

Spine Division /Core Neuro
Medtronic is the global leader in medical technology providing lifelong solutions for people with chronic disease – alleviating pain, restoring health and extending life for millions of people around the world. Medtronic offers products, therapies and services that enhance or extend the lives of millions of people. Each year, 5 million patients benefit from Medtronic’s technology, used to treat conditions such as diabetes, heart disease, neurological disorders, and vascular illnesses.

CAPSTONE
The CAPSTONE® Instruments are some of the most versatile instruments used for spinal surgery.
The CAPSTONE® Instruments can be used in combination with Medtronic’s METRx™ X-TUBE™ System, PYRAMETRIX® ADVANCE Instruments, and the CD HORIZON® SEXTANT® Rod Insertion System to allow a surgeon to approach the spine using an open, mini-open or minimally invasive technique.

CD HORIZON – ANTARES
The CD HORIZON® ANTARES® Spinal System is part of an integrated group of spinal instrumentation systems that are designed to provide the spine surgeon with the most advanced options for treating a broad range of clinical indications. With this addition, spine surgeons are able to take full advantage of the anterior exposure of the spine for the treatment of spinal trauma, deformity, and tumors. Several advances in this instrumentation system make it easier to use and more versatile, while simultaneously providing superior correction and fixation of the anterior spinal column for many surgical indications.

CD HORIZON – LEGACY
The CD HORIZON® LEGACY™ Spinal System offers a comprehensive solution for immobilizing and stabilizing spinal deformities in certain types of patients, particularly those with a smaller stature, as an adjunct to fusion of the thoracic, lumbar, and/or sacral spine.
The CD HORIZON® LEGACY™ Spinal System offers specific posterior treatment solutions for smaller stature patients and, because of the system’s single and dual rod options, anterior treatment solutions for smaller and larger stature patients alike.

CD HORIZON – SEXTANT
The CD HORIZON® SEXTANT® Spinal System allows surgeons to deliver and apply screw and rod implants to the posterior (back) of the spine without the major muscle and tissue disruption encountered with traditional spinal fusion surgeries. This minimally invasive technique potentially allows significant patient benefits.
- Shorter hospital stays – one to three days vs. up to a week with open surgery
- Smaller scars – one-inch scars vs. six- to eight-inch scars
- Shorter recovery periods
- Less postoperative pain – no muscle cutting or stripping
Common conditions indicated for this procedure include severe disc degeneration, recurrent disc herniation, misaligned vertebrae, or traumatic fracture. The CD HORIZON® SEXTANT® Spinal System can only be used for conditions affecting the lumbar spine.

ATLANTIS
Over the past twenty years, there has been a significant increase in the use of cervical plates for single and multi-level anterior cervical surgery. One of the goals of a cervical plate is to improve initial stability in the post-operative period in order to decrease the need for wearing a cervical collar and result in a faster return to normal activities. In addition, anterior cervical plate fixation can potentially decrease the complications of graft dislocation, end plate fracture, and late kyphotic collapse.

METR-x
The unique, muscle-splitting METRx™ MicroDiscectomy System provides access to the spine with less tissue trauma than associated with traditional surgeries to relieve pressure on nerves. Posterior approach procedures with this system offer significant potential benefits.
- Shorter hospital stays – outpatient surgery vs. two to three days with open surgery
- Smaller scars – one inch vs. up to four inches
- Quicker return to work and normal activities
- Avoidance of general anesthetic
Less post-operative pain – no muscle cutting or stripping.

DIAM
The DIAM for spinal stenosis and degenerative disc disease
The DIAM Spinal Stabilization System is a non-rigid interspinous spacer
The DIAM is an “H” shaped polyester-covered, silicone bumper that is placed between the spinous processes with a mesh band and suture to hold it in place.
Indications for DIAM include
> Arthropatic Facet Syndrome
> Posterior Prosthesis for discal Assistance
> Transitional Osteosynthesis
> Foraminal Stenosis

INFUSE
INFUSE® Bone Graft aids the treatment of acute, open fractures of the tibial shaft, a bone in the lower leg. INFUSE® Bone Graft is used in addition to wound management and fracture stabilization using an intermedullary nail, also known as an IM nail, a metal rod placed inside of your broken lower leg bone.
A study, published in a 2002 issue of the Journal of Bone and Joint Surgery, found that INFUSE® Bone Graft improved healing in acute, open tibia fractures when compared to standard wound care – a key benefit for both patients and physicians. INFUSE® Bone Graft also reduced the need for secondary procedures by 44 percent
What is INFUSE® Bone Graft?
INFUSE® Bone Graft consists of two parts – a solution containing rhBMP-2 (recombinant human bone morphogenetic protein 2) and the ACS (absorbable collagen sponge). The protein is a genetically engineered version of a natural protein normally found in small quantities in the body. The purpose of the protein is to stimulate bone formation.
Core Neuro/Spine
Deep Brain Stimulation works by electrically stimulating targeted structures in the brain – the subthalamic nucleus (STN) or globus pallidus interna (GPi) – that control movement and muscle function. A lead with tiny electrodes is surgically implanted in the brain and connected by an extension that lies under the skin to a neurostimulator implanted near the collarbone. The electrical stimulation can be non-invasively adjusted to meet each patient’s individual needs.

The Medtronic ITB TherapySM (Intrathecal Baclofen Therapy) Patient Assistance Program helps eligible people obtain the drug Lioresal® Intrathecal (baclofen injection: 10 mg/20 mL, 10 mg/5 mL, 0.05 mg/1mL) that is used in ITB Therapy. The program is a source of last resort for people whose federal, state and private health insurance resources do not cover the drug component cost of the therapy.
SynchroMed EL® and Synchromed II Infusion Systems
Overview

The SynchroMed technology offers a fully implantable and programmable method of continuous drug delivery. In use clinically since 1982, and commercially since 1988, the programmability of the SynchroMed system allows:
· Dosages to be varied throughout the day and tailored to match your individual medication needs.
Non-invasive dose changes.
Neuromodulation and Spinal Business Overview
Our neurological products include neurostimulation systems, drug delivery systems, neurosurgical implant devices, surgical access products, and diagnostic and therapeutic systems for chronic pain and neurologic, urologic, and gastrointestinal disorders. Eight businesses within our division work together to apply our therapies and products to provide comprehensive solutions to significant neurological disorders.
Medtronic Neurosurgery is committed to providing superior products for the Cranial Neurosurgery market. These products include a wide variety of PS Medical® silicone elastomer valves, catheters, and shunts for hydrocephalus management; external drainage products for the treatment of traumatic brain injury and invasive monitoring; neuroendoscopes for improved surgical access; repair of congenital or traumatic cranial defects; and cranial closure products for quick and secure reattachment of skull flaps.
Deep Brain Stimulation works by electrically stimulating targeted structures in the brain – the subthalamic nucleus (STN) or globus pallidus interna (GPi) – that control movement and muscle function. A lead with tiny electrodes is surgically implanted in the brain and connected by an extension that lies under the skin to a neurostimulator implanted near the collarbone. The electrical stimulation can be non-invasively adjusted to meet each patient’s individual needs.
Medtronic Pain Therapies™ encompass pain management therapies from our neurostimulation and drug delivery areas. Both Neurostimulation and Intrathecal Drug Delivery can be effective options for patients with pain who are experiencing inadequate pain relief or uncomfortable side effects from their current pain treatments.
The Medtronic ITB TherapySM (Intrathecal Baclofen Therapy) Patient Assistance Program helps eligible people obtain the drug Lioresal® Intrathecal (baclofen injection: 10 mg/20 mL, 10 mg/5 mL, 0.05 mg/1mL) that is used in ITB Therapy. The program is a source of last resort for people whose federal, state and private health insurance resources do not cover the drug component cost of the therapy.
Intrathecal Baclofen (ITB™) Therapy eases intractable spasticity in patients with CP, traumatic brain injury, and stroke by delivering Lioresal Intrathecal (baclofen injection) directly to the intrathecal space in small, precisely controlled doses using a pump that is surgically placed.
SynchroMed EL® and Synchromed II Infusion Systems
Overview
The SynchroMed technology offers a fully implantable and programmable method of continuous drug delivery. In use clinically since 1982, and commercially since 1988, the programmability of the SynchroMed system allows:
· Dosages to be varied throughout the day and tailored to match your individual medication needs.
Non-invasive dose changes.
Activa® Tremor Control Therapy utilizes an implanted neurostimulation system to stimulate targeted nulcei in the thalamus to suppress tremor associated with Parkinson’s disease and essential tremor. Stimulation can be non-invasively adjusted to meet each patient’s needs. Activa Therapy is the first completely new approach to controlling tremor in more than 30 years.