Shoulder Extraction Instruments

2014-04-09

: Pdf Shoulder Extraction Instruments Shoulder_Extraction_Instruments 4 2014 pdf

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SHOULDER
EXTRACTION
INSTRUMENTS
PRODUCT OVERVIEW
32 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
Introducing the orthopaedic industry’s rst dedicated Shoulder Extraction Instrument set.
DePuy Synthes Joint Reconstruction has created this set of instruments to help address
obstacles encountered during revision shoulder arthroplasty. These instruments provide
for a condent component removal with various instruments aiding in cement
removal, component removal, and bone restoration.
54 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
CEMENT REMOVAL
Slotted Mallet
Used alongside various other
instruments in this system.
Cement Curettes
Can be used to remove cement from the humeral diaphysis
and also to remove cement in the distal humeral canal. The
diameter of the curette is 6mm, so after drilling with the
6.5mm drill, the curette can be passed through to the
cement mantle to help remove the distal cement.
Threaded Plug Extractor
Used to remove distal cement stoppers. It can be used
through the drill guides to perfectly place it in the plug.
Cement Rongeur
Aids in removing small pieces of
cement from the humeral canal.
Humeral Drills and Guides
Used to drill distal cement in the humeral canal. 3.2, 4.5, and 6.5mm sizes are provided
to sequentially increase hole diameter. Drills t in the stepped and long humeral drill
guides. The largest drill diameter correlates with the diameter of the 6mm cement
curette. The guides also help when drilling cement plugs in order to remove them.
Humeral Drill Guide Stepped Humeral Drill Guide Long
3.2mm Drill Bit Short
3.2mm Drill Bit Long
4.5mm Drill Bit
6.5mm Drill Bit
12.5mm Straight Osteotome
20mm Straight Osteotome
9mm Curette
6mm Curette
Cement Separator
Used to separate cement from bone.
Straight Osteotomes
Used to help create a humeral osteotomy
when needed during a revision surgery.
Cement Splitter
Allows cutting and also separating cement from the
bone once the humeral component has been removed.
This instrument should be used with care, as bone can
be softer than cement.
Osteotome Handle
May be used along with interchangeable
exible osteotome blades.
76 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
Glenoid Graft Tamp
Used to pack graft in central glenoid
defects (sized for 48mm glenoid).
Forked Stem Extractor (Wide)
Used to remove anatomic humeral stems with collars.
This instrument attaches to the Universal Slap Hammer.
Forked Stem Extractor (Narrow)
If the stem has lateral n geometry that will not accommodate the
Wide Forked Extractor, the Narrow Forked Extractor can be used
instead. This instrument attaches to the Universal Slap Hammer.
Head Extractor
May be used in the removal of humeral
head components.
Anterior Glenoid Chisels
Designed to preserve maximum glenoid bone stock
while aiding in the removal of glenoid components.
Needle Nose Pliers
Used to remove small pieces of cement.
Thin Tip Rongeur
May be used to remove the proximal cement
mantle around the humeral stem.
Head Removal Fork
Aids in the removal of the humeral head
components of anatomic prosthesis.
Cable Passer
Used to aid in the reconstruction
of proximal humeral osteotomy.
Small Locking Pliers
May be used to aid in the removal
of a metaglene component.
Humeral Bone Clamp
Helps protect humeral osteotomy and
allows the positioning of new a humeral
stem. Also helps when placing cerclages
to reconstruct humeral osteotomy.
Universal Slap Hammer
Attaches and gives leverage to
the locking pliers, head removal
tool, and forked extractors. The
handle is oval-shaped to reduce
“roll” on the back table.
COMPONENT REMOVAL AND UTILITY
Wide Glenoid Chisel
Narrow Glenoid Chisel
Large Locking Pliers
May be used to aid in the removal
of humeral stem components.
98 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
FLEXIBLE OSTEOTOMESHUMERAL STEM REMOVAL – PRESS-FIT
COLLAREDCOLLARLESSREVERSE
HUMERAL OSTEOTOMY
Flat Osteotomes
Available in short, medium,
and long. Short is designed
to be used for the loosening
of proximal humeral com-
ponents. Medium and long
osteotomes may be used on
middle and distal stem to aid
in stem removal.
Radial Osteotomes
Also available in short,
medium, and long. Radial
osteotomes may be used in
the same situations as the
at osteotomes, but where a
contoured edge is required.
Fin Osteotome
Aids in the removal of
cement from the proximal
lateral and posterior ns
of the prosthesis.
Flexible Osteotome Technique
Attempt to extract the collared humeral stem utilizing the Humeral Forked Stem Extractor
and Universal Slap Hammer after each osteotome technique.
CAUTION: When using the exible osteotomes, make sure to use the bevel side
towards the bone.
If a controlled humeral osteotomy needs to be
performed, you may use the straight chisels to aid
in creating a window in the humerus. Humeral bone
clamps as well as a cable passer are also contained
in the set to help assist you in this reconstruction.
The exible ostetomes are thin, sharp instruments that may be used to
disrupt the implant to bone xation, or a cement mantle.
Flexible Osteotome Technique
Attempt to extract the collarless humeral stem utilizing the Large Locking Pliers after each
osteotome technique.
Flexible Osteotome Technique
Attempt to extract the reverse humeral stem utilizing the Large Locking Pliers after each
osteotome technique.
1– Flat,
Short
2– Radial,
Medium
3– Fin,
Short
* All osteotome products are sterile and intended for single use only – they are
not included with the instrument set and need to be ordered separately.
1– Flat,
Short
2– Radial,
Medium
3– Fin,
Short
1– Flat,
Short
2– Radial,
Medium
3– Fin,
Short
1110 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
HUMERAL STEM REMOVAL – CEMENTED HUMERAL OSTEOTOMY
COLLAREDCOLLARLESSREVERSE
1– Flat,
Short
4– Drill Bit
4– Cement
Separator
2– Thin-Tip
Rongeur
5– Cement
Curette
5– Cement
Rongeur
3– Needle Nose
Pliers
Cement Removal Technique
Attempt to extract the collared humeral stem utilizing the Humeral Forked Stem Extractor
and Universal Slap Hammer after each cement removal technique.
Cement Removal Technique
Attempt to extract the collarless humeral stem utilizing the Large Locking Pliers after each
cement removal technique.
Cement Removal Technique
Attempt to extract the reverse humeral stem utilizing the Large Locking Pliers after each cement
removal technique.
Cement Removal Technique
Utilize the Cement Rongeur, Drill Bits, Cement Curettes, and Cement
Separator or Splitter to remove cement from the distal humeral canal.
If a controlled humeral osteotomy needs to be
performed, you may use the straight chisels to aid
in creating a window in the humerus. Humeral bone
clamps as well as a cable passer are also contained
in the set to help assist you in this reconstruction.
1– Flat,
Short
2– Thin-Tip
Rongeur
3– Needle Nose
Pliers
1– Flat,
Short
2– Thin-Tip
Rongeur
3– Needle Nose
Pliers
CAUTION: When using the exible osteotomes, make sure to use the bevel side
towards the bone.
1312 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
GLENOID COMPONENT REMOVAL
CEMENTED GLENOIDMETAGLENE
BONE GRAFTING
1– Chisel
1– Removal
Tool
2– Locking
Pliers
2– Screwdriver
3– Needle Nose
3– Locking
Pliers
4– Locking
Pliers, Chisel
5– Locking
Pliers
Component Loosening
Use Anterior Glenoid Chisel to
lever glenoid component and
loosen it.
Glenosphere Removal
To remove glenosphere use the
removal tool included in the
instrument set for the implant
being removed.
Component Removal
Use locking pliers to remove the
glenoid component.
Metaglene Screw Removal
Remove screws by using the
screwdriver included in the
instrument set for the implant
being removed.
Metaglene Loosening
Loosen the metaglene component
by using the anterior glenoid chisel.
Cement Removal
Use Needle Nose Pliers to
remove any cement from
the bone.
Defect Repair
Use the bone graft tamp to
assist in shaping the glenoid
after bone graft is inserted.
Defect Repair
Use the bone graft tamp to
assist in shaping the glenoid
after bone graft is inserted.
Component Capture
Use the locking pliers to grip
the metaglene component
Component Removal
Remove metaglene component
using the locking pliers
1514 DePuy Synthes Joint Reconstruction  Extraction Instruments Product Overview Extraction Instruments Product Overview DePuy Synthes Joint Reconstruction
ORDERING INFORMATION – CEMENT REMOVAL ORDERING INFORMATION – COMPONENT REMOVAL & UTILITY
Case 1 Tray 1
201103039 Straight Osteotome 12.5mm Blade
201103040 Straight Osteotome 20mm Blade
250000757 Osteotome Handle
250000761 Cement Separator
250000762 Cement Splitter
250000774 Anterior Glenoid Chisel Narrow
250000775 Anterior Glenoid Chisel Wide
270902006 Slotted Mallet
Case 2 Tray 1
250000759 Large Locking Pliers
250000774 Anterior Glenoid Chisel Narrow
250000775 Anterior Glenoid Chisel Wide
250000776 Head Removal Fork
250000779 Head Extractor
250000780 Forked Stem Extractor Narrow
250000781 Forked Stem Extractor Wide
250000785 Small Locking Pliers
Case 1 Tray 2
250000763 Cement Curette 6mm
270901009 Cement Curette 9mm
250000766 3.2mm Drill Bit Short
250000767 3.2mm Drill Bit Long
250000768 4.5mm Drill Bit
250000769 6.5mm Drill Bit
250000770 4.5mm Threaded Extractor
250000771 Humeral Drill Guide Stepped
250000772 Humeral Drill Guide Long
250000778 Thin Tip Rongeur
Case 2 Tray 2
250000760 Universal Slap Hammer
250000777 Needle Nose Pliers
250000782 Glenoid Bone Graft Tamp
250000783 Humeral Bone Clamp
250000784 Humeral Cable Passer
250000773 Cement Rongeur
Flexible Osteotome Blades
250010750 Flat Short Osteotome Blade
250010751 Flat Medium Osteotome Blade
250010752 Flat Long Osteotome Blade
250010753 Radial Short Osteotome Blade
250010754 Radial Medium Osteotome Blade
250010755 Radial Long Osteotome Blade
250010756 Fin Short Osteotome Blade
* All osteotome products are sterile and intended
for single use only – they are not included with the
instrument set and need to be ordered separately.
© DePuy Synthes Joint Reconstruction, a division of DOI 2013 All rights reserved.
0612-50-513 1.5M 0313
www.symmetrymedical.com www.depuysynthes.com
Symmetry Medical, Inc.
486 W 350 N
Warsaw, IN 46582
T. +1 (574) 267-8700
DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46582
T. +1 (800) 366-8143
Limited Warranty and Disclaimer: DePuy Synthes Joint Reconstruction products are sold with a limited warranty to the original purchaser against defects
in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or tness, are hereby disclaimed.
WARNING: In the USA, this product has labeling limitations. See package insert for complete information.
CAUTION: USA Law restricts these devices to sale by or on the order of a physician.
To order in the US, call DePuy Synthes Joint Reconstruction Customer Service (800) 473-3789.
Not all products are currently available in all markets.
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