2.0mm and 2.4mm Utility Plate and Screw Module

1

Surgical Technique

2.0mm and 2.4mm Utility Plate and Screw Module

-MODSmall Bone Plating System

2

1

VLP™ MINI-MOD™ Small Bone Plating System

2.0mm and 2.4mm Utility Plate and Screw ModuleSurgical Technique

Table of Contents Product overviewIndications .............................................................................................2System overview ...................................................................................3Design features and benefits................................................................8

Surgical technique ......................................................................... 10

Catalog information ....................................................................... 22

Nota Bene The technique description herein is made available to the healthcare professional to illustrate the author’s suggested treatment for the uncomplicated procedure. In the final analysis, the preferred treatment is that which addresses the needs of the specific patient.

Prior to performing this technique, consult the Instructions for Use documentation provided with the devices: including indications, contraindications, warnings, precautions and instructions.

2

Indications

The VLP™ MINI-MOD™ Small Bone Plating System is indicated for adolescent (12 – 18 years) and transitional adolescent (18 – 21 years) subpopulations and adults, as well as patients with osteopenic bone. The VLP MINI-MOD Small Bone Plating System is indicated for fracture fixation, arthrodesis, reconstruction, replantation or reduction of small bones and small bone fragments. This system is also indicated for non-load bearing stabilization and reduction of bone fragments in long bones.

Contraindications Physical conditions that would preclude adequate implant support or retard healing, such as, blood supply impairment, insufficient bone quality or quantity, previous infection, obesity, severe bow or gross distortion of the radius. Material conditions that preclude cooperation with the rehabilitation regimen.

3

System overview

The VLP™ MINI-MOD™ Small Bone Plating System is a modular mini-fragment system designed to treat small bone fractures and small bone fragments.

Features• 2.0mm and 2.4mm Utility Plates and Screws• 3.0mm Osteopenia Screws for patients with

poor bone quality• Plates and Screws made of titanium alloy

(Ti-6Al-4V)• Mesh plates that can be contoured and cut to

address unpredictable fractures• Modular tray system that can be customized to

your needs• VLP Variable-Angle Locking Screw technology,

which requires no screw-in drill guides and has proven success in its use with the PERI-LOC™ VLP and VLP FOOT systems

2.0mm module plate options:

T-Plates • 1.2mm thickness• 2-hole and 3-hole head options• 6-hole and 8-hole length options• Slot allowing 2mm axial positioning

Y-Plates• 1.2mm thickness• 3-hole head option• 6-hole and 8-hole length options• Slot allowing 2mm axial positioning

Straight plates• 1.2mm thickness• 6-hole and 8-hole length options• Slot allowing 2mm axial positioning

Stout plates• 1.5mm thickness• 6-hole, 8-hole, and 12-hole length options• Slot allowing 2mm axial positioning

4

2.0mm module screw options: 2.0mm Cortex Screws• 6mm – 24mm, 1mm increments• 26mm – 40mm, 2mm increments• T6 drive mechanism

2.0mm Cortex Screw dimensionDrive mechanism T6Thread outer diameter 2.0mmThread pitch 0.6mmCore diameter 1.4mmDrill diameter 1.5mm

2.0mm Locking Screws• 6mm – 24mm, 1mm increments• 26mm – 40mm, 2mm increments• T6 drive mechanism

2.0mm Locking Screw dimensionDrive mechanism T6Thread outer diameter 2.0mmThread pitch 0.6mmCore diameter 1.4mmDrill diameter 1.5mm

5

2.4mm module plate options: T-Plates• 1.25mm thickness• 2-hole and 3-hole head options• 6-hole and 8-hole length options• Slot allowing 2mm axial positioning

Y-Plates• 1.25mm thickness• 3-hole head option• 6-hole and 8-hole length options• Slot allowing 2mm axial positioning

Straight Plates• 1.25mm thickness• 6-hole, 8-hole, and 12-hole length options• Slot allowing 2mm axial positioning

Stout Plates• 1.6mm thickness• 6-hole, 8-hole, and 12-hole length options• Slot allowing 2mm axial positioning

Mesh Plate• 1.25mm thickness• 3-hole x 12-hole screw configuration• Designed to be cut and bent to address

unpredictable fractures

Note: In order to maintain structural integrity, Mesh Plates must not be cut smaller than 2-holes in any direction:

Correct

Incorrect

6

2.4mm Locking Screws• 6mm – 24mm, 1mm increments• 26mm – 50mm, 2mm increments• 55mm – 80mm, 5mm increments (only

available upon request)• T7 drive mechanism

2.4mm Locking Screw dimensionDrive mechanism T7Thread outer diameter 2.4mmThread pitch 1.0mmCore diameter 1.7mmDrill diameter 1.8mm

3.0mm Osteopenia Screws• 10mm – 50mm, 2mm increments• 55mm – 80mm, 5mm increments (only


3.0mm Osteopenia Screw dimensionDrive mechanism T7Thread outer diameter 3.0mmThread pitch 1.5mmCore diameter 1.7mmDrill diameter 1.8mm

7

2.4mm module screw options: 2.4mm Cortex Screws• 6mm – 24mm, 1mm increments• 26mm – 50mm, 2mm increments• 55mm – 80mm, 5mm increments (only


2.4mm Cortex Screw dimensionDrive mechanism T7Thread outer diameter 2.4mmThread pitch 1.0mmCore diameter 1.7mmDrill diameter 1.8mm

8

Design features and benefits

Polyaxial locking plate

Each VLP™ MINI-MOD™ screw hole contains five separate tabs that engage with the threads of the locking screw head to form a fixed angle construct. Locking screws can be angled and locked up to 15° in any direction allowing for the creation of customized multidirectional locked plating constructs.

Locking screws should only be locked into the plate a maximum of two times to ensure locking strength integrity.

Low profile implants

The profile of the VLP MINI-MOD locking plates is designed to ensure low profile fixation in areas of minimal soft tissue coverage. All screws in the VLP MINI-MOD system have a low head profile to further reduce the potential for soft tissue irritation in these sensitive areas.

Color coding

The VLP MINI-MOD system uses color-coding to easily identify the screws, plates, instruments and trays that can be used together.

All 2.4mm plates are colored green. The 2.4mm and 3.0mm screws that can be used with these plates are also colored green. Most of the size specific instruments that are used with these implants have a green colored stripe. The implants and instruments trays are also colored green.

All 2.0mm plates are colored purple. The 2.0mm screws that can be used with these plates are also colored purple. Most of the size specific instruments that are used with these implants have a purple colored stripe.The implants and instruments trays are also colored purple.

Two stripes represents the overdrill used in standard Lag Technique.

One stripe is for standard drilling.

9

Modular tray design

The VLP™ MINI-MOD™ tray configuration is designed to be customized to the different needs of surgeons. There are three different trays in the system: General Instrument Set, 2.0 Instrument Set, and 2.4 Instrument Set. The unique bracketing design allow the trays to used individually or stacked and locked to be used together.

Both the 2.0mm and 2.4mm modules include all the plates, screws and size specific instruments needed to use each module alone. The General Instrument Set includes reduction instrumentation, contouring and cutting instrumentation, and retractors and elevators that can be used across the system.

10

Surgical techniquePrior to performing this technique, please consult the Instructions for Use documentation provided with each device for additional Health and Safety information, including indications, contraindications, warnings and precautions.

Exposure

The VLP™ MINI-MOD™ system comes with a number of instruments to assist the surgeon with exposure.

7110-1530 Freer Elevator

7117-0055 Hohmann Retractor, 6mm

7117-3369 Hohmann Retractor, Bent

Reduction

The VLP MINI-MOD system comes with a number of instruments to assist the surgeon with reduction.

7116-1008 0.8mm Trocar Tip K-Wire



7116-1016 1.6 Trocar Tip K-Wire

7117-0043 Sharp Hook

7117-3377 Reduction Forceps, Broad

7117-3378 Lobster Claw Forceps

7117-7194 Termite Foreceps

Plate selection

Select the appropriate mini fragment plate size, geometry, and length. Plate templates can be used to select the appropriate plate size, geometry and length.

Template of a 2.0mm 3 Hole Head T-Plate

11

Plate modification

Occasionally, minor plate contouring will be required. This may be accomplished using the Plate Bending Pliers and the Bending Rods. Additionally, the VLP™ MINI-MOD™ Plates can be cut to length using the Plate Cutting Forceps or Wire Cutters.

Ensure no sharp edges are prominent after plate modification.

7117-0061 Plate Bending Pliers

7117-4960 Plate Pliers

7446-2024 2.0mm/2.4mm Bending Rod

7117-0047 Plate Cutting Forceps

7117-0065 Wire Cutters

Plate positioning and provisional fixation

Insert the appropriate sized plate holder (2.0mm Plate Holder 7446-2022 or 2.4mm Plate Holder 7117-4043) into a locking hole in the plate. The 2.0mm Plate holder accepts a 1.0mm K-wire (7116-1010) and the 2.4mm Plate holder accepts a 1.6mm K-wire (7116-1016). Position the plate to the desired location and provisionally fix the plate to the bone using the provisional fixation wires. There are two diameters of provisional fixation wires. Each wire diameter is specific to plate sizes.

There are two length options available for each PF (Provisional Fixation) Wire diameter.

Plate size

PF Wire diameter

End length Cat No

2.0mm 1.5mm Short (6mm) 7446-20262.0mm 1.5mm Long (14mm) 7446-20282.4mm 1.8mm Short (6mm) 7446-24062.4mm 1.8mm Long (14mm) 7446-2408

Screw insertion

The choice of screws, and the order and configuration, is a decision to be made by the individual surgeon depending on the patient’s circumstances and needs. Smith & Nephew does not recommend any particular screw insertion order or configuration of the various types of screw available in the system.

12

2.4m

m L

ocki

ng S

crew

Provisional Fixation

Plates may be provisionally fixed to the bone using provisional fixation wires.

Drill

Determine the appropriate side of the 1.8mm Variable Angle/Fixed Angle Drill Guide (7446-2430) and insert it into the desired plate hole. Ensure that the tip of the drill guide engages with the star shaped hole. Drill to the desired depth using appropriate 1.8mm drill.

There are different length options for 1.8mm drills.

Drill diameter

Drill length Connection Cat No

1.8mm Short AO 7446-24021.8mm Long AO 7446-2404

Measure

Measure for screw length by using the 2.4mm Screw Depth Gauge Short (7117-4959) or Long (7117-4928).

Tap (optional)

The 2.4mm Locking Screws are self-tapping. However, in areas of dense cortical bone, tapping the bone may be desired prior to screw insertion. Tap by using the 2.4mm tap (7117-4916). This should be performed manually by using the Jeweler’s Handle with AO Quick-Connect (7117-7193).

12

2.4mm System

2.4mm Locking Screws Drill (inserting through a plate)

The 1.8mm Variable Angle/Fixed Angle Drill Guide (7446-2430) is double sided. The conical shaped side (Variable Angle) should be used if one intends to place the screw off axis through the plate. The other side is the fixed angle side and should be used if one intends to place the screw at an angle perpendicular to the plate axis.

13

2.4m

m L

ocki

ng S

crew

Screw insertion

Insert the appropriate length 2.4mm screw using the Self Retaining Fixed Handle T7 Driver (7446-2414).

Screws may be partially inserted by power by attaching the T7 Driver Shaft with AO Quick-Connect (7117-4927). Please note, the screw should always be finished by hand, not using power.

Final tightening should be performed using a two finger technique to avoid loss of reduction, stripping of screw head or damage to the screwdriver.

Note: Locking screws may be inserted up to two times. After the second time, a non-locking screw should be used.

Note: A freer elevator can be used to assist in dissection for removal of the implant if needed.

Note: Care should be taken during dissection and reconstruction of soft tissue.

13

14

3.0mm Osteopenia ScrewsDrill (inserting through a plate)


The 3.0mm Osteopenia Screws in the system may be used either through a 2.4mm plate or independently for small fracture fixation.

Drill (inserting through a plate)

Determine the appropriate side of the 1.8mm Variable Angle/Fixed Angle Drill Guide (7446-2430) and insert it into the desired plate hole. Ensure that the tip of the drill guide engages with the star shaped hole. Drill to the desired depth using the appropriate 1.8mm drill.

Drill (independent of the plate)

Position the 1.8mm side of the 1.8mm x 2.4mm Drill Guide (7446-2428) to the bone and drill to the desired depth using the appropriate 1.8mm drill.


Drill diameter


1.8mm Short AO 7446-24021.8mm Long AO 7446-2404

14

3.0m

m O

steo

peni

a Sc

rew

15

3.0m

m O

steo

peni

a Sc

rew

Screw insertion




15

Countersink (optional)

If the screw is being used independently, countersinking the screw head may be desired to lower the screw head prominence on the bone. To countersink, attach the 2.4mm Countersink (7117-4969) to the Jeweler’s Handle with AO Quick-Connect (7117-7193) and prepare the bone surface by inserting the tip into the predrilled hole and turning the countersink clockwise.

Measure


16

2.4mm Cortex ScrewThe 2.4mm Cortex Screws in the system may be used either through a 2.4mm plate or independently for small fracture fixation.



Drill (independent of the plate – lag screw technique)

Position the 2.4mm side of the 1.8mm x 2.4mm Drill Guide (7446-2428) to the bone and drill through the near cortex using the 2.4mm Overdrill. Insert the 1.8mm side of the 1.8mm x 2.4mm Drill Guide into the hole that was just drilled to ensure correct trajectory of the pilot hole. Drill to the desired depth using the appropriate 1.8mm drill bit. Two color bands on the drill represents overdrill for lag screw technique.

Note: Lag screw technique may be performed through a plate if desired.


Drill diameter


1.8mm Short AO 7446-24021.8mm Long AO 7446-24042.4mm Short AO 7446-2410

16



2.4m

m C

orte

x Sc

rew

17

2.4m

m C

orte

x Sc

rew

Determine the appropriate side of the 1.8mm Variable Angle/Fixed Angle Drill Guide and insert it into the desired plate hole. Ensure that the tip of the drill guide engages with the star shaped hole. Drill to the desired depth using the appropriate 1.8mm drill.



Measure


Tap (optional)

The 2.4mm Cortex Screws are self-tapping. However, in areas of dense cortical bone, tapping the bone may be desired prior to screw insertion. Tap by using the 2.4mm Tap (7117-4916). This should be performed manually by using the Jeweler’s Handle with AO Quick-Connect (7117-7193).

Screw insertion




17

18

2.0mm Locking ScrewDrill (inserting though a plate)


Drill

Determine the appropriate side of the 1.5mm Variable Angle/Fixed Angle Drill Guide (7446-2032) and insert it into the desired plate hole. Ensure that the tip of the drill guide engages with the star shaped hole. Drill to the desired depth using the appropriate 1.5mm drill.

There are different length and connection options for 1.5mm drills.

Drill diameter


1.5mm Short MINI 7446-20021.5mm Long MINI 7446-20041.5mm Short AO 7117-71951.5mm Long AO 7117-7196

Measure

Measure for screw length by using the 2.0mm Screw Depth Gauge (7117-4922).

18

2.0mm System2.

0mm

Loc

king

Scr

ew

19

2.0m

m L

ocki

ng S

crew

19

Tap (optional)

The 2.0mm Locking Screws are self-tapping. However, in areas of dense cortical bone, tapping the bone may be desired prior to screw insertion. Tap by using the 2.0mm Tap (7117-4915). This should be performed manually by using the Jeweler’s Handle with AO Quick-Connect (7117-7193).

Screw insertion


Screws may be partially inserted by power by attaching the T6 Driver Shaft with AO Quick Connect (7117-4921) or the T6 Driver Shaft with Mini Quick-Connect (7446-2016). Please note, the screw should always be finished by hand, not using power.


Note: Locking screws may be inserted up to two times. After the second time, a non-locking screw should be used.

20

2.0m

m C

orte

x Sc

rew

2.0mm Cortex Screw



Determine the appropriate side of the 1.5mm Variable Angle/Fixed Angle Drill Guide and insert it into the desired plate hole. Ensure that the tip of the drill guide engages with the star shaped hole. Drill to the desired depth using the appropriate 1.5mm drill.



Drill (independent of the plate – lag screw technique)

Position the 2.0mm side of the 1.5mm x 2.0mm Drill Guide (7446-2030) to the bone and drill through the near cortex using the 2.0mm Overdrill. Insert the 1.5mm side of the 1.5mm x 2.0mm Drill Guide into the hole that was just drilled to ensure correct trajectory of the pilot hole. Drill to the desired depth using the appropriate 1.5mm drill bit.

There are different length and connection options for 1.5mm drills and 2.0mm overdrills.

Drill diameter


1.5mm Short MINI 7446-2002

1.5mm Long MINI 7446-2004

2.0mm Short MINI 7446-2006

1.5mm Short AO 7117-7195

1.5mm Long AO 7117-7196

2.0mm Short AO 7117-7197

AO connection

MINI connection

The 2.0mm Cortex Screws in the system may be used either through a 2.0mm plate or independently for small fracture fixation.

20

21

2.0m

m C

orte

x Sc

rew



Measure

Measure for screw length by using the 2.0mm Screw Depth Gauge (7117-4922).

Tap (optional)

The 2.0mm Cortex Screws are self-tapping. However, in areas of dense cortical bone, tapping the bone may be desired prior to screw insertion. Tap by using the 2.0mm Tap (7117-4915). This should be performed manually by using the Jeweler’s Handle with AO Quick-Connect (7117-7193).

Screw insertion

Insert the appropriate length 2.0mm Screw using the Self Retaining Fixed Handle T6 Driver (7446-2418).

Screws may be partially inserted by power by attaching the T6 Driver Shaft with AO Quick-Connect (7117-4921) or the T6 Driver Shaft with Mini Quick-Connect (7446-2016). Please note, the screw should always be finished by hand, not using power.


21

22

Catalog information

VLP™ MINI-MOD™ Ti 2.0 Plate Set Set No 7440-2000

Cat No Description Qty

7444-2010 VLP 2.0mm Y-Plate, 6 Hole 1


7444-2014 VLP 2.0mm T-Plate, 2 Hole HD, 6 Hole SFT 1





7444-2022 VLP 2.0mm Straight Plate, 6 Hole 2


7444-2028 VLP 2.0mm Stout Straight Plate, 6 Hole 2




7440-2001 Washer for VLP 2.0 Screws 6

7440-2006N VLP TI 2.0mm x 6mm CTX SCR T6 S-T 3





















7441-2006N VLP TI 2.0mm x 6mm LCK SCR T6 S-T 3




















VLP MINI-MOD Ti 2.0 Screw Set Set No 7440-2005

*N – denotes non-sterile product

23












7444-2428 VLP 2.4mm Mesh Plate, 12 Hole x 3 Hole 1




VLP MINI-MOD Ti 2.4 Plate Set Set No 7444-2400

VLP™ MINI-MOD™ 2.0 Instrument Set Set No 7117-2040


7117-2906 Tray Lid 1

7117-3897 2.0mm Module 1

7117-3898 2.0mm Plate Inner Tray 1

7117-3899 2.0mm Screw Inner Caddy 1

7117-4915 2.0mm Tap AO QC 1

7117-4921 T6 Driver Shaft, AO QC 2

7117-4922 Depth Gauge for 2.0mm VLP Screws 1

7117-4923 2.0mm Screw Countersink AO QC 1

7117-7195 1.5mm Drill, Short AO QC 2

7117-7196 1.5mm Drill, Long AO QC 2

7117-7197 2.0mm Overdrill, Short AO QC 2


7446-2002 1.5mm Drill, Short Mini QC 2

7446-2004 1.5mm Drill, Long Mini QC 2

7446-2006 2.0mm Overdrill, Short Mini QC 2

7446-2016 T6 Driver Shaft, Mini QC 1

7446-2022 2.0mm Plate Holder 2

7446-2026 1.5mm Provisional Fixation Wire, Short 4

7446-2028 1.5mm Provisional Fixation Wire, Long 4

7446-2030 1.5/2.0 Double Drill Guide 1

7446-2032 1.5mm VA Drill Guide 1

7446-2418 Fixed Handle T6 Driver 1

24


7440-2401 Washer for VLP 2.4 Scr screws 6






















































VLP™ MINI-MOD™ Ti 2.4 Screw Set Set No 7440-2400

*N – denotes non-sterile product

VLP MINI-MOD Ti 3.0 Screw SetSet No 7440-3000


7442-3010N VLP TI 3.0mm x 10mm OST SCR T7, FT 2





















25

VLP™ MINI-MOD™ TI 2.4 Long Screw Set Set No 7440-2405


7117-2904 2.4mm Long Screw Caddy 1

7440-2455 VLP TI 2.4mm x 55mm CTX SCR T7 S-T 2






7441-2455 VLP TI 2.4mm x 55mm LCK SCR T7 S-T 2







7442-3055 VLP TI 3.0mm x 55mm OST SCR T7, FT 2






VLP MINI-MOD 2.4 Instrument Set Set No 7117-2450


7446-2402 1.8mm Drill, Short AO 2

7446-2404 1.8mm Drill, Long AO 2

7446-2406 1.8mm Provisional Fixation Wire, Short 4

7446-2408 1.8mm Provisional Fixation Wire, Long 4

7446-2410 2.4mm Overdrill, AO Short 2

7446-2414 Fixed Handle T7 Driver 1

7117-4927 T7 Driver Shaft, AO QC 2

7117-4928 Depth Gauge for 2.4mm VLP Screws Long (80mm)

1

7117-4959 Depth Gauge for 2.4mm VLP Screws Short (50mm)

1


7117-4043 2.4mm Plate Holder 2

7117-4969 2.4mm Countersink AO 1

7446-2428 1.8/2.4 Double-Ended Drill Guide 1

7446-2430 1.8mm VA Drill Guide 1

7117-2901 2.4mm Module 1

7117-2902 2.4mm Plate Inner Tray 1

7117-2903 2.4mm Screw Inner Caddy 1

7117-2906 Tray Lid 1

7117-4916 2.4mm Tap AO QC 1

VLP MINI-MOD General Instrument Set Set No 7117-2460


7110-1530 Freer Elevator (VLP FOOT) 1

7116-1008 0.8mm K-Wire 6

7116-1010 1.0mm K-Wire 6

7116-1012 1.25mm K-Wire 6

7116-1016 1.6mm K-Wire 6

7117-0014 Jeweler's Bulb Handle with MINI QC (VDR Set)

1

7117-7193 Jeweler’s Handle AO QC 1

7117-0043 Sharp Hook 1

7117-0047 Plate Cutter, TC-100 1

7117-0055 Hohmann Retractor, 6mm 2


7117-0061 Plate Bending Pliers (TC-100™) 2

7117-3369 Hohmann Retractor, Bent 2

7117-3377 Reduction Forceps, Broad (From PERI-LOC™)1

7117-3378 Lobster Claw Forceps (From PERI-LOC) 1

7117-7194 Termite Forceps 1

7117-3528 AO-Trinkle 1

7117-4960 Large Plate Pliers 1

7446-2024 2.0mm/2.4mm Bending Rod 2

7117-0065 Plate Cutter, Small 1

7117-2906 Tray Lid 1

7117-2907 General Instrument Tray 1

26

VLP™ MINI-MOD™ 2.0 Template Set Set No 7117-2050


7117-3881 VLP 2.0mm Y-Plate Template 8 HLS 1

7117-3882 VLP 2.0mm T-Plate Template 2 HL HD 8 HL SFT 1

7117-3883 VLP 2.0mm T-Plate Template 3 HL HD 8 HL SFT 1

7117-3884 VLP 2.0mm Straight Plate Template 8 HL 1

7117-3886 VLP 2.0mm Stout Straight Plate Template 8HL 1

VLP MINI-MOD 2.4 Template Set Set No 7117-2455


7117-3887 VLP 2.4mm Y-Plate Template, 8 Hole 1

7117-3888 VLP 2.4mm T-Plate Template, 2 Hole Head, 8 Hole Shaft 1

7117-3889 VLP 2.4mm T-Plate Template, 3 Hole Head, 8 Hole Shaft 1

7117-3890 VLP 2.4mm Straight Plate Template, 8 Hole 1

7117-3891 VLP 2.4mm Mesh Plate Template, 12 Hole x 3 Hole 1

7117-3892 VLP 2.4mm Stout Straight Plate Template, 8 Hole 1

27

Notes: _____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

28

Notes: _____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

29

Notes: _____________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

30

Smith & Nephew, Inc.1450 Brooks RoadMemphis, TN 38116USA

Telephone: 1-901-396-2121Information: 1-800-821-5700Orders/Inquiries: 1-800-238-7538

www.smith-nephew.com

™Trademark of Smith & Nephew. Certain marks Reg. US Pat. & TM Office. 01301 V3 71081164 REVA 05/15©2015 Smith & Nephew.

Caution: US Federal law restricts these devices to sale by or on the order of a physician.

2.0mm and 2.4mm Utility Plate and Screw Module

Documents