MATRIX COMBO PLATING SYSTEM. Streamlined set for craniofacial and mandibular trauma and reconstruction

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1 MATRIX COMBO PLATING SYSTEM Streamlined set for craniofacial and mandibular trauma and reconstruction

2 MATRIXCOMBO PLATING SET MATRIXCOMBO PLATING SET ( ) The aim of surgical fracture treatment is to reconstruct the bony anatomy and restore its function. According to the AO, internal fixation is distinguished by anatomical reconstruction, stable fixation, preservation of blood supply, and early, active mobilization. 1 Plate and screw osteosynthesis has been established and clinically recognized for some time. Mandible Instrument Tray With the AO philosophy at its core, the Matrix plating platform for internal fixation of the craniomaxillofacial skeleton addresses neuro, craniofacial, mandibular, and orthognathic surgery. Matrix is a simple, yet comprehensive, system that offers flexibility and ease of use. The MatrixCOMBO Plating Set is streamlined and organized for the treatment of craniofacial and mandibular trauma and reconstruction. Key implants and instruments from the MatrixMIDFACE and MatrixMANDIBLE Plating Systems are combined in a single graphic case. For specific product information see the respective system technique guide. Note: The MatrixCOMBO Plating Set includes items shown. MatrixMIDFACE Trauma Module MatrixMANDIBLE Trauma Module 1. M.E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger: Manual of Internal Fixation, 3rd Edition. Berlin; Springer-Verlag DePuy Synthes MatrixCOMBO

3 Matrix General Instrument Tray IMF Screw Module Matrix System All screws work with all plates within each Matrix system Reduced plate/screw profile where applicable Improved screw retention and reduced cam-out* Standardized instrumentation Reduced inventory for hospitals without compromising clinical solution Lag Screw Instrument and Implant Module MatrixMANDIBLE Reconstruction Module MatrixCOMBO Facilitates treatment of panfacial fractures Eliminates need to pull separate sets to treat mandible and midface cases Modular system allows set to be configured per surgeon and hospital needs Side-loading graphic case for complete set visibility *Mechanical test data on file at Synthes. MatrixCOMBO DePuy Synthes 1

4 INDICATIONS The Synthes MatrixMIDFACE Plating System is intended for use in selective trauma of the midface and craniofacial skeleton; craniofacial surgery; reconstructive procedures, and selective orthognathic surgery of the maxilla and chin. The Synthes MatrixMANDIBLE Plate and Screw System is intended for oral, maxillofacial surgery: Trauma Reconstructive surgery Orthognathic surgery (surgical correction of dentofacial deformities) Note: Please refer to package insert for full list of indications, contraindications, warnings and precautions. 2 DePuy Synthes MatrixCOMBO

5 MATRIXCOMBO PLATING SET ( ) INSTRUMENT TRAY FOR GENERAL INSTRUMENTS ( ) Finger Mat for use in Mini IMF Screw Module Mini Plate Holder, long In-Plane Bender for MatrixMIDFACE Plates Mesh Cutting Scissors, long nose Plate Bender for Midface Plates, 2 ea Plate Cutter for Midface Plates MatrixMANDIBLE Plate Introducing Forceps Orbital Retractor, left Orbital Retractor, right T-Handle, hex coupling, small mm Threaded Reduction tool, self-tapping, 78 mm, hex coupling mm Drill Guide Plate Holder for Reversible Matrix Plates mm Drill Bit, Stryker J-Latch, 75 mm Screwdriver Handle, with hex coupling, medium, 2 ea Ratcheting Screwdriver Handle, 2 ea mm/2.4 mm Universal Drill Guide Plate Holding Forcep with ball Bone Reduction Forceps, Large Bone Reduction Forceps, Small Bone Reduction Forceps, Small, Straight Mini IMF Screw Module mm IMF Screw, self-drilling, 8 mm, 3 ea mm IMF Screw, self-drilling, 12 mm, 3 ea mm Precut Cerclage Wire, 175 mm, 2 ea mm/3.0 mm Cruciform Screwdriver Blade, hex coupling Holding Sleeve mm Drill Bit, Stryker J-Latch, 8 mm stop, 2 ea mm Drill Bit, Stryker J-Latch, 12 mm stop, 2 ea. For detailed cleaning and sterilization instructions, please refer to: In Canada, the cleaning and sterilization instructions will be provided with the Loaner shipments. MatrixCOMBO DePuy Synthes 3

6 MatrixCOMBO Plating Set ( ) INSTRUMENT TRAY FOR MANDIBLE INSTRUMENTS ( ) Insert Tray for Trocar Instrumentation Insert tray for Plate Bending Irons and Small Plate Benders MatrixMANDIBLE Depth Gauge MatrixMANDIBLE Combination Bender MatrixMANDIBLE Short Cut Plate Cutter, for use with 1.5 mm through 2.8 mm plates, 2 ea. MatrixMANDIBLE Bending Irons Left Right MatrixMANDIBLE Small Plate Cutter, for use with 1.0 mm, 1.25 mm and 1.5 mm plates Plastic Cup with Lid, for Elastomeric Inserts Alternative Options for * Insert Tray for Plate Bending Pliers * Finger Mat *Also available DePuy Synthes MatrixCOMBO

7 Insert Tray for Trocar Instrumentation MatrixMANDIBLE Trocar Drill Guide MatrixMANDIBLE Threaded Trocar Drill Guide MatrixMANDIBLE 1.5 mm Calibrated Drill Bit, J-latch, 125 mm. 2 ea MatrixMANDIBLE 1.8 mm Calibrated Drill Bit, J-latch, 125 mm, 2 ea Universal Trocar Handle mm Cannula and Obturator Malleable C-Retractor mm Cheek Retractor Blade mm Cheek Retractor Ring MatrixCOMBO DePuy Synthes 5

8 MatrixCOMBO Plating Set ( ) MATRIX AUXILIARY MODULE, MEDIUM FOR MATRIXMIDFACE SYSTEM ( )* Screws, Drill Bits, Blades Insert, with recessed holes Orbital Plate and Mesh Insert mm/0.7 mm Plate Insert, half height, 2 ea Plate Insert for MatrixMIDFACE Generic Module Orbital Plate and Mesh Insert Titanium MatrixNEURO Contourable Mesh, 38 mm x 45 mm, 0.4 mm Silver, malleable Blue, rigid Titanium MatrixMIDFACE Orbital Floor Plates, anatomic, 0.3 mm thick, 2 ea Small Medium Large Titanium MatrixMIDFACE Orbital Mesh Plate, 0.3 mm thick, 2 ea Plate Insert for MatrixMIDFACE Generic Module Titanium MatrixMIDFACE Preformed Orbital Plates, 2 ea Small, left Large, left Small, right Large, right * Includes lid 6 DePuy Synthes ame of Product Technique Guide

9 Screws, Drill Bits, Blades Insert, with recessed holes Titanium MatrixMIDFACE Screws, self-drilling Length (mm) Pkgs. of Titanium MatrixMIDFACE Screws, self-tapping Length (mm) Pkgs. of Titanium MatrixMIDFACE Emergency Screws Length (mm) Pkgs. of Matrix 1.1 mm Drill Bits, Stryker J-latch, 2 ea mm stop mm stop mm stop MatrixMIDFACE 1.25 mm Drill Bits, Stryker J-latch, 2 ea mm stop mm stop MatrixMIDFACE Screwdriver Blade, hex coupling, self-retaining, 76 mm, 2 ea. Alternative Option for * Screws, Drill Bits, Blades Insert, with non-recessed holes *Also available MatrixCOMBO DePuy Synthes 7

10 MatrixCOMBO Plating Set ( ) MATRIX AUXILIARY MODULE, MEDIUM, FOR MATRIXMIDFACE SYSTEM ( ) mm/0.7 mm Plate Insert, half height, 2 ea. Titanium MatrixMIDFACE Plates, 0.5 mm thick H-Plate, 11 holes, 2 ea Oblique L-Plate, 2 x 3 holes, left, 3 ea Oblique L-Plate, 2 x 3 holes, right, 3 ea Oblique L-Plate, 3 x 4 holes, left, 3 ea Oblique L-Plate, 3 x 4 holes, right, 3 ea T-Plate, 3 x 4 holes, 2 ea Oblique L-Plate, 4 x 6 holes, left, 3 ea Oblique L-Plate, 4 x 6 holes, right, 3 ea Orbital Rim Plate,12 holes, 3 ea Adaption Plate, 20 holes, 3 ea Y-Plate,1 x 3 holes, 2 ea Double X-Plate, 6 holes, 2 ea Box Plate, 4 holes, 5 x 10 mm, 2 ea Box Plate, 4 holes, 10 x 10 mm, 2 ea X-Plate, 4 holes, 2 ea Strut Plate, 18 holes, 2 ea. Titanium MatrixMIDFACE Plates, 0.7 mm thick H-Plate, 11 holes, 2 ea Oblique L-Plate, 2 x 3 holes, left, 3 ea Oblique L-Plate, 2 x 3 holes, right, 3 ea Oblique L-Plate, 3 x 4 holes, left, 3 ea Oblique L-Plate, 3 x 4 holes, right, 3 ea T-Plate, 3 x 4 holes, 2 ea Oblique L-Plate, 4 x 6 holes, left, 3 ea Oblique L-Plate, 4 x 6 holes, right, 3 ea Orbital Rim Plate,12 holes, 3 ea Adaption Plate, 20 holes, 3 ea Y-Plate, 1 x 3 holes, 2 ea Double Y-Plate, 6 holes, 2 ea Box Plate, 4 holes, 5 mm x 10 mm, 2 ea Box Plate, 4 holes, 10 mm x 10 mm, 2 ea X-Plate, 4 holes, 2 ea Strut Plate, 18 holes, 2 ea. Note: The holds either 0.5 mm thick or 0.7 mm thick MatrixMIDFACE plates. 8 DePuy Synthes MatrixCOMBO

11 ALTERNATIVE OPTIONS FOR * 0.4 mm Plate Insert, half height Titanium MatrixMIDFACE Plates, 0.4 mm thick Orbital Rim Plate, 12 holes Adaption Plate, 20 holes Y-Plate, 1 x 3 holes Double Y-Plate, 6 holes Box Plate, 4 holes, 5 mm x 10 mm Box Plate, 4 holes, 10 mm x 10 mm X-Plate, 4 holes Strut Plate, 18 holes * 0.8 mm Plate Insert, half height Titanium MatrixMIDFACE Plates, 0.8 mm thick H-Plate, 11 holes Oblique L-Plate, 2 x 3 holes, left Oblique L-Plate, 2 x 3 holes, right Oblique L-Plate, 3 x 4 holes, left Oblique L-Plate, 3 x 4 holes, right T-Plate, 3 x 4 holes Oblique L-Plate, 4 x 6 holes, left Oblique L-Plate, 4 x 6 holes, left Adaption Plate, 20 holes Orbital Rim Plate, 12 holes *Also available MatrixCOMBO DePuy Synthes 9

12 MatrixCOMBO Plating Set ( ) MATRIXMANDIBLE TRAUMA MODULE ( )* Small Plate Insert for 1.0 mm Malleable MatrixMANDIBLE Plates Insert Tray for 1.0 mm MatrixMANDIBLE Plates Insert Tray for 1.25 mm MatrixMANDIBLE Plates Insert Tray for 1.5 mm MatrixMANDIBLE Plates Insert Tray for 2.0 mm MatrixMANDIBLE Plates Matrix Auxiliary Insert Tray, Medium Generic MatrixMANDIBLE Screw Insert Tray, for 2.0 mm, 2.4 mm and 2.9 mm screws Small Plate Insert for 1.0 mm Malleable MatrixMANDIBLE Plates Titanium MatrixMANDIBLE Plates, malleable, 1.0 mm thick, 2 ea x 2 Hole Mini Plate, tension band, narrow x 3 Hole Mini Plate, tension band, narrow Hole Box Plate Hole Strut Plate Hole Strut Plate, curved, mini x 2 Hole Mini Plate, tension band, broad x 3 Hole Mini Plate, tension band, broad x 3 Hole Mini Plate, tension band, broad Insert Tray for 1.0 mm MatrixMANDIBLE Plates Titanium MatrixMANDIBLE Plates, 1.0 mm thick, 2 ea x 2 Hole Mini Plate, tension band, narrow x 3 Hole Mini Plate, tension band, narrow Hole Adaption Plate Hole Adaption Plate Pre-Bent Tension Band Plate, right, 2 x 2 holes Pre-Bent Tension Band Plate, left, 2 x 2 holes * Includes lid 10 DePuy Synthes MatrixCOMBO

13 Insert Tray for 1.25 mm MatrixMANDIBLE Plates Titanium MatrixMANDIBLE Plates, 1.25 mm thick, 2 ea x 2 Hole DCP Plate x 2 Hole Crescent Plate x 3 Hole DCP Plate x 3 Hole Crescent DCP Plate X 3 Hole Angle DCP Plate Hole Plate Insert Tray for 1.5 mm MatrixMANDIBLE Plates Titanium MatrixMANDIBLE Plates, 1.5 mm thick, 2 ea Hole Plate x 3 Hole Plate Hole Plate Hole Plate x 3 Hole Angle Plate x 3 Hole Crescent Plate x 2 Hole DCP Plate x 3 Hole DCP Plate Insert Tray for 2.0 mm MatrixMANDIBLE Plates Titanium MatrixMANDIBLE Plates, 2.0 mm thick, 2 ea x 2 Hole Crescent Plate, broad x 3 Hole Crescent Plate, broad Hole Plate Hole Plate Hole Plate x 3 Hole Angle Plate, broad Matrix Auxiliary Insert Tray, medium Alternative options for , , , * Auxiliary Insert Tray, small (not shown) *Also available MatrixCOMBO DePuy Synthes 11

14 MatrixCOMBO Plating Set ( ) MATRIXMANDIBLE TRAUMA MODULE ( ) Generic MatrixMANDIBLE Screw Insert Tray, for 2.0 mm, 2.4 mm and 2.9 mm screws Holds up to 240 screws (including 40 emergency screws 2.0 mm Titanium MatrixMANDIBLE Screws, self-tapping Length (mm) Pkgs. of mm Titanium MatrixMANDIBLE Locking Screws, self-tapping Length (mm) Pkgs. of mm Titanium MatrixMANDIBLE Screws, self-tapping* Length (mm) Pkgs. of * 2.4 mm screw is the emergency screw for a 2.0 mm screw. 12 DePuy Synthes MatrixCOMBO

15 2.4 mm Titanium MatrixMANDIBLE Locking Screws, self-tapping Length (mm) Pkgs. of mm Titanium MatrixMANDIBLE Emergency Screws, self-tapping Length (mm) Pkgs. of MatrixMANDIBLE 1.5 mm Drill Bits J-latch, 50 mm, 2 ea mm stop mm stop mm stop mm stop MatrixMANDIBLE 1.5 mm Drill Bit, J-latch, 90 mm, for , 2 ea MatrixMANDIBLE 1.8 mm Drill Bit, J-latch, 90 mm, for mm Threaded Drill Guide, short mm Threaded Drill Guide, short MatrixMANDIBLE/THORAX Self-Retaining Screwdriver Blade, long, 2 ea. MatrixCOMBO DePuy Synthes 13

16 MatrixCOMBO Plating Set ( ) MATRIXMANDIBLE MODULES AND TRAYS Auxiliary Module, small Insert for 2.0 mm, 2.5 mm and 2.8 mm MatrixMANDIBLE Reconstruction Plates Titanium MatrixMANDIBLE Plates, 2.5 mm thick, 2 ea Hole Reconstruction Hole Reconstruction x 23 Hole Angle Reconstruction Plate, left x 23 Hole Angle Reconstruction Plate, right Bending Insert Holder Holds up to 16 bending inserts MatrixMANDIBLE Bending Insert, 8 ea Lag Screw Module mm/3.0 mm Cruciform Screwdriver Blade, hex coupling Holding Sleeve Lag Screw Cannula Lag Screw Pointer mm Insert Drill Guide mm Drill Guide 2.4 mm Titanium Cortex Screws, self-tapping, 2 ea. Length (mm) Length (mm) E E E E E E E E E E E mm Drill Bit, Stryker J-latch, 100 mm, 2 ea mm Drill Bit, Stryker J-latch, 125 mm, 2 ea mm Drill Bit, Stryker J-latch, 125 mm, 2 ea Countersink with centering pins, for 2.4 mm screws, hex coupling 14 DePuy Synthes MatrixCOMBO

17 SET ALSO INCLUDES MatrixMANDIBLE Bending Templates for Narrow Tension Band Plates for 1.0 mm Broad Tension Band Plates for 1.0 mm Adaption Plates for 1.25 mm Straight Plates for 1.25 mm 2 x 2 Hole Crescent Plates for 1.25 mm 3 x 3 Hole Crescent Plates for 1.25 mm Angle Plates for 1.25 mm Adaption Plates for 1.5 mm Straight Plates for 1.5 mm 3 x 3 Hole Straight Plates for 1.5 mm 3 x 3 Hole Angle Plates for 1.5 mm 6 Hole Crescent Plates for 1.5 mm Broad 2 x 2/3 x 3 Hole Plates for 2.0 mm Broad Crescent Plates for 2.0 mm Straight Plates for 2.0 mm Broad 3 x 3 Hole Angle Plates for 2.5 mm/2.8 mm Straight Reconstruction Plates for 2.5 mm/2.8 mm Angle Reconstruction Plates MatrixCOMBO DePuy Synthes 15

18 ALSO AVAILABLE MatrixMIDFACE Bending Templates for Orbital Floor Plate, anatomic, small for Orbital Floor Plate, anatomic, medium for Orbital Floor Plate, anatomic, large for Orbital Mesh Plates for Adaption Plates for Orbital Rim Plates for Oblique L-Plates, 2 x 3 holes for Oblique L-Plates, 3 x 4 holes for Oblique L-Plates, 4 x 6 holes for Y-Plates, 1 x 3 holes for X-Plates for H-Plates for T-Plates for Box Plates, 5 mm x 10 mm for Box Plates, 10 mm x 10 mm for Strut Plates for Silver Double Y-Plates for Blue Double Y-Plates for Pink Double Y-Plates MatrixMIDFACE Screwdriver Blades Self-retaining, hex coupling, 52 mm Self-retaining, hex coupling, 96 mm with Spring Holding Sleeve, short, hex coupling, 79 mm with Spring Holding Sleeve, long, hex coupling, 95 mm Titanium MatrixMIDFACE Adaption Plates holes, 0.4 mm thick holes, 0.4 mm thick holes, 0.5 mm thick holes, 0.5 mm thick holes, 0.7 mm thick holes, 0.7 mm thick holes, 0.8 mm thick holes, 0.8 mm thick MatrixMANDIBLE Screws mm Titanium MatrixMANDIBLE Screw, self-tapping, 18 mm mm Titanium MatrixMANDIBLE Locking Screw, self-tapping, 18 mm mm Titanium MatrixMANDIBLE Screw, self-tapping, 18 mm mm Titanium MatrixMANDIBLE Emergency Screw, self-tapping, 18 mm mm Titanium MatrixMANDIBLE Locking Screw, self-tapping, 18 mm Screwdriver Handles, hex coupling locking, medium small large MatrixMANDIBLE/THORAX Screwdriver Fixed Handle, self-retaining Graphic Case Components Graphic Case for MatrixCOMBO Set (includes lid) Lid for MatrixCOMBO Set Lid for Matrix Auxiliary Module, Large, for MatrixMANDIBLE System Lid for Matrix Auxiliary Module, Medium, for MatrixMIDFACE System Lid for Instrument Tray, Medium, for MatrixMANDIBLE System Holder for Calibrated Drill Bits, for MatrixMANDIBLE System * Please refer to MatrixMANDIBLE and MatrixMIDFACE brochures for additional product availability. 16 DePuy Synthes MatrixCOMBO

19 Label Sheets for MatrixMANDIBLE System for Small Plate Module for Large Plate Module for Instrument Tray ( ) for Instrument Tray ( ) for Trocar Instrument Module ( ) Strength Gradient Label Sheet for IMF Module for Lag Screw Module for Screw Module for Small Plate Insert Screw Length Label Sheet for Calibrated Drill Bits Screw Length Markers W 3 mm self-drilling mm W 4 mm self-drilling mm W 5 mm self-drilling mm W 6 mm self-drilling mm W 8 mm self-drilling mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Label Sheets for MatrixMIDFACE System for MatrixNEURO Module for Drill Bits and Screwdriver Blades for Small Auxiliary Module ( ) for 0.4 mm Plates for 0.5 mm Plates for Screws for 0.7 mm Plates for 0.8 mm Plates for Orbital Plates for Preformed Orbital Plates for MatrixMIDFACE and MatrixOrthognathic Strength Gradients Plate Holder for 1.0 mm 2.0 mm Plates EPI MatrixCOMBO Plating Set Implants EPA MatrixCOMBO Plating Set Instruments and Cases MatrixCOMBO Plating Set Midface and Mandible Trauma Mandible Reconstruction Module for MatrixCOMBO Plating Set Lag Screw Module for MatrixMANDIBLE Plating System Mini IMF Module for MatrixMANDIBLE Plating System Compact IMF Module for MatrixMANDIBLE Plating System MatrixCOMBO DePuy Synthes

20 Limited Warranty and Disclaimer: DePuy Synthes CMF products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. WARNING: In the USA, this product has labeling limitations. See package insert for complete information. CAUTION: USA Law restricts these devices to sale by or on the order of a physician. Not all products are currently available in all markets. DePuy Synthes CMF 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) DePuy Synthes CMF, a division of DOI All rights reserved. J10015-C 6/13 DS Studio

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