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Cranial Repair Physician Information > Neurosurgery
 
 
 
 
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Cranial Repair

At Medtronic Neurosurgery our goal is to offer a family of cranial fixation systems that fit a neurosurgeon’s preference and a patient’s needs. Our MacroPore product line offers the benefits of resorbable technology as well as ease of customization and use, while the all-inclusive design of the TiMesh 1.5/1.6 titanium plating systems allows for the customization of everything from the screw and plate caddy to the plating itself. All of these benefits, allied with our reputation for quality products and superior customer service, combine to create a ‘total solutions’ approach to cranial fixation. It is with dedication and commitment that the employees of Medtronic Neurosurgery have developed products of the highest standard, and it is with great pride that we offer them to the surgical community.

MacroPore™ Bioresorbable Fixation

A comprehensive bioresorbable product line comprised of implants and accessories that serve craniomaxillofacial, neurosurgical, and iliac crest reconstruction. The MacroPore implants are available in the following polymer configuration:

  • 70:30 Poly(L-lactide-co-D,L-lactide) retains 50% of its strength after 12 months and resorbs within 18-36 months.

MacroPore™

INVISx™

INVISx™ 2-Sided Flap Fixation

The INVISx cranial fixation system brings some welcome simplicity to the process of skull flap closure following a craniotomy. The system consists of locks designed to fit within the osteotomy gap which are then easily locked into place via two reusable tools. The first tool advances the cap down the stem of the lock until enough pressure has been applied to hold the flap in place. The second tool trims the stem so that it is flush with the top of the cap. This screwless system reduces surgical time without reducing flap closure strength. In addition, the injection-molded locks are radiolucent and therefore provide no interference with CT or MR imaging. In sum, the utilization of superior materials, along with the time savings generated by the minimal steps required for usage, combine to make the INVISx cranial fixation system the logical choice for skull flap closure.


TiMesh® Titanium Closure

TiMesh®

TiMesh 1.5/1.6 Titanium Cranial Fixation Systems incorporate a great number of design benefits specifically requested by surgeons and surgical staff. These benefits include self-drilling screws that eliminate the need for the pre-drilling of pilot holes, and a two-part ergonomic handle assembly. Additionally, the titanium mesh cranioplasty implants may be either shaped on the spot or, if the procedure warrants, a pre-measured, cut, bent and shaped implant utilizing CT scan data may be ordered in advance. Another benefit is the design of the cranial fixation system tray itself. The modular screw and plate caddy is compact and mobile, provides a stable platform for screw engagement and offers capability for system customization.


Clip Gun

Clip Gun

Scalp clips are used to prevent arterial bleeding from small vessels of the skin as well as deeper layers in the scalp. Bleeding occurs when an incision is created that is too long for sufficient tension generation along the incision line. The common principle of all scalp clips is application of continuous pressure from above (skin surface) and below (subgaleal) the scalp edge.

Although the composition of scalp clips varies, the implicit function is to apply force to the scalp through the spring action built into the clip. Since each clip controls bleeding locally along the segment on which it is applied, the number required for hemostasis increases with the length of the incision. Clips are placed in tandem along the incision edge with no more than a 1 cm gap between clips.

The most common clip design is the Raney clip. This clip has a round hinge area which reduces the chances of items (i.e. surgical patties) catching on the clip during removal from the surgical site. The Clip Gun is available with a single clip configuration that mimics the Raney design.



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