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Operative Technique KnifeLight Carpal Tunnel Ligament Release VariAx Foot Locking Plate System Operative Technique Trauma and Deformity Correction Polyaxial Locking Technology Comprehensive Calcaneal Fracture Plates Foot & Ankle Foot & Ankle

Foot & Ankle VariAx KnifeLight Foot Locking Plate Carpal Tunnel … · 2016-02-25 · and geometry of a given fracture or osteotomy. Each plate can be configured with a combination

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Page 1: Foot & Ankle VariAx KnifeLight Foot Locking Plate Carpal Tunnel … · 2016-02-25 · and geometry of a given fracture or osteotomy. Each plate can be configured with a combination

Operative Technique

KnifeLight Carpal Tunnel Ligament Release

VariAxFoot Locking Plate System

Operative Technique• Trauma and Deformity Correction

• Polyaxial Locking Technology

• Comprehensive Calcaneal Fracture Plates

Foot

& A

nkle

Foot & Ankle

Page 2: Foot & Ankle VariAx KnifeLight Foot Locking Plate Carpal Tunnel … · 2016-02-25 · and geometry of a given fracture or osteotomy. Each plate can be configured with a combination

This publication sets forth detailed recommended procedures for using Stryker Osteosynthesis devices and instruments.

It offers guidance that you should heed, but, as with any such technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.

A workshop training is required prior to first surgery.

All non-sterile devices must be cleaned and sterilized before use. Follow the instructions provided in our reprocessing guide (L24002000). Multi-component instruments must be disassembled for cleaning. Please refer to the corresponding assembly/disassembly instructions.

See package insert (90-0330 & 90-01961) for a complete list of potential adverse effects, contraindications, warnings and precautions. The surgeon must discuss all relevant risks, including the finite lifetime of the device, with the patient, when necessary.

Warning: Fixation Screws:Stryker Ostreosynthesis bone screws are not approved or intended for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.

2

VariAx Foot Locking Plate System

Page 3: Foot & Ankle VariAx KnifeLight Foot Locking Plate Carpal Tunnel … · 2016-02-25 · and geometry of a given fracture or osteotomy. Each plate can be configured with a combination

Page

1. Introduction 4

Features and Benefits 4

2. Overview 6

Plate Options 6

Screw Options 6

3. Indications, Precautions & Contraindications 7

Indications 7

Precautions 7

Contraindications 7

4. Operative Technique 8

Planning and Preparation 8

Joint Alignment 9

Stabilization, Provisional Plate Placement 9

Plate Hole Configurations 11

Preparation for Screw Insertion 12

Screw Insertion 15

Final Tightening 15

Optional: Washers 16

Ordering Information – Implants 17

Ordering Information – Instruments 21

Contents

3

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Introduction

• Complete Plating System Multiple indication based plate designs are included in the VariAx Foot Locking Plate System, which are engineered to address specific foot trauma and deformity indications.

• Polyaxial Drill Guide Allows placement of Locking Screws

at a variable angle (up to ± 15°).

• Low Profile Plate Design and Reduced Screw Head Prominence

Each plate is designed to minimize soft tissue irritation by having a low profile design (1mm – 1.5mm thickness). Furthermore, the screws are designed to have minimal head prominence when fully inserted in a plate, which further reduces the risk of irritation.

• Full-Range of 2.7mm and 3.5mm Locking and Non-Locking Screws

Offers intraoperative solutions to cover a broad range of clinical situations.

• Efficient T7 or T10 Screw Head Design

All VariAx Foot Locking Plate System screws are designed with either a T7 head (for 2.7mm screws), or a T10 head (for 3.5mm screws). This screw head design facilitates efficient force transmission from the screwdriver blade to the screw, and reduces the risk of screw head stripping.

Features and Benefits

The VariAx Foot Locking Plate System represents a new generation of implant technology for foot surgery. The reconstruction and fixation of bones in the foot can now be accomplished by means of the patented SmartLock polyaxial locking mechanism. This powerful feature allows a surgeon to insert polyaxial Locking or Non-locking screws at variable angles with

respect to the plate, so that they can be targeted to address the location and geometry of a given fracture or osteotomy. Each plate can be configured with a combination of locking and/or non-locking screws which satisfy the intraoperative requirements of a particular case, without constraint or reliance on any pre-existing plate designs.

• Anodization Type II

• Two Dedicated Calcaneal Plate Designs

The VariAx Foot Locking Plate System offers two distinct calcaneal plate designs, each incorporating a different design philosophy. The mesh design provides surgeons with an extremely low profile plate that can be easily contoured, and has many screw placement options. The standard plate design provides surgeons with a strong plate that can be easily contoured to the superior surface of the calcaneus.

4

Page 5: Foot & Ankle VariAx KnifeLight Foot Locking Plate Carpal Tunnel … · 2016-02-25 · and geometry of a given fracture or osteotomy. Each plate can be configured with a combination

Introduction

• Patented Polyaxial Locking Technology

Each screw is made of titanium alloy (Grade V), which is slightly harder than the plates, which are made from commercially pure titanium (Grade II). When a locking screw is used, the thread in the head of the harder screw reshapes the softer titanium used in the plate, thus creating a secure form-fitting geometry. This process results in a solid, locked connection between the head of the screw, and the plate.

• One-Step Locking Achieved by simply inserting a

locking screw within the polyaxial locking range of ±15°, without the need for further steps.

• Compression and Locking in One-Step

As a screw is inserted and tightened into an oval compression hole, compression can be achieved. If a locking screw is used, the screw can then be locked into the plate in a single step.

• Deluxe or Basic Configurations The VariAx Foot Locking Plate

System is available in two renditions: a Deluxe configuration, and a Basic configuration. The Deluxe set contains every implant design, while the Basic set includes a selection with plates most commonly needed for foot surgery.

• Modular System Design The modular instrumentation system

is designed for seamless integration of other products from the Stryker Foot Solutions portfolio.

• Color Coding of Instruments The instruments are color coded to

facilitate ease-of-use during surgery.

The SmartLock Locking Technology is patented (US 6,322,562; DE 43 43 117; EP 1 143 867) by Professor Dietmar Wolter, Hamburg, Germany.

5

-15° +15°

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Overview

Plate Options

H-Plate

Rectangular Plate

Broad Straight Plate

T-Plate Curved Plate

L-Plate

Oblique T-Plate

3-D Plate

Calcaneus Mesh PlateCalcaneus Standard Plate

2.7mm Locking

2.7mm Non- Locking

3.5mm Locking

3.5mm Non- Locking

Larger plate holes fit 3.5mm screws

Smaller plate holes fit 2.7mm screws

6

Screw Options

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1st MPJ Arthrodesis , with or without Interpositional Bone Graft

x x x x x x

Proximal Osteotomy of MT 1 - 5 x x x x

Lapidus Fusion x x x x x x

Lisfranc Arthrodesis x x

Isolated Lisfranc Arthrodesis, MCJ 1-5 x x x x

Metatarsal Fractures x x x x x x

TN Arthrodesis x x

CC Arthrodesis x x

Calcaneal Fractures x x

Implant

Examples of Applications

Indications, Precautions & Contraindications

Cu

rved

Pla

te

Obl

iqu

e T-

Pla

te

3-D

Pla

te

Bro

ad S

trai

ght

Pla

te

Rec

tan

gula

r P

late

H-P

late

L-P

late

T-P

late

Cal

can

eus

Mes

h P

late

Cal

can

eus

Stan

dar

d P

late

Examples of Applications• 1st Metatarsal Phalangeal Joint

(MPJ) Arthrodesis, with or without interpositional bone graft

• Proximal Osteotomy of Metatarsals 1 - 5

• Lapidus Fusion• Lisfranc Arthrodesis• Isolated Lisfranc Arthrodesis,

Metatarsal Cuneiform Joint (MCJ) 1 - 5

• Metatarsal Fractures• Talo-Navicular (TN) Arthrodesis• Calcaneal-Cuboid (CC) Arthrodesis• Calcaneus Fractures

• Inadequate bone quantity and quality.

• Patients with active infections.• Patients with metal allergies and

foreign body sensitivity.• Severely non-compliant patients with

mental or neurological conditions who are unwilling or incapable of following postoperative care instructions.

The table below lists several common surgical foot indications, together with the VariAx Foot implants that are suggested to treat these indications.

Indications Precautions

Contraindications

The VariAx Foot Locking Plate System is indicated for use in internal fixation, reconstruction or arthrodeses of small bones, including those in the forefoot, midfoot, and hindfoot. The physician’s education, training and professional judgment must be relied upon to choose the most appropriate device and treatment option.

Stryker Osteosynthesis systems have not been evaluated for safety and use in MR environment and have not been tested for heating or migration in the MR environment, unless specified otherwise in the product labeling or respective operative technique.

• Patients with limited blood supply or insufficient quality or quantity of bone.

• Patients with unstable physical and/or mental health conditions.

• Obesity. An overweight or obese patient can produce loads on the implant that can lead to failure of the fixation of the device or to failure of the device itself.

• Patients having inadequate tissue coverage over the operative site.

• Bone stock compromised by disease, infection or prior implantation that can not provide adequate support and/or fixation of the devices.

• Other medical or surgical conditions which would preclude the potential benefit of surgery.

7

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Fig. 1

Fig. 2

8

Operative Technique

The Operative Technique listed below is designed to provide a general overview on the instruments and procedure required to implant a VariAx Foot Plate.

Clear identification and classification of the fracture, osteotomy, or fusion site should first be established preoperatively using the appropriate methods and visualization. Appropriate surgical incisions are performed to expose the implantation site, and an osteotomy can then be performed if necessary. The Coughlin Reamer System can then be used to prepare the articular surfaces, prior to fixation with certain VariAx Foot Plates. Use the appropriate size of reamer according to the diameter of the joint surface.

Optional: Joint Preparation in Metatarsophalangeal Arthrodesis using Coughlin Small Joint Reamers

The convex phalangeal reamer is used to prepare a concave surface. The reamers are available in sizes 10-18mm, however, it is important that the same sized metatarsal and phalangeal reamers are used (Fig. 1). A 1.4mm K-Wire (REF 45-80200) is driven into the center of the proximal phalanx, and advanced approximately 1.5cm. The phalangeal reamer is placed over the K-Wire, and the phalangeal surface is reamed creating a concave surface. The reamer and K-Wire are then removed.

Note: Because the amount of reaming should be limited, apply low speed and be careful not to apply excessive pressure to avoid damage to the fusion surface. Provide cooling with saline irrigation. All reamers should be checked prior to use.

A K-Wire is then centered on the prepared metatarsal surface and driven in a proximal direction (Fig. 2) approximately 1.5cm. The same size barrel reamer is then placed

Planning and Preparation

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Operative Technique

Stabilization, Provisional Plate PlacementEstablish primary stabilization of the fracture, osteotomy, or fusion site, using the included 1.4mm K-Wires (REF 45-80200).

VariAx Foot Plates can be removed from the plate tray and handled using the Forceps with Grasping Lips (REF 64-20129) (Fig. 5).

Fig. 3

Fig. 5

9

over the K-Wire, and the metatarsal metaphysis is reduced to a cylinder of constant dimension. The barrel reamer is removed, and debris and excess bone fragments are removed in a circumferential fashion. Adequate retraction of soft tissues is important throughout the joint preparation process (Fig. 3). Finally, the same sized concave reamer is then used to prepare a convex surface to match the proximal phalanx.

Joint Alignment By creating cup-shaped surfaces, any desired alignment may be achieved (Fig. 4) . The desired alignment is typically valgus of 15° to 20° and dorsiflexion of 20° to 30° (in reference to the metatarsophalangeal axis and neutral rotation). The cup-shaped surfaces allow any one of these dimensions to be changed without altering another dimension. (For example, rotation may be changed without affecting dorsiflexion or valgus.).

Fig. 4

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Operative Technique

Most VariAx Foot Plates include K-Wire holes that are designed to accommodate 1.4mm Trocar Tipped K-Wires (Fig. 6), for use in temporarily stabilizing the plates to bone.The K-Wire Cutting Pliers (REF 45-80020) (Fig. 7) can be used to cut the K-Wires to the desired length. This instrument includes a silicon inlay which prevents the cut end of a K-Wire from being ejected from the instrument.

Although some VariAx Foot Plates are pre-contoured (Fig. 8), additional contouring of the plates is possible using the Plate Bending Pliers (REF 45-80010).

Note: Excessive plate bending may lead to failure of the locking mechanism, and is not re-commended. The Plate Bending Pliers are designed to only be used in circular holes, and must not be used inside oval holes.

Fig. 6

Fig. 7

Fig. 8

10

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Plate Hole ConfigurationsImportant:

1. Each round screw hole in a VariAx Foot Plate is designed to accomodate a specific size of screw - the smaller holes accomodate 2.7mm screws, and the larger holes accomodate 3.5mm screws. These screws and holes are NOT interchangeable - a 3.5mm screw must not be used in a 2.7mm screw hole, and a 2.7mm screw must not be used in a 3.5mm screw hole.

2. Some VariAx Foot Plates include oval locking compression holes, which are designed to accomodate a specific size of screw - the smaller oval holes accomodate 2.7mm screws, and the larger oval holes accomodate 3.5mm screws. These screws and holes are NOT interchangeable - a 3.5mm screw must not be used in a 2.7mm compression hole, and a 2.7mm screw must not be used in a 3.5mm compression hole.

The oval holes allow for the active compression of different bone segments along the long axis of an oval hole. In a compression hole, a drill hole can be created in an eccentric position in the part of the oval hole that has no lip. As the screw is tightened, the screwhead glides into the area of the hole that has a lip. If a locking screw is used, the screw can then be locked into the plate in a single step.

Note: If the complete compression of two bone fragments takes place before a locking screw has been able to fully glide into the area of an oval locking hole that has a lip, locking may not be possible.

2.7 mm

3.5 mm

compression hole

compression hole

no lip

no lip

lip

lip

Operative Technique

11

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A Drill Guide must first be placed into a corresponding plate screw hole (in a plate), prior to pre-drilling a pilot hole. The Drill Guide for Circular Locking Holes (REF 45-80001) must be used in circular holes. This instrument has two ends: one end is designed only to be used when pre-drilling for 2.7mm screws (and is indicated with black lines), and the other end is designed only to be used when pre-drilling for 3.5mm screws (and is indicated by yellow lines).

The Drill Guide is designed to limit drilling to a ±15° angle with respect to the plate. Drilling at an angle greater then ±15° may prevent locking from taking place, and is not recommended.

If drilling through an oval com-pression hole, the Drill Guide for Oval Compression Holes (REF 45-80005) must be used. This drill guide has two ends: one end is designed only to be used when pre-drilling for 2.7mm screws (and is indicated with black lines), and the other end is designed only to be used when pre-drilling for 3.5mm screws (and is indicated by yellow lines). This drill guide is marked showing an eccentric position of the drill hole with respect to the plate screw hole.

Compression is only possible in one direction, and the drill guide must be positioned such that the drill hole will be created on the side of the oval compression hole which does not have a locking lip.

Note:Drill guides should always fit securely within a screw hole – a mismatch between the drill guide and the plate hole indicates that the wrong dimension drill guide has been chosen. The Drill Guide for Oval Compression Holes must be placed at a 90° angle to the plate, and cannot be angulated.

Preparation for Screw Insertion

Operative Technique

12

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Use the appropriate twist drill to create a pilot hole through the drill guide. The twist drills are color coded to match the color associated with the drill guide: the 2.7mm drill guide has a black line on it, which matches the black line on the 2.0mm Twist Drill (REF 45-27010, which is used to pre-drill for 2.7mm screws). Similarly, the 3.5mm drill guide has a yellow line on it, which matches the yellow line on the 2.6mm Twist Drill (REF 45-35010, which is used to pre-drill for 3.5mm screws).

Measure the depth of the predrilled hole using the appropriate depth gauge. For 2.7mm screw holes, use the Depth Measuring Gauge for 2.7mm Screws (REF45-27001). For 3.5mm screw holes, use the Depth Measuring Gauge for 3.5mm Screws (REF 45-35001). As with the twist drills and drill guides, the depth gauges are color-coded with black or yellow lines (to be used to measure 2.7mm or 3.5mm screws, respectively). Always measure the depth of the predrilled hole by inserting the depth gauge first through the plate, and then into the predrilled hole. The depth gauges are designed to measure for bicortical screws only, and the hook of the depth gauge must be hooked onto the surface of the opposite cortex. The sleeve of the depth gauge must be fully inserted into the respective plate hole prior to measuring. Failure to measure without a plate will result in a false reading.

Although the locking and non-locking screws found in the VariAx Foot System are self-tapping, there may be certain circumstances when the use of a tap may be desired. For 2.7mm screw holes, use the Tap for 2.7mm Screws (REF45-27005), and for 3.5mm holes, use the Tap for 3.5mm Screws (REF 45-35005). The taps are similarly color coded black (2.7mm), and yellow (3.5mm).

Preparation for Screw Insertion

Operative Technique

13

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Preparation for Screw Insertion

Holding sleeves for screws can be used to securely attach a screw to the screw-driver during screw insertion. The yellow coded Holding Sleeve for 3.5mm Screws (REF 45-35030), and the black coded Holding Sleeve for 2.7mm Screws (REF 45-27030) are used for 3.5mm, or 2.7mm screws, respectively. Assemble the appropriate holding slee-ve and slide it over the screwdriver until it engages, as shown (Fig. 9).

Push the holding sleeve back so that the tip of the screwdriver becomes visible. Engage the screwdriver tip with the head of the chosen screw, then push the Holding Sleeve forward, as shown (Fig. 10). The holding sleeve will engage with the head of the screw, firmly hol-ding it in place. The screw can then be removed securely from the screw rack, and the screw can be inserted into the plate.

Assemble the appropriate Screwdriver Blade (with AO fitting) with the Screw-driver Handle, Revolving/Rigid, AO (REF 45-85000).

Please note: the black coded Screw-driver Blade, AO, T7 (REF 45-27015) is used to insert 2.7mm screws, and the yellow coded Screwdriver Blade, AO, T10 (REF 45-35015) is used to insert 3.5mm screws. Begin by pushing the AO quick-connect sleeve towards the body of the Screwdriver Handle, insert the screwdriver blade into the AO quick-connect coupling, and then release the sleeve.

Operative Technique

Fig. 9

Fig. 10

14

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15

Screw InsertionInsert the screw into the predrilled hole using the screwdriver assembly.

Prior to final tightening, as the screw head approaches the plate, draw the holding sleeve back from the screw head, and remove the screwdriver from the screw. Final tightening is not recommended until all desired screws have been provisionally inserted into a plate.

Repeat drilling, measuring, and placement of locking or non-locking screws in the remaining holes, as required. Always remember to use the appropriate sized drill guide.

Operative Technique

Final TighteningThe highly efficient T7 interface (for 2.7mm screws) and T10 interface (for 3.5mm screws) facilitates effective transmission of torque from the screwdriver blade to the screw. Accordingly, applying excessive torque during screw insertion is not recommended, and may result in damage to the screwdriver blade.

Verify proper placement of screws by use of fluoroscopy to ensure that there is no penetration of joint spaces.

Note:The screwdriver handle contains a switch which allows the metal and plastic segments of the handle to either independently rotate, or to be rigidly locked together. When performing final tightening, the switch on the screwdriver handle must be in the fully-locked position (in which the position of the switch is closest to the base of the handle).

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Optional: WashersVariAx Foot non-locking screws can also be used as independent implants, separate from a plate. If indicated, non-locking screws can also be used together with a washer, to increase the surface contact area between the head of a screw, and bone. For 3.5mm screws, use a Washer for 3.5mm Screws (REF 40-35900), and for 2.7mm screws, use a Washer for 2.7mm Screws (REF 40-27900).

Operative Technique

16

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Ordering Information – Implants

3.5mm LOCKING SCREWS

2.7mm LOCKING SCREWS

17

REF Description

40-35610 (S) Locking Screw, T10, 3.5 × 10mm

40-35612 (S) Locking Screw, T10, 3.5 × 12mm

40-35614 (S) Locking Screw, T10, 3.5 × 14mm

40-35616 (S) Locking Screw, T10, 3.5 × 16mm

40-35618 (S) Locking Screw, T10, 3.5 × 18mm

40-35620 (S) Locking Screw, T10, 3.5 × 20mm

40-35622 (S) Locking Screw, T10, 3.5 × 22mm

40-35624 (S) Locking Screw, T10, 3.5 × 24mm

40-35626 (S) Locking Screw, T10, 3.5 × 26mm

40-35628 (S) Locking Screw, T10, 3.5 × 28mm

40-35630 (S) Locking Screw, T10, 3.5 × 30mm

40-35632 (S) Locking Screw, T10, 3.5 × 32mm

40-35634 (S) Locking Screw, T10, 3.5 × 34mm

40-35636 (S) Locking Screw, T10, 3.5 × 36mm

40-35638 (S) Locking Screw, T10, 3.5 × 38mm

40-35640 (S) Locking Screw, T10, 3.5 × 40mm

40-35642 (S) Locking Screw, T10, 3.5 × 42mm

40-35644 (S) Locking Screw, T10, 3.5 × 44mm

40-35646 (S) Locking Screw, T10, 3.5 × 46mm

40-35648 (S) Locking Screw, T10, 3.5 × 48mm

40-35650 (S) Locking Screw, T10, 3.5 × 50mm

40-35655 (S) Locking Screw, T10, 3.5 × 55mm

40-35660 (S) Locking Screw, T10, 3.5 × 60mm

40-35665 (S) Locking Screw, T10, 3.5 × 65mm

40-35670 (S) Locking Screw, T10, 3.5 × 70mm

REF Description

40-27608 (S) Locking Screw, T7, 2.7 × 8mm

40-27610 (S) Locking Screw, T7, 2.7 × 10mm

40-27612 (S) Locking Screw, T7, 2.7 × 12mm

40-27614 (S) Locking Screw, T7, 2.7 × 14mm

40-27616 (S) Locking Screw, T7, 2.7 × 16mm

40-27618 (S) Locking Screw, T7, 2.7 × 18mm

40-27620 (S) Locking Screw, T7, 2.7 × 20mm

40-27622 (S) Locking Screw, T7, 2.7 × 22mm

40-27624 (S) Locking Screw, T7, 2.7 × 24mm

40-27626 (S) Locking Screw, T7, 2.7 × 26mm

40-27628 (S) Locking Screw, T7, 2.7 × 28mm

40-27630 (S) Locking Screw, T7, 2.7 × 30mm

40-27632 (S) Locking Screw, T7, 2.7 × 32mm

40-27634 (S) Locking Screw, T7, 2.7 × 34mm

40-27636 (S) Locking Screw, T7, 2.7 × 36mm

40-27638 (S) Locking Screw, T7, 2.7 × 38mm

40-27640 (S) Locking Screw, T7, 2.7 × 40mm

40-27645 (S) Locking Screw, T7, 2.7 × 45mm

40-27650 (S) Locking Screw, T7, 2.7 × 50mm

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Ordering Information – Implants

3.5mm NON-LOCKING SCREWS

2.7mm NON-LOCKING SCREWS

18

REF Description

40-35010 (S) Bone Screw, T10, 3.5 × 10mm

40-35012 (S) Bone Screw, T10, 3.5 × 12mm

40-35014 (S) Bone Screw, T10, 3.5 × 14mm

40-35016 (S) Bone Screw, T10, 3.5 × 16mm

40-35018 (S) Bone Screw, T10, 3.5 × 18mm

40-35020 (S) Bone Screw, T10, 3.5 × 20mm

40-35022 (S) Bone Screw, T10, 3.5 × 22mm

40-35024 (S) Bone Screw, T10, 3.5 × 24mm

40-35026 (S) Bone Screw, T10, 3.5 × 26mm

40-35028 (S) Bone Screw, T10, 3.5 × 28mm

40-35030 (S) Bone Screw, T10, 3.5 × 30mm

40-35032 (S) Bone Screw, T10, 3.5 × 32mm

40-35034 (S) Bone Screw, T10, 3.5 × 34mm

40-35036 (S) Bone Screw, T10, 3.5 × 36mm

40-35038 (S) Bone Screw, T10, 3.5 × 38mm

40-35040 (S) Bone Screw, T10, 3.5 × 40mm

40-35042 (S) Bone Screw, T10, 3.5 × 42mm

40-35044 (S) Bone Screw, T10, 3.5 × 44mm

40-35046 (S) Bone Screw, T10, 3.5 × 46mm

40-35048 (S) Bone Screw, T10, 3.5 × 48mm

40-35050 (S) Bone Screw, T10, 3.5 × 50mm

40-35055 (S) Bone Screw, T10, 3.5 × 55mm

40-35060 (S) Bone Screw, T10, 3.5 × 60mm

40-35065 (S) Bone Screw, T10, 3.5 × 65mm

40-35070 (S) Bone Screw, T10, 3.5 × 70mm

REF Description

40-27008 (S) Bone Screw, T7, 2.7 × 8mm

40-27010 (S) Bone Screw, T7, 2.7 × 10mm

40-27012 (S) Bone Screw, T7, 2.7 × 12mm

40-27014 (S) Bone Screw, T7, 2.7 × 14mm

40-27016 (S) Bone Screw, T7, 2.7 × 16mm

40-27018 (S) Bone Screw, T7, 2.7 × 18mm

40-27020 (S) Bone Screw, T7, 2.7 × 20mm

40-27022 (S) Bone Screw, T7, 2.7 × 22mm

40-27024 (S) Bone Screw, T7, 2.7 × 24mm

40-27026 (S) Bone Screw, T7, 2.7 × 26mm

40-27028 (S) Bone Screw, T7, 2.7 × 28mm

40-27030 (S) Bone Screw, T7, 2.7 × 30mm

40-27032 (S) Bone Screw, T7, 2.7 × 32mm

40-27034 (S) Bone Screw, T7, 2.7 × 34mm

40-27036 (S) Bone Screw, T7, 2.7 × 36mm

40-27038 (S) Bone Screw, T7, 2.7 × 38mm

40-27040 (S) Bone Screw, T7, 2.7 × 40mm

40-27045 (S) Bone Screw, T7, 2.7 × 45mm

40-27050 (S) Bone Screw, T7, 2.7 × 50mm

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Ordering Information – Implants

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PLATES REF Description

40-15011 (S) Curved Plate, 4 holes

40-15012 (S) Curved Plate, 5 holes, Right

40-15013 (S) Curved Plate, 5 holes, Left

40-15014 (S) Curved Plate, 6 holes

40-15021 (S) H-Plate, Small

40-15022 (S) H-Plate, Medium

40-15023 (S) H-Plate, Large

40-15031 (S) Rectangular Compression Plate, size 1

40-15032 (S) Rectangular Locking Plate, size 2

40-15033 (S) Rectangular Compression Plate, size 2

40-15041 (S) Broad Straight Plate, Short

40-15042 (S) Broad Straight Plate, Medium

40-15043 (S) Broad Straight Plate, Long

40-15061 (S) 3-D Plate, Left

40-15062 (S) 3-D Plate, Right

40-15071 (S) Oblique T-Plate, Left

40-15072 (S) Oblique T-Plate, Right

40-15081 (S) T-Plate

40-15091 (S) L-Plate, Left

40-15092 (S) L-Plate, Right

40-10102 (S) Calcaneus Mesh Plate, Small

40-10104 (S) Calcaneus Mesh Plate, Medium

40-10106 (S) Calcaneus Mesh Plate, Large

40-10112 (S) Calcaneus Standard Plate, Small

40-10114 (S) Calcaneus Standard Plate, Medium

40-10116 (S) Calcaneus Standard Plate, Large

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Ordering Information – Implants

20

TRIALS REF Description

40-10102T Calcaneus Mesh Trial, Small

40-10104T Calcaneus Mesh Trial, Medium

40-10106T Calcaneus Mesh Trial, Large

40-10112T Calcaneus Standard Trial, Small

40-10114T Calcaneus Standard Trial, Medium

40-10116T Calcaneus Standard Trial, Large

40-15011T Curved Trial, 4 Holes

40-15012T Curved Trial, 5 Holes, Right

40-15013T Curved Trial, 5 Holes, Left

40-15014T Curved Trial, 6 Holes

40-15021T H-Trial, Small

40-15022T H-Trial, Medium

40-15023T H-Trial, Large

40-15031T Rectangular Compression Trial, Size 1

40-15032T Rectangular Locking Trial, Size 2

40-15033T Rectangular Compression Trial, Size 2

40-15041T Broad Straight Trial, Short

40-15042T Broad Straight Trial, Medium

40-15043T Broad Straight Trial, Long

40-15061T 3-D Trial, Left

40-15062T 3-D Trial, Right

40-15071T Oblique T-Trial, Left

40-15072T Oblique T-Trial, Right

40-15081T T-Trial

40-15091T L-Trial, Left

40-15092T L-Trial, Right

REF Description

40-35900 (S) Washer for 3.5mm screw

40-27900 (S) Washer for 2.7mm screw

WASHERS

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Ordering Information – Instruments

21

REF Description

Instruments

45-27005 (S) Tap for 2.7mm Screws, AO, 50mm

45-35005 (S) Tap for 3.5mm Screws, AO, 70mm

45-27001 Depth Measuring Gauge for 2.7mm Screws

45-35001 Depth Measuring Gauge for 3.5mm Screws

45-80001 Drill Guide for Circular Locking Holes

45-80005 Drill Guide for Oval Compression Holes

45-27015 Screwdriver Blade, AO, T7

45-35015 Screwdriver Blade, AO, T10

45-85000 Screwdriver Handle, Revolving/Rigid, AO

45-35030 Holding Sleeve for 3.5mm screws

45-27030 Holding Sleeve for 2.7mm screws

45-80010 Plate Bending Pliers

45-80020 K-Wire Cutting Pliers (max 1.6mm)

64-20129 Forceps with Grasping Lips

Twist Drills

45-27010 (S) Drill, 2.0mm × 102mm, WL50mm, AO-Shaft

45-35010 (S) Drill, 2.6mm × 122mm, WL70mm, AO-Shaft

REF Description

40-35900 (S) Washer for 3.5mm screw

40-27900 (S) Washer for 2.7mm screw

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Ordering Information – Instruments

22

REF Description

Instruments

45-80030 Joint Distraction Forceps

29-13462 Accessory Tray

45-27020(S) Overdrill for 2.7mm Screws, AO Fitting optional

45-35020(S) Overdrill for 3.5mm Screws, AO Fitting

45-80040(S) Countersink for Screws ø2.7/3.5mm, AO Fitting

45-80002 Drill Guide for 2.7mm Independant Lag Screw

45-80003 Drill Guide for 3.5mm Independant Lag Screw

29-31460 Instrument / Accessory Tray

29-31008 Customizable Screw Rack without Markers optional

45-35002 VariAx Depth Gauge for 2.7/3.5mm Screws, black

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Ordering Information – Instruments

23

REF Description

45-80100 (S) K-Wire, Fully Threaded, 1.6mm × 200mm

45-80200 (S) K-Wire, Smooth, 1.4mm × 100mm

45-80300 (S) Steinmann Pin, Smooth, 2.5mm × 100mm

K-WIRES & STEINMANN PINS

Diameter REF Type of Reamer (mm) 6514-7-210 Concave 10

6514-7-212 Concave 12

6514-7-214 Concave 14

6514-7-216 Concave 16

6514-7-218 Concave 18

6514-7-310 Convex 10

6514-7-312 Convex 12

6514-7-314 Convex 14

6514-7-316 Convex 16

6514-7-318 Convex 18

6514-7-410 Barrel 10

6514-7-412 Barrel 12

6514-7-414 Barrel 14

6514-7-416 Barrel 16

6514-7-418 Barrel 18

45-80200 K-Wire, Smooth, 1.4mm 100mm

29-33400 Coughlin Reamer Tray

29-32401 Generic Stryker Foot Solutions Lid

Note: The Coughlin Reamer tray does not fit inside the Basic Set configuration; it only fits inside the Deluxe Set configuration (the 4-Level Foot Solutions container with the VariAx Foot modules) if and only if no other modules are included. If other modules are included, the generic lid is required.

COUGHLIN SMALL JOINT REAMERS

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Ordering Information – Instruments

24

REF Description

Modules And Trays

29-35000 Sterilization Container, 3 levels

29-13009 Sterilization Container, 4 levels

29-35200 Stryker Foot Container Lid - Half Size

29-31400 VariAx Foot Instrument Tray

29-31007 Drawer for Screw Racks

29-31000 Deluxe Plate Module (includes Lid)

29-31021 Inlay for Recon and Trauma Plates

29-31022 Inlay for Calcaneus Plates

29-31004 Screw Rack for 3.5 Locking Screws (includes Lid)

29-31005 Screw Rack for 3.5 Bone Screws (includes Lid)

29-31006 Screw Rack for 2.7 Screws (includes Lid)

29-31050 Basic Plate Module (includes Lid)

29-31052 Inlay 1 for Basic Plate Module

29-31053 Inlay 2 for Basic Plate Module

29-50000 Inlay Generic

Miscellaneous

45-80000 Spring for Holding Sleeve

29-31013 Lid for Screw Rack

29-31012 Lid for Deluxe Plate Module

29-31051 Lid for Basic Plate Module

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25

Ordering Information – Instruments

REF Description

Screw markers

52-00010 Screw Length Marker for 10mm

52-00012 Screw Length Marker for 12mm

52-00014 Screw Length Marker for 14mm

52-00016 Screw Length Marker for 16mm

52-00018 Screw Length Marker for 18mm

52-00020 Screw Length Marker for 20mm

52-00022 Screw Length Marker for 22mm

52-00024 Screw Length Marker for 24mm

52-00026 Screw Length Marker for 26mm

52-00028 Screw Length Marker for 28mm

52-00030 Screw Length Marker for 30mm

52-00032 Screw Length Marker for 32mm

52-00034 Screw Length Marker for 34mm

52-00036 Screw Length Marker for 36mm

52-00038 Screw Length Marker for 38mm

52-00040 Screw Length Marker for 40mm

52-00042 Screw Length Marker for 42mm

52-00044 Screw Length Marker for 44mm

52-00046 Screw Length Marker for 46mm

52-00048 Screw Length Marker for 48mm

52-00050 Screw Length Marker for 50mm

52-00055 Screw Length Marker for 55mm

52-00060 Screw Length Marker for 60mm

52-00065 Screw Length Marker for 65mm

52-00070 Screw Length Marker for 70mm

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26

Notes

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27

Notes

Page 28: Foot & Ankle VariAx KnifeLight Foot Locking Plate Carpal Tunnel … · 2016-02-25 · and geometry of a given fracture or osteotomy. Each plate can be configured with a combination

This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any par-ticular product before using it in surgery. The information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the package insert, product label and/or user instructions including the instructions for Cleaning and Sterilization (if applicable) before using any Stryker products. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker, SmartLock and VariAx. All other trademarks are trademarks of their respective owners or holders.

The products listed above are CE marked.

Literature Number : 90-07805LOT E3410

Copyright © 2010 Stryker

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www.osteosynthesis.stryker.com