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Surgical Technique and Product Guide

Cortical Compression Staple System •C  ortical Compression

Patented, Snap-Off Handle and Drill Guide

• S nap-Off insertion tool and Drill Guide • Titanium

• Sterile, OR ready instrument and implant systems

• L ow Profile, Straight and 26˚ Step Options

• Designed for repeatable outcomes

•P  recision cutting manufacturing process

• Single use, optimized for OR efficiency

•M  ultiple sizes, 2 Guide Wires included

Optimized Staple Legs to Prevent Backout

26˚ Step Options

Cortical Compression Staple Comparison to Standard Nitinol Staples* Compression Comparison Comparison compression 280 ■ Cortical Compression Staple

Precision Ready Systems include:

Internal Drive Mini-Screw

210 max. compression in %

• Cortical Compression Staple System • Internal Drive Mini-Screw • Opposing Force Compression Screw

■ Nitinol Staple

Compared to Nitinol, Cortical Compression staples add both: 1. 200% more Cortical Compression and 2. more parallel compression 140

70

Cortical Compression Staple System 0 Opposing Force Compression Screw

Cortical * Data on file

Cancellous

Cortical Compression Staple System – Sterile System Includes:

Cortical Compression Staple System – Technique Guide

Cortical Compression Snap-Off Staple and Drill Guide

1. Prepare the osteotomy for fixation using

2. Hold the Cortical Compression Staple

3. Drive each Guide Wire into the holes of

4. Insert the Cortical Compression Staple

standard operating techniques.

Guide against the osteotomy.

2 Guide Wires

the Staple Guide.

Ordering Information – Cortical Compression Staple System Part No.

Description

SS-8X8

Cortical Compression Staple System: 8x8mm Staple, 2 Guide Wires

SS-10X8

Cortical Compression Staple System: 10x8mm Staple, 2 Guide Wires

SS-12X10

Cortical Compression Staple System: 12x10mm Staple, 2 Guide Wires

SS-15X10

Cortical Compression Staple System: 15x10mm Staple, 2 Guide Wires

SS-8X8-26

Cortical Compression Staple System: 8x8mm Staple (26 degrees), 2 Guide Wires

SS-10X8-26

Cortical Compression Staple System: 10x8mm Staple (26 degrees), 2 Guide Wires

5. Snap off the Staple Guide from the Cortical Compression Staple using lateral force. The use of a mallet maybe necessary to seat the Staple flush against the bone with light taps to the Staple.

into the holes drilled by each Guide Wire until the Staple is flush with the bone.

Internal Drive Mini-Screw System

Internal Drive Mini-Screw System – Sterile System Includes:

Driver and Screw length Measurement Guide

Internal Drive Mini-Screw • Tubular Snap-Off technology • Allows for angled insertion • Clean break with no soft tissue irritation • Internal Drive System

Intracorporal Screw Navigator

• Allows flush positioning without damaging the bone surface • Innovative Screw Navigator for compression and positioning during insertion • 2mm diameter, 11-14mm lengths

Ordering Information – Cortical Compression Staple System

Tubular Design: 7X* Stronger Snap-Off than standard competitive Screws

Internal Drive System allows surgeon control without damaging the bone

* Data on file

Part No.

Description

IDMS-11

Internal Drive Mini-Screw (IDMS), 2mm Dia, 11mm

IDMS-12

Internal Drive Mini-Screw (IDMS), 2mm Dia, 12mm

IDMS-13

Internal Drive Mini-Screw (IDMS), 2mm Dia, 13mm

IDMS-14

Internal Drive Mini-Screw (IDMS), 2mm Dia, 14mm

IDMS-11-ID

Internal Drive Mini-Screw (IDMS) System: Internal Drive Mini-Screw (2mm Dia, 11mm) Driver, Depth Gauge, and Screw Navigator

IDMS-12-ID

Internal Drive Mini-Screw (IDMS) System: Internal Drive Mini-Screw (2mm Dia, 12mm) Driver, Depth Gauge, and Screw Navigator

IDMS-13-ID

Internal Drive Mini-Screw (IDMS) System: Internal Drive Mini-Screw (2mm Dia, 13mm) Driver, Depth Gauge, and Screw Navigator

IDMS-14-ID

Internal Drive Mini-Screw (IDMS) System: Internal Drive Mini-Screw (2mm Dia, 14mm) Driver, Depth Gauge, and Screw Navigator

Opposing Force Compression System

Internal Drive Mini-Screw – Technique Guide

•H  ighly Conical Head gives greater adjustability without losing compression •O  pposing Force Reversed Thread design provides opposite compression along fusion site with no resulting force • Less bone stress

1. Prepare the osteotomy for fixation using standard operating techniques.

2. Insert the Driver/Screw Measurement

Guide into the Intracorporal Screw Navigator. While applying pressure across the osteotomy, confirm the screw length with the Measurement Guide.

• Can use large diameter screws with less risk of insertion fracture • Innovative combination Driver/Depth Gauge •3  mm diameter, cannulated, 10-36mm lengths

Reversed Thread design provides less residual stress

Resulting Force and Compression Analysis of 3 Screw Systems* Highly conical Reversed Thread

Reversed Thread design provides opposing force compression while other designs create residual stress outward resulting in more stress on the bone.

Lightly conical

3. Insert the Internal Drive Mini-Screw by connecting the Driver into the implant slots.

4. Break off the head of the Internal Drive

Mini-Screw using lateral force once the implant is flush.

Cylindrical Compression Comparison When the implant is flush, the highly conical screw gives more compression that continues longer with every turn of the screw.

Highly conical Reversed Thread

max. compression in %

180

5. If necessary, remove the head of the Internal Drive Mini-Screw from the Driver to reveal the inner driver.

6. Use the inner Driver to ensure that the implant is flush with the bone.

Lightly conical

135

90

Cylindrical

45

0

0

* Data on file

1.25

2.50 distance (mm)

3.75

5.00

Opposing Force Compression Screw – System Includes:

Opposing Force Compression Screw – Technique Guide Driver and Screw Measurement Guide Cannulated Drill Bit

Guide Wire

Opposing Force Compression Screw (packaged separately)

1. Prepare the osteotomy for fixation using

2. Insert the Guide Wire to the appropriate

3. Insert Guide Wire into the opening of

4. Drill the bone using the cannulated Drill

5. Insert the Opposing Force Compression

6. The Screw should be inserted until it is

standard operating techniques.

depth to achieve bi-cortical compression.

Ordering Information – Opposing Force Compression Screw Part No.

Description

CC-34-10

Opposing Force Compression Screw, 3mm Diameter, 10mm

CC-34-12

Opposing Force Compression Screw, 3mm Diameter, 12mm

CC-34-14

Opposing Force Compression Screw, 3mm Diameter, 14mm

CC-34-16

Opposing Force Compression Screw, 3mm Diameter, 16mm

CC-34-18

Opposing Force Compression Screw, 3mm Diameter, 18mm

CC-34-20

Opposing Force Compression Screw, 3mm Diameter, 20mm

CC-34-22

Opposing Force Compression Screw, 3mm Diameter, 22mm

CC-34-24

Opposing Force Compression Screw, 3mm Diameter, 24mm

CC-34-26

Opposing Force Compression Screw, 3mm Diameter, 26mm

CC-34-28

Opposing Force Compression Screw, 3mm Diameter, 28mm

CC-34-30

Opposing Force Compression Screw, 3mm Diameter, 30mm

CC-34-32

Opposing Force Compression Screw, 3mm Diameter, 32mm

CC-34-34

Opposing Force Compression Screw, 3mm Diameter, 34mm

CC-34-36

Opposing Force Compression Screw, 3mm Diameter, 36mm

CC-1018-ID

Opposing Force Compression Screw Cannulated Drill System: Cannulated Drill, Driver, Depth Gauge, Guide Wire. For 10-18mm Screws

CC-2028-ID

Opposing Force Compression Screw Cannulated Drill System: Cannulated Drill, Driver, Depth Gauge, Guide Wire. For 20-28mm Screws

CC-3036-ID

Opposing Force Compression Screw Cannulated Drill System: Cannulated Drill, Driver, Depth Gauge, Guide Wire. For 30-36mm Screws

the cannulated Driver/Depth Gauge and place driver against bone surface. Determine appropriate screw length using the Depth Gauge.

Screw.

Bit. Drill and countersink using the full length of the Drill Bit until the step of the larger diameter is flush with the bone.

flush with the bone.

nextremitysolutions.com This surgical technique guide provides a recommended procedure for using Precision Ready Systems. The content provided puts forth technique guidance, however, the surgeon must consider the individual needs of the patient making appropriate adjustments when and as required.

Patent Pending.

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