A Comprehensive Set Supporting Both Direct and Transforaminal Mobile/Synthes...¢  2017. 11. 21.¢  03.605.504

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

    http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance 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, black 03.605.500 Standard, bayoneted 03.605.531 Large, bayoneted

    To fully seat T-LIF implants.

    Impactors, curved, black 03.605.532 Standard, bayoneted 03.605.533 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, black 03.605.529 Right, bayoneted 03.605.530 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, black 03.605.505 Short, bayoneted 03.605.506 Medium, bayoneted

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

    Curettes, rectangular, black 03.605.503 Left, bayoneted 03.605.536 Right, bayoneted 03.803.054 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, black 03.605.513 2 mm width 03.605.514 4 mm width 03.605.515 6 mm width

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

    Rongeurs, straight, black 03.605.526 2 mm width 03.605.527 4 mm width 03.605.528 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°, black 03.605.520 4 mm width 03.605.521 2 mm width

    Allows for comprehensive removal of bone material.

    Laminectomy Punches, 90°, black 03.605.522 4 mm width 03.605.523 2 mm width

    Allows for comprehensive removal of bone material.

    Dissectors, blunt, black 03.605.524 4 mm width 03.605.525 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 GmbH Eimattstrasse 3 4436 Oberdorf Switzerland Tel: +41 61 965 61 11 Fax: +41 61 965 66 00 www.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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