St. Petersburg, Florida-based Shukla Medical has just launched the Xtract-All Spine Universal Implant Removal System.
Shukla Launches Novel Spine Implant Removal System
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“The system includes over 115 unique drivers and more than 40 implant-specific drivers,” states Nitin Chawla, Product Manager for Shukla Medical.
Specifically, said Shukla Medical, “We have cases dedicated for both cervical and thoracolumbar [TL] revisions. There are 56 extractors included in the cervical case and 76 extractors in the TL case. Together, more than 40 proprietary implant configurations are covered in addition to standard hex, torx, & cruciform drivers.”
“Innovative helicopter sockets are available in the instrumentation case. The robust sockets allow difficult screw constructs to be removed while still attached to the spinal rod. After cutting the rod in-situ on either side of the assembled screw, the surgeon uses a helicopter socket to apply reverse torsion to the entire configuration until the screw backs out of the bone. The case also holds tools for several revision methods, from sophisticated ratcheting handles to a series of extensions, wrenches, a power adapter, rod grippers, & pliers.”
Asked about product milestones, Nitin Chawla told OTW, “The X-Ray Search Engine Implant Compatibility Database, which launched last October (2017), previously, information about implant systems and compatibility with our removal tips was kept internally only, but the X-Ray Search Engine puts that valuable information right at the customer’s fingertips.”
“Orthopedic surgeons should know that the Xtract-All Spine system is the MOST comprehensive spinal implant removal system on the market. Period. With a low barrier of entry to the spine implant market, there are new implants with new compatibility needs constantly emerging. Our goal was to create a system that could be continually updated, with open slots for additional removal tips, for those who have purchased the system and want to add compatibility for a specific proprietary system. The Xtract-All Spine is a ‘living system’ that is constantly updated with additional removal tips as they become known to us.”
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This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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