Technique Chart. DHS/DCS One-Step Insertion Wrench. For use with DHS/DCS One-Step Lag Screws.
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1 Technique Chart DHS/DCS One-Step Insertion Wrench. For use with DHS/DCS One-Step Lag Screws.
2 DHS/DCS One-Step Insertion Wrench DHS Triple Reamer (338.13) Assembly mm Drill Bit DHS Reaming Head Triple Reamer Nut 1. Insert the cutting end of the DHS reaming head over the back end of the 8.0 mm drill bit. 2. Set the back end of the DHS reaming head at the measurement marker on the DHS drill bit which corresponds to the desired measurement determined by the DHS/DCS direct measuring device. 3. Slide the DHS triple reamer nut onto the threaded portion of the DHS reaming head and fasten tightly. DHS/ DCS One-Step Insertion Wrench Assembly Coupling Screw Wrench DHS Plate 281.xxx Centering Sleeve DHS Lag Screw 280.2xx 280.3xx Surgical Technique 1 Insert the variable angle guide for DHS to the desired angle. Insert the tip of the 2.5 mm threaded guide wire to the subchondral bone in the femoral head mm Threaded Guide Wire 2 Use the DHS/DCS direct measuring device to determine the length of the guide wire. Note: To determine reaming depth and lag screw length, subtract 10 mm from the reading DHS/ DCS Direct Measuring Device 3 Ream the hole for the lag screw and plate over the correctly positioned guide wire. (See reamer assembly above.) DHS/ DCS Tap Centering Sleeve 4 Insert the coupling screw into the One-Step insertion wrench and slide the DHS plate onto the shaft of the wrench One-Step Insertion Wrench Coupling Screw 5 Select the appropriate length lag screw and place on the end of the wrench; the flats of the lag screw must be aligned with the flats on the wrench. Thread the coupling screw into the end of the lag screw. 6 Place the centering sleeve onto the wrench between the lag screw and the plate Centering Sleeve 10 mm The tip will be 10 mm from the tip of the guide wire 7 Slide the assembly over the 2.5 mm guide wire and into the reamed hole. 8 Turn the wrench clockwise until the back of the lag screw is seated in the lateral cortex (as observed through the window on the centering sleeve). Align the wrench handle with the long axis of the femoral shaft. 9 To remove the centering sleeve from the wrench, twist the inner and outer sleeves in opposite directions. 10 Advance the side plate along the shaft of the wrench and manually insert the barrel into the reamed hole. Seat the plate with the DHS/DCS impactor. Make certain that the wrench shaft lies in the channel of the impactor. Affix the plate to the proximal femur with 4.5 mm cortex screws, using standard AO technique.
3 DHS/DCS One-Step Insertion Wrench for implantation mm/3.2 mm Double Drill Sleeve DHS/ DCS Coupling Screw Holding Sleeve DHS/ DCS Centering Sleeve Large Hexagonal Screwdriver Depth Gauge for large screws DHS/DCS Direct Measuring Device DHS/ DCS One-Step Insertion Wrench DHS/ DCS T-Handle with quick coupling mm/3.2 mm Insert Drill Sleeve DHS Triple Reamer mm/4.5 mm Drill Sleeve Tap for DHS/DCS DHS Parallel Drill Guide Small Impactor Tip mm Threaded Guide Wire
4 Set Components DHS One-Step Basic Set ( ) DHS/ DCS One-Step Basic Set Graphic Case 4.5 mm Cortex Screws, self-tapping mm, 3 ea mm, 8 ea mm, 3 ea mm, 6 ea mm, 8 ea mm, 6 ea mm, 8 ea mm, 3 ea mm, 8 ea mm, 3 ea mm, 8 ea mm, 3 ea mm, 10 ea mm, 3 ea mm Kirschner Wire, 150 mm, trocar point, (10/pkg.),1 pkg mm Drill Bit, quick coupling, 145 mm, 2 ea mm Drill Bit, quick coupling, 145 mm, 2 ea T-Handle with quick coupling Tap for 4.5 mm Cortex and 4.5 mm Shaft Screws, 130 mm, 57 mm tap depth, 2 ea mm/ 3.2 mm Double Drill Sleeve Holding Sleeve Large Hexagonal Screwdriver Shaft Large Hexagonal Screwdriver Depth Gauge for large screws Screw Forceps mm DCP Hip Drill Guide, neutral and load, 60 mm DHS/ DCS Direct Measuring Device, 200 mm length DHS/ DCS T-Handle, with quick coupling DHS Triple Reamer, complete Tap for DHS/DCS, 12.5 mm dia., 220 mm DHS/ DCS Centering Sleeve, short Small Impactor Tip DHS/ DCS One-Step Insertion Wrench DHS/ DCS Coupling Screw (for ) DHS/ DCS Centering Sleeve (for ) DHS Reaming Head, for DHS Triple Reamer mm/ 3.2 mm Insert Drill Sleeve mm/ 4.5 mm Drill Sleeve DHS Parallel Drill Guide mm Threaded Guide Wire, 230 mm, 10 ea. DCS One-Step Implant Set ( ) DCS One-Step Universal Implant Set Graphic Case DHS/ DCS One-Step Lag Screws, 12.7 mm thread, mm 75 mm, 2 ea. (5 mm increments) DHS/DCS Compression Screw, 36 mm, 6 ea. 95 DCS Plates holes, 2 ea holes, 1 ea holes, 2 ea holes, 1 ea holes, 2 ea holes, 1 ea. DHS/DCS One-Step Basic Set ( ) Includes contents of DHS One-Step Basic Set ( ), plus: DCS Drill Guide DCS Reaming Head DHS One-Step Implant Set ( ) DHS One-Step Implant Set Graphic Case DHS/DCS One-Step Lag Screws, 12.7 mm * thread, 65 mm 125 mm (5 mm increments) DHS/DCS Compression Screw, 36 mm, 3 ea. 130 DHS Plates, standard barrel holes holes holes 135 DHS Plates, standard barrel holes holes holes, 140 DHS Plates, standard barrel holes holes holes 145 DHS Plates, standard barrel holes holes holes DHS Plate, standard barrel, 4 holes DHS Plate, short barrel, 4 holes Trochanter Stabilization Plate, 138 mm, 2 ea Trochanter Stabilization Plate, 148 mm, 2 ea. Also Available DHS Supplemental Implant Set J DHS One-Step Basic Set with self-tapping screws Jacobs chuck S DHS One-Step Implant Set, sterile (no graphic case) DHS Angle Guide DHS Angle Guide DHS Angle Guide DHS Angle Guide DHS Angle Guide mm Drill Bit, quick coupling, 100 mm mm Drill Bit, 85 mm, Jacobs chuck mm/ 3.2 mm Insert Drill Sleeve mm/ 2.0 mm Insert Wire Sleeve (for ) mm/ 2.8 mm Insert Wire Sleeve (for ) DHS/DCS One-Step Lag Screws, 12.7 mm * thread,130 mm 145 mm (5 mm increments) DHS/DCS One-Step Lag Screws, 14.0 mm * thread, 50 mm 145 mm (5 mm increments) * Product numbers for 100 mm One-Step Lag Screws are and Note: For additional information, please refer to package insert. For detailed cleaning and sterilization instructions, please refer to or to the below listed inserts, which will be included in the shipping container: Processing Synthes Reusable Medical Devices, Trays and Graphic Cases DJ1305 Processing Non-sterile Synthes Implants DJ1304
5 Synthes (USA) 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. DCP, DCS, DHS and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 8/10 J2202-G
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