MatrixNEURO CMF Matrix

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1 MatrixNEURO CMF Matrix This publication is not intended for distribution in the USA.

2 MatrixNEURO Introduction 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 reduction, stable fixation, preservation of blood supply, and early, active mobilization. Plate and screw osteosynthesis has been established and clinically recognized for some time. Keeping the AO philosophy at its core, Matrix is the new plating platform for cranial closure and/or bone fixation. Matrix is a simple yet compre hensive system that offers flexibility and ease of use. All screws work with all plates within each Matrix system One blade for all screws within each Matrix system Reduced plate/screw profile, where applicable Self-retaining screws/blades that minimize cam-out Standardized instrumentation Color-coding by strength for easy identification Rounded edges on plates for less irritation to soft tissue, where applicable Emergency screw Self-drilling screw MatrixNEURO Cranial Plating System Self-drilling screws for fast closure of bone flaps and rapid fixation of cranial fractures Wide variety of screws, plates and mesh allows the surgeon to select the most appropriate implants based upon patient needs Plate/screw profile Ultra Low Profile Plates (green): Plate thickness = 0.3 mm, Plate/Screw profile = 0.4 mm Standard Plates (blue): Plate thickness = 0.4 mm, Plate/Screw profile = 0.5 mm Malleable (silver) and Rigid (blue) Mesh: Mesh thickness = 0.4 mm, Plate/Mesh profile = 0.5 mm Extra Rigid Mesh (rose): Mesh thickness = 0.6 mm, Plate/Mesh profile = 0.9 mm Reconstruction Mesh (gold): Mesh thickness = 0.6 mm, Plate/Mesh profile = 0.6 mm Standard Plates Ultra Low Profile Plates MatrixNEURO Self-drilling Screws Unique thread design for rapid screw starting and low insertion torque* Available in 3 lengths: 3 mm, 4 mm and 5 mm Malleable Mesh Extra Rigid Mesh MatrixNEURO Plates Full selection of titanium plates and burr hole covers MatrixNEURO Contourable Meshes Available in a variety of shapes and sizes Color-coded based on strength characteristic: Silver (0.4 mm thick, malleable) Blue (0.4 mm thick, rigid) Pink (0.6 mm thick, extra rigid) Gold (0.6 mm thick, reconstruction) * Mechanical test data on file at DePuy Synthes. Strength Gradient 0.4 mm 0.4 mm 0.6 mm 0.6 mm Malleable Rigid Extra Rigid Reconstruction Rigid Mesh Reconstruction Mesh

3 Instruments Six instruments improve handling Plate Holder, short Plate Holder, long Cutting Scissors for Mesh Plates, short Cutting Scissors for Mesh Plates, long Plate Bender, locking Plate Bender, non-locking Quick and easy handling Simply slide empty clips out of the opening Safe to handle; all clips are labelled with the respective screw length Unused screws can be re-sterilized in the clip Single-clip or four-clip packages are available Snap the screw clip into the module and snap off the cover Push empty clips out of the opening

4 Basic module Basic module for fixing standard cranio - tomies. Different module sizes are obtainable as needed. The basic module (size 1/3) can be easily expanded to the standard module (size 1/2). 1 Auxiliary Bin For additional plates, such as burr hole covers 2 Label clips For individualized sets 3 Small straight plates For fixing a standard craniotomy 4 Space for various screwdriver shafts and drill bits 5 Screw clips that snap into the rail Quick and easy filling of the module 6 Instrument carrier Size for the basic module: The carrier and module can be stacked on each other to save space

5 Standard module Complete system for a broad spectrum of cranial indications. Different module sizes are obtainable as needed. The basic module (size 1/3) can be easily expanded to the standard module (size 1/2). 1 Large plate selection 2 Large auxiliary bin For mesh plates or optional plates 3 Small auxiliary bin For additional plates 4 Label clips For individualized sets 5 Small straight plates For fixing a standard craniotomy 6 Space for various screwdriver shafts and drill bits 7 Screw clips that snap into the rail Quick and easy filling of the module 8 Contourable mesh plates The special grid design prevents kinking even when cranial structures are irregular 9 Instrument carrier Size for the standard module: The carrier and module can be stacked on each other to save space

6 MatrixNEURO Plates, Titanium (bold in actual size), Standard Plates shown Cranial Plates holes, 9 mm holes, 12 mm Cranial Plate holes X-Plate holes Frame Plates mm 14 mm mm 16 mm mm 16 mm Y-Plate holes Double Y-Plates mm mm Strut Plates holes holes Adaption Plates holes holes holes Burr Hole Covers mm mm mm mm Burr Hole Covers for Shunt or Drainage mm mm mm mm Strut Plate, contourable Temporal Mesh Plate Mastoid Plates small medium large Mesh Plates Available in various shapes, sizes and rigidities (refer to Ordering Information) Circular, 30 mm, malleable

7 MatrixNEURO Sterile Kit MatrixNEURO Sterile Kit Ready-to-use sterile packs for one standard craniotomy closure Simplified ordering Available with standard thickness MatrixNEURO Plates only (plate thickness = 0.4 mm, plate/screw profile = 0.5 mm) MatrixNEURO self-drilling screw for rapid and easy insertion Ordering information S MatrixNEURO Sterile Kit, Standard 4 mm Art.No. Contents Units MatrixNEURO Cranial Plate, straight with 3 centre space 12 mm, 2 holes, thickness 0.4 mm, Pure Titanium MatrixNEURO Screw 1.5 mm, selfdrilling, 6 length 4 mm, Titanium Alloy (TAN) S MatrixNEURO Sterile Kit, Burr Hole Cover 17 mm Art.No. Contents Units MatrixNEURO Burr Hole Cover, for burr 1 holes up to 17.0 mm, thickness 0.4 mm, Pure Titanium MatrixNEURO Cranial Plate, straight with centre 2 space 12 mm, 2 holes, thickness 0.4 mm, Pure Titanium MatrixNEURO Screw 1.5 mm, self-drilling, 8 length 4 mm, Titanium Alloy (TAN) Instruments needed Screwdriver Handle, medium, with Hex Coupling MatrixNEURO Screwdriver Shaft 1.5, medium, self-holding, length 66 mm, for Hexagonal Coupling Recommended to use with Module for use with sterile implants without Lid Lid MatrixNeuro for No Labelling Clips for Module for use with sterile implant

8 MatrixNEURO Ultra Low Profile Plates MatrixNEURO Ultra Low Profile Plates Plate thickness = 0.3 mm, plate/screw profile = 0.4 mm Low plate profile preserves patient cosmesis Chamfered edges for virtually no palpability Construct stiffness and strength comparable to MatrixNEURO plates* Color coded (light green) for easy identification For use with MatrixNEURO screws MatrixNEURO MatrixNEURO Ultra Low Profile Implants MatrixNEURO Ultra Low Profile, thickness 0.3 mm, Pure Titanium** Burr Hole Cover, for burr holes up to 12 mm Burr Hole Cover, for burr holes up to 15 mm Burr Hole Cover, for burr holes up to 17 mm Burr Hole Cover, for burr holes up to 24 mm Burr Hole Cover, for Shunt or Drainage, for burr holes up to 17 mm Cranial Plate, straight, with centre space 9.0 mm, 2 holes Cranial Plate, straight, with centre space 12 mm, 2 holes Cranial Plate, straight, with centre space 12 mm, 4 holes X-Plate, 4 holes Frame Plate, square, 4 holes, mm Double Y-Plate, 6 holes, length 18 mm Frame Plate, rectangular, 4 holes, mm Strut Plate, 2 3 holes, mm Recommended to use with MatrixNEURO Standard Set MatrixNEURO Standard Instrument Set incl. insert for Mesh Plates MatrixNEURO Set, for use with sterile implants MatrixNEURO Basic Set MatrixNEURO Instrument Set, 1/3, standard *Data on file at DePuy Synthes. Mechanical test data not indicative of clinical performance. **Add suffix S for sterile packed implants

9 MatrixNEURO Reconstruction Mesh MatrixNEURO Reconstruction Mesh Multiple shapes and sizes provide a rigid construct for a variety of cranial defects Reconstruction Mesh is twice as rigid as MatrixNEURO Extra Rigid Mesh* Mesh thickness = 0.6 mm, mesh/screw profile = 0.6 mm Reconstruction mesh benders enable a smooth, gentle contour of the mesh with one hand For use with MatrixNEURO screws Implants MatrixNEURO Mesh Plates, thickness 0.6 mm, contourable, for Reconstruction, Pure Titanium** mm mm mm Circular, 70 mm Circular, 100 mm Instruments MatrixNEURO Bender for Reconstruction Mesh Plates, bending diameter 70 mm MatrixNEURO Cutter for Reconstruction Mesh Plates Module Instrument Tray for MatrixNEURO Reconstruction Mesh Plates *Data on file at DePuy Synthes. Mechanical test data not indicative of clinical performance. **Add suffix S for sterile packed implants

10 Ordering information Sets MatrixNEURO Basic Set MatrixNEURO Standard Set MatrixNEURO Basic Instrument Set MatrixNEURO Standard Instrument Set incl. Insert for Mesh Plates MatrixNEURO Set for use with sterile implants Modules Module MatrixNEURO, 1/3, Basic, with Lid, without Contents Module for Plates and Screws, for MatrixNEURO, size 1/2, with Lid Instrument Tray, 1/3, Basic and Labelling Clips for Instrument Tray MatrixNEURO, Standard Instrument Tray for Low Profile Neuro and MatrixNEURO System, size 1/2, with Lid Module for use with sterile implants, without Lid and Labelling Clips for Module for use with sterile implants Lid MatrixNEURO for No Vario Case, Framing, size 1/2, height 88 mm Lid (Stainless Steel), size 1/2, for Vario Case MatrixNEURO Screws, Titanium, self-drilling* C Screw 1.5 mm, length 3 mm, pack of 1 unit in Clip C Screw 1.5 mm, length 3 mm, pack of 4 units in Clip C Screw 1.5 mm, length 4 mm, pack of 1 unit in Clip C Screw 1.5 mm, length 4 mm, pack of 4 units in Clip C** Screw 1.5 mm, length 5 mm, pack of 1 unit in Clip C** Screw 1.5 mm, length 5 mm, pack of 4 units in Clip MatrixNEURO Sterile Kit S Standard, 4 mm S Burr Hole Cover for burr holes up to 17 mm MaxtrixNEURO Emergency scews, Titanium, self-tapping* C Emergency Screw 1.8 mm, length 3 mm, pack of 1 unit in Clip C Emergency Screw 1.8 mm, length 4 mm, pack of 1 unit in Clip C Emergency Screw 1.8 mm, length 5 mm, pack of 1 unit in Clip MatrixNEURO Plates, Titanium* Strut Plate, contourable Temporal Mesh Plate, contourable Cranial Plate, straight, with centre space, 9 mm, 2 holes Cranial Plate, straight, with centre space, 12 mm, 2 holes Cranial Plate, straight, with centre space, 12 mm, 4 holes X-Plate, 4 holes Frame Plate, square, 4 holes, mm Frame Plate, square, 4 holes, mm Y-Plate, 5 holes Double-Y-Plate, 6 holes, length 18 mm Double-Y-Plate, 6 holes, length 21 mm Adaption Plate, 5 holes Adaption Plate, 7 holes Adaption Plate, 20 holes Frame Plate, rectangular, 4 holes, mm Strut Plate, 2 3 holes, mm Strut Plate, 2 4 holes, mm MatrixNEURO Burr Hole Covers, Titanium* mm mm mm mm mm, for Shunt or Drainage mm, for Shunt or Drainage mm, for Shunt or Drainage mm, for Shunt or Drainage MatrixNEURO Contourable Mesh, Titanium* mm, malleable mm, rigid mm, malleable mm, rigid mm, rigid Crescent-shaped, small, malleable Crescent-shaped, large, malleable Crescent-shaped, small, rigid Crescent-shaped, large, rigid Circular, 30 mm, malleable Circular, 70 mm, malleable Circular, 100 mm, malleable Circular, 30 mm, rigid Circular, 70 mm, rigid Circular, 100 mm, rigid Mastoid Plate, small Mastoid Plate, medium Mastoid Plate, large mm, thickness 0.6 mm, extra rigid mm, thickness 0.6 mm, extra rigid mm, thickness 0.6 mm, extra rigid crescent-shaped, small, thickness 0.6 mm, extra rigid crescent-shaped, large, thickness 0.6 mm, extra rigid circular, 30 mm, thickness 0.6 mm, extra rigid circular, 70 mm, thickness 0.6 mm, extra rigid circular, 100 mm, thickness 0.6 mm, extra rigid Instruments Screwdriver Shaft 1.5, short, for Hex Coupling Screwdriver Shaft 1.5, medium, for Hex Coupling Plate Bender, locking Plate Bender, non-locking Plate Holder, short Plate Holder, long Cutting Scissors for Mesh Plates, short Cutting Scissors for Mesh Plates, long Drill Bit 1.1 mm with Stop, 4 mm, for J-Latch Coupling Drill Bit 1.1 mm with Stop, 4 mm, for Hex Coupling Screwdriver handle, small, with hex coupling Screwdriver handle, medium, with hex coupling Screwdriver handle, large, with hex coupling MatrixNEURO Bender for Reconstruction Mesh Plates, bending diameter 70 mm MatrixNEURO Cutter for Reconstruction Mesh Plates

11 MatrixNEURO Ultra Low Profile, thickness 0.3 mm, Pure Titanium*** Burr Hole Cover, for burr holes up to 12 mm Burr Hole Cover, for burr holes up to 15 mm Burr Hole Cover, for burr holes up to 17 mm Burr Hole Cover, for burr holes up to 24 mm Burr Hole Cover, for Shunt or Drainage, for burr holes up to 17 mm Cranial Plate, straight, with centre space 9.0 mm, 2 holes Cranial Plate, straight, with centre space 12 mm, 2 holes Cranial Plate, straight, with centre space 12 mm, 4 holes X-Plate, 4 holes Frame Plate, square, 4 holes, mm Double Y-Plate, 6 holes, length 18 mm Frame Plate, rectangular, 4 holes, mm Strut Plate, 2 3 holes, mm MatrixNEURO Mesh Plates, thickness 0.6 mm, contourable, for Reconstruction, Pure Titanium*** mm mm mm Circular, 70 mm Circular, 100 mm * For sterile screws and plates add suffix S to article number. For label clips add suffix LC to article number. ** Synthes recommends pre-drilling in dense bone. *** Add suffix S for sterile packed implants. Colour of the plates Pink = extra rigid Blue = rigid Silver = malleable

12 Synthes GmbH Eimattstrasse Oberdorf Switzerland Tel: Fax: This publication is not intended for distribution in the USA. All technique guides are available as PDF files at DePuy Synthes CMF, a division of Synthes GmbH All rights reserved AF DSEM/CMF/1014/ /14

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