PTED Access System (Percutaneous Transforaminal Endoscopic Discectomy)
– Herniations: Lumbar, thoracic.
The MaxMoreSpine Access System is based on the PTELD Endoscopic System. The access system does not contain our endoscopes, but allows surgeons to perform the operation as a true MaxMoreSpine technique by using their endoscope.
Neurological safety during transforaminal endoscopic surgery of the spine is of paramount importance. In order not to irritate neurological structures close to the foramen and to ensure a safe access to the spinal canal, the caudal part of the foramen is widened incrementally with specially designed, patented manual bone drills. To approach the spinal canal & disc through the foramen a posterolateral approach to the intervertebral foramen is used. The needle is guided to the superior articular process / lateral facet and infiltrated with local anaesthetic. A guide wire is inserted through the needle and the needle removed. Soft tissue is dilatation is performed with serial dilators. The Tom Shidi Needle (Bone needle) is introduced over the guide wire & docked on the superior articular facet ventrally and gently tapped with mallet till it reaches in line with the medial border of the pedicle to the desired location targeting the herniation. The SAP is sequentially drilled with manual bone drills till the desired size is achieved & foramen enlarged. A conical dilator is tapped to the desired location and working sleeve introduced over the dilator.
The Endoscope is introduced through the working sleeve. With resection instruments, the herniated disc material is removed under direct vision. Confirmation of decompression & free neurological structures are confirmed under direct vision.
|Article code||Product description||Qty|
|1001-TS 001||TOM Shidi (point tip)||1|
|1001-TS 003||TOM Shidi (blunt tip)||1|
|1001-BD 001||DISPOSABLE Manual Bone Drill 4 mm||10|
|1001-BD 051||DISPOSABLE Manual Bone Drill 5 mm||5|
|1001-BD 002||Manual Bone Drill 6 mm||1|
|1001-BD 003||Manual Bone Drill 7 mm||1|
|1001-BD 004||Manual Bone Drill 8 mm||1|
|1001-BD 005||Manual Bone Drill 9 mm||1|
|1001-BH 001||Ball Handle||2|
|1001-GW 001||Guide Wire 0.7 mm (20 pcs)||1|
|1001-GW 002||Guide Wire 1.5 mm (20 pcs)||1|
|1001-GW 003||Guide Wire 1.0 mm (20pcs)||1|
|1001-GW 005||Guide Wire Dispenser||1|
• WORKING LENGTH 170 MM
• CANNULATED 2.0 MM
• Ø 3 MM
• Ø 50 MM GLOBAL ERGONOMIC BALL HANDHOLD
• LOW WEIGHT
• SPECIAL STAINLESS MEDICAL STEEL
• 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