ARIA. Expandable PLIF Cage System. Implants - Instruments Surgical Technique

Transcription

1 ARIA Expandable PLIF Cage System Implants - Instruments Surgical Technique

2 Introduction The anatomical design and aggressive tooth pattern prevents migration of the implant. Aria offers a very firm grip post expansion due to its expandable design. Aria's optimized design offers an optimal graft space. Aria Expandable PLIF Cage provides an easy fixation due to its ergonomic hand tools.

3 Aria Expandable PLIF Cage Overview Bullet Tip design provides an easy penetration. Pre-Expansion 1 mm parallel increase in height after post-expansion helps preserve the anatomic angle and the lordosis. Post-Expansion Pyramidal teeth design increases the hold of the implant. parallel Parallel, 4 degree and 8 degree designs offer variaty. 8 lordotic angle ARIA s holder and driver are designed as one small, compact and functional hand tool to prevent multiple hand tool usage. The implant holder and the implant expander is the same hand tool for a more ergonomic usage. L shaped design prevents the hand tool to block the surgical area and improves the sight of the surgeon.

4 Implants C-ARM View The tantalum markers and the titanium system provides a clear C-ARM scan with all necessary boundries. Aria Cage Aria is manufactured from PEEK OPTIMA with a Ti6Al4V ELI body. 9 different sizes and 3 different angles offer variety. L W 4-8 lordosis H Pre-Expansion Parallel Description Size(WxL) Height(H) Pre-Expansion Parallel Lordosis Lordosis Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x Aria Expandable Plif Cage 10 x

5 Instruments Aria Shaver H7-ARA-SHV-8700 H8-ARA-SHV-8800 H9-ARA-SHV-8900 H10-ARA-SHV-8100 H11-ARA-SHV-8110 H12-ARA-SHV-8120 H13-ARA-SHV-8130 H14-ARA-SHV-8140 H15-ARA-SHV-8150 Aria T Handle H90-1/4 Aria Dura Retractor ARA-DR-8055 Aria Trial Holder ARA-TH-8002 Aria Implant Inserter ARA-II-8016

6 Instruments Aria Trial Parallel H7-ARA-TR H8-ARA-TR H9-ARA-TR H10-ARA-TR H11-ARA-TR H12-ARA-TR H13-ARA-TR H14-ARA-TR H15-ARA-TR Aria Implant Removal ARA-IR-8006 Aria Hammer 333-HM Aria Graft Insertion Pusher ARA-GIP-8084 Aria Graft Insertion Cannula ARA-GIC-8053

7 Caddies Aria Implant Caddies ARA-IC-8030 Aria Trial Caddies ARA-TC-8040

8 Containers Aria Instrument Case ARA-CAS-8000 Aria Instrument Container ARA-CO-8050

9 Containers Aria Container Lid 111-LID

10 Surgical Technique ARIA PRE-IMPLANT PREPARATION Aria Shaver After the necessary surgical preparations and procedures are performed, the shaver is used to shave the path of the implant. The tip of this hand tool can also be used as a trial implant to determine the size of the implant (Figure 1). Aria Shaver H7-ARA-SHV-8700 H8-ARA-SHV-8800 H9-ARA-SHV-8900 H10-ARA-SHV-8100 H11-ARA-SHV-8110 H12-ARA-SHV-8120 H13-ARA-SHV-8130 H14-ARA-SHV-8140 H15-ARA-SHV-8150 (Figure 1: ARA-SHV-8130 )

11 Surgical Technique Aria Dura Retractor ARIA Dura Retractor is used for retracting the nerve from the path of the trial/implant in order to secure it from any damage (Figure 2). (Figure 2: ARA-DR-8055 )

12 Surgical Technique Aria Trial Holder ARIA Trial Holder is used to insert the trials which is used for determining the size of the implant. Starting from the smallest trial sequentially increase the trial sizes and determine the appropriate implant size. The trial should fit tight inside the vertebrae (Figure 3). H7-ARA-TR H8-ARA-TR H9-ARA-TR Aria Trial Parallel H10-ARA-TR H11-ARA-TR H12-ARA-TR H13-ARA-TR H14-ARA-TR H15-ARA-TR (Figure 3: ARA-TH-8002) To insert the trial to the hand tool, turn the handle clockwise.

13 Surgical Technique After testing the first trial you can use the second trial holder to insert the second trial. This way you can visualize how the implants will hold together (Figure 4). (Figure 4: ARA-TH-8002)

14 Surgical Technique ARIA IMPLANT INSERTION Aria Implant Inserter Position the implant and holder in the correct alignment and carefully insert them into the distracted segment. The PLIF CAGE is impacted using the mallet and the Aria Hammer (Figure 5). (Figure 5: ARA-II HM) To insert the implant to the hand tool, turn the handle displayed in red clocwise.

15 Surgical Technique After inserting the cage in the interbody space, turn the handle until the hand tool cannot turn anymore. This process ends when the titanium body is completely opened. You can confirm this when the hand tool stops turning (Figure 6). (Figure 6: ARA-II-8016) To expand the implant, turn the handle displayed in red counter clockwise.

16 Surgical Technique GRAFT INSERTION Aria Graft Insertion Cannula-Pusher First place the Cannula on to the implants graft gap and push the graft down the Cannula using the Graft Pusher as shown (Figure 7). (Figure 7: ARA-GIP-8084 ARA-GIC-8053)

17 Surgical Technique ARIA IMPLANT REMOVAL Aria Implant Removal Start by inserting the Aria Implant Removal Tool inside the cage. Use the Aria Hammer to force the implant out of the disc space as shown (Figure 8). (Figure 8: ARA-IR HM)

18 HEADQUARTER FACTORY Osimplant Medical Materials İlkbahar Ave. Galip Erdem St. (571. St.) No:47, Çankaya/Ankara, Turkey İkitelli O.S.B.14. St. Mutfakçılar Industrial Site, 4 Block No:47 İkitelli/İstanbul, Turkey P: F: P: +(90) F: +(90) sales@osimplant.com.tr info@bonimplant.com.tr