Minimally Invasive Posterior Instruments

Transcription

1 A Comprehensive Set Supporting Both Direct and Transforaminal Posterior Approaches to the Lumbar Spine Minimally Invasive Posterior Instruments Support mini-open procedures and ideal for use with Minimally Invasive Retractor Access (MIRA) Matte coating reduces reflective glare Offset on bayoneted instruments designed to improve visibility

2 Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended. Processing, Reprocessing, Care and Maintenance For general guidelines, function control and dismantling of multi-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to: For general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to:

3 Table of Contents Minimally Invasive Posterior Instruments 2 Instruments 3 Minimally Invasive Posterior Instrument Sets 8 Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 1

4 Minimally Invasive Posterior Instruments The Minimally Invasive Posterior Instrument (MIPI) set is a comprehensive set of instruments designed to support both direct posterior interbody fusion procedures (PLIF) and transforaminal posterior lumbar interbody fusion procedures (T-LIF). The Minimally Invasive Posterior Instrument set is designed to facilitate discectomy, decompression and interbody work through the smaller access ports associated with atraumatic posterior lumbar procedures. The Minimally Invasive Posterior Instruments are ideal for use with Minimally Invasive Retractor Access (MIRA). All instruments have a matte coating to reduce the reflective glare from OR lighting. The offset on the bayoneted instruments allows improved visibility by keeping hands out of direct view, and provides enhanced visibility while supporting a reduced exposure. 2 DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

5 Instruments Impactors, black Standard, bayoneted Large, bayoneted To fully seat T-LIF implants. 6 mm 11 mm Impactors, curved, black Standard, bayoneted Large, bayoneted To fully seat T-LIF implants. 6 mm 11 mm Implant Pusher, bayoneted, black Facilitates proper anterior placement of T-LIF implants Endplate Elevator, bayoneted, black For endplate preparation. 10 mm Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 3

6 Instruments Curettes, rectangular, black Left, bayoneted Right, bayoneted Bayoneted For disc and cartilaginous tissue removal. 12 mm 7 mm Curettes, rectangular, angled, black Right, bayoneted Left, bayoneted For disc and cartilaginous tissue removal. Angulation improves access to disc space and far lateral disc material. 12 mm 12 mm 7 mm 7 mm Bone Curette, 5.5 mm width, bayoneted, black Facilitates complete discectomy. Bone Curettes, 45, angled, black Short, bayoneted Medium, bayoneted Facilitates complete discectomy. Angulation improves access to entire disc space DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

7 Bone Curette, 90 angled, 5.5 mm, bayoneted, black Facilitates complete discectomy. Angulation improves access to entire disc space Ring Curette, straight, bayoneted, black Cutting surface on anterior lip only, dual-sided. For endplate preparation and removal of disc material. 7 mm diameter Ring Curette, curved, bayoneted, black Cutting surface on anterior lip only, dual-sided. For endplate preparation and removal of disc material. Angu - lation improves access to entire disc space. 7 mm diameter Rasp, dual-sided, bayoneted, black Cutting ridges on both surfaces permit removal of cartilaginous tissue from the end plates to expose bleeding bone. Convex surfaces allow improved contact with endplates. 8 mm 5.5 mm Rasp, dual-sided, angled, bayoneted, black Cutting ridges on both surfaces permit removal of cartilaginous tissue from the end plates to expose bleeding bone. Convex surfaces allow improved contact with endplates. Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 5

8 Instruments Osteotome, straight, black Facilitates facetectomy to create transforaminal window. Removes osteophytes and bony structures. 8 mm Rongeurs, curved, black mm width mm width mm width For comprehensive removal of disc material and soft tissues. Curvature improves access to lateral disc material Rongeurs, straight, black mm width mm width mm width Allows for comprehensive removal of disc material and soft tissues DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

9 Laminectomy Punches, 40, black mm width mm width Allows for comprehensive removal of bone material Laminectomy Punches, 90, black mm width mm width Allows for comprehensive removal of bone material Dissectors, blunt, black mm width mm width Facilitates dissection of soft tissue Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 7

10 Minimally Invasive Posterior Instrument Sets Sets Set for Minimally Invasive Posterior Instruments Instruments in Case Level Rongeur, curved, 2.0 mm, black Rongeur, curved, 4.0 mm, black Rongeur, curved, 6.0 mm, black Laminectomy Punch, 40, 4.0 mm, black Laminectomy Punch, 40, 2.0 mm, black Laminectomy Punch, 90, 4.0 mm, black Laminectomy Punch, 90, 2.0 mm, black Rongeur, straight, 2.0 mm, black Rongeur, straight, 4.0 mm, black Rongeur, straight, 6.0 mm, black Endplate Elevator, bayoneted, black 2. Level Bone Curette, 5.5 mm, bayoneted, black Bone Curette, 45 angled, 5.5 mm, short, bayoneted, black Bone Curette, 45 angled, 5.5 mm, medium, bayoneted, black Osteotome, straight, black Bone Curette, 90 angled, 5.5 mm, bayoneted, black Dissector, blunt, 4.0 mm, black Dissector, blunt, 2.0 mm, black 8 DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

11 Instruments in Case Level Curette, rectangular, left, bayoneted, black Ring Curette, straight, bayoneted, black Curette, rectangular, angled, right, bayoneted, black Curette, rectangular, angled, left, bayoneted, black Ring Curette, curved, bayoneted, black Curette, rectangular, right, bayoneted, black Curette, rectangular, bayoneted, black 2. Level Impactor, standard, bayoneted, black Implant Pusher, bayoneted, black Rasp, dual-sided, bayoneted, black Rasp, dual-sided, angled, bayoneted, black Impactor, large, bayoneted, black Impactor, curved, standard, bayoneted, black Impactor, curved, large, bayoneted, black Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 9

12 DSEM/SPN/0115/ /17 Synthes GmbH Eimattstrasse Oberdorf Switzerland Tel: Fax: Not all products are currently available in all markets. This publication is not intended for distribution in the USA. All surgical techniques are available as PDF files at DePuy Synthes Spine, a division of Synthes GmbH All rights reserved