CAMBER ORTHROS MIS Surgical Technique Manual Download Page 26

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CM-800-001 Rev K

DECEMBER 2019

CP-132-38

Rod Bender

CP-132-41

Rod Holder

CM-102-02

K-wire (CM-130-01) Gripper

CM-103-02

Rod Inserter

CM-117-02

T25 MIS Polyaxial Screwdriver, 1/4” QC

CM-117-03

T30 Self-Retaining Screwdriver, 1/4” QC

CM-117-04

T30 Screwdriver, 1/4” QC

CM-119-07

Dilator 1, Aluminum

CM-119-08

Dilator 2, Aluminum

CM-119-03

Dilator 3

CM-119-04

Dilator Pusher

CM-119-05

1-Step Inner Dilator

CM-119-06

1-Step Outer Dilator

CM-123-01

Bone Aspiration Needle, 11 Ga with Trocar, 150mm Lg.

CM-124-01

Cannulated Awl Handle

CM-124-02

Cannulated Awl Trocar

CM-130-01

Ø1.6mm K-wire, Blunt Tip

CM-131-01

Screw Head Positioner

CM-132-01

Counter Torque

CM-132-03

External Counter Torque

CM-137-01

Rod Position Indicator

CM-137-02

Rod Length Indicator

CM-137-03

Screw Length Indicator

ORM-134-5000

Ø5.0mm Cannulated Tap, 1/4” QC

ORM-134-5500

Ø5.5mm Cannulated Tap, 1/4” QC

ORM-134-6500

Ø6.5mm Cannulated Tap, 1/4” QC

Summary of Contents for ORTHROS MIS

Page 1: ...I C A L T E C H N I Q U E G U I D E P E D I C L E S C R E W F I X AT I O N ORTHROS MIS TM L I F E U P R I G H TT M Camber Spine 501 Allendale Road King of Prussia PA 19406 Phone 484 427 7060 cambermed...

Page 2: ......

Page 3: ...S Important Information Approach Pedicle Preparation and Dilation Screw Insertion Rod Insertion Secure the Rod Screw Extension Removal Optional Techniques Removal Techniques Set Contents Additionally...

Page 4: ...gurations for the individual patient and surgical condition Polyaxial screws are intended for posterior and anterior use Rods and monoaxial screws may be used anteriorly or posteriorly Locking caps an...

Page 5: ...neral incision types especially when dealing with a 1 Level fusion Using a scalpel make an incision approximately 13mm in length to accommodate the ORTHROS MIS pedicle screw outer diameter Select the...

Page 6: ...rtion tip of the K wire CM 130 XX is marked with a solid black band Once the K wire CM 130 XX is placed carefully remove the outer shaft of the Bone Aspiration Needle or Cannulated Awl Handle Use the...

Page 7: ...800 001 Rev K DECEMBER 2019 7 Repeat above incision technique for each pedicle It is suggested to make all incisions prior to continuing on to pedicle preparation Insertion Tip Succession of Etched L...

Page 8: ...0 XX The depth markings are etched in 15mm increments Note the length of K wire CM 130 XX protrusion through the handle of the Pedicle Probe CM 129 01 and ensure that the K wire CM 130 XX does not adv...

Page 9: ...ly press into the incision Once the 1 Step Dilator is touching the cortical wall of the pedicle press the 1 Step Outer Dilator down further into the incision preparing for the Taps Remove the 1 Step I...

Page 10: ...Sleeve CM 134 10 for general dilation If neuromonitoring use the PEEK Tap Sleeve CM 134 11 Select the appropriate diameter Tap The diameter of the Tap is printed on the shaft Attach the Tap to the Tap...

Page 11: ...55mm Pedicle Screw 1 During 3 step dilation above slide the Screw Length Indicator CM 137 03 over the K wire CM 130 XX Ensure Dilator 1 is contacting the posterior wall of the pedicle The K wire CM 13...

Page 12: ...user may reverse the ratcheting rotation of the handles to increase the tension between the pedicle screw and screwdriver Before inserting each screw check that the screw is rigid to the screwdriver...

Page 13: ...t screw heads as shown below to ensure easy rod implantation ROD INSERTION DISSECTION The 5 5mm rods are all bullet nosed to dissect tissue as the user implants the rod Prior to inserting the rods the...

Page 14: ...Length Indicator into the most superior and inferior screws The scale marked on the indicator s caliper will estimate the rod length for the construct ROD INSERTION Select the appropriate length rod f...

Page 15: ...erter if loaded backwards Once the rod is fully seated within the Rod Inserter thread the dial counterclockwise finger tight Once finger tight the rod will be rigid to the Rod Inserter Front Side Lase...

Page 16: ...the rod is within the screw head If you cannot see the band the rod is not within the screw head The two bands correspond to the standard and long screw head options Once the user has obtained the fi...

Page 17: ...ect CM 117 03 to grab the MIS Locking Set Screw CM 002 10 Slowly drop the T30 Screwdriver CM 117 04 with Locking Set Screw CM 002 10 into the first screw head Once the Locking Set Screw stops start to...

Page 18: ...Counter Torque and engage the drive mechanism in each Locking Set Screw CM 002 10 Turn the handle under the Torque Limiting Handle CC 100 53 clicks indicating that it has reached 8 5Nm of torsional f...

Page 19: ...prior to completing the construct First the Connection Tab must be broken free of the Screw Head This can be achieved using the K wire CM 130 01 Gripper Once the Tab is gripped with the K wire CM 130...

Page 20: ...rew Head Removal Tool away from the center of the screw This order of rotation leaves the smoothest screw head surface Repeat for both screw head extensions on every screw in the construct Retrieve al...

Page 21: ...ssion Distraction Towers CM 128 01 1 Adjustable Fulcrum CM 128 02 1 Compression Distraction Actuator CM 128 03 Push the Compression Distraction Towers into each screw head ensuring they engage the rod...

Page 22: ...unctions The elliptical head of the Adjustable Fulcrum and arms of the Compression Distraction Actuator will orient in the tower scallops The most effective compression and distraction is achieved wit...

Page 23: ...on pg 18 o lock the Rod Inserter to the rod Insert the External Counter Torque over each screw of the construct and remove each Locking Set Screw using only the T30 Self Retaining Screwdriver QC Then...

Page 24: ...5C 5 5mm MIS Curved Rod 55mm Lg ORM 60C 5 5mm MIS Curved Rod 60mm Lg ORM 65C 5 5mm MIS Curved Rod 65mm Lg ORM 70C 5 5mm MIS Curved Rod 70mm Lg ORM 75C 5 5mm MIS Curved Rod 75mm Lg ORM 80C 5 5mm MIS Cu...

Page 25: ...yaxial Pedicle Screw 40mm ORM 6545 6 5mm MIS Polyaxial Pedicle Screw 45mm ORM 6550 6 5mm MIS Polyaxial Pedicle Screw 50mm ORM 6555 6 5mm MIS Polyaxial Pedicle Screw 55mm ORM 7530 7 5mm MIS Polyaxial P...

Page 26: ...04 Dilator Pusher CM 119 05 1 Step Inner Dilator CM 119 06 1 Step Outer Dilator CM 123 01 Bone Aspiration Needle 11 Ga with Trocar 150mm Lg CM 124 01 Cannulated Awl Handle CM 124 02 Cannulated Awl Tro...

Page 27: ...lated MIS Polyaxial Pedicle Screw 25mm Lg Long Tower ORM 5530L 5 5mm Cannulated MIS Polyaxial Pedicle Screw 30mm Lg Long Tower ORM 5535L 5 5mm Cannulated MIS Polyaxial Pedicle Screw 35mm Lg Long Tower...

Page 28: ...5mm Cannulated MIS Polyaxial Pedicle Screw 30mm Lg Long Tower ORM 8535L 8 5mm Cannulated MIS Polyaxial Pedicle Screw 35mm Lg Long Tower ORM 8540L 8 5mm Cannulated MIS Polyaxial Pedicle Screw 40mm Lg...

Page 29: ...29 CM 800 001 Rev K DECEMBER 2019 NOTES...

Page 30: ...30 CM 800 001 Rev K DECEMBER 2019...

Page 31: ...31 CM 800 001 Rev K DECEMBER 2019...

Page 32: ...L E S C R E W F I X AT I O N ORTHROS MIS TM L I F E U P R I G H T T M Camber Spine 501 Allendale Road King of Prussia PA 19406 484 427 7060 cambermedtech com S EE I N STR UCTI O N S FO R US E I FU FO...

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