62 minimally invasive devices for ASCs to know — 2016

Here are 62 minimally invasive devices to know.

If you'd like to recommend additional spine devices for this list, contact Anuja Vaidya at avaidya@beckershealthcare.com.
ALF-X from TransEnterix. The ALF-X is a multi-port surgical robotic system intended for laparoscopic surgery. It features a 3DHD camera controlled via eye-tracking and enables the perception of tissue consistency. Each robotic arm is an independent unit capable of handling each surgical instrument, including the endoscope.

AnyPlus MIS System from GS Medical Systems. The minimally invasive AnyPlus MIS System for spine surgery has a self-tapping threaded design to optimize a solid screw purchase to the vertebral body. The system has ergonomically designed instrumentation for a true percutaneous approach. The system can reduce blood loss, operative time and postoperative pain. There is a unique double-locking system with a washer at the screw base for a secure screw-rod interface fit for proper alignment.

AVATAR Minimally Invasive Spinal System from Life Spine. AVATAR MIS System is a cannulated pedicle screws system inserted over a guide wire, designed to minimize muscle and tissue trauma. The system includes multiple rod insertion methods, such as muscle splitting and true percutaneous surgery. The expanded tabs provide rigid connection to instrumentation and there is a reducer that allows up to 20 mm of rod reduction. This was the second addition to the company's CENTRIC MIS Technologies suite.
AxiaLIF Plus System from TranS1. The AxiaLIF Plus System is designed for reproducible anterior retroperitoneal presacral access route to the L5-S1 vertebral bodies. The instrumentation is designed with the standard of care for fusion principles, distraction and stabilization of the anterior lumbar column. There have been more than 14,000 AxiaLIF procedures performed in the United States and 90 peer-reviewed publications that show safety, efficiency and biomechanics of the procedure.
BoneBac Interbody System from ThompsonMIS. The BoneBac Interbody System has a narrow shaped nose for easier insertion into a collapsed disc and allows direct graft injection while the inserter is still attached. The product includes two patents completed and five patents pending. The system restores disc height using insert-and-rotate capabilities.

BoneScalpel MIS system from Misonix. The new BoneScalpel MIS system is designed for limited access and visibility in minimally invasive procedures. It offers superior control in retractor and tube-based procedures for precise bone cutting while sparing soft tissue and neural structures. It aims to prevent blood loss and reduce hand fatigue for the surgeon. It also offers a large amount of viable autograft bone compared to shavers or burrs.

Calcaneal Plating System from Acumed. The system is intended for calcaneal fractures and it aims to reduce potential for wound complications and soft tissue irritation. The system offers a  minimally invasive approach using a sinus tarsi incision. The Acumed Calcaneal Plating System is composed of several Acumed MINI-Calc Plates and lateral wall plates.

Cannuflow ClearVu from Cannuflow. The Cannuflow ClearVu is a flexible outflow cannula for knee arthroscopy. It does not clog like a metal cannula and features a superior flow that makes the need for a tourniquet obsolete. It is clinically proven to eliminate trauma to cartilage and soft tissue caused by metal cannulas. It aids patient recovery in knee arthroscopy.

Cannuflow TwoVu from Cannuflow. The Cannuflow TwoVu is a coaxial outflow cannula to support newer 'two-portal' techniques. It is unique to Cannuflow, as is Cannuflow ClearVu. The system eliminates the need for 'stopcock twiddling' to gain flow and clarity. Cannuflow TwoVu also eliminates the third portal pain common with metal cannulas and makes shoulder fluid flow in shoulder arthroscopy more efficient.

Capstone PEEK Spinal System from Medtronic. The system is intended for use during posterior lumbar interbody fusion or transforaminal lumbar interbody fusion. The device features convex-shaped implants that are designed to fit patient anatomy and to allow for more accurate sizing. The Capstone system also features teeth on the surface to reduce likelihood of expulsion. The system can be used in open procedures as well as MIS procedures.

Carillon Mitral Contour System from Cardiac Dimension. The system combines a proprietary, implantable device with a percutaneous catheter delivery system. The implantable device consists of a proximal anchor and a distal anchor connected by a shaping ribbon. The device is intended to reduce mitral annulus dilatation upon deployment. CARILLON can treat most heart failure patients using a minimally invasive approach.
coflex Interlaminar Stabilization from Paradigm Spine. The coflex Interlaminar Technology is an interlaminar stabilization device for one- or two-level lumbar stenosis from L1-L5 in skeletally mature patients. The device is implanted midline between adjacent lamina of one or two contiguous lumbar motion segments. The device is designed for shorter operating room time and hospital stays.

Compact Delta II from Dornier MedTech. The Compact Delta II uses Dornier's electromagnetic shockwave emitter technology to deliver consistent energy. The device is used for extracorporeal shockwave lithotripsy, a treatment that breaks up kidney stones. The Compact Delta II includes a fully integrated shock source and C-arm. The C-arm rotates allowing visualization of stones from various positions and offers two modes of X-ray.

COOLIEF Cooled RF from Halyard Health. Coolief Cooled RF is a minimally invasive, outpatient treatment that can be used to treat chronic pain, including sacroiliac joint pain, low back pain and knee pain. The procedure uses cooled radiofrequency energy to target the sensory nerves. During the procedure, water is circulated through the device while heating nervous tissue.

DIVERGENCE Stand Alone Interbody Cage from Medtronic. The DIVERGENCE Stand Alone Interbody Cage features an all-in-one fusion device with internal screw fixation, allowing for maximum distance from the adjacent level disc. The device also incorporates divergent screw technique, which reduces retraction and incision. The device is intended for the treatment of anterior cervical interbody fusion procedures in adult patients with cervical disc disease at one level from C2-C3 to C7-T1. The DIVERGENCE screws feature a cortical cancellous thread design to maximize bone screw purchase.

DTRAX Spinal System from Providence Medical Technologies. The DTRAX Spinal System is a set of single-use disposable surgical instruments that aims to provide tissue-sparing access to the spine. Specific devices in the system include an access chisel, decortication trephine and bone graft tamp. The instruments are designed for spinal interbody or intrafacet insertion of a bone allograft. Providence Medical Technology obtained a CE Mark for its DTRAX Spinal System in 2015.
EntreVu Instrument Cannula with Extravastat Technology from Cannuflow. The cannula automatically removes extravasated fluid out of the soft tissue during shoulder arthroscopy procedures. It is clinically proven to cut extravasation by up to 70 percent. EntreVu also eliminates the neck swelling risk that accompanies shoulder procedures. The device aims to lessen postoperative pain and speed up recovery.  

ES2 Spinal System from Stryker. The ES2 minimally invasive fixation system is a one-piece low profile integrated blade screw that includes a built-in reduction. The system builds on Stryker's Xia technology with the buttress threaded closure mechanism, a cortical cancellous thread pattern and secure screw-to-screwdriver interface. The system has power and navigation capabilities.
EVEREST Minimally Invasive Spinal System from K2M. The cannulated top-loading polyaxial pedicle screw system, EVEREST MIS, can accommodate titanium and cobalt-chrome rods for two different diameters — 5.5 mm and 6 mm. The system has a dual lead optimized thread pattern provides faster insertion and increased pullout strength and 70 degrees polyaxial range of motion for intraoperative flexibility.

ExactechGPS Guided Personalized Surgery from Exactech. ExactechGPS is surgeon-controlled, patient-specific solution for personalized workflow options for efficiency and precision in total joint replacement. It provides orthopedic surgeons with real-time data and imaging. The company commemorated the 20th anniversary of the Exactech Knee system with the launch of ExactechGPS Guided Personalized Surgery in March 2014.
EXPEDIUM VIPER 2 System from DePuy Synthes. The VIPER 2 System is intended for noncervical pedicle fixation and nonpedicle fixation for degenerative disc disease, spondylolisthesis, trauma, spinal stenosis, curvatures, tumor, pseudoarthritis and failed fusions. The system includes more than 30 comprehensive instruments for multiple pathologies.
FacetLINK from LinkSPINE. FacetLINK uses two screws and a plated cross-connector assembly to stabilize the spine following a tissue-sparing midline or micro-surgical decompression. There are several sizes for plate assemblies and an expandable version to accommodate multiple anatomical and pathological scenarios.

FlowerCube from Flower Orthopedics. The FlowerCube is a standardized, procedure-based, bone-fixation concept. The FlowerCube contains all of the required implants and instruments for a procedure. The Cube is tailored to specific surgical indications. The instruments are all single-use and disposable.

JRF SpeedGraft from JRF Ortho. The JRF SpeedGraft is intended for minimally invasive and reproducible ACL reconstruction. It is designed for use with Arthrex ACL TightRope RT. The design allows for multiple fixation methods and it features presized lengths and diameters for patient customization. JRF SpeedGraft involves minimal preparation time.
iBalance UKA from Arthrex. The iBalance UKA system is a minimally invasive instrument and implant platform. It is intended for the treatment of localized unicondylar cartilage degeneration as a result of osteoarthritis or post-traumatic arthrosis. iBalance UKA features highly anatomic femoral and tibial resurfacing implants. The system is designed as a reproducible surgical technique.
iFuse from SI-BONE. The minimally invasive sacroiliac joint procedure received a Category I CPT code on Jan. 1, 2015, and in 2016 the outpatient reimbursement for the procedure was up 14 percent to $10,538; the physician reimbursement for the procedure will jump 25 percent to $722.. More than 1,000 surgeons are trained with iFuse technology and more than 18,000 procedures have been performed over the past several years.

iTotal CR and iUni from ConforMIS. The iTotal CR and the iUni are intended for total knee replacement and partial knee replacement surgery respectively. iTotal CR is designed to mimic the natural shape of the knee and it aims to minimize bone resection. The iTotal CR is delivered in a single, pre-sterilized kit before surgery. The iUni is intended for arthritic patients to preserve as much of the natural anatomy as possible. The technology is delivered in a pre-sterilized kit before the surgery.
Intramedullary Hip Nail System from Orthopaedic Implant Company. The system aims to achieve optimal stability during hip fracture procedures, as well as fracture reduction and fixation. OIC's Intramedullary Hip Nail System consists of short and long nails with a pre-loaded cannulated set screw, 10.5 mm lag screws and 5 mm cross-lock screws. The system features radiolucent carbon-fiber jigs that provide unobstructed views under fluoroscopy.

InterFuse from VTI. The InterFuse Interbody Fusion System is a modular interbody. It is a large footprint device that can be placed through a small unilateral access channel. The modules are placed one at a time and the devices lock into place in the disc space. The device can be placed through a tube system.
LONGBOW Expandable Lateral Spacer System from Life Spine. The system is the first interbody device on the market that expands laterally in-situ for a direct lateral approach. The device aims to simplify insertion of bone graft after expansion and may decrease retraction by as much as 45 percent compared to other lateral systems on the market. LONGBOW also aims to minimize tissue retraction and potential nerve damage associated with the lateral access approach.

Lucent MIS TLIF System from Spinal Elements. Lucent MIS TLIF is a tubular retractor system designed to provide maximum visibility and surgical versatility. Its radiolucent tubes allow visualization of surrounding anatomy. Exposure tubes come in different lengths and diameters to match most anatomical variations. Key instrumentation is bayonetted with anti-reflective coating to improve surgeon visibility. The interbody implant includes Spinal Elements'  Ti-Bond porous titanium coating on a PEEK interbody, allowing the implant to retain the imaging and load distribution properties of PEEK while taking advantage of porous titanium's properties at the endplate surfaces.

Luna 3D Interbody Fusion System from Benvenue Medical. The system is an in-situ expandable PEEK-OPTIMA interbody implant that forms an ALIF footprint from a MIS posterior approach. Luna is indicated for spinal fusion procedures in adult patients with symptomatic degenerative disc disease at one or two contiguous levels from L2-S1. The device aims to provide anterior column stability, strength and fusion with minimal neural retraction. Luna features a generous graft window that allows bone grafting material to be inserted post-expansion.

MAGEC Spinal Bracing and Distraction System from Ellipse Technologies. The system is comprised of a sterile, single use spinal rod that is surgically implanted in the patient. The system also includes a non-sterile hand-held external remote controller that is used to non-invasively lengthen or shorten the implanted rod. The rod is used to brace the spine during growth to minimize the progression of scoliosis. The system is designed for patients under 10 years with severe progressive spinal deformities.

Marquise MIS Channel System from Amendia. The Marquise MIS Channel System is designed for easy sagittal movement through paraspinal muscle planes and improved access to the surgical site. The system enables minimally invasive procedures on obese patients and was developed to accommodate multiple instruments simultaneously. The technology was designed to reduce muscle ischemia/necrosis/scarring and improves visibility while reducing glare.

Minimal Incision Total Hip Retractors from Innomed. The retractors are used during the Minimal Incision Total Hip surgical technique, which aims to reduce the usual standard posterior lateral incision. The retractors expand the viewing area. This technique should not compromise the component position, repair of soft tissues, handling of soft tissues or bone.

Model 300 Secure-Fast ratcheting system from ECA Medical. The system aims to provide an enhanced ratcheting capability for securing screws, fasteners and connectors typically used in procedures spine, trauma and extremity implant procedures. The single-procedure ratchet is bi-directional and fully cannulated. It comes configured with either an industry standard AO or quarter-inch square hub connector that can mate with legacy stainless steel drivers and shafts.

Mobi-C from LDR. The Mobi-C is the first and only cervical disc replacement device to receive FDA approval to treat both one-level and two-level cervical disc disease. It features bone sparing technology and doesn't require keels or screws for placement. The device is designed to eliminate bone chiseling. Mobi-C is comprised of two metal plates and a plastic insert in the middle. There have been more than 30,000 Mobi-C implantations in 25 countries.

Mercury MIS System from Spinal Elements. Mercury MIS is an innovative, simple and versatile tower-based pedicle screw system. It is designed to limit muscle and tissue damage through a minimally invasive approach while addressing the clinical needs of posterior fixation. The system includes multiple rod insertion options, built-in reduction capabilities and simple tower attachment and removal, accommodating both mini-open and true percutaneous approaches. The Mercury MIS System is a seamless, one tray add-on to the Mercury Classic pedicle screw system, enabling surgeons to use the same system for conventional or MIS techniques.

Navio Surgical System from Smith & Nephew. The system provides robotics-assistance in unicondylar or partial knee replacement surgery. It uses CT-free navigation software and features a hand-held, robotic bone-shaping device. The system also allows for patient-specific planning. The Navio software applications guide the surgeon in creating implant plans that localize components and balance soft-tissue.

Octopus Nuvo Tissue Stabilizer from Medtronic. The device is a flexible stabilizer designed specifically for minimally invasive coronary artery bypass grafting. The stabilizer features a low-profile design and a 360-degree range of motion. The device also features a compact 3-pod design for direct visualization during minimally invasive cardiac surgery as well as a ball joint that aims to provide greater flexibility.

OPMI PENTERO 900 from ZEISS. The OPMI PENTERO 900 is a next generation visualization system. It includes apochromatic optics and intraoperative fluorescence modules. The device aims to provide smooth system handling via touchscreen, handgrips, mouth switch or wireless foot control panel. OPMI PENTERO interacts with current and emerging workplace technologies.

ORBERA from Apollo Endosurgery. The ORBERA intragastric balloon is designed to help adult patients suffering from obesity lose weight and maintain it. The treatment requires no incisions and is administered during an outpatient, endoscopic procedure. The ORBERA balloon remains inside the patient for six months before removal. The device is part of a longer 12-month program that includes exercise, nutrition and psychological coaching.
PediGuard from SpineGuard. Earlier this year, SpineGuard received FDA clearance to market its PediGuard products for minimally invasive surgery. PediGuard is a handheld device that alerts surgeons to potential pedicular or vertebral breaches. The device provides real-time feedback via audio and visual signals. Surgeons have performed more than 35,000 procedures with PediGuard worldwide. PediGuard detects 98 percent of pedicle breaches.
Phoenix Minimally Invasive Spinal Fixation System from Orthofix. The Phoenix Minimally Invasive Spinal Fixation System has a built-in reduction tower that is removed after implant construct assembly. The system is designed to reduce surgical steps and screw lengths ranging from 35 mm to 55 mm. The rod inserter allows for minimally invasive delivery without extra incisions.

PRECICE Limb Lengthening system from Ellipse Technologies. The system is an intramedullary nail used for limb lengthening of the femur and tibia. An external remote controller is used to non-invasively lengthen the implant. The system features a customizable lengthening protocol based upon the patient's prescription. The system is designed to treat lower limb length discrepancies, often the result of acute or chronic fractures.    

Precision Cryoprobes from Endocare, a wholly-owned subsidiary of HealthTronics. The Cryoprobe freezes tissue at very low temperatures to ablate tumors. The Precision Cryoprobes feature integrated thermocouples and ergonomic handles to ease insertion. All Precision Cryoprobes are insulated to prevent shaft frosting.
REVOLVE from Globus Medical. The REVOLVE is a posterior stabilization system for minimally invasive spine surgery. The system was designed to reduce surgery time and lessen anatomic disruption. The device has multi-level capability and non-threaded locking caps to avoid cross threading and difficult cap placement. This is a low-profile system with surgeons performing the reduction using one instrument with the cap pre-loaded, eliminating steps.

Revolution Spine System from Intelligent Implant Systems (IIS). The IIS lumbar implant kit includes the single-fusion plates and screws. The fully disposable instrument kit was developed in collaboration with IIS supplier ECA Medical Instruments. The Revolution spinal fusion kits are single-procedure, disposable products designed to simplify workflow and reduce infection due to cross contamination. ECA estimates hospitals and ASCs using Revolution could save more than $1,200 per procedure.
Scorpion Articulating Inserter from Amedica. Developed for transforaminal lumbar interbody fusions, the Scorpion Articulating Inserter was released in October to accompany the Valeo II TL interbody fusion device system. The technology will aid in minimally invasive procedures and is indicated for use with autograft. They system is designed for greater control and accuracy for the silicon nitride interbody fusions.
SImmetry from Zyga Technologies. SImmetry is a device for minimally invasive sacroiliac joint dysfunction designed for fusion procedures. The technology is FDA-cleared and includes a range of threaded, cannulated implants and associated instrumentation. The implants are designed to transfix the sacrum and ilium for a stable bony fusion.
STALIF Integrated Interbody from Centinel Spine. Centinel Spine's STALIF device is designed to streamline complex surgical procedures and reduce surgical time with potential cost savings. The implants come in individually packed sterile packages with a reduced number of instrumentation trays. The implant has a no-profile design and was developed as a better match to the patient's anatomy.
SteriSpine PS Pedicle Screw System kits from Safe Orthopaedics. SteriSpine Kits include sterile implants and associated single-use surgical instruments designed for facilitating safer, lower-cost surgery. The kits are FDA-cleared and marketed in 16 countries. There have been more than 1,691 procedures using the kits since the beginning of 2015. A recent study showed the instrument kits reduced surgical time by 12 percent and there was minimal blood loss.

Stimwave Freedom-8A Spinal Cord Stimulation System from Stimwave. The fully-programmable SCS neuromodulation device received FDA clearance in 2015. The stimulator is implanted in an outpatient, minimally invasive procedure. The device delivers small pulses of energy to eight electrodes placed near surrounding nerves that triggers a reaction enabling the brain to remap specific pain signals. The device is designed to help patients manage chronic pain.

SurgiBot System from TransEnterix. TransEnterix is in the final phases of development and commercialization of the SurgiBot System, a minimally invasive surgical platform. The system aims to deliver high-quality visualization, instrument dexterity and precision as well as surgeon comfort during laparoscopic surgery. The system allows different instruments deployed through a single incision.
The Spanner Prostatic Stent from SRS Medical. The Spanner Prostatic Stent is a temporary stent inserted into the urethra at the neck of the bladder to maintain urine flow. The device is intended for men with bladder outlet obstruction. The Spanner Prostatic Stent aims to reduce elevated post void residual, improve voiding symptoms and allow for voluntary urination. The device is an alternative to the Foley catheter. SRS Medical has been given FDA investigational device exemption approval for a study designed to expand the indications for The Spanner.

Transcatheter aortic valve replacement from Sharp HealthCare. The new minimally invasive transcatheter aortic valve replacement procedure or TAVR is intended for patient with severe aortic stenosis, particularly elderly patients or those with heart disease. Patients with health issues may not be able to undergo "open heart" surgery. TAVR allows interventional cardiologists to replace a diseased aortic valve by placing a balloon-expandable heart valve into the body through a catheter inserted through a leg artery.

TYPHOON MI Transfacet Pedicular Screw from ChoiceSpine. The TYPHOON MI is designed for facet arthrodesis and posterior stabilization of the lumbar spine. The system has a lag section to facilitate facet joint decompression. The sharp threads through the cortical bone interfaces while minimizing damage. The dual pitch screw thread maximizes purchase and compression of the facet joint.

UniVise Spinous Process Fixation Plate System from Stryker. The minimally invasive system features a simple, one implant design that allows for midline insertion and locking. The system also features anatomically shaped plates. Each plate is designed with a radial spike pattern intended to improve positioning and grip. The system is compatible with a variety of bone grafting options within Stryker's biologics portfolio.

UroLift from NeoTract. Treatment using UroLift is a minimally invasive approach to treating an enlarged prostate, or benign prostatic hyperplasia. The system lifts or holds the enlarged prostate tissue out of the way so it no longer blocks the urethra. UroLift consists of a delivery device and tiny permanent implants. The treatment can be performed in the physician's office under local anesthesia.

VisionScope Imaging System from VisionScope Technologies. The arthroscopic imaging system is designed specifically for in-office diagnostic testing. The system uses a 1.4 mm diameter endoscope. VisionScope Imaging System aims to provide physicians the ability to visualize, assess and diagnose joint pathologies. The system is comprised of video hardware, micro-optics and advanced computational software.

Yeung Endoscopic Spine System from Richard Wolf Instrument Company. The system is used to perform selective endoscopic discectomy, a minimally invasive spine surgery technique that uses an endoscope to treat herniated, protruded, extruded or degenerative discs. The technique aims to lessen tissue destruction and postoperative pain as well as improve recovery times. The technique was developed by Anthony Yeung, MD, using the system developed in collaboration with with the Richard Wolf Instrument Company.

Zimmer Persona Knee from Zimmer Biomet. The Persona Knee features anatomical femoral and tibial components that are designed to provide accurate fit and alignment during knee arthroplasty. The device includes side-specific kinematics and differential conformity articulation. The knee system features trabecular metal material, which is structured to function like bone and allows for biological fixation. The system uses legacy anatomic patellofemoral component designs.

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