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The VIPER® 3D MIS Correction Set is the world’s first minimally invasive deformity system that allows the surgeon to treat the entire thoracolumbar spine minimally invasively. This system is used in conjunction with the VIPER 2 MIS Spine System to bring the benefits of minimally invasive surgery to more patients by providing innovative instrumentation designed specifically to treat complex pathologies.
Fully compatible with the EXPEDIUM® Spine System implants and instruments, the VIPER 3D Set enhances surgeons’ abilities to treat complex pathologies through a variety of techniques and approaches. The VIPER 3D instrumentation is designed to allow complex surgery to be done percutaneously.
The VIPER 3D Set features specialized instruments for easy multi-level rod insertion with 360° rod rotation, powerful rod approximation, segmental or en bloc de-rotation, spondy reduction, controlled multi-level compression & distraction, and the ability to perform posterior-lateral fusion minimally invasively.
Adaptable MIS solutions for an evolving practice.
The VIPER® Spine System is intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine. The VIPER Spine System is intended for noncervical pedicle fixation and nonpedicle fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor, pseudarthrosis; and failed previous fusion in skeletally mature patients. When used in a posterior percutaneous approach with MIS instrumentation, the VIPER System are intended for noncervical pedicle fixation and nonpedicle fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor, pseudarthrosis; and failed previous fusion in skeletally mature patients.
Disease conditions that have been shown to be safely and predictably managed without the use of internal fixation devices are relative contraindications to the use of these devices. Active systemic infection or infection localized to the site of the proposed implantation are contraindications to implantation. Severe osteoporosis is a relative contraindication because it may prevent adequate fixation of spinal anchors and thus preclude the use of this or any other spinal instrumentation system. Any entity or condition that totally precludes the possibility of fusion, i.e., cancer, kidney dialysis, or osteopenia is a relative contraindication. Other relative contraindications include obesity, certain degenerative diseases, and foreign body sensitivity. In addition, the patient’s occupation or activity level or mental capacity may be relative contraindications to this surgery. Specifically, patients who because of their occupation or lifestyle, or because of conditions such as mental illness, alcoholism, or drug abuse, may place undue stresses on the implant during bony healing and may be at higher risk for implant failure.
The VIPER® 3D MIS Correction Set is the world’s first minimally invasive deformity system that allows the surgeon to treat the entire thoracolumbar spine minimally invasively. This system is used in conjunction with the VIPER® 2 MIS Spine System to bring the benefits of minimally invasive surgery to more patients by providing innovative instrumentation designed specifically to treat complex pathologies.
VIPER 3D MIS Correction Set:
• Provides Adaptable Solutions for treating complex pathologies minimally invasively
• Brings the benefits of MIS to more patients
• Fully adaptable with EXPEDIUM® Spine System
The VIPER 3D MIS Correction Set is part of the VIPER 2 System family of products.
|Reduction Caps||Works with standard VIPER towers for ease of use|
|Powerful Correction Instruments||Controlled rod approximation, spondy reduction, compression & distraction|
VIPER® 3D MIS Correction Set Instrumentation
The VIPER 3D MIS Correction Set is designed to allow surgeons to treat complex thoracolumbar cases percutaneously. A variety of instrument and implant sets are available to provide surgeons with unique options to treat patients minimally invasively.
Spondylolisthesis Reduction and Rod Approximation Options
|Rod Approximation||• Used to persuade rod down and simultaneously introduce/lock set screw
• Used in the event that Torque Limiting handle is unable to reduce rod
• Also used to persuade vertebral body into proper alignment
Rod Reduction with Two Piece Reduction handle
|Spondy Reduction Lever||• Levers off of neutral level to pull listhesis into proper alignment
• Can also be used to link across spine for derotation
Spondy Reduction using Reduction Lever
|Compression/Distraction Rack||• Used for controlled multi-level compression/distraction
• Can be used for fracture reduction
• Can compress unilaterally to correct coronal deformity
Fracture Reduction with Compression/Distraction Rack
|Compression Forceps||• Fast multi-level compression
• Can compress unilaterally to correct coronal deformity
Unilateral compression with Compression Forceps
Vertebral Body Derotation (VBD) Options
|Top Loading Derotation Frame||• Allows for segmental derotation
• Can be used up the spine for fracture reduction
NOTE: Connects to VIPER 3D Reduction Cap or EXPEDIUM® Spine System Quick Sticks
|Side Loading Derotation Frame||• Link up the spine for en bloc derotation
• Link across the spine for segmental derotation
NOTE: Connects to VIPER 3D Reduction Cap, VIPER® 2 Screw Extension, or EXPEDIUM Spine System Quick Sticks
En Bloc Derotation
|Rod Rotator/Introducer Options||• Allows for controlled rotation of pre-contoured rods during rod introduction||
Rod introduction using the Rod Rotator
The VIPER 3D MIS Correction Set is used in conjunction with the VIPER 2 MIS Spine System.
The VIPER 2 MIS Spine System uses the same cannulated screws as the original VIPER System, which was developed with our trusted EXPEDIUM Spine System technology. VIPER 2 screws have the same features as the EXPEDIUM Spine System including:
• Dual Lead Threads
• TOP NOTCH™ Connection
• Square Thread Locking Mechanism
The implant set includes a full range of options:
|Rods||Ti, CoCr||5.5 mm||30 mm - 480 mm||Straight
|Standard Screws||Ti, SS||4.35 mm - 7.5 mm||30 mm - 100 mm||Polyaxial
| Extended Tab
|Ti||5 mm - 7.5 mm||30 mm - 65 mm||Poly, 10 mm reduction
Poly, 25 mm reduction
DePuy Spine Customer Service 1-800-227-6633