Totalis™ Direct Decompression System
The Totalis Direct Decompression System is a set of specialized instruments designed to safely perform minimally invasive direct
decompressions of the lumbar spine. The system utilizes VertiFlex' proprietary interspinous access platform and includes both reusable
and disposable instruments to remove bone and soft tissue.
Key Features of the Totalis System Include:
• Single midline cannula access
• Bilateral access to the posterior lumbar spine through the interspinous space
• Ability to remove ligament, bone, facet joint, and cyst
• MIS instruments designed for precision and safety
The Totalis procedure involves a small midline incision and sequential dilation to a working cannula about the diameter of a dime. Specialized instruments with added safety features are then used to precisely remove the targeted tissue. The procedure provides physicians the ability to remove ligament, bone, facet capsule, and cyst material to address conditions such as central and lateral recess stenosis. This broad decompression involves minimal collateral tissue disruption and can be performed under local anesthesia.
Totalis Direct Decompression System was 510k cleared by the FDA in November 2012.
© 2013 VertiFlex Inc.
