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Synthes Spine Cable System Technical Manual
Synthes Spine Cable System Technical Manual

Synthes Spine Cable System Technical Manual

Implants and instruments for use when stabilizing and reconstructing spinal structures

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Technique Guide
Spine Cable System.
instruments for use when stabilizing
and reconstructing spinal structures.
Implants and
Instruments and implants
approved by the AO Foundation

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Summary of Contents for Synthes Spine Cable System

  • Page 1 Spine Cable System. Implants and instruments for use when stabilizing and reconstructing spinal structures. Technique Guide Instruments and implants approved by the AO Foundation...
  • Page 3 Table of Contents Introduction Spine Cable System AO Principles Indications Surgical Technique Double-Lead Cable Single-Lead Cable Product Information Instruments Set List Synthes Spine...
  • Page 4 – Retrieval loop at the end of the cable facilitates passing the cable sublaminarly One central – Available in single- and double-lead configurations bundle of 19 strands Cross-sectional view of cable Double-lead cable Single-lead cable Cable retrieval loops Crimp integral to the cable Synthes Spine Spine Cable System...
  • Page 5 1. M.E. Müller, M. Allgöwer, R. Schneider, H. Willenegger: Manual of Internal Fixation, 3rd Edition. Berlin; Springer-Verlag. 1991. 2. Ibid. 3. M. Aebi, J.S. Thalgott, J.K. Webb. AO ASIF Principles in Spine Surgery. Berlin; Springer-Verlag. 1998. Synthes Spine...
  • Page 6 Indications As with monofilament wire, the Spine Cable System is indicated for the following spinal applications: – Spinal trauma for sublaminar, interspinous, or facet wiring; – Spinal reconstruction to correct spinal deformities, scoliosis, kyphosis, and spondylolisthesis; and – Spinal degenerative surgery as an adjunct to spinal fusions.
  • Page 7 Technique — Double-Lead Cable Required Set 105.803 Spine Cable System Instrument Set Pass the leader Instrument 321.745 Cable Retriever Pass the leader of the double-lead cable under the lamina and use the Cable Retriever to catch the retrieval loop on the tip of the leader.
  • Page 8 321.744 Pretensioner Gently pull each cable sequentially for provisional tightening. Next, depress the button on the side of the Pretensioner and pass the cable in the indicated direction. Releasing the button automatically locks the cable. Synthes Spine Spine Cable System...
  • Page 9 Pass the cable end through the spool at the end of the Tensioner/Crimper handle and pull any excess slack out of the cable. Note: The holes in the spool must be aligned with the line etched on the spool. Synthes Spine...
  • Page 10 Slide the Pretensioner forward to maintain tension if the Tensioner/Crimper is to be removed. Note: Rotate the handle in the direction noted on the shaft of the Torque Limiting Handle. Synthes Spine Spine Cable System...
  • Page 11 Secure each crimp by grasping the crimp sleeve in the jaws of the Tensioner/Crimper and squeezing the handles until they automatically release. Note: This is a safety mechanism to ensure the sleeve is fully crimped. Remove the Tensioner/Crimper and Pretensioners. Synthes Spine...
  • Page 12 Technique — Double-Lead Cable continued Remove excess cable Instrument 391.905.99 Cable Cutter Cut the cables flush with the tip of the crimp sleeves using the Cable Cutter. Synthes Spine Spine Cable System...
  • Page 13 Cable Retriever to catch the retrieval loop on the tip of the leader. Gently pull the cable through until the leader is completely exposed. Cut the leader tip Instrument 391.905.99 Cable Cutter Using the Cable Cutter, remove only the tip of the leader. Synthes Spine...
  • Page 14 Pass the cable end through the spool at the end of the Tensioner/Crimper handle and pull any excess slack out of the cable. Note: The holes in the spool must be aligned with the line etched on the spool. Synthes Spine Spine Cable System...
  • Page 15 Tension the cable Attach the Torque Limiting Handle to the Tensioner/Crimper. Apply tension by rotating the Torque Limiting Handle in a clockwise direction until it slips. Remove the Torque Limiting Handle. Synthes Spine...
  • Page 16 Secure the crimp by squeezing the handles until they automatically release. Remove the Tensioner/Crimper. Remove excess cable Instrument 391.905.99 Cable Cutter Cut the cable flush with the tip of the crimp sleeve using the Cable Cutter. Synthes Spine Spine Cable System...
  • Page 17 Torque Limiting Handle Tension level can be set using the adjustable Torque Limiting Handle 321.744 Pretensioner Holds cable tension prior to crimping 321.745 Cable Retriever Facilitates sublaminar cable passage 391.905.99 Cable Cutter, standard Cuts cable flush with head of crimp Synthes Spine...
  • Page 18 For detailed cleaning and sterilization instructions, please refer to http://us.synthes.com/Medical+Community/Cleaning+and+Sterilization.htm or to the below listed inserts, which will be included in the shipping container: —Processing Synthes Reusable Medical Devices—Instruments, Instrument Trays and Graphic Cases—DJ1305 —Processing Non-sterile Synthes Implants—DJ1304 Synthes Spine Spine Cable System...
  • Page 20 To order: (800) 523-0322 To order: (800) 668-1119 Fax: (610) 251-9056 Fax: (905) 567-3185 www.synthes.com © 2001 Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 6/10 J3510-D...