(Percutaneous Stenoscopic Lumbar Decompression)
Lumbar spinal decompression is performed with a posterior interlaminar approach. A skin incision of app. 8-9mm is made in the interlaminar window. A conical blunt dilator is introduced in the interlaminar window. A working cannula is introduced over the dilator with the beveled opening of the working cannula directed medially towards the ligamentum flavum. Sequential trimming of the Inferior articular process- Superior Lamina, Superior articular process – Inferior lamina is performed with motorised drills & Kerrison rongeurs.
After completion of bony decompression, Ligamentum flavum is removed ipsilaterally and centrally within the bony window created by trimming the facet & lamina, Complete decompression of the thecae sac & ipsilateral traversing root is performed from tip if the Superior articular process to 1/2 of caudal pedicle. For contralateral decompression the base of the spinous process is trimmed with the motorised drill and contralateral bony & soft tissue decompression performed with thinning of the lamina, Trimming the Inferior articular process, Superior articular process, cranial & Caudal lamina dorsal to the thecal sac. Ligamentum flavum is removed to decompress the contralateral traversing root. The entire procedure is performed under endoscopic visual control using the MaxMoreSpine 5.7 mm endoscope.
Article code | Product description | Qty |
1002-TS 004 | TOM Endo Stick 5.7 mm working channel | 1 |
1001-DC 010 | Dilator 7.9 mm | 1 |
1001-ES 19 | Working Sleeve 112 mm / 8.5 mm ID | 1 |
1001-SK 001/H | Universal Coated Kerrison Punch Handle | 4 |
1001-SK 002/S | Coated Kerrison Punch Shaft, 240 mm / Ø 5 mm down to 2 mm, 40° | 2 |
1001-SK 003/S | Coated Kerrison Punch Shaft, 240 mm / Ø 5 mm down to 3 mm, 40° | 2 |
1001-SK 004/S | Coated Kerrison Punch Shaft, 240 mm / Ø 5 mm down to 4 mm, 40° | 2 |
1001-SK 005/S | Coated Kerrison Punch Shaft, 240 mm / Ø 5 mm down to 5 mm, 40° | 2 |
1001-DI 01 | Dissector ø 3.5mm / 245 mm | 1 |
1001-TH 001 | Tactile Hook - Small Hook | 1 |
1001-TH 002 | Tactile Ball Hook - Big Hook | 1 |
1001-SF 001 | Stenosis Grasping forceps 3.0 mm / 250 mm | 1 |
1001-SF 002 | Stenosis Grasping forceps 4.0 mm / 250 mm | 1 |
1001-IS 005 | Instrument Container Stenosis | 1 |
1001-IS 006 | Instrument Tray Stenosis | 1 |
• BRILLIANT ILLUMINATION AND CRYSTAL CLEAR RESOLUTION
• TRUE COLOUR REFLECTION AND REGULAR FOCUS ON THE WHOLE IMAGE
• OPTIMAL DEPTH OF FIELD
• STORZ- OLYMPUS- TEKNO / WOLF / ACMI ADAPTERS INCLUDED
• AUTOCLAVABLE; INCL.1 SEALING CAB AND 2 CLEANING BRUSHES
• MADE IN GERMANY
• CE, FDA
Other endoscopic systems are challenged by difficulties in handling, inability to access and treat all pathology, ease of use, and versatility. The maxmorespine® system permits a safe, precise and efficient access to and removal of all herniations, particularly L5-S1.
More information
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