Tissue Sparing. DEsign Rationale

Transcription

1 Tissue Sparing Solutions DEsign Rationale

2 TISSUE SPARING SOLUTIONS Instruments designed to accommodate your surgical approach preference and implant choice Enabling efficient, repeatable, tissue-sparing total hip replacement. Balancing the potential benefits of less invasive techniques, including accelerated recovery and less pain, with the goals of optimizing function and maximizing implant survivorship. Providing a comprehensive instrumentation system designed to enhance tissue preservation during surgery, whether it is a mini-posterior, anterolateral or anterior approach.

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4 exposure Management Anterior Approach Instrumentation Designed to facilitate the Anterior Approach, as described by Joel Matta, M.D. The instruments included in the kit enable acetabular and femoral exposure. Insert Blunted Serrated Cobra () MI -Incision Sharp Cobra (Serrated Point) Blunted Cobra Single Prong Soft Tissue Retractor Hohmann Retractor Narrow/Curved (0 degree) Excel T-Handle Modular Head Ball Remover Base Right Angle Posterior Capsular Retractor (Hibbs) Sorrel Retractor Weight lbs Sorrel Incision Retractor Blade Wide Murphy Bone Skid MI Narrow Curved Hohmann MI Gluteus Medius Retractor (Right Angle Hohmann) Muller Type Retractor Sorrel Retractor Weight. lbs Anterior Approach Case Complete 4 DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale

5 MI Retractor Kit The Minimal Incision (MI) Hip retractor kit is designed to facilitate the mini-posterolateral and mini-anterolateral techniques. The instruments included in the kit enable acetabular and femoral exposure. Insert MI XL Femoral Neck Elevator Inferior Posterior Capsular Retractor Right Inferior Posterior Capsular Retractor Left Right Angle Posterior Capsular Retractor Blunt Right Angle Posterior Capsular Retractor Sciatic Nerve Retractor Superior Capsular Retractor Anterior Hohmann 4 8 Base MI Cobra Retractor with Armrest MI Narrow Curved Hohmann MI Narrow Cobra MI Gluteus Medius Retractor (Right Angle Hohmann) MI Retractor Case Complete Lid Insert Base Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction

6 MI Acetabular Preparation TSS Low-Profile Reamers Designed to allow easier access into the acetabulum during a minimally invasive procedure. The reamers' lowprofile shape and rounded edges enable easy insertion into the wound with less risk of soft tissue damage. The reamers also allow for concentric reaming TSS Low-Profile Reamer 48 mm TSS Low-Profile Reamer 49 mm TSS Low-Profile Reamer 0 mm TSS Low-Profile Reamer mm TSS Low-Profile Reamer mm TSS Low-Profile Reamer mm TSS Low-Profile Reamer 4 mm TSS Low-Profile Reamer mm TSS Low-Profile Reamer 6 mm TSS Low-Profile Reamer mm TSS Low-Profile Reamer 8 mm TSS Low-Profile Reamer 9 mm TSS Low-Profile Reamer 60 mm TSS Low-Profile Reamer 6 mm TSS Low-Profile Reamer 6 mm TSS Low-Profile Reamer 6 mm TSS Low-Profile Reamer 64 mm TSS Low-Profile Reamer 6 mm TSS Low-Profile Reamer 66 mm TSS Low-Profile Reamer Case Complete Lid Base 6 DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale

7 MAcS Acetabular Set The Minimally Invasive Acetabular Set (MAcS) is designed to enable access to the acetabulum through a variety of less invasive surgical exposures, including the mini-anterolateral, mini-posterolateral and anterior approaches. The instrument angulation and slim profile allows passage through a small incision directly into the joint space without disrupting the surrounding tissue, using either the TSS Low-Profile Graters or Quickset Graters MAcS Case Complete Impactor Tip. mm Impactor Tip 6 mm Impactor Tip 8 mm Impactor Tip mm Impactor Tip 6 mm Angled Drive Shaft Dual Coupling Angled Acetabular Inserter Bantam Adaptor Angled Reamer Driver Housing Assembly Inserter Replacement Parts (not shown): Spring Button Lock Catch Standard Adapter Optional Impactor Tips (not shown): Impactor Tip 40 mm Impactor Tip 44 mm Impactor Tip 48 mm Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction

8 Femoral Preparation Modular Box Osteotome The modular box osteotome is designed to attach to any of the technique specific broach handles to allow the surgeon to easily open the femoral canal in patients and surgical approaches where a straight, monoblock osteotome is not appropriate. Posterior Broach Handle The Posterior Broach Handle is designed to facilitate easier broaching during a posterior approach with an increased handle body length to allow for surgical wound preservation. The broach handle also features a wider strike plate and optional version control rod (part number ) attachment to provide smoother broach extraction. Dual Offset Anterior Approach Broach Handle Left , Right The Dual Offset Anterior Approach Broach Handles are designed for use with the Anterior Approach to enable broaching in obese or muscular patients. The instrument's dual-angled design reduces soft-tissue impingement for wound clearance and minimizes softtissue damage during broaching. 8 DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale

9 Other broach handle options: SUMMIT Universal Broach Handle F CORAIL AMT Straight Broach Handle CORAIL AMT Curved Broach Handle Technique-specific femoral component inserters: The modular stem inserters are designed to allow accurate stem placement during a minimally invasive posterior, anterolateral or anterior approach. Their various geometries allow the surgeon to avoid soft tissue impingement during all aspects of insertion Universal Stem Inserter Handle CORAIL/TRI-LOCK Bone Preservation Stem Anterior Inserter Shaft SUMMIT Anterior Inserter Shaft Standard Straight Inserter Shaft CORAIL/TRI-LOCK Bone Preservation Stem Posterior Inserter Shaft SUMMIT Posterior Inserter Shaft Bullet Tip Inserter Shaft Extra-Curved Broach Handle Suitable for multiple surgical approaches. Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction 9

10 Femoral Preparation Compatible with the SUMMIT, CORAIL and TRI-LOCK Bone Preservation Stem systems, the TSS Core kits feature instrumentation to facilitate the femoral preparation for a surgeon using an anterolateral, posterior or anterior approach. To further enhance OR flexibility the kits hold two sets of trial heads, up to size 44 mm, and can accommodate two different broach handles of any of the designs mentioned below. TSS Core Case Insert Universal Stem Insert Handle. Trial Heads Two Sets Per Case Retaining Stem Inserter ( pcs) Modular Box Osteotome 4. Any two handles: SUMMIT Universal Broach Handle F CORAIL AMT Straight Broach Handle CORAIL AMT Curved Broach Handle Long Posterior Broach Handle Optional Version Control Rod (for Posterior Broach Handle) Extra Curved Broach Handle Anterior Broach Handle - Left Anterior Broach Handle - Right Base CORAIL/TRI-LOCK Bone Preservation Stem Posterior Stem Insert Shaft SUMMIT Posterior Stem Insert Shaft Bullet Tip Stem Insert Shaft Standard Straight Stem Insert Shaft SUMMIT Anterior Stem Insert Shaft CORAIL/TRI-LOCK Bone Preservation Stem Anterior Stem Insert Shaft Tissue Sparing Femoral Core Case Complete Lid Insert Base DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale

11 TSS Core Case Muller Awl Reamer w / Hudson End Excel T-Handle IM Initiator Sized MI Calcar Reamer Small (Shielded). 8-9 Femoral Rasp Canal Finder Femoral/Humeral Head Impactor Tissue Sparing Femoral Core Case Complete Lid Base Optional Replacement Part: Replacement Tip for Femoral Head Impactor Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction

12 Lighted Retractors Designed to optimize visibility in a small incision surgical setting, the light strips provide controlled lighting by only emitting light at the tip, eliminating the problem of glare. The strips are sterile, single-use and disposable with built-in adhesive backings offering intraoperative flexibility by attaching to a variety of retractor styles Cable with Olympus Adaptor Cable with Storz Adaptor Cable with ACMI Adaptor Cable with Wolf Adaptor Lightstrips (Package of ) Limited Warranty and Disclaimer: DePuy Synthes Joint Reconstruction products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. WARNING: In the USA, this product has labeling limitations. See package insert for complete information. CAUTION: USA Law restricts these devices to sale by or on the order of a physician. Not all products are currently available in all markets. DePuy Orthopaedics, Inc. 00 Orthopaedic Drive Warsaw, IN 468 T. + (800) DePuy Synthes Joint Reconstruction, a division of DOI Rev. 04.M