Compact 2.0 LOCK Mandible. The locking system for the mandible. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended. Processing, Reprocessing, Care and Maintenance For general guidelines, function control and dismantling of multi-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance For general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance
Table of Contents Introduction Compact 2.0 LOCK Mandible 2 AO Principles 4 Intended Use, Indications, Contraindications, 5 General Adverse Events, Device Specific Adverse Events, Warnings, Precautions, and MRI Information Surgical Technique Surgical Technique 9 Steps for Bone Resection (Optional) 17 Ordering Information Set 19 Plates 20 Screws 21 Instruments 23 Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 1
Compact 2.0 LOCK Mandible. The locking system for the mandible. System Features and Benefits Four plate profiles one screw dimension Low-profile plating system minimizes soft tissue irritation and implant palpability Choice of rigidity level depending on individual situation System covers a broad range of indications: small plates for simple trauma medium plates for extra stability if required large and extra-large plates for more complex trauma and microvascular reconstruction Choice of self-tapping or selfdrilling screws Provides locked or non-locked 2.0-mm screw-plate fixation 2.0-mm screws fit all plate profiles The locking design: Increases construct stability Minimizes the risk of stripped screw holes Decreases risk of screw back-out and subsequent loss of reduction Provides a positive stop for locking screws when inserted by power Reduces the need for precise anatomic plate contouring Preserves reduction intraoperatively by maintaining plate-to-bone position Plates Low plate profile with enhanced stability; favorable in atrophic mandibles (reduced risk of nerve damage) Easy three-dimensional contouring without plate hole deformation Less plate palpability Available in a wide variety of straight, angled and curved shapes Hole spacing is designed to optimize fixation in reconstructive surgery 1.0 Small 1.3 Medium 1.5 Large 4.8 5.0 6.5 2.0 Extra-large 6.7 2 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Screws 2.0-mm LOCK screw self-tapping and self-drilling Stable fixation of bone fragments and grafts, even with poor quality bone Reduced risk of screw loosening and movement Prevention of screw stripping Absence of plate pressure on the bone preserves blood supply Special conical double threads beneath the screw head engage and lock into threaded plate holes Available in 6 mm 18 mm lengths, for monocortical and bicortical applications Self-tapping for easy insertion Made of high-strength titanium alloy 2.0-mm Cortex Screw self-tapping and self-drilling (non locking) Without thread in the screw head, permits greater angulation of the screw in the 2.0 LOCK Mandible plate. Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 3
AO Principles In 1958, the AO (Association for the Study of Internal Fixation) formulated four basic principles, which have become the guidelines for internal fixation 1. Those principles as applied to the 2.0 LOCK Mandible system are: Anatomic reduction Fracture reduction and fixation to restore anatomical relationships. A comprehensive implant and instrument selection offers the ability to address most simple and complex fixation needs. Stable fixation Stability by rigid fixation (compression plating) or splintage, as the nature of the fracture and the injury requires. The Compact 2.0 LOCK Mandible locking plate and screw locking technology are optimized to achieve stable bone fixation. Preservation of blood supply Preservation of the blood supply to soft tissue and bone by careful handling and gentle reduction techniques. Instrumentation and new gentle profiles and edges on implants minimize disruption of soft tissue and preserves vascular blood flow for bone healing. Early mobilization Early and safe mobilization of the part and patient. The Compact 2.0 LOCK Mandible system implants, combined with AO technique, provide stable fixation enough to allow a functional aftercare. 1 Müller ME, Allgöwer M, Schneider R, Willenegger H. AO Manual of Internal Fixation. 3 rd edition. Berlin: Springer. 1991. 4 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Intended Use, Indications, Contraindications, General Adverse Events, Device Specific Adverse Events, Warnings, Precautions, and MRI Information Intended use The DePuy Synthes Plate and Screw System Compact Mandible is intended for oral, maxillofacial surgery, trauma, reconstructive surgery, and orthognathic surgery (surgical correction of dentofacial deformities). Indications Trauma: all fractures, defect fractures, and instable and infected mandibular fractures. Reconstructive surgery: bridging osteosynthesis with bone graft, both for primary and secondary reconstructions (tumor resections, pseudoarthrosis). Orthognathic surgery: selective orthognathic surgery of maxilla and chin. COMPACT 2.0 LOCK Mandible is indicated to be used for Mandible trauma, or thognathic surgery, and reconstructive surgery with microvascular bone grafts. Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 5
Intended Use, Indications, Contraindications, General Adverse Events, Device Specific Adverse Events, Warnings, Precautions, and MRI Information Indications Plate thickness Plate type Primary clinical use Secondary clinical use 1.0 mm Small plates: Tension band Straight Adaption Strut/Box/L/Y 1.3 mm Medium plates: Adaption plates Crescent Angled DCP plates Mandible traumatology Orthognathic 1.5 mm Large plates: Curved/Crescent Straight Angled Mandible traumatology NA 2.0 mm Extra large plates: Straight Single Angle Double Angle Mandible traumatology NA Primary mandibular reconstruction (used with microvascular bone graft) Comminuted fractures 6 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Contraindication COMPACT 2.0 Lock Mandible is contraindicated for Reconstructive surgery without microvascular bone grafts. General Adverse Events As with all major surgical procedures, risks, side effects, and adverse events can occur. While many possible reactions may occur, some of the most common include: Problems resulting from anesthesia and patient positioning (e.g. nausea, vomiting, dental injuries, neurological impairments, etc.), thrombosis, embolism, infection, nerve and/or tooth root damage or injury of other critical structures including blood vessels, excessive bleeding, damage to soft tissues including: swelling, abnormal scar formation, functional impairment of the musculoskeletal system, pain, discomfort or abnormal sensation due to the presence of the device, allergy or hypersensitivity reactions, side effects associated with hardware prominence, loosening, bending, or breakage of the device, mal-union, non-union or delayed union which may lead to breakage of the implant, or re-operation. Warnings: These devices can break intraoperatively when subjected to excessive forces or used outside the recommended surgical technique. While the surgeon must make the final decision on removal of the broken part based on the associated risk in doing so, we recommend that whenever possible and practical for the individual patient, the broken part be removed. Be aware that implants are not as strong as native bone. Implants subjected to substantial loads may fail. Precaution: Check instruments for wear or damage before starting surgery. Device Specific Adverse Events Device specific adverse events include but are not limited to: Loosening, bending, or breakage of the device Non-union, mal-union or delayed union which may lead to breakage of the implant Pain, discomfort or abnormal sensation due to the presence of the device Infection, nerve and/or tooth root damage and pain Soft tissue irritation, laceration or migration of the device through the skin Allergic reactions from material incompatibility Glove tear or user puncture Graft failure Restricted or impaired bone growth Possible transmission of blood-borne pathogens to the user Injury of patient Soft tissue thermal damage Bone necrosis Paresthesia Loss of tooth Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 7
Intended Use, Indications, Contraindications, General Adverse Events, Device Specific Adverse Events, Warnings, Precautions, and MRI Information MRI Information Magnetic Resonance Environment Torque, Displacement and Image Artifacts according to ASTM F 2213-06, ASTM F 2052-06e1 and ASTM F 2119-07 Non-clinical testing of worst case scenario in a 3 T MRI system did not reveal any relevant torque or displacement of the construct for an experimentally measured local spatial gradient of the magnetic field of 5.4 T/m. The largest image artifact extended approximately 31 mm from the construct when scanned using the Gradient Echo (GE). Testing was conducted on a 3 T MRI system. Radio-Frequency-(RF-)induced heating according to ASTM F 2182-11a Non-clinical electromagnetic and thermal simulations of worst case scenario lead to temperature rises of 13.7 C (1.5 T) and 6.5 C (3 T) under MRI Conditions using RF Coils (whole body averaged specific absorption rate [SAR] of 2 W/kg for 15 minutes). Precautions: The above mentioned test relies on non-clinical testing. The actual temperature rise in the patient will depend on a variety of factors beyond the SAR and time of RF application. Thus, it is recommended to pay particular attention to the following points: It is recommended to thoroughly monitor patients undergoing MR scanning for perceived temperature and/or pain sensations. Patients with impaired thermoregulation or temperature sensation should be excluded from MR scanning procedures. Generally, it is recommended to use an MRI system with low field strength in the presence of conductive implants. The employed specific absorption rate (SAR) should be reduced as far as possible. Using the ventilation system may further contribute to reduce temperature increase in the body. 8 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Surgical Technique 1 Exposure and reduction After completing the preoperative plan, expose the fracture or osteotomy site. For trauma, reduce the fracture as required. 2 Select and prepare implants Instrument 347.981 Holding forceps for plates 1.0 to 2.4 Select the appropriate plate depending on indication. Orient the plate so that the topside of the plate is facing out. Determine the appropriate screw type (locking and/or non-locking, self-tapping and/or self-drilling). Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 9
Surgical Technique 3 Optional: Cut the plate to length Instrument 391.951 Plate cutter with Deburring Device, for plates 1.0 to 2.4, length 180 mm Optional 329.143 Bending/Cutting Pliers with Nose, for LOCK Plates 2.0 Small, medium and large plates Cut to length, if necessary. Small plates may be cut using the plate cutter or the bending/cutting pliers with nose. Precautions: Instrument tips and implant edges may be sharp, handle with care and dispose sharp cuttings in an approved sharps container. Take care to protect soft tissue from trimmed plate edges. Extra large plates Cut to length, if necessary. Extra large plates may be cut using the plate cutter. 11 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
4 Select and form the bending template Select the appropriate shape and length bending template and form it to the boney anatomy. Notes: In case of trauma, at least three screws should be inserted on each side of the fracture. In case of tumor resection, at least four screws should be inserted on each side of the defect. 5 Contour the plate Instruments 347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 391.965 Combined Pliers for Plates 1.0 and 2.0, for Cutting and Bending 329.143 Bending/Cutting Pliers with Nose, for LOCK Plates 2.0 Small and medium plates In-plane, out-of-plane and torsional bending Small and medium plates can be contured using the combined pliers and the flat nosed pliers. If using locking screws, it is not necessary to perfectly adapt the locking plates to the patient anatomy. The locking screws ensure plate stability without relying on contact between the plate and the underlying bone. Precautions: Avoid reverse bends as it may weaken the plate and lead to premature implant failure. Avoid sharp bends. Sharp bends include a single out-ofplane bend of >30 degrees between two adjacent holes. Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 11
Surgical Technique Large and extra large plates Can be contoured using the bending/cutting pliers with nose and the flat nosed pliers. In-plane bending Out-of-plane bending Bending the last hole out-of-plane with nose. Torsional bending Grasp the plate in the appropriate jaw of the flat nosed pliers, and apply a twisting motion until achieving the desired torsional bend. 11 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
6 Position the plate and select screws Instrument 398.660 Holding Forceps with Ball, ratchet lock, length 180 mm Place the plate over the fracture or osteotomy site. Use the plate holding forceps to secure the plate to the bone, if desired. Precaution: Avoid placing the holes over the nerve or tooth root. If plate requires placement over nerve or tooth root, drill monocortically using the appropriate drill bit with stop. Notes: In case of trauma, at least three screws should be inserted on each side of the fracture. In case of tumor resection, at least four screws should be inserted on each side of the defect. Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 11
Surgical Technique 7 Drill the first hole Option 1: Drill using standard drill sleeve/double drill guide Instruments 312.155 Drill sleeve 1.5, for LOCK Plates 2.0 316.510 Drill Bit B 1.5 mm, length 80 mm, 2-flute, for J-Latch Coupling 312.220 Double Drill Guide 2.0/1.5 Insert the drill sleeve into the first plate hole nearest the fracture or osteotomy site. When using the standard drill sleeve/double drill guide with locking screws, ensure that it is centered in all planes to align the screw s locking threads properly in the plate. Note: Standard 1.5-mm drill sleeve and double drill guide to be used with non-locking screws or when good visualization is possible. Precautions: Avoid placing the holes over the nerve or tooth root. If plate requires placement over nerve or tooth root, drill monocortically using the appropriate drill bit with stop. Drill speed rate should never exceed 1,800 rpm, particularly in dense, hard bone. Higher drill speed rates can result in: thermal necrosis of the bone, soft tissue burns, an oversized hole, which can lead to reduced pull-out force, increased ease of the screws stripping in bone, suboptimal fixation, and/or the need for emergency screws. Avoid damaging the plate threads with the drill. Always irrigate during drilling to avoid thermal damage to the bone. Always irrigate and apply suction for removal of debris potentially generated during implantation or removal 11 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Option 2: Drill using threaded sleeve Instruments 312.156 Drill Sleeve 1.5, with thread, for LOCK Plates 2.0 316.520 Drill Bit B 1.5 mm, length 125 mm, 2-flute, for J-Latch Coupling When using the threaded drill sleeve, rotate the drill guide clockwise to engage the threads in the plate. Note: 1.5-mm threaded drill sleeve to be used with locking screws. 8 Measure screw length Instrument 319.520 Depth Gauge for Screws B 1.5/2.0, measuring range up to 45 mm Determine the appropriate screw length using the depth gauge. Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 11
Surgical Technique 9 Insert the first screw Instruments 313.252 Screwdriver Shaft PlusDrive 1.5/2.0, long, self-holding, for Hexagonal Coupling 311.006 Handle, medium, with Hexagonal Coupling Insert the proper length 2.0-mm screw, cortex or locking screw, through the plate and tighten until secure. Insert the first screw adjacent to the fracture line or osteotomy site. Precaution: Tighten screws in a controlled manner. Applying too much torque to the screws may cause screw/plate deformation or bone stripping. 10 Drill holes and place the remaining screws Insert the second screw on the opposite side of the fracture or osteotomy site following the previously outlined procedure. Insert all remaining screws alternating to each side of the mandible. Securely tighten all screws unless resection is to follow. Apply additional fixation as desired. Note: Steps 11 to 13 refer exclusively to tumor resections. 11 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Steps for Bone Resection (Optional) 11 Resect the mandible Instruments 313.252 Screwdriver Shaft PlusDrive 1.5/2.0, long, self-holding, for Hexagonal Coupling 311.006 Handle, medium, with Hexagonal Coupling Once the plate is in place, remove the plate and screws, taking note of each screw s placement. Resect the mandible. 12 Reposition the implants Place the plate back onto the mandible in its original position. Reinsert each predetermined screw. Check all screws to ensure a secure fit in the plate. Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 11
Surgical Technique Steps for Bone Resection (Optional) 13 Apply bone graft 2 A vascularized bone graft must be applied to all 2.0 mm constructs used in reconstructing the mandible. Precaution: If no vascularized bone graft is applied, a 2.4 mm UniLOCK plate or larger system should be used. 2 Prein J. Manual of Internal Fixation in the Cranio-Facial Skeleton. Berlin: Springer. 1998. 11 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Ordering Information Set 01.504.224 Compact 2.0 LOCK Mandible, PlusDrive Units 61.504.024 Module Compact 2.0 LOCK Mandible, 3/3, with Lid, without Contents 1 447.224 LOCK Plate 2.0, small, with centre space, 4 holes, length 28 mm, 2 447.225 LOCK Plate 2.0, small, with centre space, 6 holes, length 40 mm, 2 447.051 LOCK Mandible Adaption Plate 2.0, small, 20 holes, length 119 mm, 1 447.101 LOCK Mandible Plate 2.0, medium, with centre space, 6 holes, length 43 mm, 1 447.102 LOCK Mandible Plate 2.0, medium, 12 holes, length 77 mm, 1 447.103 LOCK Mandible Plate 2.0, large, with centre space, 6 holes, length 53 mm, 1 447.104 LOCK Mandible Plate 2.0, large, 6 holes, length 47 mm, 1 447.105 LOCK Mandible Plate 2.0, large, 12 holes, length 95 mm, 1 447.106 LOCK Mandible Plate 2.0, large, 20 holes, length 159 mm, 1 447.108 LOCK Mandible Plate 2.0, angled, right, large, 6+21 holes, length 189/81 mm, 1 447.109 LOCK Mandible Plate 2.0, angled, left, large, 6+21 holes, length 189/81 mm, 1 401.291.04C 401.292.04C 401.294.04C 401.295.04C 401.296.04C 401.297.01C 401.298.01C 401.299.01C 401.041.04C 401.043.04C 401.044.04C 401.792.01C 401.794.01C LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 5 mm,, pack of 4 units in Clip 2 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 6 mm,, pack of 4 units in Clip 3 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 8 mm,, pack of 4 units in Clip 3 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 10 mm,, pack of 4 units in Clip 3 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 12 mm,, pack of 4 units in Clip 3 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 14 mm,, in Clip 4 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 16 mm,, in Clip 4 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 18 mm,, in Clip 4 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 4 mm,, pack of 4 units in Clip 2 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 6 mm,, pack of 4 units in Clip 3 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 8 mm,, pack of 4 units in Clip 3 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 6 mm,, pack of 1 unit in Clip 4 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 8 mm,, pack of 1 unit in Clip 4 312.156 Drill Sleeve 1.5, with thread, for LOCK Plates 2.0 1 313.252 Screwdriver Shaft PlusDrive 1.5/2.0, long, self-holding, for Hexagonal Coupling 2 316.520 Drill Bit B 1.5 mm, length 125 mm, 2-flute, for J-Latch Coupling 1 316.510 Drill Bit B 1.5 mm, length 80 mm, 2-flute, for J-Latch Coupling 1 317.660 Drill Bit B 1.5 mm with Stop, length 44.5/6 mm, 2-flute, for J-Latch Coupling 2 317.680 Drill Bit B 1.5 mm with Stop, length 44.5/8 mm, 2-flute, for J-Latch Coupling 2 317.720 Drill Bit B 1.5 mm with Stop, length 44.5/12 mm, 2-flute, for J-Latch Coupling 2 61.504.024.01 Labelling Clips for Screws and Screwdriver Shafts B 2.0 mm, PlusDrive 1 Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 11
Ordering Information Also available Plates 447.046 LOCK Mandible Plate 2.0, small, centre space 2.5 mm, 4 holes, length 31 mm,, flexible 447.047 LOCK Mandible Plate 2.0, small, centre space 2.5 mm, 6 holes, length 44 mm,, flexible 447.048 LOCK Plate 2.0, small, centre space 2.5 mm, 4 holes, length 31 mm, 447.049 LOCK Plate 2.0, small, centre space 2.5 mm, 6 holes, length 44 mm, 447.050 LOCK Adaption Plate 2.0, 12 holes, 447.051 LOCK Mandible Adaption Plate 2.0, small, 20 holes, length 119 mm, 447.053 LOCK Tension Band Plate 2.0, 4 holes, length 25 mm, 447.055 LOCK Mandible Plate 2.0, small, centre space 3.4 mm, 4 holes, length 31 mm, 447.057 LOCK Mandible Plate 2.0, curved, small, centre space 3.4 mm, 4 holes, length 29 mm, 447.101 LOCK Mandible Plate 2.0, medium, with centre space, 6 holes, length 43 mm, 447.102 LOCK Mandible Plate 2.0, medium, 12 holes, length 77 mm, 447.103 LOCK Mandible Plate 2.0, large, with centre space, 6 holes, length 53 mm, 447.104 LOCK Mandible Plate 2.0, large, 6 holes, length 47 mm, 447.105 LOCK Mandible Plate 2.0, large, 12 holes, length 95 mm, 447.106 LOCK Mandible Plate 2.0, large, 20 holes, length 159 mm, 447.108 LOCK Mandible Plate 2.0, angled, right, large, 6+21 holes, length 189/81 mm, 447.109 LOCK Mandible Plate 2.0, angled, left, large, 6+21 holes, length 189/81 mm, 447.117 LOCK Mandible Plate 2.0, large, crescent-shaped, 3+3 holes, 447.118 LOCK Mandible Plate 2.0, angled, large, 3+3 holes, 447.119 LOCK Mandible Plate 2.0, angled, large, 4+4 holes, 447.204 LOCK DCP Mandible Plate 2.0, medium, 4 holes, 447.205 LOCK DCP Mandible Plate 2.0, medium, 5 holes, 447.206 LOCK DCP Mandible Plate 2.0, medium, 6 holes, 447.208 LOCK DCP Mandible Plate 2.0, medium, 8 holes, 447.210 LOCK DCP Mandible Plate 2.0, medium, angled, 6 holes, 447.212 LOCK DCP Mandible Plate 2.0, medium, angled, 8 holes, 447.215 LOCK Mandible Plate 2.0, medium, crescent, 5 holes, 447.217 LOCK Mandible Plate 2.0, medium, crescent, 7 holes, 447.304 LOCK Tension Band Plate 2.0, right, prebent, 4 holes, 447.305 LOCK Tension Band Plate 2.0, left, prebent, 4 holes, 447.308 LOCK Plate 2.0, double-row, 12 holes,, malleable 447.309 LOCK Plate 2.0, double-row, 9 holes,, malleable 447.310 LOCK Frame Plate 2.0, square, 4 holes,, malleable 447.312 LOCK Strut Plate 2.0, 8 holes,, flexible 447.315 LOCK Strut Plate 2.0, curved, 8 holes,, flexible 447.317 LOCK Double-Y-Plate 2.0,, flexible 447.318 LOCK L-Plate 2.0, right,, flexible 447.319 LOCK L-Plate 2.0, left,, flexible 447.404 LOCK Mandible Plate 2.0, large, double-angled, 4+20+4 holes, 447.405 LOCK Mandible Plate 2.0, large, double-angled, 5+22+5 holes, 447.406 LOCK Mandible Plate 2.0, large, double-angled, 6+24+6 holes, 447.412 LOCK Mandible Plate 2.0, extra-large, 12 holes, 447.420 LOCK Mandible Plate 2.0, extra-large, 20 holes, 447.422 LOCK Mandible Plate 2.0, right, extra-large, 6+21 holes, 447.423 LOCK Mandible Plate 2.0, left, extra-large, 6+21 holes, 447.424 LOCK Mandible Plate 2.0, double-angled, extra-large, 4+20+4 holes, 447.425 LOCK Mandible Plate 2.0, double-angled, extra-large, 5+22+5 holes, 447.426 LOCK Mandible Plate 2.0, double-angled, extra-large, 6+24+6 holes, 22 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
Screws LOCK Screw PlusDrive B 2.0 mm, self-tapping 401.291 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 5 mm, 401.292 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 6 mm, 401.294 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 8 mm, 401.295 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 10 mm, 401.296 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 12 mm, 401.297 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 14 mm, 401.298 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 16 mm, 401.299 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 18 mm, LOCK Screw PlusDrive B 2.0 mm, self-drilling 401.955 LOCK Screw PlusDrive B 2.0 mm, self-drilling, length 5 mm, 401.956 LOCK Screw PlusDrive B 2.0 mm, self-drilling, length 6 mm, 401.957 LOCK Screw PlusDrive B 2.0 mm, self-drilling, length 8 mm, Cortex Screw PlusDrive B 2.0 mm, self-tapping 401.041 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 4 mm, 401.042 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 5 mm, 401.043 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 6 mm, 401.044 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 8 mm, 401.045 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 10 mm, 401.046 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 12 mm, 401.047 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 14 mm, 401.048 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 16 mm, 401.049 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 18 mm, 401.050 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 20 mm, 401.051 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 22 mm, 401.052 Cortex Screw PlusDrive B 2.0 mm, self-tapping, length 24 mm, Cortex Screw PlusDrive B 2.0 mm, self-drilling 401.061 Cortex Screw PlusDrive B 2.0 mm, self-drilling, length 4 mm, 401.062 Cortex Screw PlusDrive B 2.0 mm, self-drilling, length 5 mm, 401.063 Cortex Screw PlusDrive B 2.0 mm, self-drilling, length 6 mm, 401.064 Cortex Screw PlusDrive B 2.0 mm, self-drilling, length 7 mm, 401.065 Cortex Screw PlusDrive B 2.0 mm, self-drilling, length 8 mm, MF Cortex Screw B 2.0 mm, self-tapping 401.104 MF Cortex Screw B 2.0 mm, self-tapping, length 4 mm, 401.106 MF Cortex Screw B 2.0 mm, self-tapping, length 6 mm, 401.108 MF Cortex Screw B 2.0 mm, self-tapping, length 8 mm, 401.110 MF Cortex Screw B 2.0 mm, self-tapping, length 10 mm, 401.112 MF Cortex Screw B 2.0 mm, self-tapping, length 12 mm, 401.114 MF Cortex Screw B 2.0 mm, self-tapping, length 14 mm, 401.116 MF Cortex Screw B 2.0 mm, self-tapping, length 16 mm, 401.118 MF Cortex Screw B 2.0 mm, self-tapping, length 18 mm, 401.120 Cortex Screw B 2.0 mm, length 20 mm, 401.122 Cortex Screw B 2.0 mm, length 22 mm, 401.124 Cortex Screw B 2.0 mm, length 24 mm, 401.126 Cortex Screw B 2.0 mm, length 26 mm, 401.128 Cortex Screw B 2.0 mm, length 28 mm, 401.130 Cortex Screw B 2.0 mm, length 30 mm, 401.132 Cortex Screw B 2.0 mm, length 32 mm, Mandible Cortex Screw B 2.0 mm, self-tapping 411.904 Mandible Cortex Screw B 2.0 mm, self-tapping, length 4 mm, 411.906 Mandible Cortex Screw B 2.0 mm, self-tapping, length 6 mm, 411.908 Mandible Cortex Screw B 2.0 mm, self-tapping, length 8 mm, 411.910 Mandible Cortex Screw B 2.0 mm, self-tapping, length 10 mm, 411.912 Mandible Cortex Screw B 2.0 mm, self-tapping, length 12 mm, 411.914 Mandible Cortex Screw B 2.0 mm, self-tapping, length 14 mm, 411.916 Mandible Cortex Screw B 2.0 mm, self-tapping, length 16 mm, 411.918 Mandible Cortex Screw B 2.0 mm, self-tapping, length 18 mm, Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 21
Ordering Information MF Monocortical Screw B 2.0mm 401.594 MF Monocortical Screw B 2.0 mm, self-tapping, length 4 mm, 401.596 MF Monocortical Screw B 2.0 mm, self-tapping, length 6 mm, 401.598 MF Monocortical Screw B 2.0 mm, self-tapping, length 8 mm, Emergency Screw PlusDrive B 2.4 mm, self-tapping 401.791 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 5 mm, 401.792 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 6 mm, 401.794 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 8 mm, 401.795 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 10 mm, 401.796 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 12 mm, 401.797 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 14 mm, 401.798 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 16 mm, 401.799 Emergency Screw PlusDrive B 2.4 mm, self-tapping, length 18 mm, Emergency Screw B 2.4 mm, self-tapping 401.306 Emergency Screw B 2.4 mm, self-tapping, length 6 mm,, blue 401.308 Emergency Screw Cruciform Recess B 2.4 mm, self-tapping, length 8 mm,, blue 401.310 Emergency Screw Cruciform Recess B 2.4 mm, self-tapping, length 10 mm,, blue 401.312 Emergency Screw Cruciform Recess B 2.4 mm, self-tapping, length 12 mm,, blue Ordering information* Screws Plates Packs of 1 unit xxx.xxx xxx.xxx Packs of 1 unit with clip xxx.xxx.01c n/a Packs of 4 units with clip xxx.xxx.04c n/a Packs of 1 unit, sterile n/a xxx.xxxs Packs of 1 unit with clip, sterile xxx.xxxs n/a Packs of 4 units with clip, sterile xxx.xxx.04s n/a * not all packaging variations are available for all items Instruments 310.811 Countersink with Centering Pin, for Screws B 2.0 mm with Hexagonal Coupling 397.440 Drill Sleeve 1.5, short, with thread, for LOCK Mandible Plates 2.0 312.154 Drill Sleeve 1.5, with thread, long, for LOCK Mandible Plates 2.0 329.571 Bending Template for LOCK Mandible Plate 2.0, crescent-shaped, 5+7 holes, length 42 mm 329.572 Bending Template for LOCK DCP Mandible Plate 2.0, angled, 6+8 holes, length 42 mm 329.573 Bending Template for LOCK DCP Mandible Plate 2.0, 4+6+8 holes, length 68 mm 329.574 Bending Template for LOCK Mandible Plate 2.0, double-angled, 4+20+4 holes, length 202 mm 329.575 Bending Template for LOCK Mandible Plate 2.0, double-angled, 5+22+5 holes, length 221 mm 329.576 Bending Template for LOCK Mandible Plate 2.0, double-angled, 6+24+6 holes, length 240 mm Standard Instruments Compact 2.0 Mandible, 3/3, with Lid Units 61.502.092 Instrument Tray Compact 2.0 Mandible, 3/3, with Lid 1 347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 2 347.981 Holding Forceps for Plates 1.0 to 2.4 1 347.985 Holding Forceps for Cortex Screws B 1.0 to 2.4 mm 1 391.965 Combined Pliers for Plates 1.0 to 2.0, for Cutting and Bending 1 319.520 Depth Gauge for Screws B 1.5 to 2.0 mm, measuring range up to 45 mm 1 311.006 Handle, medium with Hexagonal Coupling 2 312.220 Double Drill Guide 2.0/1.5 1 391.951 Plate Cutter with Deburring Device, for Plates 1.0 to 2.4, length 180 mm 1 2.0 LOCK 313.254 Screwdriver Shaft PlusDrive 1.5/2.0, short, self-holding, for Hexagonal Coupling 313.252 Screwdriver Shaft PlusDrive 1.5/2.0, long, self-holding, for Hexagonal Coupling 316.510 Drill Bit B 1.5 mm, length 80 mm, 2-flute, for J-Latch Coupling 316.520 Drill Bit B 1.5 mm, length 125 mm, 2-flute, for J-Latch Coupling 316.530 Drill Bit B 2.0 mm, length 80 mm, 2-flute, for J-Latch Coupling 316.540 Drill Bit B 2.0 mm, length 125 mm, 2-flute, for J-Latch Coupling 316.710 Drill Bit B 1.5 mm, length 80 mm, 2-flute, for Mini Quick Coupling 316.521 Drill Bit B 1.5 mm, length 125 mm, 2-flute, for Mini Quick Coupling 316.730 Drill Bit B 2.0 mm, length 80 mm, 2-flute, for Mini Quick Coupling 316.420 Drill Bit B 2.0 mm, length 125 mm, 2-flute, for Mini Quick Coupling 317.640 Drill Bit B 1.5 mm with Stop, length 44.5/4 mm, 2-flute, for J-Latch Coupling 317.660 Drill Bit B 1.5 mm with Stop, length 44.5/6 mm, 2-flute, for J-Latch Coupling 317.680 Drill Bit B 1.5 mm with Stop, length 44.5/8 mm, 2-flute, for J-Latch Coupling 22 DePuy Synthes Compact 2.0 LOCK Mandible Surgical Technique
317.720 Drill Bit B 1.5 mm with Stop, length 44.5/12 mm, 2-flute, for J-Latch Coupling 317.740 Drill Bit B 1.5 mm with Stop, length 44.5/4 mm, 2-flute, for Mini Quick Coupling 317.760 Drill Bit B 1.5 mm with Stop, length 44.5/6 mm, 2-flute, for Mini Quick Coupling 317.780 Drill Bit B 1.5 mm with Stop, length 44.5/8 mm, 2-flute, for Mini Quick Coupling 317.820 Drill Bit B 1.5 mm with Stop, length 44.5/12 mm, 2-flute, for Mini Quick Coupling 329.521 Bending Template for LOCK Mandible Plate 2.0, large, angled, 6+21 holes, right 329.522 Bending Template for LOCK Mandible Plate 2.0, large, angled, 4+4 holes 329.523 Bending Template for LOCK Mandible Plate 2.0, large, crescent-shaped, 3+3 holes 329.524 Bending Template for LOCK Mandible Plate 2.0, large, 20 holes 329.525 Bending Template for LOCK Mandible Plate 2.0, medium, with centre space, 6 holes 329.526 Bending Template for LOCK Mandible Plate 2.0, large, with centre space, 6 holes 329.527 Bending Template for LOCK Mandible Plate 2.0, medium, 12 holes 329.530 Bending Template for LOCK Mandible Plate 2.0, large, angled, 6+21 holes, left 397.440 Drill Sleeve 1.5, short, with thread, for LOCK Mandible Plates 2.0 Optional 329.143 Bending/Cutting Pliers with Nose, for LOCK Plates 2.0 398.660 Holding Forceps with Ball, ratchet lock, length 180 mm 312.155 Drill sleeve 1.5, for Lock Plates 2.0 312.156 Drill Sleeve 1.5, with thread, for LOCK Plates 2.0 Compact 2.0 LOCK Mandible Surgical Technique DePuy Synthes 22
DSEM/CMF/0115/0051(1) 06/16 Synthes GmbH Eimattstrasse 3 4436 Oberdorf Switzerland Tel: +41 61 965 61 11 Fax: +41 61 965 66 00 www.depuysynthes.com Not all products are currently available in all markets. This publication is not intended for distribution in the USA. All surgical techniques are available as PDF files at www.depuysynthes.com/ifu 0123 DePuy Synthes CMF, a division of Synthes GmbH. 2016. All rights reserved. 036.000.059