arms Surround the Incision Crossbars attach to the rail clamp, providing a platform to build your frame. Frame arms secure to the crossbar or rail clamp to provide support for retractor handles. ( Custom lengths available. ) M N P O G R CROSSBARS Q REF G Crossbar with Cam Joints 4" (11" x 13") 43900BC EXTENSION + STRAIGHT ARMS Crossbar with Cam Joints 4" (8" x 16") 43900BCW REF M Extension Arm 1" with Hinge Joint 44014HS J I H N Extension Arm 1" with Cam Latch Joint 44014LC O Extension Arm 14" with Clip Joint 44014C Extension Arm 16" with Clip Joint 44016C K Extension Arm 0" with Clip Joint 4400C L Hinged Extension Arm 1" x 1" P Extension Arm 14" with Cam Latch Mount 44614LC Straight Arm 1" 4401N Q Straight Arm 0" 4410N ANGLED LATERAL ARMS REF Straight Arm with 1 Cam Joint 18" 44118C R Straight Arm with 1 Cam Joint 0" 4410C 6" (6" x 0") 4416 H 4" (11" x 13") 4414W I 4" (8" x 16") 4414N J 18" (8" x 10") 44118N K 0" (10" x 10") " (6" x 6") 44014S 19" (1" x 7") ( 3 45º L 17" (7" x 10") ( 3 45º VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 31

32 SYSTEM COMPONENTS + ACCESSORIES / RETRACTOR HANDLES Retractor Handles Three Dimensional Blade Positioning Thompson Retractor handles contain patented and exclusive features that allow for controlled, precise, and variable blade placement. Recent upgrades include Quick Angle technology, as well as upgraded "pinch" joints for easier removal from frame. One-piece clip-on design reduces instrument counts and speeds set up time. Non-Angling Quick Angle THREE DIMENSIONS: - Angle - Swivel, Lock - Rotate S-LOCK CAM II CLIP-ON HANDLES Cam II Clip-on Quick Angle 8" Cam II Clip-on Quick Angle 10" Cam II Clip-on 8" (non-angling) Cam II Clip-on Quick Angle 8" ( 3 8") SL416WGP SL416WGLP SL416WHP SL417WGP Non-Angling Quick Angle S-LOCK MICRO-ADJUSTABLE II HANDLES NOTICE: Older style handles still available. Call for information. Micro-Adjustable II Clip-on Quick Angle 10" Micro-Adjustable II Clip-on Quick Angle 7 ¾" Micro-Adjustable II Clip-on Quick Angle 15" Micro-Adjustable II Clip-on Quick Angle 0" Micro-Adjustable II Clip-on 10 ¾" (non-angling) Micro-Adjustable II Clip-on 8 ¾" (non-angling) Micro-Adjustable II Slide-on Quick Angle 7 ¾" SL45006CGP SL45007CGP SL45006CGRP SL45007PGP SL45006STCP SL45007STCP SL45007STG 3 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

33 Handles for Non-Thompson Systems Quick Angle Adapt Thompson Blades to Non-Thompson Retractor Systems Thompson's innovative technology and blades may be added to other retractor systems with the use of an adapter handle. Call for ordering information. Clip-on Joint Slide-on Joint UNIVERSAL JOINTS AND S-LOCK HANDLES Screw down joints provide extra controlled blade placement. Clip-on Joint ½" x ¼" Slide-on Joint ½" x ¼" Quick Angle Handle 8" Quick Angle Handle 10" Handle 8" (non-angling) Handle 10" (non-angling) 416NCP 415N SL45003GS SL45003GSL SL45003L SL45003LM T-HANDLE T-Handle 6000 S-LOCK QUICK ANGLE HAND HELD ADAPTER Quick Angle Hand Held Adapter SL418G VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 33

34 CERVICAL SPINE ACCESS / ILLUMINATION Illumination Replace your headlight Improve your exposure beyond retraction by adding cool, bright light to your operative site with Thompson's illumination options. Simply attach to your Thompson Retractor where additional lighting is needed. The Mini Retractor Lite LED can be used only for cervical spine procedures where space is limited and incision size is small. Choose the illumination for your retractor set up below: Mini Retractor Lite LED ( Cervical ) Our lowest profile lighting accessory, ideal for cervical spine surgery. Simply attach the included Lite Clip to the cable and slide onto cervical spine blades to provide shadowless, cool LED light in the smallest areas. Lite Wand Xe ( Lumbar ) Easily attaches anywhere on your Thompson Retractor frame, while bendable gooseneck allows the light to reach the deepest, hard to see cavities improving illumination where it is needed most. May also be attached to any Thompson Retractor blade with the included Lite Clip. MIS Retractor Lite LED ( MIS PLA ) LED lights attach directly to your MIS PLA Retractor System blades for low profile illumination. 34 SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

35 B D A C E MINI RETRACTOR LITE LED KIT * #40001MRL MIS RETRACTOR LITE LED KIT #40001MIS REF QTY A 1 Mini Retractor Lite LED 4000MRL B Mini Retractor Lite Clip ( Radiopaque ) 4006MRL REF QTY D 1 Mini Retractor Lite LED 4000MIS E 1 LED Light Source LLS Instrument Case 50000LW C 1 LED Light Source LLS-000- * Cervical use only LITE WAND XE KITS Lite Wand Xe with ACMI Cable Lite Wand Xe with Storz Cable Lite Wand Xe with Wolf Cable Lite Wand Xe with Olympus Cable 40001X 4000X 40004X 40019X NOTICE: LED Light Source ( #LLS-000- ) required for Mini Retractor Lite LED and MIS Retractor Lite LED. Xenon light source ( not included ) required for Lite Wand Xe. VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 35

36 PRODUCT INDEX Product Index Product Index SPINE CATALOG QUESTIONS OR ADDITIONAL INFORMATION:

37 PART # DESCRIPTION PAGE PART # DESCRIPTION PAGE 5844 Rail Extender 15" Single Clamp MIS MIS Retractor Lite LED Kit MRL Mini Retractor Lite LED Kit X Lite Wand Xe Kit with ACMI Cable MIS MIS Retractor Lite LED MRL Mini Retractor Lite LED X Lite Wand Xe Kit with Storz Cable X Lite Wand Xe Kit with Wolf Cable X Lite Wand Xe Kit with Olympus Cable MRL Mini Retractor Lite LED - Lite Clip ACL Elite II Rail Clamp with 1 Joint 16" Rail Extender 14" Long with ¼" Offset Dual Clamp Jackson Frame Adapter Rail Extender " Dual Clamp Rail Extender 0" Single Clamp Circle Joint ½" x ¼" N Slide-On Joint ½" x ¼" NCP Clip-On Joint ½" x ¼" N MIS Spine Frame Articulating Arm C Flexible Blade Holder Cam Manipulator Handle BC Crossbar with Cam III Joints 4" (11" x 13") BCW Crossbar with Cam III Joints 4" (8" x 16") AC Elite III Rail Clamp with 1 Joint 18" ACL Elite III Rail Clamp with 1 Joint 16" ACS Elite III Rail Clamp with 1 Joint 11" IRC Infinite Height Rail Clamp with 1 Cam III Joint S Elite III Rail Clamp with 1 3 8" Joint 11" AC Elite III Rail Clamp with Joints 18" ACL Elite III Rail Clamp with Joints 16" IRC Infinite Height Rail Clamp with Cam III Joints AC Elite III Rail Clamp with 1 Joint " AC Elite III Rail Clamp with Joints " AC Elite III Rail Clamp with 1 Joint 6" AC Elite III Rail Clamp with Joints 6" N Straight Arm 1" C Extension Arm with Clip Joint 14" HS Extension Arm 1" with Hinge Joint LC Extension Arm 1" with Cam Latch Joint S Angled Arm 1" (6" x 6") C Extension Arm with Clip Joint 16" C Extension Arm with Clip Joint 0" Hinged Extension Arm 1" x 1" Angled Arm 17" (10" x 45 ( 3 8") C Straight Arm with 1 Cam Joint 18" N Angled Arm 18" (8" x Angled Arm 19" (1" x 45 ( 3 8") Angled Arm 0" (10" x C Straight Arm with 1 Cam Joint 0" N Straight Arm 0" N Angled Arm 4" (8" x W Angled Arm 4" (11" x Angled Arm 6" (6" x Ring Frame Half 13 ½" LC Extension Arm 14" with Cam Latch Mount FH Extension Arm with Fixed Hinge Joint EFH Elite III Rail Clamp with Extension Arm Fixed Hinge Joint A Nerve Root Retractor 90 5mm x 13mm (¼" x 4 7 8") A Nerve Root Retractor 45 8mm x 145mm ( 3 8" x 5 ¾") Dilator #1-7mm Dilator # - 1mm Dilator #3-17mm Dilator #4-1mm L Caudal/Cephalad Left mm x 40mm ( 7 8" x 1 ½") R Caudal/Cephalad Right mm x 40mm ( 7 8" x 1 ½") L Caudal/Cephalad Left mm x 50mm ( 7 8" x ") R Caudal/Cephalad Right mm x 50mm ( 7 8" x ") L Caudal/Cephalad Left mm x 60mm ( 7 8" x 3 8") R Caudal/Cephalad Right mm x 60mm ( 7 8" x 3 8") L Caudal/Cephalad Left mm x 70mm ( 7 8" x ¾") R Caudal/Cephalad Right mm x 70mm ( 7 8" x ¾") L Caudal/Cephalad Left mm x 80mm ( 7 8" x 3 1 8") R Caudal/Cephalad Right mm x 80mm ( 7 8" x 3 1 8") L Caudal/Cephalad Left mm x 90mm ( 7 8" x 3 ½") R Caudal/Cephalad Right mm x 90mm ( 7 8" x 3 ½") L Caudal/Cephalad Left mm x 100mm ( 7 8" x 4") R Caudal/Cephalad Right mm x 100mm ( 7 8" x 4") L Caudal/Cephalad Left mm x 110mm ( 7 8" x 4 3 8") R Caudal/Cephalad Right mm x 110mm ( 7 8" x 4 3 8") L Caudal/Cephalad Left mm x 10mm ( 7 8" x 4 ¾") R Caudal/Cephalad Right mm x 10mm ( 7 8" x 4 ¾") PLA Midline mm x 30mm ( 7 8" x 1 1 8") PLA Midline mm x 40mm ( 7 8" x 1 ½") PLA Midline mm x 50mm ( 7 8" x ") PLA Midline mm x 60mm ( 7 8" x 3 8") PLA Midline mm x 70mm ( 7 8" x ¾") PLA Midline mm x 80mm ( 7 8" x 3 1 8") PLA Midline mm x 90mm ( 7 8" x 3 ½") PLA Midline mm x 100mm ( 7 8" x 4") PLA Midline mm x 110mm ( 7 8" x 4 3 8") PLA Midline mm x 10mm ( 7 8" x 4 ¾") PLA Midline mm x 130mm ( 7 8" x 5 1 8") PLA Midline 7mm x 30mm (1" x 1 1 8") PLA Midline 7mm x 40mm (1" x 1 ½") PLA Midline 7mm x 50mm (1" x ") PLA Midline 7mm x 60mm (1" x 3 8") PLA Midline 7mm x 70mm (1" x ¾") PLA Midline 7mm x 80mm (1" x 3 1 8") PLA Midline 7mm x 90mm (1" x 3 ½") PLA Midline 7mm x 100mm (1" x 4") PLA Midline 7mm x 110mm (1" x 4 3 8") PLA Midline 7mm x 10mm (1" x 4 ¾") PLA Midline 7mm x 130mm (1" x 5 1 8") Depth Gauge Anterior Cervical 157.5mm (6 ¼") T ¼" Side Clip x ¼" Slide with Thumb Screw MIS Spine Frame U-Bar Add On MIS Spine Frame L-Bar Add on ACT Instrument Case - Anterior Cervical (" x 11" x 3 ½") ALR Instrument Case - AL Renal Vein Blades (3" x 10 ¾" x ½") ALT Instrument Case - Anterior Lumbar (" x 11" x 3 ½") BL Instrument Case (6" x 10" x 5") EAC Instrument Case - Expanded Cervical (3" x 10 ¾" x ") ERL Instrument Case - Expanded Reverse Lip (3 ½" x 11" x 5 ¼") G Instrument Case with Pin Mat (3" x 11" x 3 ½") LW Instrument Case (6 ¼" x 14" x ½") ML Instrument Case - PLA Midline Blades (" x 10" x ½") MSF Instrument Case - MIS Spine Frame (3 ¼" x 11" x 4 ½") PLA Instrument Case - PLA (3 ½" x 11" x 4") RLT Instrument Case - Reverse Lip (" x 11" x 3 ½") UAC Instrument Case - Cervical Blade (" x 10" x ½") UACT Instrument Case - Cervical Blade Tray (Insert for 50000UAC) Suction for AL Surgery with SALS Tip Stylet Depth Gauge Anterior Lumbar 335mm (13 1 8") MIS Spine Frame Right Arm MIS Spine Frame Left Arm MIS Spine Frame Rack 00mm (7 7 8") MIS Spine Frame Dual Blade Adapter T-Handle Hex Tool 3 16" with T-Handle...15 LLS-000- LED Light Source...35 SL4101 Dual Angle Handle...15 SL410 Free Angle Handle...15 SL416WGLP Cam II Clip-on Quick Angle 10"...3 SL416WGP Cam II Clip-on Quick Angle 8"...3 SL416WHP Cam II Clip-on 8" (non-angling)...3 SL417WGP Cam II Clip-on Quick Angle 8" ( 3 8")...3 SL418G Quick Angle Hand Held Adapter...33 SL45003G Quick Angle Handle 6"...7 SL45003GS Quick Angle Handle 8"...33 SL45003GSL Quick Angle Handle 10"...33 SL45003L Handle 8" (non-angling)...33 SL45003LM Handle 10" (non-angling)...33 SL45006CGP Micro-Adjustable II Clip-on Quick Angle 10"...3 SL45006CGRP Micro-Adjustable II Clip-on Quick Angle 15"...3 SL45006STCP Micro-Adjustable II Clip-on 10 ¾" (non-angling)...3 SL45007CGP Micro-Adjustable II Clip-on Quick Angle 7 ¾"...3 SL45007PGP Micro-Adjustable II Clip-on Quick Angle 0"...3 SL45007STCP Micro-Adjustable II Clip-On 8 ¾" (non-angling)...3 SL45007STG Micro-Adjustable II Slide-on Quick Angle 7 ¾"...3 SL4501S Interchangeable Head with ¼" Scissor...5 SL45150A Concave Lateral 19mm x 55mm (¾" x ¼")...8 SL45150AT Radiolucent Concave Lateral mm x 60mm ( 7 8" x 3 8")...8 SL45150ATT Radiolucent Concave Lateral with Teeth mm x 60mm ( 7 8" x 3 8")...8 SL45151A Concave Lateral 5mm x 50mm (1" x ")...8 SL45151AT Radiolucent Concave Lateral mm x 70mm ( 7 8" x ¾")...8 SL45151ATT Radiolucent Concave Lateral with Teeth mm x 70mm ( 7 8" x ¾")...8 SL4515A Concave Lateral 5mm x 85mm (1" x 3 3 8")...8 SL4515AT Radiolucent Concave Lateral mm x 80mm ( 7 8" x 3 1 8")...8 SL4515ATT Radiolucent Concave Lateral with Teeth mm x 80mm ( 7 8" x 3 1 8")...8 SL45153A Concave Medial 3mm x 70mm (1 ¼ " x ¾")...11 VISIT US ONLINE: THOMPSONSURGICAL.COM THOMPSON RETRACTOR 37