100 Minimally Invasive Orthopedic & Spine Devices to Know

Here are 100 minimally invasive orthopedic and spine devices to know.

This list is sponsored by Arthrosurface.

Aequalis Ascend Convertible Shoulder Implant System. Tornier launched the Aequalis Ascend Convertible Shoulder Implant System in 2011. The first implantation of the procedure was performed the same year at Baylor University Medical Center in Dallas. The procedure offers both minimally invasive design and convertibility to a "reversed" configuration.

ALIF ACR. NuVasive announced the U.S. launch of its Anterior Lumbar Fusion – Anterior Column Realignment in December 2013. The ALIF ACR is designed to address sagittal plane imbalance resulting from advanced degeneration. The implants included in the ALIF ACR offer 20-degree and 30-degree hyperlordotic footprints.

ALEUTIAN Transforaminal-Lumbar. K2M's ALEUTIAN Transforaminal-Lumbar Interbody System includes instrumentation designed for efficient intraoperative use, such as the adjustable inserter. The inserter allows for variable implant angulation from 10 degrees to 60 degrees in-situ. The implant is manufactured with Biocompatible PEEK Polymer.

Apelo Minimally Invasive Pedicle Screw System. Atlas Spine launched its Apelo MIS Pedicle Screw System in October 2013. The spinal implant system is designed to treat conditions such as deformity and degenerative disc disease. The system includes a guidewire management system designed to give surgeons' optimal control and wound retraction capabilities for increased visualization and improved rod targeting.

ARC Portal Access System. The ARC Portal Access System is designed around Alphatec Spine's Guided Lumbar Interbody Fusion technique, a minimally invasive retroperitoneal transpsoas approach to an anterior lumbar interbody fusion. The system provides direct visualization and access to the disc space with minimal tissue disruption and allows for 360 degree-type procedures without patient repositioning.

ARIA Retractor System. Stryker's ARIA Retractor System is designed for the lateral approach to minimally invasive spine surgery and used in combination with the AVS ARIA interbody device. The procedure allows for percutaneous screw-rod placement and is designed to avoid nerve root retraction or exposure.

ArthroTunneler. The ArthroTunneler from Tornier is an anchorless rotator cuff repair system. It is designed for use during rotator cuff repair and protects the suture and bone during transosseous fixation procedures.

Aspen MIS Fusion System. The Lanx Spinous Process Fixation Plate, known as Aspen MIS Fusion System, is designed to provide temporary fixation of the spinal segments in thoracic, lumbar and sacral spine while waiting for bony fusion. The implant is made of titanium alloy.

AVATAR Minimally Invasive Spinal System. The AVATAR MIS System from Life Spine includes cannulated pedicle screws designed for maximum reduction of tissue and muscle trauma. The system includes a user-friendly reducer designed to allow up to 20mm of rod reduction. The system also offers multiple methods of rod insertion.

AxiaLIF Spine System. The AxiaLIF Spine System from Baxano Surgical was introduced in 2005 and since then more than 1,300 surgeries have been performed using it. The system was designed to stabilize the anterior lumbar column, while lessening soft tissue trauma during lumbar fusion surgery. When using the system, the lumbar spine is accessed through a minimally invasive incision adjacent to the sacrum.

Balance Microplasty Stem. Biomet's Balance Microplasty stem builds on the company’s Balance Hip stem to incorporate an anatomic fit and fill geometry with a bone-conserving, tissue-sparing design to address minimally invasive surgical options. The stem features an anatomical neck design with five degrees of anteversion.

Bicos Meniscal Repair Retractor. Designed by James Bicos, MD, the Bicos Meniscal Repair Retractor from Innomed Knee Instrument is used when an inside out meniscal repair is indicated. The retractor is designed to facilitate retracting the posterior soft tissues of the popliteal fossa out of the way to allow the passage of meniscal repair needles.

BIOARCH Subtalar Arthroereisis Implant. Wright Medical Group acquired the BIOARCH Foot and Ankle Implant from Metasurg for $2.5 million initial cash and potential additional cash payments. BIOARCH implant is designed to provide improved patient tolerance from the conventional implant designs for treating flatfoot deformity. It can be inserted in a minimally invasive procedure.

BoneBac TLIF Spacer. The BoneBac TLIF Spacer from ThompsonMIS has a narrow shape for easier insertion into the collapsed disc and is designed to allow direct injection of the graft while the inserter is still attached. This design allows for a more complete fill when packing the disc space.

BridgePoint Advantage. Alphatec Spine's BridgePoint Advantage is a minimally invasive system designed to replace pedicle screws for certain indications and patient types. The implant includes a unique telescoping plate for surgeons to fixate and compress spinous processes that restore sagittal alignment and facilitate a reliable interbody fusion.

CAYMAN Minimally Invasive. K2M recently received FDA clearance on the CAYMAN Minimally Invasive plate system which is used for spinal fractures, tumors and degenerative conditions in the anterior and lateral spinal column. It is a single-level lateral plate for a truly minimally invasive option.

CD Horizon Legacy Spinal System. Medtronic's CD Horizon Legacy Spinal System is designed to treat scoliosis. The system has been used in more than 500,000 surgeries since its introduction in 2004. The system is made from either titanium or stainless steel implantable grade metal.

Ci Computer Assisted Knee Replacement. iOrthopaedics launched the Ci Computer Assisted Knee Replacement, developed by DePuy, to enhance and extend the orthopedic surgeon's skills and experience during knee replacements. They system provides an unobstructed view of the patient's knee joint on a screen to give a three-dimensional rendering of each surgical step to assist with proper alignment.

Ci Preservation. The Ci Preservation from DePuy for unicompartmenal knee surgery is a less invasive procedure that builds on the instruments designed for the conventional Uni implant. The system includes virtual planning and kinematic assessment software that permits implant position optimization prior to bone cuts.

coflex. Paradigm Spine's coflex implant is a non-fusion interlaminar stabilization device designed for use in one- or two-level lumbar stenosis procedures. The device is made of biocompatible titanium alloy that is x-ray visible. The coflex is a single, U-shaped device designed for placement paralleling the long axis of the spinous process.

Copeland Humeral Resurfacing Head. Biomet's Copeland Humeral Resurfacing Head is a shoulder implant designed to preserve as much bone as possible. The device uses patients' natural anatomy for placement and allows for exact retroversion, exact posterior offset and exact angle of inclination. The implant has 20 years of clinical history.

CoRoent XL. NuVasive's CoRoent XL is used during intervertebral body spinal fusion and designed for use with autogenous bone graft that facilitates fusion. It can be used at one or two contiguous levels of the lumbar spine or as a partial vertebral body replacement. The implant has radiolucent PEEK-OPTIMA material.

CrossFix II System. The CrossFix II System from Cayenne Medical is the next generation meniscal repair device for open suturing techniques through a less invasive procedure. The all-suture device secures meniscal tears with the same horizontal or vertical mattress stitch.

DENALI Minimally Invasive. The DENALI Minimally Invasive from K2M, an extension the DENALI Spinal System, is a top-loading pedicle screw system. The system has a 50-degree polyaxial range of motion, designed to allow greater variability of screw placement.

Epicage Lumbar Interbody System. The Epicage Lumbar Interbody System from Alphatec Spine is designed for use in a midline approach or oblique approach in transforaminal lumbar interbody fusion. The system is designed for delivery that protects surrounding nerve structures.

Epiphany. Pantheon Spinal was developed by Scott Spann, MD, as a lateral access device to L5-S1. The device is designed for use in patients with advanced degenerative disc disease and intended for implantation via an oblique lateral lumbar exposure.

Exactech LPI Prime. The Exactech LPI Prime hip system was introduced in June 2013 as a more conservative treatment option for total hip arthroplasty. The system is designed to maintain the maximum amount of proximal femoral bone while providing initial stability to enable biological fixation.

FACET FIXX. The FACET FIXX screw system from Nexxt Spine can be used during minimally invasive or traditional lumbar spinal fusion. It features multiple diameter fully threaded and partially threaded screws with double lead helical thread and a multi-axial compression washer to increase the load-bearing area of the screw.

Firebird Spinal Fixation System. The Firebird from Orthofix is used during minimally invasive spinal procedures. It is intended for posterior, non-cervical pedicle screw fixation and includes a wide variety of ergonomically designed instruments.

FlipCutter. The FlipCutter from Arthrex allows surgeons to perform the minimally invasive GraftLink ACL reconstruction procedure. FlipCutter is used in combination with anatomic guides to allow independent femoral and tibial redrilling to create sockets while maintaining the cortices to maximize fixation.

FlowerCube. Flower Orthopedics introduced its FlowerCube, a single–use bone fixation concept. Each FlowerCube contains disposable, surgery-specific implants and instruments. Surgeons have the ability to customize the contents of the FlowerCube, selecting from implants such as the Flower Locking System.

FORTIFY | Corpectomy Spacer. The FORTIFY from Globus Medical is designed to give anterior column support and prevent implant dislodgement. The implants are available in PEEK or titanium. The system also comes in a range of sagittal profiles and footprints for customization.  

HemiCAP OVO/Glenoid. The Stemless Total Shoulder System includes the HemiCAP OVO which matches the humeral head geometry with a 4mm offset and a partial or full inlay Glenoid implant which virtually eliminates overstuffing. The HemiCAP OVO maintains native anatomy in the shoulder and the inlay glenoid component can minimize the effect of edge loading which has been shown to be a primary cause of failure of onlay glenoids.

HemiCAP PF WAVE. The Patello Femoral HemiCAP is available in two different sizes, with 21 trochlear convexities and 13 different patellas making it the most versatile PF system in the world. Both the trochlea and patella are designed as inlay implants in order to maintain and restore congruency in the PF joint which is very important for proper patella tracking.

Hi-Line XXS Minimally Invasive Spine Surgical Device. Aesculap's Hi-Line XXS Minimally Invasive Microsurgical hand piece was launched in March 2013. The device is designed for broad use and improved in-procedure visibility during minimally invasive spine surgery. The Hi-Line XXS has a high-speed motor and requires no assembly.

Hybrid Reamers. Symmetry Medical's Hybrid Reamers are designed minimally invasive or open total hip surgery. They are designed with a three point connection method for secure connection between the driver and reamer with a minimal incision. The device doesn't have connection bars on the back of the reamer for increased surgeon visibility into the acetabulum.

iBalance Unicondylar Knee Arthroplasty. The iBalance Unicondylar Knee Arthroplasty System from Arthrex is a minimally invasive instrument and implant platform to treat degenerative or traumatic knee osteoarthritis. The system was launched in 2012 for partial knee resurfacing consisting of highly anatomic femoral and tibial resurfacing implants.

ILLICO Multi-Level Minimally Invasive Surgery System. The ILLICO Multi-Level MIS System from Alphatec Spine is indicated as a solution for posterior fixation of the thoracic and lumbar spine. The system is designed to address multi-level spine trauma and deformities. The system includes ILLICO FS Facet Fixation screws and the ILLICO MIS Posterior Fixation System.

iTotal G2 Knee Replacement System. ConforMIS launched the iTotal G2 Knee Replacement System, the second generation of its patient-specific total knee replacement platform. The knee replacement system is tailored to the patient's specific anatomy based on their CT scans. The system is packaged in a sterile kit that includes all implant components and instruments.

iDuo G2 Biocompartmental Knee Resurfacing Device. The iDuo G2 Biocompartmental Knee Resurfacing Device is designed to treat moderate to severe osteoarthritis. The iDuo G2 is patient-specific technology, designed from individual patients' CT scans. The device is available for the patellofemoral and medial or lateral compartments.

iFuse Implant System. SI-BONE's iFuse Implant System is indicated for sacroiliac joint fusion in response to conditions such as sacroiliac joint disruptions and degenerative scoliosis. The system is designed to provide fusion through the insertion of titanium implants across the sacroiliac joint. The system is also designed to be a less invasive option to traditional SI joint surgery.

Javelin MIS Locking Facet System. Amedica's Javelin MIS Locking Facet System is a transfacet pedicular screw system with a unique locking interface between the screw and washer designed for the implant to lock into the facet joint to prevent it from screwing back out. The system is used during open or percutaneous surgery.

Lateral Locking Cage. Last year, Frontier Medical Devices entered into a distribution agreement with Zimmer Spine for the Lateral Locking Cage, a minimally invasive lateral interbody cage. It has a unique locking design to rigidly fasten the cage to the lumbar vertebra.

LATIS Minimally Invasive Lumbar Interbody Fusion Spacer. Globus Medical launched the LATIS MIS Lumbar Interbody Fusion Spacer in June 2013. The implant is designed to treat patients with degenerative disc disease. It is inserted through a minimally invasive transforaminal lumbar interbody fusion approach.

Lucent Controlled Delivery Guns. The Lucent Controlled Delivery Gun from Spinal Elements is well-suited for a minimally invasive approach to consistently and reproducibly place interbody devices. The device allows surgeons to use larger intervertebral body devices.

Lumiere. The Lumiere minimally invasive retractor system from Orthozon Technologies uses patented technology with powerful fiber optic lighting, translucent retractor blades, full medial access and expandable field view for micro-endoscopic discectomies. It is designed with an outward taper to increase visibility 33 percent.

MAKOplasty. MAKOplasty, powered by the RIO Robotic Arm Interactive Orthopedic System, is available for use in total hip arthroplasty and partial knee resurfacing. MAKOplasty is designed to improve precision and accuracy, while reducing damage to healthy soft tissue.

MANTIS Implant. The MANTIS implant — minimal access non-traumatic insertion system — from Stryker allows surgeons to place cannulated pedicle screws percutaneously. The system can address up to three-level procedures for deformity and degenerative applications. The cannulated screw design is based on the Xia Pedicle Screw System.

MATRIX MIS Spine System. The MATRIX MIS Spine System from DePuy Synthes is a universal set of instruments and implants for open and minimally invasive surgical approach for deformity, degenerative conditions and trauma procedures.

MatrixRIB System. The MatrixRIB System from DePuy Synthes, designed for the fixation and stabilization of ribs, includes precountoured locking plates, locking screws and intramedullary splints. The system is also indicated for fusions and osteotomies of normal and osteoporotic bone. The intramedullary splints are designed to allow for minimally invasive procedures.  

MD SpineWand. The MD SpineWand from ArthroCare is designed to remove soft tissue, such as disc material, through a 2.5 mm access point. The MD SpineWand is used in conjunction with ArthroCare's Coblation technology.  

Mercury MIS System. Spinal Elements added towers to the Mercury Classic spinal system and other enabling instrumentation to allow surgeons to perform mini-open procedures for the first time in 2012. The Mercury Classic was released on the market in 2009 and includes cannulated screws ideal for minimally invasive cases.

Metha Short Hip Stem. Aesculap's Metha Short Hip Stem is used for the direct anterior approach joint replacement procedures. The unique neck insertion angle of the Metha allows for easier access to the femur and is available in a wide array of configurations to accommodate the unique anatomy of each patient.

Minimally Invasive Knee Retractor System. Symmetry Medical's Minimally Invasive Knee Retractor System was developed based on clinical use and surgeon feedback and features custom, silicon heads for maximum function and unique shapes for surgery. The retractors protect soft tissue and ligaments during the procedure.

Mini-Max Minimally Invasive Access System. Precision Spine's Mini-Max Minimally Invasive Access System received FDA clearance in 2012. The system is designed for a muscle-sparing technique that enables more procedure-to-procedure reproducibility with the goal of cost-effectiveness.

MIS Total Knee Arthroplasty Muscle-Sparing Arthrotomy. Pioneered by Dr. Thomas M. Coon, Dr. E. Marlowe Goble and Dr. Alfred J. Tria Jr., the MIS Quad-Sparing Arthrotomy is designed for a less invasive knee surgery that limits muscle and tissue dissection without compromising the total knee arthroplasty procedure. The arthrotomy can be extended if more visualization is needed.

Mobi-C Cervical Disc. LDR's Mobi-C is designed to restore segmental motion and disc height in cervical disc replacement. The device is the first FDA-approved cervical disc for one- and two-level indications. The Mobi-C includes superior and inferior cobalt chromium alloy endplates coated with titanium and hyroxyapatite coating and a mobile bearing insert.

NavioPFS UKR Surgery. The NavioPFS surgical system from Blue Belt Technologies is based on an open implant-architecture platform. The first unicompartmental knee replacement was performed with the system in July 2012. The robotic surgical system offers a CT scan-free approach with intraoperative planning capabilities.

NovoStitch Suture Passer. The NovoStitch Suture Passer from Ceterix Orthopaedics is designed to pass sutures through soft tissue during orthopedic surgery. The device is equipped with a sliding lower jaw that allows low profile access to the knee and extends to slide under the meniscus for accurate suture placement. The device is indicated for simple and complex suture patterns.

Oracle Expandable Retractor System. Exactech's Oracle Expandable Retractor System is used during minimally invasive spine procedures and includes a fully adjustable design so surgeons can independently angle the retractor blade and expand in the cephalad-caudal and medial-lateral directions.

OrthoGlide Medial Knee. The OrthoGlide knee implant from ABS is designed to replace worn cartilage inside the knee for patients with osteoarthritis in the medial compartment. It offers patients a less invasive alternative to total knee replacement. The device requires a five- to seven-centimeter incision and could delay the need for total knee replacement.

OrthoPro Subtalar Spacer Implant. OrthoPro's Subtalar Spacer System is designed for minimally invasive treatment for flexible flatfoot. The implant is inserted between the posterior and middle facets of the subtalar joint with instruments to facilitate insertion. The instruments are designed to ensure accuracy and the STS screw implant is cylindrical to incorporate a center cannula designed for use with a guidewire that promotes accuracy.

Oxford Partial Knee. Biomet's Oxford Partial Knee implant is designed to repair the medial side of the knee in patients with limited arthritis. The procedure removes 75 percent less bone and cartilage than total knee replacement and has shown 91 percent survivorship over 20 years.

Pathfinder NXT Minimally Invasive Pedicle Screw System. The Pathfinder NXT is Zimmer Spine's next step forward in MIS. Built on the clinical success of the original Pathfinder, the NXT system is designed for procedural freedom and streamlined workflow for a broad range of MIS procedures.

PEEK-OPTIMA HA. Invibio Biomaterial Solutions announced the global launch of its PEEK-OPTIMA HA Enhanced Polymer in September 2013. Invibio's product combines a PEEK-based biomaterial with Hydroxyapatite. The biomaterial is designed to enhance bone ongrowth on all sides of a device.

Phantom Retractor System. The Phantom Retractor System from Stryker is a minimally invasive posterior bladed retractor compatible with the company's interbody options for PLIF and TLIF procedures. The system includes various blade options and a lighting component to keep the retractor at a lower temperature.

Picasso Minimally Invasive System. The Picasso Minimally Invasive System from Accel Spine includes a broad selection of screw and rod delivery instruments and implants to treat deformity pathologies. The system is designed for reliable and reproducible results, with streamlined rod insertion with final tightening.

Pinton Soft Tissue Fixation Implant. This implant from Tornier is a new anchoring device for securing the soft tissue reattachment to bone. The small minimally invasive insertion and unique laser markings mean the implant is ideal for arthroscopically treating challenging rotator cuff tears with minimal disruption to tendon and bone.

PRESTIGE Cervical Disc. Medtronic announced the seven-year clinical results of the PRESTIGE Cervical Disc in December 2013, show clinical improvement and lower rates of additional surgical procedures when compared with fusion. The disc is a stainless steel device approved by the FDA for single-level cervical disc disease.

Proven Gen-Flex Knee Replacement Implants. The Proven Gen-Flex Knee Replacement Implants from Stelkast are based on proven designs for flexibility after minimally invasive unicondylar procedures to complete revision operations. The implants were designed for optimal patellofemoral articulation with an integrated system utilizing common instruments.

ProView Percutaneous Screw Delivery System. The ProView Percutaneous Screw Delivery System from Orthofix is designed for accurate pedicle screw placement. The system is designed to give surgeons maximum control during rod delivery. The system's screws lock onto head holders for secure screw implantation.

RAVINE Lateral Access System. The RAVINE from K2M is a dual flat blade platform for a true muscle splitting transpsoas approach that offers rigid fixation to the spine. The system is designed for adaptability to patient anatomy and surgeon technique. It includes a variety of soft tissue dissectors and robust guidewire, and the retractor frame fixates directly to the spine.

Renaissance System. The Renaissance System from Mazor Robotics is a mechanical guidance system for spine surgery that has both its CE Mark and FDA clearance. The system can be used for open, minimally invasive and percutaneous posterior thoracolumbar approaches.

rHead Lateral Radial Head Implant System. Small Bone Innovations' rHead is a side-loading radial head prosthesis for minimally invasive exposure during radial head replacement surgery. The implant's head and stem are connected by a dove-tail locking mechanism that doesn't require a set screw. The stem is plasma-sprayed to promote bony in-growth.

SANTORINI Cage. K2M announced the global launch of its SANTORINI Small Corpectomy Cage System in October 2013. The cage is designed to address collapsed or unstable vertebral bodies resulting from trauma or tumors. The SANTORINI Cage, made of PEEK, offers both expandable and solid cages.  

Short Modular Femoral Hip System. The Smith & Nephew Short Modular Femoral Hip System is a modular total hip replacement stem that exceeds the versatility and neck strength of the standard full-sized primary hip stem. The stem is 20 percent shorter than conventional stems. The technology is designed for implantation with the company's VERILAST and surgeons can implant it through smaller incisions or an anterior incision.

Slidex. Biomet's Slidex technology is used in the company's Microplasty Total Knee arthroplasty procedure. The Slidex technology is designed for minimal disruption to soft tissues. The technology allows for blocks to move medially and laterally during resection.

Sniper Spine System. The Sniper Spine System from Spine Wave, a minimally invasive pedicle screw system, is indicated for the treatment of degeneration, trauma or tumor of the thoracolumbar spine. The system offers single-step controlled reduction and precise rod placement through its variable-angled Rod Introducer. A ball and socket screw design works to allow maximum polyaxial angulation.

Sonoma CRx clavicle nail. In January 2013, Sonoma Orthopedics announced the launch of the VELOX procedure for clavicle fracture repair with its CRx clavicle nail. The CRx clavicle nail is designed to eliminate plate prominence. It also incorporates flexible-to-rigid WaviBody technology to conform to patients' unique anatomies.

StabiLink MIS Spinal Fixaiton System. Southern Spine launched its StabiLink MIS Spinal Fixation System in April 2013. The system, designed for spinal fixation in lumbar fusion procedures, is indicated for the treatment of spinal trauma, tumors and degenerative disc disease. The system is implanted between the spinous processes, away from the spinal cord and nerves.

Streamline MIS Spinal Fixation System. Pioneer Surgical launched its Streamline Minimally Invasive Spinal Fixation System in June 2013. The system is designed to create a rigid structure in the thoracolumbar spine through a minimally invasive approach. The system is intended to be flexible and easy to use.

Stryker Knee Navigation System II. The Navigation System II from Stryker includes a dual articulating arms aid in flexible camera/monitor positioning with Stryker Camera Technology. Surgeons can use the Scorpio primary CR or PS implants using the Stryker Knee Navigation system and dedicated minimally invasive universal cutting instrumentation.

TaperFill Total Hip Replacement. In July 2013, DJO Global announced the first TaperFill Total Hip Replacement implanted. The device uses wedge stem philosophy and is fabricated with a proprietary porous coating for bone ingrowth. The implant is designed for long-term endurance.

Taperloc Microplasty Stem. The Taperloc Microplasty Stem from Biomet builds on the company's Taperloc Hip System and incorporates new design features to address minimally invasive techniques and provide an alternative to femoral resurfacing. It includes a bone-conserving design and seven neck length options.

Tenex Health TX System. The Tenex Health TX System from Tenex Health is designed for precise cutting and debridement of diseased or pathologic musculoskeletal tissue. The system is engineered with an innovative MicroTip design for targeted tissue cutting and removal. The system also includes responsive foot pedal technology for control.

Titan Reverse Shoulder System. Integra LifeSciences' announced the first successful implantation of the Integra Titan Reverse Shoulder System in the United States in September 2013. The system has fully interchangeable components to ensure proper compatibility between primary, reverse and fracture humeral bodies and the press-fit or cemented platform stems.

TruMatch Personalized Solutions. DePuy Orthopaedics' TRUMATCH Personalized Solutions for personalized knee replacement surgery. The system is designed to eliminate up to nine steps in the surgical workflow and customizes implants to the patient's anatomy.

univation Unicondylar Knee System. This minimally invasive operation from B. Braun and in conjunction with OrthoPilot provides integrated navigation into the operation for exact implant alignment. The univation system has a bone sparing design to promote stability, and only minimal bone resection of the femur and tibia to secure anchorage.

UniVise Spinous Process Fixation System. Medical device manufacturer VertiFlex received FDA clearance for the UniVise Spinous Process Fixation System and Totalis Direct Decompression System in January 2013. The devices are designed to assist surgeons in lumbar spine decompression through minimally invasive techniques.

Valeo PS Pedicle Screw System. The Valeo PS Pedicle Screw System from Amedica is used during posterior fixation. The system includes a low profile, offset design to minimize soft tissue interference and palpable screw head problems. The system also enhances lateral stability and allows the surgeon to place the connector heads laterally or medially.

Vanguard M Partial Knee System. John Repicci, MD, pioneered the Vanguard M Partial Knee System from Biomet designed for use in the medial and lateral compartments. The femoral component made of the cast cobalt chromium molybdenum alloy includes the spherical form of the Oxford Unicompartmental knee.

VariLift-L. The VariLift-L from Wenzel Spine is an interbody fusion device designed for secure fixation in standalone use. It has more than 15 years of clinical use and requires a typical incision length of two inches. The VariLift-L Interbody Fusion device allows surgeons to perform PLIF and TLIF procedures without the use of supplemental fixation. VariLift-L is the only stand-alone, expandable interbody fusion device cleared by the FDA for lumbar fusion and can be used in an ASC setting. 

VariLift-C. The VariLift-C from Wenzel Spine is a standalone expandable interbody fusion system that eliminates the need for plates or screws. The zero-profile expandable device was designed for use in unilateral and bilateral procedures with a technique that emphasizes endplate preservation. The VariLift-C is the only FDA-cleared standalone expandable interbody fusion device and allows surgeons to perform ACDF procedures without the use of plates, screws or impacted interbody devices. VariLift-C can be used in both inpatient and outpatient procedures.

VEO Lateral System. Baxano Surgical's VEO Lateral System is designed to provide direct visualization for lateral fusion surgery. The approach is intended to minimize iatrogenic trauma to the psoas muscle and nerve plexus. The VEO Lateral System uses the Reveal two-stage retraction system which includes a tubular retractor for access to the psoas and independent blades for controlled psoas retraction in the anterior/posterior plane.

Viewline System. The Viewline Tube Retraction System, Retractor System and Posterior MIS Instrument set from Zimmer Spine is designed for exposure, retraction, decompression and disc preparation for minimally invasive TLIF, PLIF, PLF and microdiscectomy procedures. The Viewline System also has a variety of tube and radiolucent aluminum blade options to give surgeons the ability to customize.

VIPER 2 MIS Spine System. The VIPER 2 System builds upon the design and technique established by DePuy's VIPER System and allows surgeons to treat a wider range of pathologies with the single platform. The system is designed for immobilization and stabilization as an adjunct to fusion for patients with acute and chronic instabilities and deformities.

XLIF Decade Plate. NuVasive launched its XLIF Decade Plate in October 2013. The system, designed for use in extreme lateral interbody fusion, has four points of fixation. The system is intended to reduce the number of operative steps and improve plate geometry.

X-Stop Spacer. The X-Stop Spacer Medtronic is an interspinous process device indicated for the treatment of lumbar spinal stenosis symptoms. The device is designed for patients aged 50 or older that suffer from pain or cramping in the legs caused by lumbar spinal stenosis. The X-Stop can be implanted at one or two lumbar levels.

Zeus Oblique Lateral Lumbar Interbody Device. The Zeus OLLIF device from Amendia is constructed of PEEK and includes aggressive teeth to prevent implant migration. The patented cannulated design helps to safely guide the implant past the nerve root and the instrument set is designed to minimize operating time.

ZIP MIS Interspinous Fusion System. Aurora Spine received FDA 510(k) clearance for its ZIP Minimally Invasive Interspinous Fusion System. The ZIP is designed to be a MIS spinal fixation device for spinal fusion, an alternative to pedicle screw systems. The system includes bone anchors and a large graft space intended for biologic material.

If you have any questions or comments on this list please contact Laura Miller at lmiller@beckershealthcare.com or Carrie Pallardy at cpallardy@beckershealthcare.com. 

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