Surgical Technique s 2 w cre S d te la u n n a C

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5 Contents Introduction Tray for Screws and Instruents...4 Material...4 Properties Processing (Sterilization & Cleaning)...5 Cleaning of Instruents...5 Typical Applications...6 Indications/Contraindications...7 Overview Cannulated Screws...8 Cannulated Screws ø2.7 - ø Preoperative Planning Screw Reoval Cannulated Screws ø5.8 - ø Preoperative Planning Screw Reoval Sets Disclaier This surgical technique is solely for the use of edical professionals, particularly physicians, and therefore cannot be regarded as a source of inforation for non-edical persons. The description of this surgical technique does not constitute edical advice or edical recoendations nor does it convey any diagnostic or therapeutic inforation on individual cases. Therefore, the attending physician is fully responsible for instructing and obtaining the infored consent of the patient which this surgical technique cannot supersede. The description of this surgical technique has been coplied by edical experts and trained staff of with utost diligence and to the best of their knowledge. However, does not warrant copleteness, accuracy, currentness, or quality of the inforation nor is it liable for aterial or iaterial daages arising fro the use of this inforation. 3

6 Introduction By choosing titaniu cannulated screws fro aap you have decided for the state-of-the-art, progressive approach to screw osteosynthesis. The developent of cannulated screw systes took into particular account the need for secure priary fixation of the bone fragents. The use of guide wires considerably siplifies the preliinary fixation of bone fragents and the accurate insertion of the screw. The outstanding features of the aap cannulated screw syste offer various advantages to the surgeon, resulting in a tie-saving and safe operation. Tray for Screws and Instruents The screw sets, for sall and large cannulated screws, have a copact design. The sall cannulated screw set provides the surgeon with a tray containing the screw racks the instruents and the guide-wires for a choice of 3 screw sizes. The large screw set has also been designed as a user-friendly syste, consisting of one tray for iplants and the appropriate instruents (CS 7.5) respectively one tray for iplants and instruentation (CS 5.8 & CS 6.5). The screws have been anodized in different colors (according to diaeter) to ensure accurate differentiation between the various screw diaeters and to facilitate the course of the operation. The respective instruents have the sae color-coding. Material aap iplants are anufactured fro aterials with decades of a proven track record in edical technology. Cannulated screws are ade of titaniu alloy (TiAl6V4). All aterials used are standardized in national and international nors. They are characterized by biocopatibility and a high degree of protection against allergic reactions. 4

7 Introduction Properties Self-drilling: Because of its sharp cutting tips, the screw drills easily and securely into the bone without pre-drilling. This eliinates the drilling step and prevents over-drilling and loosening of the guide-wires due to excessive drill depth. Pre-drilling with a twist drill is only needed for extreely hard copact bone (e.g. pediatric or sclerotic bones) or for insertion at steep angles Self-tapping, forward: Reduces the nuber of instruents and procedural steps needed by eliinating the thread tap Self-tapping, reverse: Facilitates iplant reoval, even after the iplant has been in situ for longer periods of tie, thus iniizing the risk of iplant failure following screw reoval Color-coded screws: For easier identification of screw diaeter and the respective instruents (only for sall cannulated screws) Flat-headed screw: The head of the screw protrudes only slightly fro the bone. If necessary, the head of the screw can be set lower with the countersink. Guide wires have directional stability due to increased diaeters Priary fixation by guide wire can be easily repeated if reduction is unsatisfactory ø2.7 + ø3.5 cannulated screws with cortical thread ø4.0 + ø4.5 cannulated screws with cancellous thread ø5.8 + ø6.5 + ø7.5 cannulated screws with cancellous thread Processing (Sterilization & Cleaning) Together with the instruents, the iplants are supplied non-sterile in one copact set. Before every use, instruents as well as iplants ust be processed. Reference is here ade to the Instructions for Use. Iplant coponents which ay have coe into contact with infectious fluids (e.g. blood) ust not be resterilized and reused in another operation. They ust be returned to the anufacturer. Resterilization is prohibited under any circustances (see Instructions for Use). Cleaning of Instruents To ensure faultless instruent perforance, the cannulated instruents ust be cleaned thoroughly prior to every resterilization. During the surgery and, generally, after each surgery, the cannulation should be cleaned with the cleaning device. This prevents build-up of residues and the resulting blockage of the instruent via the guide wire. Avoid using any harsh or abrasive cleaning substances on any coponents contained in the syste. 5

8 Introduction Typical Applications For fractures and joint reconstructions cannulated screws can be used as inial invasive osteosynthesis. Thereby isolated fractures ay be treated with cannulated screws. For coplex fractures cannulated screws can be used as additive osteosynthesis together with other iplants such as nails, plates, fixateur externe. Typical applications are given in the following table: Glenoid and hueral head Elbow joint Distal radius Carpal (scaphoid) Sacroiliac joint, sucru Pelvis, acetabulu Feoral neck Supracondylar fractures of the feur Tibial head Pilon tibiale Upper ankle joint Tarsal bone Ligaent avulsion injuries (apophysis) Calcaneus and talus Arthrodeses of the upper & lower ankle joint Fraktures of the phalanges Arthrodeses of distal and edial phalanges Cannulated Screws ø [] & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & 6

9 Introduction Indications Minially invasive reconstruction of fractures and joints Adjuvant for osteosynthesis in coplex joint fractures Multifragent joint fractures Fractures of the feoral head and neck Supracondylar feoral fractures Tibial plateau fractures Siple etaphyseal fractures Siple epiphyseal fractures such as: Fractures of the hueral head Fractures of the tibial plateau Pilon fractures Fractures of the radius Fractures of the wrist, ankle, elbow, and shoulder Scaphoid fracture and other fractures of the hand Metatarsal fractures and other fractures of the foot Ligaent fixation at the proxial huerus Acetabular fractures Fractures of the posterior pelvic ring Condylar fractures Epiphyseal and etaphyseal fractures in children Ligaent avulsion injuries Fractures of sall joints, such as: Ankle fractures Navicular fractures Calcaneal and talar fractures Arthrodesis of the ankle Avulsion fractures and fractures of etatarsal V Tarsal fractures Contraindications Inflaation, sepsis and osteoyelitis are absolute contraindications. Any other applications not covered by the indications and the edical literature are also contraindicated. In addition, the success of the operation ay also be arred by: Unacceptably high risk for anesthesia Inadequate soft tissue coverage Acute or chronic systeic or localized infection/ inflaation Vascular, uscular or neurologic disorders ipairing the affected lib Any concoitant disorders possibly affecting iplant function Osteopathy with loss of bone substance, such as severe osteoporosis Obesity: an obese patient ay overload the iplant to the point where the fixation or iplant ay fail. Whenever the iplant is ipairing the anatoical structures or noral physiology 7

10 Overview Cannulated Screws 2.7 Length [] Drill-ø [] K-wire-ø [] Cortical 3.5 Short thread Long thread Partial thread Full thread Thread hole Gliding hole 2.7 Thread hole Gliding hole Partial thread Full thread Thread hole 2.5 Gliding hole thread Thread hole 3.0 Partial thread Gliding hole Full thread Cancellous thread Thread hole thread thread Thread hole Full thread thread thread thread Full thread Thread hole

11 Cannulated Screws ø ø 4.5 9

12 CS Preoperative Planning The following criteria ust be taken into consideration during preoperative planning to ensure successful use of the cannulated screws: Fracture site Choice of iplant Iplant position Knowledge of the surgical technique Stab incision for insertion of the tissue protection sleeve Insert tissue protection sleeve, fitted with obturator, down to the bone Fracture reposition and preliinary fixation with K-wire under iage intensifier onitoring Iage intensifier inspection in two planes Replaceent of K-wire if fracture reposition is not satisfactory N NOTE: The position of the K-wire defines the final position of the cannulated screw in the bone. N CAUTION: High copressive forces ay lead to a deflection of the wire. Therefore the risk of breakage is higher. 10

13 CS Following successful reposition: Reove the obturator Unscrew the retaining nut of the parallel drill guide insert Place parallel drill guide into the longitudinal groove and secure with the retaining nut Advance parallel drill guide with application along the guide wire N NOTE: If the fracture has a straight course, use of a parallel drill guide is recoended when placing a second K-wire. Fix desired position by oving the parallel drill guide insert Secure parallel drill guide insert by tightening the retaining nut Insert obturator into the round hole 11

14 CS Further procedure for cannulated screw iplantation as described below: N NOTE: The rule for all cannulated screws is that pre-drilling is obligatory for pediatric or sclerotic bones. The procedure is as follows: Reove obturator Insert appropriate drill sleeve into tissue protection sleeve (for ø3.5 cannulated screws, use drill sleeve for threaded hole) Pre-drill bone via the K-wire N CAUTION: Pre-drill with low speed and steady copression to avoid daaging the K-wire or the drill. 5 l N CAUTION: Drill depth equals screw length inus 5 - do not over drill the guide wire! Reove drill and drill sleeve N NOTE: A gliding hole drill lag is available for traction screw osteosynthesis with a ø3.5 fully threaded cannulated screw. 12

15 CS Deterine screw length by using the appropriate direct easuring device along the pre-easured K-wire (differential easureent) l Using the screwdriver, place the selected screw over the K-wire onto the bone Drive the screw clockwise into the bone using gentle pressure N CAUTION: Avoid excessive force when turning the screw. Take note of the bone structure. Avoid rotational dislocation of the secured fragents. N NOTE: The use of washers stops the screw penetrating the bone too far and reduces tension peaks between the head of the screw and the bone. N NOTE: The countersink ay be used where soft tissue coverage is inial. N CAUTION: For replaceent of a screw during surgery select a longer screw or larger diaeter to prevent a loss of stability in the bone. Reove and discard the K-wire N CAUTION: Single-use products like K-wires or drills arked accordingly have to be discarded after use. Wound closure 13

16 CS Screw Reoval Stab incision in the region of the old scar. N NOTE: For screw reoval a solid screw driver is to be used. Reove screw by unscrewing slowly and carefully Wound closure 14

17 Cannulated Screws ø ø

18 CS Preoperative Planning The following criteria ust be taken into consideration during preoperative planning to ensure successful use of the cannulated screws: Fracture site Choice of iplant Iplant position Knowledge of the surgical technique Stab incision for insertion of the tissue protection sleeve Insert tissue protection sleeve, fitted with obturator, down to the bone Fracture reposition and preliinary fixation with K-wire under iage intensifier onitoring Iage intensifier inspection in two planes Replaceent of wires if fracture position is not satisfactory N NOTE: The position of the K-wire defines the final position of the cannulated screw in the bone N CAUTION: High copressive forces ay lead to a deflection of the wire. Therefore the risk of breakage is higher. 16

19 CS Following successful reposition: Reove the obturator N NOTE: If possible, use the drill guide when placing any additional K-wires Advance parallel drill guide along K-wire Place additional K-wires through the drill guide cannulations and reove the instruent N NOTE: For bioechanical reasons, when fixing the feoral neck with three screws, always use two screws on top and one screw below. Washers can be used with the upper screws to prevent sinkage of the screw head if the cortical bone is thin or daaged. N NOTE: The rule for all cannulated screws is that pre-drilling is obligatory for pediatric or sclerotic bones. The procedure is as follows: Insert appropriate drill sleeve into tissue protection sleeve 17

20 CS Pre-drill bone via the K-wire N CAUTION: Pre-drill with low speed and steady copression to avoid daaging the K-wire or the drill. N CAUTION: Drill depth equals screw length inus 5 do not drill deeper than the guide wire! 5 l Reove drill and drill sleeve Deterine screw length by using the appropriate easuring device along the pre-easured K-wire (differential easureent) l Using the screwdriver, place the selected screw over the K-wire onto the bone Drive the screw clockwise into the bone using gentle pressure Follow the sae procedure to place additional screws N CAUTION: Avoid excessive force when turning the screw. Take note of the bone structure. Avoid rotational dislocation of the secured fragents. N NOTE: The countersink ay be used where soft tissue coverage is inial. 18

21 CS N NOTE: The use of washers stops the screw penetrating the bone too far and reduces tension peaks between the head of the screw and the bone. N CAUTION: For replaceent of a screw during surgery select a longer screw or larger diaeter to prevent a loss of stability in the bone. Reove and discard the K-wire N CAUTION: Single-use products like K-wires or drills arked accordingly have to be discarded after use. Wound closure Screw Reoval Stab incision in the region of the old scar. Reove screw by unscrewing slowly and carefully Wound closure 19

22 CS Basic Tray CS 2.7/3.5/4.0/4.5 ART.-NO. Basic Tray for CS 2.7/3.5/4.0/4.5, epty IC Lid for tray IC Set of Instruents CS 2.7/3.5/4.0/4.5 IC INSTRUMENTS *alternative: Screwdriver CS 2.7/3.5/4.0, hexagonal, ø2.5, a) with round handle: IS b) for Jacobs chuck: IS **alternative: Screwdriver CS 4.5, hexagonal, ø2.5, a) with round handle: IS b) for Jacobs chuck: IS ARTICLE QUANTITY ART.-NO. Basic Tray for CS 2.7/3.5/4.0/4.5, epty 1 IC Tissue protection sleeve, long, CS 2.7/ 3.5/ 4.0/ IS Obturator CS 2.7/ 3.5/ IS Obturator CS IS Drill sleeve CS 4.0, I-ø2.6 1 IS Drill sleeve CS 3.5, I-ø2.8 1 IS Drill sleeve CS 4.5, I-ø3.1 1 IS Drill sleeve CS 3.5, I-ø3.6 1 IS *Screwdriver cannulated, CS 2.7/ 3.5/ 4.0 hexagonal, ø2.5, T-handle 1 IS Screwdriver cannulated, CS 4.5 hexagonal, ø2.5, T-handle 1 IS Countersink CS 2.7/ 3.5/ 4.0/ 4.5, for Jacobs chuck 1 IS Parallel drill guide CS 3.5/ 4.0/ 4.5, basic device 1 IS Drill guide insert CS 2.7/ 3.5/ IS Drill guide insert CS IS Cleanig wire ø1.2, CS 2.7/3.5/4.0 1 IS Cleanig wire ø1.6, CS IS Drill CS 4.0, ø2.5, L 130, I-ø1.4, coil 30 1 IU Drill CS 3.5, ø2.7, L 120, I-ø1.4, coil 30 1 IU Drill CS 4.5, ø3.0, L 140, I-ø1.8, coil 30 1 IU Drill CS 3.5, ø3.5, L 120, I-ø1.4, coil 40 1 IU Direct easuring device, L 150, CS 2.7/ 3.5/ 4.0/ IU Screw forceps, self-holding 1 IU K-wire with trocar point, ø1.2, L NK K-wire with trocar point and thread ø1.6, L NK

23 CS optional: ART.-NO Screwdriver solid, hexagonal, ø2.5 IU Drill CS 2.7, ø2.0, L 85, quick coupling IU Drill CS 4.0, ø2.5, L 130, quick coupling IU Drill CS 2.7/3.5, ø2.7, L 130, quick coupling IU Drill CS 4.5, ø3.0, L 130, quick coupling IU Drill CS 3.5, ø3.5, L 130, quick coupling IU Drill CS 4.0, ø4.0, L 130, quick coupling IU Drill CS 4.5, ø4.5, L 130, quick coupling IU Percutaneous Set CS 2.7/3.5/4.0/4.5 IC ARTICLE QUANTITY ART.-NO. Tissue protection sleeve, long CS 2.7/3.5/4.0/4.5 1 IS Direct easuring device, L 200 CS 2.7/3.5/4.0/4.5 1 IU K-wire with trocar point ø1.2, L 200, without thread 6 NK Obturator, long, CS 2.7/ 3.5/ IS Drill guide insert long, CS 2.7/3.5/4.0 1 IS K-wire with trocar point ø1.6, L 200, with thread 6 NK Obturator, long, CS IS Drill guide insert, long, CS 4.5 IS /3.5/ The basic tray IC has space for 3 of the 4 available screw racks: ART.-NO. Screw rack CS 2.7, with screws IC Screw rack CS 3.5, with screws IC Screw rack CS 4.0, with screws IC Screw rack CS 4.5, with screws IC

24 CS CS 2.7, short thread self-tapping, forward and reverse self-drilling Titaniu-Alloy Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cortical T I T A N I U M LENGTH THREAD QUANTITY* ART NO SC SC SC SC SC SC SC SC SC SC SC * in IC Drill bit for thread hole ø2.0 quick coupling IU Note: Sterile and single use CS 2.7, long thread self-tapping, forward and reverse self-drilling Titaniu-Alloy Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cortical T I T A N I U M LENGTH THREAD QUANTITY* ART.-NO SC SC SC SC SC SC SC SC SC SC * in IC Drill bit for gliding hole ø2.7 Jacobs chuck IU quick coupling IU Countersink Jacobs chuck IS quick coupling IS Screwdriver hexagonal, ø2.5, T-handle IS round handle IS quick coupling IS K-wire ø1.2 without thread Length 150 (10 pieces) NK

25 CS Drill bit for thread hole ø2.7 Jacobs chuck IU quick coupling IU Drill bit for gliding hole ø3.5 Jacobs chuck IU quick coupling IU Countersink Jacobs chuck IS quick coupling IS Screwdriver hexagonal, ø2.5, T-handle IS round handle IS quick coupling IS K-wire ø1.2 without thread Length 150 (10 pieces) NK T I T A N I U M LENGTH THREAD QUANTITY* ART NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC CS 3.5, short thread self-tapping, forward and reverse Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø self-drilling Titaniu-Alloy Cortical * in IC CS 3.5, full thread T I T A N I U M LENGTH QUANTITY* ART NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC self-tapping, forward and reverse self-drilling Thread Thread-ø Core-ø Hole-ø Width A/F Head-ø Titaniu-Alloy Cortical

26 CS CS 4.0, short thread self-tapping, forward and reverse self-drilling Titaniu-Alloy Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Titaniu-Alloy Thread Thread-ø Core-ø Hole-ø Width A/F Head-ø Cancellous CS 4.0, full thread self-tapping, forward and reverse self-drilling Cancellous T I T A N I U M LENGTH THREAD QUANTITY* ART NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC T I T A N I U M LENGTH QUANTITY* ART NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC Drill bit for thread hole ø2.5 Jacobs chuck IU quick coupling IU Countersink quick coupling IS quick coupling IS Screwdriver hexagonal, ø2.5, T-handle IS round handle IS quick coupling IS K-wire ø1.2 without thread Length 150 (10 pieces) NK

27 Drill bit for thread hole ø3.0 Jacobs chuck IU quick coupling IU Countersink Jacobs chuck IS quick coupling IS Screwdriver hexagonal, ø2.5, T-handle IS round handle, IS quick coupling IS K-wire ø1.6 with thread Length 150 (10 pieces) NK Length 200 (10 pieces) NK T I T A N I U M LENGTH THREAD LENGTH QUANTITY* ART NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC T I T A N I U M LENGTH QUANTITY * ART.-NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC CS CS 4.5, short thread self-tapping, forward and reverse Thread Thread-ø Core-ø ste-ø Hole-ø Width A/F Head-ø Thread Thread-ø Core-ø Hole-ø Width A/F Head-ø self-drilling Titaniu-Alloy Cancellous CS 4.5, full thread self-tapping, forward and reverse self-drilling Titaniu-Alloy Cancellous

28 CS 5.8 Coplete Set CS 5.8 IC ART.-NO. Basic tray CS 5.8, epty IC Lid for tray IC Set of Instruents CS 5.8 IC INSTRUMENTS ARTICLE QUANTITY ART.-NO. Basic tray for instruents and iplants CS 5.8, epty 1 IC Drill sleeve CS 5.8/ 6.5, I-ø4.5 1 IS Cleaning wire ø2.0, CS IS Tissue protection sleeve CS 5.8/ 6.5/ IS Obturator CS IS Countersink CS 5.8, Jacobs chuck 1 IS Screwdriver cannulated CS 5.8 hexagonal, ø3.5, T-handle* 1 IS Parallel guide for K-wires CS IS Drill CS 5.8, ø4.3, L 220, I-ø2.2, coil 54 1 IU Direct easuring device CS 5.8, L IU Screw forceps, long 1 IU K-wire with trocar point and thread, ø2.0, L NK * alternative: Screwdriver cannulated CS 5.8, hexagonal, ø3.5, a) with round handle: IS b) for Jacobs Chuck: IS

29 CS 5.8 CS 5.8, 16 thread self-tapping, forward and reverse self-drilling Drill for thread hole ø4.3 Jacobs chuck IU Countersink IS Screwdriver hexagonal, ø3.5 T-handle IS Round handle IS Jacobs chuck IS Titaniu-Alloy K-wire ø2.0 with thread Length 270 (10 pieces) NK T I T A N I U M LENGTH QUANTITY * ART.-NO SC SC SC SC SC SC SC SC SC SC SC * in IC optional: ART.-NO. 30 SC SC SC SC Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous Titaniu-Alloy Washer for CS pcs./package T I T A N I U M INNER-ø OUTER-ø QUANTITY * ART NO SU * in IC

30 CS 6.5 Coplete Set CS 6.5 IC ART.-NR. Basic tray CS 6.5, epty IC Lid for tray IC Set of Instruents CS 6.5 IC INSTRUMENTS ARTICLE QUANTITY ART.-NO. Basic tray for instruents and iplants CS 6.5, epty 1 IC Drill sleeve CS 5.8/ 6.5, I-ø4.5 1 IS Cleaning wire ø2.5, CS IS Tissue protection sleeve CS 5.8/ 6.5/ IS Obturator CS IS Countersink CS 6.5/ 7.5, Jacobs chuck 1 IS Screwdriver cannulated CS 6.5/ 7.5 hexagonal, ø5.0, T-handle* 1 IS Parallel guide for K-wires CS IS Drill CS 6.5, ø4.4, L 220, I-ø2.7, coil 54 1 IU Direct easuring device CS 7.5/6.5, L IU Screw forceps, long 1 IU K-wire with trocar point and thread, ø2.5, L NK * alternative: Screwdriver CS 6.5/7.5, hexagonal, ø5.0, a) with round handle: IS b) for Jacobs chuck: IS

31 CS 6.5 CS 6.5, 16 thread self-tapping, forward and reverse self-drilling Titaniu-Alloy Drill for thread hole ø4.4 Jacobs chuck IU Countersink IS Screwdriver hexagonal, ø3.5 T-handle IS Round handle IS Jacobs chuck IS K-wire ø2.5 with thread Length 270 (10 pieces) NK T I T A N I U M LENGTH QUANTITY * ART.-NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC optional: ART.-NO. 35 SC Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous Washer for CS pcs./package Titaniu-Alloy T I T A N I U M INNER-ø OUTER-ø QUANTITY * ART NO SU SU SU * in IC

32 CS 6.5 Basic Tray of Iplants CS 6.5 IC epty for screws CS 6.5, 32 & full thread not included in set IC CS 6.5, 32 thread self-tapping, forward and reverse self-drilling not included in set IC Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous T I T A N I U M LENGTH ART.-NO. 45 SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC Titaniu-Alloy 30

33 CS 6.5 CS 6.5, full thread self-tapping, forward and reverse self-drilling not included in set IC Titaniu-Alloy T I T A N I U M LENGTH ART.-NO. 35 SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous

34 CS 7.5 Coplete Set CS 7.5 IC ART.-NR. Basic tray for instruents CS 7.5, epty IC Basic tray for iplants CS 7.5, epty IC Lid for tray IC Set of Instruents CS 7.5 IC INSTRUMENTS ARTICLE QUANTITY ART.-NO. Basic Tray for instruents CS 7.5, epty 1 IC Drill sleeve CS 7.5, I-ø5.2 1 IS Cleaning wire, ø3.0, CS IS Tissue protection sleeve CS 5.8/6.5/7.5 1 IS Obturator CS IS Countersink CS 6.5/ 7.5, Jacobs chuck 1 IS Screwdriver cannulated CS 6.5/ 7.5 hexagonal, ø5.0, T-handle* 1 IS Parallel guide for K-wires, CS IS Drill CS 7.5, ø5.0, L 220, I-ø3.3, coil 60 1 IU Direct easuring device CS 7.5, L IU Direct easuring device CS 6.5/7.5, L IU Screw forceps, long 1 IU K-wire with trocar point and thread, ø3.0, L NK K-wire with trocar point NK and thread, ø3.0, L * alternative: Screwdriver CS 6.5/7.5, hexagonal ø5.0, a) with round handle: IS b) for Jacobs Chuck: IS

35 CS 7.5 Set of Iplants CS 7.5 IC Tray for iplants, epty IC Titaniu-Alloy Drill for thread hole ø5.0 Jacobs chuck IU Countersink IS Screwdriver hexagonal, ø3.5 T-handle IS Round handle IS Jacobs chuck IS K-wire ø3.0 with thread Length 220 (10 pieces) NK Length 270 (10 pieces) NK T I T A N I U M LENGTH QUANTITY * ART.-NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC CS 7.5, 16 thread self tapping, forward and reverse self drilling Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous LENGTH QUANTITY * ART.-NO SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC * in IC CS 7.5, 32 thread self-tapping, forward and reverse self-drilling Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous

36 CS 7.5 CS 7.5, 8 thread self-tapping, forward and reverse self-drilling not included in set IC Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous T I T A N I U M LENGTH ART.-NO. 30 SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC Titaniu-Alloy Washer for CS pcs./package Titaniu-Alloy T I T A N I U M INNER-ø OUTER-ø QUANTITY * ART NO SU SU SU * in IC

37 CS 7.5, full thread self-tapping, forward and reverse self-drilling CS 7.5 not included in set IC Titaniu-Alloy T I T A N I U M LENGTH ART.-NO. 30 SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC SC Thread Thread-ø Core-ø Ste-ø Hole-ø Width A/F Head-ø Cancellous

38 36 Notes.

39 Subject to technical odifications, errors and isprints. WM / 0311 Layout, typesetting: design graphic - Wolfra Passlack Lorenzweg Berlin Gerany Fon Fax custoer.service@aap.de

40 s Lorenzweg Berlin Gerany Fon Fax custoer.service@aap.de WM / 0311