CASCannulated Screws

Implantstrauma

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www.its-implantusa.com

WARNING: If there is no sufficient bone healing, wrong or incomplete postoperative care, implant might break.

CAUTION: Federal Law (USA) restricts this device to sale by or on the order of a board certified physician.

Attention: The ITS. cannulated screws are not suitable for use in the spinal column.The indication range for cannulated screws may vary according to the bone quality and physique of the patient.

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1. Introduction

P. 5 PrefaceP. 6 PropertiesP. 7 IndicationsP. 8 EquipmentP. 10 Contraindications

2. Surgical Technique

P. 10 Time of operationP. 11 D=2.7mm cannulated Cortical ScrewP. 14 D=3.5mm cannulated Cortical ScrewP. 14 D=4.0mm cannulated Cancellous ScrewP. 17 D=4.5mm cannulated Cancellous ScrewP. 20 D=6.5mm cannulated Cancellous ScrewP. 23 D=7.3mm cannulated Cancellous ScrewP. 26 Postoperative treatmentP. 26 Explantation

3. Information

P. 27 Individual tray configurationP. 28 Order listP. 34 Notes

Contents

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Introduction

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Preface

ITS. provides various cannulated screw types with different diameters and lengths covering a wide range of indications for fracture treatment in trauma surgery.

Low-profile screw heads with small diameters help minimize soft tissue irritation and are suitable for minimally invasive methods.

We offer customized equipping of surgical trays so that users can have trays put together according to their requirements and suggestions.

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*

*

*

PropertiesProperties of the material:

• Screw material: TiAl6V4 ELI• Easier removal of the implant after the

fracture has healed• Improved fatigue strength of the

implant• Reduced risk of inflammation and

allergy

Properties of the implant:

• Self-drilling & self-tapping• Cannulated for minimally invasive

treatment and guided insertion• Flat and curved washers (adapted to the

screw head, for optimal contact to the bone surface)

• Various thread types for a wide range of indications

• * Back-tapping flank for easier explantation

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D=3.5/4.0/4.5mm

D=3.5/4.0/4.5mm

D=2.7/3.5/4.0/4.5mm

D=3.5/4.0/4.5mm

D=4.5/6.5/7.3mm

D=4.5/6.5/7.3mm

D=6.5/7.3mm

D=6.5mm

D=6.5/7.3mm

D=3.5/4.0mm

Indications

D=2.7mm (distal Radius & Scaphoid Bone)D=3.5/4.0mm

D=2.7mm (Tarsal)D=3.5mm (Tarsal, Talus)D=4.0/4.5mm (Talus)D=7.3mm (Calcaneus)

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D=4.5mmD=11.0mm

3643

1

D=4.5mmD=11.0mm

3643

2

D=7.0mmD=12.6

mm

3665

3

D=7.0mmD=14.0mm

3665

1

D=7.5mmD=14.0mm

3673

2

D=7.5mmD=15.0

mm

3673

1

EquipmentGuide Wire:

• Trocar with thread• Length: 228mm• Guide Wire D=1.2mm for D=2.7/3.5mm• Guide Wire D=1.6mm for D=4.0/4.5mm• Guide Wire D=3.2mm for D=6.5/7.3mm

Washers:

• Flat and curved version• Adapted to the screw head• For optimal contact to the bone surface

suitable for D=4.0/4.5mm

suitable for D=6.5mm

suitable for D=7.3mm

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Screwdriver:

• Cannulated• Screwdriver, WS 2.5mm for D=2.7/3.5/4.0/4.5mm • Screwdriver, WS 5.0mm for D=6.5/7.3mm (Length:

100mm)

2.Surgical Technique

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Contraindications• Diaphyseal fractures of long bones• In advanced osteoporosis• Obesity• Lack of patient compliance

Time of operation• Primary: Within the first hours after trauma• Secondary: After detumescence, intermediate fixation with external fixation or

extension

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D=2.7mm cannulated Cortical ScrewIndications:

• Fractures of the proximal and distal Radius• Fractures of the proximal Ulna• Fractures of the Scaphoid Bone• Fractures of the Tarsal

Optional drillingPredrilling is possible in strong cortical bone with a drill point equal to the core diameter of the screw. For easier insertion of the cannulated screw, place the spiral drill, cannulated, D=2.0mm, AO Connector over the guide wire and perform drilling under fluoroscopy.Attention: Do not drill further than the tip of the guide wire as this would impair the firm fixation of the guide wire (drill up to approx. 5mm before the end of the guide wire).

Special instrument: The drill is optional.

Temporary fixation with K-WireAfter placing a stab incision, provisionally fix the fracture segments using the guide wire, Steel, D=1.2mm, L=228mm, TR, with thread (35124-228) and control its correct position under fluoroscopy.

Attention: To avoid bending the guide wire insert it carefully.Content su

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Identification of screw lengthPlace screw depth gauge (59162) over guide wire and insert it through the soft tissue down to the bone. Then, read off the required length measurement at the end of the calibrated guide wire.

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Placement of the screwPlace the D=2.7mm cannulated Cortical Screw with a short or a variable thread (31272-XX/31277-XX) over the guide wire and insert it using the screwdriver, cannulated, WS 2.5, L=120mm (56253-120).

Finally, remove the guide wire and confirm correct position under fluoroscopy.

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D=3.5mm cannulated Cortical Screw & D=4.0mm cannulated Cancellous Screw

Indications:

• Fractures of the Malleolus medialis/lateralis

• Fractures of the proximal and distal Radius and Humerus

• Fractures of the proximal Ulna• Fractures of the Patella

Optional drillingPredrilling is possible in strong cortical bone with a drill point equal to the core diameter of the screw. For easier insertion of the cannulated screw, place the spiral drill, cannulated, D=2.5mm, AO Connector over the guide wire and perform drilling under fluoroscopy.Attention: Do not drill further than the tip of the guide wire as this would impair the firm fixation of the guide wire (drill up to approx. 5mm before the end of the guide wire).

Special instrument: The drill is optional.

Temporary fixation with K-WireAfter placing a stab incision, provisionally fix the fracture segments using the guide wire, D=1.2mm (35124-228) for the 3.5mm screw, resp. a guide wire, D=1.6mm (35164-228) for the 4.0mm screw and control its correct position under fluoroscopy.

Attention: To avoid bending the guide wire insert it carefully.

• Fractures of the distal Tibia• Fractures of the upper ankle• Fractures of the Tarsal• Fractures of the Talus• Ligament fixation

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Identification of screw lengthPlace screw depth gauge (59162) over guide wire and insert it through the soft tissue down to the bone. Then, read off the required length measurement at the end of the calibrated guide wire.

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Placement of the screwPlace the D=3.5mm cannulated Cortical Screw with short or variable thread (31352-XX/31357-XX) resp. the D=4.0mm cannulated Cancellous Screw with 9mm, variable or full thread (31402-XX/31404-XX/31407-XX) over the guide wire and insert it using the screwdriver, cannulated, WS 2.5, L=120mm (56253-120).

Finally, remove the guide wire and confirm correct position under fluoroscopy.

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D=4.5mm cannulated Cancellous ScrewIndications:

• Fractures of the proximal and distal Radius and Humerus

• Fractures of the proximal Ulna and Radius

• Fractures of the Pelvic• Supracondylar fractures of the Femur

Optional drillingPredrilling is possible in strong cortical bone with a drill point equal to the core diameter of the screw. For easier insertion of the cannulated screw, place the spiral drill, cannulated, D=2.8mm, AO Connector over the guide wire and perform drilling under fluoroscopy.Attention: Do not drill further than the tip of the guide wire as this would impair the firm fixation of the guide wire (drill up to approx. 5mm before the end of the guide wire).

Special instrument: The drill is optional.

Temporary fixation with K-WireAfter placing a stab incision, provisionally fix the fracture segments using the guide wire, Steel, D=1.6mm, L=228mm, TR, with thread (35164-228) and control its correct position under fluoroscopy.

Attention: To avoid bending the guide wire insert it carefully.

• Fractures of the distal and proximal Tibia

• Fractures of the Malleolus medialis/lateralis

• Fractures of the Talus• Ligament fixation

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Identification of screw lengthPlace screw depth gauge (59162) over guide wire and insert it through the soft tissue down to the bone. Then read off the required length measurement at the end of the calibrated guide wire.

The use of a washer is recommended in the presence of very osteoporotic bone.

Through the additional bone contact surface, the screw load will be distributed across a larger area and reduce countersinking of the screw head into the osteoporotic bone.

Optional use of washer

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Placement of the screwPlace the D=4.5mm cannulated Cancellous Screw with short or variable thread (31452-XX/31457-XX) over the guide wire and insert it using the screwdriver, cannulated, WS 2.5, L=120mm (56253-120).

Finally, remove the guide wire and confirm correct position under fluoroscopy.

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D=6.5mm cannulated Cancellous ScrewIndications:

• Fractures of the Pelvic• Fractures of the Sacroiliac joint• Fractures of the Femur neck• Supracondylar fractures of the Femur

Optional drillingPredrilling is possible in strong cortical bone with a drill point equal to the core diameter of the screw. For easier insertion of the cannulated screw, place the spiral drill, cannulated, D=5.0mm, L=200mm, AO Connector (61502-200) over the guide wire and perform drilling under fluoroscopy.Attention: Do not drill further than the tip of the guide wire as this would impair the firm fixation of the guide wire (drill up to approx. 5mm before the end of the guide wire).

Special instrument: The drill is optional.

Temporary fixation with K-WireAfter placing a stab incision, provisionally fix the fracture segments using the guide wire, Steel, D=3.2mm, L=228mm, TR, with thread (35324-228) and control its correct position under fluoroscopy.

Attention: To avoid bending the guide wire insert it carefully.

• Fractures of the proximal Tibia• Arthrodesis of the upper and

lower ankle

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Identification of screw lengthPlace screw depth gauge (59321) over guide wire and insert it through the soft tissue down to the bone. Then read off the required length measurement at the end of the calibrated guide wire.

The use of a washer is recommended in the presence of very osteoporotic bone.

Through the additional bone contact surface, the screw load will be distributed across a larger area and reduce countersinking of the screw head into the osteoporotic bone.

Optional use of washer

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Placement of the screwPlace the D=6.5mm cannulated Cancellous Screw with 22mm thread (31652-XXX) over the guide wire and insert it using the screwdriver, cannulated, WS 5.0, L=120mm (56502).

Finally, remove the guide wire and confirm correct position under fluoroscopy.

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D=7.3mm cannulated Cancellous ScrewIndications:

• Fractures of the Pelvic• Fractures of the Femur neck• Supracondylar fractures of the Femur• Fractures of the proximal Tibia• Fractures of the Calcaneus

Optional drillingPredrilling is possible in strong cortical bone with a drill point equal to the core diameter of the screw. For easier insertion of the cannulated screw, place the spiral drill, cannulated, D=5.0mm, L=200mm, AO Connector (61502-200) over the guide wire and perform drilling under fluoroscopy.Attention: Do not drill further than the tip of the guide wire as this would impair the firm fixation of the guide wire (drill up to approx. 5mm before the end of the guide wire).

Special instrument: The drill is optional.

Temporary fixation with K-WireAfter placing a stab incision, provisionally fix the fracture segments using the guide wire, Steel, D=3.2mm, L=228mm, TR, with thread (35324-228) and control its correct position under fluoroscopy.

Attention: To avoid bending the guide wire insert it carefully.

Special instrument: Optionally, it is possible to reposition the fracture using the special Calcaneus Distractor & Heel Press instrument set.

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Identification of screw lengthPlace screw depth gauge (59321) over guide wire and insert it through the soft tissue down to the bone. Then read off the required length measurement at the end of the calibrated guide wire.

The use of a washer is recommended in the presence of very osteoporotic bone.

Through the additional bone contact surface, the screw load will be distributed across a larger area and reduce countersinking of the screw head into the osteoporotic bone.

Optional use of washer

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Placement of the screwPlace the D=7.3mm cannulated Cancellous Screw with 16mm thread (31732-XXX), variable thread (31734-XXX) or fully threaded (31731-XXX) over the guide wire and insert it using the screwdriver, cannulated, WS 5.0, L=120mm (56502).

Finally, remove the guide wire and confirm correct position under fluoroscopy.

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Postoperative treatment• General: Partial weight bearing at week 4-6 Full weight bearing at week 6-10

• Femoral neck: Partial weight bearing (toe contact) 33 lbs at week 0-(6)-12 66 lbs at week 12-14 Full weight bearing at week 13-14

• Distal Femur: Knee bandage in ligament fixation Partial weight bearing (toe contact) 33 lbs at week 0-6 66 lbs at week 6-10 Full weight bearing at week 10-12

• Patella: Partial weight bearing (outstreched leg) 66 lbs at week 0-6 Full weight bearing at week 6-8 (isometric quadriceps excercises)

• Proximal Tibia: Knee bandage in ligament fixation Partial weight bearing (toe contact) 33 lbs at week 4-8 66 lbs at week 6-10 Full weight bearing at week 10-14

• Malleolus: Partial weight bearing (toe contact) 33 lbs at week 0-4 66 lbs at week 4-6 Full weight bearing after week 6

• Calcaneus: Removable plaster cast to avoid pes equinus position Partial weight bearing (toe contact) 33 lbs at week 0-6 66 lbs at week 6-10 Full weight bearing after week 10-16

ExplantationRemoval is possible, if necessary, and if desired by the patient.

Attention: The postoperative treatment may vary depending on the patients age, bone quality or type of fracture.

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Individual tray configurationWe provide custom designed surgical trays with cannulated screws put together according to your requirements and suggestions.

Information

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Cortical Screw, Cannulated, D=2.7mm, L=12mm, Short thread 31272-12Cortical Screw, Cannulated, D=2.7mm, L=14mm, Short thread 31272-14Cortical Screw, Cannulated, D=2.7mm, L=16mm, Short thread 31272-16Cortical Screw, Cannulated, D=2.7mm, L=18mm, Short thread 31272-18Cortical Screw, Cannulated, D=2.7mm, L=20mm, Short thread 31272-20Cortical Screw, Cannulated, D=2.7mm, L=22mm, Short thread 31272-22Cortical Screw, Cannulated, D=2.7mm, L=24mm, Short thread 31272-24Cortical Screw, Cannulated, D=2.7mm, L=26mm, Short thread 31272-26Cortical Screw, Cannulated, D=2.7mm, L=28mm, Short thread 31272-28Cortical Screw, Cannulated, D=2.7mm, L=30mm, Short thread 31272-30

Cortical Screw, Cannulated, D=2.7mm, L=12mm, Variable thread 31277-12Cortical Screw, Cannulated, D=2.7mm, L=14mm, Variable thread 31277-14Cortical Screw, Cannulated, D=2.7mm, L=16mm, Variable thread 31277-16Cortical Screw, Cannulated, D=2.7mm, L=18mm, Variable thread 31277-18Cortical Screw, Cannulated, D=2.7mm, L=20mm, Variable thread 31277-20Cortical Screw, Cannulated, D=2.7mm, L=22mm, Variable thread 31277-22Cortical Screw, Cannulated, D=2.7mm, L=24mm, Variable thread 31277-24Cortical Screw, Cannulated, D=2.7mm, L=26mm, Variable thread 31277-26Cortical Screw, Cannulated, D=2.7mm, L=28mm, Variable thread 31277-28Cortical Screw, Cannulated, D=2.7mm, L=30mm, Variable thread 31277-30

Cortical Screw, Cannulated, D=3.5mm, L=16mm, Short thread 31352-16Cortical Screw, Cannulated, D=3.5mm, L=18mm, Short thread 31352-18Cortical Screw, Cannulated, D=3.5mm, L=20mm, Short thread 31352-20Cortical Screw, Cannulated, D=3.5mm, L=22mm, Short thread 31352-22Cortical Screw, Cannulated, D=3.5mm, L=24mm, Short thread 31352-24Cortical Screw, Cannulated, D=3.5mm, L=26mm, Short thread 31352-26Cortical Screw, Cannulated, D=3.5mm, L=28mm, Short thread 31352-28Cortical Screw, Cannulated, D=3.5mm, L=30mm, Short thread 31352-30Cortical Screw, Cannulated, D=3.5mm, L=32mm, Short thread 31352-32Cortical Screw, Cannulated, D=3.5mm, L=34mm, Short thread 31352-34Cortical Screw, Cannulated, D=3.5mm, L=36mm, Short thread 31352-36Cortical Screw, Cannulated, D=3.5mm, L=38mm, Short thread 31352-38Cortical Screw, Cannulated, D=3.5mm, L=40mm, Short thread 31352-40Cortical Screw, Cannulated, D=3.5mm, L=42mm, Short thread 31352-42Cortical Screw, Cannulated, D=3.5mm, L=44mm, Short thread 31352-44Cortical Screw, Cannulated, D=3.5mm, L=46mm, Short thread 31352-46Cortical Screw, Cannulated, D=3.5mm, L=48mm, Short thread 31352-48Cortical Screw, Cannulated, D=3.5mm, L=50mm, Short thread 31352-50Cortical Screw, Cannulated, D=3.5mm, L=55mm, Short thread 31352-55Cortical Screw, Cannulated, D=3.5mm, L=60mm, Short thread 31352-60Cortical Screw, Cannulated, D=3.5mm, L=65mm, Short thread 31352-65Cortical Screw, Cannulated, D=3.5mm, L=70mm, Short thread 31352-70

Order list

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Cortical Screw, Cannulated, D=3.5mm, L=16mm, Variable thread 31357-16Cortical Screw, Cannulated, D=3.5mm, L=18mm, Variable thread 31357-18Cortical Screw, Cannulated, D=3.5mm, L=20mm, Variable thread 31357-20Cortical Screw, Cannulated, D=3.5mm, L=22mm, Variable thread 31357-22Cortical Screw, Cannulated, D=3.5mm, L=24mm, Variable thread 31357-24Cortical Screw, Cannulated, D=3.5mm, L=26mm, Variable thread 31357-26Cortical Screw, Cannulated, D=3.5mm, L=28mm, Variable thread 31357-28Cortical Screw, Cannulated, D=3.5mm, L=30mm, Variable thread 31357-30Cortical Screw, Cannulated, D=3.5mm, L=32mm, Variable thread 31357-32Cortical Screw, Cannulated, D=3.5mm, L=34mm, Variable thread 31357-34Cortical Screw, Cannulated, D=3.5mm, L=36mm, Variable thread 31357-36Cortical Screw, Cannulated, D=3.5mm, L=38mm, Variable thread 31357-38Cortical Screw, Cannulated, D=3.5mm, L=40mm, Variable thread 31357-40Cortical Screw, Cannulated, D=3.5mm, L=42mm, Variable thread 31357-42Cortical Screw, Cannulated, D=3.5mm, L=44mm, Variable thread 31357-44Cortical Screw, Cannulated, D=3.5mm, L=46mm, Variable thread 31357-46Cortical Screw, Cannulated, D=3.5mm, L=48mm, Variable thread 31357-48Cortical Screw, Cannulated, D=3.5mm, L=50mm, Variable thread 31357-50Cortical Screw, Cannulated, D=3.5mm, L=55mm, Variable thread 31357-55Cortical Screw, Cannulated, D=3.5mm, L=60mm, Variable thread 31357-60Cortical Screw, Cannulated, D=3.5mm, L=65mm, Variable thread 31357-65Cortical Screw, Cannulated, D=3.5mm, L=70mm, Variable thread 31357-70

Cancellous Screw, Cannulated, D=4.0mm, L=16mm, 9mm Thread 31402-16Cancellous Screw, Cannulated, D=4.0mm, L=18mm, 9mm Thread 31402-18Cancellous Screw, Cannulated, D=4.0mm, L=20mm, 9mm Thread 31402-20Cancellous Screw, Cannulated, D=4.0mm, L=22mm, 9mm Thread 31402-22Cancellous Screw, Cannulated, D=4.0mm, L=24mm, 9mm Thread 31402-24Cancellous Screw, Cannulated, D=4.0mm, L=26mm, 9mm Thread 31402-26Cancellous Screw, Cannulated, D=4.0mm, L=28mm, 9mm Thread 31402-28Cancellous Screw, Cannulated, D=4.0mm, L=30mm, 9mm Thread 31402-30Cancellous Screw, Cannulated, D=4.0mm, L=32mm, 9mm Thread 31402-32Cancellous Screw, Cannulated, D=4.0mm, L=34mm, 9mm Thread 31402-34Cancellous Screw, Cannulated, D=4.0mm, L=36mm, 9mm Thread 31402-36Cancellous Screw, Cannulated, D=4.0mm, L=38mm, 9mm Thread 31402-38Cancellous Screw, Cannulated, D=4.0mm, L=40mm, 9mm Thread 31402-40Cancellous Screw, Cannulated, D=4.0mm, L=42mm, 9mm Thread 31402-42Cancellous Screw, Cannulated, D=4.0mm, L=44mm, 9mm Thread 31402-44Cancellous Screw, Cannulated, D=4.0mm, L=46mm, 9mm Thread 31402-46Cancellous Screw, Cannulated, D=4.0mm, L=48mm, 9mm Thread 31402-48Cancellous Screw, Cannulated, D=4.0mm, L=50mm, 9mm Thread 31402-50Cancellous Screw, Cannulated, D=4.0mm, L=55mm, 9mm Thread 31402-55Cancellous Screw, Cannulated, D=4.0mm, L=60mm, 9mm Thread 31402-60Cancellous Screw, Cannulated, D=4.0mm, L=65mm, 9mm Thread 31402-65Cancellous Screw, Cannulated, D=4.0mm, L=70mm, 9mm Thread 31402-70

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Cancellous Screw, Cannulated, D=4.0mm, L=16mm, Variable thread 31404-16Cancellous Screw, Cannulated, D=4.0mm, L=18mm, Variable thread 31404-18Cancellous Screw, Cannulated, D=4.0mm, L=20mm, Variable thread 31404-20Cancellous Screw, Cannulated, D=4.0mm, L=22mm, Variable thread 31404-22Cancellous Screw, Cannulated, D=4.0mm, L=24mm, Variable thread 31404-24Cancellous Screw, Cannulated, D=4.0mm, L=26mm, Variable thread 31404-26Cancellous Screw, Cannulated, D=4.0mm, L=28mm, Variable thread 31404-28Cancellous Screw, Cannulated, D=4.0mm, L=30mm, Variable thread 31404-30Cancellous Screw, Cannulated, D=4.0mm, L=32mm, Variable thread 31404-32Cancellous Screw, Cannulated, D=4.0mm, L=34mm, Variable thread 31404-34Cancellous Screw, Cannulated, D=4.0mm, L=36mm, Variable thread 31404-36Cancellous Screw, Cannulated, D=4.0mm, L=38mm, Variable thread 31404-38Cancellous Screw, Cannulated, D=4.0mm, L=40mm, Variable thread 31404-40Cancellous Screw, Cannulated, D=4.0mm, L=42mm, Variable thread 31404-42Cancellous Screw, Cannulated, D=4.0mm, L=44mm, Variable thread 31404-44Cancellous Screw, Cannulated, D=4.0mm, L=46mm, Variable thread 31404-46Cancellous Screw, Cannulated, D=4.0mm, L=48mm, Variable thread 31404-48Cancellous Screw, Cannulated, D=4.0mm, L=50mm, Variable thread 31404-50Cancellous Screw, Cannulated, D=4.0mm, L=55mm, Variable thread 31404-55Cancellous Screw, Cannulated, D=4.0mm, L=60mm, Variable thread 31404-60Cancellous Screw, Cannulated, D=4.0mm, L=65mm, Variable thread 31404-65Cancellous Screw, Cannulated, D=4.0mm, L=70mm, Variable thread 31404-70

Cancellous Screw, Cannulated, D=4.0mm, L=35mm, Fully threaded 31407-35Cancellous Screw, Cannulated, D=4.0mm, L=40mm, Fully threaded 31407-40Cancellous Screw, Cannulated, D=4.0mm, L=45mm, Fully threaded 31407-45Cancellous Screw, Cannulated, D=4.0mm, L=50mm, Fully threaded 31407-50Cancellous Screw, Cannulated, D=4.0mm, L=55mm, Fully threaded 31407-55Cancellous Screw, Cannulated, D=4.0mm, L=60mm, Fully threaded 31407-60

Cancellous Screw, Cannulated, D=4.5mm, L=16mm, Short thread 31452-16Cancellous Screw, Cannulated, D=4.5mm, L=18mm, Short thread 31452-18Cancellous Screw, Cannulated, D=4.5mm, L=20mm, Short thread 31452-20Cancellous Screw, Cannulated, D=4.5mm, L=22mm, Short thread 31452-22Cancellous Screw, Cannulated, D=4.5mm, L=24mm, Short thread 31452-24Cancellous Screw, Cannulated, D=4.5mm, L=26mm, Short thread 31452-26Cancellous Screw, Cannulated, D=4.5mm, L=28mm, Short thread 31452-28Cancellous Screw, Cannulated, D=4.5mm, L=30mm, Short thread 31452-30Cancellous Screw, Cannulated, D=4.5mm, L=32mm, Short thread 31452-32Cancellous Screw, Cannulated, D=4.5mm, L=34mm, Short thread 31452-34Cancellous Screw, Cannulated, D=4.5mm, L=36mm, Short thread 31452-36Cancellous Screw, Cannulated, D=4.5mm, L=38mm, Short thread 31452-38Cancellous Screw, Cannulated, D=4.5mm, L=40mm, Short thread 31452-40Cancellous Screw, Cannulated, D=4.5mm, L=42mm, Short thread 31452-42Cancellous Screw, Cannulated, D=4.5mm, L=44mm, Short thread 31452-44Cancellous Screw, Cannulated, D=4.5mm, L=46mm, Short thread 31452-46Cancellous Screw, Cannulated, D=4.5mm, L=48mm, Short thread 31452-48Cancellous Screw, Cannulated, D=4.5mm, L=50mm, Short thread 31452-50Cancellous Screw, Cannulated, D=4.5mm, L=55mm, Short thread 31452-55Cancellous Screw, Cannulated, D=4.5mm, L=60mm, Short thread 31452-60Cancellous Screw, Cannulated, D=4.5mm, L=65mm, Short thread 31452-65Cancellous Screw, Cannulated, D=4.5mm, L=70mm, Short thread 31452-70

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Cancellous Screw, Cannulated, D=4.5mm, L=16mm, Variable thread 31457-16Cancellous Screw, Cannulated, D=4.5mm, L=18mm, Variable thread 31457-18Cancellous Screw, Cannulated, D=4.5mm, L=20mm, Variable thread 31457-20Cancellous Screw, Cannulated, D=4.5mm, L=22mm, Variable thread 31457-22Cancellous Screw, Cannulated, D=4.5mm, L=24mm, Variable thread 31457-24Cancellous Screw, Cannulated, D=4.5mm, L=26mm, Variable thread 31457-26Cancellous Screw, Cannulated, D=4.5mm, L=28mm, Variable thread 31457-28Cancellous Screw, Cannulated, D=4.5mm, L=30mm, Variable thread 31457-30Cancellous Screw, Cannulated, D=4.5mm, L=32mm, Variable thread 31457-32Cancellous Screw, Cannulated, D=4.5mm, L=34mm, Variable thread 31457-34Cancellous Screw, Cannulated, D=4.5mm, L=36mm, Variable thread 31457-36Cancellous Screw, Cannulated, D=4.5mm, L=38mm, Variable thread 31457-38Cancellous Screw, Cannulated, D=4.5mm, L=40mm, Variable thread 31457-40Cancellous Screw, Cannulated, D=4.5mm, L=42mm, Variable thread 31457-42Cancellous Screw, Cannulated, D=4.5mm, L=44mm, Variable thread 31457-44Cancellous Screw, Cannulated, D=4.5mm, L=46mm, Variable thread 31457-46Cancellous Screw, Cannulated, D=4.5mm, L=48mm, Variable thread 31457-48Cancellous Screw, Cannulated, D=4.5mm, L=50mm, Variable thread 31457-50Cancellous Screw, Cannulated, D=4.5mm, L=55mm, Variable thread 31457-55Cancellous Screw, Cannulated, D=4.5mm, L=60mm, Variable thread 31457-60Cancellous Screw, Cannulated, D=4.5mm, L=65mm, Variable thread 31457-65Cancellous Screw, Cannulated, D=4.5mm, L=70mm, Variable thread 31457-70

Cancellous Screw, Cannulated, D=6.5mm, L=25mm, 22mm Thread 31652-25Cancellous Screw, Cannulated, D=6.5mm, L=30mm, 22mm Thread 31652-30Cancellous Screw, Cannulated, D=6.5mm, L=35mm, 22mm Thread 31652-35Cancellous Screw, Cannulated, D=6.5mm, L=40mm, 22mm Thread 31652-40Cancellous Screw, Cannulated, D=6.5mm, L=45mm, 22mm Thread 31652-45Cancellous Screw, Cannulated, D=6.5mm, L=50mm, 22mm Thread 31652-50Cancellous Screw, Cannulated, D=6.5mm, L=55mm, 22mm Thread 31652-55Cancellous Screw, Cannulated, D=6.5mm, L=60mm, 22mm Thread 31652-60Cancellous Screw, Cannulated, D=6.5mm, L=65mm, 22mm Thread 31652-65Cancellous Screw, Cannulated, D=6.5mm, L=70mm, 22mm Thread 31652-70Cancellous Screw, Cannulated, D=6.5mm, L=75mm, 22mm Thread 31652-75Cancellous Screw, Cannulated, D=6.5mm, L=80mm, 22mm Thread 31652-80Cancellous Screw, Cannulated, D=6.5mm, L=85mm, 22mm Thread 31652-85Cancellous Screw, Cannulated, D=6.5mm, L=90mm, 22mm Thread 31652-90Cancellous Screw, Cannulated, D=6.5mm, L=95mm, 22mm Thread 31652-95Cancellous Screw, Cannulated, D=6.5mm, L=100mm, 22mm Thread 31652-100Cancellous Screw, Cannulated, D=6.5mm, L=105mm, 22mm Thread 31652-105Cancellous Screw, Cannulated, D=6.5mm, L=110mm, 22mm Thread 31652-110Cancellous Screw, Cannulated, D=6.5mm, L=115mm, 22mm Thread 31652-115Cancellous Screw, Cannulated, D=6.5mm, L=120mm, 22mm Thread 31652-120

Cancellous Screw, Cannulated, D=7.3mm, L=50mm, Fully threaded 31731-50Cancellous Screw, Cannulated, D=7.3mm, L=55mm, Fully threaded 31731-55Cancellous Screw, Cannulated, D=7.3mm, L=60mm, Fully threaded 31731-60Cancellous Screw, Cannulated, D=7.3mm, L=65mm, Fully threaded 31731-65Cancellous Screw, Cannulated, D=7.3mm, L=70mm, Fully threaded 31731-70Cancellous Screw, Cannulated, D=7.3mm, L=75mm, Fully threaded 31731-75Cancellous Screw, Cannulated, D=7.3mm, L=80mm, Fully threaded 31731-80Cancellous Screw, Cannulated, D=7.3mm, L=85mm, Fully threaded 31731-85Cancellous Screw, Cannulated, D=7.3mm, L=90mm, Fully threaded 31731-90

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Cancellous Screw, Cannulated, D=7.3mm, L=80mm, 16mm Thread 31732-80Cancellous Screw, Cannulated, D=7.3mm, L=85mm, 16mm Thread 31732-85Cancellous Screw, Cannulated, D=7.3mm, L=90mm, 16mm Thread 31732-90Cancellous Screw, Cannulated, D=7.3mm, L=95mm, 16mm Thread 31732-95Cancellous Screw, Cannulated, D=7.3mm, L=100mm, 16mm Thread 31732-100Cancellous Screw, Cannulated, D=7.3mm, L=105mm, 16mm Thread 31732-105Cancellous Screw, Cannulated, D=7.3mm, L=110mm, 16mm Thread 31732-110Cancellous Screw, Cannulated, D=7.3mm, L=115mm, 16mm Thread 31732-115Cancellous Screw, Cannulated, D=7.3mm, L=120mm, 16mm Thread 31732-120

Cancellous Screw, Cannulated, D=7.3mm, L=35mm, Variable thread 31734-35Cancellous Screw, Cannulated, D=7.3mm, L=40mm, Variable thread 31734-40Cancellous Screw, Cannulated, D=7.3mm, L=45mm, Variable thread 31734-45Cancellous Screw, Cannulated, D=7.3mm, L=50mm, Variable thread 31734-50Cancellous Screw, Cannulated, D=7.3mm, L=55mm, Variable thread 31734-55Cancellous Screw, Cannulated, D=7.3mm, L=60mm, Variable thread 31734-60Cancellous Screw, Cannulated, D=7.3mm, L=65mm, Variable thread 31734-65Cancellous Screw, Cannulated, D=7.3mm, L=70mm, Variable thread 31734-70Cancellous Screw, Cannulated, D=7.3mm, L=75mm, Variable thread 31734-75Cancellous Screw, Cannulated, D=7.3mm, L=80mm, Variable thread 31734-80Cancellous Screw, Cannulated, D=7.3mm, L=85mm, Variable thread 31734-85Cancellous Screw, Cannulated, D=7.3mm, L=90mm, Variable thread 31734-90

Washer, Flat, OD=11.0mm, ID=4.5mm 36431

Washer, Curved, OD=11.0mm, ID=4.5mm 36432

Washer, Flat, OD=14.0mm, ID=7.0mm 36651

Washer, Curved, OD=12.6mm, ID=7.0mm 36653

Washer, Flat, OD=15.0mm, ID=7.5mm 36731

Washer, Curved, OD=14.0mm, ID=7.5mm 36732

Depth Gauge for calibrated guide wire D=1.2/1.6mm 59162

Depth Gauge for calibrated guide wire D=3.2mm 59321

Guide Wire, Steel, D=1.2mm, L=228mm, TR, w. thread 35124-228Guide Wire, Steel, D=1.6mm, L=228mm, TR, w. thread 35164-228Guide Wire, Steel, D=3.2mm, L=228mm, TR, w. thread 35324-228

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Spiral Drill, D=5.0mm, L=200mm, Cannulated 61502-200

Screwdriver, WS 2.5, L=120mm, Cannulated 56253-120

Screwdriver, WS 5.0, L=100mm, Cannulated 56502

Trocar with protection sleeve 62301

For detailed cleaning and sterilization instructions, please refer to package insert.

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Notes

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I.T.S. USA1778 Park Avenue N, Suite 200

Maitland, FL 32751

Tel.: 877 - 971 - 8054Fax: 877 - 971 - 8056

info@its-implantusa.comwww.its-implantusa.com

Order No. CAS-OP-0218-USAEdition: February/2018

© ITS. GmbH Graz/Austria 2018. Subject to technical alterations, errors and misprints excepted.

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