LEIBINGER

Universal Reconstruction

Universal Reconstruction

LEIBINGER

IMPORTANT NOTICE: The materials contained in this booklet have been provided for general educational information purposes only. The information contained in this booklet cannot and should not replace the independent medical judgment of the treating physician. As a manufacturer, Stryker does not provide medical advice or services and does not recommend specific technique or instruction. It is always the responsibility of the treating physician to determine the appropriate treatment and technique, based on the physicians medical knowledge and the individual circumstances of the particular case. It is also the treating physicians sole responsibility to inform the patient about potential risks, complications, and benefits of certain products and procedures. In addition, the information contained herein is not intended to and should not replace the instructions-for-use provided with the Stryker Leibinger Universal Reconstruction System. The treating physician should review the instructions-for-use in their entirety before using any Stryker product because the materials contained herein may not include all relevant potential risks and complications. Under no circumstances should the material in this booklet be provided to the patient unless the treating physician has reviewed the material and approved its use for the particular patient. Please be aware that health care information can change quickly and the treating physician is responsible for confirming that the information contained herein is current. For further information about the Stryker Leibinger Universal Reconstruction System, please contact Stryker Leibinger Micro Implants at 800 962 6558.

The information presented in this brochure is intended to demonstrate the breadth of Stryker product offerings. Always refer to the package insert, product label and/or user instructions before using any Stryker product. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Products referenced with TM designation are trademarks of Stryker. Products referenced with designation are registered trademarks of Stryker. Literature Number: 9410-020-070 Rev. None UnDe/P.S. Copyright 2005 Stryker Printed in USA

Reconstruction of all mandibular regions

Repair of comminuted fractures

Primary & Secondary Reconstruction Plates

Leibinger Micro Implants Kalamazoo, MI 49001 USA t: 269 324 5346 toll free: 800 962 6558 f: 877 648 7114 Leibinger GmbH & Co. KG D-79111 Freiburg, Germany t: +49 0761 45120 f: +49 0761 4512 120 www.stryker.com

SMARTLockTM Technology

LEIBINGER

Universal Reconstruction
Universal Reconstruction System: Overview The Leibinger Universal Reconstruction System represents the next generation of bone fixation that offers maximum flexibility and cutting edge technology.

Ordering Information
2.0/2.3mm Mandibular Recon
Part # Description

2.0/2.3mm Orthognathic
Part # Description

2.0mm Mini-Plating
Part # Description

Modules & Inlays 29-13061 Universal Mandible Recon Module, full size, empty, with Inlay Primary Recon Plates, Gold (1.5mm profile) 55-15911 11 Holes, w.template 55-15917 17 holes, w.template 55-15920 Hemi, 5x17, Right, w.template 55-15922 Hemi, 5x17, Left, w.template Standard 55-28911 55-28917 55-28920 55-28922 55-28925 55-28926 55-28930 55-28932 55-28934 Recon Plates, Silver (2.8mm profile) 11 hole, w.template 17 hole, w.template Hemi, 6x17 hole, right, 34, w.template Hemi, 6x17 hole, left, 34, w.template Hemi, 6x17 hole, right, 17, w.template Hemi, 6x17 hole, left, 17, w.template Full, 6x17x6 hole, w.template Full, 6x15x6 hole, w.template Full, 6x13x6 hole, w.template

2.3mm Bone Screws (5/Pkg) 50-23404 2.3x4mm, gold 50-23406 2.3x6mm, gold 50-23408 2.3x8mm, gold 50-23410 2.3x10mm, gold 50-23412 2.3x12mm, gold 50-23414 2.3x14mm, gold 50-23416 2.3x16mm, gold 50-23418 2.3x18mm, gold 50-23420 2.3x20mm, gold 2.3mm Locking Screws (5/Pkg) 50-23504 2.3x4mm, grey 50-23506 2.3x6mm, grey 50-23508 2.3x8mm, grey 50-23510 2.3x10mm, grey 50-23512 2.3x12mm, grey 50-23514 2.3x14mm, grey 50-23516 2.3x16mm, grey 50-23518 2.3x18mm, grey 50-23520 2.3x20mm, grey 2.7mm Emergency Bone Screws (5/Pkg) 50-27405 2.7 x 5mm, gold 50-27408 2.7 x 8mm, gold 50-27410 2.7 x 10mm, gold 50-27412 2.7 x 12mm, gold 50-27414 2.7 x 14mm, gold 50-27416 2.7 x 16mm, gold 50-27418 2.7 x 18mm, gold 50-27420 2.7 x 20mm, gold 2.7mm Emergency Locking Screws (5/Pkg) 50-27505 2.7 x 5mm, grey 50-27508 2.7 x 8mm, grey 50-27510 2.7 x 10mm, grey 50-27512 2.7 x 12mm, grey 50-27514 2.7 x 14mm, grey 50-27516 2.7 x 16mm, grey 50-27518 2.7 x 18mm, grey 50-27520 2.7 x 20mm, grey

The system includes these unique features: Cross-Pin screw head design SmartLockTM Locking Screw Technology Color coded implants and instrumentation Precontoured Reconstruction Plates SMARTLoad Screw Field

Technology & Innovations

SMARTLockTM Self-Locking Screws SmartLockTM is cutting edge technology designed as a one step system that achieves secure locking fixation of the screw to the plate. SmartLockTM offers unique advantages including: Locking capability with up to 10 of angulation 2.0mm or 2.3mm screw placement in a single plate One step locking screw Low profile Cross-Pin head design Single locking screw design for both fracture and reconstruction applications Made from high strength titanium alloy Plates do not require the use of bending inserts Color coded Grey

Twist Drills for 2.0/2.3mm screws 60-16005 1.6x50mm, for 4 & 5mm screws, Stryker End 60-16526 1.6x58mm, 26mm working length, Stryker End 60-19526 1.9x 58mm, 26mm working length, Stryker End 60-16007 1.6x50mm, for 4, 5 & 6mm screws, Stryker End 60-16407 1.6x50mm, for 4, 5 & 6mm screws, Dental End 60-16035 1.6x115mm, 35mm working length, Stryker End 60-16435 1.6x115mm, 35mm working length, Dental End 60-19035 1.9x115mm, 35mm working length, Stryker End 60-19435 1.9x115mm, 35mm working length, Dental End 60-16535 1.6x85mm, 35mm working length, Stryker End 60-16735 1.6x85mm, 35mm working length, Dental End 60-19535 1.9x85mm, 35mm working length, Stryker End 60-19735 1.9x85mm, 35mm working length, Dental End Luhr Fritzemeier Drills For 2.0/2.3mm Screws 60-16908 1.6x19mm, 8mm working length, 90, Dental End 60-16918 1.6x29mm, 18mm working length, 90, Dental End 60-19908 1.9x19mm, 8mm working length, 90, Dental End 60-19918 1.9x29mm, 18mm working length, 90, Dental End Mandibular Recon Instruments 29-13035 Recon Instrument Tray 64-00230 Recon Bender/Cutter, left 64-00232 Recon Bender/Cutter, right 64-00255 Roller Bender for Recon Plates (in plane & out of plane) 64-00250 Roller Bender for Recon Plates (out of plane only) 64-00175 Plate/Bone Forceps, Atraumatic Tip, Left 64-00176 Plate/Bone Forceps, Atraumatic Tip, Right 60-80142 Abrasive Burr 42mm, Stryker 62-20290 Screwdriver Ratchet Handle 62-20130 Screwdriver Blade (2.0/2.3mm) 60-80535 Temporary Recon Screw Holder Temporary Condylar Prostheses (1/Pkg) 56-25001 Left 56-25002 Right Condyle Fastening Screws (2/Pkg) 56-25000 Condyle Fastening Screws

2.0mm Bone Screws (5/Pkg) 50-20404 2.0x4mm, gold 50-20405 2.0x5mm, gold 50-20406 2.0x6mm, gold 50-20407 2.0x7mm, gold 50-20408 2.0x8mm, gold 50-20410 2.0x10mm, gold 50-20412 2.0x12mm, gold 50-20414 2.0x14mm, gold 50-20416 2.0x16mm, gold 50-20418 2.0x18mm, gold 50-20420 2.0x20mm, gold 2.0mm Locking Screws (5/Pkg) 50-20504 2.0x4mm, grey 50-20505 2.0x5mm, grey 50-20506 2.0x6mm, grey 50-20507 2.0x7mm, grey 50-20508 2.0x8mm, grey 50-20510 2.0x10mm, grey 50-20512 2.0x12mm, grey 50-20514 2.0x14mm, grey 50-20516 2.0x16mm, grey 50-20518 2.0x18mm, grey 50-20520 2.0x20mm, grey

SmartLockTM screws are manufactured with fine threads on the underside of the screw head, which upon insertion engage the circular lip within the hole. This enables the SmartLockTM construct (both plate/screw) to function as an internal, external fixator. Unlike other systems on the market, this unique lip design allows for up to 10 of angulation of the screw while still maintaining full locking capabilities.

SMARTLoad Screw Delivery Field The new screw field design features a recessed screw hole that facilitates easy loading of the screw by guiding the tip of the screwdriver blade accurately into the head of the screw. In addition, recessed screw holes decrease the amount of screw spillage that can occur when loading. Customizable screw markers allow for maximum storage of popular screw sizes and designs. 10 10
SMARTLockTM screw with 10 angulation in curved plate

SMARTLockTM screw with 10 angulation in plate

10

10

2.0 2.3

Mandibular Reconstruction Micro Fixation Module

2.0 2.3

Mandibular Reconstruction Module Details

The Leibinger Universal Reconstruction Module

incorporates cutting-edge technology that allows the surgeon complete control during mandibular reconstruction.
Unique Features:

Plates accommodate multiple screw diameters and designs Laser etchings across the top of the plate to aid in top/bottom orientation Universal screwdriver blade for 2.0mm, 2.3mm and 2.7mm screws Low profile primary reconstruction plates Simplified instrumentation Precontoured plates

Mandibular Reconstruction: Inlay of Module

Primary Reconstruction Straight Plates (Gold)

Primary Reconstruction Hemi Plates (Gold)

Profile height: 1.5mm

Profile height: 1.5mm

Temporary Recon Screw Holder

2.0/2.3mm Screw Options

Condyles

2.0mm

2.3mm

2.0mm SMARTLock
TM

2.3mm Screw

Medial View

Lateral View Temporary condylar prostheses are attached to the Reconstruction Plate with fastening screws.

Neutral Bone Screw

Multiple diameter screw placement in all mandible plates.

Temporary Condylar Prostheses with plate pockets on back side. 56-25001 Left 56-25002 Right

Mandibular Reconstruction: Bottom of Module

Reconstruction Straight Plates (Silver)

Reconstruction Hemi Plates (Silver)

Profile height: 2.8mm

Reconstruction Full Plates (Silver)

Profile height: 2.8mm Profile height: 2.8mm

Procedural Guide
Contour & Application: Mandible Fracture Plate

Attention: Before proceeding, please read Important Notice on back of brochure.

Modular Design Optimal Versatility

Step 1- Expose fracture(s).

Step 2- Use benders to contour Fracture Plate. Benders include plate pockets to reduce hole deformation.

Step 3- Cut Fracture Plate with the right handle (R) in the area labeled "CUT. Slide the plate through the cutter from left to right. Cut will take place within the window.

Step 4- Insert the drill guide through trocar and drill hole.

Step 5- Measure desired screw length using a depth gauge.

Step 6- Insert screw and repeat process for each screw until fracture fixation is complete.

Contour & Application: Primary Reconstruction Plate

Step 1- Expose defect and select appropriate template. Recommended screw placement for each segment includes: Neutral Bone Screws 4ea- 2.0mm 4ea- 2.3mm SMARTLock Screws 3ea- 2.0mm 3ea- 2.3mm

Step 2- Cut Primary Reconstruction Plate with the right handle (R) in the area labeled "CUT. Slide the plate through the cutter from left to right. Cut will take place within the window.

Step 3- Contour Primary Reconstruction Plate to match template using benders. Benders include plate pockets to reduce hole deformation.

Step 4- Insert drill guide through trocar and drill hole.

Step 5- Measure desired screw length using a depth gauge.

Step 6- Once plate is in place, remove screws and plate. After mandibular resection, replace prebent plate and screws. Recommend using temporary recon screw holder.

Contour & Application: Reconstruction Plate

Universal Mandibular Reconstruction System: Design Options The Leibinger Universal Mandibular Recon System features full and half size aluminum containers for fracture and reconstruction implant modules.
Step 1- Expose defect and select appropriate template. Recommended screw placement for each segment: Neutral Bone Screws 4ea- 2.3mm SMARTLock Screws 3ea- 2.3mm 2.0mm screws are recommended for bone graft fixation only Step 2a- To cut, lock plate in left handle (L) labeled "CUT. Place cutting mechanism in right handle (R) flush alongside the plate recess in the left handle. Slide (R) handle up until plate is seated within locking mechanism. Step 2b- Once plate is fully seated in the cutting mechanism, rotate counterclockwise to shear plate. Step 3a- Contour Reconstruction Plate to match template using benders. Benders include plate pockets to reduce the amount of hole deformation. Step 3b- Roller benders can be used for out-of-plane bending. Step 4- Insert drill guide through trocar and drill hole. Step 5- Measure desired screw length using a depth gauge. Step 6- Once plate is in place, remove screws and plate. After mandibular resection, replace prebent plate and screws. Recommend using temporary recon screw holder.
Comprehensive Implant Modules for specific anatomic regions of the skull Dedicated Instrument Trays with color coded instruments for easy identification