651 Revision-Surgery Inhalt en 2011-05 001 · 2018-02-25 · for revision operations because of...

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LINK®

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Instruments for Revision Surgery

リビジョン手術用器械

) Instruments

Presented by:

WALDEMAR LINK GmbH & Co. KG

Barkhausenweg 10 . 22339 Hamburg, GermanyP.O. Box 63 05 52 . 22315 Hamburg, GermanyTel.: +49 40 53995-0 . Fax: +49 40 5386929E-mail: [email protected] . Internet: www.linkhh.de

Important Information

Please note the following regarding the use of our implants:

1. Choosing the right implant is very important.The size and shape of the human bone determine the size and shape of the implant and also limit the load capacity. Implants are not designed to withstand unlimited physical stress. Demands should not exceed normal functional loads.

2. Correct handling of the implant is very important.Under no circumstances should the shape of a finished implant be altered, as this shortens its life span. Our implants must not be combined with implants from other manufacturers.

The instruments indicated in the Surgical Technique must be used to ensure safe implantation of the components.

3. Implants must not be reused.Implants are supplied sterile and are intended for single use only. Used implants must not be reused.

4. After-treatment is also very important.The patient must be informed of the limitations of the implant. The load capacity of an implant cannot compare with that of healthy bone!

5. Unless otherwise indicated, implants are supplied in sterile packaging.Note the following conditions for storage of packaged implants:

• Avoid extreme or sudden changes in temperature.• Sterile implants in their original, intact protective packaging may be stored in permanent buildings up until the

“Use by” date indicated on the packaging. • They must not be exposed to frost, dampness or direct sunlight, or mechanical damage.• Implants may be stored in their original packaging for up to 5 years after the date of manufacture. The “Use by”

date is indicated on the product label.• Do not use an implant if the packaging is damaged.

6. Traceability is important.Please use the documentation stickers provided to ensure traceability.

7. Further information on the material composition is available on request from the manufacturer.

Follow the instructions for use!

WALDEMAR LINK GmbH & Co. KG, Hamburg

All content in this catalog, including text, pictures and data, is protected by copyright. Every instance of use, whether in part or in whole and which is not permitted by the German Copyright Act, is subject to our prior consent. In particular, this applies to the reproduction, editing, translation, publishing, saving, processing, or passing on of content stored in databases or other electronic media and systems, in any manner or form. The information in the catalogs is solely intended to describe the products and does not constitute a guarantee.

The Surgical Technique described has been written to the best of our knowledge and belief, but it does not relieve the surgeon of his/her responsibility to duly consider the particularities of each individual case.

Unless otherwise indicated, all instruments are made of surgical stainless steel.

651_Revision-Surgery_Cover_en_2011-05_001.indd 2 26.09.11 11:21

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Contents

Instruments 02 InstrumentSetforRevisionSurgery 06 GeneralInstruments

14 Additional Instruments

Accessories 26 TipGuards 27 InstrumentSystemsforHipSurgery

28 Index



651_Revision-Surgery_Inhalt_en_2011-05_001.indd 1 26.09.11 11:00

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Instruments

N3

SE 24

SE 25

SE 26

Itemno. Instrumentsetforrevisionsurgery

130-698/01 Setcomplete,instackablecontainer,onthreetrayswithstorageinserts

05-2003/01 N3 stackable container,containerlidofstainlesssteel,containerbaseofmoldedaluminium,575x275x170mm

130-698/02 SE 24-N tray,empty,withstorageinserts,stainlesssteel,550x265x50mm

130-698/04 SE 25-N tray,empty,withstorageinserts,stainlesssteel,550x265x50mm

130-698/06 SE 26-N tray, empty,withstorageinserts,stainlesssteel,550x265x50mm

Instrument Set for Revision Surgery


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Bone cement chisels,400mm

Itemno. Widthmm Qty.

130-780 5 1

130-781 7 1

130-782 10 1

Bone cement gouges,400mm


130-783 5 1

130-784 7 1

130-785 10 1

Retrograde cement chisels,500mm


130-775 5 1

130-776 7 1

130-777 10 1

15-1431 LINK® acetabular cup gouge,270mm 1

LINK® osteotomes,250mm

Itemno. Bladewidth/lengthmm Qty.

65-1701/04 4/65 1

65-1701/06 6/65 1

130-698/02 Tray SE 24


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Cement extractor

Itemno. Ømm Qty.

130-680 7 1

130-682 9 1

130-684 11 1

130-686 Slotted driver,270mm 1

130-744 Cement grasping forceps,430mm 1

Drill guidesfortwistdrill

Itemno. Ømm Qty.

130-676 6 1

130-678 8 1

Prosthesis extraction drivers

Itemno. Lengthmm Qty.

130-654 300 1

130-656 330 1

130-658 360 1

Instruments

130-698/04 Tray SE 25


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*How to order:130-720B=withHudsonfitting

B C D E F Hudson Harris AO JacobsChuck Trinkle

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Ball reamers, 400mm,fittingsoptional*

Itemno. Ømm Qty.

130-720 8 1

130-724 10 1

130-728 12 1

130-732 14 1

130-736 16 1

15-1137 Guide handle for ball reamers, 160mm 1

Twist drills,400mm,fittingsoptional*

Itemno. Ømm Qty.

130-662 6 1

130-666 8 1

130-670 10 1

Carbide metal twist drills,fittingsoptional*

Itemno. ØxLengthmm Qty.

130-642 4x110 1

130-648 6x130 1

15-1436/01 Extraction instrument set,complete,forprosthesiswithfixedheadandforprosthesisstemswithtaper12/14mmortaper14/16mm

1

130-750 Ewerwahn acetabular cup extraction forceps,290mm 1

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130-698/06 Tray SE 26


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15-1436/01Extraction instrument set, complete,forprostheseswithfixedheadsandforprosthesisstemswithtaper12/14mmortaper14/16mm

consistingof:15-1436/02 Fittingforprosthesiswithintegral headØ28to33mm(1ea.)

15-1436/03 FittingforprosthesiswithintegralheadØ35to38mm(1ea.)

15-1436/04 Fittingforprosthesisstemswithtaper12/14mm(1ea.)

15-1436/05 Fittingforprosthesisstemswithtaper14/16mm(1ea.)

15-1436/06Fixation screws(16ea.)

15-1436/09 Metal drill bitØ5mm,length85mm(2ea.)

15-1436/10 Drill guide(2ea.)

15-1436/11 Hex screw driverwithT-handleforfixationscrews(1ea.)

15-1436/12 Stem(1ea.)

15-1436/13 Handle(1ea.)

15-1436/14 Slaphammer(1ea.)

Toextractamodularstemthematchingcylindricalfittingisplacedoverthetaper.Usingadrillguideatleasttwoholesaredrilledintothetaper.Thetaperisthenconnectedtotheextractioninstrumentwithscrewsdrivenintothepreparedholes.Hardblowswiththeslaphammerareusuallysufficienttofreethemodularstem.

Thecorrectfittingisplacedovertheprosthesishead.Theheadisthenremoved,eithercompletewiththestemoraloneiftheprosthesisismodular,usingquickhardblowsoftheslaphammer.

Instruments

General Instruments

/14

/12

/11/09

/03 /02 /05 /04

/06/10


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Instruments

Thesedrillscanbeusedtodrillaholeintotheprosthesisstemasatargetforchiselingonceabonefenestrationhasbeencreated.

*Pleasespecifyfitting:seepage05

Itemno. Lengthmm Ømm

130-642 110 4

130-648 130 6

Carbide metal twist drillswithwidiacuttingedges,fittingsoptional*

99-0001/99Zabel Revision Instrument

Forremovalofadistalprosthesisfragment.

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Completeperforationofthefragmentwithoutdrillgauge.Slidingonoftheloadarmoftheextractioninstrument.Insertionofthemetalscrew.

Removaloffragmentusingtheslaphammer.

Usingthedrillgaugetodrillaholeintheproximalendofthefragment.

Instruments


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Instruments

Prosthesis extraction drivers,bayonet-shaped,8mmdiameter

Prosthesisextractiondriversaredesignedtoremovefemoralprosthesesthroughawindowmadeinthefemuratapointdistaltothestem.Thedriverwiththeshortesttipisusedfirst,followedbythosewithmediumandlongtipsinthissequence.

Theselongtwistdrillsareespeciallywellsuitedfordrillingacentralguideholeindistalcementsections.

Thedrillguidecentersthedrillinthefemoralcavity.Itisespeciallysuitablefordrillingintoslopingcementsurfaces.

Twist drills,400mm,fittingsoptional*


Drill guides with handlefortwistdrill

Thedrillguideensuresthatthetwistdrillremainscentralizedwhendrillingintothecementbase.

Itemno. TwistdrillØmm

130-676 6

130-678 8

Itemno. Ømm

130-662 6

130-666 8

130-670 10

Itemno. Tiplengthmm Overallmm

130-654 30 300

130-656 60 330

130-658 90 360

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Cement extractor withT-Handleanddrivingplate,usedwithslotteddriver130-686

Afterdrillingacenteredholeinthecement,thecorrespondingcementextractorisscrewedin.Thecementblockisthenremovedwithshort,hardtaps.Eithertheslotteddriverorthespecialmallet(15-1170)isuseddependingonthesituation.

130-686Slotted driverforcementextractorandretrogradecementchisel,270mm

130-744Cement grasping forceps workinglength350mm,overalllength430mm

Theflat,slimjawsoftheseforcepsmakethempar-ticularlyeffectiveinreachingandremovingresidualbonecementparticles.

Itemno. Ømm TwistdrillØmm

130-680 7 6

130-682 9 8

130-684 11 10

Instruments


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Thebayonet-shapedshaftsofthesechiselsallowthesurgeonabetteroverallviewoftheoperatingareaduringremovalofbonecementfromthemedullarycanal.Themetalshaftrunsallthewaythroughthelinenphenolichandle.Hittingtheendthusensuresthedirecttransmissionofimpacttothecement.

Bone cement chisels,bayonet-shaped,osteotomebevelled,400mm

Thegougeshaveaninternalbevel.Thisensuresthatthechiselbladeremainsatthejunctionbetweencementandboneanddoesnotdriftintothemiddleofthemedullarycavity.

Bone cement gouges, withinternalbevel,bayonet-shaped,400mm

Retrogradecementchiselsaredesignedforscrapingresidualcementfromthewallsofthemedullarycavityusingbrief,sharpblowsoftheslottedhammertothedrivingplate.Thehandleattheirendenablesthesurgeontoguidethechiselwitheaseandprecision.

Tip guardstoprotectcuttingedgesseepage26.

Retrograde cement chisels,500mm

Itemno. Widthmm

130-780 5

130-781 7

130-782 10

Itemno. Widthmm

130-783 5

130-784 7

130-785 10

Itemno. Widthmm

130-775 5

130-776 7

130-777 10

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Instruments

15-1431Acetabular cup gougebayonet-shaped,set-off,width20mm,length270mm

Theacetabularcupgougeisspeciallyshapedtofacilitateremovalofcement-fixedacetabularcomponents.

Thethin-bladedosteotomesareparticularlysuitableforrevisionoperationsbecauseoftheirrazor-typebladewithwhichitispossibletocutthebone/cementborderdeepinsidethefemoralcanal.

Osteotomes,250mm

Itemno.Bladewidth

mmWorkinglength

mm

65-1701/04 4 65

65-1701/06 6 65


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Ball reamers,400mm,fittingsoptional*


Theextralongballreamersmaybeusedtoreamcementlayersandtoremovecementislandsinthedistalfemoralcavity.

Reamingofthecementmantlewithasetofextralongballreamers.Thesurgeonmustbeabletoseeintothefemoralcanalduringreaming.

15-1137Guide handleforlongballreamers130-720to130-736,160mm,plasticandlinenphenolic

Itemno. Ømm

130-720 8

130-724 10

130-728 12

130-732 14

130-736 16

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Additional Instruments

Bone cement chisels*,straight,310mm

Bone cement chisels*,bayonet-shaped,400mm,single-sidedbevel

130-750Ewerwahn acetabular cup extraction forcepswithparallelactionjawsandlock,handforged,290mm

Thejawsoftheseforcepsareequippedwithsharpexternalpinstofirmlygriptheinternalwalloftheace-tabularcuptobeextracted.Thelongarmsprovideexcellentleveragesothatevenfirmlycementedcupscanbeloosened.

Reference:Ewerwahn,W.J.(1975)Extraktions-zangefürKunststoff-Hüftpfannen.DerChirurg46,574

*notincludedininstrumentset

Itemno. Widthmm

130-690 5

130-692 7

130-694 10

Itemno. Widthmm

15-1440/05 5

15-1440/07 7

15-1440/10 10



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Gougeswithabevelledinneredgeareentiallyusedtocutbetweenboneandcement.Theyarenotsuitableforleverageandmaydeviateintothebone.

Tip guardstoprotectcuttingedgesseepage26.

Bone cement gouges*,bevelledouteredge,straight,310mm

Forremovingcementblockand/orresidualcementduringrevision.

Bone cement gouges*,bevelledinneredge,straight,310mm

Itemno. Widthmm

130-700 5

130-702 7

130-704 10

Itemno. Widthmm

130-710 5

130-712 7

130-714 10

Gougeswithabevelledouteredgearemoredifficulttousethanthosewithaninternalbevelbuttheyallowleverageanddeviatelesseasilyintothebone.

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Replacement blades*,only

Sheathed osteotomes*,250mm

Thethin-bladedsheathedosteotomesarerecom-mendedwherefenestrationofthefemurisnecessarytoallowstemremoval.Theareaofthefenestrationismarkedwithdrillholespriortoosteotomy.

1:1

1:1

1:1

1:1

25mm

20mm

6mm

4mm

Itemno. Widthmm

Workinglengthmm

65-1700/04 4 65

65-1700/06 6 65

65-1700/20 20 65

65-1700/25 25 65

Itemno. Widthmm

65-1702/04 4

65-1702/06 6

65-1702/20 20

65-1702/25 25


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Afterthestemhasbeenextractedthebonecementsplittingchiselisusedtocutthecementmantleradiallyintoindividualsegmentswhichareeasilyremovable.

Bone cement splitting chisels*,straight,310mm

Bone cement splitting chisels*,bayonet-shaped,400mm

Diamond-coated cement rasps*,520mm

Theraspsenablethesurgeontoremovesmallcementislandsremaininginthemedullarycavityleavingaslightlyroughsurfaceforfutureimplan-tation.

Itemno. Widthmm

130-787/05 5

130-787/10 10

Itemno. Widthmm

130-786/05 5

130-786/10 10

Itemno. Diamondrasp

130-788/01 flatcurve

130-788/02 acutecurve

130-788/03 slightV-shape

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Gouges*,withbevelledinneredgeanddistallyangledshaft,400mm

Thebevelledinneredgeenablesthesegougestocutextremelythincementslivers.

Thesegougesareusedforremovalofbonecementwhichisnotvisiblefromtheproximalendofthebone.Theyareinsertedthroughastemfenestration.

Gouges*,withbevelledinneredgeanddistallyangledbayonetshapedshaft,400mm


Itemno. Widthmm

130-796/05 5

130-796/07 7

130-796/10 10

Itemno. Widthmm

130-797/05 5

130-797/07 7

130-797/10 10


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130-790Fiber-optic light tip*withclipsformountingontobayonet-shapedchiselsandgouges130-780to130-785

TheFiber-opticlighttipprovidesexcellentilluminati-onofthemedullarycavityduringtheoperation.

130-795Fiber-optic light cable*,extralong,Ø3.5mm,250cm(notillustrated)

Forsuctionoffluidsfromthemedullarycavity.Fiber-opticlightfibersarearrangedaroundtheedgeofthesuctiontubetoaidvisionwhenworkingondeepsectionsofthemedullarycavity.

Suction lamp*,250mm

15-1150Probe*,flexibleandgraduated,385mm

Toprobethefemoralcavityforapossibleperforations.

Theflexibleprobeisespeciallysuitableforlocatingcorticaldefects.Thegraduationsmakeitpossibletoestimatedistances.

Itemno. Ømm

130-794 6 Ad

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15-1170Special mallet*,withlinenphenolichandleandsafetyclamps,400g,270mm

15-1042Mallet*,linenphenolic,lead-filled,withsupportrings,Ø45mmdiameter,350g,260mm

130-688Mallet*,Ø30and42mm,530g,240mm


64-4200/14Parallel grip pliers*,doubleaction,185mm.

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25 mm

11 mm

15 mm

26 mm

20 mm

29 mm

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Thedifferentcementrongeursareusedtoremovecementremnantsfromthemedullarycanal.Stableconstructionandfrontalserrationoftherongeurs‘jawsallowpowerfulmanipulationssothatevenfirmlyfixedisletsofbonecementcanberemoved.

Cement rongeur*,heavy-dutypattern,8x17mmcup-shapedjawshavedeepserrationsatdistalends,shaftlength300mm

Itemno. Version

130-745 straight

130-746 angulated30°upwards

130-747 angulated60°upwards

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10-1727 Pliers* with tapered jaws,200mm

10-1728Pliers* with rounded jaws,200mm

64-4200/32Wire tightener/twister*, forwireofØupto1.6mm,280mm

1:1

1:1


130-752/24 Universal power grip pliers*, small,withlongjaws5x60mm,240mm

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130-752/30 Universal power grip pliers*, large,withlongjaws7x80mm,300mm

130-753/20Universal power grip pliers*,small,withpipe-wrenchjaws9mmwide,200mm

130-753/25Universal power grip pliers*, large,withpipe-wrenchjaws13mmwide,250mm

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15-1436/12Stem15-1436/13Handle15-1436/14Slaphammerforuniversalpowergrippliers

Thedifferenttypesofuniversalpowergrippliersareusedtogripandholdimplantfragmentsforextraction.Thesepliershaveaverystrongjointregionasaresultoftheridgesintheshanksjustbelowthejawsandthelargeflatjointscrews.Theinternalthreadoftheadjustmentscrewcanbeusedtoattachtheslaphammertothepliers.

15-1024Hohmann Retractor Model St. Georg™*,30mmwide,200mm,foruniversalpowergrippliers

Thecartilagescissorsareusedtodissectthevastusandglutealtendonattachments,softtissuesandventralcapsule.

Cartilage scissors*


Itemno. Version Lengthmm

50-2562 straight 220

50-2564 curved 220

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Thebayonet-shapedlexergougesareprimarilyusedtodetachthetrochanterattachmentsoftheglutealtendon.Thistrochantericapproachprotectsthesofttissuesbetweengreatertrochanterandvastuslateralis.


15-1040 Lexer gouge*,modified,bayonet-shaped,30mmwide,230mm

15-1041Lexer gouge*,modified,bayonet-shaped,45mmwide,275mm

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Accessories

Tip Guards,protectivecovers,autoclavable,forcuttingedgesofinstruments.

10-2285/20Tip Guards,assorted,100perpackage

Tip Guards

Itemno. Size Color

10-2285/01 1 Black

10-2285/02 2 Brown

10-2285/03 3 Orange

10-2285/04 4 Violet

10-2285/05 5 Yellow

10-2285/06 6 Red

10-2285/07 7 Green

10-2285/08 8 Blue

10-2285/09 9 White

Black

Brown

Orange

Violet

Yellow

Red

Green

Blue

White

1:1

1:1

1:1

1:1

1:1

1:1

1:1

1:1

1:1


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Accessories

Endo-Model®SaddleProsthesis655dt-en

MP®ReconstructionProsthesis644enImplants/Instruments

MP®ReconstructionProsthesis664enSurgicalTechnique

Instrument Systems for Hip Surgery

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PartialPelvisReplacementEndo-Model®,661dt-en

MEGASYSTEM-C®

909enImplants/Instruments

Instructions for Cleaning and Maintenance

Specificinstructionsforindividualinstrumentsareavailableonrequestfromcustomer@linkhh.de


28|

Index

Index

page

05-2003/01...................................................... 02

10-1727............................................................ 2210-1728............................................................ 2210-2285/01 to 10-2285/09................................ 2610-2285/20....................................................... 26

15-1024............................................................ 2415-1137...................................................... 05,1315-1040............................................................ 2515-1041............................................................ 2515-1042............................................................ 2015-1150............................................................ 1915-1170............................................................ 2015-1431...................................................... 03,1215-1436/01....................................................... 0515-1436/01 to 15-1436/14................................ 0615-1436/12 to 15-1436/14................................ 2415-1440/05 to 15-1440/10................................ 14

50-2562............................................................ 2450-2564............................................................ 24

64-4200/14....................................................... 2064-4200/32....................................................... 22

65-1700/04 to 65-1700/25................................ 1665-1701/04, 65-1701/06............................. 03,1265-1702/04 to 65-1702/25................................ 16

99-0001/99....................................................... 07

130-642, 130-648....................................... 05,07130-654 to 130-658.................................... 04,09130-662 to 130-670.................................... 05,09130-676, 130-678....................................... 04,09130-680 to 130-684.................................... 04,10130-690 to 130-694.......................................... 14130-686...................................................... 04,10130-688............................................................ 20130-698/01....................................................... 02130-698/02................................................. 02,03130-698/04....................................................... 02130-698/06................................................. 02,05130-700 to 130-704.......................................... 15130-710 to 130-714.......................................... 15130-720 to 130-736.................................... 05,13130-744...................................................... 04,10130-745 to 130-747.......................................... 21130-750...................................................... 05,14130-752/24....................................................... 22130-752/30....................................................... 23130-753/20....................................................... 23130-753/25....................................................... 23130-775 to 130-777.................................... 03,11130-780 to 130-782.................................... 03,11130-783 to 130-785.................................... 03,11130-786/05, 130-786/10................................... 17130-787/05, 130-787/10................................... 17130-788/01, 130-788/03................................... 17130-790............................................................ 19130-794............................................................ 19130-795............................................................ 19130-796/05 to 130-796/10................................ 18130-797/05 to 130-797/10................................ 18

page


Presented by:

WALDEMAR LINK GmbH & Co. KG

Barkhausenweg 10 . 22339 Hamburg, GermanyP.O. Box 63 05 52 . 22315 Hamburg, GermanyTel.: +49 40 53995-0 . Fax: +49 40 5386929E-mail: [email protected] . Internet: www.linkhh.de


Please note the following regarding the use of our implants:

1. Choosing the right implant is very important. The size and shape of the human bone determine the size and shape of the implant and also limit the load capacity. Implants are not designed to withstand unlimited physical stress. Demands should not exceed normal functional loads.

2. Correct handling of the implant is very important. Under no circumstances should the shape of a finished implant be altered, as this shortens its life span. Our implants must not be combined with implants from other manufacturers. The instruments indicated in the Surgical Technique must be used to ensure safe implantation of the components.

3. Implants must not be reused. Implants are supplied sterile and are intended for single use only. Used implants must not be reused.

4. After-treatment is also very important. The patient must be informed of the limitations of the implant. The load capacity of an implant cannot compare with that of healthy bone!

5. Unless otherwise indicated, implants are supplied in sterile packaging. Note the following conditions for storage of packaged implants:• Avoid extreme or sudden changes in temperature.• Sterile implants in their original, intact protective packaging may be stored in permanent buildings up until the “Use by” date indicated on the packaging. • They must not be exposed to frost, dampness or direct sunlight, or mechanical damage.• Implants may be stored in their original packaging for up to 5 years after the date of manufacture. The “Use by” date is indicated on the product label.• Do not use an implant if the packaging is damaged.

6. Traceability is important. Please use the documentation stickers provided to ensure traceability.

7. Further information on the material composition is available on request from the manufacturer.

Follow the instructions for use!

WALDEMAR LINK GmbH & Co. KG, Hamburg

All content in this catalog, including text, pictures and data, is protected by copyright. Every instance of use, whether in part or in whole and which is not permitted by the German Copyright Act, is subject to our prior consent. In particular, this applies to the reproduction, editing, translation, publishing, saving, processing, or passing on of content stored in databases or other electronic media and systems, in any manner or form. The information in the catalogs is solely intended to describe the products and does not constitute a guarantee.

The Surgical Technique described has been written to the best of our knowledge and belief, but it does not relieve the surgeon of his/her responsibility to duly consider the particularities of each individual case.

Unless otherwise indicated, all instruments are made of surgical stainless steel.


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第一種医療機器製造販売業許可番号：東京都[13B１X１０２３８]

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651 Revision-Surgery Inhalt en 2011-05 001 · 2018-02-25 · for revision operations because of...

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Transcript of 651 Revision-Surgery Inhalt en 2011-05 001 · 2018-02-25 · for revision operations because of...