Staple Fixation System - Stryker

Staple Fixation
System
• Implants
• Instruments
• Applications

Contents
Introduction 3
Instrument Use - Universal Inserter 4
Instrument Use - Universal Rod 5
Ordering Information - Implants 6
Ordering Information - Instruments 7
2

Introduction
When the stapling of bones, ligaments,
tendons or soft tissue is part of an
operative procedure, then the new
advanced Staple Instrumentation
System combined with a complete
family of Fixation Staples offers
clear-cut advantages.
Implants
Instruments
The Stryker Staple System consists of
eight different Staple designs. They
differ in their function and indication.
The Ellison Arched Bridge Staples are
designed to reduce the risk of the
staple backing out of the bone and to
reattaching tubular soft tissue to bone.
The Ellison Flat Staples are used to
attach bone to bone.
The Ellison removable Soft Tissue
Retainer can be used with the flat
Staple for soft tissue reattachment.
All Ellison Staples are barbed on all
four sides of the legs for enhanced
fixation and protection against back
out.
Depalma Staple – same indication as
the Ellison Arched Bridge Staple but
without barbed legs.
The Blount Epiphyseal Staples are
applicable for epiphyseal applications
in children and adolescents. The
reinforced corners reduce unwanted
staple bending and allow accurate
staple driving.
Stepped Staples provide the most
comprehensive approach to bone
fixation following high tibial
osteotomies. These staples are available
in three offset steps (5, 10 and 15mm)
The Kremser Staple for HTO can be
locked with a standard 4.5mm self
tapping cortical screw through a
special locking hole in the distal leg.
Fracture Staples have slightly tapered
legs. This feature creates compression
when the staples are driven in bone.
Wire Staples are indicated for fragment
fixation, particularly in small
fragments and where inter-fragmental
screw fixation is not possible.
All staples are manufactured from
Vitallium alloy, fully conforming to the
requirements set by ASTM F799/ISO
5832 standards.
The upgraded instrumentation system
features a unique universal staple
inserter for accurate staple impaction
into bone. The special
holding/tightening mechanism enables
secure gripping of the staples and
allows easy exchange of the three
different clamping jaws.
The system also includes a universal
rod to connect the final impactor,
extraction spoon and a extraction hook
together with a slotted hammer. A
swivel drill guide for pre-drilling
cortical bone is available as an optional
item. All instruments are stored in a
plastic sterilization case together with a
tray for staples. The tray with preformed
inserts holds a variety of
Staples for easy intra-operative
selection.
3

Instrument Use
Universal Inserter
Assembling the Inserter
Three different clamping jaws are
available for insertion of the staple
range. If the jaws need changing the
following procedure must be followed:
Turn the knob anti-clockwise until it
disengages from the threaded shaft.
Remove the spring and push the shaft
forward through the instrument
casing.
Select the appropriate clamping jaws
and place the two parts on the distal
end of the shaft using the transverse
pegs. Firmly press the jaws on the shaft
and re-insert the shaft through the
casing.
Ensure that the two pegs engage in the
longitudinal slots in the casing. Keep
the clamping jaws pressed against the
conical end of the casing. Slide the
spring over the threaded end of the
shaft and reattach the knob to the
thread.
Turn the knob clockwise and advance
until a gap of approx. 5mm to the
proximal end of the casing has been
reached.
Using the inserter
Spread the clamping jaws by pushing
the knob against the casing and insert
the selected staple correctly in the
chosen clamping jaws.
Release the pressure on the knob so
that the spring-loaded mechanism
keeps the staple fixed in the jaws.
Tighten the knob until firm resistance
can be felt, confirming secure fixation
of the staple in the clamping jaws.
After impaction of the staple into the
bone, turn the knob anti-clockwise
several turns and release the
instrument by pushing the knob
against the casing.
4

Instrument Use
Universal Rod
The Universal Rod has been designed
for the use with the Final Impactor, the
Extraction Spoon and the Extraction
Hook.
Select the correct instrument and
attach it to the rod using the threaded
end.
Check secure fixation with the 8mm
open wrench on the flat parts of the
instruments.
Final impaction of staples can be
carried out using the rod with the
attached Impactor and the Hammer.
The Extraction Spoon is used to lift the
staple off the bone until final
extraction can be carried out using the
Extraction Hook and the slot of the
Hammer over the Universal Rod.
5

Ordering Information - Implants
ELLISON Arched Bridge Fixation Staples
WIRE Staples
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6982-1-009 N/A 9 23
6982-1-012 N/A 12 23
6982-1-015 N/A 15 23
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6586-1-005 N/A 10 16
6586-2-005 N/A 16 16
6586-3-005 N/A 22 16
ELLISON Flat Bridge Fixation Staples
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6982-2-008 N/A 8 23
6982-2-011 N/A 11 23
6982-2-014 N/A 14 23
FRACTURE Staples Straight
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6986-0-005 N/A 16 22
6986-0-007 N/A 22 22
ELLISON Optional Soft Tissue Retainers
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6982-3-008 N/A 8 N/A
6982-3-011 N/A 11 N/A
6982-3-014 N/A 14 N/A
DEPALMA Soft Tissue Staples
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6985-3-003 N/A 10 19
6985-3-006 N/A 19 19
BLOUNT Staples Epiphyseal (with reinforced corners)
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6985-0-003 N/A 10 22
6985-0-005 N/A 16 22
6985-0-007 N/A 22 22
6985-0-011 N/A 27 22
KREMSER* High Tibial Osteotomy Staple
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6987-7-035 14 35 38
Note: *ISO 4.5mm Cortical Screw recommended
STEPPED High Tibial Osteotomy Staples
Vitallium Step Staple Staple
Alloy Size Width Length
REF mm mm mm
6987-1-005 5 28 33
6987-3-010 10 28 38
6987-5-015 15 28 43
6

Ordering Information - Instruments
REF
Description
6983-1000 Universal Inserter
6983-1010 Clamping Jaws, blue (for Blount, Stepped, Fracture and Kremser Staples)
6983-1020 Clamping Jaws, yellow (for Ellison Staples)
6983-1030 Clamping Jaws, green (for Depalma and Wire Staples)
1806-0113 Universal Rod
6983-3000 Final Impactor
6983-4000 Extraction Spoon
6983-4050 Extraction Hook
1806-0130 Open Wrench 8/10
6983-5000 Slotted Hammer, small
6983-9000 Storage Case with Tray Insert, Implants
6983-9100 Tray Insert, Implants
Optional
6983-2000 Swivel Drill Guide for 2.5mm Drill
Spare Parts
E6983101
E6983102
E6983103
Knob for Universal Inserter
Spring for Universal Inserter
Shaft for Universal Inserter
7

Trauma, Extremities & Deformities
Trauma, Extremities & Deformities
Biologics
Biologics
Surgical Products
Surgical Products
Neuro & ENT
Neuro & ENT
Stryker Trauma GmbH
Prof.-Küntscher-Strasse 1-5
D-24232 Schönkirchen
Germany
www.osteosynthesis.stryker.com
The information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the package
insert, product label and/or user instructions before using any Stryker product. Surgeons must always rely on their own
clinical judgment when deciding which products and techniques to use with their patients. Products may not be available
in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please
contact your Stryker representative if you have questions about the availability of Stryker products in your area.
Stryker Corporation or its subsidiary owns the registered trademark: Stryker
Literature Number: B1000053
LOT B1007
Copyright © 2007 Stryker
Printed in Germany