Maybe MaXcess split blade spine system. nm

• s/l discectomy with Maxis? system - mtmomof3
  • Maybe MaXcess split blade spine system. nm - M.A.
  • Could it be Matrix spinal cord stimulation system (nm) - Getting older

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NuVasive Launches Five New Products

MaXcess II™ is an enhancement of the Company's current MaXcess system, with the addition of several features to allow for greater access to the spine. The new product maintains the split-blade design retraction system, providing maximum access to the patient's spine with minimal tissue disruption. MaXcess II features three blades that slide down over NuVasive's NeuroVision® dilators and gently spread apart the patient's tissue. The superior and inferior blades "kick-out" at an angle, spreading the tissue closest to the pathology point further than the original MaXcess system. MaXcess II allows for greater exposure and access to the spine while requiring no greater incision at the skin. MaXcess II also incorporates the Company's NeuroVision nerve avoidance technology within the posterior retraction blade. This allows surgeons to dynamically test for surrounding nerves during the entire procedure, including pedicle screw testing and implant placement. The entire retraction system is also radiolucent, or translucent to X-Rays, allowing the surgeon full view of the pathology point during fluoroscopy.

CoRoent Large Contoured is designed specifically for a transforaminal approach to the lumbar region of the spine, in which the surgeon approaches at an angle through the patient's back. The product features a curved and bullet-nosed design that closely matches the patient's anatomy. The product's large surface area allows for a uniform load distribution.

CoRoent XLR is designed for an anterior or anterolateral approach to the lumbar region of the spine and features a wide, rounded surface area to maximize the implant's contact with the anatomy.

The CoRoent Large Contoured Implant and CoRoent XLR Systems are specially designed to allow for simplicity of surgeon placement and proper anatomical fit in the spine. Both systems are radiolucent, giving the surgeon a full view of the anatomy during surgery and include radio dense titanium markers, enabling the surgeon to visually confirm their correct positioning. CoRoent products are made of PEEK OPTIMA®, a biocompatible polymer commonly used in implantable devices.

NuVasive has also made enhancements to its NeuroVision® nerve avoidance system in the form of a software upgrade and improved nerve monitoring capabilities. The software upgrade incorporates a new graphical user interface that allows for greater ease of use by the surgical staff. NeuroVision® has also been given a new harness and dual electrodes, or redesigned connectors, to streamline the application of surface electrodes that relay muscle activity to the NeuroVision® nerve monitoring system.

NuVasive's ninth and final product launch for 2005, ExtendSure, will be unveiled during its participation in the North American Spine Society's (NASS) 20th Annual Meeting. ExtendSure is an interspinous dynamic stabilization and fusion product that allows decompression through a more natural restoration of the spinal anatomy. ExtendSure's primary indication is for lumbar spinal stenosis.

The launch of these five new products completes the Company's planned launch of nine new products in 2005. The four additional products launched in 2005 include:

* SpheRx™ Dual Ball Rod (DBR™) Minimally Disruptive Fixation System -- a pedicle screw system that allows for instrument-free compression of the vertebrae, minimizes the incidence of tissue trauma associated with rod-overhang and ensures secure rod placement with minimal rod migration;

* SmartPlate Gradient CLP -- a dynamic cervical plate that encompasses a gradient locking mechanism enabling the screws to be progressively resistant to axial compression. This allows the plate to settle in concert with the eventual allograft implant settling that occurs within the disc space over time, offering a better anatomical fit;

* Insulated Pedicle Access System (I-PAS) -- a surgical instrument used in conjunction with NeuroVision to determine the safe, percutaneous approach pathway of a pedicle screw prior to its implantation. I-PAS is the first percutaneous and dynamic neurophysiologic system on the market to continuously monitor and alleviate the risk of neurological injury during pedicle screw placement;

* CoRoent Large Tapered -- shaped to better match the patient's anatomy, CoRoent Large Tapered is designed to be inserted using a patented "Insert and Rotate" technique, which minimizes damage to the surrounding bone. This procedure allows the surgeon to restore height and stability of the spine.

Alexis V. Lukianov, Chairman and Chief Executive Officer, said, "The launch of these five innovative products marks the completion of a very successful year of introducing products that continue to place NuVasive at the forefront of providing surgeons with the latest minimally disruptive spine surgery technology. We are particularly excited about the launch of MaXcess II, which we believe provides surgeons with the greatest access to the spine in a minimally disruptive procedure available on the market. We believe MaXcess II will broaden our penetration of the spine market and allows for increased pull-through of our implants such as SpheRx DBR. ExtendSure is a unique product that will be the first of its kind on the market for the indication of lumbar spinal stenosis. ExtendSure will be launched at NASS as a limited release with a full launch anticipated in the first half of 2006. The CoRoent XLR and Large Contoured Systems were designed in response to the demand from spine surgeons for an implant with superior anatomical fit that is simple to position and align. Initial feedback from surgeons on all of the products launched in 2005 has been very positive. We will continue to execute our strategy of introducing new products and making our own products obsolete to stay ahead of the competition with the continued vertical integration of our platform."

NuVasive will have all of the products launched in 2005 on display during its participation in the North American Spine Society's (NASS) 20th Annual Meeting at the Pennsylvania Convention Center in Philadelphia, PA from September 27, 2005 to October 1, 2005. NuVasive's booth number at NASS is #945.

NuVasive Launches Five New Products

9/27/2005

Source: NuVasive, Inc.

NuVasive, Inc. , a medical device company focused on developing products for minimally disruptive surgical treatments for the spine, announced today the launch of five new products within the Company's MAS™ Platform. The products are the MaXcess™ II retraction system, the CoRoent™ Large Contoured System, the CoRoent™ XLR System, several enhancements to the Company's NeuroVision® nerve avoidance system and ExtendSure, an interspinous dynamic stabilization and fusion product.

MaXcess II™ is an enhancement of the Company's current MaXcess system, with the addition of several features to allow for greater access to the spine. The new product maintains the split-blade design retraction system, providing maximum access to the patient's spine with minimal tissue disruption. MaXcess II features three blades that slide down over NuVasive's NeuroVision® dilators and gently spread apart the patient's tissue. The superior and inferior blades "kick-out" at an angle, spreading the tissue closest to the pathology point further than the original MaXcess system. MaXcess II allows for greater exposure and access to the spine while requiring no greater incision at the skin. MaXcess II also incorporates the Company's NeuroVision nerve avoidance technology within the posterior retraction blade. This allows surgeons to dynamically test for surrounding nerves during the entire procedure, including pedicle screw testing and implant placement. The entire retraction system is also radiolucent, or translucent to X-Rays, allowing the surgeon full view of the pathology point during fluoroscopy.

CoRoent Large Contoured is designed specifically for a transforaminal approach to the lumbar region of the spine, in which the surgeon approaches at an angle through the patient's back. The product features a curved and bullet-nosed design that closely matches the patient's anatomy. The product's large surface area allows for a uniform load distribution.

CoRoent XLR is designed for an anterior or anterolateral approach to the lumbar region of the spine and features a wide, rounded surface area to maximize the implant's contact with the anatomy.

The CoRoent Large Contoured Implant and CoRoent XLR Systems are specially designed to allow for simplicity of surgeon placement and proper anatomical fit in the spine. Both systems are radiolucent, giving the surgeon a full view of the anatomy during surgery and include radio dense titanium markers, enabling the surgeon to visually confirm their correct positioning. CoRoent products are made of PEEK OPTIMA®, a biocompatible polymer commonly used in implantable devices.

NuVasive has also made enhancements to its NeuroVision® nerve avoidance system in the form of a software upgrade and improved nerve monitoring capabilities. The software upgrade incorporates a new graphical user interface that allows for greater ease of use by the surgical staff. NeuroVision® has also been given a new harness and dual electrodes, or redesigned connectors, to streamline the application of surface electrodes that relay muscle activity to the NeuroVision® nerve monitoring system.

NuVasive's ninth and final product launch for 2005, ExtendSure, will be unveiled during its participation in the North American Spine Society's (NASS) 20th Annual Meeting. ExtendSure is an interspinous dynamic stabilization and fusion product that allows decompression through a more natural restoration of the spinal anatomy. ExtendSure's primary indication is for lumbar spinal stenosis.

The launch of these five new products completes the Company's planned launch of nine new products in 2005. The four additional products launched in 2005 include:

* SpheRx™ Dual Ball Rod (DBR™) Minimally Disruptive Fixation System -- a pedicle screw system that allows for instrument-free compression of the vertebrae, minimizes the incidence of tissue trauma associated with rod-overhang and ensures secure rod placement with minimal rod migration;

* SmartPlate Gradient CLP -- a dynamic cervical plate that encompasses a gradient locking mechanism enabling the screws to be progressively resistant to axial compression. This allows the plate to settle in concert with the eventual allograft implant settling that occurs within the disc space over time, offering a better anatomical fit;

* Insulated Pedicle Access System (I-PAS) -- a surgical instrument used in conjunction with NeuroVision to determine the safe, percutaneous approach pathway of a pedicle screw prior to its implantation. I-PAS is the first percutaneous and dynamic neurophysiologic system on the market to continuously monitor and alleviate the risk of neurological injury during pedicle screw placement;

* CoRoent Large Tapered -- shaped to better match the patient's anatomy, CoRoent Large Tapered is designed to be inserted using a patented "Insert and Rotate" technique, which minimizes damage to the surrounding bone. This procedure allows the surgeon to restore height and stability of the spine.

Alexis V. Lukianov, Chairman and Chief Executive Officer, said, "The launch of these five innovative products marks the completion of a very successful year of introducing products that continue to place NuVasive at the forefront of providing surgeons with the latest minimally disruptive spine surgery technology. We are particularly excited about the launch of MaXcess II, which we believe provides surgeons with the greatest access to the spine in a minimally disruptive procedure available on the market. We believe MaXcess II will broaden our penetration of the spine market and allows for increased pull-through of our implants such as SpheRx DBR. ExtendSure is a unique product that will be the first of its kind on the market for the indication of lumbar spinal stenosis. ExtendSure will be launched at NASS as a limited release with a full launch anticipated in the first half of 2006. The CoRoent XLR and Large Contoured Systems were designed in response to the demand from spine surgeons for an implant with superior anatomical fit that is simple to position and align. Initial feedback from surgeons on all of the products launched in 2005 has been very positive. We will continue to execute our strategy of introducing new products and making our own products obsolete to stay ahead of the competition with the continued vertical integration of our platform."

NuVasive will have all of the products launched in 2005 on display during its participation in the North American Spine Society's (NASS) 20th Annual Meeting at the Pennsylvania Convention Center in Philadelphia, PA from September 27, 2005 to October 1, 2005. NuVasive's booth number at NASS is #945.

job.  In other words multiple dictations on one voice file.  I do not have my manual and cannot get ahold of anyone.  I'm stuck!

TX!!

"sixteen one-thousands of an inch".  That would be 0.016 inch right?

This is on the tip of my tongue but I can't remember it.  It sounds like "zeeg"haber (one word) blade, but he kinds of mushes the first half.  It's for a phaco and trabeculectomy.

Thanks!

Super Sharp?  Supersharp?  Super-Sharp?

TGIF!

Below is the paragraph.  Cannot find s/l Nuez, news? 

The patient would like to get his s/l Nuez system again.  This is basically an erectile dysfunction system that I have prescribed before.  It is an older system, but it worked very well for him.  I would much rather him do that than use an oral drug.  So I wrote him for that today as well. 

Thanks in advance.

Sorry for such a stupid question that I should know, but I am drawing an absolute complete blank on this one (just one of those dementia moments)...In physical exam what system would I list this under.  I'm drawing a blank thinking maybe genitalia, pelvic, rectal or what (none of it looks right to me).  I've been sitting staring at it for about 10 minutes now and have just confused myself.This is the info...

Penis is uncircumcised.  He has a 16-French Foley catheter in place.  There is clear urine output.  Testicles are descended bilaterally.  His prostate is 50 grams and benign.  He has normal sphincter tone.

Thanks much

Motor strength *** right. Test on upper and lower extremites were a normal sensory examination to a light touch.  Intact REFLEXES**2+ symmetric.  Events responses were critical, there is notes and comments.---it sounds like the doctor is saying motor strength coming off to the right???? (can that be correct)    the other problem sounds like Intact (relflexy in purse) 2+ cetrum symmatric)???? please help!! and thanks!!   THE DOCTOR IS A REAL MOTOR MOUTH

http://www.lapband.com/

LAP-BAND is trademarked and is the name of the system....