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 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 the patented 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.
Content starter kit:
| Art. | Description | Qty |
| 1002-TS 001 / 1002-TS 003 | TOM Endo Stick 3.7 mm or 4.1 mm working channel | 1 |
| 1001-DC 001 | Dilator 6.3 mm | 1 |
| 1001-DC 002 | Dilator 3.0 mm | 1 |
| 1001-DC 002 | TOM Shidi (point tip) | 1 |
| 1001-TS 002 | TOM Shidi (drill 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-ES 04 | Working Sleeve 170 mm / 6.35 mm ID | 1 |
| 1001-ES 05 | Working Sleeve 170 mm / 6.35 mm ID | 1 |
| 1001-ES C | Cap for Working Sleeve | 1 |
| 1001-AI 001 | Painless Hammer | 1 |
| 1001-AI 003 | Metal Ruler | 1 |
| 1001-AI 004 | Needle Holder | 1 |
| 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 (20 pcs) | 1 |
| 1001-GW 005 | Guide Wire Dispenser | 1 |
| 1001-EF 002 | Endo Grasping Forceps 5.0mm / 200mm | 1 |
| 1001-FF 001 | Flexible Forceps 320 mm 2.5 mm | 1 |
| 1001-EF 001/1 | Endo Grasping Forceps 3.5 mm / 320 mm | 1 |
| 1001-EF 001/B | Endo Grasping Forceps 3.5 mm / 285 mm (S-Handle) | 1 |
| 1001-EF 003/1 | Grasping Forceps 2.5 mm / 320 mm micro cup (straight-sensitive) | 1 |
| 1001-EF 003/B | Grasping Forceps 2.5 mm / 285 mm (S-Handle-sensitive) | 1 |
| 1001-EF 035 | Endo Punch 2.5mm / 320 mm / 15° bent | 1 |
| 1001-TH 001 | Tactile Hook – Small Hook | 1 |
| 1001-IS 001 | Instrument Tray Top | 1 |
| 1001-IS 002 | Instrument Tray Bottom | 1 |
| 1001-IS 003 | Instrument Container | 1 |
| 1001-IS 004 | Sterilization Filter > 500 cycles (2pcs) | 1 |
| 1001-IS 009 | Sterilization Drape | 1 |
| 1008-A 18 | Spinal Needle – 18G (10 pcs) | 2 |
| 9001-003 | Tube Connection Luer Lock Metal | 2 |
Service is essential to keep medical equipment operational and safe. Our Nordic service team consists of experienced service technicians stationed across the Nordic countries. Our service technicians are ready to take on your every service need.”
