HP Knee Extraction Instrumentation

HP Knee Extraction Instrumentation
Product Overview
HP Extraction Knee Instruments
DePuy Orthopaedics is working with Symmetry Medical®*
to distribute Advanced Knee Extraction instruments. These
instruments provide confidence through solid construction,
ease of use, and multiple options to address implant removal.
The HP Extraction Knee Instruments complement the DePuy
Orthopaedics comprehensive portfolio of revision implants
and instruments. They are designed to address obstacles
encountered during revision TKA (Total Knee Arthroplasty).
Addressing Loosening
with Rotating Platform
The HP Extraction Knee Instruments are another
example of DePuy Orthopaedics commitment to providing
implants and instruments that address two of the biggest
reasons for revision knee failure: loosening and instability.1
Addressing Instability with
Metaphyseal Sleeves
*Manufacturer: Symmetry Medical, Inc.
3724 North State Road 15, Warsaw, IN 46582, USA
1
HP Extraction Standard Removal Case
2011-03-048
Top Level:
HP Revision General Extraction
Instrument Set
Top Level
HP Revision Extraction Instrument Case2011-03-048
HP Extraction 7 mm V Split 305 mm 2011-03-034
HP Extraction 7 mm Reverse Curette 305 mm2011-03-035
HP Extraction Offset Chisel 2011-03-036
HP Extraction Component Impactor 2011-03-037
HP Extraction Straight Osteotome 7 mm 2011-03-038
HP Extraction Straight Osteotome 12.5 mm 2011-03-039
HP Extraction Straight Osteotome 20 mm 2011-03-040
2
Bottom Level:
HP Revision General Extraction
Instrument Set
Bottom Level
Handle With Quick Coupling End (2)2709-04-001
Small Slap Hammer2709-04-002
Flexible Osteotome System2709-04-100
HP Extraction Removal Screw 8 mm 2011-03-042
HP Extraction 254 mm Cement Rongeur 2011-03-044
3
HP Extraction 7 mm “V” Split 305 mm
Osteotome (2011-03-034)
Use the 7 mm “V” Osteotome to fragment
bone cement remaining in the proximal tibia
after removal of the tibial component.
HP Extraction 7 mm Reverse Curette 305 mm
(2011-03-035)
Use the 7 mm Reverse Curette to hook cement
fragments in the proximal tibia after removal of
the tibial component. The 7 mm Reverse Curette
can also be used to scrape the distal femoral
canal after removal of the femoral component.
HP Extraction Offset Chisel
(2011-03-036)
Use the Offset Chisel to develop a plane
between the femoral component and the
bone cement in the intercondylar notch. This
instrument may also be used to chip away bone
cement in the posterior region of the proximal
tibia and around the patellar component.
4
HP Extraction Component Impactor
(2011-03-037)
A Component Impactor is provided to assist in
removal of either a femoral or tibial component
after the components have been loosened.
HP Extraction Straight Osteotomes
(2011-03-038, 039, & 040)
Three Straight Osteotomes are provided
to develop a plane between an implant
and the bone cement and to fragment the
bone cement. They have widths of 7 mm,
12.5 mm, and 20 mm respectively.
5
Flexible Osteotome Blades & Handle
With the Quick-Coupling Handle (2709-04-001)
to develop a plane, use the Flexible Osteotome
Blades (2709-04-004 to 2709-04-011)
between an implant and bone. There are
four blade widths – 8 mm, 10 mm, 12 mm,
and 20 mm. These osteotomes are not rigid
enough to pry and wedge. If these actions
are necessary, use the Straight Osteotomes
(2011-03-038 to 2011-03-40 – listed above).
Small Slap Hammer (2709-04-002)
The Small Slap Hammer can be used if the
flexible Osteotomes get stuck. The Slap
Hammer can be attached to the Quick Coupling
Handle to extract the Flexible Osteotomes.
HP Extraction 8 mm Extraction Screw
(2011-03-042)
Use the 8 mm Extraction Screw to remove
polyethylene components. A 6.4 mm drill bit
can be used to create a hole which will accept
the Extraction Screw. When an all-polyethylene
tibial component is to be removed, the Extraction
Screw is threaded into the pre-drilled hole
and its collar is impacted with a mallet. The
Extraction Screw may also be used to facilitate
removal of a polyethylene tibial insert.
6
HP Extraction 254 mm Cement Rongeur
(2011-03-044)
The 254 mm Cement Rongeur is used to extract
cement in the tibial and femoral canal after
the components have been removed. The long,
narrow arm is able to reach deep into both
canals. The handle can be then be pressed
together to cinch the arm’s mouth together
to remove cement that is difficult to access.
7
HP Extraction Sleeve Removal Case
2011-03-058
HP Revision Sleeve
Extraction Instrument Set
2011-03-200
HP Revision Sleeve Extraction Case2011-03-058
HP Femoral Impactor/Extractor 9505-01-171
HP Slap Hammer9505-01-308
Small Slap Hammer2709-04-002
HP Extraction Tibial Component Remover 2011-03-045
HP Extraction MBT Sleeve Extractor2011-03-031
HP Extraction MBT Sleeve/Tray Separator Tool2011-03-053
HP Extraction TC3 Tuning Fork2011-03-030
Stem Trial Extractor86-5226
HP Extraction Stem Trial Extractor Adapter2011-03-047
Locking Pliers2709-03-006
HP Extraction Vice Grips Adapter 2011-03-046
8
HP Femoral Impactor/Extractor
(9505-01-171)*
The Universal Femoral Impactor/Extractor is
designed to work with LCS® and Sigma®
femurs. The A/P spring loading mechanism, in
conjunction with the adjustable M/L wings, allows
it to fit onto any size LCS and Sigma femoral
component. The Impactor/Extractor can then
be locked down onto the femoral component,
by turning it in a clockwise motion (to release
turn counter clockwise). The Impactor/Extractor
works with the 9505-01-308 HP Slap Hammer.
*This instrument is for extraction of the trials not for implants
HP Slap Hammer (9505-01-308)
The HP Slap Hammer features a quick connect
end that assembles to the HP Femoral Impactor/
Extractor (9505-01-171). It also has an
ergonomic handle and a modified slide bar to
allow the surgeon to slap the component out,
or put varus/valgus torque on the femur.
Locking Pliers (2709-03-006) and
HP Extraction Locking Pliers Adapter to
Slap Hammer Adaptor (2011-03-046)
Among many uses, the Locking Pliers are helpful
in removing femoral sleeve trials or implants. The
vice grips can be locked onto the distal portion
of a femoral sleeve (if the sleeve is an implant,
Osteotomes need to be used to get access to the
sleeve). The Small Slap Hammer (2709-04-002)
can then be attached to the Locking Pliers via
the Locking Pliers Adapter (2011-03-046).
9
HP Extraction MBT Tray/Sleeve Separator
(2011-03-053)
The MBT Tray/Sleeve Separator is inserted in
between the inferior portion of the MBT Tray
and the superior portion of the MBT Tray sleeve
after proper exposure has been achieved. Once
impacted, the separator is designed to break the
taper between the MBT tray and MBT sleeve.
This is especially useful if a 14 mm or small
universal stem was used with the tibia. If this is
the case, the tibia and stem can be pulled out
through the MBT sleeve after separation. Then
the surgeon can work on removing the sleeve.
HP Extraction TC3 Tuning Fork
(2011-03-030)
The HP TC3 Tuning Fork is designed to break
the morse taper between the TC3 femoral
component and the universal sleeve. The Tuning
Fork can be inserted into the medial or lateral
portion box, between the box and femoral
component. It can then be impacted to disengage
the taper between the femur and sleeve.
Stem Trial Extractor (86-5226) and HP
Extraction Stem Trial Extractor to Slap
Hammer Adapter (2011-03-047)
The Stem Trial Extractor threads into and removes
stem trials (pilots) that have become stuck in
the femoral canal. The Stem Trial Extractor
can also be threaded through a sleeve into
the stem trial (or pilot) to remove a sleeve/
stem trial construct that is stuck in the femur.
For additional extraction force, the Small Slap
Hammer (2709-04-002) can be attached to
the stem trial extractor via the stem trial to
Slap Hammer Adaptor (2011-03-047).
10
HP Extraction MBT Sleeve Remover
(2011-03-031)
The MBT Sleeve Remover is used to remove
sleeves trials or implants that are stuck in the
tibial canal. The two prongs are inserted
through the proximal portion of the sleeve,
passed all the way through the sleeve, and
then out the other side. The handle is then
turned clockwise to open up the prongs and
engage the prongs’ steps on the distal aspect
of the sleeve. To aid in removal, the Small Slap
Hammer (2709-04-002) can be attached to
impact the sleeve out.
HP Tibial Component Extractor
(2011-03-045)
The Tibial Component Extractor can be used to
remove tibial trays, trays and stems, or trays,
stems, and sleeves that are fixed together. The
base of the tibial tray should first be exposed with
Osteotomes and the polyethylene insert removed
from the tray. Once exposed, the tibial component
extractor prongs are inserted below the base of
the tray. The locking screw is then tightened down
onto the superior portion of the tray. The Small
Slap Hammer is then attached and used to impact
the entire tibial tray construct out as one piece.
HP Tibial Component Extractor Replacement
Straight Blades (2011-03-054) and Offset
Blades (2011-03-055) and Replacement
Tibial Component Extractor Hex Wrench
(2011-03-056)
The tibial component blades come in two options:
Standard and Offset. The Offset Blades work with
the MBT tray, MBT revision tray system, and other
systems with wide/broad keels. The blades come
with screws that are threaded to the extractor
(2011-03-045). If screws are lost, a replacement
set of blades must be ordered. The screws are
tightened down using the L shaped hex wrench.
11
HP Extraction Sleeve Removal Case
2011-03-058
HP Extraction Standard Removal Case
2011-03-048
HP Extraction 7 mm V Split 305 mm 2011-03-034
HP Extraction 7 mm Reverse Curette 305 mm2011-03-035
HP Extraction Offset Chisel 2011-03-036
HP Extraction Component Impactor 2011-03-037
HP Extraction Straight Osteotome 7 mm 2011-03-038
HP Extraction Straight Osteotome 12.5 mm 2011-03-039
HP Extraction Straight Osteotome 20 mm2011-03-040
HP Extraction Removal Screw 8 mm 2011-03-042
HP Extraction 25 mm Cement Rongeur 2011-03-044
Flex Osteotome Delivery System 2709-04-100
Handle with Quick Coupling End (2)2709-04-001
Small Slap Hammer2709-04-002
HP Extraction Sleeve Removal Case
2011-03-058
HP Extraction Tibial Component Remover 2011-03-045
HP Extraction Locking Pliers Adapter 2011-03-046
HP Extraction Stem Trial Removal Adaptor 2011-03-047
HP Extractor MBT Tray/Sleeve Separator 2011-03-053
HP Slap Hammer9505-01-308
Small Slap Hammer2709-04-002
Locking Pliers2709-03-006
HP Extraction TC3 Tuning Fork2011--03-030
HP Extraction MBT Sleeve Remover 2011-03-031
Stem Trial Extractor86-5226
HP Femoral Impactor/Extractor9505-01-171*
Thin Osteotome Blade, 8 mm x 76 mm2709-04-004
Thin Osteotome Blade, 10 mm x 76 mm2709-04-005
Thin Osteotome Blade,12 mm x 76 mm2709-04-006
Thin Osteotome Blade, 20 mm x 76 mm2709-04-007
Thin Osteotome Blade, Curved End, 12 mm2709-04-008
Thin Osteotome Blade, Curved End, 20 mm2709-04-009
Thin Osteotome Blade, 8 mm x 127 mm2709-04-010
Thin Osteotome Blade, 10 mm x 127 mm
2709-04-011
Replacement Codes
HP Extract Tib Rem Bld Straight 2011-03-054
HP Extract Tib Rem Bld Offset 2011-03-055
HP Extract Tib Rem Hex Offset 2011-03-056
*Manufacturer: Enztec Ltd, 26 Dakota Crescent,
Sockburn, Christchurch 8004, New Zealand
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References
1. Mulhall KJ, Callaghan JJ et al. Current Etiologies and Modes of Failure in Total Knee Arthroplasty Revision. Clinical Orthopaedics and Related
Research - 2006;446:45-50.
This publication is not intended for distribution in the USA.
DePuy Orthopaedics EMEA is a trading division of DePuy International Limited.
Registered Office: St. Anthony’s Road, Leeds LS11 8DT, England
Registered in England No. 3319712
DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46581-0988
USA
Tel: +1 (800) 366 8143
Fax: +1 (574) 267 7196
DePuy International Ltd
St Anthony’s Road
Leeds LS11 8DT
England
Tel: +44 (0)113 387 7800
Fax: +44 (0)113 387 7890
www.depuy.com
©DePuy International Ltd. and DePuy Orthopaedics, Inc. 2012.
All rights reserved.
9085-57-000 version 2 Issued: 11/12
CA#DPEM/ORT/1112/0359
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