surgical technique guide - zimmerbiomet.com · treatment and correction of traumatic and pathologic...
TRANSCRIPT
The following general Surgical Technique Guide is for illustrative purposes only. As with all surgical procedures, the technique used in each case will depend on the surgeon’s medical judgment as to the best treatment for each patient. Only those individuals with specialized training and experience in spinal surgery should attempt to use the Snowcap system. Detailed preoperative clinical and diagnostic evaluation followed by carefully executed surgical technique is required. Detailed preoperative planning is also essential. Refer to the Instructions For Use (IFU) for a complete list of prescribing information.
A low-profile plate with an efficient, secure locking mechanism that reduces retraction and the possibility of dysphagia, while preventing screw back-out.
2 BIOMET SPINE
16 mm
The Snowcap® Anterior Cervical Plate System is designed with smooth contours and flush-fitting locking caps engineered for ease of insertion and placement. Prescribed for the surgical treatment and correction of traumatic and pathologic conditions of the cervical spine, the Snowcap system consists of a wide range of titanium alloy plates, screws (fixed and variable, self-drilling and self-tapping) and locking caps with comprehensive instrumentation.
FEATURES •Lockingcapsystemthatpreventsscrewback-out.
•�1.9mmlow-profile,titaniumalloyplate.
•Largevisualizationwindowforoptimizedplateplacementandfusionverification.
•Pre-contouredplatesaccommodating1,�2,�3and4levels.
•Fixedandvariablescrewsinself-drillingandself-tappingdesignsallowforflexibilityinhybridplateconstructs.
•Simple,intuitiveinstrumentation.+8º+16º
0º
1.9mm
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 3
PREOPERATIVE PREPARATION •Reviewandinspectallinstrumentationandimplants
priortosterilization.
•Replaceoraddanynecessarycomponentsfortheplannedsurgery.
•Surgeonmustbefullyexperiencedwiththerequiredspinalfusiontechniques.
SURGICAL EXPOSURE •Positionanddrapethepatientintheusualfashion(Figure 1).
•Exposetheaffectedlevelsviaastandardanteriorcervicalapproach.
•Performanynecessaryboneandtissueremoval.
•Attheappropriatelevel,discectomyand/orcorpectomyarecompletedandbonegraftisplaced.
MAYO STAND
C-ARM MONITOR
C-ARM
Figure1
4 BIOMET SPINE
SITE PREPARATION
1.After preparing the intervertebral disc space, the trials are inserted to determine the size of the desired implant.
•Selectanappropriateplateandplaceagainsttheanteriorcervicalspinetodeterminethecorrectlengthandcontour.Ifadditionalplatecontouringisdesired,thecervical plate benderisused.
•Theremovableanvil mustbeattachedtotheplatebenderinthecorrectorientation.Thisallowsthesurgeontoeitherincreaseordecreaselordosisasneeded.
•Ifincreasingthelordosis(addingcurvaturetotheplate),inserttheanvilwith+LORDOSIStowardstheplate.Makesurethearrowontheanvilisinsertedtowardsthearrowontheplatebender.Thehammerisalsomovedsothe“+”istowardstheplatetobebent(Figure 2a).
•Todecreaselordosis(flattentheplate),rotatethehammerwiththe“-”towardstheplateandplacetheanvilwith-LORDOSISfacingupward.
•Thepostontheanvilisalwayspositionedintherearandisusedtoproperlyaligntheplatebetweenthehammerandanvil.Donotplacetheplateoverthepost(Figure 2b).
Note: Bend plates over graft window area. Avoid deforming plate screw holes. Caution: Multiple bends may fatigue the plate. Minimal bending is recommended.
2. •Theplate holdersecuresontotheplateandaidsinpositioning
duringplatesizeselection.
ANVIL
POST
HAMMER
Figure2a
Figure2b
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 5
PREPARING SCREW HOLES
3. •Temporaryfixation pinsareinsertedusingthetemporary pin inserter andscrewedintoposition.
•Forassembly,retracttheoutersleeveofthetemporarypininserterwhileinsertingtheshankofthetemporarypinintotheinserter,simultaneouslyaligningthehexdrives.
•Tolock,releasetheoutersleeveofthetemporarypininserter(Figure 3).
4. •Theshieldedvariableawlhasaspring-loadeddistaltipthat
canprotrudeupto10mm.
•Thetrajectoryofthevariableawlshouldbeinlinewiththedesiredscrewangle.
5. •Thefixedawlpenetrates8 mmindepthandisusedwiththe
fixeddrillguides(Figure 4).
Figure3
Figure4
LOCK UNLOCK
Self-drilling and self-tapping screws are available in the set. When using the self-tapping screws, the anterior cortex may be penetrated with either an awl or the drill. There are two awls available in the instrument tray, the shielded variable awl and the fixed awl.
6 BIOMET SPINE
Fixed Screws
End Holes�� �8°Medial8°Caudal/Cephalad
Middle Holes 8°Medial0°Caudal/Cephalad
Fixed screws follow the nominal trajectory ONLY.
Variable Screws
Range of Motion 16°ConeofAngulation
End Holes 0°�–�16°Medial0°�–�16°Caudal/Cephalad
Middle Holes 0°�–�16°Medial-8°to+8°Caudal/Cephalad
SCREW TRAJECTORIES
MEDIAL/LATERAL VIEW
8º
Nominal
0º 16º
CAUDAL/CEPHALAD VIEW
0º+8º -8º8º
Nominal Nominal
0º16º
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 7
6. •TheENDfixedangledrillguideisusedfordrillingthecaudaland
cephaladscrewholes.The“pistolgrip”opensandclosestheplateattachmentarm,whichgripstheplate’svisualizationwindow.Itcanonlybeseatedontheplateinoneorientation.TheENDfixedangledrillguidetrajectoryissetat8°caudal/cephaladand8°medial(Figure 5).
7. •TheMIDDLEfixedangledrillguideisusedfordrillingthe
middlescrewholesin2-,�3-�and4-levelplates.The“pistolgrip”opensandclosestheplateattachmentarm,whichgripstheplate’svisualizationwindow.Itcanbeseatedontheplateineitherorientation.TheMIDDLEfixedangleguidedrilltrajectoryissetat�0°caudal/cephaladand8°medial(Figure 6).
8. •A variable angle single barrel drill guideisusedwhenitis
necessarytovarythescrewangleateachhole.
•Thevariableangledrillguideallowsforindividualscrewtrajectorybutshouldbedirectednomorethan8°fromnominal.Thisdrillguidecanonlybeusedwiththedrillbits(Figure 7).
Note: The drill bits are universal for both the fixed drill guides and the variable drill guide.
Figure5
DRILLING FOR FIXED ANGLE SCREWS
DRILLING FOR VARIABLE ANGLE SCREWS
Figure6
Figure7
There are separate fixed angled, double barrel drill guides for either the END or the MIDDLE holes in the plate. The fixed drill guides can be used for holding the plate in position. The use of the fixed awl, drills and fixed tap can be completed through the fixed drill guides for placement of fixed or variable screws.
8 BIOMET SPINE
9. •Theinstrumenttraycontainstwotaps,oneforvariableanglescrewsandtheotherforfixedanglescrews.
•Thevariable tapwillnotpenetratebeyond10mm(Figure 8).
•Thefixed tap,whichfitsdownthefixeddrillguides,willnotpenetratebeyond11mm(Figure 9).
10. •Thesplit hex driverisusedtoinsertthescrewsthrough
theplateandintothevertebralbody.
•Thescrewisheldbyafrictionfitbetweenthehexdriverandthescrewhead(Figure 10).
•Insertthescrewintothepreviouslypreparedscrewhole.
•Advancethescrewfullyintotheplatealternatingproximally,distallyandcontralaterallyuntilallscrewshavebeenplaced.
•Confirmcorrectalignment,placementandtrajectoryofthescrewradiographically.
Tip: If the hex driver sticks in the screw head, gently “wiggle” to disengage.
Figure8 Figure9
Figure10
TAPPING
INSERTING SCREWS
The Snowcap® Anterior Cervical Plate System provides self-tapping and self-drilling screws, which can be used at the discretion of the surgeon.
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 9
11.Assemble the locking cap inserter.
•Selectthelockingcapinserter shaftandslidethelockingcap inserter sleeveovertheshaft(Figure 11).
12.Load the locking caps into the locking cap inserter.
•Slidethesleeveofthelockingcapinsertertowardsthehandletotheunlockposition.
•Openthelockingcapcaddytoexposethefirsttwolockingcaps(additionallockingcapscanbeexposedbyincrementallyslidingthecaddylid).
•Inserttipsoflockingcapinserterthroughthetwoholesinthelockingcap.
•Whilethetipsofthelockingcapinserterareengagedinthetwoholesofthelockingcap,slidetheinsertersleevedownwardsintothelockposition.
SECURING LOCKING CAPS INTO THE SNOWCAP ANTERIOR CERVICAL PLATE
Figure11
Both variable and fixed style screws are covered by the locking cap to prevent screw back-out. The locking cap is designed to lock into the plate, and fits flush with the plate surface.
Note: High angle locking caps are available if the standard locking cap does not fit over the screw head.
Precaution: Locking caps are for single insertion and must not be reused after locking into the plate assembly.
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Figure12a
Figure12b
Figure13
13.Secure the locking caps.
•Alignandinsertthetabsofthelockingcapwiththerectangularrecessaroundtheplatescrewholes(Figure 12a).
•Rotatethelockingcapclockwiseapproximately30°.�Thelockingcaptabswillrotatearoundtheplate’sscrewholeinanundercut(Figure 12b).
•Atactileclickmaybefeltasthetabsrideoverthelockingdetent,designedtolockthelockingcap,preventingmigration.
•Slidethelockingcapinsertersleeveupwardtowardsthehandletodisengagethelockingcapinserterfromthelockingcap.
•VisuallyconfirmthelockingcapsareintheirfinalsecurepositionbyverifyingthetwoholesinthelockingcapsarehorizontaltothelongitudinalaxisoftheSnowcap®AnteriorCervicalPlate.Additionally,confirmthelockingcaptabsareNOTvisible(Figure 13).
SECURING LOCKING CAPS INTO THE SNOWCAP® ANTERIOR CERVICAL PLATE (CONTINUED)
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 11
CLOSURE
REMOVING THE SNOWCAP® PLATE (IF NECESSARY)
1.Usingthelockingcapinserterorthelocking cap removal instrument,removethelockingcapsbyrotatingthemcounterclockwiseapproximately30°.
2.Thelockingcaptabswillrotatearoundtheplate’sscrewholeinanundercut.Atactileclickmaybefeltasthetabspassthelockingdetent.Whenusingthelockingcapremovalinstrument,cautionshouldbeobserved.Whenretrievingthelockingcapfromthewound,forcepsarerecommendedforcapretrieval.
3.Removethescrewsfromtheplateusingthesplit hex driver.
� 4.Onceallthelockingcapsandscrewshavebeenremoved,theSnowcapAnteriorCervicalPlatecanberemovedusingtheplate holder.
14. •Closewoundanddressintheusualfashion.
12 BIOMET SPINE
Plate Holder • 4434-0010
Cervical Plate Bender • 4404-1020 Plate Bender Anvil • 4434-0022
Variable, Single Barrel Drill Guide • 4434-0014
Fixed, End, Double Barrel Drill Guide • 4434-0020
Fixed, Middle, Double Barrel Drill Guide • 4434-0021
SNOWCAP® INSTRUMENTS
Plate Assembly Driver • 4404-1017
Locking Cap Slide Inserter • 4434-0002
Locking Cap Slide Inserter Shaft • 4434-0002-001
Locking Cap Slide Inserter Sleeve • 4434-0002-002
Locking Cap Removal Instrument • 4434-0003
Drill Handle, Manual • 4404-1007
Temporary Pin Inserter • 4404-1016
Variable Tap • 4404-1003
Split Hex Driver • 4434-0028
Fixed Awl • 4404-0013
Fixed Tap • 4404-0012
Shielded Variable Awl • 4434-0001
Drill Bit
10mm 4434-0210
12mm 4434-0212
14mm 4434-0214
16mm 4434-0216
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 13
1 Level Plates
Part # Length
4431-1018 18mm
4431-1020 20mm
4431-1022 22mm
4431-1024 24mm
4431-1026 26mm
4431-1028 28mm
4431-1030 30mm
Self-Drilling Screws — Fixed
Part # Diameter Length
4432-1410 4mm 10mm
4432-1412 4mm 12mm
4432-1414 4mm 14mm
4432-1416 4mm 16mm
Locking Cap
Part # Description Color
4433-2001 Standard Gold Locking Cap
4433-2106 High Angle Green Locking Cap 1.5mm
4433-2104 High Angle Grey Locking Cap 2.0mm
Self-Tapping Screws — Fixed
Part # Diameter Length
4432-2410 4mm 10mm
4432-2412 4mm 12mm
4432-2414 4mm 14mm
4432-2416 4mm 16mm
4432-2512 4.35mm 12mm
4432-2514 4.35mm 14mm
4432-2516 4.35mm 16mm
Self-Tapping Screws — Variable
Part # Diameter Length
4432-4410 4mm 10mm
4432-4412 4mm 12mm
4432-4414 4mm 14mm
4432-4416 4mm 16mm
4432-4512 4.35mm 12mm
4432-4514 4.35mm 14mm
4432-4516 4.35mm 16mm
Self-Drilling Screws — Variable
Part # Diameter Length
4432-3410 4mm 10mm
4432-3412 4mm 12mm
4432-3414 4mm 14mm
4432-3416 4mm 16mm
3 Level Plates
Part # Length
4431-3050* 50mm
4431-3053 53mm
4431-3056 56mm
4431-3059 59mm
4431-3062 62mm
4431-3065 65mm
4431-3068 68mm
4431-3071 71mm
4431-3074 74mm
4431-3077 77mm
2 Level Plates
Part # Length
4431-2032 32mm
4431-2034 34mm
4431-2036 36mm
4431-2038 38mm
4431-2041 41mm
4431-2044 44mm
4431-2047 47mm
4431-2050 50mm
4431-2053 53mm
4 Level Plates*
Part # Length
4431-4068 68mm
4431-4072 72mm
4431-4076 76mm
4431-4080 80mm
4431-4084 84mm
4431-4088 88mm
4431-4092 92mm
SELF- DRILLING
Screw length is measured from underside of plate to tip of screw (Bone Purchase)
SELF- TAPPING
SCR
EW L
ENG
TH
MEA
SUR
EMEN
T
* Special Order
SNOWCAP® MEASUREMENTS
Plates
Screws
• Plate Profile: 1.9mm• Plates are sized by the overall length• Screw hole distance is the overall plate length
minus 8mm
SCREW HOLE
DISTANCE
PLATE WIDTH 16 MM
PLATE LENGTH MEASUREMENT
14 BIOMET SPINE
IMPORTANT INFORMATION ON THE SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM
DEVICE DESCRIPTIONTheSnowcap®systemisaspinalintervertebralbodyfixationorthosis.TheSnowcapsystemismadeupofmetallicplatesfixedtotheanteriorcervicalspinewithscrews.Thedeviceconsistsofthefollowingmajorcomponentsandaccessories:anteriorcervicalplates,bonescrewsandlockingcaps,aswellasassociatedinstrumentsforsitepreparationandimplantinsertion,andsterilizationcases.
INDICATIONS FOR USETheSnowcapsystemisintendedforanteriorinterbodyfixationofthecervicalspine.Thesystemissuitableforusetoprovidetemporarystabilizationoftheanteriorspinewhileawaitingbonyfusion(healing)inskeletallymaturepatientswithdegenerativediscdisease(neckorradicularpainofdiscogenicorigindegenerationofthediscconfirmedbypatienthistoryandradiographicstudies),trauma(includingfractures),tumors,deformity(kyphosis,lordosisorscoliosis),orpseudoarthrosisand/orfailedpreviousfusionbetweenandincludingcervicallevelsC2andC7.
Warning:Thisdeviceisnotclearedforscrewattachmenttotheposteriorelements(pedicles)ofthecervical,thoracicorlumbarspine.
CONTRAINDICATIONSContraindicationsmayberelativeorabsolute.Thechoiceofaparticulardevicemustbecarefullyweighedagainstthepatient’soverallevaluation.Circumstanceslistedbelowmayreducethechanceofasuccessfuloutcome.Contraindicationsinclude,butarenotlimitedto:
•Allergytotitanium,orforeignbodysensitivity.Wherematerialsensitivityissuspected,appropriatetestsshouldbemadepriortoimplantation.
•Knownorsuspectedinfection/immunesystemincompetence.Acuteorchronicinfectiousdiseasesofanyetiologyorlocalization.
•Anyabnormalitypresentwhichaffectsthenormalprocessofboneremodelingincluding,butnotlimitedto,severeosteoporosisinvolvingthespine,boneabsorption,osteopenia,activeinfectionatthesiteorcertainmetabolicdisordersaffectingosteogenesis.
•MorbidObesity.Anoverweightorobesepatientcanproduceloadsonthespinalsystem,whichcanleadtofailureofthefixationofthedeviceorfailureofthedeviceitself.
•Anyneuromusculardeficitwhichplacesanunusuallyheavyloadonthedeviceduringthehealingperiod.
•OpenWounds.
•Pregnancy.
•Anyothermedicalorsurgicalconditionwhichwouldprecludethepotentialbenefitofspinalsurgery,suchasthepresenceofcongenitalabnormalities,elevationofsedimentationrateunexplainedbyotherdiseases,elevationofthewhitebloodcell(WBC)count,oramarkedleftshiftintheWBCdifferentialcount.
•Anycaserequiringthemixingofcomponentsfromothermanufacturers’systems.
•Anycaserequiringthemixtureofstainlesssteelwithtitaniumorstainlesssteelwithcobaltchromeimplantcomponents.
•Feverorleukocytosis.
•Signsoflocalinfectionorinflammation.
•Previoushistoryofinfection.
•Alcoholismorheavysmoking.
•Senility,mentalillnessorsubstanceabuse,ofaseveritythatthepatientmayignorecertainnecessarylimitationsandprecautionsintheuseoftheimplant,leadingtofailureorothercomplications.
•Anypatientunwillingtofollowpostoperativeinstructions.
•Inadequatetissuecoverageovertheoperativesite.
POSSIBLE COMPLICATIONSPossiblecomplicationsspecifictothedevicemayinclude:
•Earlyorlateimplantbending,breakage,failure,looseningormovement/migration.
•Bonefracture.
•Allergicreactiontoimplantmaterial.
•Othergeneralcomplicationsassociatedwithanyspinalsurgicalproceduremayinclude:Non-unionordelayedunion,pseudoarthrosis;pain;secondsurgery;bleeding;infection,earlyandlate;tissueornervedamage,includingduraltearsorotherneurologicalproblems;incisionalcomplications;scarformation;damagetobloodvesselsandcardiovascularsystemcompromise;changesinmentalstatus;damagetointernalorgansandconnectivetissue;complicationsduetotheuseofbonegrafting,includinggraftdonorsitecomplications;respiratoryproblems;reactionstoanesthesiaand/ordeath.
SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM SURGICAL TECHNIQUE GUIDE 15
WARNINGSAsuccessfulresultisnotalwaysachievedineverysurgicalcase.Thisfactisespeciallytrueinspinalsurgery,wheremanyextenuatingcircumstancesmaycompromisetheresults.
PRECAUTIONS •TheSnowcapimplantsareforsingleuseonly.Neverreuseany
implantevenifitappearsunmarkedorundamaged.Reuseoftheimplantcomponentsmayresultinreducedmechanicalperformance,malfunctionorfailureofthedevice.Anyimplantimplantedandthenremovedmustbediscarded.Useonlynewimplantsforeachcase.
•Theimplantationofanteriorcervicalspinalinstrumentationshouldbeperformedonlybyexperiencedspinalsurgeonswithspecifictrainingintheuseofsuchspinalsystems.Thisisatechnicallydemandingprocedurepresentingariskofseriousinjurytothepatient.
•Basedonthefatiguetestingresults,thephysician/surgeonmustconsiderthelevelsofimplantation,patientweight,patientactivitylevel,otherpatientconditions,etc.whichmayimpactontheperformanceofthesystem.
•Tohelpensureasuccessfulimplantation,properhandlingoftheimplantbeforeandduringtheoperationiscrucial.
•Preoperatively:Thesurgeonmustbefullyconversantwithallaspectsofthesurgicaltechniqueandknowtheindicationsandcontraindicationsofthistypeofimplant.Thesurgeonmusthaveacquaintedthemselvesbeforetheoperationwiththespecifictechniqueforinsertionoftheproduct,whichisavailablefromthemanufacturer.Aspartofthepreoperativeexamination,thesurgeonmustcheckthatnobiological,biomechanicalorotherfactorswillaffectthecorrectconductoftheoperationandthepostoperativeperiod.Anappropriaterangeofsizesmustbeavailableatthetimeoftheoperation.
•Explaintherisksassociatedwithneurosurgery,generalsurgery,orthopedicsurgeryandtheuseofgeneralanesthesiatothepatientbeforesurgery.Itisrecommendedthattheadvantagesanddisadvantagesofusingimplants,aswellasalternativetreatmentmethods,areexplainedtothepatient.
•Intraoperatively:Thecorrectselectionofthetypeandsizeofimplantappropriatetothepatientandthepositioningoftheimplantareextremelyimportant.
•Beforeuse,inspectallinstrumentationforpossibledamage,wearornon-function.Donotuseorprocessdamagedordefectiveinstruments.ContactyourlocalBIOMETSPINErepresentativeforrepairorreplacement.
•Theuseofaninstrumentfortasksotherthanthoseforwhichtheyareindicatedmayresultindamagedorbrokeninstrumentsandunpredictablesurgicaloutcomes.
•Donotapplyexcessiveforceorstress.Misusecandamageinstrumentsorimplants.
•TheSnowcapdevicehasnotbeentestedforsafetyandcompatibilityinthemagneticresonance(MR)environment.TheSnowcapdevicehasnotbeentestedforheatingormigrationintheMRenvironment.
•Mixingofdissimilarmetalscanaccelerateorinitiatethecorrosionprocess.TitaniumcomponentsmustNOTbeusedtogetherinbuildingaconstructthatinvolvesotherimplantmaterials.Titaniumandcobaltchromemaybeusedtogetherwithinthesameconstruct.
STERILIZATION •TheSnowcapsystemimplantsandinstrumentsaresupplied
non-sterileandmustbecleanedandsterilizedpriortouse.Therecommendedsterilizationprocessissteamautoclavesterilization,usingtheparameterslistedinthetablesbelow.
•UseofaFDA-clearedwrapisrecommendedtomaintainsterilitypriortouse.
WhereImmediateUseSteamSterilization(IUSS)isneeded,eachoftheSnowcapManualSurgicalInstrumentsmaybesterilizedindividuallyusingthefollowingsterilizationparameters.
TherecommendedsterilizationcycleshavebeenvalidatedtoassureaSterilityAssuranceLevel(SAL)ofatleast10-6.
Method Cycle Temperature Exposure Time Minimum Drying Time
Steam Prevacuum 132˚ C (270˚ F) 4 minutes 30 minutes
Steam Gravity 132˚ C (270˚ F) 30 minutes 40 minutes
Snowcap® System Instrument and Implant Sterilization Parameters
Method Cycle Temperature Exposure Time
Steam Prevacuum 132˚ C (270˚ F) 3 minutes
Snowcap® System Single Instrument IUSS Parameters
IMPORTANT INFORMATION ON THE SNOWCAP® ANTERIOR CERVICAL PLATE SYSTEM
PRODUCT COMPLAINTS — Communicate suspected deficiencies in product quality, identity, durability, reliability, safety, effectiveness and/or performance directly to BIOMET SPINE by email: [email protected] or phone: 866.956.7579. When filing a complaint, please provide the component name(s), part number(s), lot number(s), your name and address, the nature of the complaint, surgeon name and the date you became aware of the complaint. Sterilize and return all component(s) to your local BIOMET SPINE representative. Notify BIOMET SPINE immediately of an incident resulting in patient death or serious injury.
If further directions for use of this system are needed, contact BIOMET SPINE Customer Service by email: [email protected], phone: 866.378.4195 or fax: 303.443.7501.
At BIOMET, engineering excellence is our heritage and our passion. For over 25 years, through various divisions worldwide, we have applied the most advanced engineering and manufacturing technology to the development of highly durable systems for a wide variety of surgical applications.
To learn more about this product, contact your local BIOMET Sales Representative today.
Broomfield, CO • 800.447.3625www.biomet.com • LIT9900-46.08
©2014 BIOMET SPINE, LLC. All rights reserved. All trademarks are the property of BIOMET, Inc. or one of its subsidiaries, unless otherwise indicated. Rx Only.