SPOTLIGHT® Access System

Division: Spine
Category: Access

The SPOTLIGHT® Access System was developed to provide surgeons with a complete package for minimally invasive access to the spine. The system consists of ports with integrated lighting for enhanced intraoperative visualization, a rigid arm that allows adjustments to be made within the sterile field, and a comprehensive microdiscectomy instrument set.

Indications for Use



The SPOTLIGHT Access System is intended to provide the surgeon with minimally invasive surgical access to the spine by ensuring the placement/positioning of the port or retractor, down to the posterior and posterolateral bony spinal elements. These ports and retractors provide access to the spinal site which can be visualized using a microscope or loupes, and through which surgical instruments can be manipulated.




Clinical and/or radiographic determinations that exclude the use of the SPOTLIGHT Access System include:


  • Infection-overt or active
  • Fever > 101°F (38°C)
  • Local inflammatory signs




Risks possibly associated with the use of the SPOTLIGHT Access System are similar to those associated with any surgery to the planned area of instrument use. The most frequently stated risks are bleeding, damage to the surrounding soft tissue and infection. Each of these risks has also been used to describe the risks associated with conventional surgical intervention. Additional risks associated with the use of the SPOTLIGHT Access System, other than those described for surgery in general, may be instrument malfunction, such as bending, fragmentation, loosening and/or breakage (whole or partial). Breakage in the patient may increase surgical time since this instrument should not be implanted. Also, surgery may not be effective. Similar risks are associated with the system use in any part of the body.


Additional risks are attendant to surgery and the use of anesthesia, etc., and are not directly related to the use of the retractor. These include, but are not limited to:


  • Pneumonia,
  • Phlebitis,
  • Embolism,
  • Wound infection, or
  • Blood loss with or without anemia.




  • Proper selection of the patient and the compliance of the patient will greatly affect the results.
  • Ensure the packaging is not damaged prior to use.
  • Improper use of this instrument may cause injury to the patient. Due to the Illuminated port's ability to transmit radiant energy from high intensity surgical light sources, soft tissues, which are located proximal to the port tip and exposed to this energy, may reach temperatures above 41° Celsius (106° F). The operator of the port should control the output of the light source so as to provide only as much light as necessary for visualization during procedure and furthermore, irrigate the soft tissues exposed to the radiant energy to reduce any risk of tissue damage.
  • The connection point between the Illuminated port and light cable and lighted retractor blade and Y cable may also become hot during use. These connections should be handled with caution during port/retractor manipulation in-situ or while disconnecting the light transferring cable from the port or Y cable from the lighted retractor blade.
  • The retractor port tips are thin-walled and should not be dropped or bent at a sharp angle.
  • Proper, secure component connections must be made to assure proper functioning of all aspects of this device.
  • Components of this system should be thoroughly inspected during cleaning and prior to surgery for possible damage.
  • Do not ultrasonically clean any instruments with integrated fiber optics as this may potentially decrease the instrument life.
  • Components should not be immersed in cold water immediately following autoclave as this could cause fiber breakage and decreased performance.
  • Care should be exercised when high speed drills are used inside the access port or retractor as damage to the inner walls and tip or retractor blades may occur upon contact.
  • The handle of the F2 washer ports is not designed to be used with rigid fixation.


WARNING: This product has labeling limitations. See package insert for additional warnings, precautions and possible adverse effects.

CAUTION: USA law restricts this device to sale by or on the order of physician.


Features & Benefits

  Features Benefits
SPOTLIGHT Access System horizontal view | DePuy Synthes Companies
SPOTLIGHT Access System vertical view | DePuy Synthes Companies
360 degrees of illumination Eliminates intraoperative shadows and increased visibility
Integrated light source May be used as an enhancement to, or a replacement for surgical microscope lighting
Wide range of port options

Offers a variety of posterior MIS procedures (five port diameters: 12mm, 15mm, 18mm, 21mm, and 24mm with port lengths ranging from 30mm to 140mm in 10-mm increments)


Accommodates surgeon preference and patient anatomy

Comprehensive instrument set bayoneted and optimized for MIS Allows for a wide range of procedures


All medical devices have associated risks. Please refer to the package insert and other labeling for a complete list of indications, contraindications, precautions and warnings. For further information on DePuy Synthes Products, please contact your local DePuy Synthes Representative.