EndoSurg Plus System

  • interlaminar
  • transforaminal
  • Access: transforaminal and interlaminar
  • Indications: ventral, lateral and dorsal pathologies, e.g. herniated discs, foraminal stenoses, facet joint cysts, spondylolistheses
  • Field of application: lumbar and thoracic

The EndoSurg Plus System is unintech‘s most commonly used system for full-endoscopic spinal decompression. It can be used transforaminal as well as interlaminar on thoracic and lumbar spine.

The system consists of instruments clearly arranged in a double tray and the endoscope safely stored in a tray, which also has space for the endoscopic light guide.

The set contains all instruments (approx. 25), that are required as standard for endoscopic surgery, e.g. dilators, working tubes, various forceps, chisels, nerve hook, elevator, etc. They are optimally adapted to the procedure and the endoscope in terms of length, diameter and design.

EndoSurg Plus Endoscope  
Working length 171 mm
Outer diameter shaft 7.6 mm
Diameter working channel 4.7 mm
Optic angle 30°
EndoSurg Endoscope

Principal steps of the procedure

Endoscopic pictures show transforaminal approach

Inserting the working tubes U and T
  1. Access to the target area transforaminal or interlaminar through serial Dilation
Endoscopic decompression with various instruments
  1. Exposing the target area under endoscopic visualization and identifying the intact and untreated bony structures
Endoscopic view to intervertebral foramen
  1. Foraminotomy or Laminotomy with forehead reamer under endoscopic control
Endoscopic decompression with various instruments
  1. Endoscopic decompression with various instruments, e.g. biopsy forceps, biopy and Kerrison punchens, bone chisel
Endoscopic decompression with various instruments
  1. free nerve – end of the procedure

Unique Instruments for Transforaminal or Interlaminar Approach

Transforaminal approach

U- and T-type working tube optimized for tranforaminal access

Interlaminar approach

U- and T-type working tube optimized for interlaminar access

forehead reamer transforaminal approach

Tip of fully toothing forehead reamer with rills on the inside for monitoring bone penetration depth

forehead reamer interlaminar approach

Tip of partial toothing forehead inserted in U-type working tube. Endoscope is inserted in forehead reamer

EndoSurg Plus Instruments for Decompression

  • Nerve hook and elevator for palpation
  • Nerve hook bone chisel and curette for boney treatment, e. g. osteophytes
  • Endoscopic Kerisson punches with rotatable shaft and various footprints
  • Forceps with different tips and sizes available, resilient and durable due to new and patented functional mechanism
Nerve hook bone chisel
Kerisson punch cutting Lig. flavum, transforaminal access
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