651 revision-surgery inhalt en 2011-05 001 · 2018-02-25 · for revision operations because of...
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LINK®
日
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: info@linkhh.de . 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.
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Contents
Instruments 02 InstrumentSetforRevisionSurgery 06 GeneralInstruments
14 Additional Instruments
Accessories 26 TipGuards 27 InstrumentSystemsforHipSurgery
28 Index
Important Information
Instruments for Revision Surgery
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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
Itemno. Widthmm Qty.
130-783 5 1
130-784 7 1
130-785 10 1
Retrograde cement chisels,500mm
Itemno. Widthmm Qty.
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
F
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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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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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Prosthesis extraction drivers,bayonet-shaped,8mmdiameter
Prosthesisextractiondriversaredesignedtoremovefemoralprosthesesthroughawindowmadeinthefemuratapointdistaltothestem.Thedriverwiththeshortesttipisusedfirst,followedbythosewithmediumandlongtipsinthissequence.
Theselongtwistdrillsareespeciallywellsuitedfordrillingacentralguideholeindistalcementsections.
Thedrillguidecentersthedrillinthefemoralcavity.Itisespeciallysuitablefordrillingintoslopingcementsurfaces.
Twist drills,400mm,fittingsoptional*
*Pleasespecifyfitting:seepage05
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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1:1
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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*
*Pleasespecifyfitting:seepage05
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
Additional Instruments
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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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Additional Instruments
*notincludedininstrumentset
Replacement blades*,only
Sheathed osteotomes*,250mm
Thethin-bladedsheathedosteotomesarerecom-mendedwherefenestrationofthefemurisnecessarytoallowstemremoval.Theareaofthefenestrationismarkedwithdrillholespriortoosteotomy.
1:1
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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
5mm
5mm
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Additional Instruments
Gouges*,withbevelledinneredgeanddistallyangledshaft,400mm
Thebevelledinneredgeenablesthesegougestocutextremelythincementslivers.
Thesegougesareusedforremovalofbonecementwhichisnotvisiblefromtheproximalendofthebone.Theyareinsertedthroughastemfenestration.
Gouges*,withbevelledinneredgeanddistallyangledbayonetshapedshaft,400mm
*notincludedininstrumentset
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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Additional Instruments
15-1170Special mallet*,withlinenphenolichandleandsafetyclamps,400g,270mm
15-1042Mallet*,linenphenolic,lead-filled,withsupportrings,Ø45mmdiameter,350g,260mm
130-688Mallet*,Ø30and42mm,530g,240mm
*notincludedininstrumentset
64-4200/14Parallel grip pliers*,doubleaction,185mm.
1:1
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25 mm
11 mm
15 mm
26 mm
20 mm
29 mm
30˚
60˚In
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Additional Instruments
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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Additional Instruments
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
*notincludedininstrumentset
130-752/24 Universal power grip pliers*, small,withlongjaws5x60mm,240mm
1:2
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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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Additional Instruments
15-1436/12Stem15-1436/13Handle15-1436/14Slaphammerforuniversalpowergrippliers
Thedifferenttypesofuniversalpowergrippliersareusedtogripandholdimplantfragmentsforextraction.Thesepliershaveaverystrongjointregionasaresultoftheridgesintheshanksjustbelowthejawsandthelargeflatjointscrews.Theinternalthreadoftheadjustmentscrewcanbeusedtoattachtheslaphammertothepliers.
15-1024Hohmann Retractor Model St. Georg™*,30mmwide,200mm,foruniversalpowergrippliers
Thecartilagescissorsareusedtodissectthevastusandglutealtendonattachments,softtissuesandventralcapsule.
Cartilage scissors*
*notincludedininstrumentset
Itemno. Version Lengthmm
50-2562 straight 220
50-2564 curved 220
/14 /12
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Thebayonet-shapedlexergougesareprimarilyusedtodetachthetrochanterattachmentsoftheglutealtendon.Thistrochantericapproachprotectsthesofttissuesbetweengreatertrochanterandvastuslateralis.
*notincludedininstrumentset
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
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1:1
1:1
1:1
1:1
1:1
1:1
1:1
1:1
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Endo-Model®SaddleProsthesis655dt-en
MP®ReconstructionProsthesis644enImplants/Instruments
MP®ReconstructionProsthesis664enSurgicalTechnique
Instrument Systems for Hip Surgery
Acc
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PartialPelvisReplacementEndo-Model®,661dt-en
MEGASYSTEM-C®
909enImplants/Instruments
Instructions for Cleaning and Maintenance
Specificinstructionsforindividualinstrumentsareavailableonrequestfromcustomer@linkhh.de
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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
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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: info@linkhh.de . 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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第一種医療機器製造販売業許可番号:東京都[13B1X10238]
〒106-0031 東京都港区西麻布3-6-4TEL:03-3403-5432(代表) 03-6447-1899(営業部) FAX:03-3403-5433http://www.alphamed.jp
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