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Minimal Access Spinal Technologies
CD HORIZON® SEXTANT®

METRx®

METRx® X-TUBE™

NIM-SPINE®

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Glossary

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The METRx™ Microdiscectomy System incorporates specially designed metal tubes that allow surgeons to access a surgical area in a minimally invasive manner. These tubes, called dilators, vary in diameter size from 5.3 mm to 20.8 mm. The METRx™ Microdiscectomy System dilators are inserted sequentially -- one around the other -- through the muscle to gradually separate, or split, the muscle fibers, creating an opening sufficiently large enough for surgical tools and instruments to be inserted.

The METRx™ X-Tube™ Retraction System builds on this technology by providing more extensive access to the surgical area. By expanding at the base from a diameter of 2.5 cm to 4.0 cm, the METRx™ X-Tube™ Retraction System provides pedicle-to-pedicle exposure.

Features and Benefits
Expanding upon the innovative design of the METRx™ Microdiscectomy System, the METRx™ X-Tube™ Retraction System offers:

Optimal Exposure

  • Provides pedicle-to-pedicle exposure
  • Allows surgeon to expand the operative field from a diameter of 2.5 cm to 4.0 cm

Enhanced Visualization

  • Facilitates the use of multiple modes of visualization:
    • Microscope
    • Loupes
    • Endoscope
    • Naked eye
  • Coupled with the Radiance X™ Illumination System, integrated light source, provides an excellent source of visualization (whether working with microscope, loupes, endoscope, or the naked eye), even eliminating the need for a headlamp

Innovative Design
The METRx™ System allows surgeons to insert a series of dilators through a small incision, one around the other, to gradually separate the muscle fibers until an appropriately sized corridor leading to the surgical area is created. The surgeon then inserts a tubular retractor to hold this operative corridor open, allowing for surgical tools and instruments to be inserted.

The METRx™ X-Tube™ Retraction System builds on this technology by providing more extensive access to the surgical area. Like inserting the tubular retractors that come stock with the METRx™ System, the surgeon inserts a METRx™ X-Tube™ retractor over the dilators, seats it flush with the bony anatomy, and locks it in place with a flexible arm. The surgeon then removes the dilators, establishing a tubular opening to the surgical area. By inserting the METRx™ X-Tube™ Retractor System opener instrument into the X-Tube™ retractor and enlarging the opening of the tube at its base, the surgeon has the ability to expand this corridor up to 4.0 cm in diameter.

Broad Application
The METRx™ System is indicated for visualization of the surgical field in any area of the body opened through incision during a surgical procedure.

The system provides a muscle-sparing approach to spinal surgery by allowing surgeons to insert a series of dilators, ranging in diameter from 5.3 mm to 20.8 mm, through a small incision. The dilators are inserted, one around the other, to gradually separate the muscle fibers and create an opening sufficiently large enough for surgical tools and instruments to be inserted.

The METRx™ X-Tube™ Retraction System builds on this technology by providing more extensive access to the surgical area by expanding at the base from a diameter of 2.5 cm to 4.0 cm, providing pedicle-to-pedicle exposure.

Indications
The METRx™ System is indicated for visualization of the surgical field in any area of the body opened through incision during a surgical procedure. When used in the cervical, thoracic, or lumbar spine, either from an anterior or posterior direction, for example, the METRx™ System is intended to aid surgeons in visualizing the surgical area and allowing them to perform any type of surgical spinal procedure, such as the following:

  • Repairing a herniated disc
  • Visualizing the circumferential decompression of the nerve roots
  • Aiding in the search and removal of nucleus material from a vertebral disc
  • Performing a spinal fusion
  • Inserting spinal implants

The METRx™ System is also indicated for generic surgical use in the knee, ankle, shoulder, hand, wrist, and temporomandibular joint (TMJ).

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It is important that you discuss the potential risks, complications, and benefits of the METRx® X-TUBE™ with your doctor prior to receiving treatment, and that you rely on your physician's judgment. Only your doctor can determine whether you are a suitable candidate for this treatment.



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