PHANTOM AL

ANTERIOR LUMBAR ACCESS SYSTEM

You Perform. Does Your Access System?
PERFECTING
SURGICAL
ACCESS
Phantom AL Anterior
Lumbar Access System
PHANTOM AL
The Premier Anterior Lumbar Access System

Degenerative disc and facet joint disease is a pervasive condition among an

aging, yet active global population. This prevalent clinical challenge continues
to drive innovation in the mission of improving patient outcomes.

ALIF has evolved to be an efficacious and predominant surgical technique.

[ This] approach facilitates adequate access to the ventral surface of the
exposed disc, allowing comprehensive discectomy and direct implant insertion.1

While the anterior lumbar column approach has been documented to restore
sagittal balance and lumbar lordosis, careful movement and retraction of
vascular structures remains a surgical challenge.

The Phantom AL™ Anterior Lumbar Access System from TeDan Surgical
Innovations (TSI) has been engineered to deliver state-of-the-art structural
stability enabling surgeons to predictably retract critical vascular and
retroperitoneal structures.

From thoughtful selection of materials for its system components to a

surgeon-focused product design, the Phantom AL Anterior Lumbar Access
System has emerged as a high-performance surgical tool for the modern
access surgeon facilitating safe, reliable, and predictable system performance
in anterior spine surgery.

Perform at your best.

CONFIDENCE THROUGH STRENGTH

"It is critical to embrace a fixed retractor system for anterior lumbar spine surgery to allow predictable,
reproducible, and safe spine exposure."
- Thomas Terramani, M.D.
Vascular Associates of San Diego

Two-Point Fixation
Articulating arms uniquely engineered for anterior lumbar surgery enable two-point fixation and structural stability
essential to confidently and predictably retract delicate vasculature and retroperitoneal structures from the anterior
lumbar column.

Secure Blade Connection

Phantom AL Ring Clamps have been designed to prevent
retractor blade migration from the intended deployment
location. A secure connection with the retractor ring is
established with ease enabling the surgeon to access the
anterior lumbar spine with confidence while retracting
critical vascular anatomical structures.

Surgical-Grade Titanium Blades

Phantom AL surgical-grade titanium retractor blades
provide the rigidity and stability needed to create
reproducible and unencumbered access to the spine,
procedure after procedure. Featuring a convex atraumatic
shape, Phantom AL Blades dissipate force displaced against
retracted muscle and tissue ensuring gentle, yet firm
anatomical retraction.
V E R S AT I L I T Y. O N - D E M A N D .

"The ability to flexibly deploy blades in a fixed or rotating position on-demand, not only saves
time during the access phase, but also ensures a reproducible and dependable surgical
corridor for the spine surgeon."
- Thomas Terramani, M.D.
Vascular Associates of San Diego
Tactile Adjustment of Blade Angulation
Angulation of retractor blades up to 30 degrees, in both
positive and negative directions, allows surgeons to
maximize exposure while maintaining miniaturization
of the incision and compensating for patient’s sacral
anatomy relative to the L5 vertebral body.

Step-wise blade angulation can also be achieved by

combining a Hex Wrench and a Pivoting Blade Holder for
incremental exposure of the surgical field.

Fixed or Rotating Blade Engagement

The patented, double pin connector on the Phantom AL
Blades gives surgeons the freedom to choose - blades can be
engaged in either a fixed or rotating position either to ensure
retraction force or accommodate seamlessly to patient
anatomical landmarks.
USER-CENTERED DESIGN

Low-Profile
The Phantom AL System assembly has a low-profile set-up, allowing unencumbered access to the patient. Thoughtfully
engineered articulating arms when used in combination with the Phantom AL Rotating Table Clamp, allow the surgeon
to adapt the system to varying patient demands and multi-level surgery.

Low-Impact
The intentional design of the Phantom AL Ring Clamp
allows engagement onto the retractor ring with ease,
preventing movement during surgery and undue strain
on the surgeon’s hands.

"Following the adoption of the Phantom AL System into my

practice, post-operative hand and finger strain was entirely
eliminated."
- Thomas Terramani, M.D.
Vascular Associates of San Diego
Phantom AL Retractor Blades are available in both titanium and aluminum, allowing for optimal visualization of
anatomical structures during intraoperative fluoroscopy. Spine surgeons can visualize end plate alignment, vertebrae,
and intervertebral disc space with ease and without disruption of radiopaque instrumentation hindering the view of
critical structures of the spine.

Varying patient anatomies demand a wide spectrum

of retraction possibilities. Ranging from 60 to 200 mm
in length and widths of 25 and 50 mm, the Phantom AL
System enables a comprehensive approach to surgical
access.
P H A N T O M A LT M
A N T E R I O R LU M B A R ACC E S S S YS T E M
AL-1000
C AT. N O. P RO DU C T DES CR IP TIO N QT Y.
AL-0100 Phantom AL Retractor Ring 1
AL-0101 Phantom AL Extension Bar 2
AL-0103 Phantom AL Ring Clamp 6
AL-0105 Phantom AL Blade Holder 6
AL-0106 Phantom AL Hex Wrench 2
AL-0110 Phantom AL Accessory Arm 2
AL-0200 Phantom AL ALIF Blade, 25 x 60 mm, Titanium 4
AL-0202 Phantom AL ALIF Blade, 25 x 80 mm, Titanium 4
AL-0204 Phantom AL ALIF Blade, 25 x 100 mm, Titanium 4
AL-0206 Phantom AL ALIF Blade, 25 x 120 mm, Titanium 4
AL-0208 Phantom AL ALIF Blade, 25 x 140 mm, Titanium 4
AL-0210 Phantom AL ALIF Blade, 25 x 160 mm, Titanium 4
AL-0212 Phantom AL ALIF Blade, 25 x 180 mm, Titanium 4
AL-0214 Phantom AL ALIF Blade, 25 x 200 mm, Titanium 4
AL-0420 Phantom AL ALIF Blade, 50 x 60 mm, Titanium 2
AL-0422 Phantom AL ALIF Blade, 50 x 80 mm, Titanium 2
AL-0424 Phantom AL ALIF Blade, 50 x 100 mm, Titanium 2
AL-0426 Phantom AL ALIF Blade, 50 x 120 mm, Titanium 2
AL-0428 Phantom AL ALIF Blade, 50 x 140 mm, Titanium 2
AL-0430 Phantom AL ALIF Blade, 50 x 160 mm, Titanium 2
AL-0432 Phantom AL ALIF Blade, 50 x 180 mm, Titanium 2
AL-0434 Phantom AL ALIF Blade, 50 x 200 mm, Titanium 2
AL-0700-01 Phantom AL Instrument Tray 1, AL-1000 1
AL-0700-02 Phantom AL Instrument Tray 2, AL-1000 1
HS-0305 Phantom HS Flex Arm, Light Cable Holder, Large 1
ML-0021 Phantom ML Rotating Table Clamp 2
ML-0058 Phantom ML Secure Light Cable, Pronged Bushing, 10' 1
ML-0051 Phantom ML LED Light Source 1
ML-0505 Phantom XL Hex Driver Tool 1

OP T I O N A L I T EM S
AL-0102 Phantom AL Pivoting Blade Holder 6
AL-0107 Phantom AL Articulating Ring Connector 2
AL-0160 Phantom AL ALIF Blade, 50 x 60 mm, Gold 2
AL-0162 Phantom AL ALIF Blade, 50 x 80 mm, Teal 2
AL-0164 Phantom AL ALIF Blade, 50 x 100 mm, Brown 2
AL-0166 Phantom AL ALIF Blade, 50 x 120 mm, Purple Splash 2
AL-0168 Phantom AL ALIF Blade, 50 x 140 mm, Black 2
AL-0170 Phantom AL ALIF Blade, 50 x 160 mm, Gray 2
AL-0172 Phantom AL ALIF Blade, 50 x 180 mm, Blue Splash 2
AL-0174 Phantom AL ALIF Blade, 50 x 200 mm, Gray Splash 2
AL-0220 Phantom AL ALIF Blade, 25 x 60 mm, Gold 4
AL-0222 Phantom AL ALIF Blade, 25 x 80 mm, Teal 4
AL-0224 Phantom AL ALIF Blade, 25 x 100 mm, Brown 4
AL-0226 Phantom AL ALIF Blade, 25 x 120 mm, Purple Splash 4
AL-0228 Phantom AL ALIF Blade, 25 x 140 mm, Black 4
AL-0230 Phantom AL ALIF Blade, 25 x 160 mm, Gray 4
AL-0232 Phantom AL ALIF Blade, 25 x 180 mm, Blue Splash 4
AL-0234 Phantom AL ALIF Blade, 25 x 200 mm, Gray Splash 4
A P P L I C AT I O N F O R
GENERAL SURGERY PROCEDURES

"With its general surgery retraction capabilities, the Phantom AL Access System is the product of choice for surgeons looking to
introduce greater value and return into their practice."
- Thomas Terramani, M.D.
Vascular Associates of San Diego

With the advent and continued focus on hospital cost containment, it is paramount to expand the utilization of an
access system beyond a single procedure or application use. Leverage the Phantom AL Anterior Lumbar Access System
to expand into general, urological, and gynecological surgery applications by combining the stability of the Phantom
AL Ring system assembly with a broad range of surgical blade designs.

Providing access surgeons with a holistic solution to perform not only anterior lumbar procedures but also other
common general surgery procedures is at the center of this cost efficiency mission. TSI, once again, elevates your
surgical practice with its eye on innovation and cost efficiencies.
P H A N T O M G S TM
GENERAL SURGERY ACCESS SYSTEM
GS-1000

C AT. N O. P RO DU C T DES CR IP TIO N QT Y.

AL-0100 Phantom AL Retractor Ring 1
AL-0103 Phantom AL Ring Clamp 6
AL-0105 Phantom AL Blade Holder 6
AL-0106 Phantom AL Hex Wrench 2
AL-0107 Phantom AL Articulating Ring Connector 2
AL-0110 Phantom AL Accessory Arm 2
AL-0700-01 Phantom AL Instrument Tray 1, AL-1000 1
GS-0204 Phantom GS Malleable Blade, 2 x 6" 2
GS-0206 Phantom GS Malleable Blade, 3 x 6" 2
GS-0210 Phantom GS Splanchnic Blade, 2 x 4" 1
GS-0212 Phantom GS Splanchnic Blade, 2 x 6" 1
GS-0214 Phantom GS Splanchnic Blade, 2 x 8" 1
GS-0224 Phantom GS Fence Blade, 4 x 6" 1
GS-0230 Phantom GS Renal Vein Blade, 1 x 41/2" 2
GS-0232 Phantom GS Renal Vein Blade, 1 x 6" 2
GS-0240 Phantom GS Wylie Renal Vein Blade, 1 x 7" 2
GS-0254 Phantom GS Deaver Blade, 2 x 5" 1
GS-0256 Phantom GS Deaver Blade, 23/4 x 5" 1
GS-0266 Phantom GS Balfour Blade, 31/3 x 23/4" 2
GS-0272 Phantom GS Mayo Blade, 23/4 x 2" 2
GS-0274 Phantom GS Mayo Blade, 31/2 x 2" 2
GS-0280 Phantom GS Harrington Blade, 2 x 5" 1
GS-0292 Phantom GS Richardson Blade, 2 x 4" 1
GS-0294 Phantom GS Richardson Blade, 2 x 6" 1
GS-0306 Phantom GS Kelly Blade, 21/2 x 3" 2
GS-0600 Phantom GS GS Instrument Tray, GS-1000 1
ML-0021 Phantom ML Rotatable Table Clamp 2
ML-0505 Phantom XL Hex Driver Tool 1

OP T I O N A L I T EM S
AL-0101 Phantom AL Extension Bar 2
AL-0102 Phantom AL Pivoting Blade Holder 6
GS-0202 Phantom GS Malleable Blade, 11/2 x 6" 1
GS-0252 Phantom GS Deaver Blade, 11/2 x 5" 1
GS-0260 Phantom GS Balfour Blade, 23/4 x 11/2" 1
GS-0264 Phantom GS Balfour Blade, 31/8 x 11/2" 1
GS-0268 Phantom GS Balfour Blade, 31/2 x 11/2" 1
GS-0270 Phantom GS Mayo Blade, 2 x 2" 1
GS-0276 Phantom GS Mayo Blade, 31/2 x 23/4" 1
GS-0282 Phantom GS Harrington Blade, 21/2 x 7" 1
GS-0290 Phantom GS Mini Richardson Blade, 3/4 x 2" 1
GS-0302 Phantom GS Kelly Blade, 2 x 21/2" 1
GS-0304 Phantom GS Kelly Blade, 2 x 8" 1
Phantom AL and Phantom GS are trademarks of
TeDan Surgical Innovations, Inc.

Images courtesy of Thomas Terramani, M.D.

Vascular Associates of San Diego
San Diego, CA

References:
1. M
 obbs RJ, Phan K, Malham G, Seex K, Rao PJ. Lumbar
interbody fusion: techniques, indications and comparison of
interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/
ATP, LLIF and ALIF. J Spine Surg 2015;1(1):2-18. doi:
10.3978/j.issn.2414-469X.2015.10.05

Ph: 713-726-0886 Fax: 713-726-0846 Toll Free: 877-726-0886

12615 West Airport Blvd., Suite #200, Sugar Land, Texas 77478
Email: info@tedansurgical.com
www.tedansurgical.com

LIT-0081, REV 4 ©TSI 2019