Mandible External Fixator II. Provides treatment for fractures of the maxillofacial area.

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1 Mandible External Fixator II. Provides treatment for fractures of the maxillofacial area. Lightweight single-phase system Adjustable throughout application Rigid construct using three basic components

2 Mandible External Fixator II The Mandible External Fixator II allows the surgeon to create a rigid construct using three basic components: 4.0 mm rods, 2.0 mm and 2.5 mm Kirschner wires and/or 2.5 mm/4.0 mm Schanz screws, and adjustable snap-on clamps. Features Lightweight single-phase system Adjustable throughout application Adjustable Clamp ( ) Accepts a 2.5 mm/4.0 mm Schanz screw, 2.5 mm Kirschner wire, or 4.0 mm rod on each end of the clamp Snap-on design allows clamp placement between previously applied clamps Connects two rods in any orientation, for greater versatility of Schanz screw/kirschner wire placement and frame construction Maintains rod position during frame assembly and fracture reduction Adjustable Parallel Pin Clamp ( ) Allows two Kirschner wires to be implanted in the same small bone fragment Snap-on design allows clamp placement between previously applied clamps Allows greater versatility of Schanz screw/kirschner wire placement and frame construction Top portion of the clamp accepts a 2.5 mm Kirschner wire and 4.0 mm rod, and the bottom portion of the clamp accepts two 2.0 mm or 2.5 mm Kirschner wires 2.0 mm and 2.5 mm Kirschner Wires ( and ) For fixation of fragments that may be too small for 4.0 mm Schanz screws. Mandible External Fixator II

3 Anatomic Schanz screws For specific regions of the mandible Shouldered to prevent overinsertion Adjustable throughout application Postoperative adjustability Clamps snap onto rod and pins Self-contained set: implants and instruments in one case Indications The Mandible External Fixator II is intended to stabilize and provide treatment for fractures of the maxillofacial area, including: Severe open mandibular fractures Highly comminuted closed fractures Nonunions and delayed unions (especially associated with infection) Fractures associated with infection Tumor resections Facial deformity corrections Gunshot wounds Panfacial fractures Burn maintenance Bone grafting defects

4 Alternative Frame Configurations Frame incorporating an Adjustable Parallel Pin Clamp As applied on a mandible with a fragment that is too small to accept two Schanz screws Adjustable Clamps Adjustable Parallel Pin Clamp mm Titanium Pre-Bent Rod, 1 Full Mandible with Ramus mm/4.0 mm Titanium Schanz Screws, for Ramus mm/4.0 mm Titanium Schanz Screws, for Symphysis mm Kirschner Wires Protective Caps, for 2.0 mm 2 Kirschner Wires One-half Frame As applied on an infected angle fracture Adjustable Clamps mm Titanium Pre-Bent Rod, 1 One-Half Mandible mm/4.0 mm Titanium Schanz Screws, for Ramus Mandible External Fixator II

5 Modular Carbon Fiber Frame As applied on an infected angle fracture. The modular carbon fiber frame provides improved x-ray imaging Adjustable Clamps mm/4.0 mm Titanium Schanz Screws, for Ramus mm Carbon Fiber Rods, 2 60 mm mm Carbon Fiber Rod, 1 80 mm Double-stacked Frame As applied on a resected mandible Adjustable Clamps mm Titanium Pre-bent Rod, 1 Full Mandible with Ramus mm Titanium Pre-Bent Rod, 1 One-Half Mandible mm/4.0 mm Titanium Schanz Screws, for Ramus mm/4.0 mm Titanium 1 or Schanz Screw, for Symphysis

6 Alternative Frame Configurations continued Modular Frame As applied on a comminuted fracture. A modular frame can be created to accommodate the fracture location Adjustable Clamps mm Titanium Pre-Bent Rod, 1 Full Mandible mm Titanium Pre-Bent Rod, 1 One-Half Mandible mm/4.0 mm Titanium 1 or Schanz Screws, for Ramus mm/4.0 mm Titanium Schanz Screws, for Symphysis Mandible External Fixator II

7 Mandible External Fixator II Set ( ) Graphic Case Mandible External Fixator II Set Graphic Case Base Mandible External Fixator II Set Graphic Case Lid Schanz Screws 2.5 mm/4.0 mm Titanium Schanz Screws, self-drilling, 3 ea for Ramus, 8 mm thread length for Ramus, 10 mm thread length for Body, 14 mm thread length for Body, 18 mm thread length for Symphysis, 20 mm thread length for Symphysis, 22 mm thread length Wires mm Kirschner Wire with Thread, 150 mm, trocar point, 15 mm thread length (10/pkg.) mm Kirschner Wire with Thread, 150 mm, trocar point, 15 mm thread length (10/pkg.) Rods 4.0 mm Titanium Pre-bent Rods, 2 ea Full mandible with ramus Full mandible Three-quarter mandible One-half mandible 4.0 mm Carbon Fiber Rods, 2 ea mm mm mm mm Clamps Adjustable Clamp, 8 ea Adjustable Parallel Pin Clamp, 2 ea. Protective Caps for 2.0 mm Kirschner wires (10/pkg.) for 2.5 mm Kirschner wires (10/pkg.) for 4.0 mm bars and rods (10/pkg.)

8 Mandible External Fixator II Set ( ) continued Instruments mm/4.0 mm Stepped Drill Bit, Stryker J-latch, with 24 mm stop, 2 ea Measuring Device, for Mandible External Fixator mm Rod Bender, for Mandible External Fixator Rod Template, for 4.0 mm rods, for Mandible External Fixator Drill Guide for 2.0 mm/2.5 mm Kirschner Wires mm/2.5 mm Obturator Schanz Screw Rapid Driver, 2 ea mm Obturator Drill Guide/Cannula, extra long, for 4.0 mm Schanz Screws, 2 ea Adaptor for Ratcheting Screwdriver Handle Ratcheting Screwdriver Handle Combination Wrench, 7 mm width across flats Socket Wrench, 7 mm width across flats Drill Sleeve Handle Also Available* S Mandible External Fixator, 500 mm Rod Kit, sterile (includes one straight 500 mm Titanium Rod and one 500 mm Rod Template) Cutter (small) Rod Cutter (large) Wire Cutters 4.0 mm Carbon Fiber Rods mm mm mm mm Compact Air Drive II * These items will not fit in the Mandible External Fixator II graphic case. Available nonsterile and sterile-packed. Delete S from catalog number for nonsterile product Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 11/08 J6841-B