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CM-800-001 Rev K

DECEMBER 2019

13

If Dilator 3 was used, it should also be removed once the pedicle

screws are implanted. Adjust the screw head position(s) with

the Screw Head Positioner (CM-131-01) if needed. Orient screw

heads as shown below to ensure easy rod implantation.

ROD INSERTION

DISSECTION

The Ø5.5mm rods are all bullet-nosed to dissect tissue as the

user implants the rod. Prior to inserting the rods, the Dissector

(CM-102-01) can be used to create a pathway through the

tissue below the fascia layer. The Dissector can be inserted

cranially or caudally of the construct but shall follow the

anticipated rod trajectory.

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Содержание ORTHROS MIS

Страница 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...

Страница 2: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

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

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

Страница 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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