Tissue Sparing Solutions DEsign Rationale
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.
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. -406 Blunted Serrated Cobra (). 98-0-00 MI -Incision Sharp Cobra (Serrated Point). 98-0-60 Blunted Cobra 4. 98-0-40 Single Prong Soft Tissue Retractor 6. 8-0-000 Hohmann Retractor Narrow/Curved (0 degree) 4 6. 00-4-000 Excel T-Handle. -00-600 Modular Head Ball Remover Base. 98-0-80 Right Angle Posterior Capsular Retractor (Hibbs). 98-0-0 Sorrel Retractor Weight lbs. 98-0-0 Sorrel Incision Retractor Blade Wide 4. 004-00-000 Murphy Bone Skid 4. 98-0-90 MI Narrow Curved Hohmann 6 6. 98-0-0 MI Gluteus Medius Retractor (Right Angle Hohmann) 8. 6-0-000 Muller Type Retractor 8. 98-0-0 Sorrel Retractor Weight. lbs 98-0-0 Anterior Approach Case Complete 4 DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale
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. 98-0-60 MI XL Femoral Neck Elevator. 98-0-6 Inferior Posterior Capsular Retractor Right. 98-0-66 Inferior Posterior Capsular Retractor Left 4. 98-0-80 Right Angle Posterior Capsular Retractor 6. 98-0-0 Blunt Right Angle Posterior Capsular Retractor 6. 98-0-0 Sciatic Nerve Retractor. 98-0-40 Superior Capsular Retractor 8. 98-0-0 Anterior Hohmann 4 8 Base. 98-0-0 MI Cobra Retractor with Armrest. 98-0-90 MI Narrow Curved Hohmann. 98-0-60 MI Narrow Cobra 4. 98-0-0 MI Gluteus Medius Retractor (Right Angle Hohmann) 4 98-0-00 MI Retractor Case Complete 98-0-0 Lid 98-0- Insert 98-0-0 Base Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction
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. 440-00-48 TSS Low-Profile Reamer 48 mm 440-00-49 TSS Low-Profile Reamer 49 mm 440-00-0 TSS Low-Profile Reamer 0 mm 440-00- TSS Low-Profile Reamer mm 440-00- TSS Low-Profile Reamer mm 440-00- TSS Low-Profile Reamer mm 440-00-4 TSS Low-Profile Reamer 4 mm 440-00- TSS Low-Profile Reamer mm 440-00-6 TSS Low-Profile Reamer 6 mm 440-00- TSS Low-Profile Reamer mm 440-00-8 TSS Low-Profile Reamer 8 mm 440-00-9 TSS Low-Profile Reamer 9 mm 440-00-60 TSS Low-Profile Reamer 60 mm 440-00-6 TSS Low-Profile Reamer 6 mm 440-00-6 TSS Low-Profile Reamer 6 mm 440-00-6 TSS Low-Profile Reamer 6 mm 440-00-64 TSS Low-Profile Reamer 64 mm 440-00-6 TSS Low-Profile Reamer 6 mm 440-00-66 TSS Low-Profile Reamer 66 mm 440-00-6 TSS Low-Profile Reamer Case Complete 440-00-69 Lid 440-00-68 Base 6 DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale
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. 900-0-0 MAcS Case Complete. 900-0-04 Impactor Tip. mm. 900-0-0 Impactor Tip 6 mm. 900-0-06 Impactor Tip 8 mm 6 4 8 9 9 4. 900-0-0 Impactor Tip mm. 900-0-08 Impactor Tip 6 mm 6. 98-08-60 Angled Drive Shaft Dual Coupling. 900-0-09 Angled Acetabular Inserter 8. 900-0-0 Bantam Adaptor 9. 98-08-0 Angled Reamer Driver Housing Assembly Inserter Replacement Parts (not shown): 900-0-088 Spring 900-0-089 Button 900-0-09 Lock Catch 900-0-09 Standard Adapter Optional Impactor Tips (not shown): -0-060 Impactor Tip 40 mm -0-06 Impactor Tip 44 mm -0-06 Impactor Tip 48 mm Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction
Femoral Preparation Modular Box Osteotome 98-0-0 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 98-0-40 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 00-9-000) attachment to provide smoother broach extraction. Dual Offset Anterior Approach Broach Handle Left 98-0-0, Right 98-0-60 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
Other broach handle options: 0-00-000 SUMMIT Universal Broach Handle 9-0-00F CORAIL AMT Straight Broach Handle 9--00 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. 98-0-460 Universal Stem Inserter Handle 98-0-440 CORAIL/TRI-LOCK Bone Preservation Stem Anterior Inserter Shaft 98-0-40 SUMMIT Anterior Inserter Shaft 98-0-40 Standard Straight Inserter Shaft 98-0-40 CORAIL/TRI-LOCK Bone Preservation Stem Posterior Inserter Shaft 98-0-480 SUMMIT Posterior Inserter Shaft 98-0-4 Bullet Tip Inserter Shaft Extra-Curved Broach Handle 98-0-0 Suitable for multiple surgical approaches. Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction 9
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. 98-0-460 Universal Stem Insert Handle. Trial Heads Two Sets Per Case. 98-0-0 Retaining Stem Inserter ( pcs) 4. 98-0-0 Modular Box Osteotome 4. Any two handles: 0-00-000 SUMMIT Universal Broach Handle 9-0-00F CORAIL AMT Straight Broach Handle 9--00 CORAIL AMT Curved Broach Handle 98-0-40 Long Posterior Broach Handle 00-9-000 Optional Version Control Rod (for Posterior Broach Handle) 98-0-0 Extra Curved Broach Handle 98-0-0 Anterior Broach Handle - Left 98-0-60 Anterior Broach Handle - Right Base 6. 98-0-40 CORAIL/TRI-LOCK Bone Preservation Stem Posterior Stem Insert Shaft 4. 98-0-480 SUMMIT Posterior Stem Insert Shaft 4. 98-0-4 Bullet Tip Stem Insert Shaft. 98-0-40 Standard Straight Stem Insert Shaft 6. 98-0-40 SUMMIT Anterior Stem Insert Shaft. 98-0-440 CORAIL/TRI-LOCK Bone Preservation Stem Anterior Stem Insert Shaft 98-0-90 Tissue Sparing Femoral Core Case Complete 98-0-40 Lid 98-0-4 Insert 98-0-400 Base DePuy Synthes Joint Reconstruction Tissue Sparing Solutions Design Rationale
TSS Core Case. 4-0-000 Muller Awl Reamer w / Hudson End. 00-4-000 Excel T-Handle. 00-80-0 IM Initiator Sized 4. 9400-80-00 MI Calcar Reamer Small (Shielded). 8-9 Femoral Rasp 4 6 6. 9400-80-00 Canal Finder. 00-6-000 Femoral/Humeral Head Impactor 98-0-40 Tissue Sparing Femoral Core Case Complete 98-0-4 Lid 98-0-4 Base Optional Replacement Part: 00-66-000 Replacement Tip for Femoral Head Impactor Tissue Sparing Solutions Design Rationale DePuy Synthes Joint Reconstruction
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.. 98-0-940 Cable with Olympus Adaptor. 98-0-90 Cable with Storz Adaptor. 98-0-90 Cable with ACMI Adaptor 4 4. 98-0-90 Cable with Wolf Adaptor. 98-0-900 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) 66-84 www.depuysynthes.com DePuy Synthes Joint Reconstruction, a division of DOI 0 06--08 Rev. 04.M