CSS Combined Spine System
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- Lester McDowell
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1 CSS Combined Spine System H-
2 CSS Combined Spine System H-
3 CSS Combined Spinal System : H-3
4 CSS Combined Spinal System : Ref.Number Description Pieces Ref.Number Description Pieces Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) Open Pedicular Screw (Monoaxial) 0000 Open Pedicular Screw (Monoaxial) 000 Open Pedicular Screw (Monoaxial) 000 Open Pedicular Screw (Monoaxial) 000 Open Pedicular Screw (Monoaxial) 000 Open Pedicular Screw (Monoaxial) 0000 Open Pedicular Screw (Monoaxial) Sacral Block Screw Sacral Block Screw Sacral Block Screw Set Screws for Open Pedicular Screw Open Laminar Hook - Left Open Laminar Hook - Left Open Laminar Hook - Left Open Laminar Hook - Right Open Laminar Hook - Right Open Laminar Hook - Right Open Pedicular Hook Open Pedicular Hook 0000 Open Laminar Hook 0000 Open Laminar Hook 0000 Closed Pedicular Hook 000 Sacral Block 0000 Sacral Block Single Connector Double Connector Offset Slotted Connector Offset Slotted Connector 000 Rod 000 Rod 0003 Rod 000 Rod 0005 Rod 000 Rod 0007 Rod 0008 Rod 0009 Rod 000 Rod 00 Rod 003 Rod 00 Rod 005 Rod 00 Rod 007 Rod 008 Rod 009 Rod 000 Rod 000 Rod Rod 0000 Cross Link Hook x x0 x5 x x x0 x5 x x55 x 7.5x0 7.5x5.5x.5x.5x x7 5x9 5x 5x7 5x9 5x 5x5 5x7 5x5 5x7 5x7 Right Left Right Left Cross Link Hook Schaft Cross Link Hook Schaft Cross Link Hook Schaft Cross Link Hook Schaft Cross Link Hook Schaft Cross Link Hook Schaft Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Screw Pollyaxial System Spondylolisth. Screw Pollyaxial System Spondylolisth. Screw Pollyaxial System Spondylolisth. Screw Pollyaxial System Spondylolisth. Screw Pollyaxial System Spondylolisth. Screw Hook Clamp Large Threaded Rod Clamp Small Threaded Rod Clamp Break Pliers for Spondylolisthesis Screw Set Screw Holder Open Hook Pusher C Ring Pusher Pediculer Starter Laminar Starter Approximator Small Spreader Rod Pusher Rod Pusher Lever Open Pedicular Screw Driver Hexagonal Wrench for Rod Screwdriver for Rod Connector Combine Screwdriver for Pollyaxial Screw Combine Screwdriver for Pollyaxial Spondylolisthesis Screw Screwdriver for Pollyaxial Screw Set Screw Wrench Screw and Rod Pusher Wrench for Pollyaxial Screw Modular T Torque Handle - Pollyaxial Universal Tap Universal Tap Trocar Awl Pedicular Guide Wire Pedicular Probe Control Probe - Type Control Probe - Type French Rod Bender Rod Bender with Slot (Right) Rod Bender with Slot (Left) x x x0 x5 x x x0 x5 x x55.5x.5x.5x0 7.5x0 7.5x5 x x0 x0 x5 x H-
5 Indication : TIPSAN has combined biomechanical principles with high-tech production to create a new spinal stabilization system for Thoracic, lumbar or lumbar-sacral instrumentation using pedicle screws, pedicle-hooks, laminar-hooks for posterolateral spondylodeses, fractures, spondylolistheses, stenosis of the spinal canal of the lower backbone, wear of vertebral discs, herniated vertebral discs, correction of failed fusion or pseudoarthrosis and in cases of unstable backbone conditions. Features and benefits of the system are the following, Low-profile system Designed to minimise soft tissue interaction No outer rings, bearings or not-pay off in the low profile of implants Excellent anchoring stability of the implants guaranties lasting safety Simplified handling of the instrumentation providing functional and save implants Reduced instrument set to the essential tools for ergonomic and easy use Post-opperative treatment without corset Compatibility with CTI-MRT all implant components are manufactured from titanium which exhibits minimum artcfacts Material : CSS Combined Spinal System is manufactured from titanium TiAlV according to ASTM F.3 - ISO 583/3 which has been specifically designed for the manufacture of orthopaedic implants. This alloy is characterized by demonstrating excellent biocompatibility, together with a high resistance of corrosion and superiormechanical strength. Also, titanium construction which is compatible with current CT and MRI scanning technology. Open pedicular screws Pollyaxial Different lengths and diameters of the self-tapping screws offer a large selection of implants to the surgeon. The movable screw-head allows variable connection angles in any plane up to 5º. The benefits of this feature is that a painstakingly bending of the rod is no longer a prerequisite. In the case of segmental opperations it is generally not necessary to bend the rod. During opperation the Pollyaxial screw head can be immobiliset to function as Monoaxial screw. This feature makes controlled distraction/compression feasible. Colour indexing of the screw for easy discrimination of diameters. The special conical design open top Pollyaxial pedicle screw allow extreme high stability of the screw-rod connection due to the innovative geometry of the negative trapezoidal thread with related set screw. H-5
6 Pollyaxial system screws (Ø.5 mm) Pollyaxial system screws (Ø mm) Pollyaxial system screws (Ø mm) Pollyaxial system screws (Ø 7.5 mm) Pollyaxial System Spondylolisth. Screw (Ø mm) Pollyaxial System Spondylolisthesis Screw (Ø mm) H-
7 Open pedicular screws Monoaxial Different lengths and diameters of the self-tapping screws offer a large selection of implants to the surgeon.the special conical design open top Monoaxial pedicle screw (top-loading system) allow extreme high stability of the screw-rod connection due to the innovative geometry of the negative trapezoidal thread in conjuction of the set screw. Open pedicular screws Monoaxial (Ø.5 mm) Open pedicular screws Monoaxial (Ø mm) Open pedicular screws Monoaxial (Ø mm) Open pedicular screws Monoaxial (Ø 7.5 mm) Sacral Screws Ø mm cancellous thread diameter for load bearing strength. To be used with sacral blocks H-7
8 Open Pedicular Hooks The blade has a notch at its upper end in order to bestride the pedicle. The special design, open top pedicular hooks (top-loading system) allow extreme high stability of the hook-rod connection. Low profile design minimize soft tissue interactions. From 7 mm to 3 mm in 3 mm increments to match most anatomical needs X 5 5 X 7 Open Laminar Hooks Their blades have a round end blunt extremity in order to provide a cautions canal penetration. The special (top-loading system) design, open top laminar hooks for thoracic and lumbar applications allow extreme high stability of the hook-rod connection. Low profile design minimize soft tissue interactions. From 7 mm to 3 mm in 3 mm increments to match most anatomical needs. The laminar hooks with 3 mm blade width has low profile and high profile options for improved purchase or minimize invasiveness X 7 5 X 9 5 X 5 X 7 5 X 9 5 X 5 X 5 5 X 7 Style Left Left Left Right Right Right Closed Pedicular Hook Closed Laminar Hook X X 5 H-8
9 Rod Connectors When constructs have to be made at all spine level, some times the rod connectors must be used. Rod connectors connect CSS spine rods end to end. Open center hole to visually ensure rods are completely in connections Single Double Sacral Blocks Left and right sacral bloks for.0 mm rod and its sacral screws. It shows an oblique hole º through which sacral screw is inserted and locked. This stabilizing device can be used to complete the construct making than easyer the reduction manoeuvres previously performed Style Left Right Cross Link Hook Cross Link Schaft The CSS transverse connector hooks serves as a cross member, increasing the structural integrity of the construct. Connects transverse connector hooks to each other for increased structural integrity of the construct H-9
10 C Ring Pusher It permits to spread or approximate two rods of mm diameter and put together consequently all the elements of the construct. 000 Rods The CSS rod is.0 mm diameter, its surface is smooth. Its malleability permits to get it contoured easily without reducing its characteristic for the fatique strenght. Various lengths are available from 0 mm to 90 mm Set Screw for Open Pedicular Screw Offset Slotted Connector Screwed connections made of titanium alloy tend to cold weld during the tightening due to the high friction at the surface of the thread s flanks and may make the answer bleive that secure tightening has been achieved Style Left Right H-0
11 Rod Pusher Lever Open Pedicular Screwdriver Hexagonal Wrench for Rod Screwdriver for Rod Connector Combine Screwdriver for Pollyaxial Screw Combine Screwdriver for Pollyaxial Spondylolisthesis Screw Screwdriver for Pollyaxial Screw Set Screw Wrench Screw and Rod Pusher Wrench for Pollyaxial Screw Modular T Torque Handle - Pollyaxial H-
12 Large Threaded Rod Clamp Hook Clamp Small Threaded Rod Clamp Set Screw Holder Open Hook Pusher 000 Pedicular Starter 003 Laminar Starter Aproximator Rod Pusher Small Spreader H-
13 Universal Tap Trocar Awl Pedicular Guide Wire Pedicular Probe Control Probe Type Rod Bender with Slot Style Type Style Type Type Left Right French Rod Bender H-3
14 CPSS Combined Pediatric Spinal System : Ref.Number Description Pieces Ref.Number Description Pieces Cross Link Hook Shaft Cross Link Hook Shaft Cross Link Hook Shaft Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Pediatric Open Pedicular Screw Set Screw for Pediatric Open Ped. Screw Connector Connector Pediatric Open Pedicular Hook Pediatric Open Pedicular Hook Pediatric Open Laminar Hook Pediatric Open Laminar Hook Pediatric Cross Link Hook 0 0 5x5 5x 5x 5x0 x x x0 x5 x5 x x.5x5.5x.5x.5x0 x0 x5 x x.5x5.5x.5x.5x0 5x5 5x 5x 5x0 x x x0 x5 Single Double Pediatric Large Threated Rod Clamp Pediatric Small Threaded Rod Clamp Set Screw Holder - Pediatric Open Hook Pusher - Pediatric Starter - Pedicular Starter - Laminar Approximator - Pediatric Small Spreader - Pediatric Rod Pusher - Pediatric Rod Pusher Lever Open Pedicular Screwdriver - Pediatric Hexagonal Wrench for Rod - Pediatric Screwdriver for Rod Connector Set Screw Wrench - Pediatric Screwdriver for Pediatric Pollyaxial Screw Universal Tap Trocar Awl Pedicular Guide Wire - Pediatric Pedicular Probe - Pediatric Control Probe Control Probe French Rod Bender - Pediatric Rod Bender with Slot - Pediatric Rod Bender with Slot - Pediatric Combined Screwdriver for Pediatric Pollyaxial Screw Screw and Rod Pusher Wrench for Pediatric Pollyaxial Screw ø 5 Type Type Right Left H-
15 Pediatric Pollyaxial System Screw (Ø.0 mm) (Ø.5 mm) (Ø 5.0 mm) (Ø mm) Set Screw for Pediatric Open Pedicular Screw H-5
16 Pediatric Open pedicular screws Monoaxial Pediatric Open pedicular screws Monoaxial (Ø.0 mm) Pediatric Open pedicular screws Monoaxial (Ø.5 mm) Pediatric Open pedicular screws Monoaxial (Ø 5.0 mm) Pediatric Open pedicular screws Monoaxial (Ø mm) H-
17 s Pediatric Open Pedicular Hooks Blade Widths 5 7 Pediatric Open Laminar Hooks Blade Widths 5 7 Connectors Single Double Pediatric Cross Link Hook Cross Link Shaft H-7
18 Rod Pusher Lever Pediatric Open Pedicular Screwdriver Pediatric Hexagonal Wrench for Rod Combined Screw Driver for Pediatric Pollyaxial Screw Screwdriver for Pediatric Pollyaxial Screw Screwdriver for Rod Connector Pediatric Screw and Rod Pusher Wrench for Pollyaxial Screw Pediatric Set Screw Wrench H-8
19 Pediatric Large Threaded Rod Clamp 0000 Pediatric Small Threaded Rod Clamp Pediatric Set Screw Holder 0000 Pediatric Open Hook Pusher 000 Pediatric Pedicular Starter 005 Pediatric Laminar Starter 0000 Pediatric Approximator 0000 Pusher 0000 Pediatric Small Spreader H-9
20 Universal Tap ( Ø 5 mm) Pediatric Trocar Awl Pedicular Guide Wire 0000 Pediatric Pedicular Probe Control Probe Type Bender with Slot Style Type Style Type Type Right Left Pediatric French Rod Bender H-0
21 ASS Anterior Spinal System : H-
22 ASS Anterior Spinal System Indication : Anterior internal fixation of the thoracic and thoracolumbar spine is a growing trend in spinal surgery. In the thoracic and thoracolumbar spine, anterior fixation is indicated for brust fractures with significant canal compromise, vertebral body tumors requiring corpectomy and other indications requiring anterior stabilization. Primary advantages of anterior internal fixation include the ability to ensure complete canal clearance and decompression of bony fragments and/or total resection of a tumor. Additionally, anterior thoracic and thoracolumbar surgery allows for fusion of a minimal number of motion segments, thus allowing for more normal spine mechanics. The specific goal in the development of anterior fixation system was developed a plate, bolt and screws system primarly for the management of thoracic and thoracolumbar brust fractures and tumors that permits anterior load sharing, allows for distraction to perform reduction and compression of the bone graft, is CT/MRI compatible and is low profile relatively easy to implant. The purpose of ASS system are; construction which is compatible with current CT and MRI scanning technology Among the lowest profile of available implant system Smooth surface and round edges Distraction instrumentation to assist in the reduction of Kyphosis Through exhaustive testing, design modification and extensive review, the design goals have been met and in some area exceeded. The ASS T psan Anterior fixation systems are truly revolutionary designs that allow surgical simplicity and offer peace of mind for the surgeon. Material : Manufactured from titanium TiAlV Elli alloy according to ASTM F.3 - ISO 583/3. It is selected for its; modulus of elasticity closest to that leaving bone, high fatique strength and perfect biocompatibility. Also, titanium construction which is compatible with current CT and MRI scanning technology. H-
23 ASS Anterior Spinal System : Ref.Number Description Pieces Ref.Number Description Pieces Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Closed Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Anterior Open Screws Transverse Connector Transverse Connector Rod Rod Rod Rod Rod Rod Rod Rod Rod 5X 5X 5X0 5X5 X0 X5 X 7X5 7X 5X 5X 5X0 5X5 X0 X5 X 7X5 7X Rod Vertabral Body Plate Vertabral Body Plate Vertabral Body Plate Vertabral Body Plate Vertabral Body Plate - Single Large Threaded Rod Clamp Small Threaded Rod Clamp Offset Distractor Forceps for Transv. Hook Vertabral Plate Holder Approximator Small Spreader Large Spreader Vertabral Screwdriver Hexagonal Wrench for Rod Screw Driver - Hexagonal Head Screw Driver for Set Screws - Anterior Single Head Screw Driver with Screw Holding Sloted Head Screw Driver for Cross Link Transverse Connector Tap Trocar Awl Straight Trocar Awl Curved Hammer Impactor for Vertabral Plates Pedicular Guide Wire Pedicular Probe French Rod Bender 0 7X 7X 7X 7X Anterior Closed Screw Anterior Open Screw H-3
24 Transverse Connector Vertebral Body Plate - Single Vertebral Body Plate Type Right Left Right Left 7 X 7 X 7 X 7 X Rod Large Threaded Rod Clamp H-
25 Small Threaded Rod Clamp Offset Distractor for Transverse Hook Vertebral Plate Holder Approximator 0000 Small Spreader Large Spreader 0000 Vertebral Screwdriver Hexagonal Wrench for Rod Screwdriver - Hexagonal Head Screwdriver for Set Screw - Anterior H-5
26 Single Head Screwdriver with Screw Holding Slotted Head Screwdriver for Cross Link Transverse Connector Tap Trocar Awl Straight Trocar Awl Curved Hammer Impactor for Vertebral Plates 0070 Pedicular Guide Wire Pedicular Probe French Rod Bender H-
27 Threaded Fusion Cage : H-7
28 Threaded Fusion Cage : Ref.Number Description Pieces Ref.Number Description Pieces Threated Fusion Cage Threated Fusion Cage Threated Fusion Cage Threated Fusion Cage Threated Fusion Cage Threated Fusion Cage Threated Fusion Cage Threated Fusion Cage Bone Packing Instrument - F.Cage Sleeve Holder Shaft Sleeve Holder Shaft Sleeve Holder Shaft Tang Retractor - F. Cage Tang Retractor - F. Cage Tang Retractor - F. Cage Tang Retractor - F. Cage Cage Insertion Instrument Cage Insertion Instrument Cage Insertion Instrument Cage Insertion Instrument Retractor - F.Cage / Dura Retractor - F.Cage / Ganglion End Cap Insertion Instrument Trocar - F.Cage / Ø mm Vertebral Tap - F.Cage Vertebral Tap - F.Cage Vertebral Tap - F.Cage x x x x x x 8x 8x Vertebral Tap - F.Cage Drill Guide Shaft - F.Cage Drill Guide - F.Cage Drill Guide - F.Cage Drill Guide - F.Cage Drill Guide - F.Cage Sleeve Point - F.Cage Sleeve Point - F.Cage Sleeve Point - F.Cage Sleeve Point - F.Cage Hammer Slotted Hammer - F.Cage Impactor - F.Cage Dual Tang Retractor - F.Cage Dual Tang Retractor - F.Cage Dual Tang Retractor - F.Cage Dual Tang Retractor - F.Cage Sleeve Plug - F.Cage Sleeve Plug - F.Cage Sleeve Plug - F.Cage Sleeve Plug - F.Cage T-Handle - F.Cage Vertebral Drill - F.Cage Vertebral Drill - F.Cage Vertebral Drill - F.Cage Vertebral Drill - F.Cage gr Threaded Fusion Cage H-8
29 Drill Guide - F.Cage Sleeve Point - F.Cage Hammer Slotted Hammer - F.Cage Impactor Fusion Cage Dual Tang Retractor -F.Cage Sleeve Plug - F.Cage T-Handle - F.Cage Vertebral Drill H-9
30 Bone Packing Instrument - F.Cage Sleeve Holder Shaft - F.Cage Sleeve Holder Shaft - F.Cage 000 Tang Retractor Cage Insertion Instrument Retractor End Cap Insertion Instrument Type Dura Ganglion Trocar - F.Cage ( Ø mm) Vertebral Tap 0000 Drill Guide Shaft - F.Cage H-
31 Cervical Cage Instrumentation Set : Cervical Cage Screwdriver Cage Insertion Instrument H-3
CSS Combined Spine System
CSS Combined Spine System H- CSS Combined Spine System H- CSS Combined Spinal System : 800000 H-3 CSS Combined Spinal System : 800000 Ref.Number Description Pieces Ref.Number Description Pieces 00000 Open
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