Transcript MANTIS Procedure

Spine
TM
MANTIS
Percutaneous Screw & Rod Delivery System
·
System Overview
·
MANTIS
·
Stryker
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·
Viper
·
DePuy
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·
Pathfinder
·
Abbott Spine
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·
Sextant
·
Medtronic
6/06 v.1
Spine
MANTIS Philosophy – Approach
·
Features and Benefits

Percutaneous delivery of bone graft
Minimal

True percutaneous screw and rod delivery
Access

Uses conventional screw & rod designs

Supports multi-level procedures

Manual, un-constrained rod insertion
Traumatic

Simple procedure, uses current techniques
Insertion

Precise rod contouring before rod insertion

Excellent visualization

Radiolucent retractor
Non-
System
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Spine
MANTIS Retractor
Retractor Blades

Blades dock to screw
Tulip

Angle one blade toward
the other to dock /
undock
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Spine
MANTIS Retractor
Sliding Ring

Sliding Ring
automatically adjusts to
the depth of pathology
upon screw insertion
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Spine
MANTIS Retractor
Screw Insertion

Retractor and screw
inserted together

Blades and slide ring
assembled on back table

Inserter retains screw and
retractor, but allows
retractor to stay stationary
during insertion
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MANTIS Retractor
Rod Insertion

Rod inserter firmly
grips rod for manual
control of rod
insertion

Rod held at caudal
end

Rod overhangs
caudal end of screw
~ 4mm
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Spine
MANTIS Procedure
Step 1: Insert K-wires

Locate pedicle with jam-shidi
needle under fluoroscopy

Tap k-wires into pedicles
under fluoroscopic guidance
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Spine
MANTIS Procedure
Step 2: Dilate Tissue
·
Insert Blunt Dilator
·
Insert Hollow Dilator
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·
Remove Blunt Dilator
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Spine
MANTIS Procedure
Step 2: Dilate Tissue

Insert Blunt Dilator
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Spine
MANTIS Procedure
Step 3: Tap Pedicles

Insert Tap
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Spine
MANTIS Procedure
Step 3: Tap Pedicles

Remove Tap and Dilators

Dilator removal – optional
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MANTIS Procedure
Step 4: Insert MANTIS
Assembly

Insert MANTIS
retractor assembly over
k-wire

Screw inserted with or
without cannula
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Spine
MANTIS Procedure
Step 4: Insert MANTIS Assembly

Detach and remove pedicle
screw inserter
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Spine
MANTIS Procedure
Step 4: Insert MANTIS Assembly

Repeat procedure
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Spine
MANTIS Procedure
Step 5: Apply Distraction

Insert Projection Shafts
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Spine
MANTIS Procedure
Step 5: Apply Distraction

Insert Distractor

Apply Distraction
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Spine
MANTIS Procedure
Step 6: Contour Rod
·
·
Retain Projection Shafts
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Insert Contouring
Linkages
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·
Contour Rod
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Spine
MANTIS Procedure
Step 6: Contour Rod

Insert Contouring Linkages
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MANTIS Procedure
Step 6: Contour Rod

Contour Rod
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Spine
MANTIS Procedure
Step 7: Cut Fascia

Cut fascia between retractors
using the fascia scissors or
knife
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Spine
MANTIS Procedure
Step 8: Insert Rod

Assemble contoured
rod to the rod inserter

Insert rod
percutaneously from
the caudal side through
the MANTIS Retractor
Blades
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Spine
MANTIS Procedure
Step 9: Seat Rod
·
Fully Seat Rod in Tulip
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Install Blocker Screws
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MANTIS Procedure
Step 10: Apply Compression

Insert Compression Shafts

Insert Distractor /
Compressor

Apply Compression
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MANTIS Procedure
Step 11: Final Tightening

Insert Anti-Torque Shaft and
Final Tightener down MANTIS
Retractor

Perform final tightening
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Spine
MANTIS Procedure
Step 12: Remove MANTIS
·
Remove Slide Rings
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·
Remove Retractor Blades
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LITe Synergies
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Ipsilateral

MIS Decompression

TLIF (BMP)
Contralateral

Percutaneous Fixation
This percutaneous system
compliments our existing
Luxor platform.
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