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Solutions beyond fusion
With Ennovate® TLSP, we introduce an unprecedented modular platform that adapts to your needs and workflows. Empowered by Ennovate® PolyLock® and Ennovate® PentaCore®, surgical versatility and intraoperative experiences reach new heights, enabling for the best possible clinical outcome.
Surgical solutions
Let's dive into a situation you know. The patient is being prepared for surgery. Mentally, you go through every single step and detail. Everything is planned. The surgery is proceeding smoothly so far. And then – it's that moment you've been calculating in the back of your mind, the one that wants to challenge you.
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more control during spinal correction with Ennovate® PolyLock®
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less screw loosening thanks to Ennovate® PentaCore® [4], [10], [11]
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more long-term screw stability due to Ennovate® performance design [12]
Ennovate® TLSP PolyLock®
You know this situation just too well: the spinal correction is the next step and polyaxial pedicle screws have been placed. Do you really want to give up control during correction due to polyaxial head movements? [1-3]
Imagine being able to switch between the best of both worlds and switch between polyaxial and monoaxial functionality at any time during surgery. Embrace the possibility of true parallel compression/distraction, powerful reductions, and accurate spinal corrections.
“PolyLock® gives us the possibility of switching between the polyaxial and monoaxial screw at any time during the surgery, without the need for any further implants. This is a unique screw, which is useable, really useable, for perfect derotation maneuvers and curvature restoration, no matter if sequential or en-bloc. [17]”
Ennovate® TLSP PentaCore®
The growing number of patients with poor bone quality challenges the effective management and decision making in the event of spinal disorders. [4-5] Not an easy task, but what would you say if there is something that simplifies your decision making? Imagine working with a pedicle screw whose design is inspired by the anatomy and biomechanics of the vertebra, allowing anchorage along the entire screw. Empowered by Ennovate® PentaCore® our screw takes advantage of the viscoelastic behavior of the cancellous bone, enabling a tight form fit between bone and implant. [7-9]
“In our clinic we have a high number of elderly patients with osteoporosis, where we really appreciate the ease of use and the safe application of the cement, as well as the high intraoperative flexibility and versatility of the Ennovate® screws and the whole Ennovate® platform. [17]”
Ennovate® performance design
Do you know what happens to the screws post-operatively? Long-term stability is often taken for granted and rarely considered in detail, since it is a primary requirement and assumed that it is technically impossible to get more out of a screw. Because screws are just screws. Well, we do not see it that way! Our German engineers have design and technology in their DNA. The result is a screw that sets new biomechanical benchmarks.
Precision where it counts – The smart pressure mechanism enables toggle-free connection. This enables precise work in hands-free as well as navigated surgical steps.
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The design reflects the natural shape of the pedicle and shows a larger thread diameter in the upper part of the screw. In combination with the Dual Core design, the large proximal flanks create pullout resistance. [12-14]
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PentaCore® for voluminous anchorage in cancellous bone. Cylindrically shaped core for cortical bone compactation and stable anchorage. Plus 28% less tensile stress within the screw for improved long-term performance.[9,12,13]
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The fenestrated screws can be used for the application of various fluids. In case of poor bone quality, the combination of slots and the PentaCore® allows for a unique form fit which is more stable against rotational force.
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Smooth insertion of the self-tapping and self-centering thread – bone purchase and grip from the very first turn. Rounded, flat tip and quick-start thread allow improved bicortical anchorage of the screw. [12-14]
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Ennovate® TLSP spinal navigation
The instrumentation is designed to allow for navigation without the need of an additional set of dedicated navigation instruments such as screwdriver or tap. The standard instrumentation may be navigated using the dedicated navigation handles and specifically designed interfaces on the instruments. Reducing the number instruments. Supporting your workflows.
Case reports, scientific papers and articles
Body donation is in the basis of transplantation programs, founded on receptor and donor rights. Nevertheless, if the purpose is not directed to healthcare, the regulation is different both in live or deceased individuals. “Imaging techniques” generates digital files containing the “virtual body” of the patient, raising a new possibility: virtual body donation, which is not regulated in Spain and would not be compliant with legal requirements for other ways of donation.
Results from a combined experimental, micro-CT, and micro-finite element analysis – Anchorage of pedicle screw rod instrumentation in the elderly spine with poor bone quality remains challenging. Our study aims to evaluate how the screw bone anchorage is affected by screw design, bone quality, loading conditions, and cementing techniques.
Anchorage of pedicle screw instrumentation in the elderly spine with poos bone quality remains challenging. In this study, micro finite element models were used to assess the specific influence of screw design and the relative contribution of local bone density to fixation mechanics. The implants discussed were Ennovate® pedicle screws. The very positive outcomes were published in the Journal of Biomechanics in December 2017 and are also available at ELSEVIER.
Read morePosterior dorsal instrumentation with pedicle screw rod systems is still the gold standard for spinal fusion procedures. The pedicle screw itself plays a major role for this stabilization construct regarding bone anchorage and load bearing of the adjacent vertebrae. However, pedicle screw failure is reported in the range of 3-7%.[1] The aim of this study was to increase the mechanical strength of a pedicle screw by stress optimization of the thread screw design with respect to improve the endurance properties.
While pedicle screw rod instrumentation is still the gold standard for the treatment of a diverse range of spinal degenerative disorders, anchorage in the elderly spine with poor bone quality remains challenging. Yet, there are no models available to assess the specific influence of screw design parameters at the pedicle screw-bone-interface. In our study, we aimed to develop numerical micro finite element (µFE) models based on µCT scans to investigate the screw bone interface on a micro scale level.
The Ennovate® PentaCore® Screw is the new benchmark in the Pedicle Screw Systems market. Ennovate® screws have a significantly higher pullout force, shear strength, and overall endurance than other screws currently available on the market, concludes a recently published study in the Journal of Biomechanics.
Download hereLess is more – The increasing economic burden and complexity in hospital processes forces hospitals to map and improve their structures and processes and to increase the treatment quality and safety in patient care. The implementation of lean projects for overall increases of efficiency, as well as quality improvements and processes, seem to be a promising key factor.
Download hereSpine surgery is changing – The increasing demands on treatment concepts are making hospital processes more complex, and all departments are affected. Hospitals need more than just products – they need sustainable solutions that improve daily work in order to face the challenges of spine surgery. This is where Ennovate® comes in.
Download hereWith the philosophy of one screw, one system, one platform for all processes, the modular Ennovate® platform offers systemic, customized solutions for all indications and techniques, and for all current challenges in the entire OR and hospital workflow. Presenting the results from an international study done in 95 spine centers, this paper published in Spine Journal 2017 examines and acknowledges the systemic solution offered by the Ennovate® platform.
Download hereTwo percutaneous, monoaxial fixation systems with different reduction tools were analyzed in relation to their reduction capacity. Additionally, the impact of anterior fusion, fracture severity and bone quality on reduction and loss of reduction were examined.
Read moreDiscover Ennovate®
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