An Implant Category of Its Own

The only conforming, patient specific expandable implant - OptiMesh® accommodates a patient’s unique requirements and provides unparalleled versatility to support a surgeon’s procedural preference.

Conform and Expand™ Technology

Conform and Expand technology is designed to provide a custom anatomical fit for lumbar fusion surgical patients. OptiMesh’s powerful distraction forces and conformance to the endplates provide strength and stability to restore disc height, achieve alignment goals, and promote a robust fusion.1

OptiMesh Implant

The only conforming, patient specific expandable implant.

Conform and Expand Technology

Conform and Expand™ Technology

Starting one of the smallest insertion profiles, expands to one of the largest implant footprints available, up to 29mm wide and 34mm long.

Dynamically confirms to a patient's unique endplate morphology, providing a custom anatomical fit every time. 

 Powerful Distraction

Powerful Distraction

Generates significant distraction forces to restore disc height and achieve alignment goals.

 Efficient Biologic Delivery

Efficient Biologic Delivery

Nearly the entire implant is comprised of biologics, offering a comprehensive fusion scaffold and the most efficient way to deliver biologics to the spine.

 Strength through Granular Mechanics

Strength through Granular Mechanics

Compaction of the proprietary biologic fill material creates a robust platform for restoration of disc height and alignment, and enables an environment for fusion to progress.

 Greatest Expansion Range

Greatest Expansion Range*

20mm of continuous expansion. Multiplanar expansion to the size of an ALIF implant.

 Highest Pourous Enabling Fusion

Highest Pourous Enabling Fusion

1500-micron pore size facilitates graft containment while allowing for bony through growth.1

Granular bone graft creates interconnected, interstitial spaces throughout the graft pack, providing an osteoconductive scaffold to support fusion.

*Data on file.

OptiMesh Instrumentation

Streamlined access to the disc space, and proprietary preparation instrumentation to provide a thorough, reproducible discectomy through the smallest working channel. 

Neuromonitoring Probe

Neuromonitoring Probe gains reproducible access to the disc space through Kambin's triangle. 

 Access Portal

Access Portal placement allows for fewer passes by the nerve root to help decrease risk of neural injury.

 Drill

Drill creates initial channel.

 Shaver

Expanding rotating shaver to widen discectomy and remove cartilage from vertebral body endplates.

 Articulating Curettes

Articulating Curettes broaden the cavity further and decorticate he vertebral body endplates. 

 Brush

Tissue is removed using Tissue Extractor Brushes.

 Verify

The Verify™ device is used to visualize the quality of the discectomy and endplate preparation prior to implant placement. 

 OptiMesh®

OptiMesh® is deployed into the disc space through the Access Portal, expanding and conforming in-situ to vertebral endplates. 

OptiMesh

Unparalleled Versatility

Open

TLIF/PLIF

MIS

TLIF

Ultra-MIS

OptiLIF®

Ultra-MIS

OptiLIF® Endo

A single implant may be used for multiple lumbar fusion approaches accommodating patient specific needs. No matter your approach to lumbar fusion, OptiMesh provides a best in class expandable interbody solution from Open, MIS TLIF, ultra-MIS (OptiLIF), to endoscopic fusion (OptiLIF Endo) applications.

Unmatched Clinical Experience

The SCOUT IDE Study

Unique in design and in published data, OptiMesh holds the highest achievement in clinical validation with an IDE De Novo level grant. Spineology Clinical Outcomes Trial (SCOUT Study): IDE trial of a novel, conformable device placed in the disc space through a small portal and filled with bone graft in-situ. At 24 months:

  • 92% patients rated satisfaction as excellent/good
  • Mean ODI improved 32.0 ± 18.5
  • 90% (95/96) fusion

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98% fusion at 12 months post-op, evaluated by two independent radiologists.

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Patients experienced on average, a 67% reduction in back pain at 3 months.

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51% of patients on average experienced an improvement in back function by month 3 post-op.

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92% of patients rated their satisfaction "excellent" or "good" at 6 months.

There were no device-related serious adverse events.

Chi J, Nunley P, et al. Two-Year Outcomes From a Prospective Multicenter Investigation Device Trial of a Novel Conformal Mesh Interbody Fusion Device. Int J Spine Surg. 2021 Dec; 15(6): 1103-1114.

Whitepapers@4x

Unique in Data

20 Clinical Publications

> 50,000 implants

Additionally, 20+ years of clinical experience, 20 clinical publications, and > 50,000 devices implanted set OptiMesh alone in the interbody fusion space.

Betsy H. Grunch, MD, FAANS, FACS, Neurosurgery

Betsy H. Grunch, MD, FAANS, FACS, Neurosurgery

The Longstreet Clinic, GA

“Learning this approach and implant was one of the simplest procedures compared to an anterior or lateral approach. It is a very simple approach that is very consistent and can give you optimal results every single time.”

Dr hafez

Daniel M. Hafez, MD, PhD

Assistant Professor of Neurosurgery, Associate Program Director
Washington University School of Medicine St. Louis

"The most intriguing aspect of Spineology is the fact the implant itself is the biologic. As we push the envelope in MIS, we are asking more out of our implants and biologics to improve the fusion success. In this case, the implant is the biologic, and therefore the full surface area has fusion potential."

Dr_Stephane_Lavoie

Stephane Lavoie, MD

Florida Orthopedic Associates

“OptiMesh has been a transformation… as I used it more and more I was able to integrate it into my practice on a daily basis now. To me the biggest advantage is the large footprint that you end up having at the end of my surgery without having to have a large exposure, it truly is a minimally invasive technique that I use that only OptiMesh can provide at this point in time. I feel that any patient with an interbody fusion can benefit from this.”

dr park

Charles Park, MD

Mercy Medical Center, Neurosurgeon

“The proprietary OptiMesh instrumentation makes this procedure extremely efficient and reproducible. This anatomy sparing technique preserves supportive structures of spine and is performed in the most minimally invasive fashion. That’s a huge benefit to me and to my patients.”

michael-wang

Michael Y. Wang, MD, MBA, FAANS

Professor, Neurological Surgery & Rehab Medicine
Spine Fellowship Director Chief of Neurosurgery, University of Miami Hospital
University of Miami Miller School of Medicine

“The most differentiating aspect of the OptiMesh product is that unlike most other expandable products it can conform to the space, it can access through the smallest space, and therefore adapts to the human body. That offers some big advantages when you are dealing with irregularities or asymmetries.”

timmy wang md

Timothy Wang, MD

Assistant Professor, Neurosurgery
Rush University Medical Group

“The biggest thing that OptiMesh offers is that you get the maximum footprint. Every single other posterior approach implant, no matter whether it expands in 2 dimensions, or three dimensions, there is nothing that can give you the same footprint as OptiMesh. You really need a larger footprint to balance out the force of your indirect decompression with the cage expansion… The only technology that has the ability to do that is the OptiMesh implant.”

Dr wells

Daniel Wells, MD

Tennessee Orthopaedic Alliance

"As a spine surgeon I’m always looking for a way to maximize patient outcomes while minimizing morbidity to the patient, and I believe OptiMesh provides a solid platform to accomplish these goals. Utilizing OptiMesh’s technique I’m able to get into disc spaces that I’d otherwise not be able to get into to insert an expandable cage. I utilize OptiMesh as my go-to interbody device- I essentially use it for anything that I would normally use for an ALIF, TLIF, or lateral interbody fusion.”

Woodward, Josha_24 1

Josha Woodward, MD

Assistant Professor, Neurosurgery
Oregon Health and Science University

“There is nothing else that can provide consistent access to a collapsed disc space other than OptiMesh. It is the best technological solution I’ve seen for MIS spine surgery."

Christopher Yeung, MD

Christopher Yeung, MD

Orthopedic Surgeon
Desert Institute for Spine Care, PHX AZ

“It’s one of the first personalized implants because it is totally conforming to the space it’s in. If it’s a scalloped endplate or a flat endplate it will adapt and conform to that, and there is a lot of bony apposition in support of the endplates.”

Patient Stories
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