B. Braun Aesculap Spine Quintex Gebrauchsanweisung/Technische Beschreibung Seite 4

Note
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The 4.5 mm screws are provided for use in cases where the
(e.g., in osteoporotic bone material or following overtightening of a standard screw).
Note
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Quintex® constrained screws (blue 4.0 mm, blue/purple
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4.0 mm, green/purple 4.5 mm) can be combined with the hybrid Quintex® plate (blue).
Note
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Quintex® dynamic screws (gold 4.0 mm, gold/purple
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4.0 mm, green/purple 4.5 mm) can be combined with the dynamic Quintex® plate (gold).
Damage to Quintex® constrained screws and Quintex® dynamic plates caused by
combining inappropriate components together.
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The implants are color coded. Do not use constrained screws (blue or blue/pur-
ple) in conjunction with the dynamic plate (gold) under any circumstances;
CAUTION
only use them with the hybrid plate (blue).
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Dynamic implants and hybrid implants are provided in separate trays. Never
mix the two different implant trays up.
Damage to Quintex® dynamic screws and Quintex® hybrid plates caused by com-
bining inappropriate components together.
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The implants are color coded. Do not use dynamic screws (gold or gold/purple)
in conjunction with the hybrid plate (blue) under any circumstances; only use
CAUTION
them with the dynamic plate (gold).
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Dynamic implants and hybrid implants are provided in separate trays. Never
mix the two different implant trays up.
Note
Semiconstrained screws (green or green/purple) can be used in conjunction with the dynamic plate (gold) and the
hybrid plate (blue).
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In order to facilitate intraoperative handling, the Quintex® plate is temporarily fixed to the vertebral body by
means of a fixation pin (through the pin holes along the midline).
This prevents any slipping of the Quintex® plate during the drilling procedure, and it allows for easier positioning
of the screw holes and insertion of the Quintex® screws.
Damage to the Quintex® screw caused by the use of excessive force and torque
when screwing in!
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For hard bone, always use a Quintex® drill and Quintex® tapper instead of the
Quintex® corticalis centering tool.
CAUTION
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Prepare drill holes for the Quintex® screws using Quintex® drill guides with Quintex® drills (∅ 2.9 mm) or with
the Quintex® corticalis centering tool. Make sure that
– the Quintex® drill or Quintex® corticalis centering tool (without the self-centering outer sleeve) is only used
in conjunction with a Quintex® drill guide and
– the drill guide or the self-centering Quintex® corticalis centering tool is positioned correctly in the plate hole.
Damage to the Quintex® screw caused by incorrect handling of the screwdriver
when screwing into the Quintex® plate!
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Fully insert the tip of the screwdriver into the screw head.
CAUTION
Deficient locking of the Quintex® screw caused by incomplete engagement in the
hole of the Quintex® plate!
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Ensure that the Quintex® screw fully engages in the hole of the Quintex®
plate.
CAUTION
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Position of the Quintex® screw:
– in the cranial plate holes, as far toward the cranium as possible
– in the caudal plate holes, as far toward the posterior as possible
– for multisegmental provision (more than 4 plate holes), centrally in each of the inner plate holes
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Fully screw the Quintex® screw into the Quintex® plate.
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Check that the locking ring of the Quintex® screw is visible and sits flush with the screw head.
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Remove the temporary fixation pin as soon as the Quintex® plate is fixed with the Quintex® screws.
Damage to the screw extraction instrument and the self-locking Quintex® screw
if incorrectly applied!
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Only release fixed Quintex® screws using the Quintex® screwdriver.
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Use the screw extraction instrument to remove only those freely rotating
CAUTION
Quintex® screws whose screw heads cannot be picked up out of the Quintex®
plate holes.
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To remove an implanted Quintex® screw:
– Push down the locking ring of the Quintex® screw with the Quintex® screwdriver.
– Turn the screwdriver counterclockwise to release the Quintex® screw.
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If the screw head of the freely rotating screw cannot be picked up out of the Quintex® plate hole, use the special
screw extraction instrument:
– Insert the screw extraction instrument as far as possible into the screw head.
– Insert the tip of the instrument with the left-hand thread as far as possible into the screw while turning it
counterclockwise.
– Remove the Quintex® screw from the plate hole by pulling and continuing to turn the instrument counter-
clockwise at the same time.
Further information on Aesculap implant systems is always available from B. Braun/Aesculap or the relevant
B. Braun/Aesculap office.
Disposal
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Adhere to national regulations when disposing of or recycling the product, its components and its packaging!
TA-Nr. 013366 2017-12 V6 Änd.-Nr. 57595
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4.0 mm standard screws do not ensure a secure hold
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4.5 mm) and Quintex® semiconstrained screws (green
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4.5 mm) and Quintex® semiconstrained screws (green