MatrixNEURO CMF Matrix



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

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

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

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

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

MatrixNEURO Plates, Titanium (bold in actual size), Standard Plates shown Cranial Plates 04.503.061 2 holes, 9 mm 04.503.062 2 holes, 12 mm Cranial Plate 04.503.063 4 holes X-Plate 04.503.064 4 holes Frame Plates 04.503.065 14 mm 14 mm 04.503.066 16 mm 16 mm 04.503.073 10 mm 16 mm Y-Plate 04.503.067 5 holes Double Y-Plates 04.503.068 18 mm 04.503.069 21 mm Strut Plates 04.503.074 2 3 holes 04.503.075 2 4 holes Adaption Plates 04.503.070 5 holes 04.503.071 7 holes 04.503.072 20 holes Burr Hole Covers 04.503.021 12 mm 04.503.022 15 mm 04.503.023 17 mm 04.503.024 24 mm Burr Hole Covers for Shunt or Drainage 04.503.026 12 mm 04.503.027 15 mm 04.503.028 17 mm 04.503.029 24 mm Strut Plate, contourable 04.503.056 Temporal Mesh Plate 04.503.057 Mastoid Plates 04.503.096 small 04.503.097 medium 04.503.098 large Mesh Plates 04.503.081 095 Available in various shapes, sizes and rigidities (refer to Ordering Information) 04.503.090 Circular, 30 mm, malleable

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 145.321S MatrixNEURO Sterile Kit, Standard 4 mm Art.No. Contents Units 04.503.062 MatrixNEURO Cranial Plate, straight with 3 centre space 12 mm, 2 holes, thickness 0.4 mm, Pure Titanium 04.503.104 MatrixNEURO Screw 1.5 mm, selfdrilling, 6 length 4 mm, Titanium Alloy (TAN) 145.324S MatrixNEURO Sterile Kit, Burr Hole Cover 17 mm Art.No. Contents Units 04.503.023 MatrixNEURO Burr Hole Cover, for burr 1 holes up to 17.0 mm, thickness 0.4 mm, Pure Titanium 04.503.062 MatrixNEURO Cranial Plate, straight with centre 2 space 12 mm, 2 holes, thickness 0.4 mm, Pure Titanium 04.503.104 MatrixNEURO Screw 1.5 mm, self-drilling, 8 length 4 mm, Titanium Alloy (TAN) Instruments needed 311.006 Screwdriver Handle, medium, with Hex Coupling 03.503.017 MatrixNEURO Screwdriver Shaft 1.5, medium, self-holding, length 66 mm, for Hexagonal Coupling Recommended to use with 61.503.200 Module for use with sterile implants without Lid 61.503.208 Lid MatrixNeuro for No. 61.503.200 61.503.200.02 Labelling Clips for Module for use with sterile implant

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** 04.502.021 Burr Hole Cover, for burr holes up to 12 mm 04.502.022 Burr Hole Cover, for burr holes up to 15 mm 04.502.023 Burr Hole Cover, for burr holes up to 17 mm 04.502.024 Burr Hole Cover, for burr holes up to 24 mm 04.502.028 Burr Hole Cover, for Shunt or Drainage, for burr holes up to 17 mm 04.502.061 Cranial Plate, straight, with centre space 9.0 mm, 2 holes 04.502.062 Cranial Plate, straight, with centre space 12 mm, 2 holes 04.502.063 Cranial Plate, straight, with centre space 12 mm, 4 holes 04.502.064 X-Plate, 4 holes 04.502.065 Frame Plate, square, 4 holes, 14 14 mm 04.502.068 Double Y-Plate, 6 holes, length 18 mm 04.502.073 Frame Plate, rectangular, 4 holes, 10 16 mm 04.502.074 Strut Plate, 2 3 holes, 14 24 mm Recommended to use with 01.503.214 MatrixNEURO Standard Set 01.503.243 MatrixNEURO Standard Instrument Set incl. insert for Mesh Plates 01.503.203 MatrixNEURO Set, for use with sterile implants 01.503.204 MatrixNEURO Basic Set 01.503.223 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

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** 04.503.145 100 100 mm 04.503.146 150 150 mm 04.503.147 200 200 mm 04.503.149 Circular, 70 mm 04.503.150 Circular, 100 mm Instruments 03.503.602 MatrixNEURO Bender for Reconstruction Mesh Plates, bending diameter 70 mm 03.503.605 MatrixNEURO Cutter for Reconstruction Mesh Plates Module 61.503.230 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

Ordering information Sets 01.503.204 MatrixNEURO Basic Set 01.503.214 MatrixNEURO Standard Set 01.503.223 MatrixNEURO Basic Instrument Set 01.503.243 MatrixNEURO Standard Instrument Set incl. Insert for Mesh Plates 01.503.203 MatrixNEURO Set for use with sterile implants Modules 61.503.203 Module MatrixNEURO, 1/3, Basic, with Lid, without Contents 61.503.225 Module for Plates and Screws, for MatrixNEURO, size 1/2, with Lid 61.503.213 Instrument Tray, 1/3, Basic and 61.503.213.02 Labelling Clips for Instrument Tray MatrixNEURO, Standard 61.503.234 Instrument Tray for Low Profile Neuro and MatrixNEURO System, size 1/2, with Lid 61.503.200 Module for use with sterile implants, without Lid and 61.503.200.02 Labelling Clips for Module for use with sterile implants 61.503.208 Lid MatrixNEURO for No. 61.503.200 689.515 Vario Case, Framing, size 1/2, height 88 mm 689.537 Lid (Stainless Steel), size 1/2, for Vario Case MatrixNEURO Screws, Titanium, self-drilling* 04.503.103.01C Screw 1.5 mm, length 3 mm, pack of 1 unit in Clip 04.503.103.04C Screw 1.5 mm, length 3 mm, pack of 4 units in Clip 04.503.104.01C Screw 1.5 mm, length 4 mm, pack of 1 unit in Clip 04.503.104.04C Screw 1.5 mm, length 4 mm, pack of 4 units in Clip 04.503.105.01C** Screw 1.5 mm, length 5 mm, pack of 1 unit in Clip 04.503.105.04C** Screw 1.5 mm, length 5 mm, pack of 4 units in Clip MatrixNEURO Sterile Kit 145.321S Standard, 4 mm 145.324S Burr Hole Cover for burr holes up to 17 mm MaxtrixNEURO Emergency scews, Titanium, self-tapping* 04.503.113.01C Emergency Screw 1.8 mm, length 3 mm, pack of 1 unit in Clip 04.503.114.01C Emergency Screw 1.8 mm, length 4 mm, pack of 1 unit in Clip 04.503.115.01C Emergency Screw 1.8 mm, length 5 mm, pack of 1 unit in Clip MatrixNEURO Plates, Titanium* 04.503.056 Strut Plate, contourable 04.503.057 Temporal Mesh Plate, contourable 04.503.061 Cranial Plate, straight, with centre space, 9 mm, 2 holes 04.503.062 Cranial Plate, straight, with centre space, 12 mm, 2 holes 04.503.063 Cranial Plate, straight, with centre space, 12 mm, 4 holes 04.503.064 X-Plate, 4 holes 04.503.065 Frame Plate, square, 4 holes, 14 14 mm 04.503.066 Frame Plate, square, 4 holes, 16 16 mm 04.503.067 Y-Plate, 5 holes 04.503.068 Double-Y-Plate, 6 holes, length 18 mm 04.503.069 Double-Y-Plate, 6 holes, length 21 mm 04.503.070 Adaption Plate, 5 holes 04.503.071 Adaption Plate, 7 holes 04.503.072 Adaption Plate, 20 holes 04.503.073 Frame Plate, rectangular, 4 holes, 10 16 mm 04.503.074 Strut Plate, 2 3 holes, 14 24 mm 04.503.075 Strut Plate, 2 4 holes, 14 34 mm MatrixNEURO Burr Hole Covers, Titanium* 04.503.021 12.0 mm 04.503.022 15.0 mm 04.503.023 17.0 mm 04.503.024 24.0 mm 04.503.026 12.0 mm, for Shunt or Drainage 04.503.027 15.0 mm, for Shunt or Drainage 04.503.028 17.0 mm, for Shunt or Drainage 04.503.029 24.0 mm, for Shunt or Drainage MatrixNEURO Contourable Mesh, Titanium* 04.503.081 38 45 mm, malleable 04.503.082 38 45 mm, rigid 04.503.083 100 100 mm, malleable 04.503.084 100 100 mm, rigid 04.503.085 200 200 mm, rigid 04.503.086 Crescent-shaped, small, malleable 04.503.087 Crescent-shaped, large, malleable 04.503.088 Crescent-shaped, small, rigid 04.503.089 Crescent-shaped, large, rigid 04.503.090 Circular, 30 mm, malleable 04.503.091 Circular, 70 mm, malleable 04.503.092 Circular, 100 mm, malleable 04.503.093 Circular, 30 mm, rigid 04.503.094 Circular, 70 mm, rigid 04.503.095 Circular, 100 mm, rigid 04.503.096 Mastoid Plate, small 04.503.097 Mastoid Plate, medium 04.503.098 Mastoid Plate, large 04.503.120 38 45 mm, thickness 0.6 mm, extra rigid 04.503.121 100 100 mm, thickness 0.6 mm, extra rigid 04.503.122 200 200 mm, thickness 0.6 mm, extra rigid 04.503.123 crescent-shaped, small, thickness 0.6 mm, extra rigid 04.503.124 crescent-shaped, large, thickness 0.6 mm, extra rigid 04.503.125 circular, 30 mm, thickness 0.6 mm, extra rigid 04.503.126 circular, 70 mm, thickness 0.6 mm, extra rigid 04.503.127 circular, 100 mm, thickness 0.6 mm, extra rigid Instruments 03.503.016 Screwdriver Shaft 1.5, short, for Hex Coupling 03.503.017 Screwdriver Shaft 1.5, medium, for Hex Coupling 03.503.030 Plate Bender, locking 03.503.031 Plate Bender, non-locking 03.503.032 Plate Holder, short 03.503.034 Plate Holder, long 03.503.033 Cutting Scissors for Mesh Plates, short 03.503.037 Cutting Scissors for Mesh Plates, long 03.503.244 Drill Bit 1.1 mm with Stop, 4 mm, for J-Latch Coupling 03.503.264 Drill Bit 1.1 mm with Stop, 4 mm, for Hex Coupling 311.005 Screwdriver handle, small, with hex coupling 311.006 Screwdriver handle, medium, with hex coupling 311.007 Screwdriver handle, large, with hex coupling 03.503.602 MatrixNEURO Bender for Reconstruction Mesh Plates, bending diameter 70 mm 03.503.605 MatrixNEURO Cutter for Reconstruction Mesh Plates

MatrixNEURO Ultra Low Profile, thickness 0.3 mm, Pure Titanium*** 04.502.021 Burr Hole Cover, for burr holes up to 12 mm 04.502.022 Burr Hole Cover, for burr holes up to 15 mm 04.502.023 Burr Hole Cover, for burr holes up to 17 mm 04.502.024 Burr Hole Cover, for burr holes up to 24 mm 04.502.028 Burr Hole Cover, for Shunt or Drainage, for burr holes up to 17 mm 04.502.061 Cranial Plate, straight, with centre space 9.0 mm, 2 holes 04.502.062 Cranial Plate, straight, with centre space 12 mm, 2 holes 04.502.063 Cranial Plate, straight, with centre space 12 mm, 4 holes 04.502.064 X-Plate, 4 holes 04.502.065 Frame Plate, square, 4 holes, 14 14 mm 04.502.068 Double Y-Plate, 6 holes, length 18 mm 04.502.073 Frame Plate, rectangular, 4 holes, 10 16 mm 04.502.074 Strut Plate, 2 3 holes, 14 24 mm MatrixNEURO Mesh Plates, thickness 0.6 mm, contourable, for Reconstruction, Pure Titanium*** 04.503.145 100 100 mm 04.503.146 150 150 mm 04.503.147 200 200 mm 04.503.149 Circular, 70 mm 04.503.150 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

Synthes GmbH Eimattstrasse 3 4436 Oberdorf Switzerland Tel: +41 61 965 61 11 Fax: +41 61 965 66 00 www.depuysynthes.com This publication is not intended for distribution in the USA. All technique guides are available as PDF files at www.synthes.com/lit 0123 DePuy Synthes CMF, a division of Synthes GmbH. 2014. All rights reserved. 036.000.607 AF DSEM/CMF/1014/0045 10/14

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