LCP Compact Hand 1.5. Instrument and implant module. Surgical Technique This publication is not intended for distribution in the USA. Table of Contents Introduction Surgical Technique LCP Compact Hand 1.5 2 AO Principles 4 Intended Use and Indications 5 Preparation6 Implantation8 Implant Removal Product Information 17 Screws18 Plates20 Plates, with Preassembled Short LCP Drill Sleeves 21 Instruments22 Sets MRI Information 24 25 Image intensifier control This description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended. Processing, Reprocessing, Care and Maintenance For general guidelines, function control and dismantling of m ulti-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance For general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 1 LCP Compact Hand 1.5. Instrument and implant module. Adaptable Locking Plates for Various Indications LCP Plate 1.5, straight Locking Plate 1.5, straight Locking T-Plate 1.5 Locking Strut Plate 1.5 Locking Y-Plate 1.5 Locking Condylar Plate 1.5 Minimized soft tissue irritation Option for preassembled drill sleeves Locking or non-locking screw option Low profile plates with rounded edges and highly polished surface to minimize soft tissue irritation. All plates are available either with or without short drill sleeves preassembled. Self-tapping screws with low-profile screw head sit flush with the plate. Coaxial locking holes and LCP holes accept both, cortex and locking screws. 2 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique Part of the LCP Compact Hand System 4 modules, 5 dimensions: –– Adaptable plates for different indications –– Complete range of implants 1.0 mm 1.3 mm 1.5 mm (new locking) 2.0 mm (locking) 2.4 mm (locking) –– Broad range of non-locking, locking and LCP plates to address various fracture patterns –– The use of locking screws allows creating a fixed-angle construct, which is particularly advantageous in osteopenic bone or in fractures near the joint LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 3 AO Principles AO PRINCIPLES In 1958, the AO formulated four basic principles, which have 1,2 In 1958, the guidelines AO formulated four basic principles, which become for internal fixation . have become the guidelines for internal fixation1, 2. 4_Priciples_03.pdf 1 05.07.12 Anatomic Anatomic reduction Fracture reduction reduction and Fracture and fixation fixation to to restore anatomical relationships. restore anatomical relationships. 1 Early, active mobilization Early, mobilization Early and and safe mobilization Early mobilizationand and rehabilitation of the injured part rehabilitation the injured partand the patient as a whole. and the patient as a whole. 4 1 Müller ME, M Allgöwer, R Schneider, H Willenegger. Manual of Internal Fixation. 3rd ed. Berlin Heidelberg New York: Springer. 1991. 2 Rüedi TP, RE Buckley, CG Moran. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd ed. Berlin, Heidelberg, New York: Springer. 1991. 2 Rüedi TP, Buckley RE, Moran CG. AO Principles of Fracture Management. 2nd ed. Stuttgart, New York: Thieme. 2007. 1 4 DePuy Synthes Expert Lateral Femoral Nail Surgical Technique 4 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 2 3 12:08 fixation Stable fixation Fracture Fracture fixation fixationproviding providingabsolute abso- or relative stability,stability, as required lute or relative as by the prequired atient, the and thethe personality by injury, the patient, injury, of thethe fracture. and personality of the fracture. Preservation Preservationof of blood blood supply supply Preservation Preservationof ofthe theblood bloodsupply supply to soft tissues and bone by to soft tissues and bone bygentle reduction techniques and careful gentle reduction techniques and handling. careful handling. Intended Use and Indications Intended Use LCP Compact Hand 1.5 Implants are intended for temporary fixation, correction or stabilization of bones in anatomical region of the hand. Indications –– Fracture fixation of the phalanges and metacarpals –– Osteotomies –– Arthrodeses –– Replantations and reconstructions of phalanges and metacarpals, particularly in osteopenic bone LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 5 Preparation LCP Compact Hand 1.5 (LCP, Locking straight and Locking Condylar Plates) Preoperative planning LCP Plate 1.5, straight AP View Holes 4 6 0X.114.002 0X.114.004 Length 23 mm 36 mm Ö034.000.570_AA@ä Lateral View Locking Plate 1.5, straight AP View Holes 6 12 0X.114.003 0X.114.005 Length 29 mm 59 mm Head 2 Holes 0X.214.006–024 Locking Screw Stardrive 1.5 mm, self-tapping, length 6–24 mm 0 0X.214.106–124 Cortex Screw Stardrive 1.5 mm, self-tapping, length 6–24 mm 6 10 15 20 24 0 © 01/2010 Synthes, Inc. or its affiliates Shaft 6 Holes 0X.114.014 All rights reserved AP View Lateral View Synthes and LCP are trademarks of Synthes, Inc. or its affiliates Locking Condylar Plate 1.5 6 10 15 20 24 10 20 30 40 50 60 70 80 90 x=2: Stainless Steel x=4: Titanium 100 mm For use only with the Original AO System of Instruments and Implants 30100117 1.15 Magnification 0 Synthes GmbH Eimattstrasse 3 CH-4436 Oberdorf www.synthes.com 034.000.570 AA Complete the preoperative radiographic assessment and prepare the preoperative plan. Use the x-ray templates for LCP Compact Hand 1.5 (Art. Nos. 034.000.570/575) to determine the length of the plate and the position of the screws. Lateral View 1 LCP Compact Hand 1.5 (Locking T-, Strut and Y-Plates) AP View Lateral View Locking T-Plate 1.5 0X.114.006 Shaft Head 8 Holes 3 Holes Shaft Head 8 Holes 4 Holes 0X.114.007 0X.114.010 Holes 8 oblique right AP View Synthes and LCP are trademarks of Synthes, Inc. or its affiliates Lateral View Locking Y-Plate 1.5 0X.214.006–024 Locking Screw Stardrive 1.5 mm, self-tapping, length 6–24 mm 0 All rights reserved Shaft Head 8 Holes 3 Holes 0X.214.106–124 Cortex Screw Stardrive 1.5 mm, self-tapping, length 6–24 mm 6 10 15 20 24 0 © 01/2010 Synthes, Inc. or its affiliates 0X.114.013 6 10 15 20 24 1.15 Magnification 0 10 20 30 40 50 60 For use only with the Original AO System of Instruments and Implants 6 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 70 80 90 100 mm x=2: Stainless Steel x=4: Titanium Synthes GmbH Eimattstrasse 3 CH-4436 Oberdorf www.synthes.com 034.000.575 AA 30100117 Holes 8 oblique left 0X.114.009 Ö034.000.575_AAwä AP View Lateral View Locking Strut Plate 1.5, oblique-angled left and right 2 Select implant Required sets 01.114.104 or 01.114.102 01.110.003 LCP Compact Hand 1.5 (Titanium Implants) LCP Compact Hand 1.5 (Stainless Steel Implants) Standard Instrument Set for LCP Compact Hand The plates of the LCP Compact Hand Module 1.5 are available either with or without short drill sleeves preassembled to the plate. The plates with preassembled drill sleeves are available sterile only. Select the plate according to the fracture pattern and the anatomy of the patient. Notes: – This technique guide describes the application of the LCP Compact Hand 1.5 system using a Locking Condylar Plate 1.5. – Familiarity with the use of LCP plates or instruction from an experienced surgeon is recommended (see LCP Locking Compression Plate technique guide 036.000.019). LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 7 Implantation 1 Reduce fracture Reduce the fracture under image intensifier control and, if necessary, fix with Kirschner wires or reduction forceps. The reduction method will be fracture-specific. 2 Trim plate Instrument 391.962 Bending/Cutting Pliers Trim the plate to the desired length using the bending/ cutting pliers and remove the burrs. Note: If the bending/cutting pliers are used on a plate with preassemble drill sleeves, the drill sleeves must first be removed from the plate. 8 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 3 1 Contour plate Instruments 03.114.003 Bending Pin for LCP Plates 1.5, with thread 347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 If necessary, contour the plate to suit anatomical conditions. Non-preassembled plates Use the bending pins for LCP Plates and thread the pins into the screw holes to contour the plate. (1) The plate can also be bent using two flat nosed pliers. Preassembled plates Use the non-threaded ends of the bending pins over the short threaded drill sleeves. (2) 2 Precautions: –– If possible, bend the plate between the locking/ LCP holes. Do not deform the threaded part of the holes or over-bend the plate during bending as this may adversely a ffect insertion of locking screws. –– Reverse bending or use of the incorrect instrumentation for bending may weaken the plate and lead to premature plate failure (e.g. breakage). Do not bend the plate beyond what is required to match the anatomy. LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 9 Implantation 4 1 Position plate Instrument 399.970 Reduction Forceps with Points, ratchet lock Position the plate over the reduced fracture and, if necessary, fix provisionally with Kirschner wires or reduction forceps. (1) When using reduction forceps with points on a preassembled plate, insert one branch of the forceps in the cannulation of the short drill sleeve to secure the plate to the bone. (2) Optional instrument 398.819 Holding Forceps with Swivel Foot, for Plates 1.3 to 2.4, speed lock When using the holding forceps with swivel foot to hold the plate, remove the drill sleeves from the surrounding holes so that the holding forceps sit flush on the plate. 11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 2 5 Determine screw type Depending on the individual case, cortex screws and/or locking screws may be inserted. Determine where locking screws will be used. The LCP and the locking holes accept both, cortex and locking screws. The elongated hole only accepts cortex screws. If a locking screw is inserted first, ensure that the plate is held securely to the bone to prevent the plate from spinning as the screw locks into the plate. LCP hole (cortex or locking screw) Locking hole (cortex or locking screw) The final screw placement and the use of locking and cortex screws is determined by the fracture pattern. Elongated hole (cortex screw only) LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11 Implantation 6A Insert screws in non-preassembled plate Insert locking screw 1 Instruments 03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm 03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 319.003 Depth Gauge for Screws B 1.3 to 1.5 mm, measuring range up to 24 mm 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling 2 Optional instrument 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini QuickCoupling Pre-drill the hole for a 1.5 mm locking screw using the 1.1 mm drill bit and the LCP drill sleeve 1.5. (1) Determine the screw length with the corresponding depth gauge. (2) Insert the screw manually with the screwdriver shaft with holding sleeve and the handle with mini quick coupling. (3) 11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 3 Insert cortex screw 1 Instruments 312.140 Double Drill Guide 1.5/1.1 03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel 319.003 Depth Gauge for Screws B 1.3 to 1.5 mm, measuring range up to 24 mm 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling 2 Optional instrument 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini QuickCoupling Pre-drill the hole for a 1.5 mm cortex screw with the 1.1 mm drill bit using the double drill guide. To drill a gliding hole, use the 1.5 mm drill bit with the double drill guide. (1) To adjust the plate position, a 1.5 mm cortex screw can be inserted in the non-threaded elongated hole (in T-, Y- and Condylar Plate). Insert the 1.5 mm cortex screw, adjust the plate position if necessary and tighten the screw. Determine the screw length with the corresponding depth gauge. (2) LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11 Implantation Insert the screw manually with the screwdriver shaft with holding sleeve and the handle with mini quick coupling. (3) 11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 3 6B Insert screws in plate with preassembled short drill sleeves 1 Instrument 03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel 312.140 Double Drill Guide 1.5/1.1 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling 2 Optional instrument 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini Quick Coupling Pre-drill the screw hole using the short LCP drill sleeves that are preassembled to the plate. To drill for a cortex screw in an angle other than 90° to the plate, use the double drill guide. Before using the double drill guide, remove the short drill sleeve. (1, 2, 3) 3 Note: Screw length may be measured either with or without the short drill sleeve assembled to the plate. When measured directly through the drill sleeve, subtract 5 mm from the reading to account for the drill sleeve. (3) LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11 Implantation Insert the screw manually with the screwdriver shaft with holding sleeve and the handle with mini quick coupling. (4) 4 Notes: –– Remove all preassembled short drill sleeves before closure. Use the self-retaining T4 screwdriver shaft or the screwdriver shaft with holding sleeve and the handle with mini quick coupling to unscrew them from the plate (5, 6). A tray which can serve as a tool to help remove the short drill sleeves from the screwdriver is optionally available. –– It is recommended to count the short LCP drill sleeves to ensure they are all removed before closure. 5 6 11 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique Implant Removal Instruments 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 311.012 Handle, medium, with Mini Quick Coupling Optional instrument 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini Quick Coupling To remove the implants, first unlock all locking screws before removing them completely. Otherwise, the plate may rotate and damage the soft tissue. LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 11 Screws Cortex Screw Stardrive, B 1.5 mm, self-tapping – Used to provide compression or neutral fixation – Low-profile head sits flush in the plate holes Art. No. Length (mm) 0X.214.106 6 0X.214.107 7 0X.214.108 8 0X.214.109 9 0X.214.110 10 0X.214.111 11 0X.214.112 12 0X.214.113 13 0X.214.114 14 0X.214.115 15 0X.214.116 16 0X.214.118 18 0X.214.120 20 0X.214.122 22 0X.214.124 24 X = 2: Stainless Steel X = 4: TAN Implants are available non-sterile or sterile packed. Add suffix “S” to article number to order sterile product. 18 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique Locking Screw Stardrive, B 1.5 mm, self-tapping – Threaded, conical head locks securely in combi- and locking hole of the plate to provide angular stability – Locked screws allow monocortical screw fixation and load transfer to the near cortex Art. No. Length (mm) 0X.214.006 6 0X.214.007 7 0X.214.008 8 0X.214.009 9 0X.214.010 10 0X.214.011 11 0X.214.012 12 0X.214.013 13 0X.214.014 14 0X.214.015 15 0X.214.016 16 0X.214.018 18 0X.214.020 20 0X.214.022 22 0X.214.024 24 X = 2: Stainless Steel X = 4: TAN Implants are available non-sterile or sterile packed. Add suffix “S” to article number to order sterile product. LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 19 Plates LCP Plate 1.5, straight Holes Length (mm) 0X.114.002 4 23 0X.114.004 6 36 Locking Plate 1.5, straight Holes Length (mm) 0X.114.003 6 29 0X.114.005 12 59 Holes Length (mm) 0X.114.006 Shaft 8, head 3 44.5 0X.114.007 Shaft 8, head 4 44.5 Locking T-Plate 1.5 Locking Strut Plate 1.5 Holes Length (mm) 0X.114.010 Right 8 23 0X.114.009 Left 8 23 Locking Y-Plate 1.5 0X.114.013 Holes Length (mm) Shaft 8, head 3 47 Locking Condylar Plate 1.5 0X.114.014 Holes Length (mm) Shaft 6, head 2 36 X = 2: Stainless Steel X = 4: Pure Titanium (CP4) Implants are available non-sterile or sterile packed. Add suffix “S” to article number to order sterile product. 20 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique Plates, with Preassembled Short LCP Drill Sleeves LCP Plate 1.5, straight Holes Length (mm) 0X.114.502S 4 23 0X.114.504S 6 36 Locking Plate 1.5, straight Holes Length (mm) 0X.114.503S 6 29 0X.114.505S 12 59 Holes Length (mm) 0X.114.506S Shaft 8, head 3 44.5 0X.114.507S Shaft 8, head 4 44.5 Locking T-Plate 1.5 Locking Strut Plate 1.5 Holes Length (mm) 0X.114.510S Right 8 23 0X.114.509S Left 8 23 Locking Y-Plate 1.5 0X.114.513S Holes Length (mm) Shaft 8, head 3 47 Locking Condylar Plate 1.5 0X.114.514S Holes Length (mm) Shaft 6, head 2 36 X = 2: Stainless Steel X = 4: Pure Titanium (CP4) Note: The plates with preassembled short drill sleeves are available sterile only. LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 21 Instruments 03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm 03.114.003 Bending Pin for LCP Plates 1.5, with thread 03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling 310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel 310.971 Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel 312.140 Double Drill Guide 1.5/1.1 319.003 Depth Gauge for Screws B 1.3 to 1.5 mm, measuring range up to 24 mm 311.012 Handle, medium, with Mini Quick Coupling Drill Bits are available non-sterile or sterile packed. Add suffix ”S” to article number to order sterile product. 22 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique Additional instruments 391.962 Bending/Cutting Pliers 347.901 Pliers, flat-nosed, pointed, for Plates 1.0 to 2.4 399.970 Reduction Forceps with Points, ratchet lock 398.819 Holdig Forceps with Swivel Foot, for Plates 1.3 to 2.4, speed lock Optional 03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling 310.143 Drill Bit B 1.5 mm, for Stryker Coupling 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini Quick Coupling LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 23 Sets 01.114.104 LCP Compact Hand 1.5 (Titanium Implants) 01.114.102 LCP Compact Hand 1.5 (Stainless Steel Implants) Module Module 68.114.001 Module LCP Compact Hand 1.5, with Lid, without Contents 68.114.001 Module LCP Compact Hand 1.5, with Lid, without Contents Implants Implants 04.214.006 – Locking Screw Stardrive B 1.5 mm, self-tapping, length 04.214.015 6 mm to 15 mm, Titanium Alloy (TAN), 1 mm increments 02.214.006 – Locking Screw Stardrive B 1.5 mm, self-tapping, length 02.214.015 6 mm to 15 mm, Stainless Steel, 1 mm increments 04.214.016 – Locking Screw Stardrive B 1.5 mm, self-tapping, 04.214.024 length 16 mm to 24 mm, Titanium Alloy (TAN), 2 mm increments 02.214.016 – Locking Screw Stardrive B 1.5 mm, self-tapping, 02.214.024 length 16 mm to 24 mm, Stainless Steel, 2 mm increments 04.214.106 – Cortex Screw Stardrive B 1.5 mm, self-tapping, 04.214.115 length 6 mm to 15 mm, Titanium Alloy (TAN), 1 mm increments 04.214.116 – Cortex Screw Stardrive B 1.5 mm, self-tapping, 04.214.124 length 16 mm to 24 mm, Titanium Alloy (TAN), 2 mm increments 04.114.002 LCP Plate 1.5, straight, 4 holes, length 23 mm, Pure Titanium 04.114.003 Locking Plate 1.5, straight, 6 holes, length 29 mm, Pure Titanium 04.114.004 LCP Plate 1.5, straight, 6 holes, length 36 mm, Pure Titanium 04.114.005 Locking Plate 1.5, straight, 12 holes, length 59 mm, Pure Titanium 04.114.006 Locking T-Plate 1.5, shaft 8 holes, head 3 holes, Pure Titanium 04.114.007 Locking T-Plate 1.5, shaft 8 holes, head 4 holes, Pure Titanium 04.114.009 Locking Strut Plate 1.5, 8 holes, oblique angled, left, Pure Titanium 04.114.010 Locking Strut Plate 1.5, 8 holes, oblique angled, right, Pure Titanium 04.114.013 Locking Y-Plate 1.5, shaft 8 holes, head 3 holes, Pure Titanium 04.114.014 Locking Condylar Plate 1.5, shaft 6 holes, head 2 holes, Pure Titanium Instruments 310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel 02.214.106 – Cortex Screw Stardrive B 1.5 mm, self-tapping, 02.214.115 length 6 mm to 15 mm, Stainless Steel, 1 mm increments 02.214.116 – Cortex Screw Stardrive B 1.5 mm, self-tapping, 02.214.124 length 16 mm to 24 mm, Stainless Steel, 2 mm increments 02.114.002 LCP Plate 1.5, straight, 4 holes, length 23 mm, Stainless Steel 02.114.003 Locking Plate 1.5, straight, 6 holes, length 29 mm, Stainless Steel 02.114.004 LCP Plate 1.5, straight, 6 holes, length 36 mm, Stainless Steel 02.114.005 Locking Plate 1.5, straight, 12 holes, length 59 mm, Stainless Steel 02.114.006 Locking T-Plate 1.5, shaft 8 holes, head 3 holes, Stainless Steel 02.114.007 Locking T-Plate 1.5, shaft 8 holes, head 4 holes, Stainless Steel 02.114.009 Locking Strut Plate 1.5, 8 holes, oblique angled, left, Stainless Steel 02.114.010 Locking Strut Plate 1.5, 8 holes, oblique angled, right, Stainless Steel 02.114.013 Locking Y-Plate 1.5, shaft 8 holes, head 3 holes, Stainless Steel 02.114.014 Locking Condylar Plate 1.5, shaft 6 holes, head 2 holes, Stainless Steel Instruments 310.141 Drill Bit B 1.5 mm, length 65/50 mm, 2-flute, for Quick Coupling, Stainless Steel 310.971 Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel 312.140 Double Drill Guide 1.5/1.1, for No. 311.150 310.971 Countersink for Screws B 1.3 and 1.5 mm, Stainless Steel 03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm 312.140 Double Drill Guide 1.5/1.1, for No. 311.150 03.114.003 Bending Pin for LCP Plates 1.5, with thread 03.114.001 LCP Drill Sleeve 1.5, for Drill Bits B 1.1 mm 03.114.003 Bending Pin for LCP Plates 1.5, with thread 03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling Optional 310.143 Drill Bit B 1.5 mm, for Stryker Coupling 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini Quick Coupling 03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling 60.114.004 Tray for LCP Drill Sleeves 1.5, short 22 DePuy Synthes LCP Compact Hand 1.5 Surgical Technique 03.114.007 Drill Bit B 1.1 mm, length 75/61 mm, 2-flute, for Mini Quick Coupling 03.114.009 Screwdriver Shaft Stardrive 1.5, with Holding Sleeve, length 66 mm, for Mini Quick Coupling Optional 310.143 Drill Bit B 1.5 mm, for Stryker Coupling 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini Quick Coupling 60.114.004 Tray for LCP Drill Sleeves 1.5, short 03.114.008 Drill Bit B 1.1 mm, for Stryker Coupling 03.114.002 Screwdriver Shaft, Stardrive 1.5, T4, short, self-holding, for Mini Quick Coupling MRI Information Torque, Displacement and Image Artifacts according to ASTM F 2213-06, ASTM F 2052-06e1 and ASTM F 2119-07 Non-clinical testing of worst case scenario in a 3 T MRI system did not reveal any relevant torque or displacement of the construct for an experimentally measured local spatial gradient of the magnetic field of 3.69 T/m. The largest image artifact extended approximately 169 mm from the construct when scanned using the Gradient Echo (GE). Testing was conducted on a 3 T MRI system. Radio-Frequency-(RF-)induced heating according to ASTM F 2182-11a Non-clinical electromagnetic and thermal testing of worst case scenario lead to peak temperature rise of 9.5 °C with an average temperature rise of 6.6 °C (1.5 T) and a peak temperature rise of 5.9 °C (3 T) under MRI Conditions using RF Coils (whole body averaged specific absorption rate [SAR] of 2 W/kg for 6 minutes [1.5 T] and for 15 minutes [3 T]). Precautions: The above mentioned test relies on non-clinical testing. The actual temperature rise in the patient will depend on a variety of factors beyond the SAR and time of RF application. Thus, it is recommended to pay particular attention to the following points: –– It is recommended to thoroughly monitor patients under going MR scanning for perceived temperature and/or pain sensations. –– Patients with impaired thermoregulation or temperature sensation should be excluded from MR scanning procedures. –– Generally, it is recommended to use a MR system with low field strength in the presence of conductive implants. The employed specific absorption rate (SAR) should be reduced as far as possible. –– Using the ventilation system may further contribute to reduce temperature increase in the body. LCP Compact Hand 1.5 Surgical Technique DePuy Synthes 22 Not all products are currently available in all markets. This publication is not intended for distribution in the USA. All surgical techniques are available as PDF files at www.depuysynthes.com/ifu 0123 © DePuy Synthes Trauma, a division of Synthes GmbH. 2016. All rights reserved. 036.001.038 DSEM/TRM/0815/0439(1) 05/16 Synthes GmbH Eimattstrasse 3 4436 Oberdorf Switzerland Tel: +41 61 965 61 11 Fax: +41 61 965 66 00 www.depuysynthes.com
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