Cannulated Screws Ø 3.5 mm / 4.5 mm
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1 Cannulated Screws Ø / 4.5 mm
2 Table of contents Implants Ø 4 Implants Ø 4.5 mm 6 Operation technique - Ø Cannulated Screws 9 Reduce fracture and insert guide wire 9 Determine the screw length 9 Drilling and Countersinking 10 Screw insertion 10 Operation technique - Ø 4.5 mm Cannulated Screws 11 Reducing fracture and insert the stacked sleeve assembly 11 Insert the guide wire 11 Determine the screw length 11 Drilling and Countersinking 12 Screw insertion 12 Instruments - Ø Cannulated Screws 13 Instruments - Ø 4.5 mm Cannulated Screws 14 Page 3
3 Implants Ø Cannulated Screw Ø short thread, Titanium Cannulated Screw Ø fully threaded, Titanium Shaft diameter: 5.0 mm 5.0 mm 1.35 mm Material: 1.35 mm Ti6Al4V; Eli (ISO ) Typ III anodization Material: Ti6Al4V; Eli (ISO ) Typ III anodization titanium titanium Page 4
4 Implants Ø Cannulated Screw Ø short thread, stainless steel Shaft diameter: 5.0 mm 1.35 mm Material: Cannulated Screw Ø fully threaded, stainless steel 5.0 mm 1.35 mm Material: stainless steel stainless steel Page 5
5 Implants Ø 4.5 mm Cannulated Screw Ø 4.5 mm short thread, Titanium Cannulated Screw Ø 4.5 mm fully threaded, Titanium 4.5 mm 4.5 mm 3.0 mm 3.2 mm Shaft diameter: 3.2 mm 6.5 mm 6.5 mm 1.75 mm Material: 1.75 mm Ti6Al4V; Eli (ISO ) Typ III anodization Material: Ti6Al4V; Eli (ISO ) Typ III anodization titanium titanium Page 6
6 Implants Ø 4.5 mm Cannulated Screw Ø 4.5 mm short thread, stainless steel 4.5 mm 3.0 mm Shaft diameter: 3.2 mm 6.5 mm 1.75 mm Material: Cannulated Screw Ø 4.5 mm fully threaded, stainless steel 4.5 mm 3.2 mm 6.5 mm 1.75 mm Material: stainless steel stainless steel Page 7
7 Implants Ø and Ø 4.5 mm Cannulated Screws Ø / 4.5 mm Washer Ø 7.0 mm for Screws Ø 2.7 to 4.0 mm Washer Ø 10.0 mm for Screws Ø 4.5 mm Outside diameter: 7.0 mm Outside diameter: 10.0 mm Washer thickness: 0.8 mm Washer thickness: 1 mm Material: Ti6Al4V; Eli (ISO ) Typ III anodization and (Steel) Material: Ti6Al4V; Eli (ISO ) Typ III anodization and (Steel) titanium titanium stainless steel stainless steel Page 8
8 Operation technique - Ø Cannulated Screws 1 Reduce fracture and insert guide wire After a small incision the Ø 1.2 mm guide wire is inserted into the bone. 2 Determine the screw length Use the measuring device and advance the down to the cortical bone and determine the approprial screw length directly on the scale. 3 Insert stacked sleeves Over the guide wire the assembled drill sleeve system is pushed down through the soft tissues to the bone. Note: You can either use the standard Double Drill Sleeve (Ref.: ) or the Percutaneous Drill Sleeve (Ref.: ) and the Drill Sleeve insert (Ref.: /.037). Page 9
9 Drilling and Countersinking The cannulated drill bit Ø 2.7 mm (Ref.: ) is used for predrilling the hole for the cannulated screw. 4 Note: For a compression hole the usage of the Ø cannulated drill bit (Ref.: ) is recommended for the near fragment. The cannulated countersink is used in situations where the bone is surrounded by a thin layer of soft tissue to prevent a projection of the head and therefore pain. Screw insertion Insert the appropriate cannulated screw with the cannulated screw driver (Ref.: ). 5 Page 10
10 Operation technique - Ø 4.5 mm Cannulated Screws 1 Reducing fracture and insert the stacked sleeve assembly After reduction the stacked sleeve assembly is advanced to the near cortical bone through a small incision. 2 Insert the guide wire The sleeve assembly is inserted, over the placed guide wire, through the small incision to the bone. Note: With the Parallel Targeting Device (Ref.: ) you get the option in unstable situations to insert a second parallel guide wire. 3 Determine the screw length Use the measuring device (Ref.: ) and advance them, through the outer sleeve (Ref.: ), down to the cortical bone and determine the appropriate screw length directly on the scale. Page 11
11 Drilling and Countersinking The cannulated drill bit Ø 3.2 mm (Ref ) is used for predrilling the hole for the cannulated screw through the drill guide sleeve which is connected back to the outer sleeve. 4 Note: For a compression hole usage of the Ø 4.5 mm (Ref.: ) cannulated drill bit is recommeded for the near fragment. The cannulated countersink (Ref.: ) is used in situations where the bone is surrounded by a thin layer of soft tissue to prevent a projection of the head and therefore pain. Screw insertion Insert the appropriate cannulated screw through the outer sleeve (Ref.: ) using the cannulated screw driver (Ref ). 5 Page 12
12 Instruments - Ø Cannulated Screws Tap, cannulated, for Cannulated Screws ø, for Quick Coupling Countersink, cannulated, for Cannulated Screws ø 3.5mm Screwdriver, hexagonal, cannulated, for Cannulated Screws ø Double Drill Guide ø 2.7/1.25 mm Cleaning Wire ø 1.2 mm, for Cannulated Instruments Direct Measuring Device for Cannulated Screws ø Holding Clip for Washers Drill Guide with Stop 3.5/ Screwdriver Shaft, hex, AO Coupling Holding Sleeve for Screws ø 3.5/4.0 mm T-Handle with Quick Coupling Double Drill Guide 3.5/ Drill Bit ø 2.7/1.35 mm, cannulated, 4-flute, AO Coupling, L 160/130 mm Drill Bit ø 3.5/1.35 mm, cannulated, 4-flute, AO Coupling, L 160/130 mm Insert ø for REF Insert ø 2.7 mm for REF Guide Wire ø 1.2 mm, threaded tip, L 150 mm Page 13
13 Instruments - Ø 4.5 mm Cannulated Screws Cannulated Screws Ø / 4.5 mm Screwdriver Shaft, large, hex 3.5mm, for Quick Coupling Double Drill Guide 4.5/ Drill Bit ø 3.2/1.75mm, cannulated, 4-flute, AO Coupling, L 140/170 mm Drill Bit ø 4.5/1.75mm, cannulated, 4-flute, AO Coupling, L 140/170 mm Tap, cannulated, for Cannulated Screws ø 4.5mm, for Quick Coupling Countersink, cannulated, for Cannulated Screws ø 4.5 mm Screwdriver, hexagonal, cannulated, for Cannulated Screws ø 4.5 mm Holding Sleeve for Cannulated Screws ø 4.5 mm Drill Sleeve 3.2/ Screw Forceps, self-holding Drill Bit ø 1.5 mm, 2-flute, AO Coupling, L 59/85 mm Guide Wire ø 1.6mm, threaded tip, L 150 mm Cleaning Wire ø 1.6 mm, for Cannulated Instruments Protection Sleeve 9.5/7.0mm Parallel Guide for Guide Wires ø 1.6mm, adjustable T-Handle with Quick Coupling Drill Sleeve 7.0/ Trocar ø 1.6 mm Page 14
14 Dieter Marquardt Medizintechnik GmbH Robert-Bosch-Str Spaichingen Phone: +49 (0) 7424 / Telefax: +49 (0) 7424 / info@marquardt-medizintechnik.de release date: ; ; Rev.: 001/00
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