Vectra, Vectra-T and Vectra-One TGsynthes.vo.llnwd.net/o16/Mobile/Synthes North... · Vectra-T:...

Instruments and implants approved by the AO Foundation

Vectra, Vectra-T and Vectra-One.Anterior cervical plating for spinal fusion.

Technique Guide

Introduction

Surgical Technique

Product Information

Table of Contents

Vectra, Vectra-T and Vectra-One Systems 2

AO Principles 6

Indications 7

Preparation 8

Implant Selection 10

Option 1: Awl and Self-drilling Screws 12 Option 2: Drill Guide and Self-tapping Screws 13 Option 3: DTS Guide and Self-tapping 16

and Self-drilling Screws

Implant Removal 21

Instruments 22

Set Lists 25

Synthes Spine

Vectra, Vectra-T and Vectra-One Systems

Vectra, Vectra-T and Vectra-One Plates– One-step locking– Prelordosed– Bend grooves– Titanium alloy plates*– Integral Elgiloy clips** lock screws to plate

Vectra and Vectra-T plates feature large graft visibility windows.

2 Synthes Spine Vectra, Vectra-T and Vectra-One Technique Guide

*Ti-6Al-7Nb**40Co-20Cr-16Fe-15Ni-7Mo

VectraPlate width: 16.5 mmPlate profile: thin medial profile of 2.5 mm

Option of toggling screws

Vectra-TPlate width: 19 mmPlate profile: thin medial profile of 2.5 mm

Option of toggling screws Designed for translation

Vectra-OnePlate width: 11 mmPlate profile: thin overall profile of 2.5 mm

Option of toggling screws Minimized foot print

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Vectra-T

Allows translation of up to 2 mm at each level.

Carriage on cranial end of 3- and 4- level plates allows translation of up to 3 mm.

Vectra-One

Features pyramidal teeth on the underside of the plate to aidin rotational stability.

Cranial End

Caudal End

2 mm

2 mm2 mm

3 mm

2 mm

2 mm

Gold line Normal to the plateBlue line Fixed angle screw offsetGreen line Normal to the vertebral bodiesPink line Variable angle screw range of angulation


Vectra, Vectra-T and Vectra-One Systems continued

Variable-angle screws

28° range

14º -14º

8° offset

8° offset

4° offset28° range 28° range

18º -10º 14º -14º 7º -7º

4° offset

Fixed-angle screws

Variable-angle screws Fixed-angle screws

Variable-angle screw

Variable-angle screw

Fixed-angle screw

Vectra-One

Vectra-T

Vectra

8° offset

14° range

0°14°

28° range

22º -6º

14° range

6º 20º

14° range28° range

14º -14º

8° offset

28° range

22º -6º

7° offset

13° offset

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Screws– Color code indicates function and

diameter

– Variable-angle screws can be orientedfrom preset trajectories ±14º in thecranial-caudal direction and ±7º in themedial-lateral direction

– Fixed-angle screws have preset trajectories, as shown

Screw color code

Variable-angle

Violet 4.0 mm

Blue 4.5 mm

Brown 4.0 mm

Medium green 4.5 mm

Fixed-angle

Self-drilling screws shown; same color code applies to self-tapping screws.

Self-drilling

Self-tapping

AO Principles

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation.1 They are:

– Anatomic reduction

– Stable fixation

– Preservation of blood supply

– Early, active mobilization

The fundamental aims of fracture treatment in the limbs and fusion of the spine are the same. A specific goal in the spine is returning as much function as possible to the injured neural elements.2


1. M.E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger: Manual of InternalFixation, 3rd Edition. Berlin: Springer-Verlag. 1991.

2. Ibid. 3. M. Aebi, J.S. Thalgott, and J.K. Webb. AO ASIF Principles in Spine Surgery.

Berlin: Springer-Verlag. 1998.

AO Principles as Applied to the Spine3

Anatomic alignmentIn the spine, this means reestablishing and maintaining thenatural curvature and protective function of the spine. By re-gaining this natural anatomy, the biomechanics of the spinecan be improved, and a reduction of pain can be experienced.

Stable internal fixationIn the spine, the goal of internal fixation is to maintain notonly the integrity of a mobile segment, but also maintain thebalance and the physiologic three-dimensional form of thespine.3 A stable spinal segment allows bony fusion at the junction of the lamina and pedicle.

Preservation of blood supplyThe proper atraumatic technique enables minimal retractionor disturbance of the nerve roots and dura, and maintains thestability of the facet joints. The ideal surgical technique andimplant design minimize damage to anatomical structures, i.e.facet capsules and soft tissue attachments remain intact, andcreate a physiological environment that facilitates healing.

Early, active mobilizationThe ability to restore normal spinal anatomy may permit theimmediate reduction of pain, resulting in a more active, func-tional patient. The reduction in pain and improved functioncan result when a stable spine is achieved.

Indications

The Vectra and Vectra-T Systems are intended for anteriorplate and screw fixation of the cervical spine (C2–C7) for thefollowing indications:

– Degenerative disc disease (DDD) (defined as neck pain ofdiscogenic origin with degeneration of the disc confirmedby history and radiographic studies)

– Spondylolisthesis

– Spinal stenosis

– Tumors (primary and metastatic)

– Failed previous fusions

– Pseudarthrosis

– Deformity (i.e., kyphosis, lordosis and/or scoliosis)

The Vectra-One system is intended for anterior plate andscrew fixation of the cervical spine (C2–C7) for the followingindications:

– Degenerative disc disease (DDD) (defined as neck pain ofdiscogenic origin with degeneration of the disc confirmedby history and radiographic studies)

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ContraindicationsCertain degenerative diseases or underlying physiological con-ditions such as diabetes or rheumatoid arthritis may alter thehealing process, thereby increasing the risk of implant breakage.

Mental or physical impairment, which compromises or preventsthe patient’s ability to comply with necessary limitations or pre-cautions, may place that patient at a particular risk during post-operative rehabilitation.

Factors such as the patient’s weight, activity level, and adher-ence to weight-bearing or load-bearing instructions have aneffect on the stresses to which the implant is subjected.

Contraindications for the use of Synthes Vectra Systems in-clude active systemic infection or infection localized to thesite of the proposed implantation. Any entity or conditionthat totally precludes the possibility of fusion, i.e., cancer,kidney dialysis, or osteopenia are relative contraindications.Other relative contraindications include obesity and foreignbody sensitivity. In addition, the patient’s activity level ormental capacity may be relative contraindications to this surgery.

Warnings/precautionsThese devices are not approved for screw attachment or fixation to the posterior elements (pedicles) of the cervical,thoracic, or lumbar spine.

Preparation

1Preparation

Required set for Vectra

01.613.001 Vectra Instrument and Titanium Implant Set

Required set for Vectra-T

01.613.200 Vectra-T Instrument and Titanium Implant Set

Required sets for Vectra-One

01.613.150 Vectra-One Plate Setand01.613.001 Vectra Instrument and Titanium Implant Setor01.613.200 Vectra-T Instrument and Titanium Implant Set


2Preoperative planning

All necessary imaging studies should be available to plan cervical plate and screw placement and accommodate varying patient anatomy.

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4Approach

Make a standard approach, to appropriately expose the cervical levels to be surgically treated.

3Position patient

Patient positioning is critical for cervical fusion procedures.The patient should be placed on the operating table in asupine position with the patient’s head securely immobilized.Confirm proper patient position by direct visualization beforedraping, and by radiograph. Always use caution when positioning the patient, as physiological alignment may not be attainable.

5Select and insert graft

Instrument

324.06* Calipers

Following the approach and decompression, insert the appropriately sized graft.

Note: For recommended grafting technique, refer to the Synthes ACF Spacer Technique Guide.

*Also available


Implant Selection

1Select plate

Instrument

03.600.004 Cervical Plate Bender

Select a plate with appropriate hole spacing.

After plate length has been determined, ensure that theprelordosed plate fits the anatomy. The plate contour can beadjusted using the cervical plate bender at the bend groovesof the plate.

Caution:Repeated bending may weaken the plate.

Do not bend the plate at the holes.

Vectra-T: Bending the shortest 1- and 2-level Vectra-Tplates (450.551, 450.552, 450.561, 450.562 and 450.563)may impede the trans lational mechanism and is not recom-mended. These plates are made with additional lordosis.

Vectra-One: Bending the shortest Vectra-One plates(04.613.150 and 04.613.152) is not recommended.

Increase lordotic bend Decrease lordotic bend

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2Secure with temporary fixation pins

Instruments

324.101 Temporary Fixation Pin

324.105 Insertion Screwdriver, self-retaining

352.312* Holding Sleeve, for Temporary Fixation Pin

When the plate is positioned appropriately, secure it with atemporary fixation pin, using the insertion screwdriver and, if needed, the additionally available holding sleeve.

All 3- and 4-level Vectra-T plates are designed with a recom-mended cranial end–the end with the elongated holes.

With the Vectra-T System, a stable discectomy-corpectomycombination can be achieved by allowing a corpectomy tobe done on the cranial end and the discectomy to be doneat the caudal end.

Note: If the discectomy is done above the corpectomy, turnthe plate around for optimal fixation.

Alternative techniques

a. Using extraction screwdriver


352.311 Extraction Screwdriver

To insert the temporary fixation pin, use the extractionscrewdriver threaded into the top of the pin.

b. Using temporary fixation pin driver

03.600.104* Temporary Fixation Pin Driver

03.613.026* Temporary Fixation Pin

After the plate is placed in the appropriate position, secure it with the alternative temporary fixation pin inserted using the temporary fixation pin driver.

*Also available03.613.026

03.600.104

324.101

324.105

Cranial End

Caudal End

352.311

Option 1: Awl and Self-drilling Screws (Variable-angle)


3Break cortex

Instrument

324.111 Awl, for self-retaining screws

Insert the awl into the screw hole at the desired screw angle.Push down and twist awl handle. Remove the awl by pullingstraight up. Do not angle or lever the awl to either side.

4Insert variable-angle screw

Instrument


Load the appropriate length variable-angle self-drilling screwonto the insertion screwdriver. Advance the screw until thehead of the screw is fully seated in the plate and the plate islagged to the bone.

Notes: Vectra-T: Only variable-angle screws are recommended inthe elongated holes of 3- and 4-level plates. The screwheadgeometry of fixed-angle screws may impede translation.

Any screw may be placed in the round screw holes .

The total amount of translation can be customized (e.g., fora corpectomy) by removing carriage spacers and moving thecarriages within the allowable range before screw placement.

The carriage on the cranial end (for 3- and 4- level platesonly) can translate 3 mm while all other carriages can trans-late 2 mm.

Intermediate elongated holes allow screws to translate up to 2 mm.

Vectra-One: Ensure that the pyramidal teeth are fully seatedwithin the bone.

Option 2: Drill Guide and Self-tapping Screws (Variable-angle/Fixed-angle)

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Option 2Steps 1 and 2 (see pages 10 and 11)

3Select drill guide

Instruments

03.600.002 Single Barrel Drill Guide, fixed angle

03.600.003 Single Barrel Drill Guide, variable angle

Choose either the fixed- or variable-angle single-barrel drillguide. Color bands on the drill guides correspond to thecolor of the screws associated with each guide.

Notes: Insert the tip of the drill guide at an angle, as shown,and rotate the instrument forward until the tip is engaged.The tip of the drill guide snaps into the clip in the plate hole.

The awl may be used with either the fixed- or variable-anglesingle-barrel drill guide to break the cortex.

03.600.002

4.0 mm 4.5 mm 4.0 mm 4.5 mm

03.600.003

5 Vectra-T only: Remove carriage spacersOnce the Vectra-T construct is complete, use forceps to remove the carriage spacers.

Note: All carriage spacers must be removed after screw insertion.

The plate is now free to translate.

Option 2: Drill Guide and Self-tapping Screws (Variable-angle/Fixed-angle) continued


4Drill pilot hole

Instruments

324.107 Quick Coupling Handle

324.153– 2.5 mm Drill Bits with stop324.157 14 mm–18 mm

Insert the drill guide by rocking it into the screw hole. Usethe appropriate length drill bit with stop and quick couplinghandle to drill the pilot hole for the screw. The depth stopwill contact the drill guide to limit drilling depth.

5Remove drill guide

Remove the drill guide by pulling straight up to disengage itfrom the clip. Do not angle or lever the guide to either side.

6Insert screw

Instrument

324.105 Insertion Screwdriver

Optional instruments

311.402* Tap, for 4.0 mm Cancellous Bone Screw

311.404* Tap, for 4.5 mm Cancellous Bone Screw

7Vectra-T only: Remove carriage spacersOnce the Vectra-T construct is complete, use forceps to remove the carriage spacers.

Note: All carriage spacers must be removed after screw insertion.


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6Insert screw continued

Load the appropriate length variable-angle or fixed-angleself-tapping screw onto the insertion screwdriver. Advancethe screw until the head of the screw is fully seated in theplate and the plate is lagged to the bone.



The total amount of translation can be customized (e.g., for a corpectomy) by removing carriage spacers and moving the carriages within the allowable range before screwplacement.




*Also available

Option 3: DTS Guide and Self-tapping and Self-drilling Screws


Steps 1 and 2 (See pages 10 and 11)

3Insert drill, tap and screw (DTS) guide, with post

Instrument

03.613.001 Drill, Tap and Screw Guide, with post (single barrel)

Use the DTS guide in the small post holes for fixed-anglescrews, or in the diamond window for variable-angle screws.

DTS guide post holes indicate the end of the elongated holewhere screws must be inserted for translation (Vectra-T only).

Note: The awl may be used with the DTS guide to break thecortex.

Caution: The DTS guide may only be used for soft tissueprotection. If the DTS guide is used for tissue retraction, theDTS guide may break and could potentially harm the patient.

Alternative for Vectra-One

Instrument

03.613.025 Plate-Holding Drill, Tap and Screw (DTS)Guide, Vectra-One

Plate-holding drill, tap and screw (DTS) guide (for variable-angle screws only)The Vectra plate-holding DTS guide holds the plate asshown. Two DTS tubes allow preset angulations at +12º and0º. Use 0º for middle holes on the 2-level plates.

Note: Do not place fixed-angle screws with this plate-holdingDTS guide. For fixed-angle screws use: – Fixed-angle Single Barrel Drill Guide [03.600.002]– DTS Guide [03.613.001]– Plate-Holding Drill Guide [03.600.006*]

*Also available

12º 0º

4Drill

Instruments


324.153– 2.5 mm Drill Bits with stop324.157 14 mm–18 mm

Optional instruments

311.402* Tap, for 4.0 mm Cancellous Bone Screws

311.404* Tap, for 4.5 mm Cancellous Bone Screws

324.111 Awl, for self-retaining cervical screws

Insert the appropriate length drill bit through the barrel ofthe DTS guide and drill the hole. The depth stop will contactthe DTS guide to limit drilling depth.

Alternative: Insert the awl through the barrel of the DTSguide, pushing down while twisting the awl handle.

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*Also available

Option 3: DTS Guide and Self-tapping and Self-drilling Screws continued

4Drill continued

Alternative for Vectra-One

Instrument

03.613.025 Plate-Holding Drill, Tap and Screw (DTS)Guide, Vectra-One

Use the plate-holding DTS guide to hold the appropriate sizeplate. Use the appropriate length drill bit with stop and quickcoupling handle to drill the pilot hole for the screw. Thedepth stop will contact the guide to limit drilling depth.


Synthes Spine 19

5Insert screw

Instruments

03.613.001 Drill, Tap and Screw Guide, with post, (single barrel)


Insert the appropriate length screw through the barrel of the DTS guide and advance it until the screwhead almost engages the plate (as indicated by the groove on the screw-driver shaft lining up with the top of the DTS guide). Retractthe DTS guide by pulling it along the screwdriver shaft, justbefore the screw seats in the plate hole, to visually confirmthat the screw is seating. Advance the screw until it lags theplate to the bone.



The total amount of translation can be customized (e.g., fora corpectomy) by removing carriage spacers and moving thecarriages within the allowable range before screw placement.




Option 3: DTS Guide and Self-tapping and Self-drilling Screws continued


6Vectra-T only: Remove carriage spacersOnce the Vectra-T construct is complete, use forceps to remove the carriage spacers.

Note: All carriage spacers must be removed after screwinsertion.


Implant Removal

1Screwhead cleaning

Instrument

324.071 Screw Head Cleaning Tool

If access to the screwhead is blocked by tissue, use thescrewhead cleaning tool to clean out material. Insert the tool into the screwhead and twist the handle back and forth until material is removed.

2Screw removal

Instrument


To remove the screw, the extraction screwdriver must beused. Insert the driver shaft into the screwhead recess.Thread the inner shaft into the mating thread of the screwby turning the inner shaft knob clockwise until fully tight-ened.

Caution: If the inner shaft knob is not fully tightened to thehandle, breakage of the driver may occur and could poten-tially harm the patient.

Advance the sleeve downward to contact the upper surfaceof the plate by turning the sleeve clockwise. While holdingthe sleeve, turn the handle counterclockwise to extract thescrew.

Note: After two screw removals from one hole of the plate,the plate must be replaced.

Caution: The extraction screw driver should only be used forscrew removal; use of the extraction screwdriver for screw insertion may lead to driver and/or implant breakage.

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1 2

3 4

Instruments


03.600.002 Single Barrel Drill Guide, fixed angle

03.600.003 Single Barrel Drill Guide, variable angle

03.600.004 Cervical Plate Bender

03.613.025 Plate-holding Drill, Tap and Screw Guide, Vectra-One

03.613.026 Temporary Fixation Pin

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324.071 Screw Head Cleaning Tool



03.600.104 Temporary Fixation Pin Driver, for 03.613.026

Instruments continued


2.5 mm Drill Bits with stop324.153 14 mm324.155 16 mm324.157 18 mm


324.107 Quick Coupling Handle, with swivel cap

324.111 Awl, for self-retaining cervical screws


Vectra Instrument and Titanium Implant Set (01.613.001)

Synthes Spine 25

The Vectra Instrument and Titanium Implant Set (01.613.001)consists of:01.613.003 Vectra Instrument Set 01.613.004 Titanium Vectra Plate Set01.613.005 Titanium Vectra Screw Set 690.827 Instruction Label, for Extraction Screwdriver

Vectra Instrument Set (01.613.003)

Graphic Case 690.160 Graphic Case, for Vectra Instrument and

Titanium Implant Set

Instruments 03.600.002 Single Barrel Drill Guide, fixed angle 03.600.003 Single Barrel Drill Guide, variable angle03.613.001 Drill, Tap and Screw Guide, with post

(single barrel)324.071 Screw Head Cleaning Tool 324.101 Temporary Fixation Pin, 3 ea. 324.105 Insertion Screwdriver, self-retaining, 2 ea.324.107 Quick Coupling Handle, with swivel cap324.111 Awl, for self-retaining cervical screws 324.153 2.5 mm Drill Bit with stop, 14 mm, 2 ea.324.155 2.5 mm Drill Bit with stop, 16 mm, 2 ea.324.157 2.5 mm Drill Bit with stop, 18 mm, 2 ea.352.311 Extraction Screwdriver387.684 Universal Plate Bender

For additional information, please refer to the package insert.

Three-Level Titanium Vectra Plates 04.613.245 45 54 104.613.248 48 57 104.613.251 51 60 104.613.254 54 63 104.613.257 57 66 104.613.260 60 69 104.613.263 63 72 104.613.266 66 75 104.613.269 69 78 1

Four-Level Titanium Vectra PlatesModule 1 04.613.360 60 69 104.613.364 64 73 104.613.368 68 77 104.613.372 72 81 104.613.376 76 85 1

Four-Level Titanium Vectra Plates

Module 204.613.380 80 89 104.613.384 84 93 104.613.388 88 97 104.613.392 92 101 104.613.396 96 105 104.613.400 100 109 1

Vectra Instrument and Titanium Implant Set (01.613.001) continued


Titanium Vectra Plate Set (01.613.004)

Modules304.966 Module, for 4-level Titanium Vectra Plates,

60 mm–76 mm304.967 Module, for 4-level Titanium Vectra Plates,

80 mm–100 mm304.968 Module, for 3-level Titanium Vectra Plates304.969 Module, for 1- and 2-level Titanium Vectra

Plates

Implants

One-Level Titanium Vectra Plates04.613.012 12 21 104.613.014 14 23 104.613.016 16 25 204.613.018 18 27 204.613.020 20 29 104.613.022 22 31 104.613.024 24 33 104.613.026 26 35 1

Two-Level Titanium Vectra Plates04.613.126 26 35 104.613.128 28 37 104.613.130 30 39 104.613.132 32 41 204.613.134 34 43 204.613.136 36 45 2 04.613.138 38 47 1 04.613.140 40 49 104.613.142 42 51 104.613.144 44 53 104.613.146 46 55 1

Hole pair Totallength length(mm) (mm) Qty.

Hole pair Totallength length(mm) (mm) Qty.

Synthes Spine 27

Titanium Vectra Screw Set (01.613.005)304.986 Module, for Titanium Vectra Screws

Titanium Variable-angle Screws4.0 mm Cervical Self-Retaining Screws, self-drilling

Length(mm) Qty.

04.613.514 14 1204.613.516 16 1204.613.518 18 6

4.0 mm Cervical Self-Retaining Screws, self-tappingLength(mm) Qty.

04.613.614 14 1204.613.616 16 1204.613.618 18 6

4.5 mm Cervical Self-Retaining Screws, self-drillingLength(mm) Qty.

04.613.564 14 1204.613.566 16 1204.613.568 18 6

4.5 mm Cervical Self-Retaining Screws, self-tappingL ength(mm) Qty.

04.613.664 14 1204.613.666 16 1204.613.668 18 6

Titanium Fixed-angle Screws4.0 mm Cervical Self-Retaining Screws, self-drilling

Length(mm) Qty.

04.613.714 14 12

04.613.716 16 1204.613.718 18 6


04.613.814 14 1204.613.816 16 1204.613.818 18 6

4.5 mm Cervical Self-Retaining Screws, self-drillingLength(mm) Qty.

04.613.764 14 1204.613.766 16 1204.613.768 18 6


04.613.864 14 1204.613.866 16 12 04.613.868 18 6


The Vectra-T Instrument and Titanium Implant Set (01.613.200)consists of:01.613.203 Vectra-T Instrument Set 01.613.204 Titanium Vectra-T Plate Set01.613.005 Titanium Vectra Screw Set690.827 Instruction Label, for Extraction Screwdriver

Vectra-T Instrument Set (01.613.203)

Graphic Cases60.613.200 Graphic Case, for Vectra-T Instrument and

Titanium Implant Set 690.812 Label Sheet, for Titanium Vectra Screws690.860 Label Sheet, for Titanium Vectra Screws

Instruments03.600.002 Single Barrel Drill Guide, fixed angle 03.600.003 Single Barrel Drill Guide, variable angle 03.600.004 Cervical Plate Bender03.613.001 Drill, Tap and Screw Guide, with post,

(single barrel)324.071 Screw Head Cleaning Tool 324.101 Temporary Fixation Pin, 3 ea.324.105 Insertion Screwdriver, self-retaining, 2 ea.324.107 Quick Coupling Handle, with swivel cap324.111 Awl, for self-retaining cervical screws 324.153 2.5 mm Drill Bit with Stop, 14 mm, 2 ea.324.155 2.5 mm Drill Bit with Stop, 16 mm, 2 ea.324.157 2.5 mm Drill Bit with Stop, 18 mm, 2 ea.352.311 Extraction Screwdriver

Note: For Titanium Vectra Screw Set (01.613.005), see page 27



Vectra-T Instrument and Titanium Implant Set (01.613.200)

Synthes Spine 29

Titanium Vectra-T Plate Set (01.613.204)

Modules306.981 Module, for Titanium Vectra-T Plates, 4 level,

60 mm–76 mm306.982 Module, for Titanium Vectra-T Plates, 4 level,

80 mm–100 mm306.983 Module, for Titanium Vectra-T Plates, 1 and

2 levels306.984 Module, for Titanium Vectra-T Plates, 3 level

Implants

One-Level Titanium Vectra-T Plates450.551 14 23 1450.552 16 25 2450.553 18 27 2450.554 20 29 1450.555 22 31 1450.556 24 33 1450.557 26 35 1

Two-Level Titanium Vectra-T Plates450.561 28 37 1450.562 30 39 1450.563 32 41 2450.564 34 43 2450.565 36 45 2450.566 38 47 1450.567 40 49 1450.568 42 51 1450.569 44 53 1450.570 46 55 1

Three-Level Titanium Vectra-T Plates 450.571 45 54 1450.572 48 57 1450.573 51 60 1450.574 54 63 1450.575 57 66 1450.576 60 69 1450.577 63 72 1450.578 66 75 1450.579 69 78 1

Four-Level Titanium Vectra-T PlatesModule 1 450.581 60 69 1450.582 64 73 1450.583 68 77 1450.584 72 81 1450.585 76 85 1

Four-Level Titanium Vectra-T Plates

Module 2450.586 80 89 1450.587 84 93 1450.588 88 97 1450.589 92 101 1450.590 96 105 1450.591 100 109 1

Hole pair Totallength length(mm) (mm) Qty .

Hole pair Totallength length(mm) (mm) Qty .

Vectra-One Instrument and Titanium Implant Set (01.613.151)


Module 60.613.150 Module, for Titanium Vectra-One Plates

Instrument03.613.025 Plate-Holding Drill, Tap and Screw Guide,

Vectra-One

ImplantsHole pair Total

One-Level Titanium length lengthVectra-One Plates (mm) (mm) Qty.04.613.150 10 19 1 04.613.152 12 21 1 04.613.154 14 23 2 04.613.156 16 25 2 04.613.158 18 27 2 04.613.160 20 29 104.613.162 22 31 104.613.164 24 33 1

Two-Level Titanium

Vectra-One Plates04.613.176 26 35 104.613.178 28 37 104.613.180 30 39 104.613.182 32 41 104.613.184 34 43 104.613.186 36 45 104.613.188 38 47 104.613.190 40 49 1

For compatible screws, see page 32.For additional information, please refer to the package insert.

Synthes Spine 31

Also Available for Vectra, Vectra-T and Vectra-One

60.613.301 Expanded Graphic Case, for Vectra and Vectra-T (holds Instrument tray and 18 modules)

60.613.321 Module, for Titanium Vectra Screws 22 mmand 24 mm

03.600.104 Temporary Fixation Pin Driver 03.613.020 Outer Sleeve, for Awl, non-engaging03.613.021 Insertion Screwdriver, self-retaining, short03.613.026 Temporary Fixation Pin 311.402 Tap for 4.0 mm Cancellous Bone Screws311.404 Tap for 4.5 mm Cancellous Bone Screws324.06 Caliper350.261– Templates, for Anterior Cervical Locking and 350.351 Compression Plates352.312 Holding Sleeve, for Temporary Fixation Pin690.812 Label Sheet, for Titanium Vectra Screws

(part numbers) (for Vectra System only)690.827 Instruction Label, for Extraction Screwdriver690.860 Label Sheet, for Titanium Vectra Screws

(for Vectra System only)03.613.004 Inner Shaft, for Extraction Screwdriver Drill Bits and Stop

2.5 mm Drill Bits with stop324.151 12 mm324.152 13 mm324.154 15 mm324.156 17 mm324.158 19 mm324.159 20 mm

2.5 mm Drill Bits with stop, short03.613.112 12 mm03.613.113 13 mm03.613.114 14 mm03.613.115 15 mm03.613.116 16 mm03.613.117 17 mm03.613.118 18 mm03.613.119 19 mm03.613.120 20 mm

3.0 mm Drill Bits with stop324.141** 12 mm324.142** 13 mm324.143 14 mm324.144** 15 mm324.145 16 mm324.146** 17 mm324.147** 18 mm324.148** 19 mm324.149** 20 mm

03.613.011 2.5 mm Drill Bit, graduated 12 mm–26 mmadjustable depth

03.613.012 Adjustable Drill Stop

Guides03.600.006 Plate Holding Drill Guide, single barrel,

fixed angle03.613.002 Drill, Tap and Screw Guide

(without post, single barrel)03.613.003 Drill, Tap and Screw Guide, with handle,

single barrel03.613.022 Drill, Tap and Screw Guide, double

barrel, Vectra03.613.023 Drill, Tap and Screw Guide, double

barrel, Vectra-T03.614.002 Compression Drill Guide

** Available while supplies last.

Also Available for Vectra, Vectra-T and Vectra-One continued


Titanium Variable-angle Screws 4.0 mm Cervical Self-Retaining Screws, self-drilling

04.613.512 12 mm04.613.513 13 mm04.613.515 15 mm04.613.517 17 mm04.613.519 19 mm04.613.520 20 mm

4.0 mm Cervical Self-Retaining Screws, self-tapping

04.613.612 12 mm04.613.613 13 mm04.613.615 15 mm04.613.617 17 mm04.613.619 19 mm04.613.620 20 mm

4.5 mm Cervical Self-Retaining Screws, self-drilling

04.613.562 12 mm04.613.563 13 mm04.613.565 15 mm04.613.567 17 mm04.613.569 19 mm04.613.570 20 mm


04.613.662 12 mm04.613.663 13 mm04.613.665 15 mm04.613.667 17 mm04.613.669 19 mm04.613.670 20 mm

4.0 mm Cervical Self-Retaining Cortex Screws,self-tapping

04.614.622 22 mm04.614.624 24 mm

4.5 mm Cervical Self-Retaining Cortex Screws,self-tapping

04.614.672 22 mm04.614.674 24 mm

Titanium Fixed-angle Screws 4.0 mm Cervical Self-Retaining Screws, self-drilling

04.613.712 12 mm04.613.713 13 mm04.613.715 15 mm04.613.717 17 mm04.613.719 19 mm04.613.720 20 mm


04.613.812 12 mm04.613.813 13 mm04.613.815 15 mm04.613.817 17 mm04.613.819 19 mm04.613.820 20 mm

4.5 mm Cervical Self-Retaining Screws, self-drilling

04.613.762 12 mm04.613.763 13 mm04.613.765 15 mm04.613.767 17 mm04.613.769 19 mm04.613.770 20 mm


04.613.862 12 mm04.613.863 13 mm04.613.865 15 mm04.613.867 17 mm04.613.869 19 mm04.613.870 20 mm

Titanium Vectra Plates04.613.012 Titanium Vectra Plate, 1 level, 12 mm

(21 mm total length)04.613.126 Titanium Vectra Plate, 2 level, 26 mm

(35 mm total length)04.613.239 Titanium Vectra Plate, 3 level, 39 mm

(48 mm total length)04..613.242 Titanium Vectra Plate, 3 level, 42 mm

(51 mm total length)

Synthes Spine1302 Wrights Lane EastWest Chester, PA 19380Telephone: (610) 719-5000To order: (800) 523-0322Fax: (610) 251-9056

Synthes (Canada) Ltd.2566 Meadowpine BoulevardMississauga, Ontario L5N 6P9Telephone: (905) 567-0440To order: (800) 668-1119Fax: (905) 567-3185

© 2010 Synthes, Inc. or its affiliates. All rights reserved. Vectra and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 2/10 J8275-A

www.synthes.com

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