Leibinger Micro Implants Kalamazoo, MI 49001 USA t: 269 324 5346toll 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

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 userinstructions before using any Stryker product. Products maynot be available in all markets. Product availability is subjectto the regulatory or medical practices that govern individualmarkets. Please contact your Stryker representative if youhave questions about the availability of Stryker products inyour 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. NoneUnDe/P.S.

Copyright © 2005 StrykerPrinted in USA

LEIBINGER

Reconstruction

Reconstruction of all mandibular regions

Repair of comminuted fractures

Primary & Secondary Reconstruction Plates

SMARTLockTM Technology

Universal

IMPORTANT NOTICE: The materials contained in this booklet have been providedfor general educational information purposes only. The information contained in thisbooklet cannot and should not replace the independent medical judgment of the treatingphysician. 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 physician’s medical knowledge and the individual circumstances of the particularcase. It is also the treating physician’s 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 ReconstructionSystem. The treating physician should review the instructions-for-use in their entiretybefore 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 hasreviewed 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 responsiblefor confirming that the information contained herein is current. For further informationabout the Stryker Leibinger Universal Reconstruction System, please contact StrykerLeibinger Micro Implants at 800 962 6558.

Universal ReconstructionLEIBINGER

2.0/2.3mm Mandibular ReconPart # Description

Modules & Inlays29-13061 Universal Mandible Recon Module,

full size, empty, with Inlay

Primary Recon Plates, Gold (1.5mm profile)55-15911 11 Holes, w.template55-15917 17 holes, w.template55-15920 Hemi, 5x17, Right, w.template55-15922 Hemi, 5x17, Left, w.template

Standard Recon Plates, Silver (2.8mm profile)55-28911 11 hole, w.template55-28917 17 hole, w.template55-28920 Hemi, 6x17 hole, right, 34˚, w.template55-28922 Hemi, 6x17 hole, left, 34˚, w.template55-28925 Hemi, 6x17 hole, right, 17˚, w.template55-28926 Hemi, 6x17 hole, left, 17˚, w.template55-28930 Full, 6x17x6 hole, w.template55-28932 Full, 6x15x6 hole, w.template55-28934 Full, 6x13x6 hole, w.template

2.0mm Bone Screws (5/Pkg)50-20404 2.0x4mm, gold50-20405 2.0x5mm, gold50-20406 2.0x6mm, gold50-20407 2.0x7mm, gold50-20408 2.0x8mm, gold50-20410 2.0x10mm, gold50-20412 2.0x12mm, gold50-20414 2.0x14mm, gold50-20416 2.0x16mm, gold50-20418 2.0x18mm, gold50-20420 2.0x20mm, gold

2.0mm Locking Screws (5/Pkg)50-20504 2.0x4mm, grey50-20505 2.0x5mm, grey50-20506 2.0x6mm, grey50-20507 2.0x7mm, grey50-20508 2.0x8mm, grey50-20510 2.0x10mm, grey50-20512 2.0x12mm, grey50-20514 2.0x14mm, grey50-20516 2.0x16mm, grey50-20518 2.0x18mm, grey50-20520 2.0x20mm, grey

2.0/2.3mm OrthognathicPart # Description

2.3mm Bone Screws (5/Pkg)50-23404 2.3x4mm, gold50-23406 2.3x6mm, gold50-23408 2.3x8mm, gold50-23410 2.3x10mm, gold50-23412 2.3x12mm, gold50-23414 2.3x14mm, gold50-23416 2.3x16mm, gold50-23418 2.3x18mm, gold50-23420 2.3x20mm, gold

2.3mm Locking Screws (5/Pkg)50-23504 2.3x4mm, grey50-23506 2.3x6mm, grey50-23508 2.3x8mm, grey50-23510 2.3x10mm, grey50-23512 2.3x12mm, grey50-23514 2.3x14mm, grey50-23516 2.3x16mm, grey50-23518 2.3x18mm, grey50-23520 2.3x20mm, grey

2.7mm Emergency Bone Screws (5/Pkg)50-27405 2.7 x 5mm, gold50-27408 2.7 x 8mm, gold50-27410 2.7 x 10mm, gold50-27412 2.7 x 12mm, gold50-27414 2.7 x 14mm, gold50-27416 2.7 x 16mm, gold50-27418 2.7 x 18mm, gold50-27420 2.7 x 20mm, gold

2.7mm Emergency Locking Screws (5/Pkg)50-27505 2.7 x 5mm, grey50-27508 2.7 x 8mm, grey50-27510 2.7 x 10mm, grey50-27512 2.7 x 12mm, grey50-27514 2.7 x 14mm, grey50-27516 2.7 x 16mm, grey50-27518 2.7 x 18mm, grey50-27520 2.7 x 20mm, grey

Ordering Information2.0mm Mini-PlatingPart # Description

Twist Drills for 2.0/2.3mm screws60-16005 1.6x50mm, for 4 & 5mm screws, Stryker End60-16526 1.6x58mm, 26mm working length, Stryker End60-19526 1.9x 58mm, 26mm working length, Stryker End60-16007 1.6x50mm, for 4, 5 & 6mm screws, Stryker End60-16407 1.6x50mm, for 4, 5 & 6mm screws, Dental End60-16035 1.6x115mm, 35mm working length, Stryker End60-16435 1.6x115mm, 35mm working length, Dental End60-19035 1.9x115mm, 35mm working length, Stryker End60-19435 1.9x115mm, 35mm working length, Dental End60-16535 1.6x85mm, 35mm working length, Stryker End60-16735 1.6x85mm, 35mm working length, Dental End60-19535 1.9x85mm, 35mm working length, Stryker End60-19735 1.9x85mm, 35mm working length, Dental End

Luhr Fritzemeier Drills For 2.0/2.3mm Screws60-16908 1.6x19mm, 8mm working length, 90˚, Dental End60-16918 1.6x29mm, 18mm working length, 90˚, Dental End60-19908 1.9x19mm, 8mm working length, 90˚, Dental End60-19918 1.9x29mm, 18mm working length, 90˚, Dental End

Mandibular Recon Instruments29-13035 Recon Instrument Tray64-00230 Recon Bender/Cutter, left64-00232 Recon Bender/Cutter, right64-00255 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, Left64-00176 Plate/Bone Forceps, Atraumatic Tip, Right60-80142 Abrasive Burr 42mm, Stryker62-20290 Screwdriver Ratchet Handle62-20130 Screwdriver Blade (2.0/2.3mm)60-80535 Temporary Recon Screw Holder

Temporary Condylar Prostheses (1/Pkg)56-25001 Left56-25002 Right

Condyle Fastening Screws (2/Pkg)56-25000 Condyle Fastening Screws

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

Universal ReconstructionLEIBINGER

Technology & Innovations

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.

SMARTLockTM screw with 10˚ angulation in curved plate

SMARTLockTM screw with 10º angulation in plate

10º 10º

10º 10º

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

SmartLockTM screws are manufactured with fine threads on the underside of thescrew 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.

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

Mandibular ReconstructionMicro Fixation Module

2.0 2.3 Mandibular Reconstruction2.0 2.3Module Details

Temporary Recon Screw Holder

Temporary condylar prosthesesare attached to the

Reconstruction Plate with fastening screws.

Condyles

Temporary Condylar Prostheses with plate pockets on back side.

56-25001 Left56-25002 Right

Medial View Lateral View

2.0/2.3mm Screw Options

SMARTLockTM ScrewNeutral Bone Screw

Multiple diameter screw placement in all mandible plates.

2.0mm 2.3mm 2.0mm 2.3mm

The Leibinger Universal Reconstruction Moduleincorporates 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)Profile height: 1.5mm

Primary Reconstruction Hemi Plates (Gold)Profile height: 1.5mm

Mandibular Reconstruction: Bottom of Module

Reconstruction Straight Plates (Silver)Profile height: 2.8mm

Reconstruction Hemi Plates (Silver)Profile height: 2.8mm

Reconstruction Full Plates (Silver)Profile height: 2.8mm

Modular DesignOptimal Versatility

• Comprehensive Implant Modules for specific anatomic regions of the skull

• Dedicated Instrument Trayswith color coded instruments for easy identification

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.

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

!

Step 1- Expose fracture(s). Step 2- Use benders tocontour Fracture Plate.Benders include platepockets to reduce holedeformation.

Step 3- Cut Fracture Platewith the right handle (R)in the area labeled "CUT.”Slide the plate through thecutter from left to right.Cut will take place withinthe window.

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

Step 5- Measure desiredscrew length using adepth gauge.

Step 6- Insert screw and repeat process foreach screw until fracturefixation is complete.

ProceduralGuide

Step 1- Expose defect and selectappropriate template.Recommended screw placementfor each segment includes:Neutral Bone Screws• 4ea- 2.0mm• 4ea- 2.3mm SMARTLock Screws• 3ea- 2.0mm• 3ea- 2.3mm

Step 2- Cut PrimaryReconstruction Plate withthe right handle (R) in thearea labeled "CUT.” Slide theplate through the cutter fromleft to right. Cut will takeplace within the window.

Step 3- Contour PrimaryReconstruction Plate tomatch template using benders. Benders includeplate pockets to reduce hole deformation.

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

Step 5- Measure desiredscrew length using adepth gauge.

Step 6- Once plate is inplace, remove screws andplate. After mandibularresection, replace “pre-bent” plate and screws.Recommend using temporary recon screw holder.

Step 1- Expose defect and selectappropriate template.Recommended screw placementfor each segment:Neutral Bone Screws• 4ea- 2.3mmSMARTLock Screws• 3ea- 2.3mm2.0mm screws are recommended for bone graft fixation only

Step 2a- To cut, lock plate in lefthandle (L) labeled "CUT.” Placecutting mechanism in right handle(R) flush alongside the plate recessin the left handle. Slide (R) handleup until plate is seated within locking mechanism.Step 2b- Once plate is fully seatedin the cutting mechanism, rotatecounterclockwise to shear plate.

Step 3a- Contour Recon-struction Plate to match template using benders.Benders include plate pocketsto reduce the amount of holedeformation.Step 3b- Roller benders can be used for out-of-planebending.

Step 4- Insert drillguide through trocarand drill hole.

Step 5- Measuredesired screw lengthusing a depth gauge.

Step 6- Once plate is inplace, remove screws andplate. After mandibularresection, replace “pre-bent” plate and screws.Recommend using temporary recon screw holder.

Contour & Application: Mandible Fracture Plate

Contour & Application: Primary Reconstruction Plate

Contour & Application: Reconstruction Plate