Modular Sternal Cable System (PDF)

[Pages:12]Modular Sternal Cable System. Flexibility and strength in sternal closure and repair.

Multiple closure options

Stable fixation in all configurations

Improved strength and flexibility compared to wire

Modular Sternal Cable System

Modular Sternal Closure Options ? Flexibility in sternal closure due to

modular options ? Intraoperative choice depending

on patient's needs ? Stable fixation in all configurations ? Sternal cable with an improved strength

and stability compared to wire* ? Sternal cannulated screws for

reinforcement of sternal bone quality ? Sternal reconstruction plates for

repair of transverse fractures

Peristernal using cable with needle

Transsternal using cable and cannulated screws

Sternal reconstruction using cable, cannulated screws and plates

* See page 4 for mechanical testing results Synthes CMF Modular Sternal Cable System

1.0 mm Sternal Cable ? Multifilament structure provides

improved strength and flexibility ? A greater bone-to-implant contact

area than wire provides a reduced risk for cutting through the sternal bone

7 x 19 filaments

Cross sectional view, 1.0 mm diameter cable

? Flexible cable contours to the shape of the sternum

? Ferrule is crimped onto the end of the cable to secure the finished construct and avoid sharp edges

? Available with or without a quick-release needle

Ferrule

Parallel end fitting

Cable

Cable with needle

Synthes CMF

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Modular Sternal Cable System continued

4.5 mm Sternal Cannulated Screws ? Easily insert into the manubrium or

sternal body using the adjustable screwdriver blade with spade point ? Eliminate the need to insert a needle through the sternum ? Cannulation provides a metal surface for cable to pass through for reinforcement in weak cancellous bone ? Blunt tip allows safe bicortical insertion ? Available in lengths from 8 mm to 28 mm, in 1 mm increments

4.5 mm Sternal Reconstruction Plates ? For reconstruction of sternal transverse

fractures

? Distribute forces along the length of the sternum, reducing the likelihood of bony failure

? Attach to the sternum with cannulated screws

? Contourable, to closely match the sternum

? With transverse holes for peristernal cable passage

? Available in several lengths (80 mm ? 192 mm) to minimize intraoperative plate cutting

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Synthes CMF Modular Sternal Cable System

Tensioner/Crimper/Cutter ? Single, multipurpose instrumentation ? Force limiting for easy handling

and consistent tensioning

1 Tensioning wheel with force limiting 2 Trigger to crimp and cut the cable 3 Instrument nose for ferrule insertion

Tensioning of the cable

Indications ? Sternal repair and reconstruction

Crimping the ferrule and cutting the cable with single action

Synthes CMF

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