Sternal Talon® - Sternal Closure System
Schelbert/ Bödeker | January 2010
Indication Sternal Talon®
The system can be used for cardiothoracic patients
but is especially suitable for those at high risk
resulting from:




Morbid obesity
Diabetes
Chronic obstructive pulmonary disease
…
More over the Sternal Talon® is effective for
reconstruction procedures.
Schelbert/ Bödeker | January 2010
Sternal Talon® System Components
 The Sternal Talon Implant is available in two basic versions.
 All Implants consist of two parts.
Double Talon
Single Talon
„male“
„female“
Schelbert/ Bödeker | January 2010
„male“
„female“
Sternal Talon® System Components
11 o‘ clock Pos.
„LCOKED“
3 o‘ clock Pos.
„CLOSE“
7 o‘ clock Pos.
„OPEN“
Function of screw:
The front side of the implant features a blue
screw offering three different setting options.
Schelbert/ Bödeker | January 2010
Single Sternal Talon®
The Single Talon has two legs and is available in the five widths – XS, S, M, L, XL – and
four foot plate depths: 11 mm, 14 mm, 17 mm, 20 mm.
Schelbert/ Bödeker | January 2010
Double Sternal Talon®
The Double Talon has for legs and is available in four widths – S, M, L, XL –
and four foot plate depths: 11 mm, 14 mm, 17 mm, 20 mm.
Schelbert/ Bödeker | January 2010
Sternal Talon Set
 Each Sternal Talon Set consists of two trays; a Single Talon and instrument tray and
a Double Talon tray
 The complete set contains all necessary instruments and 57 implants (43 Single and
14 Double) in different measurements.
Schelbert/ Bödeker | January 2010
Indication Video
Schelbert/ Bödeker | January 2010
Measuring of the Sternum
Measure sternal width
Measuring of the total sternum width at the
application points (ICS 1-5) by using the caliper.
Both sternum halves have to be measured
separately.
Measure sternal thickness
After measurement of the sternum width the
sternum thickness has to be measured at the
placement points (ICS 1-5)
Schelbert/ Bödeker | January 2010
Measurement Chart
All measurement results have to be entered into the measurement chart.
The correct implant size has to be evaluated.
Schelbert/ Bödeker | January 2010
Preparing Site for Insertion of Sternal Talon ®
 Retract the skin and soft tissue to expose the articulations of the ribs to sternum.
 Utilize blunt dissection or use an electro cautery to create a track.
 This allows for the footplates of the Sternal Talon ® to pass in the intercostal space.
Schelbert/ Bödeker | January 2010
Placing the Sternal Talon®
 Three position screw must be turned to the
3 o´clock “Closing” position.
 Hold the Sternal Talon® at a 45 degree angle to
the sternum.
 Guide the legs into the tracks in the intercostal
space and push the plate downwards.
 Repeat these steps until all Implants are placed.
Schelbert/ Bödeker | January 2010
Placing and aligning the Sternal Talon®
 Placing the Talon with the Talon
Introduction Forceps
Schelbert/ Bödeker | January 2010
 Aligning the Talon with the Talon
Introduction Forceps
Closing the Sternal Talon®
 Once all implant halves have been engaged, move
the reduction clamp to the designated points and
firmly lock the implants step by step
Schelbert/ Bödeker | January 2010
Closing the Sternal Talon®
 All implants are etched with a “SAFE
ZONE” to indicate proper closure position.
 If after closing the device the “safe zone
arrow” is not within the “safe zone”, the
device should be removed and a more
appropriate size placed.
| SAFE ZONE |
SAFE ZONE
Schelbert/ Bödeker | January 2010
Closing the Sternal Talon®
 Once the Sternal Talon® has been firmly
closed, turn the screw counterclockwise
to the 11 o’clock (LOCKED) position.
 This will lock the device and prevent
it from disengaging.
Schelbert/ Bödeker | January 2010
Sternal Talon® Placement
 Usually three Sternal Talon Implants are used for
the sternal closure.
 Different configurations are possible.
 To obtain additional stability, wires can be used.
Schelbert/ Bödeker | January 2010
Removal and Emergency Re-entry
 Removal of the Sternal Talon® is accomplished by rotating
the screw clockwise to the 7 o'clock “Open” position.
 This will unlock the device and allow the two sides to
be separated and removed.
Schelbert/ Bödeker | January 2010
Removal and Emergency Re-entry
 A second re-entry method can be accomplished by
cutting the device at the cut points.
cut point
cut point
 A third re-entry method is to insert a flat screwdriver in
the lock mechanism and rotate superiorly to disengage
teeth.
Schelbert/ Bödeker | January 2010
Important warning
 Only use linear fluted drains with the Sternal Talon®
 Do not use round perforated drains in conjunction
with the Sternal Talon®.
 The drain holes could engage the footplates of the
device.
Schelbert/ Bödeker | January 2010
Instruments
24-008-01
Screwdriver
Schelbert/ Bödeker | January 2010
24-003-01
Introdution Clamp
24-004-01
Tenaculum Clamp
24-006-01
Caliper
Instruments
24-005-01
Reduction Clamp
Schelbert/ Bödeker | January 2010
24-003-02
Removal Clamp
24-007-01
Cutter
Emergency Release
 In order to ensure a fast re-entry in case of emergency each patient has to be equipped with
a Sternal Talon “Hospital Kit”.
 This includes a sterile screw driver as well as a laminated wallet card showing removal
instructions.
Schelbert/ Bödeker | January 2010
Patient information
 Every patient must be provided with a implant
passport including important information
concerning the implanted Sternal Talon®
devices.
 Additionally the patient has to be given a
patient ID Tag
Schelbert/ Bödeker | January 2010
Advantages Sternal Talon®
 Advanced system with high stability and high safety
 Forces get distributed over a wider area; lower force per mm;
much less likely to cut into the bone
 Improves sternal stability which likely translates to a decrease in
non-union, dehiscence and mediastinitis
 Easy handling and fast application
 Fast and easy re-entry in case of emergency immediately after
operation
 No sharp edges that could harm the patient or surgeon
 No penetration of bone
 Stability much less depends on the quality of bone
Schelbert/ Bödeker | January 2010
Thank you
for your attention