English
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Spine
TOOLMED
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1 Pcs
5-7 days
Product Description
The set features a sophisticated inserter with a geared distal tip, allowing the surgeon to adjust the angle of the PEEK cage in real-time as it is guided around the neural elements and into the anterior disc space.
Includes a comprehensive series of trials with a specific "bulleted" leading edge. This design allows for easier insertion into collapsed disc spaces, acting as a self-distracting tool during initial sizing.
The inserter provides a rigid mechanical lock on the cage during the pivoting motion, ensuring the implant does not become prematurely detached or misaligned during the transition from linear to transverse position.
All height and footprint trials are color-coded to match the T-PAL PEEK cages, significantly reducing the risk of size mismatch and streamlining the communication between the surgeon and scrub technician.
Indicated for high-lumbar fusions where a unilateral approach is required to avoid excess dural retraction. The T-PAL instruments allow for safe "pivot" placement in these narrow anatomical zones.
The primary indication for treating degenerative spondylolisthesis. The instruments provide the leverage needed to restore height and correct segmental sagittal alignment through a single foraminal window.
Used to address disc collapse at the base of the spine. The articulated inserter is particularly effective at navigating the steep angles and large disc volumes typical of the L5-S1 junction.
Applied in the correction of degenerative adult scoliosis, where T-PAL cages are used to distract the concave side of a curve, restoring coronal balance through a minimally invasive corridor.
| Product name | T-PAL Peek Cage Instrument Set |
| Material | TA3 |
| Diameter | / |
| Length | / |
| Application | / |
| Certificate | CE Certificate |
| Brand | TOOLMED |
| MOQ | 1 Pcs |
| OEM | Avaliable |
| Package | PE Inner Bag+Carton |
| Payment Method | T/T，Bank transfer, Western Union |
| Delivery Time | 5-7 days |
| Shipping | DHL EMS UPS TNT FEDEX |
The T-PAL Peek Cage Instrument Set is a specialized surgical system designed for the Transforaminal Polyaxial (T-PAL) fusion technique. This set is engineered to solve the "straight-in" problem of traditional TLIF by using an articulated inserter that can pivot the cage into a horizontal position once it is inside the disc space. The set includes a full range of trials, which allow the surgeon to determine the footprint and height needed to restore the disc gap. It also features preparation tools such as curettes and rasps that are specifically angled to reach the anterior and contralateral sides of the disc through a unilateral posterior approach.
This instrument set is applied in Transforaminal Lumbar Interbody Fusion (TLIF) procedures, particularly those utilizing the "pivot" technique. It is used to treat patients with degenerative disc disease, grade I or II spondylolisthesis, and spinal stenosis. The tools allow the surgeon to safely navigate a PEEK cage past the exiting nerve root and then rotate it 90 degrees so it sits transversely across the anterior column. This application is critical for providing broad-based support for the vertebrae and maximizing the area available for bone graft placement to ensure a successful fusion.
The primary advantage of the TOOLMED T-PAL set is the mechanical precision of its articulated inserter. Unlike manual "pivoting" which can be unpredictable, our geared system provides a smooth, controlled rotation. The instruments are made from 17-4PH stainless steel, offering an excellent balance of high strength and corrosion resistance. Furthermore, the "bulleted" trials facilitate easier insertion into narrow disc spaces, reducing the need for excessive distraction. The comprehensive tray layout ensures that every tool—from initial rasping to final cage release—is organized for maximum surgical efficiency.
Biomechanically, these instruments are designed to facilitate the restoration of sagittal balance and disc height. The trials ensure that the PEEK cage is sized to create optimal tension on the annulus, which provides immediate stability through ligamentotaxis. The pivoting motion allows the cage to span the widest part of the vertebral body, distributing the load more evenly and reducing the risk of the cage sinking into the bone (subsidence). The instruments ensure that the cage is placed anteriorly enough to restore the natural lordosis of the lumbar spine.
The technique begins with a unilateral facetectomy and discectomy. The surgeon uses the T-PAL trials to determine the optimal cage size. Once the endplates are prepared, the PEEK cage is loaded onto the articulated inserter and pushed linearly into the disc space. Using the control wheel on the inserter handle, the surgeon pivots the cage into its final transverse position. After verifying the location under fluoroscopy, the inserter is released and removed. The process concludes with the packing of additional bone graft around the cage and posterior stabilization.
Postoperative care refers to the rigorous maintenance and sterilization of the instrument set. Because the articulated inserter contains internal gears and linkages, it must be thoroughly cleaned with enzymatic solutions and an ultrasonic bath to remove all biological debris. The joints should be checked for smooth articulation and lubricated with medical-grade surgical oil after every cycle. The entire set is then steam-sterilized at 134°C. Regular inspection of the inserter's locking mechanism is essential to ensure a reliable grip on the cage during the high-torque pivoting maneuver.
The TOOLMED T-PAL Peek Cage Instrument Set provides surgeons with the advanced mechanical control necessary for modern transforaminal fusion. By enabling the precise pivot placement of interbody spacers, this set ensures optimal anatomical restoration and long-term mechanical stability for patients undergoing lumbar reconstruction.
The TOOLMED articulated inserter is designed to provide up to 90 degrees of rotation, allowing the cage to move from a purely linear entry to a perfectly transverse final position.
Yes, all trials are made of medical-grade stainless steel, providing high radiopacity so the surgeon can verify the height and position relative to the endplates under fluoroscopy.
While optimized for our PEEK T-PAL cages, the inserter interface is compatible with any T-PAL style cage that utilizes the standard geared-pivot connection point.
The standard set includes 18 trials, covering heights from 7mm to 15mm in 1mm increments, for both the small and large T-PAL footprints.
The set is designed to work in conjunction with our standard posterior lumbar compression instruments to achieve final lordotic tension after cage placement.
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