Redefining the standard of care

PHANTOM XL3 LATERAL ACCESS SYSTEM

M A S T E R I N G T H E A P P R OAC HPhantom XL3 Lateral Access System

P H A N T O M X L 3The Ultimate Surgical Access System

Efficient and safe access to the disc space is at the center of the surgical mission for the minimally invasive surgeon1. Yet, unencumbered access to the anatomy while maintaining a small surgical incision remains a clinical challenge.

The all-new Phantom XL3™ Lateral Access System from TeDan Surgical Innovations (TSI) transforms the lateral surgical retraction approach by eliminating instrumentation fiddle factor through the integration of unparalleled surgical access design elements — all with the focus of elevating the surgeon’s armamentarium performance.

Equipped with unwavering assembly stability, boundless set-up versatility and effortless ease of use, the Phantom XL3 Lateral Access System is poised to redefine the standard of care.

"A T R U LY S TA B L E S Y S T E M E X P E C T S T H E U N E X P E C T E D."

— Tom Robbins, American author

Reliable deployment of surgical instrumentation is a must to ensure that surgeon focus stays on what really matters. Even the slightest unintended shift may require tedious readjustments or encroachment of sensitive neural spinal anatomy.

Starburst Interface

I n t e r l o c k i n g t e e t h o n t h e starburst design enable rigid a n d p r e c i s e f i x a t i o n t o t h e t a b l e m o u n t e d a r t i c u l a t i n g arm, ensuring focused surgeon concentration by eliminating inadvertent movement.

Anchoring Shims

Engaging the intervertebral disc space or anchoring to the adjacent vertebral body, Phantom XL3 shims are specifically designed to eliminate frame migration ensuring streamlined access to the targeted disc space.

Locking Blades

P h a n to m X L’ 3 ’s to p - l o a d i n g l o c k i n g m e c h a n i s m s e c u re s retractor blades onto retractor frame ensuring efficient tissue retraction without unintended movement, especially during the implant trial and insertion phase of surgery.

" I T ' S N O T W H AT Y O U LO O K AT T H AT M AT T E R S . I T ' S W H AT Y O U   S E E ."

— Henry David Thoreau, American author

Surgical site exposure and visualization is paramount — after all, a surgeon cannot treat what is not visible.

Integrated Lighting

Integrated LED lighting deployed down blade channels deliver direct illumination to the surgical site limiting the need of a surgical headlight.

Radiolucency

Phantom XL3 retractor blades are radiolucent providing superior visualization of end plate alignment, intervertebral disc space and other essential anatomical structures. Additionally, the ancillary 4th blade retractor is transparent during the imaging phase so that visualization is not impaired when anterior retraction is required.

"INTELLIGENCE IS THE ABILITY TO ADAPT TO CHANGE."

— Stephen Hawking, British physicist

Each surgical procedure is as unique as its patient. A surgeon’s armamentarium should be adaptive to meet these diverse demands.

Adjustable Retraction Movement

Posterior Retraction Anterior Retraction

The articulating arm may be mounted onto one of two fixation points located on the retractor frame. Selecting the desired attachment location enables either posterior (A) or anterior retraction (B) by fixing a portion of the retractor and isolating the movement.

Removable Handles

Once des i red pos i t ioning i s reached, retractor frame handles may be removed at the click of a button — creating an even lower-profile setup option.

Blade Movement

I n d i v i d u a l b l a d e r e t r a c t i o n enables patient specific exposure based on precise, incremental a d j u s t m e n t s . T h e r e t r a c t o r frame is equipped with a 15° pivoting capability on each blade, providing additional exposure and minimiz ing muscle and tissue creep.

15°

(A)(B)

"A N Y D A R N F O O L C A N M A K E S O M E T H I N G C O M P L E X ; I T TA K E S A G E N I U S T O M A K E S O M E T H I N G S I M P L E ." — Albert Einstein, German-American physicist

The Phantom XL3 Lateral Access System eliminates the guesswork through its intuitive design and application-focused accessories. Eliminating fiddle factor was a top design priority for this next generation access system.

Improving Ease of Use

Universal blade channel design p r o v i d e s a n a r e a f o r s h i m deployment, enabling optimal visualization of the operative site.

H e x d r i v e r t o o l e n a b l e s controlled blade retraction and p i vo t i n g t h ro u g h e n h a n ce d tactile feedback.

Control at the Push of a Button

• (A) Caudal and Cephalic Blade Release Levers provide fast retraction adjustment.

• (B) Button Releases for the caudal and cephalic blades allow users to quickly unlock blades during disassembly.

(A)

(B)

P H A N T O M N E U R O M O N I T O R I N G D I L AT O R K I TWith a uniquely-formulated outer dilator insulated coating, ultra-sensitive triangular stimulating electrodes and distinctly visible depth markings, the all-in-one Dilator Neuromonitoring Kit enables streamlined navigation of the retroperitoneal space and effortless blade selection.

Safe and fast access to the lateral aspect of the disc has never been  easier.

Improving Efficiency Through Design

• (A) Initial 8 mm dilator is radio-opaque to provide clear imaging during placement, while subsequent 13 and 18 mm dilators are radiolucent.

• (B) Carefully selected outer dilator coating provides streamlined introduction into retroperitoneal space.

• (C) Markings at proximal tip offer directional support to the triangular stimulating electrodes at the distal tip

(B) (C)(A)

" C O N S I S T E N T A C T I O N C R E AT E S C O N S I S T E N T   R E S U LT S ."

— Christine Kane , American singer

Dilator Clip

Compatible with any 1.5 mm DIN safety connector enabling neuromonitoring capability when paired with insulated dilators.

Insulated Dilators

Delicately designed outer coating and ultra-sensitive triangular stimulating electrodes ensure consistent and safe navigation through the psoas and neural plexus.

Shims

• (A) 20 mm spike shims are deployed into the disc space to lock the retractor blade into desired location minimizing inadvertent movement.

• (B) 28 mm blunt spike shims enable a deeper intradiscal anchor ensuring assembly stability in larger patients.

• (C) Screw shims engage with the vertebral body to provide solid anchoring adjacent to the disc space.

Neuromonitoring Probe

Enables pinpoint identification of neural anatomy anytime during the surgical procedure.

K-Wires

Available in 1.5 mm sharp and blunt tips to initiate the dilation process and provide retractor placement guidance by locking into the disc space.

(A) (B) (C)

P H A N T O M X L 3 L AT E R A L A C C E S S S Y S T E MC AT. N O . P R O D U C T C AT. D E S C R I P T I O N Q T Y.

M L - 0 0 2 1 P h a n t o m M L R o t a t a b l e Ta b l e C l a m p 1

M L - 0 0 5 1 P h a n t o m M L L E D L i g h t S o u r c e 1

M L - 0 0 5 6 P h a n t o m X L D i l a t o r H o l d e r 1

M L - 0 0 6 1 P h a n t o m X L 3 A n g l e d A r t i c u l a t i n g A r m , R i g i d S t a r b u r s t C o n n e c t 1

M L - 0 0 6 8 P h a n t o m X L 3 L i g h t C a b l e , S h i m T i p , 1 0 ’ 1

M L - 0 5 0 5 P h a n t o m M L H e x D r i v e r To o l 2

M L - 0 5 1 5 P h a n t o m X L L a t e r a l S c r e w d r i v e r , L o n g 1

M L - 0 5 1 8 P h a n t o m X L I n t r o d u c e r , 1 8 m m 1

M L - 0 5 1 9 P h a n t o m X L 3 S h i m I n s e r t e r To o l 1

M L - 0 9 0 5 P h a n t o m X L 3 3 B l a d e R e t r a c t o r F r a m e 1

M L - 0 9 2 0 P h a n t o m X L 3 B l a d e S e t , 1 8 X 9 0 m m , P i n k 1

M L - 0 9 2 1 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 0 0 m m , B r o w n 1

M L - 0 9 2 2 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 1 0 m m , Te a l S p l a s h 1

M L - 0 9 2 3 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 2 0 m m , P u r p l e S p l a s h 1

M L - 0 9 2 4 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 3 0 m m , G r e e n 1

M L - 0 9 2 5 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 4 0 m m , B l a c k 1

M L - 0 9 2 6 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 5 0 m m , B l u e 1

M L - 0 9 2 7 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 6 0 m m , G r a y 1

M L - 0 9 2 8 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 7 0 m m , B l a c k S p l a s h 1

M L - 0 9 2 9 P h a n t o m X L 3 B l a d e S e t , 1 8 X 1 8 0 m m , B l u e S p l a s h 1

M L - 0 9 0 1 P h a n t o m X L 3 A n c i l l a r y 4 t h B l a d e C r o s s B a r 1

M L - 0 9 0 7 P h a n t o m X L 3 A n c i l l a r y 4 t h B l a d e R e t r a c t o r , 6 0 - 1 0 0 m m 1

M L - 0 9 0 6 P h a n t o m X L 3 A n c i l l a r y 4 t h B l a d e R e t V r a c t o r , 1 1 0 - 1 5 0 m m 1

M L - 0 9 0 4 P h a n t o m X L 3 A n c i l l a r y 4 t h B l a d e R e t r a c t o r , 1 6 0 - 2 0 0 m m 1

M L - 0 7 1 4 P h a n t o m X L 3 I n s t r u m e n t Tr a y , M L - 2 0 1 4 1

S I N G L E U S E P R O D U C T S

M L - 0 3 0 1 P h a n t o m X L K - W i r e , B l u n t , 1 . 5 X 3 5 0 m m , S i n g l e U s e , 6 / P a c k 1

M L - 0 3 0 3 P h a n t o m X L K - W i r e , S h a r p , 1 . 5 X 3 5 0 m m , S i n g l e U s e , 6 / P a c k 1

M L - 0 3 4 2 P h a n t o m X L P e d i c l e S c r e w P r o b e , S t e r i l e , 1 0 / B o x 1

M L - 0 3 4 5 P h a n t o m X L D i l a t o r C l i p , S t e r i l e 1

M L - 0 4 4 1 S P h a n t o m X L I n s u l a t e d D i l a t o r , 8 , 1 3 & 1 8 m m , S t e r i l e 1

M L - 0 5 1 3 P h a n t o m X L S p i k e S h i m , B l u n t , 2 8 m m , S i n g l e U s e 1

M L - 0 5 1 6 P h a n t o m X L S p i k e S h i m , 2 0 m m , S i n g l e U s e 1

M L - 0 5 1 7 P h a n t o m X L S c r e w S h i m , S i n g l e U s e 1

1

O P T I O N A L I T E M S

M L - 0 9 1 5 P h a n t o m X L 3 B l a d e S e t , 1 8 X 4 0 m m , R e d 1

M L - 0 9 1 6 P h a n t o m X L 3 B l a d e S e t , 1 8 X 5 0 m m , V i o l e t 1

M L - 0 9 1 7 P h a n t o m X L 3 B l a d e S e t , 1 8 X 6 0 m m , G o l d 1

M L - 0 9 1 8 P h a n t o m X L 3 B l a d e S e t , 1 8 X 7 0 m m , Ye l l o w 1

M L - 0 9 1 9 P h a n t o m X L 3 B l a d e S e t , 1 8 X 8 0 m m , Te a l 1

Phantom XL3 is trademark of TeDan Surgical Innovations, LLC.

Image courtesy of James J. Lynch, MD, FRCSI, FAANS, Spine Nevada, Minimally Invasive Spine Institute (pages 1, 2, 4, 5, 7, 10).

Some of the images within this brochure have been animated to demonstrate specific product features (pages 7, 12, 13, 14).

References:

1. Akbarnia A. et al. Extreme lateral interbody fusion- XLIF. Current Orthopedic Practice, Volume 20, No. 3. May/June 2009.

Ph: 713-726-0886 Fax: 713-726-0846 Toll Free: 877-726-0886 12615 West Airport Blvd., Suite #200, Sugar Land, Texas 77478 Email: info@tedansurgical.com www.tedansurgical.com LIT-0094, REV 0 ©TSI 2017