Implant Extraction Set
Implant Extraction Guide
Module One & Two
1
Contents
1.
Introduction Introduction
Features and Benefits
Contraindications
2.
Product Description 3.
Technical Details
Screws
Condyle Screws
Cannulated Screws
Damaged Screw Head
Broken Screws
Plates
Broken Cannulated Screws
Lag Screw
IM Nails
Broken IM Nails
4.
Additional Information
HydroSet
References
Ordering Information – Instruments
This publication sets forth detailed
recommended procedures for using
Stryker Osteosynthesis devices and
instruments.
It offers guidance that you should
heed, but, as with any such technical
guide, each surgeon must consider
the particular needs of each patient
and make appropriate adjustments
when and as required. A workshop
training is required prior to first
surgery.
See package insert (L22000007) for
a complete list of potential adverse
effects, contraindications, warnings
and precautions. The surgeon must
discuss all relevant risks, including the
finite lifetime of the device, with the
patient, when necessary.
Warning:
All bone screws referenced in
this document here are not
approved for screw attachment or
fixation to the posterior elements
(pedicles) of the cervical, thoracic
or lumbar spine.
2
Page
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Although considered easy and
straightforward by patients, hardware
removal is almost always more
challenging than the insertion of the
implants ¹.
Specialty instruments can significantly
facilitate hardware removal
while minimizing damage to the
surrounding bone/soft-tissue. Stryker
has developed a comprehensive set of
instruments / techniques to assist the
surgeon with these challenging issues,
regardless of the indication or timing.
Additionally, stripped screws and
stripped IM Nails proximal threads
(used for removal) may rise surgical
difficulty and should be treated
together.
Stryker Extraction System is a set
of instrumentation developed to
meet the surgeons need for implant
extraction.
The System consist of two modules
for the removal of almost any Stryker
Trauma implant, as well as many nonStryker plates, nails, and screws*.
Conical and Spreading Tip
Screwdrivers are provided in
varying sizes for the safe removal
of torx, hex, and cannulated
screws. Nail and Lag Screw
removal is facilitated through
the availability of different sized
Adaptors and Conical Extraction
Rods that are easily assembled.
Module Two contains extraction
instruments for the removal of
stripped and / or broken screws and
implants.
Stryker Extraction System is a single
instrument platform that can be
used for various extraction methods
according to each individual case,
in a minimally invasive operating
procedure, allowing for the removal of
almost any Stryker Trauma implants.
It may also be compatible with nonStryker implants*.
Since broken hardware can often
be identified on preoperative
radiographs, but may also be
encountered unexpectedly during
an operation, Stryker recommends
having both modules present in the
operating room to facilitate surgical
procedures and to reduce operative
time.
* Stryker can only recommend use of the extractor instruments with its own products. Application of the
instruments to competitive products or to Stryker products that have been altered may be possible but has not
been validated. Where competitive products are mentioned in this document this is solely to indicate where
application of the extractor instruments appears possible due to similar design or dimensions, and Stryker does
not guarantee that the extractor instruments demonstrated herein will work in any cases where competitive
products are used, or in cases where Stryker products have been altered. As a precaution, make sure to have
other standard instruments available in case the tolerances of the implants do not match the tolerances of the
extractor tool.
1. J Am Acad Orthop Surg 2006;14:113-120 Hardware Removal: Indications and Expectations
Matthew L. Busam, MD, Robert J. Esther, MD, MSc, William T. Obremskey, MD,
3
Universal Instruments
• Compatible for use with other
manufactures’ implants*
Single Instrument Platform
• Simplified surgical technique
Contraindications
Lag Screw
In addition, there is frequently no
bail out because the hardware must
be removed in order to revise the
fixation for a non-union or to address
infection.
Module One includes
instrumentation for the removal
of internal fixation systems and
associated screws.
Versatility:
• Removal of standard, broken
and / or stripped nails, plates
and screws
• Multiple extraction methods
Cold welded screws require cutting
tools for metal to remove the screws.
The extraction set does not feature
carbide drills or other cutting tools to
remove cold welded screws.
Nails
The most challenging are typically
points 3 and 4 as the hardware maybe
broken and / or tissue planes distorted.
It has evolved from our extensive
clinical experience with trauma
devices, as well as from the
collaboration with experienced
surgeons worldwide.
HydroSet
Hardware removal occurs for
four reasons:
1. Elective removal.
2. Removal secondary to symptoms.
3. Removal for infection.
4. During revision procedures.
Features and
Benefits
Instruments
Introduction
Screws
Introduction
Product Description
Article
Stryker Systems
Teardrop handle, AO-medium
For AO medium bits:
- Screwdriver bits
- Crowndrills (Trephines)
- Conical extractors male/female
Screwdriver Bit 2.5 (conical)
For 2.5mm Hex Screws:
T2 Hum Compression; Asnis III 4.0;
Numelock 4.5; ISO 2.7;
ISO 3.5; ISO 4.0
Screwdriver Bit 3.5 (conical)
For 3.5mm Hex Screws:
4 and 5mm Locking Screws (T2, S2, Gamma3, IC etc.);
T2/S2 End Caps; T2/S2 Fem/Tib Compr. Screws;
TLN all Screws; T2 Recon Set Screws 3.7 and 4.6mm Locking Screws G&K;
Asnis III 5.0;
Numelock 6.5; ISO 4.5; ISO 6.5
Screwdriver Bit 4 (conical)
Set Screws for Gamma, Gamma3, Gamma Ti, Dyax-A, AP, AP-J;
Proximal Plugs for Gamma, Gamma Ti, Dyax, Dyax-A, AP, AP-J
Screwdriver Bit 5
For 5mm Hex Screws:
6.28mm Locking Screws; Asnis III 6.5 and 8.0
and T2/S2 Recon Lag Screws
Screwdriver Bit 6.3
For 6.3mm Hex Screws: T2/S2 Condyle Screws
Screwdriver Bit 8
G&K SCN Condyle Screws; Gamma3 End Caps
Screwdriver Bit T 8 (Torx)
AxSOS 3.0
Screwdriver Bit T 15 (Torx)
AxSOS 4.0
Screwdriver Bit T 20 (Torx)
ALTA 3.7mm Locking Screws; AxSOS 5.0
Screwdriver Bit T 25 (Torx)
ALTA 5mm Locking Screws, Lag Screws and Caps
Conical Extractor, male, left hand, small
(left hand driving) for diameter range 1–2.5mm
Asnis III 4.0
Conical Extractor, male, left hand, 2.5
(left hand driving, for damaged hex 2.5mm
and diameter range 2.3–4mm)
Screws:
T2 Hum Compression; Asnis III 4.0; ISO 2.7; ISO 3.5; ISO 4.0
Conical Extractor, male, left hand, 3.5
(left hand driving, for damaged hex 3.5mm and
diameter range 3.3–4mm)
Screws:
4 and 5mm Locking Screws (T2, S2, Gamma3, IC etc.);
T2/S2 End Caps; T2/S2 Fem/Tib Compr. Screws; TLN all Screws; T2 Recon Set
Screw 3.7 and 4.6mm Locking Screws G&K; Asnis III 5.0; ISO 4.5; ISO 6.5
Conical Extractor, male, left hand, 4
(left hand driving, for damaged hex 4mm and
diameter range 3.8–4.4mm)
Set Screws for Gamma, Gamma3, Gamma Ti, Dyax-A, AP, AP-J;
Proximal Plugs for Gamma, Gamma Ti, Dyax, Dyax-A, AP, AP-J
Conical Extractor, male, left hand, 5
(left hand driving, for damaged hex 5mm and
diameter range 4.8–5.4mm)
6.28mm Locking Screws;
Asnis III 6.5 and 8.0 and
T2/S2 Recon Lag Screws
Crowndrill 3 (bonedrill for broken Screws with
diameter range =< 3mm)
n/a
Crowndrill 4 (bonedrill for broken Screws with
diameter range =< 4mm)
n/a
Crowndrill 5 (bonedrill for broken Screws with
diameter range =< 5mm)
n/a
Crowndrill 6.5 (bonedrill for broken Screws with
diameter range =< 6.5mm)
n/a
Crowndrill 8 (bonedrill for broken Screws with
diameter range =< 8mm)
n/a
Crowndrill 10 (bonedrill for broken Screws with
diameter range =< 10mm)
n/a
Crowndrill 12 (bonedrill for broken Screws with
diameter range =< 12mm)
n/a
Conical Extractor, female, left hand, 3
(left hand driving, for broken Screws with diameter
range =<3mm)
ISO 2.7 Screws, Ulna Locking Screws
Conical Extractor, female, left hand, 4
(left hand driving, for broken Screws
with diameter range =<4mm)
T2/S2 4mm Locking Screws, G&K 3.7mm Locking Screws,
ISO Screws 3.5 and 4.0, ALTA 3.7mm Locking Screws
Conical Extractor, female, left hand, 5
(left hand driving, for broken Screws with diameter
range =<5mm)
5mm Locking Screws (T2, S2, Gamma3, IC, ALTA etc.);
ISO Srews 4.5
Conical Extractor, female, left hand, 6.3
(left hand driving, for broken Screws
with diameter range =<6.3mm)
6.28mm Locking Screws
4
Product Description
Article
Stryker Systems
Teardrop handle, AO-medium, cannulated
(including Rotation Rod)
for AO medium bits:
Spreading Screwdriver
Spreading Screwdriver Bit 5
6.28mm Locking Screws; Asnis III 6.5 and 8.0
and T2/S2 Recon Lag Screws
Spreading Screwdriver Bit 6.3
T2/S2 Condyle Screws
Spreading Screwdriver Bit 8
G&K SCN Condyle Screws; Gamma3 End Caps
Punches 2.7
for broken Screws with diameter range =<3mm
Punches 3.7
for broken Screws with diameter range from 3–4mm
Punches 5
for broken Screws with diameter range >4mm
Forceps, small
for damaged Screws, broken Screws with diameter <9mm
Forceps, large
for damaged Screws, broken Screws with diameter >9mm
Conical Extraction Rod 6
Extraction of nails using proximal Nail End:
T2 Humeral
Conical Extraction Rod 8
Extraction of nails using proximal Nail End:
Humerus Seidel, T2 Proximal Humeral, T2 Humeral, Alta Humeral,
TLN (M7),SCN (M8), Alta Femoral & Tibial, Zickel, IC Femoral & Tibial,
T2/S2 Tibial & Femoral Antegrade/Retrograde
Conical Extraction Rod 10
Extraction of nails for the proxmal Nail End:
Gamma3, Dyax-A, all G&K Nails (Fem, Tib, SFN, STN, SCN)
Conical Extraction Rod 13
Extraction of nails using proximal Nail End:
Gamma, Gamma Ti, Dyax, AP, AP-J
Extraction Hook, small
Extraction of cannulated nails with inner diameter 4.6–5.5mm:
G&K, Gamma3 (Ti), Seidel, IC, SCN, TLN, T2/S2
Extraction Hook, large
Extraction of cannulated nails with inner diameter =>5.6mm:
Gamma, Gamma3 (StSt), Dyax, Dyax-A, AP, AP-J, G&K, IC,
SCN, Kuentscher Nails
Extraction Instrument Lag Screw
Consisting of Handle and Extraction Rod.
To be used with the threaded rod and nut for the Lag screw extraction
Nut
Fastens the Extraction Rod to the threaded rods and Connectors
Threaded Rod M7
Threaded into Lag screw (Gamma/Dyax-A), fastens connection between
Extraction Rod and Connectors
Threaded Rod M5
Threaded into Lag screw (Omega), fastens connection between Extraction Rod
and Connectors
Threaded Rod M4
Threaded into Lag screw (OHS/OCS), fastens connection between Extraction
Rod and Connectors
Spanner SW17
Serves for larger torque transmission of the Extraction Instrument Lag Screw
Connector, Gamma
Connector, Gamma U-Blade
Connector, Gamma3 U-Blade
Connector, Dyax-A
Connector, Gamma3
Fits onto the specific Lag Screws, over the threaded Rod, and connects
with the Extraction Instrument Lag Screw
Connector, Omega and Omega plus
Connector, OHS/OCS
Sharp Hook (Optional)
Removes from bone material
Osteotome (Optional)
Removes from bone material
Outer Introducer (Optional)
Hansson Pin
Inner Introducer (Optional)
Hansson Pin
Extractor (Optional)
Hansson Pin
Emergency Inner Extractor (Optional)
Hansson Pin
Extractor Handle (Optional)
Hansson Twin Hook
Outer Extractor (Optional)
Hansson Twin Hook
Inner Extractor (Optional)
Hansson Twin Hook
T-Handle, AO-medium (Optional)
for AO medium bits: Screwdriver–Screw removal, conical - Crowndrill Screw extraction, conical
Screwdriver 2.5
Seidel Humerus Spreading Screw (Standard Seidel instrument)
Caution:
Implants can be subject to change. This can impact the compatibility of extraction
instruments. It is therefore required to start the implant extraction with a complete
Extraction Set in order to have access to alternative instruments.
5
Technical Details
Screws
Screws
After identifying screw type and
diameter, extract the screws with the
appropriate screwdriver bit by turning
the screwdriver counterclockwise.
Screwdriver Bits (hex)
To avoid damaging the screw, make
sure the screwdriver is in line with the
screw axis and fully inserted.
Screwdriver Bits (torx)
Solid Teardrop
Handle
Partially threaded screw removal
(e.g. Asnis III screws, T2 Recon
Lag Screws) is facilitated by
using the spreading screwdriver
bits and cannulated handle.
For spreading screwdriver
instructions see Condyle
Screw removal below.
Stryker offers a wide variety of
hex (standard, conical, spreading)
and torx screwdrivers. Check the
available type and size on the
Ordering Information page.
Condyle Screws
For T2/S2 Condyle Screw removal,
assemble the necessary screwdrivers:
The 6.3hex Screwdriver Bit
with the Solid Teardrop Handle
(for the nut) and the 6.3hex
Spreading Screwdriver bit with
the Cannulated Teardrop Handle
(in combination with the Rotation
Rod) as shown in the illustration.
Screwdriver Bit
Make sure to tighten the Rotation
Rod until the tip of the screwdriver
spreads firmly and fully into the
screw head.
Solid Teardrop Handle
Spreading Screwdriver Bit
Teardrop Handle (cannulated)
Rotation Rod
A screwdriver needs to be inserted
from each side of the Condyle Screw
using one to stabilize the Nut and the
Spreading Screwdriver to loosen and
extract the Condyle Screw.
If necessary, use the Spreading
Screwdriver to remove the Nut in a
second step.
The Condyle Screw is extracted
by turning the Screwdriver in a
counterclockwise direction.
6
Cannulated Screws
Never use a worn or damaged
screwdriver to remove Asnis screws.
Reverse cutting flutes are present for
this reason. It is recommended that the
Solid Screwdriver be used for Screw
removal. The Solid Screwdriver applies
greater torque and will reduce the
potential for damaging the hexagonal
tip on the Screwdriver. Strong bone
formation around the implant has
been seen in the pediatric cases
using partially threaded screws.
This may lead to difficult implant
removal with an increased risk of
screw head breakage or stripping
of screw hexagonal head.
Solid Teardrop Handle
Spreading Screwdriver Bit
Screwdriver Bits (hex)
Teardrop Handle (cannulated)
Rotation Rod
If the oblique direction of the screw
(approximately 135° to the shaft) is
not changed, then the reverse flutes
are not in an opportune position
to cut the cortex. If the screw head
is placed under traction and the
angle of the screw is brought to a
perpendicular position relative to
the bone, cutting the cortex will
progress and facilitate screw removal.
Caution:
Be sure to use the Solid
Screwdriver in combination with
the appropriate sized screwdriver
bits or the cannulated screwdriver
with the Spreading Screwdriver
Bits. Proceed as described above.
Damaged Screw Head
Screw stripping is commonly
caused by slippage of a screwdriver
that is not correctly aligned with
the screw axis and/or fully seated.
This can occur either during
insertion or, more commonly,
during attempted screw removal.
The appropriate sized Conical
Extractor (based on the size of the
screw head hex / torx) is inserted
firmly into the screw head.
Conical Extractor (male)
Lightly tapping the Conical Extractor
with a Slotted Hammer may be
tried if purchase is not initially
obtained with manual pressure. It
is at the surgeons’ discretion if and
how hard to use the hammer.
Solid Teardrop Handle
Forceps for Screw Removal
Assemble the selected Conical Extractor
(male) with the Teardop- Handle
and turn it counter-clockwise while
applying pressure in line with the
screw axis, extracting the screw at the
same time. If the screw does not come
completely out, the Foreceps can be
used to complete the extraction.
Slotted Hammer
7
Screws
Technical Details
Technical Details
Screws
Broken Screws
In case of a Broken Screw Shaft:
In case of a Torn off Screw Head:
Step 1:
Remove the screw head portion in
order to gain access to the remaining
part of the screw shaft. The screw head
can be removed with the appropriate
screwdriver as described on page 6.
Step 1:
Overdrill the remaining part of the
screw with a Crowndrill.
Use another Crowndrill, one size
larger, in order to create space for
the female Conical Extractor/Drift
Punch. It may be necessary to start
with light pressure on the crowndrill
in order to avoid the drill walking
on the cortex surface before applying
additional pressure to penetrate the
bone. Light tapping with the Slotted
Hammer may be required. It remains
at the surgeons` own discretion if and
how hard to use the Slotted Hammer.
Step 2:
Use the Drift Punch to extract the
remaining part of the screw.
If difficulties are encountered with
the above process, overdrill the
remaining part of the screw with
a Crowndrill before proceeding
with the Drift Punch.
Alternatively, the optional Countersink
(6 or 8mm) can be used to create a
path for the Crowndrill.
Step 2:
Remove the remaining part of the
screw with the Conical Extractor,
(female) if the screw is broken close
to the first cortex or with the help of
a Drift Punch if the screw is broken
close to the second cortex.
This procedures can also be applied to
broken IM locking screws.
Screwdriver Bit
Drift Punches
Slotted Hammer
Crowndrill
(Trephine)
Forceps for
Screw Removal
Conical Extractor
(female)
Broken screw shaft - Step 1
Broke screw shaft - Step 2
Torn-off screw head - Step 1
Torn-off screw head - Step 2
8
Solid
Teardrop
Handle
Technical Details
Plates
Screws
To remove any plate, first extract
all screws by using the appropriate
size Screwdriver Bits. Remove the
plate by using a regular forceps.
The development of locking plate
technology has lead to “cold welding”
of screws to the plates. In this case,
cutting tools for metal have to be used
for the removal of the screws. In order
to protect the soft tissue from excessive
heat and metal debris accumulation,
irrigation and suction should be used
in combination with cutting tools.
Warning:
If screws are cold welded to
the plate, carbide drills may be
required. The extraction set
does not feature carbide drills
or any other instruments to
remove cold welded screws.
Solid Teardrop
Handle
Crowndrill
(Trephine)
Screwdriver Bit
Solid Teardrop
Handle
Forceps
9
Technical Details
Screws
Broken Cannulated Screws
To remove the torn-off head:
If Steps 1 and 2 are unsuccessfully
for screw removal:
Step 1:
Select the appropriate Spreading
Screwdriver Bit. Attach Cannulated
Teardrop Handle. Insert Rotation
Rod through the top of the Teardrop
Handle. Insert tip into the screw head
and turn Rotation Rod to engage and
remove screw head.
To remove remaining screw body
(parts):
Step 2:
Insert the Conical Extractor (male)
and extract the remaining screw
body turning the Conical Extractor
in a counter-clockwise fashion.
Step 3:
Overdrill the shaft using the
Crowndrill.
Spreading
Screwdriver Bit
Crowndrill
(Trephine)
Conical Extractor Conical Extractor
(female)
(male)
Teardrop Handle
(cannulated)
Step 4:
Use a Conical Extractor (female) for
screw removal.
If the attempt for screw removal is
not successful, follow the standard
procedure for broken screw removal
describes on page 8.
Rotation
Rod
Cannulated Screw Removal - Method A - Step 1
Cannulated Screw Removal - Method A - Step 2
Cannulated Screw Removal - Method B - Step 1
Cannulated Screw Removal - Method B - Step 2
10
Technical Details
Lag Screw
Make a small incision through the old
scar distal to the greater trochanter to
expose the end of the Lag Screw.
Screwdriver Bit 4.0mm
Threaded Rod
The Threaded Rod is then threaded
and tightened into the end of the Lag
Screw 2 .
Solid Teardrop Handle
For Gamma Implants:
At first, position the K-Wire through
the Lag Screw.
Then, the Threaded Rod is inserted
over the K-Wire (when used for
Gamma) and tightened into the end of
the Lag Screw.
Remove the K-Wire, if used.
1
2
11
Lag Screw
An incision is made over the proximal
end of the nail.
The End Cap, if used, is removed
using the appropriate Screwdriver Bit
followed by removal of the Set Screw
using the 4.0mm Screwdriver as shown
in the image below 1 .
Technical Details
Lag Screw (continued)
Connector
Threaded Rod
Extraction Rod and Nut
Lag Screw
Wrench 8/10mm,
standard
4
3
Check that ingrowth does not obstruct
secure engagement of the Extraction
Device, otherwise the implant or the
instrument may be damaged and
extraction will be more difficult.
Slide the appropriate Connector over
the Threaded Rod before adding the
Extraction Rod & Nut as shown in the
picture 3 .
Note:
In this Technical Guide the
Gamma3 Lag Screw is selected as
an example to demonstrate Lag
Screw removal.
However, different Connectors
are available for other implants
including a Lag Screw. See details
on the ordering information page.
Finish assembly of the Lag Screw
Extraction Device by tightening the
Nut 4 and attaching the T-Handle 5
in a final step as shown in the picture.
Handle
Spanner 17mm standard
5
6
12
The Lag Screw is extracted by turning
counterclockwise direction 6 .
Use the 17mm Spanner if
higher forces are required for the
removal of the Lag Screw.
Technical Details
IM Nails
Caution:
Special care must be taken to
check if the nail moves offcenter from the entry point
when screws are removed.
Any attempt to remove a
nail that is off-center may
result in fractures of the
distal condylar region.
Conical Extraction Rod
Universal Rod
Strike Plate
Sliding Hammer
The End Cap, if used, is removed
using a Screwdriver. If bone
ingrowth obstructs access to the
nail, use of either a Crowndrill,
pick (not supplied), or currette (not
supplied) may provide access.
Slotted Hammer
Remove the distal/proximal screw
with the appropriate Screwdriver
Bit. Do not take out the screws of
the driving end until the Conical
Extraction Rod is attached to the top
of the nail in order to avoid rotation.
Universal Rod
Sliding
Hammer
Insert the Conical Extraction Rod
into the driving end of the nail.
or use the
Slotted
Hammer
Lightly hammer the Conical
Extractor in order to fully
engage the cutting flutes.
Connect the Strike Plate and
the Universal Rod either adding
the Sliding or Slotted Hammer
as shown in the picture.
Strike Plate
Remove now the remaining
locking screws before using either
Hammer to remove the nail.
Conical
Extraction Rod
Step 1
Step 2
13
Nails
When removing an IM nail,
it is helpful to identify the
nail brand and its diameter
in order to choose the
correct instrumentation.
Technical Details
Broken IM Nails
Removal of broken IM nails
is particularly challenging.
Stryker developed a system that
can be used for the removal of
many cannulated IM nails.
An incision is made over the proximal
end of the nail. The End Cap, if used,
is removed using a Screwdriver.
If bone ingrowth obstructs the
access to the nail, the use of either
a Chisel / Pick (not provided) or a
Crowndrill will facilitate removal.
Conical Extraction Rod
Universal Rod
Remove the distal screw with the
appropriate Screwdriver Bit. Do
not take out the proximal screws
until you have attached the Conical
Extraction Rod to the top of the
nail in order to avoid rotation.
Sliding Hammer
Connect the Universal Rod and the
Strike Plate to the Extraction Rod
(center of page) either adding the
Sliding or the Slotted Hammer.
Strike Plate
Extraction Hook
Universal Rod
Step 1:
Insert the nail Extraction Device
into the proximal end of the nail,
tightening it as firm as possible.
Remove the proximal screws
before using either Hammer
to remove the nail end.
Nails
Sliding
Hammer
Strike Plate
Extraction Hook
Broken IM Nails Step 1
Broken IM Nails Step 2
14
Step 2:
After removal of the proximal nail end,
exchange the Conical Extraction Rod
for the Extraction Hook (as shown to
the left). Insert Extraction Hook into
the cannulation of the nail fragment.
Step 3:
Under fluoroscopy, verify that the
Hook has passed through the nail end.
Make sure that the Hook takes
a hold at the end of the nail
before pulling to remove it.
Step 4:
Use the Sliding or the Slotted
Hammer to pull out the
remaining part of the nail.
Broken IM Nails Step 3
Broken IM Nails Step 4
Additional Information
HydroSet
HydroSet is an injectible self-setting
calcium phosphate cement indicated
to fill bony voids or gaps of the
skeletal system (i.e. extremities,
craniofacial, spine, and pelvis).
These defects may be surgically
created or osseous defects created
from traumatic injury to the bone.
HydroSet is indicated only for bony
voids or gaps that are not intrinsic to
the stability of the bony structure.
HydroSet cured in situ provides
an open void/gap filler that can
augment provisional hardware
(e.g. K-Wires, Plates, Screws) to
help support bone fragments during
the surgical procedure. The cured
cement acts only as a temporary
support media and is not intended
to provide structural support
during the healing process.
Carefully read the IFU, the specific
indications and the contraindications.
REF
397003
397005
397010 397015
Description
HydroSet 3cc
HydroSet 5cc
HydroSet 10cc
HydroSet 15cc
HydroSet
References
J Am Acad Orthop Surg 2006;
14:113- 120 Hardware Removal: Indications and Expectations
Matthew L. Busam, MD, Robert J. Esther, MD, MSc,
William T. Obremskey, MD
15
Ordering Information - Instruments
REF
1806-6150
1806-6152
Description
Tray Module 1 (Generic Sterilization and Storage Tray)
Module 1 Fully loaded
Universal Screw Extraction Devices
1806-6106 Screwdriver Bits conical, hex. 2.5mm
1806-6108 Screwdriver Bits conical, hex. 3.5mm
1806-6110 Screwdriver Bits conical, hex. 4.0mm
1806-6112
1806-6114
1806-6116
1806-6118
1806-6119
1806-6120
1806-6121
Screwdriver Bits, hex. 5.0mm
Screwdriver Bits, hex. 6.3mm
Screwdriver Bits, hex. 8.0mm
Screwdriver Bits, Torx T 8.0
Screwdriver Bits, Torx T 15.0
Screwdriver Bits, Torx T 20.0
Screwdriver Bits, Torx T 25.0
1806-6113
1806-6115
1806-6117
Spreading Screwdriver Bit, hex. 5.0mm
Spreading Screwdriver Bit, hex. 6.3mm
Spreading Screwdriver Bit, hex. 8.0mm
1806-6102
Teardrop Handle, solid
1806-6104
Cannulated Teardrop Handle
Rotation Rod used with Cannulated Teardrop Handle
Universal Nail Extraction Device
1806-0353 Conical Extraction Rod, standard 6mm
1806-0350 Conical Extraction Rod, standard 7/8mm
1806-6125 Conical Extraction Rod, 10mm
1806-6130 Conical Extraction Rod, male, 13mm
1806-0130
Wrench 8 /10mm, standard
1806-0150
Strike Plate, standard
1806-6100
Sliding Hammer
1806-0110
Universal Rod
1806-0170
Slotted Hammer, standard
Instruments
Universal Lag Screw Extraction Device
1806-6140 Connector Gamma
1806-6141 Connector Gamma U-Blade
1806-6142 Connector Gamma3 U-Blade
1806-6144 Connector Gamma3
1806-6143 Connector Dyax-Asiatic
1806-6146 Connector Omega
1806-6148 Connector OHS /OCS
1806-6136
1806-6137
1806-6138
Threaded Rod Gamma etc.
Threaded Rod Omega
Threaded Rod OHS /OCS
1114-5002
Spanner 17mm standard
1806-6135
Extraction Instrument Lag Screw
1806-6139
Nut
16
Ordering Information - Instruments
REF
Description
Universal Emergency Screw Extraction Devices
1806-6151 Tray Module 2 (Generic Sterilization and Storage Tray)
1806-6153 Module 2 Fully Loaded
1806-6169
1806-6170
1806-6171
1806-6172
1806-6173
Conical Extractor, male, small
Conical Extractor, male, 2.5mm
Conical Extractor, male, 3.5mm
Conical Extractor, male, 4.0mm
Conical Extractor, male, 5.0mm
1806-6165
1806-6166
1806-6167
1806-6168
1806-6180
1806-6181
1806-6182
Crowndrill (Trephine), 3.0mm
Crowndrill (Trephine), 4.0mm
Crowndrill (Trephine), 5.0mm
Crowndrill (Trephine), 6.5mm
Crowndrill (Trephine), 8.0mm
Crowndrill (Trephine), 10.0mm
Crowndrill (Trephine), 12.0mm
1806-6183
1806-6184
1806-6185
1806-6186
Conical Extractor, female, 3.0mm
Conical Extractor, female, 4.0mm
Conical Extractor, female, 5.0mm
Conical Extractor, female, 6.3mm
1806-6175
1806-6176
1806-6177
Drift Punch, 2.7mm
Drift Punch, 3.7mm
Drift Punch, 5.0mm
1806-6102 Teardrop Handle, solid
1806-6160
1806-6162
Extraction Hook (can also be stored in Module 1), small
Extraction Hook (can also be stored in Module 1), large
1806-6178
1806-6179
Forceps for Screw Removal, small
Forceps for Screw Removal, large
Instruments
Optional Instruments Module 1 & 2
700151
Sharp Hook, Removal from bone material
700225
Osteotome, Removal from bone material
702811
Countersink 6mm, Preparing the cortex
702812
Countersink 8mm, Preparing the cortex
704515
Outer Introducer, Hansson Pin
704516
Inner Introducer, Hansson Pin
704518
Extractor, Hansson Pin
704540
Emergency Inner Extractor, Hansson Pin
704607
Extractor Handle, Hansson Twin Hook
704608
Outer Extractor, Hansson Twin Hook
704609
Inner Extractor, Hansson Twin Hook
702628
T-Handle, AO-medium, for AO medium bits:
screwdriver - screw removal, conical - crowndrill - screw extraction, conical
0106-3043 Screwdriver 2.5, Seidel Humerus Spreading Screw
1806-6206 Gamma3 U-Blade Extractor
* Please ask your Stryker sales representative for further information.
17
Notes
18
Notes
19
Stryker Trauma GmbH
Prof.-Küntscher-Strasse 1–5
D - 24232 Schönkirchen
Germany
www.osteosynthesis.stryker.com
This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her
own professional clinical judgment when deciding whether to use a particular product when treating a particular
patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any
particular product before using it in surgery. 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 including the instructions
for Cleaning and Sterilization (if applicable) before using any Stryker products. 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 divisions or other corporate affiliated entities own, use or have applied for the following
trademarks or service marks: Stryker, Alta, Asnis, AxSOS, G&K, Gamma, IC Nails, Küntscher Nails, Numelock,
OHS&OCS, S2, SCN, Seidel, T2, TLN, Zickel.
All other trademarks are trademarks of their respective owners or holders.
The products listed above are CE marked.
Swemac Orthopaedics AB owns the following trademark: Hansson.
Wacker-Chemie GmbH owns the following trademark: Elastosil.
Literature Number : B1000057
LOT D4809
Copyright © 2009 Stryker