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Takes the Pressure

The VERTEBRIS lumbar instrument set is designed for full-endoscopic decompression of the lumbar and thoracic spine. Typical indications include herniated discs, spinal cysts and spinal canal stenoses. The following approaches can be done full-endoscopically:

  • Transforaminal
  • Extraforaminal
  • Interlaminar

The excellent optical properties of VERTEBRIS HD diskoscopes are the basis for intraoperative visualization and guide special instruments into the intraoperative area.

The universal setting of the instruments also makes it possible to expand the indications by gradually adding new components.

Trans-/ extraforaminal technique

The trans- or extraforaminal technique uses the intervertebral foramen as access to the pathology. The access to the intervertebral disk through the intervertebral foramen (transforaminal) or pedicle (extraforaminal) is placed under X-ray control with a puncture cannula. After dilation and insertion of the working sleeve, further surgery is performed through the diskoscopes under continuous irrigation with high-resolution endoscopic imaging.

Precision instruments such as forceps, punches, electrodes and burrs with a special design enable the surgeon to perform the surgery effectively and accurately.

VERTEBRIS transforaminal

 

  • High-resolution HD diskoscopes with working length for posterolateral and lateral transforaminal approach.
  • Optimized ratio of large working channel to outside diameter for minimal invasive access and effective operation.
  • Optimized fluid management by sophisticated dimensioning of in and outflow  - Prevention of neural compression by high pressures of the irrigation fluid.
  • Work Sleeves with atraumatic distal design to protect neural structures.
  • Stable grasping forceps and punches for effective soft tissue and bone resection with overload protection.
  • Endoscopic high-speed drilling system with reusable and disposable tools for mechanical bone and soft tissue resection. 
  • Tipcontrol instruments for 4 MHz radiofrequency coagulation and ablation. 

Radiofrequency Surgical System   Burrs and Shaver System

Interlaminar technique

In interlaminar surgery, the access to the spinal canal is done via the posterior interlaminar window. The dilator is guided directly to the flavum ligament with a dilator without prior puncture. After placing the working sleeve over the dilator, the operation is performed through the high-resolution HD diskoscope under continuous irrigation. The functionality of the components of the access system and the instruments are precisely coordinated and allow to pass through the ligamentum flavum and the nerve root  with minimal traumatization.

With special manual instruments and a variety of high-speed burrs available, herniated discs can be effectively removed and bone parts of spinal stenoses can be resected under a full-endoscopic view.

VERTEBRIS interlaminar

  • High resolution HD discoscopes with shorter working length for interlaminar approach.
  • Endoscope adapter to control the distance between endoscope and working sleeve for more ergonomic work.
  • Optimized ratio of large working channel to outside diameter for minimal invasive access and effective operation.
  • Optimized fluid management by optimizing in- and outflow  - Prevention of compression of neural structures by high pressures of the irrigation fluid.
  • Working Sleeves with atraumatic distal design to protect neural structures.
  • Stable grasping forceps and punches with shorter working length for interlaminar approach with overload protection.
  • Endoscopic high-speed drill system with reusable and disposable tools for mechanical bone and soft tissue resection for lateral recess stenoses. 
  • Tipcontrol instruments for 4 MHz radiofrequency coagulation and ablation.

Radiofrequency Surgical System    Burrs and Shaver System

 

 

Education

The RIWOspine education program offers excellent possibilities to learn more about the full-endoscopic technique for spine surgery or interventional percutaneous spine pain therapy.

It is a comprehensive training concept consisting of different modules to implement these innovative techniques successfully in your hospital

More information

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RIWOspine GmbH