The Systematic Solution for Craniomaxillofacial Indications and …synthes.vo.llnwd.net/o16/LLNWMB8/INT Mobile/Synthes... · 2018-07-07 · implants for craniomaxillofacial indications

Surgical Technique

The Systematic Solution for Craniomaxillofacial Indications and Displacement Osteotomies

Compact Midface

Image intensifier control

This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended.

Processing, Reprocessing, Care and MaintenanceFor general guidelines, function control and dismantling of multi-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to:http://emea.depuysynthes.com/hcp/reprocessing-care-maintenanceFor general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance

Compact Midface Surgical Technique DePuy Synthes 1

Table of Contents

Introduction Compact Midface 2

Features and benefits 4

AO Principles 5

Intended Use, Indications, Contraindications, 6 General Adverse Events, Device Specific Adverse Events, Warnings, Precautions, and MRI Information

Surgical Technique Trauma Repair and Reconstruction 8

Orbital Plates 11

Le Fort I Fixation 13

Product Information Implants 15

Instruments 16

Sets 17

Ordering Information 18

1.0 1.3 1.5 2.0 and 2.0 Lock

2 DePuy Synthes Compact Midface Surgical Technique

Compact Midface is a highly flexible modular system that consists of a variety of surgical instruments and implants for craniomaxillofacial indications.

Key features and benefits• Comprehensive solutions based on indications• Large selection of titanium plates and meshplates to

meet the anatomical needs of the patient• Screw diameters in 1.0, 1.3, 1.5 and 2.0 mm available

in self-tapping and self-drilling • 2.0 mm locking screws for midface• Screw clips for quick and easy restocking of screws• All implants available in sterile and non-sterile

Compact MidfaceThe systematic solution for craniomaxillofacial indications and displacement osteotomies

Introduction

Implant strength


Available as self-drilling and self-tapping with two different recesses: • PlusDrive• Cruciform

Screws

Screws Overview PlusDrive Cruciform

Self-drilling Self-tapping Self-tapping

1.0 2 2 2

1.3 2 2 2

1.5 2 2 2

2.0 2 2 2

2.0 LOCK 2 2

Lag screw 2

System InformationSystem Screw diameter (mm) Drill bit diameter (mm) Emergency screw diameter (mm) Plate thickness (mm)

1.0 1.0 0.7*, 0.76* 1.2 0.5

1.3 1.3 1.0 1.7 0.5

1.5 1.5 1.1 2.0 0.6 malleable, 0.9

2.0 2.0 1.5 2.4 0.6 malleable, 0.9

2.0 LOCK 2.0 1.5 2.4 0.6 malleable, 0.9

* Drill bit diameter 0.7 mm for screw lengths: 2–3 mm Drill bit diameter 0.76 mm for screw lengths: 4–14 mm

The well thought out design of color-coded screw clips al-lows the modules to be quickly and easily filled with screws.


Features and benefits

Le Fort I osteotomy• Pre-bent maxilla plate 1.5 facitates intraoperative

contouring steps• Advancements from 3–11 mm• Preoperatively determined advancement reliably

achieved

L, Y, T, and Z Shaped plates• L, Y and T plates in various versions and dimensions• Z plates in various dimensions with asymmetrical

design for secure fixation of the maxilla at the lateral pillars


AO Principles

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1,2. They are:

Anatomic reductionFracture reduction and fixation to restore anatomical relationships. A comprehensive implant and instrument selection offers the ability to address most simple and complex fixation needs.

Stable fixationStability by rigid fixation or splintage, as the personality of the fracture and the injury requires. The Compact Midface plates and screws are optimized to achieve stable bone fixation.

Preservation of blood supplyPreservation of the blood supply to soft tissue and bone by careful handling and gentle reduction techniques.

Early, active mobilizationEarly and safe mobilization of the part and patient. The Compact Midface system implants, combined with AO technique, provide stable fixation enough to allow a functional aftercare.

1 Müller ME, Allgöwer M, Schneider R, Willenegger H (1995) Manual of Internal Fixation. 3rd, expanded and completely revised ed. 1991. Berlin, Heidelberg, New York: Springer

2 Rüedi TP, Buckley RE, Moran CG (2007) AO Principles of Fracture Management. 2nd expanded ed. 2002. Stuttgart, New York: Thieme


Intended Use, Indications, Contraindications, General Adverse Events, Device Specific Adverse Events, Warnings, Precautions, and MRI Information

Intended UseThe implants (plates and screws) and their instruments are intended for trauma repair and reconstruction of the craniofacial skeleton.

IndicationsThe Compact systems are indicated for selective trauma of the midface and craniofacial skeleton, craniofacial sur-gery, and orthognathic surgery of the midface.

Orbital plates are indicated for trauma repair and recon-struction of the craniofacial skeleton. Specific Indications are: • orbital floor fractures, • medial orbital wall fractures, and • combined orbital floor and medial wall fractures.

ContraindicationsThe systems are contraindicated for use in areas with active or latent infection or insufficient quantity or quality of bone.

General Adverse EventsAs with all major surgical procedures, risks, side effects and adverse events can occur. While many possible reac-tions may occur, some of the most common include:Problems resulting from anesthesia and patient position-ing (e.g. nausea, vomiting, dental injuries, neurological impairments, etc.), thrombosis, embolism, infection, nerve and/or tooth root damage or injury of other criti-cal structures including blood vessels, excessive bleeding, damage to soft tissues incl. swelling, abnormal scar for-mation, functional impairment of the musculoskeletal system, pain, discomfort or abnormal sensation due to the presence of the device, allergy or hypersensitivity reactions, side effects associated with hardware promi-nence, loosening, bending, or breakage of the device, mal-union, non-union or delayed union which may lead to breakage of the implant, reoperation.

Device Specific Adverse EventsDevice specific adverse events include but are not limited to:• Loosening, bending, or breakage of the devices• Non-union, mal-union, or delayed union that may lead

to breakage of the implants• Pain, discomfort, or abnormal sensation due to the

presence of the devices • Adverse tissue reaction/soft tissue irritation• Local infection/systemic infection• Damage to vital organs, surrounding structures,

and/or soft tissues• Peripheral nerve damage• Bone damage, bone fracture, and/or bone necrosis • User injury

Warnings:• These devices can break during use (when sub-

jected to excessive forces or outside the recom-mended surgical technique).

• While the surgeon must make the final decision on removal of the broken part based on associated risk in doing so, we recommend that whenever possible and practical for the patient, the broken part should be removed.

Precaution: Physicians should inform their patients about the implants’ load restrictions and develop a plan for postoperative behavior and increasing physical loads.


MRI Information

Magnetic Resonance Environment Torque, Displacement and Image Artifacts according to ASTM F 2213-06, ASTM F 2052-14 and ASTM F 2119-07 Non-clinical testing of worst case scenario in a 3 T MRI system did not reveal any relevant torque or displace-ment of the construct for an experimentally measured local spatial gradient of the magnetic field of 5.4 T/m. The largest image artifact extended approximately 20 mm from the construct when scanned using the Gra-dient Echo (GE). Testing was conducted on a 3 T MRI system.

Radio-Frequency-(RF-)induced heating according to ASTM F 2182-11a Non-clinical electromagnetic and thermal simulations of worst case scenario lead to temperature rises of 9.3 °C (1.5 T) and 6 °C (3 T) under MRI Conditions using RF Coils (whole body averaged specific absorption rate [SAR] of 2 W/kg for 15 minutes).

Precautions: The above mentioned test relies on non-clinical testing. The actual temperature rise in the patient will depend on a variety of factors be-yond the SAR and time of RF application. Thus, it is recommended to pay particular attention to the fol-lowing points: • It is recommended to thoroughly monitor patients

undergoing MR scanning for perceived tempera-ture and/or pain sensations.

• Patients with impaired thermoregulation or tem-perature sensation should be excluded from MR scanning procedures.

• Generally, it is recommended to use an MRI sys-tem with low field strength in the presence of con-ductive implants. The employed specific absorp-tion rate (SAR) should be reduced as far as possible.

• Using the ventilation system may further contrib-ute to reduce temperature increase in the body.


1. Expose and reduce fracture

After completing the preoperative plan, expose the frac-ture or osteotomy site. In trauma reduce the fracture as required.

2. Select and prepare the implant

Select the appropriate plate to the indication. Orient the plate so that the topside is facing out. Cut to length, if necessary.

Precautions:• In order to determine the appropriate amount of

screws needed to achieve stable construct fi xation, the surgeon should consider the fracture size and shape.

• Take care to protect soft tissue from trimmed plate edges.

• Instrument tips may be sharp, handle with care and dispose sharp cuttings in an approved sharps container.

Surgical TechniqueTrauma Repair and Reconstruction

Surgical Technique

top side bony side


3. Contour the plate

Contour the plate to fit to the patient anatomy using the plate cutter and bending pliers respectively. Ensure the plate is passively adapted to the bone.

Note: An exact match is not required when using locking plates and screws because plate stability is not dependent on plate-to-bone contact when screws are locked.

Precautions:• If contouring is necessary, the surgeon should

avoid bending the device at a screw hole.• Avoid sharp bends, repetitive and reverse bending

as it increases the risk of implant breakage.• Take care to protect soft tissue from trimmed

edges.

4. Position the plate

Place the plate over the fracture or osteotomy site.

Precaution: Confirm that plate positioning, drill bit, and screw length allow for adequate clearance of nerves, tooth buds and/or tooth roots, the edge of the bone, and any other critical structures.


5. Pre-drilling and screw insertion

Pre-drilling is recommended in complex fractures of the midface and in mandibular regions with thick cortical bone.

If pilot hole is desired, drill the first hole (for appropriate drill bit diameter, see reference chart on page 3) and in-sert the first screw close to the fracture or osteotomy site, and tighten until secure.

Insert the second screw on the opposite side of the frac-ture or osteotomy site, and then all remaining screws following the outlined procedure.

If the screw is inserted with angulation, verify that the screw is safely retained in the plate hole and that the construct profile is not significantly increased.

Precautions: • Confirm that drill bit length and diameter corre-

spond to selected screw length prior to drilling. • Drill speed rate should never exceed 1,800 rpm,

particularly in dense, hard bone. Higher drill speed rates can result in: – thermal necrosis of the bone, – soft tissue burns, – an oversized hole, which can lead to reduced

pullout force, increased ease of the screws strip-ping in bone, suboptimal fixation, and/or the need for emergency screws.

• Avoid damaging the plate threads with the drill.• Always irrigate during drilling to avoid thermal

damage to the bone and ensure drill bit is concen-tric to plate hole, irrigation ensures the removal of debris potentially generate during implantation.

• Take care while drilling as to not damage, entrap, or tear a patient’s soft tissue or damage critical structures, nerves or tooth roots.

• In order to determine the appropriate amount of screws needed to achieve stable construct fixation, the surgeon should consider the fracture size and shape.

• Confirm screw length prior to implantation. • Tighten screws in a controlled manner. Applying

too much torque to the screws may cause screw/plate deformation or bone stripping. If bone be-comes stripped, remove the screw from the bone and replace with an emergency screw.

For Cranial Region Fixation, the following precautions apply:

In order to determine the appropriate amount of fixation for stability, the surgeon should consider the size and shape of the fracture or osteotomy. DePuy Synthes recommends at least three plates when repairing osteo-tomies. Additional fixation is recommended to ensure stability of large fractures and osteotomies. When using mesh for larger defects, additional screws for fixation are recom-mended.

Surgical Technique Trauma Repair and Reconstruction


1. Select plate design

Select the appropriate plate shape and thickness that best suits the bony anatomy and treatment objective.

2. Adapt plate to the bone

If required, cut and contour the plate to the patient anatomy using the plate cutter and the bending pliers respectively. Ensure that the plate is placed flush to the bone.

Precautions: • Confirm that plate positioning, drill bit, and screw

length allow for adequate clearance of nerves, the edge of the bone, and any other critical structures.

• Instrument tips may be sharp, handle with care and dispose sharp cuttings in an approved sharps container.

• If contouring is necessary, the surgeon should avoid bending the device at a screw hole.

• Avoid sharp bends, repetitive and reverse bending as it increases the risk of implant breakage.

• Avoid contouring of the implant in situ that may lead to implant malposition and/or posterior canti-lever effect.

• Take care to protect soft tissue from trimmed edges.

Surgical Technique

Orbital Plates


3. Drill the hole

If pilot hole is desired, select the appropriate diameter drill bit length (see reference chart on page 3) to allow for adequate clearance of nerves, and critical structure.

Precautions: • Drill speed rate should never exceed 1,800 rpm,



• Avoid damaging the plate threads with the drill.• Always irrigate during drilling to avoid thermal

damage to the bone.• Always irrigate and apply suction during drilling

to ensure removal of debris potentially generated during implantation.

Note: Self-tapping and self-drilling screws are avail-able (see reference chart on page 3).

4. Fixate plate to the bone

Stabilize the implant with screws inserted through selected screw holes in the plate. Insert screws of the appropriate diameter and length to secure the plate to the bone.

Precautions: • In order to determine the appropriate amount of

screws needed to achieve stable construct fixation, the surgeon should consider the fracture size and shape.

• Confirm screw length prior to implantation.• Tighten screws in a controlled manner. Applying

too much torque to the screws may cause screw/plate deformation or bone stripping. If bone be-comes stripped, remove the screw from the bone and replace with an emergency screw.

Note: Test for impingement: A forced duction test must be completed to ensure unrestricted lateral and medial movement of the globe.

Surgical Technique Orbital Plates


Surgical Technique

Le Fort I Fixation

1. Select plate design After the osteotomy has been performed and the new position of the maxilla has been established, select the appropriate plate shape and thickness that best suits the bony anatomy, treatment objective, and the quantity and quality of bone.

2. Adapt plate to the bone

Cut and contour the plate to the bone using the plate cutter and the bending pliers respectively. Ensure that the plate is placed flush to the bone.

Precautions: • If contouring is necessary, the surgeon should

avoid bending the device at a screw hole. • Avoid sharp bends, repetitive and reverse bending

as it increases the risk of implant breakage. • Take care to protect soft tissue from trimmed

edges. • Confirm that plate positioning, drill bit, and screw

length allow for adequate clearance of nerves, tooth buds and/or tooth roots, the edge of the bone, and any other critical structures.


3. Drill the hole

If pilot hole is desired, select the appropriate diameter drill bit length (see reference chart on page 3) to allow for adequate clearance of nerves, tooth buds, tooth roots, and critical structure.

Note: Self-tapping and self-drilling screws are avail-able (see reference chart on page 3).

Precautions: • Drill speed rate should never exceed 1,800 rpm,



• Avoid damaging the plate threads with the drill. • Always irrigate during drilling to avoid thermal

damage to the bone. • Always irrigate and apply suction during drilling

to ensure removal of debris potentially generated during implantation.

Surgical Technique Le Fort I Fixation

4. Fixate plate to the bone

Insert screws of the appropriate diameter and length to fixate the plate to the underlying bone.

Precaution: In order to determine the appropriate amount of screws needed to achieve stable construct fixation, the surgeon should consider the fracture size and shape.


malleable

Strut and mesh plates

Orbital floor plates

Midface and cranial plates

Implants

Product Information

Prebent maxilla plates

For more information on the implants, please contact your local representative.

Locking plates


Instruments

Standard instruments for the Compact MidfaceThe standard solution contains the basic set of instru-ments for craniomaxillofacial surgery. For further informations concerning the burr free plate cutter and the three-prong bending pliers see the corre-sponding flyers (036.000.087 and 036.000.007)

Individual configuration of instrument trays

In addition to the standard model, indivi dually-adapted instrument trays can be assembled.

Appropriate and multifunctional inserts are available for the different instruments.


Sets

Size 2/3 3/3

Compact 1.0 Midface 2




Compact 2.0 LOCK Midface 2

Compact 2.0 Combi 2

Overview: Standard modules

Size 1/3





Size 3/3

Compact 1.5/2.0 Orthognatics 2

Size 2/3

Compact 1.5/2.0 Orthognatics Plates 2

Compact 1.5/2.0 Orthognatics 2

Screws and Instruments

Compact MidfaceThe color-coded solution with inserts for im-plants, screws and instruments. The following pre-configured systems are available:

Compact Midface sterileThe practical solution for using sterile im-plants. The module contains rails for snapping in sterile screw clips, and has space for drill bits and screw drivers. The following standard Midface systems are available:

Compact 1.5/2.0 OrthognaticsThe user-friendly module in the standard configuration with inserts for instruments, screw clips and implants in the dimensions 1.5/2.0. In addition, it has pockets for storing screws up to 40 mm long for the lag screw technique.

Compact 1.5/2.0 Orthognatics Plates Compact 1.5/2.0 Orthognatics Screws and InstrumentsTwo modules that belong together when a wide selection of implants and screws is desired. The Screws and Instruments module is also highly suitable for use with sterile implants.


Plates

Art. No. Article

04.105.003 Adaption Plate 1.3, 6 holes, Pure Titanium

04.105.004 Adaption Plate 1.3, 8 holes, Pure Titanium

04.105.028 Adaption Plate 1.5, 6 holes, hole spacing 4.5 mm, Pure Titanium


04.105.039 Adaption Plate 1.5, with intersection bars, 4 holes, hole spacing 6.5 mm, Pure Titanium








420.010 Strut Plate 1.0, 6 × 30 mm, 2 × 8 holes, thickness 0.5 mm, Pure Titanium




420.070 Screen Plate 1.0, 100 × 100 mm, Pure Titanium

420.100 Adaption Plate 1.0, 34 holes, Pure Titanium

420.210 Orbital Rim Plate 1.0, curved, 11 holes, Pure Titanium

420.302 Orbital Floor Mesh Plate 1.0, thickness 0.2 mm, Pure Titanium



420.401 Anatomic Orbital Floor Plate 1.0, small, Pure Titanium

420.402 Anatomic Orbital Floor Plate 1.0, large, Pure Titanium

420.440 Orbital Floor Plate 1.0, left, Pure Titanium

420.450 Orbital Floor Plate 1.0, right, Pure Titanium

420.540 L-Plate 1.0, left, 9 holes, Pure Titanium

420.550 L-Plate 1.0, right, 9 holes, Pure Titanium

420.620 Y-Plate 1.0, 9 holes, Pure Titanium


420.680 Double Y-Plate 1.0, Pure Titanium

420.700 T-Plate 1.0, 10 holes, Pure Titanium


420.810 X-Plate 1.0, 5 holes, Pure Titanium

420.840 H-Plate 1.0, 6 holes, Pure Titanium



421.004 Mesh Plate 1.3, 38 × 45 mm, thickness 0.4 mm, Pure Titanium, blue

421.005 Mesh Plate 1.3, 38 × 45 mm, thickness 0.6 mm, Pure Titanium, gold


421.007 Mesh Plate 1.3, 100 × 100 mm, thickness 0.4 mm, Pure Titanium, blue



421.010 Adaption Plate 1.3, 24 holes, Pure Titanium


421.022 Plate 1.3, straight, 2 holes, Pure Titanium

Ordering Information


421.024 Plate 1.3, straight, 4 holes, Pure Titanium

421.040 Universal Orbital Floor Plate 1.3, Pure Titanium

421.044 Orbital Floor Plate 1.3, left, Pure Titanium

421.045 Orbital Floor Plate 1.3, right, Pure Titanium

421.048 Anatomic Orbital Floor Plate 1.3, small, Pure Titanium

421.049 Anatomic Orbital Floor Plate 1.3, large, Pure Titanium






421.068 Double Y-Plate 1.3, short, Pure Titanium

421.069 Double Y-Plate 1.3, long, Pure Titanium





421.091 Burr Hole Cover 1.3, for burr holes up to B 17.0 mm, Pure Titanium

421.095 Frame Plate 1.3, rectangular, 4 holes, Pure Titanium

421.096 Frame Plate 1.3, square, 4 holes, Pure Titanium

421.099 Screen Plate 1.3, 100 × 100 mm, Pure Titanium




443.440 Zygomatic DCP 2.0, 4 holes, Pure Titanium


443.451 Zygomatic DCP 2.0, with centre space, 4 holes, Pure Titanium


446.024 Cranial Plate 1.5, straight, with centre space, 4 holes, length 25 mm, Pure Titanium

446.042 Maxilla Plate 1.5, right, prebent, lengthening 3 mm, Pure Titanium

446.043 Maxilla Plate 1.5, left, prebent, lengthening 3 mm, Pure Titanium









446.096 Frame Plate 1.5, square, 4 holes, Pure Titanium

446.100 Adaption Plate 1.5, 20 holes, hole spacing 4.5 mm, Pure Titanium

446.101 Adaption Plate 1.5, 20 holes, thickness 0.6 mm, Pure Titanium




446.400 Universal Orbital Floor Plate 1.5, Pure Titanium


446.504 L-Plate 1.5, right, 6 holes, length 22 × 13 mm, Pure Titanium

446.505 L-Plate 1.5, left, 6 holes, length 22 × 13 mm, Pure Titanium







446.515 L-Plate 1.5, right, 5 holes, length 22 × 9.0 mm, Pure Titanium, malleable

446.516 L-Plate 1.5, left, 5 holes, length 22 × 9.0 mm, Pure Titanium, malleable


446.527 L-Plate 1.5, left, 7 holes, length 27 × 13 mm, Pure Titanium, malleable


446.537 L-Plate 1.5, right, 7 holes, length 27 × 13 mm, Pure Titanium, malleable




447.222 LOCK Plate 2.0, straight, 4 holes, length 20 mm, Pure Titanium

447.223 LOCK Plate 2.0, straight, 6 holes, length 30 mm, Pure Titanium

447.224 LOCK Plate 2.0, small, with centre space, 4 holes, length 28 mm, Pure Titanium

447.225 LOCK Plate 2.0, small, with centre space, 6 holes, length 40 mm, Pure Titanium

447.226 LOCK L-Plate 2.0, right, 7 holes, Pure Titanium

447.227 LOCK L-Plate 2.0, left, 7 holes, Pure Titanium

447.252 LOCK Plate 2.0, straight, with centre space, 2 holes, length 15 mm, Pure Titanium

447.253 LOCK Zygomatic Plate 2.0, straight, with centre space, 4 holes, Pure Titanium

447.254 LOCK Zygomatic Plate 2.0, straight, 4 holes, Pure Titanium



447.257 LOCK Plate 2.0, small, 20 holes, Pure Titanium

447.258 LOCK Orbital Rim Plate 2.0, curved, 8 holes, Pure Titanium







447.268 LOCK Y-Plate 2.0, 5 holes, Pure Titanium

447.269 LOCK Y-Plate 2.0, 8 holes, Pure Titanium

447.271 LOCK Double-Y-Plate 2.0, 8 holes, Pure Titanium

447.272 LOCK T-Plate 2.0, 6 holes, Pure Titanium

447.273 LOCK X-Plate 2.0, 4 holes, Pure Titanium

447.275 LOCK H-Plate 2.0, 9 holes, Pure Titanium

447.276 LOCK T-Plate 2.0, 11 holes, Pure Titanium

447.380 Adaption Plate 2.0, with intersection bars, 30 holes, hole spacing 6.5 mm, Pure Titanium












447.548 L-Plate 2.0, long, right, 4 holes, Pure Titanium, malleable

447.549 L-Plate 2.0, long, left, 4 holes, Pure Titanium, malleable



447.562 Z-Plate 2.0, right, 4 holes, length 21 × 17 mm, Pure Titanium

447.563 Z-Plate 2.0, left, 4 holes, length 21 × 17 mm, Pure Titanium

447.564 Z-Plate 2.0, right, 4 holes, length 25 × 17 mm, Pure Titanium

447.565 Z-Plate 2.0, left, 4 holes, length 25 × 17 mm, Pure Titanium

447.572 Z-Plate 2.0, short, right, 4 holes, Pure Titanium, malleable

447.573 Z-Plate 2.0, short, left, 4 holes, Pure Titanium, malleable

447.574 Z-Plate 2.0, long, right, 4 holes, Pure Titanium, malleable

447.575 Z-Plate 2.0, long, left, 4 holes, Pure Titanium, malleable



447.680 Double Y-Plate 2.0, 8 holes, Pure Titanium




450.101 Adaption Plate 1.5, 20 holes, thickness 0.6 mm, Pure Titanium, malleable

450.611 Y-Plate 1.5, 5 holes, thickness 0.6 mm, Pure Titanium, malleable

Screws:Cortex Screw PlusDrive™ B 1.0 mm, self-tapping

Art. No. Article

400.402 Cortex Screw B 1.0 mm, self-tapping, length 2 mm









Cortex Screw PlusDrive™ B 1.0 mm, self-drilling, Titanium Alloy (TAN)

Art. No. Article

400.422 Cortex Screw B 1.0 mm, self-drilling, length 2 mm


Cortex Screw PlusDrive™ B 1.3 mm, self-tapping

Art. No. Article













Art. No. Article




Cortex Screw PlusDrive™ B 1.5 mm, self-tapping, Titanium Alloy (TAN)

Art. No. Article











Art. No. Article





Cortex Screw PlusDrive™ B 2.0 mm, self-tapping

Art. No. Article

401.041 Cortex Screw PlusDrive B 2.0 mm, length 4 mm










Art. No. Article








MF Cortex Screw B 1.0 mm, self-tapping

Art. No. Article

400.502 MF Cortex Screw B 1.0 mm, self-tapping, length 2 mm








Art. No. Article







Art. No. Article














Art. No. Article











Emergency Screws: Emergency Screw PlusDrive™ B 1.2 mm, self-tapping

Art. No. Article

400.462 Emergency Screw B 1.2 mm, self-tapping, length 2 mm









Emergency Screw PlusDrive™ B 1.7 mm, self-tapping

Art. No. Article












Art. No. Article











Art. No. Article

401.791 Emergency Screw PlusDrive B 2.4 mm, length 5 mm










Emergency Screw Cruciform Recess B 1.2 mm, self-tapping

Art. No. Article








Emergency Screw Cruciform Recess B 1.7 mm, self-tapping

Art. No. Article






Emergency Screw B 2.4 mm, self-tapping

Art. No. Article





LOCK Screw PlusDrive™ B 2.0 mm, self-tapping

Art. No. Article

401.291 LOCK Screw PlusDrive B 2.0 mm, self-tapping, length 5 mm, Titanium Alloy (TAN)








LOCK Screw PlusDrive™ B 2.0 mm, self-drilling

Art. No. Article

401.955 LOCK Screw PlusDrive B 2.0 mm, self-drilling, length 5 mm




Ordering Information* Screws Plates

Packs of 1 unit xxx.xxx xxx.xxx

Packs of 1 unit with clip xxx.xxx.01C n/a

Packs of 4 units with clip xxx.xxx.04C n/a

Packs of 1 unit, sterile n/a xxx.xxxS

Packs of 1 unit with clip, sterile xxx.xxxS n/a

Packs of 4 units with clip, sterile xxx.xxx.04S n/a

* Not all packaging variatons are available for all items.

0123

Synthes GmbHEimattstrasse 34436 OberdorfSwitzerlandTel: +41 61 965 61 11Fax: +41 61 965 66 00www.depuysynthes.com

Not all products are currently available in all markets.

This publication is not intended for distribution in the USA.

All surgical techniques are available as PDF files at www.depuysynthes.com/ifu ©

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Documents

The Systematic Solution for Craniomaxillofacial Indications and …synthes.vo.llnwd.net/o16/LLNWMB8/INT Mobile/Synthes... · 2018-07-07 · implants for craniomaxillofacial indications