B. Braun Aesculap Spine activ C FW645R Gebrauchsanweisung/Technische Beschreibung Seite 6

Aesculap Spine
activ C handle, reamer guide, chisel guide, trial implants
Mount the trial implant with the selected size,
height and shape onto the handle 2. Note the
"CRANIAL" and "CAUDAL" markings on the handle
and on the trial implant.
Turn locking pipes 11 of handle 2 to position
"closed" .
Check the trial implant for firm seating.
Compression of the spinal canal and
other posterior elements caused by
the trial implant inserted too
deeply!
WARNING
Before
implant, set the depth stop to
the minimum insertion depth.
Insert the trial implant into the
intervertebral space under X-ray
control.
Use adjusting wheel 12 to set the depth stop of the
trial implant to the minimum insertion depth.
Insert the trial implant in the intervertebral space
under X-ray control. Ensure correct cranial and
caudal alignment of the trial implant.
Align the markings of the trial implant center to
the midline marking.
If necessary, correct the position of the depth stop
with adjusting wheel 12 until the intended
position is reached. Ensure that depth stop abuts to
the anterior edge of the vertebral body.
Increased risk of migration if the
selected implant size is too small!
Select the trial implant or
implant size, respectively, to
WARNING
achieve maximum coverage of
the vertebral body endplates.
On the X-ray, in AP and lateral
view, check to ensure that the
size, position and alignment of
the trial implant are correct.
4
inserting the trial
Irritation of the facet joints and
strain on the spinal cord and nerve
roots
insufficient distraction!
WARNING
Select the correct trial implant/
implant height.
Check for correct height of the
trial implant in a lateral X-ray.
On the intraoperative X-ray image, in AP and
lateral view, check the size, height and position of
the trial implant.
With the trial implant properly positioned, turn
locking pipes 11 to position "open"
handle 2 carefully in an axial direction from the
trial implant.
The trial implant remains in the intervertebral
space.
Note
The fin bed can either by prepared by reaming or
chiseling. This can be carried out either with the reamer
guide with handpiece or the chisel guide with chisel
holder, depending on which set is used.
Reaming the fin bed/ Mounting the reamer
guide
Note
The handle and the reamer guide are fitted with
identical locking mechanisms.
Turn locking pipes 11 of reamer guide 3 to position
"open" .
Mount the reamer guide 3 onto the trial implant in
the intervertebral space. Note the "CRANIAL" and
"CAUDAL" markings on the reamer guide and on
the trial implant.
Turn locking pipes 11 of reamer guide 3 to position
"closed" .
Reamer guide 3 is fixed to the trial implant.
Check again, by X-ray imaging, the position of the
trial implant.
due to excessive
and pull off
or