Trauma Implant Extraction Set - Surgery Advisor · Implant Extraction Set Trauma Implant Extraction Guide Module One & Two. The information contained in this document is intended

Implant Extraction Set

Trauma

Implant Extraction Guide

Module One & Two

The information contained in this documentis intended for healthcare professionals only.

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Contents

Introduction 3

Features and Benefits 3

Product Description 4

Screws 6

Condyle Screws 6

Cannulated Screws 7

Damaged Screw Head 7

Broken Screws 8

Plates 9

Broken Cannulated Screws 10

Lag Screw 11

IM Nails 13

Broken IM Nails 14

HydroSet 15

Ordering Information 16

ThispublicationsetsforthdetailedrecommendedproceduresforusingStrykerTraumadevicesandinstruments.

Itoffersguidancethatyoushouldheed,but,aswithanysuchtechnicalguide,eachsurgeonmustconsidertheparticularneedsofeachpatientandmakeappropriateadjustmentswhenandasrequired.

Aworkshoptrainingisrequiredpriortofirstsurgery.

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Introduction / Features and Benefits

Features and Benefits

Versatility •Removalofstandard,brokenand/orstrippednails,platesandscrews •Multipleextractionmethods

Single Instrument Platform •Simplifiedsurgicaltechnique

1.JAmAcadOrthopSurg2006;14:113-120HardwareRemoval:IndicationsandExpectationsMatthewL.Busam,MD,RobertJ.Esther,MD,MSc,WilliamT.Obremskey,MD.

Introduction

Scre

ws

Lag S

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ail

sH

ydro

Set

Instr

um

ents

Hardwareremovaloccursforfourreasons: 1.Electiveremoval. 2.Removalsecondarytosymptoms. 3.Removalforinfection. 4.Duringrevisionprocedures.

Themostchallengingaretypicallypoints3and4asthehardwaremaybebrokenand/ortissueplanesdistorted.

Inaddition,thereisfrequentlynobailoutbecausethehardwaremustberemovedinordertorevisethefixationforanon-unionortoaddressinfection.

Althoughconsideredeasyandstraightforwardbypatients,hardwareremovalisalmostalwaysmorechallengingthantheinsertionoftheimplants.1

Specialtyinstrumentscansignificantlyfacilitatehardwareremovalwhileminimizingdamagetothesurroundingbone/soft-tissue.Strykerhasdevelopedacomprehensivesetofinstruments/techniquestoassistthesurgeonwiththesechallengingissues,regardlessoftheindicationortiming.

Additionally,strippedscrews,coldweldedscrewstoplates,strippedIMNailsproximalthreads[usedforremoval]mayrisesurgicaldifficultyandshouldbetreatedtogether.

StrykerExtractionSystemisasetofinstrumentationdevelopedtomeetthesurgeonsneedforimplantextraction.

TheSystemconsistoftwomodulesfortheremovalofalmostanyStrykerTraumaimplant,aswellasmanynon-Strykerplates,nails,andscrews.Ithasevolvedfromourextensiveclinicalexperiencewithtraumadevices,aswellasfromthecollaborationwithexperiencedsurgeonsworldwide.

Module Oneincludesinstrumentationfortheremovalofinternalfixationsystemsandassociatedscrews.

ConicalandSpreadingTipScrewdriversareprovidedinvaryingsizesforthesaferemovaloftorx,hex,andcannulatedscrews.NailandLagScrewremovalisfacilitatedthroughtheavailabilityofdifferentsizedAdaptorsandConicalExtractionRodsthatareeasilyassembled.

Module Twocontainsextractioninstrumentsfortheremovalofstrippedand/orbrokenscrewsandimplants.

StrykerExtractionSystemisasingleinstrumentplatformthatcanbeusedforvariousextractionmethodsaccordingtoeachindividualcase,inaminimallyinvasiveoperatingprocedure,allowingfortheremovalofStrykerTraumaimplants.

Sincebrokenhardwarecanoftenbeidentifiedonpreoperativeradiographs,butmayalsobeencounteredunexpectedlyduringanoperation,Strykerrecommendshavingbothmodulespresentintheoperatingroomtofacilitatesurgicalproceduresandtoreduceoperativetime.

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Product Description

Teardrop Handle, AO-medium for AO-medium bits: -Screwdriverbits-Crowndrills(Trephines)-Conicalextractorsmale/female

Screwdriver Bit 2.5(conical) For Hex Screws:T2HumCompression;AsnisIII4.0;Numelock4.5;ISO2.7;ISO3.5;ISO4.0

Screwdriver Bit 3.5(conical) Screws:4and5mmLockingScrews(T2,S2,G3,ICetc.);T2/S2EndCaps;T2/S2Fem/TibCompr.Screws;TLNallScrews;3.7and4.6mmLockingScrewsG&K;AsnisIII5.0;Numelock6.5;ISO4.5;ISO6.5

Screwdriver Bit 4 (conical) SetScrewsforGamma,G3,GammaTi,Dyax,AP,AP-J;DYAX-AProximalPlug

Screwdriver Bit 5 6.28mmLockingScrews;AsnisIII6.5and8.0andT2/S2ReconLagScrews

Screwdriver Bit 6.3 T2/S2CondyleScrews

Screwdriver Bit 8 G&KSCNCondyleScrews;G3EndCap

Screwdriver Bit T 8 (Torx) AxSOS3.0

Screwdriver Bit T 15 (Torx) AxSOS4.0

Screwdriver Bit T 20 (Torx) ALTA3.7mmLockingScrews;AxSOS5.0

Screwdriver Bit T 25 (Torx) ALTA5mmLockingScrews,LagScrewsandCaps

Conical Extractor, male, left hand, small (lefthanddriving)fordiameterrange1–2.5mm

AsnisIII4.0

Conical Extractor, male, left hand, 2.5 (lefthanddriving,fordamagedhex2.5mmanddiameterrange2.3–4mm)

Screws:T2HumCompression;AsnisIII4.0;ISO2.7;ISO3.5;ISO4.0

Conical Extractor, male, left hand, 3.5 (lefthanddriving,fordamagedhex3.5mmanddiameterrange3.3–4mm)

Screws:4and5mmLockingScrews(T2,S2,G3,ICetc.);T2/S2EndCaps;T2/S2Fem/TibCompr.Screws;TLNallScrews;3.7and4.6mmLockingScrewsG&K;AsnisIII5.0;ISO4.5;ISO6.5

Conical Extractor, male, left hand, 4 (lefthanddriving,fordamagedhex4mmanddiameterrange3.8–4.4mm)

SetScrewsforGamma,G3,Gti,Dyax,AP,AP-J;DYAX-AProximalPlug

Conical Extractor, male, left hand, 5 (lefthanddriving,fordamagedhex5mmanddiameterrange4.8–5.4mm)

6.28mmLockingScrews;AsnisIII6.5and8.0andT2/S2ReconLagScrews

Crowndrill 3 (bonedrillforbrokenScrewswithdiameterrange=<3mm

n/a


n/a


n/a

Crowndrill 6.5 (bonedrillforbrokenScrewswithdiameterrange=<6.5mm

n/a


n/a


n/a


n/a

Conical Extractor, female, left hand, 3(lefthanddriving,forbrokenScrewswithdiameterrange=<3mm)

ISO2.7Screws,UlnaLockingScrews


T2/S24mmLockingScrews,G&K3.7mmLockingScrews,ISOScrews3.5and4.0,ALTA3.7mmLockingScrews


5mmLockingScrews(T2,S2,G3,IC,ALTAetc.);ISOSrews4.5

Conical Extractor, female, left hand, 6.3(lefthanddriving,forbrokenScrewswithdiameterrange=<6.3mm)

6.28mmLockingScrews

Article Stryker Systems

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Product Description

Teardrop Handle, AO-medium, cannulated(includingRotationRod)

for AO-medium bits:SpreadingScrewdriver

Spreading Screwdriver Bit 5 6.28mmLockingScrews;AsnisIII6.5and8.0andT2/S2ReconLagScrews

Spreading Screwdriver Bit 6.3 T2/S2CondyleScrews

Spreading Screwdriver Bit 8 G&KSCNCondyleScrews;G3EndCap

Punches 2.7 forbrokenScrewswithdiameterrange=<3mm

Punches 3.7 forbrokenScrewswithdiameterrangefrom3–4mm

Punches 5 forbrokenScrewswithdiameterrange>4mm

Forceps, small fordamagedScrews,brokenScrewswithdiameter<9mm

Forceps, large fordamagedScrews,brokenScrewswithdiameter>9mm

Conical Extraction Rod 6 Extraction of nails using proximal Nail End:T2Humeral

Conical Extraction Rod 8 Extraction of nails using proximal Nail End: HumerusSeidel,T2ProximalHumeral,T2Humeral,AltaHumeral,TLN(M7),SCN(M8),AltaFemoral&Tibial,Zickel,ICFemoral&Tibial,T2/S2Tibial&FemoralAntegrade/Retrograde

Conical Extraction Rod 10 Extraction of nails for the proxmal Nail End:allG/KNails(Fem,Tib,SFN,STN,SCN)

Conical Extraction Rod 13 Extraction of nails using proximal Nail End:Gamma3;Gamma,Dyax,GammaAPJ,DyaxAsiatic

Extraction Hook, small Extraction of cannulated nails with inner diameter 4.6–5.5mm:G/K,Seidel,IC,SCN,TLN,T2/S2

Extraction Hook, large Extraction of cannulated nails with inner diameter =>5.6mm:Gamma3,Gamma,GammaAPJ,Dyax,DyaxAsiatic,G/K,IC,SCN,KuentscherNails

Extraction Instrument Lag Screw ConsistingofHandleandExtractionRod.TobeusedwiththethreadedrodandnutfortheLagscrewextraction

Nut FastenstheExtractionRodtothethreadedrodsandConnectors

Threaded Rod M7 ThreadedintoLagscrew(Gamma/DyaxAsiatic),fastensconnectionbetweenExtractionRodandConnectors

Threaded Rod M5 ThreadedintoLagscrew(Omega),fastensconnectionbetweenExtractionRodandConnectors

Threaded Rod M4 ThreadedintoLagscrew(OHS/OCS),fastensconnectionbetweenExtractionRodandConnectors

Spanner SW17 ServesforlargertorquetransmissionoftheExtractionInstrumentLagScrew

Connector, Gamma FitsontothespecificLagScrews,overthethreadedRod,andconnectswiththeExtractionInstrumentLagScrewConnector, Gamma U-Blade

Connector, Gamma3 U-BladeConnector, Dyax AsiaticConnector, Gamma3Connector, Omega and Omega plusConnector, OHS/OCSSharp Hook (Optional) Removesfrombonematerial

Osteotome (Optional) Removesfrombonematerial

Outer Introducer (Optional) HannsonPin

Inner Introducer (Optional) HannsonPin

Extractor (Optional) HannsonPin

Emergency Inner Extractor (Optional) HannsonPin

Extractor Handle (Optional) HannsonTwinHook

Outer Extractor (Optional) HannsonTwinHook

Inner Extractor (Optional) HannsonTwinHook

T-Handle, AO-medium(0ptional) forAO-mediumbits:Screwdriver–Screwremoval,conical-Crowndrill-Screwextraction,conical

Screwdriver 2.5 SeidelHumerusSpreadingScrew(StandardSeidelinstrument)

Article Stryker Systems

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ScrewsAfteridentifyingscrewtypeanddiameter,extractthescrewswiththeappropriatescrewdriverbitbyturningthescrewdrivercounterclockwise.

Toavoiddamagingthescrew,makesurethescrewdriverisinlinewiththescrewaxisandfullyinserted.

Scre

ws

Screwdriver Bits (torx)

Screwdriver Bits (hex)

Solid Teardrop Handle

Condyle Screws ForCondyleScrewremoval,assemblethenecessaryscrewdrivers:The6.3hexScrewdriverBitwiththeSolidTeardropHandle(forthenut)andthe6.3hexSpreadingScrewdriverbitwiththeCannulatedTeardropHandle(incombinationwiththeRotationRod)asshownintheillustration.


Teardrop Handle (cannulated)

Rotation Rod

Spreading Screwdriver Bit

Screwdriver Bit

MakesuretotightentheRotationRoduntilthetipofthescrewdriverspreadsfirmlyandfullyintothescrewhead.

AscrewdriverneedstobeinsertedfromeachsideoftheCondyleScrewusingonetostabilizetheNutandtheSpreadingScrewdrivertoloosenandextracttheCondyleScrew.Ifnecessary,usetheSpreadingScrewdrivertoremovetheNutinasecondstep.

TheCondyleScrewisextractedbyturningtheScrewdriverinacounter-clockwisedirection.

Partiallythreadedscrewremoval(e.g.AsnisIIIscrews,T2ReconLagScrews)isfacilitatedbyusingthespreadingscrewdriverbitsandcannulatedhandle.

ForspreadingscrewdriverinstructionsseeCondyleScrewremovalbelow.

Strykeroffersawidevarietyofhex(standard,conical,spreading,)andtorxscrewdrivers.ChecktheavailabletypeandsizeontheOrderingInformationpage.

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Scre

ws

Neveruseawornordamagedscrewdrivertoremovescrews.Reversecuttingflutesarepresentforthisreason.ItisrecommendedthattheSolidScrewdriverbeusedforScrewremoval.TheSolidScrewdriverappliesgreatertorqueandwillreducethepotentialfordamagingthehexagonaltipontheScrewdriver.Strongboneformationaroundtheimplanthasbeenseeninthepediatriccasesusingpartiallythreadedscrews.Thismay

Screwdriver Bits (hex)


leadtodifficultimplantremovalwithanincreasedriskofscrewheadbreakageorstrippingofscrewhexagonalhead.

Iftheobliquedirectionofthescrew(approximately135°totheshaft)isnotchanged,thenthereverseflutesarenotinanopportunepositiontocutthecortex.Ifthescrewheadisplacedundertractionandtheangleofthescrewisbroughttoaperpendicularpositionrelativetothebone,cuttingthecortexwillprogressandfacilitatescrewremoval.

Be sure to use the Solid Screwdriver in combination with the appropriate sized screwdriver bits or the cannulated screwdriver with the Spreading Screwdriver Bits. Proceed as described above.

Damaged Screw HeadLightlytappingtheConicalExtractorwithaSlottedHammermaybetriedifpurchaseisnotinitiallyobtainedwithmanualpressure.Itisatthesurgeons’discretionifandhowhardtousethehammer.

AssembletheselectedConicalExtractor(male)withtheTeardop-Handleandturnitcounter-clockwisewhileapplyingpressureinlinewiththescrewaxis,extractingthescrewatthesametime.Ifthescrewdoesnotcomecompletelyout,theForecepscanbeusedtocompletetheextraction.

Conical Extractor (male)

Slotted Hammer

Forceps for Screw Removal


Cannulated Screws



Rotation Rod


Screwstrippingiscommonlycausedbyslippageofascrewdriverthatisnotcorrectlyalignedwiththescrewaxisand/orfullyseated.Thiscanoccureitherduringinsertionor,morecommonly,duringattemptedscrewremoval.

TheappropriatesizedConicalExtractor(basedonthesizeofthescrewheadhex/torx)isinsertedfirmlyintothescrewhead.

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Scre

ws

Broken screw shaft - Step 1

Broken Screws

Torn-off screw head - Step 1

IncaseofaBrokenScrewShaft:

Step 1:Removethescrewheadportioninordertogainaccesstotheremainingpartofthescrewshaft.Thescrewheadcanberemovedwiththeappropriatescrewdriverasdescribedonpage6.

Step 2:UsetheDriftPunchtoextracttheremainingpartofthescrew.

Ifdifficultiesareencounteredwiththeaboveprocess,overdrilltheremainingpartofthescrewwithaCrowndrillbeforeproceedingwiththeDriftPunch.

Broke screw shaft - Step 2

Torn-off screw head - Step 2

IncaseofaTornoffScrewHead:

Step 1:OverdrilltheremainingpartofthescrewwithaCrowndrill.UseanotherCrowndrill,onesizelarger,inordertocreatespaceforthefemaleConicalExtractor/DriftPunch.Itmaybenecessarytostartwithlightpressureonthecrowndrillinordertoavoidthedrillwalkingonthecortexsurfacebeforeapplyingadditionalpressuretopenetratethebone.LighttappingwiththeSlottedHammermayberequired.Itremainsatthesurgeons̀ owndiscretionifandhowhardtousetheSlottedHammer.

Alternatively,theoptionalCountersink(6or8mm)canbeusedtocreateapathfortheCrowndrill.

Step 2:RemovetheremainingpartofthescrewwiththeConicalExtractor,(female)ifthescrewisbrokenclosetothefirstcortexorwiththehelpofaDriftPunchifthescrewisbrokenclosetothesecondcortex.

ThisprocedurecanalsobeappliedtobrokenIMlockingscrews.

Drift Punches

Slotted Hammer


Crowndrill (Trephine)

Conical Extractor (female)

Forceps for Screw Removal

Screwdriver Bit

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Scre

ws

Plates

Plate Removal - Step 1 Plate Removal - Step 2

Plate Removal - Step 4

Toremoveanyplate,firstextractallscrewsbyusingtheappropriatesizeScrewdriverBits.Removetheplatebyusingaregularforceps.

Thedevelopmentoflockingplatetechnologyhasleadto“coldwelding”ofscrewstotheplates.Inthiscase,cuttingtoolsformetalhavetobeusedfortheremovalofthescrews.Inordertoprotectthesofttissuefromexcessiveheatandmetaldebrisaccumulation,irrigationandsuctionshouldbeusedincombinationwithcuttingtools.

CarbideDrillsareusedtodrill-outtheheadsofscrewsthathavebeencold-weldedtoaplate.Theseareavailableinmultiplediametersandpackagedassingle-use,sterileitems.Seeorderinginformationonpage17.

Step 1:UsetheSphericalBurrtochamferthepointofscrewrupture.

Step 2:UseaCenterDrillinordertocreateapathfortheCarbideDrillBits.

Step 3:UseaCarbideDrillBituntilthereisnolongeraphysicalconnectionbetweenthescrewandtheplate.Axialforceisrequiredforefficientdrilling.AligntheaxisoftheDrillBitwiththeaxisofthescrew.

Plate Removal - Step 3



Forceps

Screwdriver Bit


Note:Carbide Drills are brittle. To avoid damage of Carbide Drill Bits, start the drill prior to touching the screw head. Commence drilling with irrigation and suction systems in place. The suction device should be held close to the tip of the Carbide Drill Bit.

Step 4:Removetheplateanduseoneofthepreviouslydescribedtechniquesforbrokenscreworshaft.

Note:Carbide Drills can also be used also for the removal of a stripped Set Screw. Proceed as described above.

Carbide Drills

Carbide Center Drill

Carbide Spherical Burr

10


Scre

ws

Toremovethetorn-offhead:

Step 1:SelecttheappropriateSpreadingScrewdriverBit.AttachCannulatedTeardropHandle.InsertRotationRodthroughthetopoftheTeardropHandle.InserttipintothescrewheadandturnRotationRodtoengageandremovescrewhead.

Toremoveremainingscrewbody(parts):

Step 2:InserttheConicalExtractor(male)andextracttheremainingscrewbodyturningtheConicalExtractorinacounter-clockwisefashion.

IfSteps1and2areunsucessfulforscrewremoval:

Step 3:OverdrilltheshaftusingtheCrowndrill.

Step 4:UseaConicalExtractor(female)forscrewremoval.

Iftheattemptforscrewremovalisnotsuccessful,followthestandardprocedureforbrokenscrewremovaldescribesonpage10.

Cannulated Screw Removal - Method B - Step 2Cannulated Screw Removal - Method B - Step 1

Cannulated Screw Removal - Method A - Step 2Cannulated Screw Removal - Method A - Step 1

Broken Cannulated Screws


Conical Extractor (male)



Rotation Rod

Conical Extractor (female)

11


Lag S

cre

w

Anincisionismadeovertheproximalendofthenail.TheEndCap,ifused,isremovedusingtheScrewdriverBitHex3.5mmfollowedbyremovaloftheSetScrewusingthe3.5mmScrewdriverasshownintheimagebelow 1 .

MakeasmallincisionthroughtheoldscardistaltothegreatertrochantertoexposetheouterendoftheLagScrew.

TheThreadedRodisthenthreadedandtightenedintotheproximalendoftheLagScrew 2 .

ForGammaImplants:positiontheK-WirethroughtheLagScrew.

TheThreadedRodisinsertedovertheK-Wire(whenusedforGamma)andtightenedintotheproximalendoftheLagScrew.

RemovetheK-Wire,ifused.

Lag Screw

1

2


Screwdriver Bit Hex 3.5mm

Threaded Rod

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Lag S

cre

w

Lag Screw (continued)CheckthatingrowthdoesnotobstructsecureengagementoftheExtractionDevice,otherwisetheimplantortheinstrumentmaybedamagedandextractionwillbemoredifficult.

SlidetheappropriateConnectorovertheThreadedRodbeforeaddingtheExtractionRod&Nutasshowninthepicture 3 .

Note:The Gamma3 Lag Screw was selected as an example to demonstrate Lag Screw removal.However, different Connectors are available for other implants including a Lag Screw. See details on the ordering information page.

FinishassemblyoftheLagScrewExtractionDevicebytighteningtheNut 4 andattachingtheT-Handle 5 inafinalstepasshowninthepicture.

TheLagScrewisextractedbycounter-clockwiserotationandpulling 6 .

Usethe7mmSpannerwrenchifhigherforcesarerequiredfortheremovaloftheLagScrew.

6

5

3 4

Connector

Threaded Rod

Wrench 8/ 10mm, standard

Extraction Rod and Nut

Spanner 17mm standard

Handle

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Nail

s

WhenremovinganIMnail,itishelpfultoidentifythenailbrandanditsdiameterinordertochoosethecorrectinstrumentation.

Step 1

IM NailsNote:Special care must be taken to check if the nail moves off-center from the entry point when screws are removed. Any attempt to remove a nail that is off-center may result in fractures of the distal condylar region.

TheEndCap,ifused,isremovedusingaScrewdriver.Ifboneingrowthobstructsaccesstothenail,useofeitheraCrowndrill,pick(notsupplied),orcurrette(notsupplied)mayprovideaccess.

Removethedistal/proximalscrewwiththeappropriateScrewdriverBit.Donottakeoutthescrewsofthedriving(proximal)enduntiltheConicalExtractionRodisattachedtothetopofthenailinordertoavoidrotation.

InserttheConicalExtractionRodintothedrivingendofthenail.

LightlyhammertheConicalExtractorinordertofullyengagethecuttingflutes.

ConnecttheStrikePlateandtheUniversalRodeitheraddingtheSlidingorSlottedHammerasshowninthepicture.

RemovenowtheremaininglockingscrewsbeforeusingeitherHammertoremovethenail.

UniversalRod

SlidingHammer

orusetheSlottedHammer

StrikePlate

ConicalExtractionRod

Slotted Hammer

Universal Rod

Conical Extraction Rod

Strike Plate

Sliding Hammer

Step 2

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Nail

s

RemovalofbrokenIMnailsisparticularlychallenging.StrykerdevelopedasystemthatcanbeusedfortheremovalofmanycannulatedIMnails.

RemovethedistalscrewwiththeappropriateScrewdriverBit.DonottakeouttheproximalscrewsuntilyouhaveattachedtheConicalExtractionRodtothetopofthenailinordertoavoidrotation.

Broken IM Nails

Broken IM Nails - Step 1 Broken IM Nails - Step 4 Broken IM Nails - Step 5Broken IM Nails - Step 2

Anincisionismadeovertheproximalendofthenail.TheEndCap,ifused,isremovedusingaScrewdriver.Ifboneingrowthobstructstheaccesstothenail,theuseofeitheraChisel/Pick(notprovided)oraCrowndrillwillfacilitateremoval.

ConnecttheUniversalRodandtheStrikePlatetotheExtractionRod(centerofpage)eitheraddingtheSlidingortheSlottedHammer.

Step 1:InsertthenailExtractionDeviceintotheproximalendofthenail,tighteningitasfirmaspossible.

Step 2:RemovetheproximalscrewsbeforeusingeitherHammertoremovethenail.

Step 3:Afterremovaloftheproximalnailend,exchangetheConicalExtractionRodfortheExtractionHook(asshowntotheleft).InsertExtractionHookintothecannulationofthenailfragment.

Underfluoroscopy,verifythattheHookhaspassedthroughthenailend.MakesurethattheHooktakesaholdattheendofthenailbeforepullingtoremoveit.

Step 4:UsetheSlidingortheSlottedHammertopullouttheremainingpartofthenail.

Extraction Hook

Sliding Hammer

Universal Rod

Strike Plate

Conical Extraction Rod

UniversalRod

StrikePlate

SlidingHammer

ExtractionHook

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Hyd

roS

et

HydroSetisaninjectibleself-settingcalciumphosphatecementindicatedtofillbonyvoidsorgapsoftheskeletalsystem(i.e.extremities,craniofacial,spine,andpelvis).Thesedefectsmaybesurgicallycreatedorosseousdefectscreatedfromtraumaticinjurytothebone.HydroSetisindicatedonlyforbonyvoidsorgapsthatarenotintrinsictothestabilityofthebonystructure.

HydroSetcuredinsituprovidesanopenvoid/gapfillerthatcanaugmentprovisionalhardware(e.g.K-Wires,Plates,Screws)tohelpsupportbonefragmentsduringthesurgicalprocedure.Thecuredcementactsonlyasatemporarysupportmediaandisnotintendedtoprovidestructuralsupportduringthehealingprocess.

CarefullyreadtheIFU,thespecificindicationsandthecontraindications.

HydroSet

REF Description

397003 HydroSet

397005 HydroSet

397010 HydroSet

397015 HydroSet

Instr

um

ents

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Ordering Information - Instruments REF Description

1806-6150 TrayModule1(GenericSterilizationandStorageTray)

1806-6152 Module1Fullyloaded

Universal Screw Extraction Devices

1806-6106 ScrewdriverBitsconical,hex.2.5mm



1806-6112 ScrewdriverBits,hex.5.0mm



1806-6118 ScrewdriverBits,TorxT8.0




1806-6113 SpreadingScrewdriverBit,hex.5.0mm



1806-6102 TeardropHandle,solid

1806-6104 CannulatedTeardropHandle

RotationRodusedwithCannulatedTeardropHandle

Universal Nail Extraction Device

1806-0353 ConicalExtractionRod,standard6mm

1806-0350 ConicalExtractionRod,standard7/8mm

1806-6125 ConicalExtractionRod,10mm

1806-6130 ConicalExtractionRod,male,13mm

1806-0130 Wrench8/10mm,standard

1806-0150 StrikePlate,standard

1806-6100 SlidingHammer

1806-0110 UniversalRod

1806-0170 SlottedHammer,standard

Universal Lag Screw Extraction Device

1806-6140 ConnectorGamma

1806-6141 ConnectorGammaU-Blade

1806-6142 ConnectorGamma3U-Blade

1806-6144 ConnectorGamma3

1806-6143 ConnectorDyax-Asiatic

1806-6146 ConnectorOmega

1806-6148 ConnectorOHS/OCS

1806-6136 ThreadedRodGammaetc.

1806-6137 ThreadedRodOmega

1806-6138 ThreadedRodOHS/OCS

1114-5002 Spanner17mmstandard

1806-6135 ExtractionInstrumentLagScrew

1806-6139 Nut

Instr

um

ents

1�

Ordering Information - Instruments REF Description

Universal Emergency Screw Extraction Devices

1806-6151 TrayModule2(GenericSterilizationandStorageTray)

1806-6153 Module2FullyLoaded

1806-6169 Conicalextractor,male,small

1806-6170 Conicalextractor,male,2.5mm




1806-6165 Crowndrill(Trephine),3.0mm







1806-6183 Conicalextractor,female,3.0mm




1806-6175 DriftPunch,2.7mm



1806-6102 TeardropHandle,solid

1806-6160 ExtractionHook(canalsobestoredinModule1),small

1806-6162 ExtractionHook(canalsobestoredinModule1),large

1806-6178 ForcepsforScrewRemoval,small

1806-6179 ForcepsforScrewRemoval,large

1806-6200S Drill3mm,carbide



1806-6203S Drill6.5mm,carbide

1806-6204S CenterDrill2.5,mmcarbide

1806-6205S SphericalBurr6mm,carbide

Optional Instruments Module 1 & 2

700151 SharpHook,Removalfrombonematerial

700225 Osteotome,Removalfrombonematerial

702-811 Countersink6mm,Preparingthecortex

702-812 Countersink8mm,Preparingthecortex

704515 OuterIntroducer,HannsonPin

704516 InnerIntroducer,HannsonPin

704518 Extractor,HannsonPin

704540 EmergencyInnerExtractor,HannsonPin

704607 ExtractorHandle,HannsonTwinHook

704608 OuterExtractor,HannsonTwinHook

704609 InnerExtractor,HannsonTwinHook

702628 T-Handle,AO-medium,forAO-mediumbits:

screwdriver-screwremoval,conical-crowndrill-

screwextraction,conical

0160-3043 Screwdriver2.5,SeidelHumerusSpreadingScrew* PleaseaskyourStrykersalesrepresentativeforfurtherinformation.

1�

Notes

1�

Notes

325CorporateDriveMahwah,NewJersey07430t: 201 831 5000

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ASurgeonmustalwaysrelyonhisorherownprofessionalclinicaljudgementwhendecidingtousewhichproductsand/ortechniquesonindividualpatients.Strykerisnotdispensingmedicaladviceandrecommendsthatsurgeonsbetrainedinorthopaedicsurgeriesbeforeperforminganysurgeries.

TheinformationpresentedisintendedtodemonstratethebreadthofStrykerproductofferings.Alwaysrefertothepackageinsert,productlabeland/oruserinstructionsbeforeusinganyStrykerproduct.Productsmaynotbeavailableinallmarkets.Productavailabilityissubjecttotheregulatoryormedicalpracticesthatgovernindividualmarkets.PleasecontactyourStrykerrepresentativeifyouhavequestionsabouttheavailabilityofStrykerproductsinyourarea.

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LiteratureNumber:LIES-OTMS/GS2M12/07

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Trauma Implant Extraction Set - Surgery Advisor · Implant Extraction Set Trauma Implant Extraction Guide Module One & Two. The information contained in this document is intended

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