Becker's Spine Review

29 of motion while providing long term stability in the spine. Mahe Spine Emergency Screw Removal System (Mahe). Mahe Medical partnered with Amazon Business Professional Health- care to be among the first spine companies to sell products on Amazon. Mahe's Spine Emergency Screw Removal System is now available on Amazon, sold at 20 percent less than competing systems due to the flattened supply chain. e Mahe Spine Emergency Screw Removal Kit is designed to remove broken or stripped screws without additional hardware or kits, and the system can remove a screw regardless of the manufacturer. Mazor X (Mazor). Mazor X is a robotic guidance system that combines advanced soware, robotic technology and instrumen- tation for a more precise minimally invasive spinal procedure. Mazor X is the third gen- eration of robotic technology and was used in more than 1,000 cases across 50 hospitals in the U.S. during its first year on the market. e technology provides preoperative and intraoperative surgical planning as well as offers robotic-guidance for pedicle screw placement. Mobi-C (Zimmer Biomet). e Mobi-C was designed in France and first implant- ed in November 2004. e artificial disc, made with a mix of cobalt, chromium and molybdenum as well as metal plates sprayed with hydroxyapatite, earned FDA approval in August 2013 and remains the only artificial disc to achieve two-level clearance. e Mo- bi-C is designed for disc self-adjustment and can move with the spine to facilitate natural motion. e procedure does not require bone chiseling and aims to preserve as much of the patient's vertebrae as possible. NuVasive MAS TLIF (NuVasive). MAS TILIF is a minimally invasive transforaminal lumbar interbody fusion technique with a pedicle-based retractor that facilitates maxi- mum visualization and access to the surgical site through a modular screw construct. e complete procedural solution comprises access, fixation, biologics and computer assistance. Surgeons use a small incision and approach the spine from one side of the back, leading to less muscle disruption and faster recovery times. PowerEase (Medtronic). Medtronic launched PowerEase in April 2012 as a system of electronic instruments designed for reconstructive spine surgery. e system is compatible with CD Horizon Solera Spinal System and TSRH 3Dx, as well as integrated with other Medtronic technologies. PowerE- ase is used for drilling, tapping and driving implants during spine surgery for both open and minimally invasive procedures. e system demonstrates 51 percent less time re- quired for tapping the pedicle and 55 percent less time for plating the pedicle than manual instruments based on biomechanical testing. Rialto SI Joint Fusion (Medtronic). e Rialto SI Fusion System is designed to stabi- lize the sacroiliac joint and promote fusion. e system comprises cylindrical threaded devices that aim to enhance fusion, offered in multiple lengths that accommodate each patient's anatomy. During the procedure, surgeons take an anterior approach to the surgical site and oen place two devices to provide stability and promote fusion. SImmetry (RTI Surgical). In March 2018, e Spine Journal published a study showing the SImmetry Sacroiliac Joint Fusion System, a minimally invasive approach to SI joint fusion, reporting the system's joint fixation effectively reduces SI joint range of motion. SImmetry is the only minimally invasive SI joint system that uses proprietary decorti- cation technology to facilitate bone fusion. In January 2018, RTI Surgical acquired Zyga Technology and the SImmetry system. UNiD (Medicrea). In June, Medicrea received FDA clearance for its UNiD cage technology, the first patient-specific spinal cage to earn approval. e company designs 3D printed titanium devices using its IB3D predictive analytics model to develop an im- plant fitted to the patient's natural anatomy. To date, more than 2,400 surgeries have been performed using UNiD, which also includes patient-specific rods that achieved FDA clearance in 2014. Viper Prime System (DePuy Synthes). e Viper Prime System is a percutaneous pedicle screw placement technique that eliminates guidewires, Jamshidi needles and pedicle preparation instruments. e system allows surgeons to target pedicles and insert screws in a single instrument pass, using a stylet fully controlled by the screwdriver and new tip design. Viper Prime aims to im- prove procedure efficiency and reduces the instrument set from six to two trays. In one study, the Viper Prime reduced pedicle screw insertion time by 33 percent when compared with traditional techniques. VariLi-C (Wenzel Spine). e VariLi-C is a standalone expandable interbody fusion device that expands in situ, which eliminates plates and screws during the procedure. e implant's design allows for extensive gra material use aer implementation and it has a broad FDA clearance for use with or without supplemental fixation. e device is designed for shorter surgical times and can be used at one level, bilaterally or unilater- ally. Zeiss OPMI Pentero 800 (Carl Zeiss). OPMI PENTERO 800 surgical microscopes incldue advanced apochromatic optics and two-channel xenon illumination to provide visual carity during procedures. e technol- ogy comprises an intuitive user interface for direct surgical microscope access as well as a touch screen that delivers patient data, preset configurations and video recording to the user. e system is designed to minimize the physical strain on surgeons, and its intel- ligent ergonomic properties can enhance handling, with the potential to stremline surgical workflow.. n The medical technology business of ZEISS offers a comprehensive line of surgical microscopes and loupes that uncompromisingly enhance visualization during spine surgery. ZEISS supports spine surgeons in seeing more by ensuring optical precision, flexibility, fast OR setup and ease of use for surgeon, assistant and OR staff.

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