MatrixMANDIBLE TM PLATING SYSTEM OVERVIEW BROCHURE. The next-generation mandible plating system

Transcription

1 MatrixMANDIBLE TM PLATING SYSTEM The next-generation mandible plating system OVERVIEW BROCHURE

2 MatrixMANDIBLE PLATING SYSTEM The next-generation mandible plating system Introduction The aim of surgical fracture treatment is to reconstruct the bony anatomy and restore its function. According to the AO, 1 internal fixation is distinguished by anatomic reduction, stable fixation, preservation of blood supply, and early, active mobilization. 2 Plate and screw osteosynthesis has been established and clinically recognized for some time. Keeping the AO philosophy at its core, The Matrix Family is a plating platform for internal fixation of the craniomaxillofacial skeleton addressing neuro, craniofacial, mandibular, and orthognathic surgery. The Matrix Family is a simple yet comprehensive system that offers flexibility and ease of use. The Matrix Family System x All screws work with all plates within each Matrix Family system* x Reduced plate/screw profile where applicable x Improved screw retention and reduced cam-out** x Standardized instrumentation x Reduced inventory for hospitals without compromising clinical solutions 1. The AO Foundation is a medically guided nonprofit organization led by an international group of surgeons. 2. Müller ME, Allgöwer M, Schneider R, Willenegger H. Manual of Internal Fixation. 3rd ed. Berlin Heidelberg New York: Springer-Verlag; ** See MatrixMANDIBLE Technique Guide for recommendations and cautions related to screw selection. ** Mechanical test data on file at DePuy Synthes Companies. Mechanical test results are not necessarily indicative of clinical performance. Some devices listed in this brochure may not have been licensed in accordance with Canadian law and may not be available for sale in Canada. Please contact your sales consultant for items approved for sale in Canada. DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

3 MatrixMandible Plating System MatrixMANDIBLE System x Comprehensive anatomic locking plate selection x Flexibility in selecting best screw and plate combination x Reduced inventory for hospitals without compromising clinical solutions x Simplified instrumentation compared to previous DePuy Synthes Companies mandible sets x Color-coding guides the user for correct implant and instrument selection Easily accessible instruments Organized instrument layout Side-loading graphic case for complete set visibility Large auxiliary bin for added capacity MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 1

4 MatrixMANDIBLE SCREWS Screws x Matrix Family drive recess provides for screw/blade retention and torque transmission for reduced cam-out compared to previous DePuy Synthes Companies drive recesses* x Sizes of 2.0 mm, 2.4 mm, 2.7 mm emergency, and 2.9 mm diameters with self-retaining drive recess x All screw diameters work with all plates** x Screw angulation of depending on plate size x Off-axis screw insertion up to 15 (screw-to-blade axis) x Standard screws have 1.0 mm pitch; fine pitch screws have 0.5 mm pitch x Made from titanium alloy (Ti-6Al-7Nb) 10º 15 15º 2.0 mm 2.4 mm Screw Strength Gradient 2.7 mm Emergency 2.9 mm Conical screwhead facilitates alignment of the locking screw in the threaded plate hole to provide a secure screw/plate construct MatrixMANDIBLE screw drive recess provides optimized cross slot for screw/blade engagement and retention* Neutral thread profile for lower insertion torque compared to previous DePuy Synthes Companies screws* ** Mechanical test data on file at DePuy Synthes Companies. Mechanical test results are not necessarily indicative of clinical performance. ** Please see the MatrixMANDIBLE Technique Guide for appropriate cautions regarding this feature. 2 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

5 MatrixMandible Screws 2.0 mm Titanium MatrixMANDIBLE Cortex Screws x Self-tapping tip x Standard pitch (1.0 mm) x Fine pitch (0.5 mm) 4 8 mm length 2.0 mm Titanium MatrixMANDIBLE Locking Screws x Threaded head x Self-tapping tip 2.4 mm Titanium MatrixMANDIBLE Cortex Screws x Self-tapping tip 2.4 mm Titanium MatrixMANDIBLE Locking Screws x Threaded head x Self-tapping tip 2.7 mm Titanium MatrixMANDIBLE Emergency Cortex Screws x Self-tapping tip 2.9 mm Titanium MatrixMANDIBLE Locking Screws x Threaded head x Self-tapping tip MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 2

6 MatrixMANDIBLE PLATES Plates x Conical locking technology for reliable screw-to-plate security x Made from pure titanium x Multiple thicknesses to suit a variety of needs x Rounded plate profiles and edges x Improved angle plate designs reduce stress in critical areas* x Larger reconstruction plates available for defect bridging x Longer ramus section on reconstruction plates for larger patient anatomy 1.0 mm, malleable 1.0 mm 1.25 mm 1.5 mm 2.0 mm 2.5 mm 1.0 mm Malleable 1.0 mm/ 1.25 mm/1.5 mm 2.0 mm/2.5 mm 2.8 mm 2.8 mm Plate Strength Gradient Conical locking holes allow greater off-axis insertion tolerance and better thread engagement All plates feature countersink for easy locating of cannula Rounded profiles and edges Threaded dynamic compression style plates available in 1.25 mm and 1.5 mm thickness * Mechanical test data on file at DePuy Synthes Companies. Mechanical test results are not necessarily indicative of clinical performance. 4 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

7 MatrixMandible Plates The illustration shows a comparison from a Finite Element Analysis between a 2.0 mm MLP Angle Plate and a comparable MatrixMANDIBLE Plate. Highest stresses are depicted in red on the models. MatrixMANDIBLE plates show a reduced stress in the transition regions for the holes to the bar section, when subject to identical forces.* DePuy Synthes Companies MatrixMANDIBLE Plate DePuy Synthes Companies 2.0 mm MLP Plate SYSTEM COMPARISON CHART Thickness (mm) MatrixMANDIBLE Plates 1.0 Malleable mm Mandible Locking 1.0 Malleable Mini 1.0 Mini 1.3 Intermediate 1.5 Large 2.0 Extra 1.5 Microvascular 2.0 Recon 2.4 mm Locking Reconstruction 2.5 THORP Plates 3.0 This is a general guideline for out-of-plane bending. Strengths may vary depending on cross section and plate orientation. Note: The above images depict comparative Finite Element Analysis of comparable plates subjected to identical simulated bending forces or moments, similar to those experienced by a fractured mandible. Higher concentrations of stress (shown as yellow regions) are noticeable in the 2.0 MLP where the plate transitions from the bar section to the hole section. These stress concentrations are not present in the Matrix Family plate. * Data on file at DePuy Synthes Companies. Non-clinical test results are not necessarily indicative of clinical performance. MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 5

8 INDICATIONS/CONTRAINDICATIONS Indications The DePuy Synthes CMF MatrixMANDIBLE Plating System is intended for oral, maxillofacial surgery: x Trauma x Reconstructive surgery x Orthognathic surgery (surgical correction of dentofacial deformities) Contraindications x Acute or chronic, local, or systemic infections x Allergy to implant material x Insufficient bone quality to secure implant The DePuy Synthes CMF MatrixMANDIBLE Subcondylar Plates are intended for oral, maxillofacial surgery; trauma and reconstructive surgery, specifically for fractures of the subcondylar region of the mandible and fractures of the condylar basis region of the mandible. 6 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

9 Indications/Contraindications Plate thickness Plate type Primary clinical use Secondary clinical use 1.0 mm Mini trauma: Mandible trauma Orthognathic Tension band plates Adaption plates Strut/3-D plates Prebent tension band (Champy) plates 1.0 mm Mini trauma/recon: Subcondylar trauma Subcondylar reconstruction Lambda plate Trapezoidal plate Strut plate The Lambda plate 5 hole segment and Strut plate 3 hole segment should be nearly parallel to the posterior border and aligned with the condylar head* For Trapezoidal Plate placement, superior placement is limited by the width of the condylar neck* * Caution: Avoid placing holes over nerve or tooth root. MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 1

10 Indications/Contraindications Plate thickness Plate type Primary clinical use Secondary clinical use 1.25 mm Intermediate trauma: Mandible trauma n/a Adaption plates Curved/crescent plates Straight plates Angle plates 1.5 mm Large trauma: Mandible trauma n/a Curved/crescent plates Straight plates Angle plates 2.0 mm Extra large trauma: Mandible trauma n/a Curved/crescent plates Straight plates Angle plates 1.5 mm Small reconstruction plates*: Primary mandibular Comminuted fractures Single-angle reconstruction (used with Double-angle vascularized bone graft) 2.0 mm Small reconstruction plates: Primary mandibular Comminuted fractures Single-angle reconstruction (used with Double-angle vascularized bone graft) 20-hole straight plates * Warning: 1.5 mm thick MatrixMANDIBLE Reconstruction plates are not for use in load-bearing procedures. 8 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

11 Indications/Contraindications Plate thickness Plate type Primary clinical use Secondary clinical use 2.5 mm Medium reconstruction plates: Primary mandibular Comminuted fractures Straight reconstruction Single-angle (used with bone graft) Double-angle Temporary bridging with delayed secondary reconstruction* 2.8 mm Large reconstruction plates: Bridging continuity defects n/a Straight prior to secondary Single-angle reconstruction* * Plate fractures are possible when any plate bears the entire functional load for extended periods. Therefore the implantation of a bone graft immediately, or at a later date, is necessary to support the construct. Reference: J. Prein, ed. Manual of Internal Fixation in the Cranio-facial Skeleton. Berlin: Springer. (1998). MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 1

12 MatrixMANDIBLE FEATURED INSTRUMENTS Plate Bending Pliers MatrixMANDIBLE Plate Bending Pliers, right MatrixMANDIBLE Plate Bending Pliers, left Last hole bend feature integrated into plate design Leaf-spring design allows quick plate release after bending Designated pockets accommodate plate size for ease of bending Ratcheting handle allows plate to be held in place during bending. Can be retracted when not needed Out-of-plane bending feature can be adjusted to accommodate multiple plate thicknesses Plate Introducing Forceps Ball registers in plate hole to hold the plate securely Flat surface allows plate to be placed against the bone Ratcheting handle allows plate to be held in place during insertion. Can be retracted when not needed 11 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

13 MatrixMANDIBLE Featured Instruments Small Plate Cutter MatrixMANDIBLE Small Plate Cutter, for use with 1.0 mm, 1.25 mm and 1.5 mm plates Elastomeric inserts prevent cut plate fragments from ejecting Cutting slot design allows each plate to be cut precisely in the web section Integral deburring rasp removes burrs from cut plates Ergonomic design allows easy cutting Shortcut Plate Cutters MatrixMANDIBLE Short Cut Plate Cutter, for use with 1.5 mm through 2.8 mm plates (two required) Plate holding wires hold the plate securely during and after cutting Integrated deburring rasp MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 11

14 MatrixMANDIBLE INSTRUMENTS Mini Plate Holder, long MatrixMANDIBLE Depth Gauge / / MatrixMANDIBLE Plate Bending Pliers, right MatrixMANDIBLE Plate Bending Pliers, left MatrixMANDIBLE Threaded Drill Guides mm, short (shown) mm, short mm, short 12 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

15 MatrixMANDIBLE Instruments MatrixMANDIBLE Trocar Drill Guide MatrixMANDIBLE Threaded Trocar Drill Guide MatrixMANDIBLE Combination Bender MatrixMANDIBLE Short Cut Plate Cutter, for use with 1.5 mm through 2.8 mm plates (two required) MatrixMANDIBLE Articulating Plate Introducer with tip MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 12

16 MatrixMANDIBLE Instruments Plate Holding Tip, for MatrixMANDIBLE Articulating Plate Introducer MatrixMANDIBLE Plate Introducing Forceps MatrixMANDIBLE Self-Retaining Screwdriver Blades Short Medium Long (shown) MatrixMANDIBLE Self-Retaining Fixed Handle Screwdriver MatrixMANDIBLE Small Plate Cutter, for use with 1.0 mm, 1.25 mm and 1.5 mm plates Replacement Plate Holding Insert for Mandible Plate Bender/Cutters 14 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

17 MatrixMANDIBLE Instruments MatrixMANDIBLE Bending Insert, for use with MatrixMANDIBLE plates Depth Gauge, for 2.0 mm 3.0 mm screws, polymer handle Bone Reduction Forceps, angled, large Bone Reduction Forceps, small with toe-in tip *Also available MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 11

18 MatrixMANDIBLE Instruments MatrixMANDIBLE Bending Templates MatrixMANDIBLE 1.5 mm Drill Bits, J-latch, 50 mm * with 4 mm stop * with 6 mm stop with 8 mm stop (shown) * with 12 mm stop MatrixMANDIBLE Drill Bits, J-latch, 90 mm mm, for mm, for (shown) mm, for MatrixMANDIBLE Calibrated Drill Bits, J-latch, 125 mm, for use with drill guides and mm (shown) mm mm Screwdriver Handle with hex coupling, large Ratcheting Screwdriver Handle *Also available 11 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

19 MatrixMANDIBLE Instruments mm/ 2.4 mm Universal Drill Guide Universal Trocar Handle mm Cannula and Obturator Malleable C-Retractor mm Cheek Retractor Blade mm Cheek Retractor Ring MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 11

20 MatrixMANDIBLE Instruments Bone Reduction Forceps Large Small Small, straight (shown) Reduction Forceps, with points, ratchet, 205 mm 11 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

21 MatrixMANDIBLE GRAPHIC CASE COMPONENTS MatrixMANDIBLE Graphic Case MatrixMANDIBLE Graphic Case Lid MatrixMANDIBLE Instrument Tray for Benders/Cutters MatrixMANDIBLE Instrument Tray for Standard Instruments MatrixMANDIBLE Trocar Insert Module Screw length label sheet for calibrated drill bits (included with ) MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 11

22 MatrixMANDIBLE Graphic Case Components MatrixMANDIBLE Small Plate Module (with lid) Label Sheet (included with ) MatrixMANDIBLE Small Plate Module Lid MatrixMANDIBLE Screw Module (with lid) Label Sheet (included with ) MatrixMANDIBLE Screw Module Lid 22 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

23 MatrixMANDIBLE Graphic Case Components MatrixMANDIBLE Large Plate Module (with lid) Label Sheet (included with ) MatrixMANDIBLE Large Plate Module Lid Reconstruction Screw Caddy Insert Tray MatrixMANDIBLE Insert Tray for 2.8 mm thick plates MatrixMANDIBLE Insert Tray for Double Angle Plates MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 22

24 MatrixMANDIBLE IMPLANT AND INSTRUMENT SET ( ) Graphic Cases and Modules Graphic Case for MatrixMANDIBLE System Instrument Tray, for MatrixMANDIBLE System Instrument Tray, for MatrixMANDIBLE System Trocar Instrument Module, for MatrixMANDIBLE System Small Plate Module for MatrixMANDIBLE System Screw Module for MatrixMANDIBLE System Large Plate Module for MatrixMANDIBLE System Screw Length Markers, 1 pkg. of 10 ea mm mm mm mm mm mm mm mm Label Sheets Label Sheet Small Plate Module Label Sheet Screw Module Label Sheet Large Plate Module Label Sheet for Label Sheet for Label Sheet for Strength Gradient Label Sheet Screw Length Label Sheet for Calibrated Drill Bits For detailed cleaning and sterilization instructions, please refer to: In Canada, the cleaning and sterilization instructions will be provided with the Loaner shipments. 22 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

25 MatrixMANDIBLE Implant and Instrument Set ( ) Instruments Mini Plate Holder, long MatrixMANDIBLE Depth Gauge MatrixMANDIBLE Plate Bending Pliers, right MatrixMANDIBLE Plate Bending Pliers, left MatrixMANDIBLE Threaded Drill Guides mm, short mm, short mm, short MatrixMANDIBLE Trocar Drill Guide, for MatrixMANDIBLE Threaded Trocar Drill Guide, for MatrixMANDIBLE Combination Bender MatrixMANDIBLE Short Cut Plate Cutter, for use with 1.5 mm through 2.8 mm plates, 2 ea MatrixMANDIBLE Plate Introducing Forceps MatrixMANDIBLE/THORAX Self-Retaining Screwdriver Blade short medium long MatrixMANDIBLE/THORAX Self-Retaining Fixed Handle Screwdriver MatrixMANDIBLE Small Plate Cutter, for use with 1.0 mm, 1.25 mm and 1.5 mm plates MatrixMANDIBLE Bending Insert, for use with MatrixMANDIBLE plates, 8 ea. MatrixMANDIBLE Bending Templates for narrow tension band plates for 1.0 mm broad tension band plates for 1.0 mm thick adaption plates for 1.25 mm thick straight plates for 1.25 mm thick crescent plates, 2 x 2 holes for 1.25 mm thick crescent plates, 3 x 3 holes for 1.25 mm thick angle plates for 1.25 mm thick adaption plates for 1.5 mm thick straight plates for 1.5 mm thick straight plates, 3 x 3 holes for 1.5 mm thick angle plates, 3 x 3 holes for 1.5 mm thick crescent plates, 6 holes for 1.5 mm thick broad plates, 2 x 2/3 x 3 holes for 2.0 mm broad crescent plates for 2.0 mm thick straight plates for 2.0 mm broad angle plates, 3 x 3 holes for 2.0 mm thick angle reconstruction plates for 2.0 mm double angle reconstruction plates, small for 2.0 mm double angle reconstruction plates, medium for 2.0 mm double angle reconstruction plates, large for 2.5/ 2.8 mm straight reconstruction plates for 2.5/ 2.8 mm angle reconstruction plates for 2.5 mm double angle reconstruction plates, small for 2.5 mm double angle reconstruction plates, medium for 2.5 mm double angle reconstruction plates, large MatrixMANDIBLE 1.5 mm Drill Bit, J-latch with 8 mm stop, 50 mm, 2 ea. MatrixMANDIBLE Drill Bits, J-latch, 90 mm, 2 ea mm, for use with mm, for use with mm, for use with MatrixMANDIBLE Calibrated Drill Bit, J-latch, 125 mm, for use with Drill Guides and , 2 ea mm mm mm Screwdriver Handle with hex coupling, large Ratcheting Screwdriver Handle mm/ 2.4 mm Universal Drill Guide Universal Trocar Handle mm Cannula and Obturator Malleable C-Retractor mm Cheek Retractor Blade mm Cheek Retractor Ring MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 22

26 MatrixMANDIBLE Implant and Instrument Set ( ) Bone Reduction Forceps large small small, straight Implants MatrixMANDIBLE Plates, 2 ea. Mini Plates, Tension Band, 1.0 mm thick x 2 holes, narrow, malleable x 2 holes, narrow x 3 holes, narrow, malleable x 3 holes, narrow x 2 holes, broad, malleable x 3 holes, broad, malleable x 3 holes, broad, malleable Adaption Plates, 1.0 mm thick holes holes hole Box Plate, malleable, 1.0 mm thick hole Strut Plate, malleable, 1.0 mm thick hole Strut Plate, curved, malleable, 1.0 mm thick DCP Plate, 1.25 mm thick, 2 x 2 holes Crescent Plate, 1.25 mm thick, 2 x 2 holes DCP Plate, 1.25 mm thick, 3 x 3 holes Crescent DCP Plate, 1.25 mm thick, 3 x 3 holes Angle DCP Plate, 1.25 mm thick, 3 x 3 holes mm thick, 12 holes mm thick, 6 holes mm thick, 3 x 3 holes mm thick, 12 holes mm thick, 20 holes Angle Plate, 1.5 mm thick, 3 x 3 holes Crescent Plate, 1.5 mm thick, 3 x 3 holes DCP Plate, 1.5 mm thick, 2 x 2 holes DCP Plate, 1.5 mm thick, 3 x 3 holes x 2 holes x 3 holes Crescent Plates, 2.0 mm thick, broad mm thick, 6 holes mm thick, 12 holes mm thick, 20 holes Angle plate, 2.0 mm thick, broad, 3 x 3 holes Reconstruction Plates, 2.0 mm thick Angle, left, 7 x 23 holes Angle, right, 7 x 23 holes Double Angle, small Double Angle, medium Double Angle, large holes holes Reconstruction Plates, 2.5 mm thick Angle, left, 7 x 23 holes Angle, right, 7 x 23 holes Double Angle, small Double Angle, medium Double Angle, large holes holes Reconstruction Plates, 2.8 mm thick Angle, left, 7 x 23 holes Angle, right, 7 x 23 holes Angle Reconstruction Plates, 1.5 mm thick x 23 holes, left x 23 holes, right Double Angle Reconstruction Plate, 1.5 mm thick Small Medium Large 22 DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

27 MatrixMANDIBLE Implant and Instrument Set ( ) 2.0 mm Titanium MatrixMANDIBLE Screws, self-tapping, 5/pkg.* Length (mm) Qty pkg pkg pkg pkg pkg pkg pkg pkg. 2.0 mm Titanium MatrixMANDIBLE Locking Screws, self-tapping, 5/pkg.* Length (mm) Qty pkgs pkgs pkgs pkgs pkgs pkgs pkgs pkgs. 2.4 mm Titanium MatrixMANDIBLE Screws, self-tapping, 5/pkg.* Length (mm) Qty pkg pkg pkg pkg pkg pkg pkg pkg. 2.4 mm Titanium MatrixMANDIBLE Locking Screws, self-tapping, 5/pkg.* Length (mm) Qty pkgs pkgs pkgs pkgs pkgs pkgs. 2.7 mm Titanium MatrixMANDIBLE Emergency Screws, self-tapping, 5/pkg.* Length (mm) Qty pkg pkg pkg pkg pkg pkg pkg pkg. 2.9 mm Titanium MatrixMANDIBLE Locking Screws, self-tapping, 5/pkg.* Length (mm) Qty pkgs pkgs pkgs pkgs pkg pkg. * For single-packs, replace suffix.05 with.01. MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 22

28 ALSO AVAILABLE Sets Condylar Head Add-on System for MatrixMANDIBLE MatrixCOMBO Plating Set MatrixMANDIBLE Subcondylar Set MatrixMANDIBLE Preformed Plates Instruments Plate Bender for Midface Plates (two required) MatrixMANDIBLE Articulating Plate Introducer, with tip Plate Holding Tip for MatrixMANDIBLE Articulating Plate Introducer MatrixMANDIBLE Screwdriver Blade, short, non-self-retaining, hex coupling, for use with Holding Sleeve MatrixMANDIBLE Holding Sleeve, short, for use with MatrixMANDIBLE Screwdriver Blade, long, non-self-retaining, hex coupling, for use with Holding Sleeve MatrixMANDIBLE Holding Sleeve, long, for use with MatrixMANDIBLE Plate Bending Irons, for use with 1.5 mm, 2.0 mm, 2.5 mm and 2.8 mm thick plates left right Depth Gauge, for 2.0 mm 3.0 mm Screws/ polymer handle Bone Reduction Forceps, angled, large Bone Reduction Forceps, small with toe-in tip MatrixMANDIBLE Bending Template for 1.25 mm, 2 x 2 hole MatrixMANDIBLE 1.5 mm Drill Bits, J-latch, 50 mm with 4 mm stop with 6 mm stop with 12 mm stop MatrixMANDIBLE 1.5 mm Drill Bits, mini quick coupling, 50 mm with 4 mm stop with 6 mm stop with 8 mm stop with 12 mm stop MatrixMANDIBLE Drill Bits, mini quick coupling, 90 mm mm, for use with mm, for use with mm, for use with MatrixMANDIBLE Calibrated Drill Bits, mini quick coupling, 125 mm, for use with and mm mm mm Matrix 1.4 mm Drill Bits, J-latch with 4 mm stop with 6 mm stop with 8 mm stop Fixed-Swivel Screwdriver Handle Reduction Forceps, with points, ratchet, 205 mm Implants 2.0 mm Titanium MatrixMANDIBLE Screws, self-drilling (5/pkg.)* mm mm 2.0 mm Titanium MatrixMANDIBLE Locking Screws, self-drilling (5/pkg.)* mm mm * For single-packs, replace suffix.05 with DePuy Synthes Companies MatrixMANDIBLE Plating System Overview Brochure

29 Also Available 2.0 Titanium MatriMANDIBLE Fine Pitch Screws (5/pkg.)* mm mm mm mm Titanium MatrixMANDIBLE Plate, 1.25 mm thick, 2 x 2 holes MatrixMANDIBLE Prebent Tension Band Plate, right, 1.0 mm thick, 2 x 2 holes MatrixMANDIBLE Prebent Tension Band Plate, left, 1.0 mm thick, 2 x 2 holes Titanium MatrixMANDIBLE Adaption Plate, 1.0 mm thick, 4 holes Titanium MatrixMANDIBLE Adaption Plate, 1.0 mm thick, 6 holes Titanium MatrixMANDIBLE Subcondylar Plate, Lambda, right, 1.0 mm thick Titanium MatrixMANDIBLE Subcondylar Plate, Lambda, left, 1.0 mm thick Titanium MatrixMANDIBLE Subcondylar Plate, Strut, right, 1.0 mm thick Titanium MatrixMANDIBLE Subcondylar Plate, Strut, left, 1.0 mm thick Titanium MatrixMANDIBLE Subcondylar Plate, Trapezoidal, 1.0 mm thick Graphic Case Options Graphic Case and Instrument Trays: Graphic Case, medium Instrument Tray for Graphic Case, medium, for MatrixMANDIBLE Benders and Cutters Instrument Tray for Graphic Case, medium, MatrixMANDIBLE Trocar and Drivers Modules/ Insert Trays: Auxiliary Module Generic Module Lid Insert Tray for Trocar Instruments Insert Tray for Bending Instruments Insert Tray for Bending Pliers Reconstruction Screw Caddy Insert Tray, for MatrixMANDIBLE System mm Plate Insert Tray, for MatrixMANDIBLE System mm and 2.5 mm Double Angle Plate Insert Tray, for MatrixMANDIBLE System Mini IMF Screw Module Lag Screw Module Compact IMF Screw Module IMF Screw Module, Full Size mm Screw Insert Tray Generic MatrixMANDIBLE Screw Insert Tray, for 2.0 mm, 2.4 mm and 2.9 mm screws Matrix Auxiliary Module, medium Insert for 1.0 mm Malleable Plate Insert Tray for 1.0 mm plates Insert Tray for 1.25 mm plates Insert Tray for 1.5 mm plates Insert Tray for 2.0 mm plates Matrix Auxiliary Insert Tray, medium Auxiliary Insert Tray, small Insert Tray for Subcondylar Plates for MatrixMANDIBLE Module and Lid for Condylar Head Add-on System, MaxtrixMANDIBLE Other: Bending Insert Holder for Finger Mat, for use with , medium Calibrated Drill Bit Holder Label Sheet for IMF Module Label Sheet for Lag Screw Module Label Sheet for Subcondylar Tray for MatrixMANDIBLE Label Sheet for Screw Module Label Sheet, Small Plate Insert Plastic Cup with Lid, for Elastomeric Inserts * For single-packs, replace suffix.05 with.01. MatrixMANDIBLE Plating System Overview Brochure DePuy Synthes Companies 22

30 Limited Warranty and Disclaimer: DePuy Synthes CMF products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. WARNING: In the USA, this product has labeling limitations. See package insert for complete information. CAUTION: Federal Law restricts these devices to sale by or on the order of a physician. Some devices listed in this technique guide may not have been licensed in accordance with Canadian law and may not be for sale in Canada. Please contact your sales consultant for items approved for sale in Canada. Synthes USA Products, LLC 1302 Wrights Lane East West Chester, PA USA Synthes USA, LLC 1101 Synthes Avenue Monument, CO USA Note: For recognized manufacturer, refer to the product label. To order (USA): (800) To order (Canada): (800) DePuy Synthes All rights reserved. DSUS/CMF/0715/ /15 DV