CANNULATED SCREW SYSTEM
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- Janel Doyle
- 7 years ago
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1 CANNULATED SCREW SYSTEM
2 Rationale, Features & Benefits The Stryker Trauma Cannulated Screw Systems are designed to optimise surgical outcomes while simplifying procedures. The systems incorporate several unique features intended to enhance screw placement, insertion and removal as follows: Low Profile Screw Head Reduced potential for soft-tissue irritation Improved external aesthetics Material Choice Titanium Alloy (TAV) Increased CT, MRI and Bio-compatibility Anodizing Type II hardens Implant surface to minimise fretting Stainless Steel (316LVM) Compatibility with current steel systems Packaging Choice Implants available both sterile and non-sterile Reverse Cutting Flute To facilitate removal Thread Choice Implants available with both partial and full thread options Self-drilling / Tapping design Fast efficient cutting for reduced operative time. Flat tip to minimise the potential for soft-tissue irritation Large diameter Guide Wires Large diameter reduces risk of deflection. Threaded tip engages bone for optimal purchase
3 System Features Large Diameter Guide Wires The Systems feature larger diameter Guide Wires with tapered core. This unique design reduces potential for a stress riser at the thread/shank junction. The larger diameter provides greater bending stiffness to reduce deflection. This ensures the most precise of screw placement. Bending Stiffness (Nmm 2 x 10 3 ) Guide Wire Diameter (mm) Modular Case Design and Elastosil Handles The modular case design offers improved aesthetics and better access to the instrumentation thus simplifying the procedure further. The inclusion of Elastosil Handles ensures maximum surgeon grip as well as minimising heat retention following sterilisation. SCREW RANGE AND 4.0mm 5.0mm 6.5mm 8.0mm Partial 1/3 Thread 1/3 Thread 20mm Thread 40mm Thread 25mm Thread 14mm - 50mm* 20mm - 50mm* 40mm - 120mm** 55mm - 120mm** 40mm - 120mm** 55mm - 70mm** 55mm - 80mm** Full 10mm - 50mm* 20mm - 50mm* 30mm - 120mm** 40mm - 120mm** 55mm - 70mm** * 2mm increments ** 5mm increments
4 Operative Technique - 4.0mm Indications 4.0mm Fractures of the tarsals and metatarsals Fractures of the olecranon, distal humerus Fractures of the radius and ulna Patella fractures Distal tibia and pilon fractures Fractures of the fibula, medial malleolus, os calcis Tarso-metatarsal and metatarso-phalangeal arthrodeses Metatarsal and phalangeal osteotomies Osteochondritis dissecans Ligament fixation Fractures of the pelvic ring Other small fragment, cancellous bone fractures Step one Insert Guide Wire Using the ø1.4/2.7mm Double Drill Guide, insert a ø1.4x150mm Guide Wire to the appropriate depth. Use Image Intensification to control reduction and Guide Wire placement. Place additional Guide Wires as necessary. Remove the Double Drill Guide. Note: Alternative: Option: In dense bone, puncturing the cortex with the ø1.4x150mm Drill Bit to initiate the Wire may reduce potential heat and/or deflection. Substitute the ø1.4x150mm Guide Wire with a ø1.4x150mm Drill Bit. Throughout the procedure it is possible to interchange the Guide Wire and Drill Bit. A Parallel Drill Guide is available for parallel placement of Guide Wire. Optional Countersink or Washer? Where soft tissue coverage is minimal, use of the Countersink to further recess the low profile Screw Head may be beneficial. Care should be taken to ensure the Cortex is not countersunk past its capacity. In osteoporotic bone or where the Cortex is thin, Washers can be applied to spread the load of the Screw Head over a greater area. Note: The Countersink design does not require pre-drilling.
5 Step two Measure for Screw Length Slide the Direct Measuring Gauge over the ø1.4x150mm Guide Wire. The Direct Measuring Gauge measures direct to the tip of the Guide Wire. This ensures that the final Screw position corresponds with the initial tip position of the Guide Wire. Select appropriate Screw length. Length adjustment is particularly important if the tip is near an articular surface. Note: Care should be taken to ensure the Direct Measuring Gauge tip engages the bone when a reading is taken. Step three Insert Screw Using the Cannulated Screwdriver with Elastosil Handle and the Screw Holding Sleeve, insert the selected screw over the Guide Wire. Release the Screw Holding Sleeve prior to final tightening. Remove Screwdriver and Screw Holding Sleeve. Note: Always verify Guide Wire and Screw Position with Periodic Image Intensification. Step four Verify Final Reduction Verify the final position of the Screw. Remove and discard the Guide Wire. Repeat as necessary for additional screws.
6 Operative Technique - 5.0mm Indications 5.0mm Fixation of intermediate-sized fragments in fractures such as: Medial and lateral malleolar and pilon fractures Proximal and distal humerus fractures Fractures of the olecranon process Tibial plateau fractures Os calcis, talar and patellar fractures Ligament fixation of the proximal humerus Fractures of the pelvis and acetabulum Arthrodesis of the tarsals Step one Insert Guide Wire Using the ø2.0/3.5mm Double Drill Guide, insert a ø2.0x150mm Guide Wire to the appropriate depth. Use Image Intensification to control reduction and Guide Wire placement. Place additional Guide Wires as necessary. Remove the Double Drill Guide. Note: Alternative: Option: In dense bone, puncturing the cortex with the ø2.0x150mm Drill Bit to initiate the Wire may reduce potential heat and/or deflection. Substitute the ø2.0x150mm Guide Wire with a ø2.0x150mm Drill Bit. Throughout the procedure it is possible to interchange the Guide Wire and Drill Bit. A Parallel Drill Guide is available for parallel placement of Guide Wire. Optional Countersink or Washer? Where soft tissue coverage is minimal, use of the Countersink to further recess the low profile Screw Head may be beneficial. Care should be taken to ensure the Cortex is not countersunk past its capacity. In osteoporotic bone or where the Cortex is thin, Washers can be applied to spread the load of the Screw Head over a greater area. Note: The Countersink design does not require pre-drilling.
7 Step two Measure for Screw Length Slide the Direct Measuring Gauge over the ø2.0x150mm Guide Wire. The Direct Measuring Gauge measures direct to the tip of the Guide Wire. This ensures that the final Screw position corresponds with the initial tip position of the Guide Wire. Select appropriate Screw length. Length adjustment is particularly important if the tip is near an articular surface. Note: Care should be taken to ensure the Direct Measuring Gauge tip engages the bone when a reading is taken. Step three Insert Screw Using the Cannulated Screwdriver with Elastosil Handle and the Screw Holding Sleeve, insert the selected Screw over the Guide Wire. Release the Screw Holding Sleeve prior to final tightening. Remove Screwdriver and Screw Holding Sleeve. Note: Always verify Guide Wire and Screw Position with Periodic Image Intensification. Step four Verify Final reduction Verify the final position of the Screw. Remove and discard the Guide Wire. Repeat as necessary for additional screws.
8 Operative Technique - 6.5/8.0mm Indications 6.5/8.0mm 6.5/8.0mm Indicators are as follows: Intracapsular fractures of the femoral neck Intertrochanteric fractures of the femur Tibial plateau fractures Fractures of the dorsal pelvic ring Pelvic sacroiliac joint disruptions Ankle arthrodesis Step one Insert Guide Wire Guide Wire insertion Using an appropriate Power Tool, the 3.2x300mm Guide Wire is inserted to the appropriate depth through a tissue guide assembly. Use Image Intensification to control reduction and Guide Wire placement. Multiple Guide Wire insertion Connect the Parallel or Multiple Drill Guide to the Elastosil Hammer Handle. Using an appropriate Power Tool the 3.2x300mm Guide Wire is inserted to the appropriate depth. Use Image Intensification to control reduction and place further parallel Guide Wires as necessary. Note: If washers are required ensure correct screw spacing is chosen. Technical Tip Avoid Inferior Screw placement below the level of the Lesser Trochanter to avoid Postoperative Subtrochanteric Fractures. In the A/P view the initial Guide Wire should be placed at the level of the Lesser Trochanter and inserted along the Inferior portion of the Femoral Neck. The Lateral view should show the Guide Wire centrally located in the Femoral Neck and Head. Anteversion may be checked by placing a Guide Wire over the Anterior Neck.
9 Step two Note: Measure for Screw Length Remove the Guide Wire Insertion Sleeve then slide the Direct Measuring Gauge over the Guide Wire. The Direct Measuring Gauge measures directly to the tip of the Guide Wire. This ensures the final Screw position corresponds with the initial tip position of the Guide Wire. Select appropriate screw length, always ensuring to select the lesser of the two sizes, if the measurement is between sizes. It is recommended to subtract between 5-10mm from the measurement on the Direct Measuring Gauge to avoid the potential penetration of the Femoral Head*. The Screw Insertion Sleeve is designed to allow the Direct Measuring Gauge to pass through it. This reduces potential soft tissue damage and larger insertions. * This may not be necessary in other indications where it is desirable to insert a screw which matches exactly the position of the Guide Wire. Thus maximum thread purchase in the cortex is achieved. Step three Insert Screw Using the Cannulated Screwdriver with Elastosil Handle and the Screw Holding Sleeve insert the selected screw over the Guide Wire. Release the screw Holding Sleeve prior to final tightening. Each Screw is inserted through the Soft Tissue Protection Sleeve. Note: Always verify the Guide Wire and screw position with periodic Image Intensification. Step four Verify Final reduction Verify the final position of the screw. Remove and discard all Guide Wires. Repeat as necessary for additional screws.
10 Product Information 4.0MM INSTRUMENTS RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY CASE ASNIS III 4.0mm Plastic Lid ( 3 4 Length ) ASNIS III 4.0mm System Tray Insert without Screw Rack ASNIS III 4.0mm System Screw Rack with Lid ASNIS III Plastic Base ( 3 4 Length) Optional ASNIS III Metal Base ( 3 4 Length) Optional INSTRUMENTS ASNIS III 4.0mm, Elastosil Handle with AO Quick Coupling ASNIS III 4.0mm, Double Drill Guide Ø 1.4/2.7mm ASNIS III 4.0mm, Cannulated Drill Ø 2.7mm with AO Coupling ASNIS III 4.0mm, Drill Bit Ø 1.4 x 150mm Optional ASNIS III 4.0mm, Cannulated Tap Ø 4.0mm with AO Coupling ASNIS III 4.0mm, Cannulated Countersink for Ø 4.0mm Screws 1 with AO Coupling ASNIS III 4.0mm, Direct Measuring Gauge for Wires 1 Ø 1.4/2.0 x 150mm ASNIS III 4.0mm, Cannulated Screwdriver with Elastosil 1 Handle Hex 2.5mm ASNIS III 4.0mm, Cannulated Screwdriver with AO Coupling Optional Hex 2.5mm ASNIS III 4.0mm, Solid Screwdriver with AO Coupling Optional Hex 2.5mm ASNIS III 4.0mm, Holding Sleeve for Screwdrivers 1 use with Screwheads Ø 5.0mm ASNIS III 4.0mm, Cleaning Stylet Ø 1.4mm ASNIS III 4.0mm, Extractor for Ø 4.0mm Screws Optional Screw Forceps Optional Cannulated Drill Ø 4.0mm with AO Coupling Optional Parallel Guide for Ø 1.4mm Wires Optional 4.0MM IMPLANTS GUIDE WIRE AND WASHERS ASNIS III 4.0mm, Threaded Guide Wire Ø 1.4 x 150mm ASNIS III Washer for 4.0mm Screws
11 4.0MM IMPLANTS PARTIALLY THREADED SCREWS S ASNIS III Cannulated Screw 4.0 x 14mm S S ASNIS III Cannulated Screw 4.0 x 16mm S S ASNIS III Cannulated Screw 4.0 x 18mm S S ASNIS III Cannulated Screw 4.0 x 20mm S S ASNIS III Cannulated Screw 4.0 x 22mm S S ASNIS III Cannulated Screw 4.0 x 24mm S S ASNIS III Cannulated Screw 4.0 x 26mm S S ASNIS III Cannulated Screw 4.0 x 28mm S S ASNIS III Cannulated Screw 4.0 x 30mm S S ASNIS III Cannulated Screw 4.0 x 32mm S S ASNIS III Cannulated Screw 4.0 x 34mm S S ASNIS III Cannulated Screw 4.0 x 36mm S S ASNIS III Cannulated Screw 4.0 x 38mm S S ASNIS III Cannulated Screw 4.0 x 40mm S S ASNIS III Cannulated Screw 4.0 x 42mm S S ASNIS III Cannulated Screw 4.0 x 44mm S S ASNIS III Cannulated Screw 4.0 x 46mm S S ASNIS III Cannulated Screw 4.0 x 48mm S S ASNIS III Cannulated Screw 4.0 x 50mm S S ASNIS III Cannulated Screw 4.0 x 55mm S S ASNIS III Cannulated Screw 4.0 x 60mm S S ASNIS III Cannulated Screw 4.0 x 65mm S S ASNIS III Cannulated Screw 4.0 x 70mm S FOR UNSTERILE SCREWS REMOVE THE S AFTER THE REF. NUMBER 4.0MM IMPLANTS FULL THREAD SCREWS S ASNIS III Cannulated Screw 4.0 x 10mm S S ASNIS III Cannulated Screw 4.0 x 12mm S S ASNIS III Cannulated Screw 4.0 x 14mm S S ASNIS III Cannulated Screw 4.0 x 16mm S S ASNIS III Cannulated Screw 4.0 x 18mm S S ASNIS III Cannulated Screw 4.0 x 20mm S S ASNIS III Cannulated Screw 4.0 x 22mm S S ASNIS III Cannulated Screw 4.0 x 24mm S S ASNIS III Cannulated Screw 4.0 x 26mm S S ASNIS III Cannulated Screw 4.0 x 28mm S S ASNIS III Cannulated Screw 4.0 x 30mm S S ASNIS III Cannulated Screw 4.0 x 32mm S S ASNIS III Cannulated Screw 4.0 x 34mm S S ASNIS III Cannulated Screw 4.0 x 36mm S S ASNIS III Cannulated Screw 4.0 x 38mm S S ASNIS III Cannulated Screw 4.0 x 40mm S S ASNIS III Cannulated Screw 4.0 x 42mm S S ASNIS III Cannulated Screw 4.0 x 44mm S S ASNIS III Cannulated Screw 4.0 x 46mm S S ASNIS III Cannulated Screw 4.0 x 48mm S S ASNIS III Cannulated Screw 4.0 x 50mm S PLEASE NOTE: FULL THREAD SCREWS ARE ONLY AVAILABLE STERILE
12 Product Information 5.0MM INSTRUMENTS RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY CASE ASNIS III 5.0mm Plastic Lid ( 3 4 Length ) ASNIS III 5.0mm System Tray Insert without Screw Rack ASNIS III 5.0mm System Screw Rack with Lid ASNIS III 5.0mm Plastic Base ( 3 4 Length ) Optional ASNIS III 5.0mm Metal Base ( 3 4 Length ) Optional INSTRUMENTS ASNIS III 5.0mm, Elastosil Handle with AO Quick Coupling ASNIS III 5.0mm, Double Drill Guide Ø 2.0/3.5mm ASNIS III 5.0mm, Cannulated Drill Ø 3.5mm with AO Coupling ASNIS III 5.0mm, Drill Bit Ø 2.0 x 150mm Optional ASNIS III 5.0mm, Cannulated Tap Ø 5.0mm with AO Coupling ASNIS III 5.0mm, Cannulated Countersink for Ø 5.0mm Screws 1 with AO Coupling ASNIS III 5.0mm, Direct Measuring Gauge for Wires Ø 1.4/2.0 x 150mm ASNIS III 5.0mm, Cannulated Screwdriver with Elastosil 1 Handle Hex 3.5mm ASNIS III 5.0mm, Cannulated Screwdriver with AO Coupling Optional Hex 3.5mm ASNIS III 5.0mm, Solid Screwdriver with AO Coupling Hex 3.5mm Optional ASNIS III 5.0mm, Holding Sleeve for Screwdrivers 1 use with Screwheads Ø 6.0mm ASNIS III 5.0mm, Cleaning Stylet Ø 2.0mm ASNIS III 5.0mm, Extractor for Ø 5.0mm Screws Optional ASNIS III Screw Forceps Optional ASNIS III 5.0mm, Cannulated Drill Ø 5.0mm with AO Coupling Optional ASNIS III 5.0mm, Parallel Guide for Ø 2.0mm Wire Optional 5.0MM IMPLANTS GUIDE WIRE AND WASHERS ````` ASNIS III Threaded Guide Wire Ø 2.0 x 150mm ASNIS III Washer for 5.0mm Screws
13 5.0MM IMPLANTS PARTIALLY THREADED SCREWS S ASNIS III Cannulated Screw 5.0 x 20mm S S ASNIS III Cannulated Screw 5.0 x 22mm S S ASNIS III Cannulated Screw 5.0 x 24mm S S ASNIS III Cannulated Screw 5.0 x 26mm S S ASNIS III Cannulated Screw 5.0 x 28mm S S ASNIS III Cannulated Screw 5.0 x 30mm S S ASNIS III Cannulated Screw 5.0 x 32mm S S ASNIS III Cannulated Screw 5.0 x 34mm S S ASNIS III Cannulated Screw 5.0 x 36mm S S ASNIS III Cannulated Screw 5.0 x 38mm S S ASNIS III Cannulated Screw 5.0 x 40mm S S ASNIS III Cannulated Screw 5.0 x 42mm S S ASNIS III Cannulated Screw 5.0 x 44mm S S ASNIS III Cannulated Screw 5.0 x 46mm S S ASNIS III Cannulated Screw 5.0 x 48mm S S ASNIS III Cannulated Screw 5.0 x 50mm S S ASNIS III Cannulated Screw 5.0 x 55mm S S ASNIS III Cannulated Screw 5.0 x 60mm S S ASNIS III Cannulated Screw 5.0 x 65mm S S ASNIS III Cannulated Screw 5.0 x 70mm S S ASNIS III Cannulated Screw 5.0 x 75mm S S ASNIS III Cannulated Screw 5.0 x 80mm S FOR UNSTERILE SCREWS REMOVE THE S AFTER THE REF. NUMBER 5.0MM IMPLANTS FULL THREAD SCREWS S ASNIS III Cannulated Screw 5.0 x 20mm S S ASNIS III Cannulated Screw 5.0 x 22mm S S ASNIS III Cannulated Screw 5.0 x 24mm S S ASNIS III Cannulated Screw 5.0 x 26mm S S ASNIS III Cannulated Screw 5.0 x 28mm S S ASNIS III Cannulated Screw 5.0 x 30mm S S ASNIS III Cannulated Screw 5.0 x 32mm S S ASNIS III Cannulated Screw 5.0 x 34mm S S ASNIS III Cannulated Screw 5.0 x 36mm S S ASNIS III Cannulated Screw 5.0 x 38mm S S ASNIS III Cannulated Screw 5.0 x 40mm S S ASNIS III Cannulated Screw 5.0 x 42mm S S ASNIS III Cannulated Screw 5.0 x 44mm S S ASNIS III Cannulated Screw 5.0 x 46mm S S ASNIS III Cannulated Screw 5.0 x 48mm S S ASNIS III Cannulated Screw 5.0 x 50mm S S ASNIS III Cannulated Screw 5.0 x 55mm S S ASNIS III Cannulated Screw 5.0 x 60mm S S ASNIS III Cannulated Screw 5.0 x 65mm S S ASNIS III Cannulated Screw 5.0 x 70mm S PLEASE NOTE: FULL THREAD SCREWS ARE ONLY AVAILABLE STERILE
14 Product Information 6.5/8.0MM INSTRUMENTS RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY CASE ASNIS III 6.5/8.0mm Plastic Lid (Full Length) ASNIS III 6.5/8.0mm System Tray Insert without Screw Rack ASNIS III 6.5/8.0mm System Screw Rack with Lid ASNIS III 6.5/8.0mm Plastic Base (Full Length) ASNIS III 6.5/8.0mm Metal Base (Full Length) Optional ASNIS III 6.5/8.0mm Plastic Lid ( 3 4 Length) Optional ASNIS III 6.5/8.0mm Plastic Base ( 3 4 Length) Optional ASNIS III 6.5/8.0mm Metal Base( 3 4 Length) Optional INSTRUMENTS 6.5MM SYSTEM (cont.) RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY ASNIS III 6.5/8.0mm, Cannulated Drill Ø4.9mm with Large AO Fitting ASNIS III 6.5/8.0mm, Cannulated Tap Ø6.5mm with Large AO Fitting ASNIS III 6.5/8.0mm, Holding Sleeve for Screwdrivers 1 use with Screwheads Ø8.0mm ASNIS III 6.5/8.0mm, Cannulated Countersink for 6.5/8.0mm Optional Screws with AO Fitting ASNIS III 6.5/8.0mm, Solid Screwdriver with Large AO Fitting Optional Hex 5.0mm ASNIS III 6.5/8.0mm, Cleaning Stylet Ø3.2mm ASNIS III 6.5/8.0mm, Elastosil T-Handle with Large AO Coupling ASNIS III 6.5/8.0mm, Cannulated Screwdriver with Elastosil Handle 1 Hex 5.0mm ASNIS III 6.5/8.0mm, Elastosil Hammer-Handle with Large AO Coupling ASNIS III 6.5/8.0mm, Protection Sleeve with Large AO Fitting ASNIS III 6.5/8.0mm, Screw Insertion Sleeve ASNIS III 6.5/8.0mm, Guide Wire Insertion Sleeve for Ø3.2mm 1 Guide Wires ASNIS III 6.5/8.0mm, Direct Measuring Gauge for Ø3.2mm 1 Guide Wires ASNIS III 6.5/8.0mm, Large AO Coupling - Hall Fitting Optional
15 ADDITIONAL FOR 8.0MM SYSTEM RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY ASNIS III 6.5/8.0mm, Cannulated Drill Ø5.6mm with Large AO Fitting ASNIS III 6.5/8.0mm, Cannulated Tap Ø8.0mm with Large AO Fitting ASNIS III 6.5/8.0mm, Holding Sleeve for Screwdrivers 1 use with Screwheads Ø9.0mm Required only if 8.0mm Screws are included OTHER INSTRUMENTS RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY ASNIS III 6.5/8.0mm, Cannulated Drill Ø6.5mm with Large AO Fitting* Optional ASNIS III 6.5/8.0mm, Cannulated Drill Ø8.0mm with Large AO Fitting* Optional ASNIS III 6.5/8.0mm, Cannulated Screwdriver with Large AO Fitting Optional Hex 5.0mm ASNIS III 6.5/8.0mm, Extractor for Ø6.5/8.0mm Screws Optional ASNIS III 6.5/8.0mm, Drill Bit Ø3.2 x 300mm Optional ASNIS III 6.5/8.0mm, Multiple Drill Guide with Elastosil Optional Hammer-Handle ASNIS III 6.5/8.0mm, Multiple Drill Guide with Large AO Fitting Optional ASNIS III 6.5/8.0mm, Parallel Drill Guide with Elastosil Optional Hammer-Handle ASNIS III 6.5/8.0mm, Parallel Drill Guide with Large AO Fitting Optional ASNIS III 6.5/8.0mm, Protection Sleeve with Elastosil Optional Hammer-Handle ASNIS III 6.5/8.0mm, Quick Release Driver with Hall Fitting Optional ASNIS III 6.5/8.0mm, Screw Forceps Optional * PLEASE NOTE THESE DRILLS ARE USED ONLY WITH FULL THREAD IMPLANTS
16 6.5MM SYSTEM (cont.) RECOMMENDED MINIMUM REF NO DESCRIPTION SET QUANTITY ASNIS III Threaded Guide Wire Ø 3.2 x 300mm ASNIS III Guide Wire without Thread Ø 3.2 x 300mm Optional ASNIS III Guide Wire with Calibrations and fitting Ø 3.2 x 300mm Optional ASNIS III Washer for 6.5/8.0mm Screws MM IMPLANTS 20MM THREAD SCREWS S ASNIS III Cannulated Screw 6.5 x 40mm S S ASNIS III Cannulated Screw 6.5 x 45mm S S ASNIS III Cannulated Screw 6.5 x 50mm S S ASNIS III Cannulated Screw 6.5 x 55mm S S ASNIS III Cannulated Screw 6.5 x 60mm S S ASNIS III Cannulated Screw 6.5 x 65mm S S ASNIS III Cannulated Screw 6.5 x 70mm S S ASNIS III Cannulated Screw 6.5 x 75mm S S ASNIS III Cannulated Screw 6.5 x 80mm S S ASNIS III Cannulated Screw 6.5 x 85mm S S ASNIS III Cannulated Screw 6.5 x 90mm S S ASNIS III Cannulated Screw 6.5 x 95mm S S ASNIS III Cannulated Screw 6.5 x 100mm S S ASNIS III Cannulated Screw 6.5 x 105mm S S ASNIS III Cannulated Screw 6.5 x 110mm S S ASNIS III Cannulated Screw 6.5 x 115mm S S ASNIS III Cannulated Screw 6.5 x 120mm S FOR UNSTERILE SCREWS REMOVE THE S AFTER THE REF. NUMBER
17 6.5MM IMPLANTS 40MM THREAD SCREWS S ASNIS III Cannulated Screw 6.5 x 55mm S S ASNIS III Cannulated Screw 6.5 x 60mm S S ASNIS III Cannulated Screw 6.5 x 65mm S S ASNIS III Cannulated Screw 6.5 x 70mm S S ASNIS III Cannulated Screw 6.5 x 75mm S S ASNIS III Cannulated Screw 6.5 x 80mm S S ASNIS III Cannulated Screw 6.5 x 85mm S S ASNIS III Cannulated Screw 6.5 x 90mm S S ASNIS III Cannulated Screw 6.5 x 95mm S S ASNIS III Cannulated Screw 6.5 x 100mm S S ASNIS III Cannulated Screw 6.5 x 105mm S S ASNIS III Cannulated Screw 6.5 x 110mm S S ASNIS III Cannulated Screw 6.5 x 115mm S S ASNIS III Cannulated Screw 6.5 x 120mm S FOR UNSTERILE SCREWS REMOVE THE S AFTER THE REF. NUMBER 6.5MM IMPLANTS FULL THREAD SCREWS S ASNIS III Cannulated Screw 6.5 x 30mm S S ASNIS III Cannulated Screw 6.5 x 35mm S S ASNIS III Cannulated Screw 6.5 x 40mm S S ASNIS III Cannulated Screw 6.5 x 45mm S S ASNIS III Cannulated Screw 6.5 x 50mm S S ASNIS III Cannulated Screw 6.5 x 55mm S S ASNIS III Cannulated Screw 6.5 x 60mm S S ASNIS III Cannulated Screw 6.5 x 65mm S S ASNIS III Cannulated Screw 6.5 x 70mm S S ASNIS III Cannulated Screw 6.5 x 75mm S S ASNIS III Cannulated Screw 6.5 x 80mm S S ASNIS III Cannulated Screw 6.5 x 85mm S S ASNIS III Cannulated Screw 6.5 x 90mm S S ASNIS III Cannulated Screw 6.5 x 95mm S S ASNIS III Cannulated Screw 6.5 x 100mm S S ASNIS III Cannulated Screw 6.5 x 105mm S S ASNIS III Cannulated Screw 6.5 x 110mm S S ASNIS III Cannulated Screw 6.5 x 115mm S S ASNIS III Cannulated Screw 6.5 x 120mm S PLEASE NOTE: FULL THREAD SCREWS ARE ONLY AVAILABLE STERILE
18 8.0MM IMPLANTS PARTIAL THREAD SCREWS S ASNIS III Cannulated Screw 8.0 x 40mm S S ASNIS III Cannulated Screw 8.0 x 45mm S S ASNIS III Cannulated Screw 8.0 x 50mm S S ASNIS III Cannulated Screw 8.0 x 55mm S S ASNIS III Cannulated Screw 8.0 x 60mm S S ASNIS III Cannulated Screw 8.0 x 65mm S S ASNIS III Cannulated Screw 8.0 x 70mm S S ASNIS III Cannulated Screw 8.0 x 75mm S S ASNIS III Cannulated Screw 8.0 x 80mm S S ASNIS III Cannulated Screw 8.0 x 85mm S S ASNIS III Cannulated Screw 8.0 x 90mm S S ASNIS III Cannulated Screw 8.0 x 95mm S S ASNIS III Cannulated Screw 8.0 x 100mm S S ASNIS III Cannulated Screw 8.0 x 105mm S S ASNIS III Cannulated Screw 8.0 x 110mm S S ASNIS III Cannulated Screw 8.0 x 115mm S S ASNIS III Cannulated Screw 8.0 x 120mm S FOR UNSTERILE SCREWS REMOVE THE S AFTER THE REF. NUMBER 8.0MM IMPLANTS FULL THREAD SCREWS S ASNIS III Cannulated Screw 8.0 x 40mm S S ASNIS III Cannulated Screw 8.0 x 45mm S S ASNIS III Cannulated Screw 8.0 x 50mm S S ASNIS III Cannulated Screw 8.0 x 55mm S S ASNIS III Cannulated Screw 8.0 x 60mm S S ASNIS III Cannulated Screw 8.0 x 65mm S S ASNIS III Cannulated Screw 8.0 x 70mm S S ASNIS III Cannulated Screw 8.0 x 75mm S S ASNIS III Cannulated Screw 8.0 x 80mm S S ASNIS III Cannulated Screw 8.0 x 85mm S S ASNIS III Cannulated Screw 8.0 x 90mm S S ASNIS III Cannulated Screw 8.0 x 95mm S S ASNIS III Cannulated Screw 8.0 x 100mm S S ASNIS III Cannulated Screw 8.0 x 105mm S S ASNIS III Cannulated Screw 8.0 x 110mm S S ASNIS III Cannulated Screw 8.0 x 115mm S S ASNIS III Cannulated Screw 8.0 x 120mm S PLEASE NOTE: FULL THREAD SCREWS ARE ONLY AVAILABLE STERILE
19 Surgical Tips Options: Tap / Drill - In hard or sclerotic bone, pre-drilling and pre-tapping may be necessary. Cannulated Screwdriver with AO fitting - This can be used with either the Elastosil Handle with AO Coupling or a Power Tool. If a Power Tool is selected final tightening must be carried out by hand to prevent stripping. Cleaning: Removal: Single Use Items: Care should be taken to utilise the Cleaning Stylet for Inter and Post-Operative cleaning of cannulations. Correct inter-operative use of this instrument prevents accumulation of debris. It is recommended that the Solid Screwdriver be used for Screw removal. This can apply greater torque and will reduce the potential for damaging the hex tip on the Screwdriver. Discard all single-use implants and instruments utilised during the procedure. Notes Warning: Bone Screws referenced in this material are not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine.
20 This new generation of Cannulated Screws has been designed to optimise surgical outcomes while simplifying procedures. The ASNIS III System offers the surgeon a complete choice of implants, material and packaging combined with a new user-friendly instrumentation. LOGO #2 The OMEGA + Compression Hip Screw System integrates innovative features such as sideplate made of superstrong alloy material and improved instrumentation. OMEGA + Plates and Lag Screws are available in Sterile or Non-Sterile packaging for customer preference and convenience. LOGO #3 The TGN is the latest development in the continuing evolution of the Gamma Locking Nail family designed for rapid and secure fixation of intertrochanteric and pertrochanteric fractures. Combining strength and biomechanical advantages of the existing Gamma family it is the Golden standard for proximal femoral fractures. LOGO #4 The Long Gamma Nail is a specialized development of the original Gamma Locking Nail allowing surgeons to extend the benefits of the highly successful standard implant for trochanteric fractures. It has been designed to treat subtrochanteric, ipsilateral neck and shaft fractures as well as for prophylactic use. MANUFACTURER: Stryker Trauma Selzach AG Bohnackerweg Selzach Switzerland REF NO: VER. TASN0105/02750E 2002 Stryker Corporation. All rights reserved.
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