cannulated screw system - strykerstryker.com.br/arquivos/asniss iii - brochure.pdfcannulated screw...

CANNULATED SCREW SYSTEM

Self-drilling / Tapping designFast efficient cutting for reduced operative time.

Flat tip to minimise the potential for soft-tissue irritation

Reverse Cutting FluteTo facilitate removal

Thread ChoiceImplants available with both partial and full thread options

Material Choice

Titanium Alloy (TAV)Increased CT, MRI and Bio-compatibility

Anodizing Type II hardens Implant surface to minimise fretting

Low Profile Screw HeadReduced potential for soft-tissue irritation

Improved external aesthetics

Large diameter Guide WiresLarge diameter reduces risk of deflection.

Threaded tip engages bone for optimal purchase

Rationale, Features & Benefits

The Stryker Trauma Cannulated Screw Systems are designed to optimise surgical outcomes while simplifying procedures. The systemsincorporate several unique features intended to enhance screw placement,insertion and removal as follows:

Stainless Steel (316LVM)Compatibility with current steel systems

Packaging ChoiceImplants available both sterile and non-sterile

Rationale, Features & Benefits

System Features

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.

Large Diameter Guide Wires

The Systems feature largerdiameter Guide Wires with taperedcore. This unique design reducespotential for a stress riser at thethread/shank junction. The larger diameter provides greaterbending stiffness to reduce deflection. This ensures the most precise of screw placement.

Modular Case Design and Elastosil® Handles

0

200

1.4 2.0 3.2

400

600

800

Guide Wire Diameter (mm)

Ben

ding

Sti

ffne

ss (

Nm

m2x

103 )

1000

1.0 1.2 1.6 1.8 2.2 2.4 2.6 2.8 3.0

SCREW RANGE – TITANIUM AND STEEL

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

Operative Technique - 4.0mm

Insert Guide WireUsing 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: In dense bone, puncturing the cortex with the ø1.4x150mm Drill Bit to initiate the Wire may reduce potential heat and/or deflection.

Alternative: 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.

Option: A Parallel Drill Guide is available for parallel placement of Guide Wire.

Countersink or Washer?Where soft tissue coverage is minimal, use of the Countersink to further recess the low profileScrew 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 theScrew Head over a greater area.

Note: The Countersink design does not require pre-drilling.

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

Optional

Measure for Screw LengthSlide the Direct Measuring Gauge over the ø1.4x150mmGuide Wire. The Direct Measuring Gauge measures directto the tip of the Guide Wire. This ensures that the finalScrew position corresponds with the initial tip positionof the Guide Wire.

Select appropriate Screw length. Length adjustment isparticularly important if the tip is near an articular surface.

Note: Care should be taken to ensure the Direct Measuring Gauge tip engagesthe bone when a reading is taken.

Insert ScrewUsing the Cannulated Screwdriver with Elastosil® Handleand the Screw Holding Sleeve, insert the selected screwover the Guide Wire. Release the Screw Holding Sleeveprior to final tightening.

Remove Screwdriver and Screw Holding Sleeve.

Note: Always verify Guide Wire and Screw Position with Periodic Image Intensification.

Verify Final ReductionVerify the final position of the Screw.

Remove and discard the Guide Wire.

Repeat as necessary for additional screws.

Step two

Step three

Step four

Operative Technique - 5.0mm

Indications 5.0mmFixation 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 WireUsing 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: In dense bone, puncturing the cortex with the ø2.0x150mm Drill Bit to initiate the Wire may reduce potential heat and/or deflection.

Alternative: 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.

Option: A Parallel Drill Guide is available for parallel placement of Guide Wire.

Countersink or Washer?Where soft tissue coverage is minimal, use of theCountersink to further recess the low profile ScrewHead may be beneficial. Care should be takento 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 theScrew Head over a greater area.

Note: The Countersink design does not require pre-drilling.

Optional

Measure for Screw LengthSlide the Direct Measuring Gauge over the ø2.0x150mmGuide 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 isparticularly important if the tip is near an articular surface.

Note: Care should be taken to ensure the Direct Measuring Gauge tip engages thebone when a reading is taken.

Insert ScrewUsing the Cannulated Screwdriver with Elastosil® Handleand the Screw Holding Sleeve, insert the selected Screw overthe Guide Wire. Release the Screw Holding Sleeve prior tofinal tightening.

Remove Screwdriver and Screw Holding Sleeve.

Note: Always verify Guide Wire and Screw Position with Periodic ImageIntensification.

Verify Final reductionVerify the final position of the Screw.

Remove and discard the Guide Wire.


Step three

Step four

Step two

Insert Guide WireGuide Wire insertion

Using an appropriate Power Tool, the 3.2x300mmGuide Wire is inserted to the appropriate depth througha tissue guide assembly. Use Image Intensification tocontrol reduction and Guide Wire placement.

Multiple Guide Wire insertion

Connect the Parallel or Multiple Drill Guide to theElastosil® 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 PostoperativeSubtrochanteric Fractures. In the A/P view the initialGuide Wire should be placed at the level of the LesserTrochanter and inserted along the Inferior portion ofthe Femoral Neck. The Lateral view should show theGuide Wire centrally located in the Femoral Neck and Head. Anteversion may be checked by placing a Guide Wire over the Anterior Neck.

Step one

Operative Technique - 6.5/8.0mm

Indications 6.5/8.0mm6.5/8.0mm 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

Measure for Screw LengthRemove the Guide Wire Insertion Sleeve then slide theDirect Measuring Gauge over the Guide Wire. The Direct Measuring Gauge measures directly to the tipof the Guide Wire. This ensures the final Screw positioncorresponds with the initial tip position of the Guide Wire.

Select appropriate screw length, always ensuring to selectthe lesser of the two sizes, if the measurement is betweensizes. It is recommended to subtract between 5-10mmfrom the measurement on the Direct Measuring Gauge to avoid the potential penetration of the Femoral Head*.

Note: The Screw Insertion Sleeve is designed to allow the Direct Measuring Gauge to pass through it. This reduces potential softtissue 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.

Insert ScrewUsing the Cannulated Screwdriver with Elastosil®

Handle and the Screw Holding Sleeve insert theselected screw over the Guide Wire. Release the screwHolding Sleeve prior to final tightening. Each Screw isinserted through the Soft Tissue Protection Sleeve.

Note: Always verify the Guide Wire and screw position with periodic Image Intensification.

Verify Final reductionVerify the final position of the screw.

Remove and discard all Guide Wires.


Step two

Step four

Step three

*

RECOMMENDED MINIMUM

Product Information4.0MM INSTRUMENTS

REF NO DESCRIPTION SET QUANTITY

CASE 901576 ASNIS III 4.0mm Plastic Lid – ( 3⁄ 4 Length ) 1

901577 ASNIS III 4.0mm System Tray Insert without Screw Rack 1

901578 ASNIS III 4.0mm System Screw Rack with Lid 1

901557 ASNIS III Plastic Base – (3⁄ 4 Length) Optional

901591 ASNIS III Metal Base – (3⁄ 4 Length) Optional

INSTRUMENTS

702425 ASNIS III 4.0mm, Elastosil® Handle with AO Quick Coupling 1

702465 ASNIS III 4.0mm, Double Drill Guide Ø 1.4/2.7mm 1

702449 ASNIS III 4.0mm, Cannulated Drill Ø 2.7mm with AO Coupling 1

702448 ASNIS III 4.0mm, Drill Bit Ø 1.4 x 150mm Optional

702454 ASNIS III 4.0mm, Cannulated Tap Ø 4.0mm with AO Coupling 1

702473 ASNIS III 4.0mm, Cannulated Countersink for Ø 4.0mm Screws 1with AO Coupling

702477 ASNIS III 4.0mm, Direct Measuring Gauge for Wires 1Ø1.4/2.0 x 150mm

702478 ASNIS III 4.0mm, Cannulated Screwdriver with Elastosil®

1Handle – Hex 2.5mm

702482 ASNIS III 4.0mm, Cannulated Screwdriver with AO Coupling Optional– Hex 2.5mm

702485 ASNIS III 4.0mm, Solid Screwdriver with AO Coupling Optional– Hex 2.5mm

702489 ASNIS III 4.0mm, Holding Sleeve for Screwdrivers 1– use with Screwheads Ø 5.0mm

702492 ASNIS III 4.0mm, Cleaning Stylet Ø1.4mm 1

702496 ASNIS III 4.0mm, Extractor for Ø4.0mm Screws Optional

900105 Screw Forceps Optional

702446 Cannulated Drill Ø 4.0mm with AO Coupling Optional

702443 Parallel Guide for Ø 1.4mm Wires Optional

4.0MM IMPLANTS – GUIDE WIRE AND WASHERS

702459 ASNIS III 4.0mm, Threaded Guide Wire Ø 1.4 x 150mm 10

STEEL TITANIUM

326040 390018 ASNIS III Washer for 4.0mm Screws 619905

4.0MM IMPLANTS – PARTIALLY THREADED SCREWS

STEEL TITANIUM

325014S ASNIS III Cannulated Screw 4.0 x 14mm 604614S325016S ASNIS III Cannulated Screw 4.0 x 16mm 604616S325018S ASNIS III Cannulated Screw 4.0 x 18mm 604618S325020S ASNIS III Cannulated Screw 4.0 x 20mm 604620S325022S ASNIS III Cannulated Screw 4.0 x 22mm 604622S325024S ASNIS III Cannulated Screw 4.0 x 24mm 604624S325026S ASNIS III Cannulated Screw 4.0 x 26mm 604626S325028S ASNIS III Cannulated Screw 4.0 x 28mm 604628S325030S ASNIS III Cannulated Screw 4.0 x 30mm 604630S325032S ASNIS III Cannulated Screw 4.0 x 32mm 604632S325034S ASNIS III Cannulated Screw 4.0 x 34mm 604634S325036S ASNIS III Cannulated Screw 4.0 x 36mm 604636S325038S ASNIS III Cannulated Screw 4.0 x 38mm 604638S325040S ASNIS III Cannulated Screw 4.0 x 40mm 604640S325042S ASNIS III Cannulated Screw 4.0 x 42mm 604642S325044S ASNIS III Cannulated Screw 4.0 x 44mm 604644S325046S ASNIS III Cannulated Screw 4.0 x 46mm 604646S325048S ASNIS III Cannulated Screw 4.0 x 48mm 604648S325050S ASNIS III Cannulated Screw 4.0 x 50mm 604650S325055S ASNIS III Cannulated Screw 4.0 x 55mm 604655S325060S ASNIS III Cannulated Screw 4.0 x 60mm 604660S325065S ASNIS III Cannulated Screw 4.0 x 65mm 604665S325070S ASNIS III Cannulated Screw 4.0 x 70mm 604670S

FOR UNSTERILE SCREWS REMOVE THE ‘S’ AFTER THE REF. NUMBER

4.0MM IMPLANTS – FULL THREAD SCREWSSTEEL TITANIUM

325210S ASNIS III Cannulated Screw 4.0 x 10mm 604710S325212S ASNIS III Cannulated Screw 4.0 x 12mm 604712S325214S ASNIS III Cannulated Screw 4.0 x 14mm 604714S325216S ASNIS III Cannulated Screw 4.0 x 16mm 604716S325218S ASNIS III Cannulated Screw 4.0 x 18mm 604718S325220S ASNIS III Cannulated Screw 4.0 x 20mm 604720S325222S ASNIS III Cannulated Screw 4.0 x 22mm 604722S325224S ASNIS III Cannulated Screw 4.0 x 24mm 604724S325226S ASNIS III Cannulated Screw 4.0 x 26mm 604726S325228S ASNIS III Cannulated Screw 4.0 x 28mm 604728S325230S ASNIS III Cannulated Screw 4.0 x 30mm 604730S325232S ASNIS III Cannulated Screw 4.0 x 32mm 604732S325234S ASNIS III Cannulated Screw 4.0 x 34mm 604734S325236S ASNIS III Cannulated Screw 4.0 x 36mm 604736S325238S ASNIS III Cannulated Screw 4.0 x 38mm 604738S325240S ASNIS III Cannulated Screw 4.0 x 40mm 604740S325242S ASNIS III Cannulated Screw 4.0 x 42mm 604742S325244S ASNIS III Cannulated Screw 4.0 x 44mm 604744S325246S ASNIS III Cannulated Screw 4.0 x 46mm 604746S325248S ASNIS III Cannulated Screw 4.0 x 48mm 604748S325250S ASNIS III Cannulated Screw 4.0 x 50mm 604750S

PLEASE NOTE: FULL THREAD SCREWS ARE ONLY AVAILABLE ‘STERILE’

Product Information5.0MM INSTRUMENTS


CASE 901556 ASNIS III 5.0mm Plastic Lid – ( 3⁄ 4 Length ) 1

901565 ASNIS III 5.0mm System Tray Insert without Screw Rack 1

901560 ASNIS III 5.0mm System Screw Rack with Lid 1

901557 ASNIS III 5.0mm Plastic Base – ( 3⁄ 4 Length ) Optional

901591 ASNIS III 5.0mm Metal Base – ( 3⁄ 4 Length ) Optional

INSTRUMENTS

702425 ASNIS III 5.0mm, Elastosil® Handle with AO Quick Coupling 1

702445 ASNIS III 5.0mm, Double Drill Guide Ø 2.0/3.5mm 1

702450 ASNIS III 5.0mm, Cannulated Drill Ø 3.5mm with AO Coupling 1

702453 ASNIS III 5.0mm, Drill Bit Ø 2.0 x 150mm Optional

702455 ASNIS III 5.0mm, Cannulated Tap Ø 5.0mm with AO Coupling 1

702474 ASNIS III 5.0mm, Cannulated Countersink for Ø 5.0mm Screws 1with AO Coupling

702477 ASNIS III 5.0mm, Direct Measuring Gauge for Wires Ø 1.4/2.0 x 150mm 1

702480 ASNIS III 5.0mm, Cannulated Screwdriver with Elastosil® 1Handle – Hex 3.5mm

702486 ASNIS III 5.0mm, Cannulated Screwdriver with AO Coupling Optional– Hex 3.5mm

702488 ASNIS III 5.0mm, Solid Screwdriver with AO Coupling – Hex 3.5mm Optional

702490 ASNIS III 5.0mm, Holding Sleeve for Screwdrivers 1– use with Screwheads Ø 6.0mm

702493 ASNIS III 5.0mm, Cleaning Stylet Ø 2.0mm 1

702497 ASNIS III 5.0mm, Extractor for Ø 5.0mm Screws Optional

900105 ASNIS III Screw Forceps Optional

702447 ASNIS III 5.0mm, Cannulated Drill Ø 5.0mm with AO Coupling Optional

702444 ASNIS III 5.0mm, Parallel Guide for Ø 2.0mm Wire Optional

5.0MM IMPLANTS – GUIDE WIRE AND WASHERS

702460 ASNIS III Threaded Guide Wire Ø 2.0 x 150mm 10

`````

STEEL TITANIUM

326040 390017 ASNIS III Washer for 5.0mm Screws 619906

RECOMMENDED MINIMUM

5.0MM IMPLANTS – PARTIALLY THREADED SCREWS

STEEL TITANIUM

325420S ASNIS III Cannulated Screw 5.0 x 20mm 601620S325422S ASNIS III Cannulated Screw 5.0 x 22mm 601622S325424S ASNIS III Cannulated Screw 5.0 x 24mm 601624S325426S ASNIS III Cannulated Screw 5.0 x 26mm 601626S325428S ASNIS III Cannulated Screw 5.0 x 28mm 601628S325430S ASNIS III Cannulated Screw 5.0 x 30mm 601630S325432S ASNIS III Cannulated Screw 5.0 x 32mm 601632S325434S ASNIS III Cannulated Screw 5.0 x 34mm 601634S325436S ASNIS III Cannulated Screw 5.0 x 36mm 601636S325438S ASNIS III Cannulated Screw 5.0 x 38mm 601638S325440S ASNIS III Cannulated Screw 5.0 x 40mm 601640S325442S ASNIS III Cannulated Screw 5.0 x 42mm 601642S325444S ASNIS III Cannulated Screw 5.0 x 44mm 601644S325446S ASNIS III Cannulated Screw 5.0 x 46mm 601646S325448S ASNIS III Cannulated Screw 5.0 x 48mm 601648S325450S ASNIS III Cannulated Screw 5.0 x 50mm 601650S325455S ASNIS III Cannulated Screw 5.0 x 55mm 601655S325460S ASNIS III Cannulated Screw 5.0 x 60mm 601660S325465S ASNIS III Cannulated Screw 5.0 x 65mm 601665S325470S ASNIS III Cannulated Screw 5.0 x 70mm 601670S325475S ASNIS III Cannulated Screw 5.0 x 75mm 601675S325480S ASNIS III Cannulated Screw 5.0 x 80mm 601680S


5.0MM IMPLANTS – FULL THREAD SCREWSSTEEL TITANIUM

325620S ASNIS III Cannulated Screw 5.0 x 20mm 601720S325622S ASNIS III Cannulated Screw 5.0 x 22mm 601722S325624S ASNIS III Cannulated Screw 5.0 x 24mm 601724S325626S ASNIS III Cannulated Screw 5.0 x 26mm 601726S325628S ASNIS III Cannulated Screw 5.0 x 28mm 601728S325630S ASNIS III Cannulated Screw 5.0 x 30mm 601730S325632S ASNIS III Cannulated Screw 5.0 x 32mm 601732S325634S ASNIS III Cannulated Screw 5.0 x 34mm 601734S325636S ASNIS III Cannulated Screw 5.0 x 36mm 601736S325638S ASNIS III Cannulated Screw 5.0 x 38mm 601738S325640S ASNIS III Cannulated Screw 5.0 x 40mm 601740S325642S ASNIS III Cannulated Screw 5.0 x 42mm 601742S325644S ASNIS III Cannulated Screw 5.0 x 44mm 601744S325646S ASNIS III Cannulated Screw 5.0 x 46mm 601746S325648S ASNIS III Cannulated Screw 5.0 x 48mm 601748S325650S ASNIS III Cannulated Screw 5.0 x 50mm 601750S325655S ASNIS III Cannulated Screw 5.0 x 55mm 601755S325660S ASNIS III Cannulated Screw 5.0 x 60mm 601760S325665S ASNIS III Cannulated Screw 5.0 x 65mm 601765S325670S ASNIS III Cannulated Screw 5.0 x 70mm 601770S


RECOMMENDED MINIMUM

Product Information6.5/8.0MM INSTRUMENTS


CASE 901584 ASNIS III 6.5/8.0mm Plastic Lid (Full Length) 1

901587 ASNIS III 6.5/8.0mm System Tray Insert without Screw Rack 1

901588 ASNIS III 6.5/8.0mm System Screw Rack with Lid 1

901585 ASNIS III 6.5/8.0mm Plastic Base (Full Length) 1

901586 ASNIS III 6.5/8.0mm Metal Base (Full Length) Optional

901589 ASNIS III 6.5/8.0mm Plastic Lid ( 3⁄ 4 Length) Optional

901557 ASNIS III 6.5/8.0mm Plastic Base ( 3⁄ 4 Length) Optional

901591 ASNIS III 6.5/8.0mm Metal Base( 3⁄ 4 Length) Optional

6.5MM SYSTEM (cont.)REF NO DESCRIPTION SET QUANTITY

INSTRUMENTS

702601 ASNIS III 6.5/8.0mm, Cannulated Drill Ø4.9mm with Large AO Fitting 1

702602 ASNIS III 6.5/8.0mm, Cannulated Tap Ø6.5mm with Large AO Fitting 1

702604 ASNIS III 6.5/8.0mm, Holding Sleeve for Screwdrivers 1– use with Screwheads Ø8.0mm

702621 ASNIS III 6.5/8.0mm, Cannulated Countersink for 6.5/8.0mm OptionalScrews with AO Fitting

702623 ASNIS III 6.5/8.0mm, Solid Screwdriver with Large AO Fitting Optional– Hex 5.0mm

702625 ASNIS III 6.5/8.0mm, Cleaning Stylet Ø3.2mm 1

702628 ASNIS III 6.5/8.0mm, Elastosil® T-Handle with Large AO Coupling 1

702629 ASNIS III 6.5/8.0mm, Cannulated Screwdriver with Elastosil® Handle 1– Hex 5.0mm

702630 ASNIS III 6.5/8.0mm, Elastosil® Hammer-Handle with Large AO Coupling 1

702638 ASNIS III 6.5/8.0mm, Protection Sleeve with Large AO Fitting 1

702639 ASNIS III 6.5/8.0mm, Screw Insertion Sleeve 1

702640 ASNIS III 6.5/8.0mm, Guide Wire Insertion Sleeve for Ø3.2mm 1Guide Wires

702476 ASNIS III 6.5/8.0mm, Direct Measuring Gauge for Ø3.2mm 1Guide Wires

702634 ASNIS III 6.5/8.0mm, Large AO Coupling - Hall Fitting Optional

RECOMMENDED MINIMUM

RECOMMENDED MINIMUMADDITIONAL FOR 8.0MM SYSTEM


702611 ASNIS III 6.5/8.0mm, Cannulated Drill Ø5.6mm with Large AO Fitting 1

702612 ASNIS III 6.5/8.0mm, Cannulated Tap Ø8.0mm with Large AO Fitting 1

702614 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


702603 ASNIS III 6.5/8.0mm, Cannulated Drill Ø6.5mm with Large AO Fitting* Optional

702613 ASNIS III 6.5/8.0mm, Cannulated Drill Ø8.0mm with Large AO Fitting* Optional

702622 ASNIS III 6.5/8.0mm, Cannulated Screwdriver with Large AO Fitting Optional– Hex 5.0mm

702624 ASNIS III 6.5/8.0mm, Extractor for Ø6.5/8.0mm Screws Optional

702626 ASNIS III 6.5/8.0mm, Drill Bit Ø3.2 x 300mm Optional

702632 ASNIS III 6.5/8.0mm, Multiple Drill Guide with Elastosil® OptionalHammer-Handle

702633 ASNIS III 6.5/8.0mm, Multiple Drill Guide with Large AO Fitting Optional

7 702635 ASNIS III 6.5/8.0mm, Parallel Drill Guide with Elastosil® OptionalHammer-Handle

702636 ASNIS III 6.5/8.0mm, Parallel Drill Guide with Large AO Fitting Optional

702637 ASNIS III 6.5/8.0mm, Protection Sleeve with Elastosil® OptionalHammer-Handle

702641 ASNIS III 6.5/8.0mm, Quick Release Driver with Hall Fitting Optional

900105 ASNIS III 6.5/8.0mm, Screw Forceps Optional

* PLEASE NOTE THESE DRILLS ARE USED ONLY WITH FULL THREAD IMPLANTS

RECOMMENDED MINIMUM

6.5MM SYSTEM (cont.)


702462 ASNIS III Threaded Guide Wire Ø 3.2 x 300mm 10

702463 ASNIS III Guide Wire without Thread Ø 3.2 x 300mm Optional

702627 ASNIS III Guide Wire with Calibrations and fitting Ø 3.2 x 300mm Optional

STEEL TITANIUM

32 390016 ASNIS III Washer for 6.5/8.0mm Screws 619904

6.5MM IMPLANTS – 20MM THREAD SCREWS

STEEL TITANIUM

326040S ASNIS III Cannulated Screw 6.5 x 40mm 602640S


















RECOMMENDED MINIMUM

STEEL TITANIUM
















6.5MM IMPLANTS – FULL THREAD SCREWS

STEEL TITANIUM





















6.5MM IMPLANTS – 40MM THREAD SCREWS

STEEL TITANIUM

326640S ASNIS III Cannulated Screw 8.0 x 40mm 611040S326645S ASNIS III Cannulated Screw 8.0 x 45mm 611045S326650S ASNIS III Cannulated Screw 8.0 x 50mm 611050S326655S ASNIS III Cannulated Screw 8.0 x 55mm 611055S326660S ASNIS III Cannulated Screw 8.0 x 60mm 611060S326665S ASNIS III Cannulated Screw 8.0 x 65mm 611065S326670S ASNIS III Cannulated Screw 8.0 x 70mm 611070S326675S ASNIS III Cannulated Screw 8.0 x 75mm 611075S326680S ASNIS III Cannulated Screw 8.0 x 80mm 611080S326685S ASNIS III Cannulated Screw 8.0 x 85mm 611085S326690S ASNIS III Cannulated Screw 8.0 x 90mm 611090S326695S ASNIS III Cannulated Screw 8.0 x 95mm 611095S326700S ASNIS III Cannulated Screw 8.0 x 100mm 611100S326705S ASNIS III Cannulated Screw 8.0 x 105mm 611105S326710S ASNIS III Cannulated Screw 8.0 x 110mm 611110S326715S ASNIS III Cannulated Screw 8.0 x 115mm 611115S326720S ASNIS III Cannulated Screw 8.0 x 120mm 611120S


8.0MM IMPLANTS – FULL THREAD SCREWS

STEEL TITANIUM

326840S ASNIS III Cannulated Screw 8.0 x 40mm 611240S326845S ASNIS III Cannulated Screw 8.0 x 45mm 611245S326850S ASNIS III Cannulated Screw 8.0 x 50mm 611250S326855S ASNIS III Cannulated Screw 8.0 x 55mm 611255S326860S ASNIS III Cannulated Screw 8.0 x 60mm 611260S326865S ASNIS III Cannulated Screw 8.0 x 65mm 611265S326870S ASNIS III Cannulated Screw 8.0 x 70mm 611270S326875S ASNIS III Cannulated Screw 8.0 x 75mm 611275S326880S ASNIS III Cannulated Screw 8.0 x 80mm 611280S326885S ASNIS III Cannulated Screw 8.0 x 85mm 611285S326890S ASNIS III Cannulated Screw 8.0 x 90mm 611290S326895S ASNIS III Cannulated Screw 8.0 x 95mm 611295S326900S ASNIS III Cannulated Screw 8.0 x 100mm 611300S326905S ASNIS III Cannulated Screw 8.0 x 105mm 611305S326910S ASNIS III Cannulated Screw 8.0 x 110mm 611310S326915S ASNIS III Cannulated Screw 8.0 x 115mm 611315S326920S ASNIS III Cannulated Screw 8.0 x 120mm 611320S


8.0MM IMPLANTS – PARTIAL THREAD SCREWS

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: 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.

Removal: It is recommended that the Solid Screwdriver be used for Screwremoval. This can apply greater torque and will reduce the potential for damaging the hex tip on the Screwdriver.

Single Use Items: Discard all single-use implants and instruments utilised during the procedure.

Notes

Surgical Tips

Warning: Bone Screws referenced in this materialare not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical,thoracic or lumbar spine.

Stryker TraumaSelzach AGBohnackerweg 12545 SelzachSwitzerland

REF NO: 982187VER. TASN0105/02750E

© 2002 Stryker Corporation. All rights reserved.

This new generation of Cannulated Screws has been designed to optimisesurgical outcomes while simplifying procedures. The ASNIS III System offersthe surgeon a complete choice of implants, material and packaging combinedwith a new user-friendly instrumentation.

LOGO #3The TGN is the latest development in the continuing evolution of the GammaLocking Nail family designed for rapid and secure fixation of intertrochantericand pertrochanteric fractures. Combining strength and biomechanicaladvantages of the existing Gamma family it is the Golden standard forproximal femoral fractures.

LOGO #4The Long Gamma Nail is a specialized development of the original GammaLocking Nail allowing surgeons to extend the benefits of the highly successfulstandard implant for trochanteric fractures. It has been designed to treatsubtrochanteric, ipsilateral neck and shaft fractures as well as for prophylactic use.

MANUFACTURER:

LOGO #2The OMEGA + Compression Hip Screw System integrates innovative featuressuch as sideplate made of superstrong alloy material and improvedinstrumentation. OMEGA + Plates and Lag Screws are available in Sterile or Non-Sterile packaging for customer preference and convenience.

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