Luminary ALIF. Disc preparation and implant insertion instruments.
|
|
- Tyrone Poole
- 6 years ago
- Views:
Transcription
1 Luminary ALIF. Disc preparation and implant insertion instruments. Technique Guide Instruments and implants approved by the AO Foundation
2 Table of Contents Introduction Luminary ALIF 2 AO Principles 4 Surgical Technique Preparation 5 Straight Anterior Approach 6 Anterolateral Approach (30º Offset) 16 Product Information Instruments 18 Set Lists 21 Image intensifier control Synthes Spine
3 Luminary ALIF Anterior Approach The Luminary ALIF instruments can be used in an anterior lumbar interbody fusion procedure using a straight anterior approach to the lumbar spine. The illustration depicts a Luminary CC-ALIF Spacer being implanted at the L5 S1 level. ALIF Synthes Quick Inserter/Distractor (SQUID) Provides distraction of disc space, insertion of implant and ejection of instrument in one simple procedure No assembly required Easy to use, integrated adjustable countersink, 3 mm and 6 mm depths from the outer wall of the implant to the outer wall of the vertebral body Shaft can be released for quick set-up and can be engaged for controlled insertion Spring ramps firmly hold implant during procedure Impact-free insertion 26 mm depth 30 mm width 2 Synthes Spine Luminary ALIF
4 Anterolateral Approach The Luminary ALIF instruments can also be used in an anterior lumbar interbody fusion procedure using an anterolateral approach, or 30 offset from straight anterior. This approach preserves the anterior longitudinal ligament and avoids patient vasculature. The illustration depicts a Luminary CC-ALIF Spacer being implanted at the L4 L5 level. 3 mm 6 mm Synthes Spine 3
5 AO Principles In 1958, the AO formulated four basic principles, 1 which have become the guidelines for internal fixation. They are: Anatomic reduction Stable internal fixation Preservation of blood supply Early, active mobilization The fundamental aims of fracture treatment in the limbs and fusion of the spine are the same. A specific goal in the spine is returning as much function as possible to the injured neural elements. 2 AO Principles as Applied to the Spine 3 Anatomic alignment Restoration of normal spinal alignment to improve the biomechanics of the spine. Stable internal fixation Stabilization of the spinal segment to promote bony fusion. Preservation of blood supply Creation of an optimal environment for fusion. Early, active mobilization Minimization of damage to the spinal vasculature, dura, and neural elements, which may contribute to pain reduction and improved function for the patient. 1. M.E. Müller, M. Allgöwer, R. Schneider, H. Willenegger: AO Manual of Internal Fixation, 3rd Edition. Berlin: Springer-Verlag Ibid. 3. M. Aebi, J.S. Thalgott, J.K. Webb. AO ASIF Principles in Spine Surgery. Berlin: Springer-Verlag Synthes Spine Luminary ALIF
6 mm Inches 24 mm GP1739-A 3/01 J3554 Preparation 1 Preoperative planning Determine surgical approach (anterior or anterolateral). The surgical approach, based on surgeon preference, determines the implant type. 2 Determine implant height Instrument ANTERIOR HEIGHT SYNTHES Spine 1690 Russell Road, Paoli, PA To order: ALIF SPACER PREOPERATIVE PLANNER Actual Size Lateral view 9 mm 11 mm 13 mm 15 mm 8052* ALIF Preoperative Planner ANTERIOR HEIGHT 17 mm 19 mm 21 mm 30 mm Preoperative planning is recommended for precise selection of a Luminary CC-ALIF spacer. Determine the implant height by comparing a lateral view on the ALIF preoperative planner with adjacent intervertebral discs on a lateral radiograph. 100 % actual size NOTE: All ALIF Spacers are 24 mm in anterior-posterior direction and 30 mm in lateral width. ALIF Preoperative Planner (8052) The implant must be firmly seated with a secure fit between the endplates when the segment is fully distracted. It is essential to use the tallest possible implant, as determined by the preoperative planning, to maximize segmental stability. Due to variations in radiographic magnification, the templates only provide an estimate of the ideal implant size. Templates represent 40% 80% (in 5% increments) and 100% actual size for use with MRI and CT scans. 10% and 15% magnification templates are available for x-ray use. * Also available Synthes Spine 5
7 Straight Anterior Approach Optional sets ProPrep Disc Preparation Set Anterior Instrument Set The ProPrep instrument set is a comprehensive collection of traditional disc preparation instruments to facilitate a complete discectomy Expose the disc Expose the midline of the intervertebral disc. 6 Synthes Spine Luminary ALIF
8 2 Perform discectomy Instrument Scalpel Handle* Using a scalpel, cut a window in the annulus, centered on the vertebral midline to prepare the position for the implant. For the quickest and most effective removal of a disc, separate the disc from the endplate with an endplate elevator. Endplate elevators for ALIF surgery are available in the optional sets and individually through the Synthes catalog. *Note: Blades are not included in the set. Synthes Spine 7
9 Straight Anterior Approach continued 2 Perform discectomy continued Instruments Disc Excisor Rongeur, 9 mm height Disc Excisor Rongeur, 11 mm height Disc Excisor Rongeur, 13 mm height Remove disc material from the intervertebral disc space using any combination of the following options: disc excisor rongeur, side-biting rongeur, or disc shaver/excisor. Note: Removing the superficial layers of the cartilaginous endplates exposes bleeding bone. Adequate preparation of the endplates is important to facilitate vascular supply to the bone graft. Excessive cleaning, however, may weaken the endplate due to removal of bone underlying the cartilaginous layers. Use the disc excisor rongeur to begin removing the disc. The disc excisor rongeurs are also effective to remove disc in the posterolateral disc space (Figure 1). Figure 1 8 Synthes Spine Luminary ALIF
10 Instruments Bone Rongeur, side-biting, 9 mm height Bone Rongeur, side-biting, 11 mm height Bone Rongeur, side-biting, 13 mm height ALIF Spreaders, 9 mm 21 mm Disc Shavers/Excisors, 9 mm 21 mm Use the side-biting rongeurs to remove disc material and cartilaginous tissue from the superior and inferior surfaces of the vertebral endplates. The double-sided cutting edges allow both surfaces to be cleaned simultaneously. Use the ALIF disc shavers/excisors for thorough removal of disc material and cartilaginous tissue from the intervertebral disc space. Multiple flutes maximize scraping and collection of disc material. The ALIF spreaders can be used to distract the disc space while allowing room to work contralaterally. The disc shavers/excisors can be used in a controlled manner to clean the lateral disc space. Synthes Spine 9
11 Straight Anterior Approach continued 3 Prepare endplates Instrument ALIF Trial Spacer Rasp, with handle, 7 mm height After the discectomy is complete, use the double-sided rasp to remove the superficial cartilaginous layers of the endplates and expose bleeding bone. Note: Excessive removal of the subchondral bone may weaken the vertebral endplate. If the entire endplate is removed, subsidence and loss of segmental stability may result. 4 Determine implant size Instruments ALIF Trial Spacer Rasps, quick release, mm 21 mm ALIF Trial Spacers, quick release, mm 21 mm Quick Release T-Handle The trial spacer rasps can be used to simultaneously trial the disc space for the implant while exposing bleeding bone. For final size determination, connect the appropriately sized trial spacer or trial spacer rasp to the desired length quick release T-handle. Insert the trial spacer into the intervertebral disc space using gentle impaction. Fluoroscopy can assist in confirming the fit and geometry of the trial spacer. 10 Synthes Spine Luminary ALIF
12 If the trial spacer appears too small or too tight, try the next larger or smaller size until the most secure fit is achieved. It is essential to use the tallest clinically reasonable implant to maximize segment stability. Optional instruments Quick Release T-Handle, 185 mm PDL102 Slotted Mallet The slotted mallet can be used to facilitate the insertion or removal of the trial spacers and trial spacer rasps. Synthes Spine 11
13 Straight Anterior Approach continued 5 Insert implant T-handle Option 1: Using SQUID Instruments ALIF Synthes Quick Inserter/Distractor (SQUID) Screw shaft * Autoclavable Oil Release the main thread by pushing the release button on the grip and slide the ejector fully back. Set the countersink depth 3 mm or 6 mm by turning the ejector in either direction with your fingers. The number closer to the tips of the instrument is the current setting. Note: Ejector can only be turned when in the keyhole. Engage/ release button SQUID Care Instructions To ensure maximum longevity of SQUID, complete these four steps after each use: Keyhole Ejector 1. Wash and disinfect instrument after surgery. 2. Apply autoclavable oil over entire length of the screw shaft. Spring ramp guides 3. Spread autoclavable oil over entire thread length by engaging the button and screwing the T-handle all the way down and back. 4. Sterilize SQUID before use (see package insert). Pusher Tips *Also available 12 Synthes Spine Luminary ALIF
14 Once the countersink depth is set, place the instrument flat on the table to load the implant. Pack bone graft material into the center of the implant as appropriate. Place the implant onto the bottom spring ramp. Holding both sides of the implant, engage the grooves with the spring ramp guides and gently slide the implant forward until the implant is held without sliding back. Note: The tips of the inserter will be inserted into the disc space up to the depth stops on the spring ramps; to allow full insertion, the tips must not be spread apart. Slide the pusher up to the implant and engage the main thread by pressing the engage button. The implant is now held securely. Depth stops Main thread Synthes Spine 13
15 Straight Anterior Approach continued 5 Insert implant continued Option 1: Using SQUID continued Place the tips of the instrument into the disc space so the depth stops on the spring ramps touch the anterior rim of the vertebral body. The tips of the instrument are 26 mm deep and 30 mm wide. Note: It is important to remember that the pusher will be moving toward the vertebral body and the ejector is proud above the spring ramps and stops. Be aware of soft tissue and blood vessels that may be in the path of the pusher and ejector as they move toward and push against the vertebral bodies. With the main thread engaged, turn the T-handle on the SQUID to advance the implant down the spring ramps and into the disc space. The force required to turn the T-handle will increase as the implant advances down the spring ramps and the instrument distracts the disc space. Continue turning the T-handle until the instrument is fully ejected and released. An audible click as the spring ramps spring back to meet each other confirms that the implant is seated and the instrument is fully ejected and released. 14 Synthes Spine Luminary ALIF
16 Option 2: Using implant holder and impactor Instruments ALIF Implant Holder ALIF Impactor, crescent Insert the implant using the ALIF implant holder, ensuring that the tallest side of the implant lies against the holder. The implant holder aligns with the preformed grooves or slot on the implant for easy insertion. Ensure that the implant is held flush against the holder. Tighten the locking screw on the implant holder to firmly secure the instrument jaws against the implant. Introduce the spacer into the intervertebral disc space until the implant is flush or slightly recessed. Slight impaction on the implant holder may be necessary. Release the implant holder by loosening the locking screw and use the impactor to fully seat the implant. Important: Before use, ensure that the impactor fits flush against the implant. Do not forcibly strike the impactor when tapping the implant into position. Synthes Spine 15
17 Anterolateral Approach (30 Offset) 1 Expose and remove disc and prepare endplate For anterolateral insertion, the center of the implant will sit 30 offset to the anterior vertebral midline. Remove the disc and prepare the endplates according to Steps 2 and 3 of the straight anterior approach (pages 7 10). 2 Distract and size Instruments ALIF Trial Spacer Rasp with handle, 7 mm ALIF Trial Spacer Rasps, quick release, mm 21 mm ALIF Trial Spacers, quick release, mm 21 mm Determine the correct implant size using the ALIF trial spacers or trial spacer rasps. The same trial spacers and trial spacer rasps can be used for anterior or anterolateral approaches. The desired approach can be changed by unscrewing the sleeve, aligning the head in the correct position and reattaching the sleeve. Insert the trial spacer and determine the correct implant size as described in Step 4 of the anterior approach (page 10). 16 Synthes Spine Luminary ALIF
18 3 Insert the implant Insert the implant according to Step 5 of the straight anterior approach (pages 12 15). Synthes Spine 17
19 Instruments Scalpel Handle Quick Release T-Handle, 185 mm Disc Excisor Rongeurs, 9 mm 13 mm height Bone Rongeurs, side-biting, mm 13 mm height ALIF Spreaders, 9 mm 21 mm height Synthes Spine Luminary ALIF
20 Disc Shavers/Excisors, 9 mm 21 mm height ALIF Trial Spacer Rasp, with handle, 7 mm height ALIF Trial Spacer Rasps, quick release, 9 mm 21 mm height ALIF Trial Spacers, quick release, mm 21 mm height ALIF Synthes Quick Inserter/Distractor (SQUID) Synthes Spine 19
21 Instruments continued ALIF Implant Holder, with grooves ALIF Impactor, crescent Quick Release T-Handle PDL102 Slotted Mallet 20 Synthes Spine Luminary ALIF
22 Luminary ALIF Disc Preparation Instrument Set ( ) Graphic Case Graphic Case, for Luminary ALIF Disc Preparation Instrument Set Instruments Scalpel Handle* Quick Release T-Handle, 185 mm Quick Release T-Handle, 2 ea. Disc Excisor Rongeurs mm height mm height mm height Bone Rongeurs, side-biting mm height mm height mm height ALIF Spreaders mm height mm height mm height mm height mm height mm height mm height Disc Shavers/Excisors mm height mm height mm height mm height mm height mm height mm height * Blades not included Note: For additional information, please refer to package insert. Synthes Spine 21
23 Luminary ALIF Insertion Instrument Set ( ) Graphic Case Graphic Case for Luminary ALIF Insertion Instrument Set Instruments Quick Release T-handle, 185 mm ALIF Trial Spacer Rasp, with handle, 7 mm height ALIF Synthes Quick Inserter/Distractor (SQUID) ALIF Implant Holder, with grooves ALIF Impactor, crescent Quick Release T-handle, 2 ea. PDL102 Slotted Mallet ALIF Trial Spacer Rasps, quick release mm height mm height mm height mm height mm height mm height mm height ALIF Trial Spacers, quick release mm height mm height mm height mm height mm height mm height mm height 22 Synthes Spine Luminary ALIF
24 Also Available Optional Sets ProPrep Disc Preparation Set Anterior Instrument Set Instruments Disc Excisor Rongeurs mm height mm height mm height mm height mm height Bone Rongeurs, side-biting mm height mm height mm height mm height 8052 ALIF Preoperative Planner Synthes Spine 23
25 Synthes Spine 1302 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. ProPrep and Synthes are trademarks of Synthes, Inc or its affiliates. Printed in U.S.A. 8/08 J6782-B
Trephine System. Principle-based anterior lumbar interbody fusion.
Trephine System. Principle-based anterior lumbar interbody fusion. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Trephine System 2 AO Principles
More informationThoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine.
Thoracolumbar Anterior Compression (TAC) System. Allows distraction, compression, and lateral fixation of the lower thoracic and lumbar spine. Technique Guide Instruments and implants approved by the AO
More informationSpinal Correction FRA Spacer System. For use with the Small Stature FRA Spacer and the FRA Spacer.
Spinal Correction FRA Spacer System. For use with the Small Stature FRA Spacer and the FRA Spacer. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction
More informationCSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP).
CSLP Quick Lock Screws. Preassembled expansionhead screw and locking screw for use with Cervical Spine Locking Plates (CSLP). Technique Guide Instruments and implants approved by the AO Foundation Table
More informationThoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine.
Thoracolumbar Spine Locking Plate (TSLP) System. A low-profile plating system for anterior stabilization of the thoracic and lumbar spine. Technique Guide Instruments and implants approved by the AO Foundation
More informationSynex System TECHNIQUE GUIDE. An expandable vertebral body replacement device
Synex System TECHNIQUE GUIDE An expandable vertebral body replacement device Original Instruments and Implants of the Association for the Study of Internal Fixation AO ASIF Synex System Overview The Synex
More informationTechnique Guide. T-PAL. Transforaminal posterior atraumatic lumbar spacer system.
Technique Guide T-PAL. Transforaminal posterior atraumatic lumbar spacer system. Table of Contents Introduction T-PAL 2 AO Principles 4 Indications and Contraindications 5 Surgical Technique Preparation
More informationUSS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine.
USS Variable Axis Screw (VAS) System. For posterior fixation of the lumbar spine. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction USS Variable Axis
More informationSYNCAGE EVOLUTION. This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE
SYNCAGE EVOLUTION This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Image intensifier control Warning This description alone does not provide sufficient background for direct
More informationTechnique Guide. Cranial Clamps with Application Instrument. Quick and stable fixation of cranial bone flaps following a craniotomy.
Technique Guide Cranial Clamps with Application Instrument. Quick and stable fixation of cranial bone flaps following a craniotomy. Table of Contents Introduction Cranial Clamps with Application Instrument
More informationTechnique Guide. ECD Expandable Corpectomy Device. Continuously Expandable Vertebral Body Replacement for Tumour Cases.
Technique Guide ECD Expandable Corpectomy Device. Continuously Expandable Vertebral Body Replacement for Tumour Cases. Table of Contents Introduction Overview 2 AO ASIF Principles 4 Indications and Contraindications
More informationSYNFIX. LR Stand Alone Spacer. Instruments and implants for stand alone anterior lumbar interbody fusion (ALIF). Technique Guide
SYNFIX LR Stand Alone Spacer. Instruments and implants for stand alone anterior lumbar interbody fusion (ALIF). Technique Guide Table of Contents Introduction SYNFIX LR Stand Alone Spacer 2 AO Principles
More informationECD EXPANDABLE CORPECTOMY DEVICE Continuously Expandable Vertebral Body Replacement for Tumour Cases
ECD EXPANDABLE CORPECTOMY DEVICE Continuously Expandable Vertebral Body Replacement for Tumour Cases Instruments and implants approved by the AO Foundation. This publication is not intended for distribution
More informationTechnique Guide. 3.5 mm LCP Low Bend Medial Distal Tibia Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Low Bend Medial Distal Tibia Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Low Bend Medial Distal Tibia Plates
More informationInterbody fusion cage for the transforaminal approach. Travios. Surgical Technique
Interbody fusion cage for the transforaminal approach Travios Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes
More informationOccipital Cervical Fusion System. Implants and instruments designed to optimize fixation to the occiput.
Occipital Cervical Fusion System. Implants and instruments designed to optimize fixation to the occiput. Technique Guide and implants approved by the AO Foundation Table of Contents Introduction Occipital
More informationSynCage. Surgical Technique. This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
SynCage Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image intensifier control Warning This description alone
More informationZero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device.
Zero-P Instruments and Implants. Zero-profile anterior cervical interbody fusion (ACIF) device. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Zero-P
More informationTechnique Guide. 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Olecranon Plates 2 AO Principles 3 Indications 3 Clinical
More informationTechnique Guide. Oracle Spacer System. Instruments and implants for a direct lateral approach to the lumbar spine.
Technique Guide Oracle Spacer System. Instruments and implants for a direct lateral approach to the lumbar spine. Table of Contents Introduction Oracle Spacer System 2 AO Principles 4 Indications 5 Surgical
More informationTechnique Guide. ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty.
Technique Guide ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty. Table of Contents Introduction Overview 2 AO ASIF Principles 4 Indications and Contraindications 5 Product Information
More informationReplacement Device A modular expandable radiolucent vertebral body replacement system
XRL Vertebral Body Replacement Device A modular expandable radiolucent vertebral body replacement system SURGICAL TECHNIQUE TABLE OF CONTENTS Introduction XRL System 2 AO Principles 5 Indications and Contraindications
More informationSynCage Surgical Technique
SynCage Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Contents Product Overview.........................................
More informationTechnique Guide. 3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments. Part of the 3.5 mm LCP Percutaneous Instrument System.
Technique Guide 3.5 mm LCP Low Bend Medial Distal Tibia Plate Aiming Instruments. Part of the 3.5 mm LCP Percutaneous Instrument System. Table of Contents Introduction 3.5 mm LCP Low Bend Medial Distal
More informationSYNFIX EVOLUTION SECURED SPACER SYSTEM
SYNFIX EVOLUTION SECURED SPACER SYSTEM Instruments and implants for stand-alone anterior lumbar interbody fusion Instruments and implants approved by the AO Foundation. This publication is not intended
More information2.4 mm Variable Angle LCP Intercarpal Fusion System. Variable angle locking technology for mediocarpal partial arthrodesis.
2.4 mm Variable Angle LCP Intercarpal Fusion System. Variable angle locking technology for mediocarpal partial arthrodesis. Technique Guide Instruments and implants approved by the AO Foundation Table
More informationTechnique Guide. Zero-P VA. Variable angle zero-profile anterior cervical interbody fusion (ACIF) device.
Technique Guide Zero-P VA. Variable angle zero-profile anterior cervical interbody fusion (ACIF) device. Image intensifier control Warning This description alone does not provide sufficient background
More informationFACET WEDGE. Facet joint fixation device.
FACET WEDGE. Facet joint fixation device. Technique Guide Synthes FACET WEDGE Technique Guide /44 Synthes FACET WEDGE Technique Guide /44 Table of Contents Introduction FACET WEDGE 3 AO Principles 4 Indications
More informationRoyal Oak IBFD System Surgical Technique Posterior Lumbar Interbody Fusion (PLIF)
Royal Oak IBFD System Surgical Technique Posterior Lumbar Interbody Fusion (PLIF) Preoperative Planning Preoperative planning is necessary for the correct selection of lumbar interbody fusion devices.
More information2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System.
2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System. Technique Guide Instruments and Implants approved by the AO Foundation Table of Contents Introduction 2.4 mm LCP Radial
More informationThe vertebral body replacement with ratchet mechanism. Synex. Surgical Technique
The vertebral body replacement with ratchet mechanism Synex Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products.
More informationThe CerviFix System. Including the StarLock Components. CerviFix Clamp and Screw. StarLock Clamp and Screw
The CerviFix System Including the StarLock Components CerviFix Clamp and Screw StarLock Clamp and Screw The CerviFix System The CerviFix System is a comprehensive set of implants, including clamps, screws,
More informationTechnique Guide. 6.5 mm Midfoot Fusion Bolt. For intramedullary fixation of the medial column of the foot.
Technique Guide 6.5 mm Midfoot Fusion Bolt. For intramedullary fixation of the medial column of the foot. Table of Contents Introduction 6.5 mm Midfoot Fusion Bolt 2 AO Principles 4 Indications 5 Surgical
More informationC-THRU Anterior Spinal System
C-THRU Anterior Spinal System Surgical Technique Manufactured From Contents Introduction... Page 1 Design Features... Page 2 Instruments... Page 3 Surgical Technique... Page 4 Product Information... Page
More informationPEEK Cage for Posterior Lumbar Interbody Fusion (PLIF) Plivios Revolution. Surgical Technique
PEEK Cage for Posterior Lumbar Interbody Fusion (PLIF) Plivios Revolution Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy
More informationBAK/C Cervical Anterior Interbody Fusion System
Surgical Technique BAK/C Cervical Anterior Interbody Fusion System The Comfortable Choice for Cervical Fusion BAK/C Cervical Surgical Technique 1 The BAK/C Cervical Fusion System is an alternative to conventional
More informationARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty.
ARCH Laminoplasty System. Dedicated System for Open-door Laminoplasty. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
More informationContact Fusion Cage. Surgical Technique
Contact Fusion Cage Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced
More informationnva Anterior Lumbar Interbody Fusion System
nva Anterior Lumbar Interbody Fusion System 1 IMPORTANT INFORMATION FOR PHYSICIANS, SURGEONS, AND/OR STAFF The nv a, nv p, and nv t are an intervertebral body fusion device used in the lumbar spine following
More informationVTI INTERFUSE T SURGICAL TECHNIQUE FORWARD THINKING FOR THE BACK. 1/20
VTI INTERFUSE T SURGICAL TECHNIQUE FORWARD THINKING FOR THE BACK. 1/20 CONTENTS InterFuse T Product Description Indications for Use X-Ray Marker Locations Product Specifications Instrument Set 3 4 5 STEP
More informationSurgical Technique. Apache Anterior Lumbar Interbody Fusion
Surgical Technique Apache Anterior Lumbar Interbody Fusion 2 Table of Contents Page Preoperative Planning 4 Patient Positioning 4 Disc and Endplate Preparation 4 Distraction/Size Selection 5 Implantation
More informationTechnique Guide. SureLock Distal Targeting Device. C-arm guided targeting for trochanteric fixation nail.
Technique Guide SureLock Distal Targeting Device. C-arm guided targeting for trochanteric fixation nail. Table of Contents Introduction SureLock Distal Targeting Device 2 Surgical Technique Preoperative
More informationOracle Spacer. A PEEK spacer for lateral lumbar interbody fusion.
Oracle Spacer. A PEEK spacer for lateral lumbar interbody fusion. Anatomic shape Self-distracting nose Large central canal Instruments and implants approved by the AO Foundation Oracle Spacer The Oracle
More information3.5 mm LCP Extra-articular Distal Humerus Plate
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique Table of Contents Introduction 3.5 mm LCP Extra-articular Distal Humerus
More informationTechnique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4 mm Variable Angle LCP
More informationT-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system.
T-PAL Spacer System. Transforaminal posterior atraumatic lumbar spacer system. One instrument, one technique Accommodates both open and MIS approaches A PEEK implant that works with patient anatomy Streamlined
More informationnvt Transforaminal Lumbar Interbody Fusion System
nvt Transforaminal Lumbar Interbody Fusion System 1 IMPORTANT INFORMATION FOR PHYSICIANS, SURGEONS, AND/OR STAFF The nv a, nv p, and nv t are an intervertebral body fusion device used in the lumbar spine
More informationnvp Posterior Lumbar Interbody Fusion System
nvp Posterior Lumbar Interbody Fusion System 1 IMPORTANT INFORMATION FOR PHYSICIANS, SURGEONS, AND/OR STAFF The nv a, nv p, and nv t are an intervertebral body fusion device used in the lumbar spine following
More informationXRL A modular expandable radiolucent vertebral body replacement system
XRL A modular expandable radiolucent vertebral body replacement system This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Table of Contents Introduction XRL 2 AO Spine Principles
More informationVTI INTERFUSE S SURGICAL TECHNIQUE FORWARD THINKING FOR THE BACK.
VTI INTERFUSE S SURGICAL TECHNIQUE FORWARD THINKING FOR THE BACK. CONTENTS InterFuse S Product Description Indications for Use X-Ray Marker Locations and Product Specifications Instrument Set 3 4 5-7 STEP
More informationTechnique Guide. 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Proximal Humerus Plate 2 AO Principles
More informationSurgical technique. SynCage-C short
Surgical technique SynCage-C short Table of contents Implants 2 Indications/contra-indications 3 Surgical technique 4 Image intensifier control Warning This description is not sufficient for immediate
More informationTechnique Guide. TomoFix Osteotomy System. A comprehensive plating system for stable fixation of osteotomies around the knee.
Technique Guide TomoFix Osteotomy System. A comprehensive plating system for stable fixation of osteotomies around the knee. Table of Contents Introduction TomoFix Osteotomy System 2 AO Principles 4 Indications
More informationBasic Trocar System. Basic transbuccal instrumentation system for simplified intraoral plate and screw application.
Basic Trocar System. Basic transbuccal instrumentation system for simplified intraoral plate and screw application. Lightweight, ergonomic design Allows placement of three screw sizes Size-specific, colorcoded
More informationLuminary T-PLIF Spacer. An allograft spacer for transforaminal posterior lumbar interbody fusion.
Processed by MTF, designed and available through. Luminary T-PLIF Spacer. An allograft spacer for transforaminal posterior lumbar interbody fusion. Luminary T-PLIF Spacer The Luminary T-PLIF Spacer has
More informationSurgical Technique Manual
InterFuse S Interbody Fusion System Surgical Technique Manual VERTEBRAL TECHNOLOGIES MS 4043-02 Rev. O Product Overview Introduction The VTI InterFuse S implant is an interbody fusion device that combines
More informationSolitaire Anterior Spinal System
Surgical Technique Solitaire Anterior Spinal System Independent Stabilization for the Anterior Column Available in Titanium and Contents Introduction... Page 1 Design Features... Page 2 Instruments...
More informationTechnique Guide. Epoca Revision Instrument Set. For extraction and revision of Epoca shoulder implants.
Technique Guide Epoca Revision Instrument Set. For extraction and revision of Epoca shoulder implants. Table of Contents Introduction Epoca Revision Instrument Set 2 Implantation of a Long or Extra-long
More informationLow Bend Distal Tibia Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Low Bend Medial Distal Tibia Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Low Bend Medial Distal Tibia
More informationMatrixRIB. Stable fixation of normal and osteoporotic ribs.
MatrixRIB. Stable fixation of normal and osteoporotic ribs. Technique Guide CMF Matrix Table of Contents Introduction MatrixRIB 2 AO Principles 4 Indications 5 Surgical Technique Patient Positioning 5
More informationUSS Variable Axis Screw
USS Variable Axis Screw Polyaxial side-opening pedicle screw Surgical technique Original Instruments and Implants of the Association for the Study of Internal Fixation AO/ASIF USS Variable Axis Screw
More informationTransforaminal Lumbar Interbody Fusion Cage (TLIF)
Transforaminal Lumbar Interbody Fusion age (TLIF) 990100010 DOULE ENGINE MEDIL MTERIL O., LTD. No. 218 Houxiang Road, Haicang District, Xiamen 361022, P.R.hina Tel: +86 592 6087101 Fax: +86 592 6587078
More informationSurgical technique. synex. The vertebral body replacement with ratchet mechanism.
Surgical technique synex. The vertebral body replacement with ratchet mechanism. Table of contents Indications and contraindications 2 Implants 3 Surgical technique 4 Cleaning of instruments 10 Optional
More informationApache Cervical Interbody Fusion Device. Surgical Technique. Page of 13. LC-005 Rev F
LC-005 Rev F Apache Cervical Interbody Fusion Device Page of 13 Surgical Technique INDICATIONS: When used as an intervertebral body fusion device, the Genesys Spine Interbody Fusion System is indicated
More informationSURGICAL TECHNIQUE MANUAL. InterFuse T
1 CONTENTS InterFuse T Product Description 3 Indications for Use 3 X-Ray Marker Locations 4 Product Specifications 4 Instrument Set 5 Step 1 Preoperative Planning 8 Patient Positioning 8 Step 2 Disc Removal
More informationproduct overview Implant heights range from 8mm-20mm in 2mm increments, with two lordocic angle options of 6 and 12.
ETHOS A-Spacer PEEK System Surgical Technique Guide Synchronizing Medical Innovation with Global Markets product overview The SyncMedical Ethos PEEK IBF System is an intervertebral body fusion device for
More informationA Fusion of Versatility, Performance and Ease.
MATRIX Spine System. Degenerative and Deformity. System Guide A Fusion of Versatility, Performance and Ease. Instruments and implants approved by the AO Foundation The MATRIX Spine System is a universal
More informationThe Implant. (Klappen außen sind nur 192 mm breit!)
SEMIAL product information The Implant SEMIAL implants are designed to restore interbody vertebral disc height and maintain solid bony fusion when used in conjunction with bone graft material and supportive
More informationPosterior Lumbar Interbody Fusion System
Px Posterior Lumbar Interbody Fusion System Px PEEK INTERBODY FUSION SYSTEM INDICATIONS FOR USE The Innovasis Px PEEK IBF System is an intervertebral body fusion device for use in patients with degenerative
More informationTechnique Guide. 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 2.7 mm/3.5 mm LCP Distal Fibula Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 2.7 mm/3.5 mm LCP Distal Fibula Plates 2 AO Principles
More informationImola Lateral IBF System Surgical Technique
Imola Lateral IBF System Surgical Technique IMOLA CIRCUIT TABLE OF CONTENTS Design Rationale Instructions for Use Surgical Technique 1. Table Mounting 2. Surgical Planning & Targeting 3. Access and Preparation
More informationSYNEX The vertebral body replacement with ratchet mechanism
SYNEX The vertebral body replacement with ratchet mechanism Instruments and implants approved by the AO Foundation. This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Image
More information3.5 mm LCP Tibial Plateau Sets. Configuration options.
3.5 mm LCP Tibial Plateau Sets. Configuration options. Multiple trays Multiple levels Multiple options 3.5 mm LCP Tibial Plateau Sets The tibial plateau trays allow the hospital to build a custom - ized
More informationFor anterolateral and lateral approach. SynCage-LR 45 /90. Surgical Technique
For anterolateral and lateral approach SynCage-LR 45 /90 Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products.
More informationDual-Opening USS. For deformity correction.
Dual-Opening USS. For deformity correction. Technique Guide Instruments and implants approved by the AO Foundation Table of Contents Introduction Dual-Opening USS 2 AO Principles 4 Indications 5 Preoperative
More informationTSLP Thoracolumbar Spine Locking Plate
Anterior thoracolumbar spine locking plate TSLP Thoracolumbar Spine Locking Plate Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use
More informationSynCage-C short. Surgical Technique. This publication is not intended for distribution in the USA.
SynCage-C short Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Table of contents Implants 2 Indications/contra-indications
More informationTechnique Guide. Midface Distractor System. For the temporary stabilization and gradual lengthening of the cranial or midfacial bones.
Technique Guide Midface Distractor System. For the temporary stabilization and gradual lengthening of the cranial or midfacial bones. Table of Contents Introduction Midface Distractor System 2 Indications
More informationVECTRA-T SURGICAL TECHNIQUE. The Translational Anterior Cervical Palate System. This publication is not intended for distribution in the USA.
VECTRA-T The Translational Anterior Cervical Palate System This publication is not intended for distribution in the USA. SURGICAL TECHNIQUE Image intensifier control This description alone does not provide
More informationTechnique Guide. Adjustable Distal Radius Fixator. Part of the Synthes External Fixation Systems.
Technique Guide Adjustable Distal Radius Fixator. Part of the Synthes External Fixation Systems. Table of Contents Introduction Adjustable Distal Radius Fixator 2 Indications 3 Surgical Technique Configure
More informationTechnique Guide with Application Forceps. FlapFix. Quick and stable fixation of cranial bone flaps following a craniotomy.
Technique Guide with Application Forceps FlapFix. Quick and stable fixation of cranial bone flaps following a craniotomy. Table of Contents Introduction FlapFix 2 AO Principles 4 Indications and Contraindications
More informationLCP Distal Femur Plates. Shape based on Distal Femur LISS Plate design.
LCP Distal Femur Plates. Shape based on Distal Femur LISS Plate design. Preshaped plate Round threaded holes in plate head Combi holes in plate shaft LCP Distal Femur Plates Plates The LCP Distal Femur
More informationTELEFIX SURGICAL TECHNIQUE. Implant system for the anterior stabilization of the thoracolumbar spine
TELEFIX Implant system for the anterior stabilization of the thoracolumbar spine Instruments and implants approved by the AO Foundation. This publication is not intended for distribution in the USA. SURGICAL
More informationPlivios and Plivios chronos. Radiolucent cage system for posterior lumbar interbody fusion.
Plivios and Plivios chronos. Radiolucent cage system for posterior lumbar interbody fusion. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved
More information3.5 mm LCP Olecranon Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Olecranon Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Olecranon Plates 2 AO Principles 3 Indications
More informationCannulated Pediatric Osteotomy System (CAPOS)
A Single System of Osteotomy Blade Plates and Cannulated Instrumentation Cannulated Pediatric Osteotomy System (CAPOS) Surgical Technique Table of Contents Introduction Cannulated Pediatric Osteotomy System
More informationSpinal Correction FRA Spacers. Angled and parallel spacers designed for a lateral approach.
Processed by MTF, designed and available through Synthes Spine Spinal Correction FRA Spacers. Angled and parallel spacers designed for a lateral approach. Spinal Correction FRA Spacers Two varieties of
More informationEXACTECH SPINE. Operative Technique. Cervical Spacer System. Surgeon focused. Patient driven. TM
EXACTECH SPINE Operative Technique Cervical Spacer System Surgeon focused. Patient driven. TM ACAPELLA ONE Acapella One Cervical Spacer System is an anterior cervical discectomy and fusion device with
More informationTechnique Guide. Insight Retractor. Minimal invasive access system to the posterior thoracolumbar spine.
Technique Guide Insight Retractor. Minimal invasive access system to the posterior thoracolumbar spine. Table of Contents Introduction Insight Retractor 2 AO Principles 4 Indications and Contraindications
More information6.5 mm midfoot fusion bolt
6.5 mm midfoot fusion bolt For intramedullary fixation of the medial column of the foot SurgIcal technique Table of Contents Introduction 6.5 mm Midfoot Fusion Bolt 2 AO Principles 4 Indications 5 Surgical
More informationCSLP-Cervical Spine Locking Plate
For anterior, cervical fixation CSLP-Cervical Spine Locking Plate Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes
More informationLCP Periprosthetic System. Part of the Synthes locking compression plate (LCP) system.
LCP Periprosthetic System. Part of the Synthes locking compression plate (LCP) system. 4.5 mm LCP curved broad plates 5.0 mm periprosthetic locking screws Orthopaedic cable components LCP Periprosthetic
More informationThe Versatile Polyaxial Solution for the Universal Spine Systems. USS II Polyaxial. Surgical Technique
The Versatile Polyaxial Solution for the Universal Spine Systems USS II Polyaxial Surgical Technique Image intensifier control This description alone does not provide sufficient background for direct use
More informationlow ProfIle neuro PlaTIng system
low ProfIle neuro PlaTIng system surgical TeChnIque Table of Contents Introduction Low Profile Neuro Cranial Plating System 2 Surgical Technique Technique 5 Product Information Low Profile Neuro Plates
More informationT-PAL. Transforaminal Posterior Atraumatic Lumbar Cage System.
T-PAL. Transforaminal Posterior Atraumatic Lumbar Cage System. Technique Guide This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. Image
More information2.7 mm/3.5 mm LCP Distal Fibula Plate System. Part of the Synthes locking compression plate (LCP) system.
2.7 mm/3.5 mm LCP Distal Fibula Plate System. Part of the locking compression plate (LCP) system. Anatomically contoured Multiple screw options for fixedangle support Coaxial holes minimize screw head
More informationThe Locking Calcaneal Plate Instrument and Implant Sets
Part of the DePuy Synthes Locking Compression Plate (LCP ) System The Locking Calcaneal Plate Instrument and Implant Sets Surgical Technique Table of Contents Introduction Locking Calcaneal Plate 2 AO
More information2.4 mm LCP Volar Column Distal Radius Plates. Part of the 2.4 mm LCP Distal Radius System.
2.4 mm LCP Volar Column Distal Radius Plates. Part of the 2.4 mm LCP Distal Radius System. 12 anatomically shaped volar plates Multiple screw options for fixedangle support to articular surface Combi holes
More information