phantom al anterior lumbar access system

PHANTOM AL ANTERIOR LUMBAR ACCESS SYSTEMYou Perform. Does Your Access System?

P E R F E C T I N G S U R G I C A L A C C E S SPhantom AL Anterior Lumbar Access System

P H A N T O M A LThe Premier Anterior Lumbar Access System

Degenerative disc and facet joint disease is a pervasive condition among an aging, yet active global population. This prevalent clinical challenge continues to drive innovation in the mission of improving patient outcomes.

ALIF has evolved to be an efficacious and predominant surgical technique. [ This] approach facilitates adequate access to the ventral surface of the exposed disc, allowing comprehensive discectomy and direct implant insertion.1

While the anterior lumbar column approach has been documented to restore sagittal balance and lumbar lordosis, careful movement and retraction of vascular structures remains a surgical challenge.

The Phantom AL™ Anterior Lumbar Access System from TeDan Surgical Innovations (TSI) has been engineered to deliver state-of-the-art structural stability enabling surgeons to predictably retract critical vascular and retroperitoneal structures.

From thoughtful selection of materials for its system components to a surgeon-focused product design, the Phantom AL Anterior Lumbar Access System has emerged as a high-performance surgical tool for the modern access surgeon facilitating safe, reliable, and predictable system performance in anterior spine surgery.

Perform at your best.

C O N F I D E N C E T H R O U G H S T R E N G T H

"It is critical to embrace a fixed retractor system for anterior lumbar spine surgery to allow predictable, reproducible, and safe spine exposure."

- Thomas Terramani, M.D. Vascular Associates of San Diego

Two-Point Fixation

Articulating arms uniquely engineered for anterior lumbar surgery enable two-point fixation and structural stability essential to confidently and predictably retract delicate vasculature and retroperitoneal structures from the anterior lumbar column.

Secure Blade Connection

Phantom AL Ring Clamps have been designed to prevent retractor blade migration from the intended deployment location. A secure connection with the retractor ring is established with ease enabling the surgeon to access the anterior lumbar spine with confidence while retracting critical vascular anatomical structures.

Surgical-Grade Titanium Blades

Phantom AL surgical-grade titanium retractor blades provide the rigidity and stability needed to create reproducible and unencumbered access to the spine, procedure after procedure. Featuring a convex atraumatic shape, Phantom AL Blades dissipate force displaced against retracted muscle and tissue ensuring gentle, yet firm anatomical retraction.

V E R S AT I L I T Y. O N - D E M A N D.

"The ability to flexibly deploy blades in a fixed or rotating position on-demand, not only saves time during the access phase, but also ensures a reproducible and dependable surgical corridor for the spine surgeon."

- Thomas Terramani, M.D.Vascular Associates of San Diego

Step-wise blade angulation can also be achieved by combining a Hex Wrench and a Pivoting Blade Holder for incremental exposure of the surgical field.

Fixed or Rotating Blade Engagement

The patented, double pin connector on the Phantom AL Blades gives surgeons the freedom to choose - blades can be engaged in either a fixed or rotating position either to ensure retraction force or accommodate seamlessly to patient anatomical landmarks.

Tactile Adjustment of Blade Angulation

Angulation of retractor blades up to 30 degrees, in both positive and negative directions, allows surgeons to maximize exposure while maintaining miniaturization of the incision and compensating for patient’s sacral anatomy relative to the L5 vertebral body.

U S E R - C E N T E R E D D E S I G N

Low-Profile

The Phantom AL System assembly has a low-profile set-up, allowing unencumbered access to the patient. Thoughtfully engineered articulating arms when used in combination with the Phantom AL Rotating Table Clamp, allow the surgeon to adapt the system to varying patient demands and multi-level surgery.

Low-Impact

The intentional design of the Phantom AL Ring Clamp allows engagement onto the retractor ring with ease, preventing movement during surgery and undue strain on the surgeon’s hands.

"Following the adoption of the Phantom AL System into my practice, post-operative hand and finger strain was entirely eliminated."


Phantom AL Retractor Blades are available in both titanium and aluminum, allowing for optimal visualization of anatomical structures during intraoperative fluoroscopy. Spine surgeons can visualize end plate alignment, vertebrae, and intervertebral disc space with ease and without disruption of radiopaque instrumentation hindering the view of critical structures of the spine.

Varying patient anatomies demand a wide spectrum of retraction possibilities. Ranging from 60 to 200 mm in length and widths of 25 and 50 mm, the Phantom AL System enables a comprehensive approach to surgical access.

P H A N T O M A LT M A N T E R I O R L U M B A R A C C E S S S Y S T E MAL-1000

C AT. NO. PRODUC T DESCRIPTION QT Y.AL-0100 Phantom AL Retractor Ring 1AL-0101 Phantom AL Extension Bar 2AL-0103 Phantom AL Ring Clamp 6AL-0105 Phantom AL Blade Holder 6AL-0106 Phantom AL Hex Wrench 2AL-0110 Phantom AL Accessory Arm 2AL-0200 Phantom AL ALIF Blade, 25 x 60 mm, Titanium 4AL-0202 Phantom AL ALIF Blade, 25 x 80 mm, Titanium 4AL-0204 Phantom AL ALIF Blade, 25 x 100 mm, Titanium 4AL-0206 Phantom AL ALIF Blade, 25 x 120 mm, Titanium 4AL-0208 Phantom AL ALIF Blade, 25 x 140 mm, Titanium 4AL-0210 Phantom AL ALIF Blade, 25 x 160 mm, Titanium 4AL-0212 Phantom AL ALIF Blade, 25 x 180 mm, Titanium 4AL-0214 Phantom AL ALIF Blade, 25 x 200 mm, Titanium 4AL-0420 Phantom AL ALIF Blade, 50 x 60 mm, Titanium 2AL-0422 Phantom AL ALIF Blade, 50 x 80 mm, Titanium 2AL-0424 Phantom AL ALIF Blade, 50 x 100 mm, Titanium 2AL-0426 Phantom AL ALIF Blade, 50 x 120 mm, Titanium 2AL-0428 Phantom AL ALIF Blade, 50 x 140 mm, Titanium 2AL-0430 Phantom AL ALIF Blade, 50 x 160 mm, Titanium 2AL-0432 Phantom AL ALIF Blade, 50 x 180 mm, Titanium 2AL-0434 Phantom AL ALIF Blade, 50 x 200 mm, Titanium 2AL-0700-01 Phantom AL Instrument Tray 1, AL-1000 1AL-0700-02 Phantom AL Instrument Tray 2, AL-1000 1HS-0305 Phantom HS Flex Arm, Light Cable Holder, Large 1ML-0021 Phantom ML Rotating Table Clamp 2ML-0058 Phantom ML Secure Light Cable, Pronged Bushing, 10' 1ML-0051 Phantom ML LED Light Source 1ML-0505 Phantom XL Hex Driver Tool 1

OPTIONAL ITEMSAL-0102 Phantom AL Pivoting Blade Holder 6AL-0107 Phantom AL Articulating Ring Connector 2AL-0160 Phantom AL ALIF Blade, 50 x 60 mm, Gold 2AL-0162 Phantom AL ALIF Blade, 50 x 80 mm, Teal 2AL-0164 Phantom AL ALIF Blade, 50 x 100 mm, Brown 2AL-0166 Phantom AL ALIF Blade, 50 x 120 mm, Purple Splash 2AL-0168 Phantom AL ALIF Blade, 50 x 140 mm, Black 2AL-0170 Phantom AL ALIF Blade, 50 x 160 mm, Gray 2AL-0172 Phantom AL ALIF Blade, 50 x 180 mm, Blue Splash 2AL-0174 Phantom AL ALIF Blade, 50 x 200 mm, Gray Splash 2AL-0220 Phantom AL ALIF Blade, 25 x 60 mm, Gold 4AL-0222 Phantom AL ALIF Blade, 25 x 80 mm, Teal 4AL-0224 Phantom AL ALIF Blade, 25 x 100 mm, Brown 4AL-0226 Phantom AL ALIF Blade, 25 x 120 mm, Purple Splash 4AL-0228 Phantom AL ALIF Blade, 25 x 140 mm, Black 4AL-0230 Phantom AL ALIF Blade, 25 x 160 mm, Gray 4AL-0232 Phantom AL ALIF Blade, 25 x 180 mm, Blue Splash 4AL-0234 Phantom AL ALIF Blade, 25 x 200 mm, Gray Splash 4

A P P L I C AT I O N F O R G E N E R A L S U R G E R Y P R O C E D U R E S

"With its general surgery retraction capabilities, the Phantom AL Access System is the product of choice for surgeons looking to introduce greater value and return into their practice."


With the advent and continued focus on hospital cost containment, it is paramount to expand the utilization of an access system beyond a single procedure or application use. Leverage the Phantom AL Anterior Lumbar Access System to expand into general, urological, and gynecological surgery applications by combining the stability of the Phantom AL Ring system assembly with a broad range of surgical blade designs.

Providing access surgeons with a holistic solution to perform not only anterior lumbar procedures but also other common general surgery procedures is at the center of this cost efficiency mission. TSI, once again, elevates your surgical practice with its eye on innovation and cost efficiencies.

C AT. NO. PRODUC T DESCRIPTION QT Y.AL-0100 Phantom AL Retractor Ring 1

AL-0103 Phantom AL Ring Clamp 6

AL-0105 Phantom AL Blade Holder 6

AL-0106 Phantom AL Hex Wrench 2

AL-0107 Phantom AL Articulating Ring Connector 2

AL-0110 Phantom AL Accessory Arm 2

AL-0700-01 Phantom AL Instrument Tray 1, AL-1000 1

GS-0204 Phantom GS Malleable Blade, 2 x 6" 2

GS-0206 Phantom GS Malleable Blade, 3 x 6" 2

GS-0210 Phantom GS Splanchnic Blade, 2 x 4" 1



GS-0224 Phantom GS Fence Blade, 4 x 6" 1

GS-0230 Phantom GS Renal Vein Blade, 1 x 41/2" 2

GS-0232 Phantom GS Renal Vein Blade, 1 x 6" 2

GS-0240 Phantom GS Wylie Renal Vein Blade, 1 x 7" 2

GS-0254 Phantom GS Deaver Blade, 2 x 5" 1

GS-0256 Phantom GS Deaver Blade, 23/4 x 5" 1

GS-0266 Phantom GS Balfour Blade, 31/3 x 23/4" 2

GS-0272 Phantom GS Mayo Blade, 23/4 x 2" 2

GS-0274 Phantom GS Mayo Blade, 31/2 x 2" 2

GS-0280 Phantom GS Harrington Blade, 2 x 5" 1

GS-0292 Phantom GS Richardson Blade, 2 x 4" 1

GS-0294 Phantom GS Richardson Blade, 2 x 6" 1

GS-0306 Phantom GS Kelly Blade, 21/2 x 3" 2

GS-0600 Phantom GS GS Instrument Tray, GS-1000 1

ML-0021 Phantom ML Rotatable Table Clamp 2

ML-0505 Phantom XL Hex Driver Tool 1

OPTIONAL ITEMSAL-0101 Phantom AL Extension Bar 2

AL-0102 Phantom AL Pivoting Blade Holder 6

GS-0202 Phantom GS Malleable Blade, 11/2 x 6" 1

GS-0252 Phantom GS Deaver Blade, 11/2 x 5" 1




GS-0270 Phantom GS Mayo Blade, 2 x 2" 1

GS-0276 Phantom GS Mayo Blade, 31/2 x 23/4" 1

GS-0282 Phantom GS Harrington Blade, 21/2 x 7" 1

GS-0290 Phantom GS Mini Richardson Blade, 3/4 x 2" 1

GS-0302 Phantom GS Kelly Blade, 2 x 21/2" 1

GS-0304 Phantom GS Kelly Blade, 2 x 8" 1

P H A N T O M G S T M G E N E R A L S U R G E R Y A C C E S S S Y S T E MGS-1000

Phantom AL and Phantom GS are trademarks of TeDan Surgical Innovations, Inc.

Images courtesy of Thomas Terramani, M.D. Vascular Associates of San Diego San Diego, CA

References: 1. Mobbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar

interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF. J Spine Surg 2015;1(1):2-18. doi: 10.3978/j.issn.2414-469X.2015.10.05

Ph: 713-726-0886 Fax: 713-726-0846 Toll Free: 877-726-0886 12615 West Airport Blvd., Suite #200, Sugar Land, Texas 77478 Email: [email protected] www.tedansurgical.com

LIT-0081, REV 4 ©TSI 2019

phantom al anterior lumbar access system

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