Reinventing surgical access for better outcomes
Engineered by a Spine Surgeon
Carmela Spinal Distractor / Retractor Systems
Created for Advanced Ergonomic Access and Retention - Lumbar and Cervical
Why Surgeons Choose Carmela
This low-profile lumbar and cervical retractor is designed to provide ergonomic access and secure positioning around the spinous processes, specialized for implanting interlaminar devices like Coflex and interspinous devices like Diam
Streamlined Workflow and Versatility
-Significantly improves the interbody implantation during TLIF procedures.
-Simplifies and accelerates the decompression process
-Supports interspinous device placement
-Useful in microdiscectomy and related spine procedures
-Engineered as the first device specifically designed for this application
Advanced Intraoperative Visualization
-Provides superior direct and microscopic visualization
-Enables precise, controlled decompression
-Supports safe and efficient removal of compressive tissues, including ligamentum flavum and osteophytes
Optimized Efficiency and Outcomes
-Reduces surgical and anesthesia time
-Improves clinical efficiency in the operating room
-Contributes to improved patient outcomes and recovery
First Device of Its Kind
Reduce surgical time— increase efficiency
It is a well-known fact Carmela
Improves TLIF interbody implantation and supports interspinous devices
Direct and microscopic visualization
Ligamantum flavum and osteophytes achieved efficiently
Improved clinical outcomes
Safe decompression of the compressive tissues
Simplifies surgical decompression
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Improve clinical outcomes
How it works
To implant an interspinous device, clamp, or interbody graft, the surgeon approaches the spine posteriorly through the skin and lumbar fascia. After separating muscular and fascial attachments and fully visualizing the posterior spine, removal of the interspinous ligament allows for placement of the Carmela Device.
This design delivers uniform longitudinal distraction of the interlaminar space and disc space, avoiding the complications common with pedicle-screw-based distractors that open unilaterally and risk loosening screws.
Once placed between the spinous processes, the diverging retractor arms provide exceptional direct and microscopic visualization of the interlaminar region—without slipping, obstructing the field, or interfering with the surgical microscope. After decompression is completed, the surgeon can proceed with interspinous device placement or TLIF interbody grafting with optimal clarity and access.
Key features of the Carmela system include:
Oval surgical window for enhanced direct and microscopic visualization
Rack-and-pinion retraction mechanism for smooth, controlled distraction
Oppositional U-shaped hooks that anchor securely at the base of the spinous process—where vertebral bone is strongest
Four arm lengths (S, M, L, XL) to accommodate all patient sizes and surgical depths
Contact Info
Reach out to us anytime—our friendly team is ready to assist you with more information, inquiries, and guidance.
We will be accepting orders soon. You can enter your information below to reserve your order and receive priority updates on availability, pricing and early order opportunities.
Location
8844 Morro Rd, Atascadero, CA 93422
Phone
(402) 452-6008
(805) 610-7435
Device patented in US and EU