Collinear Reduction Clamp. For minimally invasive ... - Osteosyntese

Handling TechniqueCollinear Reduction Clamp.For minimally invasive fracture reduction.

Table of ContentsCollinear Reduction Clamp 2Handling Technique 4Ordering Information 10WarningThis description alone does not provide sufficient backgroundfor direct use of the product. Instruction by asurgeon experienced in handling this product is highlyrecommended.Synthes 1

Collinear Reduction Clamp.For minimally invasive fracture reduction.The Collinear Reduction Clamp assistsin achieving and maintaining fracturereduction in minimally invasivetechniques.The system consists of:− Sliding mechanism− Attachable arms− Reduction attachmentsThe Collinear Reduction Clamp is usedfor long bone, articular and pelvic fracturetypes.Arms can be mounted in four different positionsto accommodate various fracture types.A single sliding mechanism accepts fourdifferent attachment arms.Reduction attachments for reduction against plates.Possible applicationsThe sliding mechanism accepts fourdifferent attachment arms. This allowsthe surgeon to create an optimalreduction tool according to the clinicalneeds.Hohmann-shape Arm,183 mm398.752Pelvic Arm225 mm398.7532 Synthes Collinear Reduction Clamp Handling Technique

Cannulated feed rod for temporaryK-wire fixationContinuous and variable forceapplicationPercutaneous Arm,255 mm398.754Bone Hook-shape Arm,206 mm398.756Synthes 3

Handling Technique1Arm attachment/removalFeed rodMounting notchesTo create a clamp, the sliding mechanism is used with anattachment arm.Instruments314.291 Collinear Reduction Clamp (SlidingMechanism)398.752 Hohmann-shape Arm398.753 Pelvic Arm398.754 Percutaneous Arm398.756 Bone Hook-shape ArmSelect an attachment arm and slide it over the feed rod. Pressthe release button and mount the arm onto one of themounting notches.Release buttonAn arm can be repositioned by pressing the release buttonand rotating the arm to engage a different notch.Remove the attachment arm by pressing the release buttonand sliding the arm off the notch.4 Synthes Collinear Reduction Clamp Handling Technique

2ReductionInstruments398.710 Disc, spiked, for reduction forceps292.001 Kirschner Wire 2.6 mm with spadepoint, length 500 mm, Stainless SteelSqueeze the trigger to advance the feed rod and reduce thebone fragments. The clamp can be closed in very fineincrements, allowing appropriate reduction of the fragments.The feed rod has a 3 mm cannulation, permitting insertion ofa guide wire to hold the reduction.Caution: Continued advancement of the feed rod may generateexcessive clamping forces. A spiked disc to help distributethe compressive forces is available (particularly on poorquality bone). The spiked disc can either be mounted on thetip of the percutaneous arm or on the tip of the feed rod.The bone hook-shape arm is compatible to the Synthes LargeExternal Fixator. Use combination clamps (390.005) toconnect two collinear reduction clamps to a carbon fibre rod(394.800-394.870).Synthes 5

Handling Technique3Reduction AttachmentsImportant: Always watch the sharp tip of the attached arm!3APreparation398.758 398.757Instruments398.757 LCP Reduction Attachment398.758 Reduction attachment321.158 Combination Wrench 8.0 mm398.759 Combination Wrench 13.0 mmAfter reprocessing, the reduction attachments are closed(sleeve is screwed down). Before using the reduction attachment,open it by screwing up the sleeve either by hand or byusing the Combination Wrench 13.0 mm (398.759). Tohelp holding the tip of the LCP reduction attachment, usethe combination wrench 8.0 mm (321.158).6 Synthes Collinear Reduction Clamp Handling Technique

3BAssemblyMount the reduction attachment like shown. Align the twolegs of the attachment to the flat surfaces of the feed rod.Start in a 90 degrees angle from below and slide the reductionattachment over the tip of the feed rod. The attachmentclicks into place as soon as it is in the right position.Secure the reduction attachment by screwing down thesleeve.123CDisassemblyFirst unscrew the sleeve of the reduction attachment eitherby hand or by using the combination wrench 13 mm398.759.Then push the release lever and pull back the feed rod untilthe reduction attachment falls off.Synthes 7

Handling Technique4ReleaseTo release the clamp, press the release lever and manuallyretract the feed rod. To remove the clamp after placing aguide wire into the bone through the cannulated feed rod,disconnect the attachment arm from the sliding mechanism.Note: Do not squeeze the trigger while pressing the releaselever, as this will not allow the feed rod to slide freely.8 Synthes Collinear Reduction Clamp Handling Technique

5Care and maintenanceInstruments319.240 Cleaning Brush 2.9 mm,for Cannulated Instruments519.970 Oil Dispenser with Synthes Special Oil,50 ml321.158 Combination Wrench 8.0 mm398.759 Combination Wrench 13 mmBefore cleaning and sterilization, remove any attachmentfrom the sliding mechanism (arm, reduction attachment andspiked disk) and remove the synthetic screens from thesliding mechanism. Clean the cannulated feed rod manually,using a 2.9 mm cleaning brush.Important: Lubricate the movable parts (e.g. clamp springof the sliding mechanism, couplings of attachment arms) ofthe Collinear Reduction Clamp after each use with autoclavableSynthes oil. After oiling, push the button on the attachmentcoupling and slide the feed rod several times toensure proper distribution of the oil.Before cleaning and sterilization, close the reductionattachment either by hand or by using the combinationwrench 8 mm (321.158) and the combination wrench 13 mm (398.759).Synthes 9

Ordering informationArt. No.Description181.500 Collinear Reduction Clamp, complete681.500 Insert for Collinear Reduction Clamp,without Contents314.291 Collinear Reduction Clamp (SlidingMechanism)398.752 Hohmann-shape Arm, for CollinearReduction Clamp398.753 Pelvic Arm, for Collinear Reduction Clam398.754 Percutaneous Arm, for Collinear ReductionClamp398.756 Bone Hook-shape arm, for CollinearReduction Clamp398.757 LCP Reduction Attachment, for CollinearReduction Clamp398.758 Reduction Attachment, for CollinearReduction Clamp321.158 Combination Wrench 8.0 mm398.759 Combination Wrench 13 mmAdditionally available292.001 Kirschner Wire 2.6 mm with spade pointtip, length 500 mm292.001S Kirschner Wire 2.6 mm with spade pointtip, length 500 mm, sterile398.710 Disc, spiked, for Reduction ForcepsRecommended Vario Case components689.507 Lid, size 1/1, for Vario Case689.508 Vario Case framing size 1/1, height 45 mm68.000.101 Lid for Instrument Trag, Size 1/110 Synthes Collinear Reduction Clamp Handling Technique

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