Cannulated Screws Ø 3.5 mm / 4.5 mm

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Transcription:

Cannulated Screws Ø / 4.5 mm

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

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 5832-3) Typ III anodization Material: Ti6Al4V; Eli (ISO 5832-3) Typ III anodization titanium titanium 08.03535.010 08.03535.032 08.03535.012 08.03535.034 08.03535.014 08.03535.036 08.03535.016 08.03535.038 08.03535.018 08.03535.040 08.03535.020 08.03535.042 08.03535.022 08.03535.044 08.03535.024 08.03535.046 08.03535.026 08.03535.048 08.03535.028 08.03535.050 08.03535.030 08.03500.010 08.03500.032 08.03500.012 08.03500.034 08.03500.014 08.03500.036 08.03500.016 08.03500.038 08.03500.018 08.03500.040 08.03500.020 08.03500.042 08.03500.022 08.03500.044 08.03500.024 08.03500.046 08.03500.026 08.03500.048 08.03500.028 08.03500.050 08.03500.030 Page 4

Implants Ø Cannulated Screw Ø short thread, stainless steel Shaft diameter: 5.0 mm 1.35 mm Material: 1.4441 Cannulated Screw Ø fully threaded, stainless steel 5.0 mm 1.35 mm Material: 1.4441 stainless steel 08.02535.010 08.02535.032 08.02535.012 08.02535.034 08.02535.014 08.02535.036 08.02535.016 08.02535.038 08.02535.018 08.02535.040 08.02535.020 08.02535.042 08.02535.022 08.02535.044 08.02535.024 08.02535.046 08.02535.026 08.02535.048 08.02535.028 08.02535.050 08.02535.030 stainless steel 08.02500.010 08.02500.032 08.02500.012 08.02500.034 08.02500.014 08.02500.036 08.02500.016 08.02500.038 08.02500.018 08.02500.040 08.02500.020 08.02500.042 08.02500.022 08.02500.044 08.02500.024 08.02500.046 08.02500.026 08.02500.048 08.02500.028 08.02500.050 08.02500.030 Page 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 5832-3) Typ III anodization Material: Ti6Al4V; Eli (ISO 5832-3) Typ III anodization titanium titanium 08.03654.020 08.03654.042 08.03654.022 08.03654.044 08.03654.024 08.03654.046 08.03654.026 08.03654.048 08.03654.028 08.03654.050 08.03654.030 08.03654.052 08.03654.032 08.03654.054 08.03654.034 08.03654.056 08.03654.036 08.03654.060 08.03654.038 08.03654.064 08.03654.040 08.03654.068 08.03654.072 08.03650.020 08.03650.042 08.03650.022 08.03650.044 08.03650.024 08.03650.046 08.03650.026 08.03650.048 08.03650.028 08.03650.050 08.03650.030 08.03650.052 08.03650.032 08.03650.054 08.03650.034 08.03650.056 08.03650.036 08.03650.060 08.03650.038 08.03650.064 08.03650.040 08.03650.068 08.03650.072 Page 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: 1.4441 Cannulated Screw Ø 4.5 mm fully threaded, stainless steel 4.5 mm 3.2 mm 6.5 mm 1.75 mm Material: 1.4441 stainless steel 08.02654.020 08.02654.042 08.02654.022 08.02654.044 08.02654.024 08.02654.046 08.02654.026 08.02654.048 08.02654.028 08.02654.050 08.02654.030 08.02654.052 08.02654.032 08.02654.054 08.02654.034 08.02654.056 08.02654.036 08.02654.060 08.02654.038 08.02654.064 08.02654.040 08.02654.068 08.02654.072 stainless steel 08.02650.020 08.02650.042 08.02650.022 08.02650.044 08.02650.024 08.02650.046 08.02650.026 08.02650.048 08.02650.028 08.02650.050 08.02650.030 08.02650.052 08.02650.032 08.02650.054 08.02650.034 08.02650.056 08.02650.036 08.02650.060 08.02650.038 08.02650.064 08.02650.040 08.02650.068 08.02650.072 Page 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 5832-3) Typ III anodization and 1.4441 (Steel) Material: Ti6Al4V; Eli (ISO 5832-3) Typ III anodization and 1.4441 (Steel) titanium 03.91000.070 titanium 03.91000.100 stainless steel 03.90000.070 stainless steel 03.90000.100 Page 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.: 08.20060.027) or the Percutaneous Drill Sleeve (Ref.: 08.20060.035) and the Drill Sleeve insert (Ref.: 08.20060.036/.037). Page 9

Drilling and Countersinking The cannulated drill bit Ø 2.7 mm (Ref.: 08.20010.027) 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.: 08.20010.035) 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.: 08.20040.025). 5 Page 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.: 08.20060.016) you get the option in unstable situations to insert a second parallel guide wire. 3 Determine the screw length Use the measuring device (Ref.: 08.20120.045) and advance them, through the outer sleeve (Ref.: 08.20120.045), down to the cortical bone and determine the appropriate screw length directly on the scale. Page 11

Drilling and Countersinking The cannulated drill bit Ø 3.2 mm (Ref. 08.20010.032) 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.: 08.20010.045) cannulated drill bit is recommeded for the near fragment. The cannulated countersink (Ref.: 08.20030.045) 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.: 08. 20120.045) using the cannulated screw driver (Ref. 08.20040.135). 5 Page 12

Instruments - Ø Cannulated Screws Tap, cannulated, for Cannulated Screws ø, for Quick Coupling 08.20020.035 Countersink, cannulated, for Cannulated Screws ø 3.5mm 08.20030.035 Screwdriver, hexagonal, cannulated, for Cannulated Screws ø 08.20040.025 Double Drill Guide ø 2.7/1.25 mm 08.20060.027 Cleaning Wire ø 1.2 mm, for Cannulated Instruments 08.20120.135 Direct Measuring Device for Cannulated Screws ø 3.5 08.20100.035 Holding Clip for Washers 08.20120.000 Drill Guide with Stop 3.5/2.7 08.20060.035 Screwdriver Shaft, hex, AO Coupling 03.20040.125 Holding Sleeve for Screws ø 3.5/4.0 mm 03.20041.035 T-Handle with Quick Coupling 03.20050.035 Double Drill Guide 3.5/ 03.20060.025 Drill Bit ø 2.7/1.35 mm, cannulated, 4-flute, AO Coupling, L 160/130 mm 08.20010.027 Drill Bit ø 3.5/1.35 mm, cannulated, 4-flute, AO Coupling, L 160/130 mm 08.20010.035 Insert ø for REF 08.20060.035 08.20060.037 Insert ø 2.7 mm for REF 08.20060.035 08.20060.036 Guide Wire ø 1.2 mm, threaded tip, L 150 mm 11.90212.150 Page 13

Instruments - Ø 4.5 mm Cannulated Screws Cannulated Screws Ø / 4.5 mm Screwdriver Shaft, large, hex 3.5mm, for Quick Coupling 04.20040.135 Double Drill Guide 4.5/3.2 04.20060.045 Drill Bit ø 3.2/1.75mm, cannulated, 4-flute, AO Coupling, L 140/170 mm 08.20010.032 Drill Bit ø 4.5/1.75mm, cannulated, 4-flute, AO Coupling, L 140/170 mm 08.20010.045 Tap, cannulated, for Cannulated Screws ø 4.5mm, for Quick Coupling 08.20020.045 Countersink, cannulated, for Cannulated Screws ø 4.5 mm 08.20030.045 Screwdriver, hexagonal, cannulated, for Cannulated Screws ø 4.5 mm 08.20040.135 Holding Sleeve for Cannulated Screws ø 4.5 mm 08.20041.045 Drill Sleeve 3.2/1.6 08.20060.032 Screw Forceps, self-holding 02.20120.015 Drill Bit ø 1.5 mm, 2-flute, AO Coupling, L 59/85 mm 02.20010.015 Guide Wire ø 1.6mm, threaded tip, L 150 mm 11.90216.150 Cleaning Wire ø 1.6 mm, for Cannulated Instruments 08.20120.145 Protection Sleeve 9.5/7.0mm 08.20120.045 Parallel Guide for Guide Wires ø 1.6mm, adjustable 08.20120.045 T-Handle with Quick Coupling 03.20050.035 Drill Sleeve 7.0/3.2 08.20060.070 Trocar ø 1.6 mm 08.20120.016 Page 14

Dieter Marquardt Medizintechnik GmbH Robert-Bosch-Str. 1-78549 Spaichingen Phone: +49 (0) 7424 / 95810 - Telefax: +49 (0) 7424 / 501441 info@marquardt-medizintechnik.de www.marquardt-medizintechnik.de release date: 05.10.2012 ; 08.99100.102; Rev.: 001/00

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