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 ­reflective­glare

Offset on bayoneted instruments designed to improve visibility

Image­intensifier­control

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 MaintenanceFor 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:http://emea.depuysynthes.com/hcp/reprocessing-care-maintenanceFor 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: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance

Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 1

Minimally Invasive Posterior Instruments 2

Instruments 3

Minimally Invasive Posterior Instrument Sets 8

Table of Contents

2 DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

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 In-strument set is designed to facilitate discectomy, decom-pression and interbody work through the smaller access ports associated with atraumatic posterior lumbar proce-dures. The Minimally Invasive Posterior Instruments are ideal for use with Minimally Invasive Retractor Access (MIRA).

All instruments have a matte coating to reduce the ­reflective­glare­from­OR­lighting.­The­offset­on­the­bayo-neted instruments allows improved visibility by keeping hands out of direct view, and provides enhanced visibility while supporting a reduced exposure.

Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 3

Instruments

Impactors, black03.605.500 Standard, bayoneted03.605.531 Large, bayoneted

To fully seat T-LIF implants.

Impactors, curved, black03.605.532 Standard, bayoneted03.605.533 Large, bayoneted

To fully seat T-LIF implants.

03.605.501 Implant Pusher, bayoneted, black

Facilitates proper anterior placement of T-LIF implants.

03.605.502 Endplate Elevator, bayoneted, black

For endplate preparation.

6 mm

6 mm

10 mm

11 mm

11 mm

03.605.505 03.605.506

4 DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

Curettes, rectangular, angled, black03.605.529 Right, bayoneted03.605.530 Left, bayoneted

For disc and cartilaginous tissue removal. Angulation improves access to disc space and far lateral disc material.

03.605.504 Bone Curette, 5.5 mm width, bayoneted, black

Facilitates complete discectomy.

Bone Curettes, 45°, angled, black03.605.505 Short, bayoneted03.605.506 Medium, bayoneted

Facilitates complete discectomy. Angulation improves access to entire disc space.

Curettes, rectangular, black 03.605.503 Left, bayoneted03.605.536 Right, bayoneted03.803.054 Bayoneted

For disc and cartilaginous tissue removal.

7 mm

7 mm

7 mm

12 mm

12 mm

12 mm

Instruments

Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 5

03.605.509 Bone Curette, 90° angled, 5.5 mm, bayoneted, black

Facilitates complete discectomy. Angulation improves access to entire disc space.

03.605.510 Ring Curette, straight, bayoneted, black

Cutting surface on anterior lip only, dual-sided. For endplate preparation and removal of disc material. 7 mm diameter.

03.605.534 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.

03.605.507 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.

03.605.511 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.

5.5 mm8 mm

03.605.528

03.605.526

03.605.513

03.605.515

03.605.514

03.605.527

6 DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

03.605.508 Osteotome, straight, black

Facilitates facetectomy to create transforaminal window. Removes osteophytes and bony structures.

Rongeurs, curved, black03.605.513 2 mm width03.605.514 4 mm width03.605.515 6 mm width

For comprehensive removal of disc material and soft tissues. Curvature improves access to lateral disc material.

Rongeurs, straight, black03.605.526 2 mm width03.605.527 4 mm width03.605.528 6 mm width

Allows for comprehensive removal of disc material and soft tissues.

8 mm

Instruments

03.605.520

03.605.522

03.605.524

03.605.521

03.605.523

03.605.525

Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 7

Laminectomy Punches, 40°, black03.605.520 4 mm width03.605.521 2 mm width

Allows for comprehensive removal of bone material.

Laminectomy Punches, 90°, black 03.605.522 4 mm width03.605.523 2 mm width

Allows for comprehensive removal of bone material.

Dissectors, blunt, black03.605.524 4 mm width03.605.525 2 mm width

Facilitates dissection of soft tissue.

8 DePuy Synthes Minimally Invasive Posterior Instruments Surgical Technique

Sets

01.605.903 Set for Minimally Invasive Posterior Instruments

Instruments in Case 68.605.900

1. Level 68.605.901

03.605.513 Rongeur, curved, 2.0 mm, black

03.605.514 Rongeur, curved, 4.0 mm, black

03.605.515 Rongeur, curved, 6.0 mm, black

03.605.520 Laminectomy Punch, 40°, 4.0 mm, black

03.605.521 Laminectomy Punch, 40°, 2.0 mm, black

03.605.522 Laminectomy Punch, 90°, 4.0 mm, black

03.605.523 Laminectomy Punch, 90°, 2.0 mm, black

03.605.526 Rongeur, straight, 2.0 mm, black

03.605.527 Rongeur, straight, 4.0 mm, black

03.605.528 Rongeur, straight, 6.0 mm, black

03.605.502 Endplate Elevator, bayoneted, black

2. Level 68.605.902

03.605.504 Bone Curette, 5.5 mm, bayoneted, black

03.605.505 Bone Curette, 45° angled, 5.5 mm, short, bayoneted, black

03.605.506 Bone Curette, 45° angled, 5.5 mm, medium, bayoneted, black

03.605.508 Osteotome, straight, black

03.605.509 Bone Curette, 90° angled, 5.5 mm, bayoneted, black

03.605.524 Dissector, blunt, 4.0 mm, black

03.605.525 Dissector, blunt, 2.0 mm, black

Minimally Invasive Posterior Instrument Sets

Minimally Invasive Posterior Instruments Surgical Technique DePuy Synthes 9

Instruments in Case 68.605.910

1. Level 68.605.911

03.605.503 Curette, rectangular, left, bayoneted, black

03.605.510 Ring Curette, straight, bayoneted, black

03.605.529 Curette, rectangular, angled, right, bayoneted, black

03.605.530 Curette, rectangular, angled, left, bayoneted, black

03.605.534 Ring Curette, curved, bayoneted, black

03.605.536 Curette, rectangular, right, bayoneted, black

03.803.054 Curette, rectangular, bayoneted, black

2. Level 68.605.912

03.605.500 Impactor, standard, bayoneted, black

03.605.501 Implant Pusher, bayoneted, black

03.605.507 Rasp, dual-sided, bayoneted, black

03.605.511 Rasp, dual-sided, angled, bayoneted, black

03.605.531 Impactor, large, bayoneted, black

03.605.532 Impactor, curved, standard, bayoneted, black

03.605.533 Impactor, curved, large, bayoneted, black

Synthes GmbHEimattstrasse 34436 OberdorfSwitzerlandTel: +41 61 965 61 11Fax: +41 61 965 66 00www.depuysynthes.com

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 www.depuysynthes.com/ifu ©

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