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S U R G I C A L T E C H N I Q U E En

P O LYA X I A L SPINE SYSTEM

D E G E N E R A T I V E
L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

A01114500 Tap for 4.5mm screw


A01115500 Tap for 5.5mm screw
A01116500 Tap for 6.5mm screw
A02117500 Tap for 7.5mm screw
A01110050 Straight spatula
A01110070 Bone probe
A01110060 Curved spatula

A02100003 Malleable rod,


length 150 mm

A02100001 Straight ratchet handle A02100002 T ratchet handle A02100004 Malleable rod,
A01130250 T20 screwdriver shaft length 350 mm

A02100005
Palm ratchet handle A02110010 Squared awl A02110030 Lenke type Spatula A02110050 Depth gauge
A02110020 Squared awl reamer shaft

A02120000 Rod holder A02120002 Rod rotating wrench A02120020 Rod pusher shaft A02120100 French bender

A02120250 Compressor A02120350 Rod spreader A02120375 L-Shaped Jaws A02130160 Nutdriver

A02130170 Nutdriver shaft A02150020 Sacral screw gimlet A02150030 Sacral screw holder A02200010 Flexible guide
for T20 screwdriver

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I N S T R U M E N T A T I O N

A02210100 Pedicle A02230010 Nut holder and


A02200255 Pass LP measuring card A02230030 Counter torque
screwdriver shaft threaded extension breaker

A02230040 A02230250
A02250010 Sacral plate holder MS219 Pedicle probe
Counter-torque for rod-plate Nutdriver shaft for dismantling

MS227 Connecting clamp releaser MS511 Rod gripper

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

Section 1 screw Positioning

1. implant selection.................................................................5

2. screw fixation
on lumbar and/or thoracic vertebrae..............................6

Section 2 ROd construct

1. implant selection...............................................................11

2. Rod contouring...................................................................11

3. connector selection. ..........................................................12

4. rod and connectors insertion.........................................13

5. tightening............................................................................14

6. final procedure...................................................................17

Section 3 ROD to rod linkage

1. implant selection...............................................................18

2. insertion of crosslink....................................................18

Section 4 Sacral plate fixation

1. implant selection...............................................................19

2. insertion of bicortical s1 screw......................................19

3. Insertion of bicortical inferior screw


into sacrum ala...................................................................21

4. rod and connectors insertion.........................................23

5. tightening............................................................................23

6. final procedure...................................................................23

Section 5 ROD PLate

1. implant selection...............................................................24

2. bending of rod plate..........................................................24

3. insertion of rod plate........................................................24

4. tighthening of the nut.......................................................25

5. final procedure...................................................................25

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

Section 1 screw positioning

1. implant selection

Different diameters and lengths available (color code)


Please refer to the brochure for the complete range of product.
m

m
m

m
5

0
4.

5.

6.

7.

8.

NOTE: The length and the diameter of the pedicle


screw are marked on the threaded extension

OPTION: Use Offset pedicle screws to block a potential shift


(example: spondylolisthesis) in the alignment of the rod on
the screw head. The Screw seating is raised by 5 mm.

Use the PASS LP measuring card (A02200255) to check the dimensions.


When handling non sterile implants, use the gauge located directly on the
implant tray.

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

2. Screw fixation on lumbar and/or thoracic vertebrae

2.a. Localization of entry point


2.a.1. On Lumbar vertebrae
The technique described below is a free-hand technique.
The use of an image intensifier (C-arm) is highly recommended for peroperative control of pedicle screw placement.
As an alternative, a surgical navigation system can be used.

Facetectomy: Resect the inferior articular process


of the overlying vertebra using a gouge chisel.

Preparation of the implantation site:


Decortication of the superior articular process of
the instrumented vertebra using a rongeur.

Locate the pedicle entry point and create a


pilot hole with the squared awl (A02110010):
this hole is usually located at the intersection of
a horizontal line, which bisects the transverse
process and a vertical line through the middle of
the superior articular process.

IMPORTANT:
For the superior end of the instrumentation, secure
the screw position outside of the facet joint.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

2.a.2. On Thoracic vertebrae


The technique described below is a free-hand technique.
The use of an image intensifier (C-arm) is highly recommended for peroperative control of pedicle screw placement.
As an alternative, a surgical navigation system can be used.

Facetectomy: Resect the inferior articular


process of the overlying vertebra using a gouge
chisel.

Preparation of the implantation site:


Decorticate both the transverse process and
the base of the articular process of the
instrumented vertebra using a rongeur.

Location of the pedicle entry point and creation of


a pilot hole with the squared awl (A02110010):
this hole is usually located at the intersection of a
horizontal line which runs through the upper third
of the transverse process and a vertical line in the
middle of the articular process.

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

2.b. Preparation of the pathway

Use a spatula (A01110060, A01110070, or


A02110030), with the concave surface of the
instrument facing the spinal canal.

NOTE: The Straight spatula (A01110050) can


also be used.

Test the pathway with the Pedicle probe (MS219).


Use the pedicle probe to check that the pedicle
wall has not been breached.

Enlarge the hole with a curette and test the


pathway using the Pedicle probe (MS219).

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

Determine the appropriate screw length using the laser marks on the
spatulas, or the depth gauge (A02110050).

NOTE: Screws are self-tapping, however,


if needed, a tap can be used
(4.5mm: A01114500,
5.5mm: A01115500,
6.5mm: A01116500 or
7.5mm: A02117500).
The taps are undersized by 0.5 mm.

RATCHET HANDLES:
The handles A02100001, A02100002 & A02100005 offer 3 settings:
F = Forward position for Screw insertion
0 = Neutral position to lock ratchet function
R = Reverse position for Screw removal

IMPORTANT: Be sure the screw head can sit flush


on the bone by leveling the area using the squared
awl reamer (A02110020)

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

2.c. Pedicle screw insertion

NOTE : This roller can be disassembled for cleaning by


unscrewing the small nut on the side of the instrument.

Lock the pedicle screw on the pedicle screwdriver


(A02210100) by aligning the prongs of the
instrument to the notches of the screw collar, and
by turning the roller clockwise as shown above.
Attach the preferred ratchet handles (A02100001,
A02100002 or A02100005) onto the screwdriver
shaft.

Insert the pedicle screw.

The use of a flexible guide (A02200010) on top


of the post allows for connection to the rod at a
distance from the spine.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

Section 2 rod construct

NOTE : Refer to Section 5 (page 24) if you wish to use a rod-plate.

1. Implant selection

2 rod diameters available: 5.5 mm and 6 mm :


5.5 mm rods are Green
6 mm rods are Grey
Th

m
e

ng
m
le

th L
is la L
ser marked

Use the malleable rods (A02100003 or A02100004)


to select rod length and determine rod contouring.

IMPORTANT: For traceability reasons, we recommend NOT TO cut the rods .

2. Rod contouring

Rods ranging from 30mm to 100mm length are


delivered pre-contoured.

For further contouring of short rods or for contouring


long rods, use the French bender (A02120100).

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

3. Connector setting

Implant selection :
The PASS LP system provides 2 types of connectors.
The compatible rod diameter is laser marked on the implant to ease identification.

1) Standard connector (Grey)


B02235501 for 5.5 mm rod
B02236001 for 6 mm rod
It is symmetrical and thus reversible.

2) Realignment connector (Gold)


B02235510 for 5.5 mm rod
B02236010 for 6 mm rod
It is not symmetrical and thus not reversible.
Place the laser mark 5.5 or 6.0 facing up.
Use this connector to facilitate realignment of the vertebrae
in severe spondylolisthesis cases, burst fractures, and
compression fractures.
After final tightening, the polyaxial screw will be perpendicular
to the rod (like a standard monoaxial screw).

IMPORTANT: When operating on patients with poor bone quality such as severe osteoporosis the use of
realignment connectors (Gold) is not recommended.

NOTES:
Other implants are available (offset, angulated).
In order to use those connectors, please refer to the additional implants leaflet of the PASS LP Surgical
Technique.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

4. Rod and connector insertion

Slide the connectors onto the rod.

NOTE: If necessary, use the connector releaser (MS227) to slightly re-open


the connectors.

Drop the assembly over the flexible guide (or directly


on the threaded post of the screw) down to the screw
head.

IMPORTANT: Remove any osteophytes that could


prevent the descent of the connectors and rods.

If necessary, gently use the rod pusher (A02120020)


to facilitate the rod and connector loading.

NOTES:
The threaded extensions are completely free during
this step and no stress is applied to the anchorage.

In most cases, the rods are placed on the median


line.

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

5. Tightening

5.a. Nut loading

The nutholder (A02230010) is used to load each


nut onto the threaded extension of the screw.

NOTE: It is not necessary to remove the flexible


guides (A02200010) to start the tightening of the
nut.

5.b. Rod Orientation

Before final tightening, orientate the rod in the sagittal


plane using the rod rotating wrench (A02120002).

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

5.c. Distraction and Contraction


Before the final tightening procedure, it may be necessary to use distraction or compression at the
instrumented levels.

5.c.1. Distraction

To distract, apply the spreader (A02120350)


assembled with the L-shaped jaws (A02120375).
Lock the first screw, then place the tips over the rod
by applying directly on the inner side of the connectors
(see image), and distract.
Lock the second screw with the nutdriver shaft
(A02130170).

5.c.2. Contraction

To compress, apply the Compressor (A02120250)


assembled with the L-shaped jaws (A02120375).
Lock the first screw, then place the tips over the rod
by applying directly on the outer side of the adjacent
connectors (see image), and compress.
Lock the second screw with the nutdriver shaft
(A02130170).

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

5.d. Final Tightening

Remove the flexible guides (A02200010) to tighten


the nuts using the nutdriver (A02130160).
The nut must be tightened until broken off (average
value of 12 N.m).

While torqueing the nut , exert a downward force to


contain the broken part in the instrument.
This instrument is cannulated for storage of the broken
parts.
To empty the instrument, unscrew the plug and turn the
instrument upside down to release the broken parts.

IMPORTANT: At the end of the tightening, we


recommend counting all the broken parts remaining
in the nutdriver to be certain no broken parts are
left in the incision.

If a broken part is blocked in the instrument, use the


malleable rod (A02100004) to push it out.

The counter-torque (A02230030) can be used to stabilize the construct during


tightening. This counter torque is not functional with angulated connectors;
please refer to the additional implants section of the PASS LP Surgical
Technique.

If you wish to remove a broken nut, use the nutdriver for dismantling
(A02230250). Align the pins with the holes present on the remaining part of
the nut.

IMPORTANT:
If tightening must be re-executed, it is MANDATORY to re-execute the tightening procedure with a new unbroken nut.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

6. final procedure

6.a. Checking

The groove on the threaded extension has to be flush


on top of the nut surface.
If this is not the case, unscrew the nut using the
nutdriver for dismantling (A02230250) :

Check that nothing is preventing the connector


from reaching the screw head (osteophytes, etc.)
- if necessary, remove with a rongeur.
Re-execute the tightening procedure using a new
unbroken nut .

6.b. Removal of the threaded extensions

After the checking, place the threaded extension


breaker (A02230010) onto the threaded extension
of the screw and snap off the upper part along the
longitudinal axis of the rod. Repeat this step on each
screw.

The broken part remains in the instrument. It is


necessary to remove each broken part before
breaking the next one.

IMPORTANT: A count of all the broken parts is recommended to be certain no broken parts are
left in the incision.

If you wish to use crosslinks, please refer to chapter 3 (page 18).

6.c. Closure of the incision


An X-ray control is recommended before the closure in order to assess the positioning of the implants.

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

Section 3 rod to rod linkage

1. Implant Selection

Use the PASS LP measuring card (A02200255) to measure


the distance between the 2 rods and select the implant size
accordingly.

2. Insertion of crosslink

Check that the rod passage is free in the 2 connectors.


If not, release the passage by untightening the central axis using the T20 screwdriver
(A01130250) until the instrument cannot be rotated any further.

Once the connector is on the rod, tighten the central axis using the T20
screwdriver until the instrument cannot be rotated any further.
The Crosslink can then slide freely along the rod without escaping, and a gentle
compression or distraction can be applied between the 2 rods.

Lock the crosslink by tightening the locking nuts using the Nutdriver
(A02130160).

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

Section 4 Sacral plate fixation

1. Implant Selection

Choose the implant according to the side of implantation:


- Laser mark L for left side.
- Laser mark R for right side.

2. Insertion of bicortical S1 screw


2.a. Localization of S1 entry point

Facetectomy: Resect the inferior articular process of L5 using a gouge


chisel.

Identification of the S1 pedicle entry point which is in the inferior part of the
S1 articular surface.

NOTE: To check the correct positioning of the implant, we recommend the use
of a lateral view from an image intensifier (C-arm).

Create the pathway through the anterior cortex for a bicortical fixation of the S1 screw using the Straight
spatula A01110050.
Test the pathway with the Pedicle probe (MS219).
Enlarge the hole with a curette and perform a second test of the pathway with the pedicle probe (MS219).
Determine the appropriate screw length using the depth gauge (A02110050).

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

2.b. Placement of the plate and insertion of S1 screw

Assemble the plate on the sacral plate holder


(A02250010) by turning the central roller.
Place the drilling guide over the S2 hole (bevelled
edge).
Position the handle in the right direction and tighten
the central roller with the Nutdriver (A02130160).

Assemble the T20 screwdriver (A01130250) with


the desired ratchet handle.
Slide the sacral screw holder for T20 screwdriver
(A02150030) onto the T20 screwdriver.
Lock the sacral screw onto the assembled instrument
(head blocked into the holder).

Insert the S1 screw into the prepared hole through


the plate positioned on the sacrum. Do not completely
seat the S1 screw; leave enough space to facilitate
the setting of the second sacral screw.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

3. Insertion of the bicortical inferior screw into


the sacrum ala
3.a. Localization of entry point with the guide

Position the plate with its lower end lying on the sacral ala, lateral to
the first posterior sacral foramen.
Use the drilling guide of the sacral plate holder to determine the entry
point of the inferior screw (S2) located lateral to the first sacral hole
(hole R for a right plate and hole L for a left plate).

3.b. Preparation of the hole


3.b.1. Adjustment of hand drill

The desired length of drilling using the sacral screw


hand drill (A02150020) is adjustable.
If the drilling guide is used the laser mark WITH
DRILLING GUIDE should be facing you. m
Maintain the external tube with the laser mark facing 0m
5
L=

you, and tighten/untighten the gimlet until the desired


length appears in the window.

NOTE: If the surgeon does not want to use the drilling


guide, flip the instrument over so that the laser mark
WITHOUT DRILLING GUIDE is showing and adjust the
length.

3.b.2. Preparation of the pathway for the inferior screw

The drill (A02150020) is then assembled with one of


the ratchet handles and inserted through the drilling
guide in the hole corresponding to the side instrumented
(L when using the left sacral plate, and R when using
the right sacral plate).

Test the pathway with the pedicle probe (MS219).

IMPORTANT: If you wish to use an electric drill, the drilling guide is compatible with up to a 3.2 mm size drill.

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

3.c. Screwing of the inferior screw


To assemble the sacral screw on the screwdriver, please refer to Section 2 paragraph 2.b. (page 20).

Move the drilling guide onto its side by pulling and rotating
the tie to release access to the plate.

The screw is then inserted through the plate following


the prepared pathway.

Remove the sacral plate holder by untightening the


central axis. If necessary, complete tightening of the
S1 screw.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

The sacral screws have intersected trajectories in all 3 planes in order to obtain optimal pull-out resistance.

OPTIONAL : Insertion of the cap


In order to avoid sacral screw back-out, a cap
(B02150000) can be inserted on top of the plate
after the 2 sacral screws have been inserted (before
rod insertion).

4. ROD AND CONNECTORS insertion


Please refer to Section 2 (page 11 and following).

5.tightening
Please refer to Section 2 paragraph 5 (page 14).

6.final procedure
Please refer to Section 2 paragraph 6 (page 17).

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

Section 5 ROD-PLATE

1. Implant selection

IMPORTANT: The Rod-plate can be used with standard and offset polyaxial screws, as well as with sacral
plates.
Measure the distance between the threaded extensions of the anchorages and choose the implant that will fit.

2. Bending of rod-plate

The rod-plate is delivered pre-bent.


Further bending of the rod-plate is not recommended, as this may cause distortion of the rod-plate holes.

3. Insertion of rod-plate

The flexible guide can be loaded on the threaded extension of the anchorages prior to rod-plate insertion.

Orientate the rod-plate so that the laser mark is


placed on top.

NOTE: The single hole should be placed on the cranial


part of the construct in order to avoid any conflict with
the facets.

Drop the rod-plate along the flexible guides, or directly


over the threaded extensions.

IMPORTANT: In order to allow the connection please


be sure to remove any osteophytes that could prevent
descent of the implants.

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D E G E N E R A T I V E S U R G I C A L T E C H N I Q U E

4. Tigthening of the nut


The 2 inferior scallops allow 3 different positions for nut seating.
Be sure to securely fit the threaded extension in one of the designated holes before performing final tightening.
For the tightening procedure, please refer to Section 2 paragraph 5 (page 14).

Nut setting Final Tightening

The Counter-torque for rod-plate (A02230040) can be used to stabilize the construct
during tightening.

5. final procedure

Please refer to Section 2 paragraph 6 (page 17).

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L O W P R O F I L E P O LYA X I A L S P I N E S Y S T E M

STANDARDS PEDICLE SCREWS SACRAL IMPLANTS

NON STERILE REF. DESIGNATION NON STERILE REF. DESIGNATION

B02250010 RIGHT SACRAL PLATE


B02214525 POLYAXIAL PEDICLE SCREW 4.5 mm x 25 mm*
B02250020 LEFT SACRAL PLATE
B02214530 POLYAXIAL PEDICLE SCREW 4.5 mm x 30 mm
B02150000 CAP FOR SACRAL PLATE
B02214535 POLYAXIAL PEDICLE SCREW 4.5 mm x 35 mm
B02156525 SACRAL SCREW 6.5 X 25mm
B02214540 POLYAXIAL PEDICLE SCREW 4.5 mm x 40 mm
B02156530 SACRAL SCREW 6.5 X 30mm
B02214545 POLYAXIAL PEDICLE SCREW 4.5 mm x 45 mm
B02156535 SACRAL SCREW 6.5 X 35mm
B02214550 POLYAXIAL PEDICLE SCREW 4.5 mm x 50 mm*
B02156540 SACRAL SCREW 6.5 X 40mm
B02214555 POLYAXIAL PEDICLE SCREW 4.5 mm x 55 mm*
B02156545 SACRAL SCREW 6.5 X 45mm
B02215525 POLYAXIAL PEDICLE SCREW 5.5 mm x 25 mm*
B02156550 SACRAL SCREW 6.5 X 50mm
B02215530 POLYAXIAL PEDICLE SCREW 5.5 mm x 30 mm
B02156555 SACRAL SCREW 6.5 X 55mm
B02215535 POLYAXIAL PEDICLE SCREW 5.5 mm x 35 mm
B02156560 SACRAL SCREW 6.5 X 60mm
B02215540 POLYAXIAL PEDICLE SCREW 5.5 mm x 40 mm
B02157225 SACRAL SCREW 7.2 X 25mm
B02215545 POLYAXIAL PEDICLE SCREW 5.5 mm x 45 mm
B02157230 SACRAL SCREW 7.2 X 30mm
B02215550 POLYAXIAL PEDICLE SCREW 5.5 mm x 50 mm
B02157235 SACRAL SCREW 7.2 X 35mm
B02215555 POLYAXIAL PEDICLE SCREW 5.5 mm x 55 mm*
B02157240 SACRAL SCREW 7.2 X 40mm
B02215560 POLYAXIAL PEDICLE SCREW 5.5 mm x 60 mm*
B02157245 SACRAL SCREW 7.2 X 45mm
B02216525 POLYAXIAL PEDICLE SCREW 6.5 mm x 25 mm*
B02157250 SACRAL SCREW 7.2 X 50mm
B02216530 POLYAXIAL PEDICLE SCREW 6.5 mm x 30 mm
B02157255 SACRAL SCREW 7.2 X 55mm
B02216535 POLYAXIAL PEDICLE SCREW 6.5 mm x 35 mm
B02157260 SACRAL SCREW 7.2 X 60mm
B02216540 POLYAXIAL PEDICLE SCREW 6.5 mm x 40 mm

B02216545 POLYAXIAL PEDICLE SCREW 6.5 mm x 45 mm

B02216550 POLYAXIAL PEDICLE SCREW 6.5 mm x 50 mm ROD PLATES

B02216555 POLYAXIAL PEDICLE SCREW 6.5 mm x 55 mm* NON STERILE REF. DESIGNATION

B02216560 POLYAXIAL PEDICLE SCREW 6.5 mm x 60 mm* B02270010 ROD-PLATE 1 LEVEL SMALL

B02217525 POLYAXIAL PEDICLE SCREW 7.5 mm x 25 mm* B02270015 ROD-PLATE 1 LEVEL LARGE

B02217530 POLYAXIAL PEDICLE SCREW 7.5 mm x 30 mm* B02270020 ROD-PLATE 2 LEVELS SMALL

B02217535 POLYAXIAL PEDICLE SCREW 7.5 mm x 35 mm B02270025 ROD-PLATE 2 LEVELS LARGE

B02217540 POLYAXIAL PEDICLE SCREW 7.5 mm x 40 mm

B02217545 POLYAXIAL PEDICLE SCREW 7.5 mm x 45 mm


OTHER IMPLANTS
B02217550 POLYAXIAL PEDICLE SCREW 7.5 mm x 50 mm
NON STERILE REF. DESIGNATION
B02217555 POLYAXIAL PEDICLE SCREW 7.5 mm x 55 mm*
B02130005 NUT**
B02217560 POLYAXIAL PEDICLE SCREW 7.5 mm x 60 mm*

B02218025 POLYAXIAL PEDICLE SCREW 8.0 mm x 25 mm* ** NOTE : Non Sterile polyaxial screws and sacral plates are delivered
WITHOUT the nut .
B02218030 POLYAXIAL PEDICLE SCREW 8.0 mm x 30 mm*
Nuts need to be ordered separately.
B02218035 POLYAXIAL PEDICLE SCREW 8.0 mm x 35 mm*

B02218040 POLYAXIAL PEDICLE SCREW 8.0 mm x 40 mm*

B02218045 POLYAXIAL PEDICLE SCREW 8.0 mm x 45 mm*

B02218050 POLYAXIAL PEDICLE SCREW 8.0 mm x 50 mm*

B02218055 POLYAXIAL PEDICLE SCREW 8.0 mm x 55 mm*

B02218060 POLYAXIAL PEDICLE SCREW 8.0 mm x 60 mm*

*available upon special request

OFFSET PEDICLE SCREWS*

NON STERILE REF. DESIGNATION

B02185535 OFFSET PEDICLE SCREW 5.5 X 35mm

B02185540 OFFSET PEDICLE SCREW 5.5 X 40mm

B02185545 OFFSET PEDICLE SCREW 5.5 X 45mm IMPORTANT : The PASS LP system is also available
B02186535 OFFSET PEDICLE SCREW 6.5 X 35mm in STERILE version- simply add a S at the end of each
B02186540 OFFSET PEDICLE SCREW 6.5 X 40mm reference in your order.
B02186545 OFFSET PEDICLE SCREW 6.5 X 45mm Sterile Polyaxial Screws and Sacral Plates are delivered
*other lengths available upon special request directly assembled with the nut.

26
IMPLANTS

IF USE 5.5 mm ROD IF USE 6 mm ROD

Couplers/Connectors (standard/for realignment) Couplers/Connectors (standard/for realignment)

NON STERILE REF. DESIGNATION NON STERILE REF. DESIGNATION

B02235501 STANDARD CONNECTING CLAMP FOR 5.5 mm ROD B02236001 STANDARD CONNECTING CLAMP FOR 6mm ROD

B02235510 REALIGNMENT CONNECTOR FOR 5.5mm ROD B02236010 REALIGNMENT CONNECTOR FOR 6mm ROD

ROD ROD

NON STERILE REF. DESIGNATION NON STERILE REF. DESIGNATION

B02175503 PRE BENT ROD 5.5 X 30 mm B02176003 PRE BENT ROD 6 X 30 mm

B02175504 PRE BENT ROD 5.5 X 40 mm B02176004 PRE BENT ROD 6 X 40 mm

B02175505 PRE BENT ROD 5.5 X 50 mm B02176005 PRE BENT ROD 6 X 50 mm

B02175506 PRE BENT ROD 5.5 X 60 mm B02176006 PRE BENT ROD 6 X 60 mm

B02175507 PRE BENT ROD 5.5 X 70 mm B02176007 PRE BENT ROD 6 X 70 mm

B02175508 PRE BENT ROD 5.5 X 80 mm B02176008 PRE BENT ROD 6 X 80 mm

B02175509 PRE BENT ROD 5.5 X 90 mm B02176009 PRE BENT ROD 6 X 90 mm

B02175510 PRE BENT ROD 5.5 X 100 mm B02176010 PRE BENT ROD 6 X 100 mm

B02125512 ROD 5.5 mm x 120 mm B02126012 ROD 6 mm x 120 mm

B02125514 ROD 5.5 mm x 140 mm B02126014 ROD 6 mm x 140 mm

B02125516 ROD 5.5 mm x 160 mm B02126016 ROD 6 mm x 160 mm

B02125518 ROD 5.5 mm x 180 mm B02126018 ROD 6 mm x 180 mm

B02125520 ROD 5.5 mm x 200 mm B02126020 ROD 6 mm x 200 mm

B02125522 ROD 5.5 mm x 220 mm B02126022 ROD 6 mm x 220 mm

B02125524 ROD 5.5 mm x 240 mm B02126024 ROD 6 mm x 240 mm

B02125526 ROD 5.5 mm x 260 mm B02126026 ROD 6 mm x 260 mm

B02125528 ROD 5.5 mm x 280 mm B02126028 ROD 6 mm x 280 mm

B02125530 ROD 5.5 mm x 300 mm B02126030 ROD 6 mm x 300 mm

B02125532 ROD 5.5 mm x 320 mm B02126032 ROD 6 mm x 320 mm

B02125534 ROD 5.5 mm x 340 mm B02126034 ROD 6 mm x 340 mm

B02125536 ROD 5.5 mm x 360 mm B02126036 ROD 6 mm x 360 mm

B02125538 ROD 5.5 mm x 380 mm B02126038 ROD 6 mm x 380 mm

B02125540 ROD 5.5 mm x 400 mm B02126040 ROD 6 mm x 400 mm

B02125545 ROD 5.5 mm x 450 mm B02126045 ROD 6 mm x 450 mm

B02125550 ROD 5.5 mm x 500 mm B02126050 ROD 6 mm x 500 mm

CROSSLNKS CROSSLNKS

NON STERILE REF. DESIGNATION NON STERILE REF. DESIGNATION

B02265534 CROSSLINK FOR 5.5mm ROD. 22 TO 34mm DISTANCE B02266034 CROSSLINK SYSTEM for 6mm rod. Distances 22 to 34mm

B02265548 CROSSLINK FOR 5.5mm ROD. 34 TO 48mm DISTANCE B02266048 CROSSLINK SYSTEM for 6mm rod. Distances 34 to 48mm

B02265562 CROSSLINK FOR 5.5mm ROD. 48 TO 62mm DISTANCE B02266062 CROSSLINK SYSTEM for 6mm rod. Distances 48 to 62mm

IMPORTANT : The PASS LP system is also available in STERILE version- simply add a S at the end of each
reference in your order.
Sterile Polyaxial Screws and Sacral Plates are delivered directly assembled with the nut.

27
FDA cleared. Ref. C02D02002 V02 Sept 2009 Medicrea. All rights reserved. Patented products. MEDICREA and PASS are Medicrea registered trademarks
Headquarters:
MEDICREA
24 porte du Grand Lyon
01700 NEYRON - FRANCE
Tl. +33 (0)4 72 01 87 87
Fax +33 (0)4 72 01 87 88
customerservice@medicrea.com

Manufacturer:
MEDICREA Technologies
Z.I. Chef de Baie
17000 LA ROCHELLE - FRANCE
Tel. +33 (0)5 46 00 55 55
Fax +33 (0)5 46 00 55 77

RCS La Rochelle 380 133 918


SAS au capital de 696 960 Euros
www.medicrea.com Distributed by:

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