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CMF Matrix

MatrixMANDIBLE Preformed Reconstruction Plates. Preshaped to the mandibular anatomy.

This publication is not intended for distribution in the USA.

Instruments and implantsapproved by the AO Foundation.

Surgical Technique

Image intensifier control

WarningThis description alone does not provide sufficient background for direct use of DePuy Synthes products. Instruction by a surgeon experienced in handling these products is highly recommended.

Processing, Reprocessing, Care and MaintenanceFor general guidelines, function control and dismantling of multi-part instruments, as well as processing guidelines for implants, please contact your local sales representative or refer to:http://emea.depuysynthes.com/hcp/reprocessing-care-maintenanceFor general information about reprocessing, care and maintenance of Synthes reusable devices, instrument trays and cases, as well as processing of Synthes non-sterile implants, please consult the Important Information leaflet (SE_023827) or refer to: http://emea.depuysynthes.com/hcp/reprocessing-care-maintenance

MatrixMANDIBLE Preformed Reconstruction Plates Surgical Technique DePuy Synthes 1

Table of Contents

Introduction MatrixMANDIBLE Preformed Reconstruction Plates. 2

AO Principles 4

Intended Use, Indications, Warnings, Precautions, 5 General Adverse Events, Device Specific Adverse Events, and MRI Information

Surgical Technique Surgical Technique 8

Optional Technique for Bone Resection 23

Product Information MatrixMANDIBLE Preformed Reconstruction Plates 25

Instruments for MatrixMANDIBLE Preformed 27 Reconstruction Plates

MatrixMANDIBLE Preformed Reconstruction Plates 30 Modules

MatrixMANDIBLE Reconstruction Screws 32

MatrixMANDIBLE Reconstruction Instruments 33

MatrixMANDIBLE Reconstruction for Use 34 with Sterile Implants

2 DePuy Synthes MatrixMANDIBLE Preformed Reconstruction Plates Surgical Technique

MatrixMANDIBLE preformed reconstruction plates are pres-haped to the anatomy of the mandible. Their shape was obtained by statistical analysis of data derived from more than 2000 CT scans, originating from various adult popula-tions*. Plates are available in three sizes: small, medium and large.

The combination of anatomic design and manufacturing pro-cesses allows reduction of stress in the plate compared to classical intraoperative bending of a flat plate. The minimal intraoperative bending that may be required preserves the optimal threaded hole shape, with no deformation of holes in the preformed sections. These features result in a plate which has an increased fatigue life compared to flat reconst-ruction plates, reducing the risk of premature plate failure.

Moreover, the preformed shape of the plates allows for tran-soral application, in combination with the transbuccal instru-mentation and/or 90° screwdriver.

In addition, the preshaped form of the MatrixMANDIBLE Preformed Reconstruction Plates can reduce time in the OR by reducing the number of bends required to completely contour the plate when compared to a flat reconstruction plate.

Features Benefits

MatrixMANDIBLE Preformed Reconstruction Plates. Preshaped to the mandibular anatomy.

Introduction

Features and Benefits

* Data on file at DePuy Synthes. Mechanical testing is not indicative of clinical outcomes.

– Preformed plates approximating the anatomy of the mandible

– Smooth continuous plate section through the body and angle

– Minimizes stress in the plate resulting in increased fatigue strength

– Reduces OR time – Limits hole deformation that results from

extensive bending – Offers the possibility for transoral application

– Sizes cover 2/3 of the mandible circumference, from ramus past the contralateral mental foramen

– Addresses the majority of tumor resections

– Preformed sizers approximating the anatomy of the mandible

– Facilitates the correct plate size selection

– Available in 3 sizes: small, medium, large (right/left in each size) with a thickness of 2.5 mm

– Addresses the anatomy of the majority of mandibles*

– Light blue color follows the MatrixMANDIBLE color-coding

– Facilitates identification of optimal screw diameter and instruments

– Threaded plate holes – Allows use of locking or nonlocking screws

– Designed for use with MatrixMANDIBLE screws and instruments

– Compatible with Condylar Head Add-on

– Integrates easily with the available systems

Introduction


Sizers – Used to determine the correct plate size – Hemimandibular anatomical shape with shorter ramus

than the corresponding plate – One sizer for each plate (6 total)

Bending templates – Three sizes: small, medium, large corresponding to the

plate sizes – One bending template for left and right plates in each size – Flattened representation of corresponding plate

Sizers and bending templates

No plate bendingNo plate cutting

* In this figure, colors are used only for the illustration of the plate regions and their corresponding areas on the sizers and bending templates.

Plate bending/cutting possible

Plate*

Sizer*

Bending Template*


AO Principles

In 1958, the AO formulated four basic principles, which have become the guidelines for internal fixation1. They are:

Anatomic reductionFracture reduction and fixation to restore anatomical rela-tionships. A comprehensive implant and instrument selection offers the ability to address most simple and complex fixa-tion needs.

Stable fixationStability by fixation or splintage, as the modality of the frac-ture and the injury requires. The MatrixMANDIBLE Plating System conical locking plate and locking screw technology are designed to achieve stable bone fixation.

Preservation of blood supplyPreservation of the blood supply to soft tissue and bone by careful handling. Instrumentation and smooth profiles and edges on implants minimize disruption of soft tissue and pre-serve vascular blood flow for bone healing.

Early, active mobilizationEarly, active mobilization of the part and patient. The MatrixMANDIBLE Plating System implants, combined with AO technique, provide stable fixation to allow a functional aftercare.

1 M. E. Müller, M. Allgöwer, R. Schneider, and H. Willenegger. Manualof Internal Fixation, 3rd Edition. Berlin: Springer-Verlag. 1991.


Mandibular Reconstruction Primary mandibular reconstructionafter resection

Temporary bridging after resectionuntil secondary reconstruction*

Mandibular Trauma Comminuted fractures of the mandible

Fractures of edentulous and atrophicmandibles

Unstable and/or infected mandibularfractures

Intended Use, Indications, Warnings, Precautions, General Adverse Events, Device Specific Adverse Events, and MRI Information

The DePuy Synthes MatrixMANDIBLE Preformed Reconstruc-tion Plates are specifically preformed plates intended for mandibular reconstruction with bone graft (vascularized or not), temporary bridging until secondary reconstruction, the treatment of the comminuted fractures of the mandible and the treatment of fractures in edentulous and atrophic mandi-bles, and unstable and/or infected mandibular fractures.

Intended Use

Indications

* Plate fracture is possible when any plate bears the entire functional load for extended periods. Therefore, the implantation of a bone graft immediately, or at a later date, is necessary to support the construct. J. Prein. Manual of Internal Fixation in the Cranio-Facial Skeleton. Berlin: Springer-Verlag 1998.


Intended Use, Indications, Warnings, Precautions, General Adverse Events, Device Specific Adverse Events, and MRI Information

– These devices can break during use (when subjected to excessive forces or outside the recommended surgical technique). While the surgeon must make the final deci-sion on removal of the broken part based on associated risk in doing so, we recommend that whenever possible and practical for the patient, the broken part should be removed.

– Instruments, screws, and cut plates may have sharp edges or moving joints that may pinch or tear the user’s glove or skin.

Precaution

Combination of medical devicesDePuy Synthes has not tested compatibility with devices provided by other manufacturers and assumes no liability in such instances.

General Adverse Events

As with all major surgical procedures, risks, side effects and adverse events can occur. While many possible reactions may occur, some of the most common include:Problems resulting from anesthesia and patient positioning (e.g. nausea, vomiting, neurological impairments, etc.), thrombosis, embolism, infection or injury of other critical structures including blood vessels, excessive bleeding, damage to soft tissues incl. swelling, abnormal scar formation, functional impairment of the musculoskeletal system, pain, discomfort or abnormal sensation due to the presence of the device, allergy or hyperreactions, side effects associated with hardware prominence, loosening, bending, or breakage of the device, mal-union, non-union or delayed union whichmay lead to breakage of the implant, reoperation.

Device specific adverse events include but are not limited to: – Loosening, bending, or breakage of the device – Non-union, mal-union or delayed union which may lead

to breakage of the implant – Pain, discomfort or abnormal sensation due to the pres-

ence of the device – – Infection, nerve and/or tooth root damage and pain – Soft tissue irritation, laceration or migration of the device

through the skin – Allergic reactions from material incompatibility – Glove tear or user puncture – Graft failure – Restricted or impaired bone growth – Possible transmission of bloodborne pathogens to the

user – Injury of patient – Soft tissue thermal damage – Bone necrosis – Parasthesia – Loss of tooth

Device Specific Adverse EventsWarnings


MRI Information

Magnetic Resonance Environment Torque, Displacement and Image Artifacts according to ASTM F2213-06, ASTM F2052-06e1 and ASTM F2119-07Non-clinical testing of worst case scenario in a 3 T MRI system did not reveal any relevant torque or displacement of the construct for an experimentally measured local spatial gradient of the magnetic field of 5.4 T/m. The largest image artifact extended approximately 31 mm from the construct when scanned using the Gradient Echo (GE). Testing was conducted on a 3 T MRI system.

Radio-Frequency-(RF-)induced heating according to ASTM F2182-11aNon-clinical electromagnetic and thermal simulations of worst case scenario lead to temperature rises of 13.7 °C (1.5 T) and 6.5 °C (3 T) under MRI Conditions using RF Coils (whole body averaged specific absorption rate (SAR) of 2 W/kg for 15 minutes).

Precautions: The above mentioned test relies on non-clini-cal testing. The actual temperature rise in the patient will depend on a variety of factors beyond the SAR and time of RF application. Thus, it is recommended to pay particular attention to the following points: – It is recommended to thoroughly monitor patients under-

going MR scanning for perceived temperature and/or pain sensations.

– Patients with impaired thermo regulation or temperature sensation should be excluded from MR scanning proce-dures.

– Generally it is recommended to use an MRI system with low field strength in the presence of conductive implants. The employed specific absorption rate (SAR) should be reduced as far as possible.

– Using the ventilation system may further contribute to reduce temperature increase in the body.


1Expose and reduce

Instruments

398.985 Reduction Forceps with Points, ratchet lock, length 180 mm


After completing the preoperative plan, expose the fracture or osteotomy site. For trauma, reduce the fragments anatomically.

2Determine the size of the preformed plate

Instruments

03.503.900– Sizers for MatrixMANDIBLE Preformed03.503.905 Reconstruction Plates

Place the sizer marked with “MEDIUM” on the mandible as though placing the plate, beginning at the chin region (men-tal foramen) and continuing through the body and the ramus. The sizer should be in contact with the mandible on both chin and body regions.

Note: Do not bend sizers.

Surgical Technique

Surgical Technique


One of three conditions may occur with respect to the relation between the ramus of the mandible and the cor-responding region of the sizer. Use the following guideline for proper implant selection.

If the posterior border of the vertical mandibular ramus and the corresponding region of the sizer are correctly aligned (Figure 1), use the medium plate and bending template.

If the vertical ramus portion of the sizer is posterior to the posterior border of the mandible (Figure 2), use the small plate and bending template. Use the “SMALL” sizer to con-firm the size.

Figure 2

Figure 1


If the posterior border of the ramus is posterior to the corresponding region of the sizer (Figure 3), use the LARGE plate and bending template. A precise fit can be reconfirmed with the LARGE sizer if deemed necessary.

The length of the plate can be slightly increased or de-creased by widening or narrowing the curvature in the chin region (Figure 4). The first 2–4 holes following the non-adaptable section of the plate will be most effective to adjust the length with minimal bending. See section 5 for bending instructions.

Note: If none of the plates fit and if adaption of the MatrixMANDIBLE Preformed Reconstruction Plate is not suit-able for the patient, then a MatrixMANDIBLE flat plate of 2.0 mm, 2.5 mm or 2.8 mm thickness, depending on the indication, should be used.

Figure 3

Figure 4

Surgical Technique


3Select, preform and form the bending template

Instruments

03.503.910– Bending Templates for MatrixMANDIBLE03.503.912 Preformed Reconstruction Plates

Select the bending template equivalent to the plate size determined in step 2.

Preform the bending template inside the preformed plate. Align the specific delimited regions (ramus, body) with the corresponding areas of the plate and press it against the in-ner surface of the plate. Press along the length of the plate, starting from the ramus.

Form the bending template by placing it on the mandible as when placing the plate, and press it against the bone surface.

Bending templates can be adjusted to the desired length if necessary, by cutting the unwanted simulated hole sections with a cutter.

Precautions: – Stable fixation requires a minimum of 3–4 screws in

both proximal (posterior) and distal (anterior) segments, depending on indication.

– When using the MatrixMANDIBLE Preformed Reconstruc-tion Plates as a temporary bridging device with 2.4 or 2.9 mm locking screws, allow for four screws per seg-ment. If limited bone length or poor bone quality exists, a minimum of three 2.9 mm locking screws should be used.


4Cut the plate

Instrument

03.503.057 Shortcut for MatrixMANDIBLE Plates, thickness 1.5 to 2.8, with Rasp, required in pairs

Plate holes can be cut using two short cut plate cutters.To avoid soft tissue damage, deburr the cut plate whenappropriate, using the manual deburring feature on thehandle of the cutter.

If necessary, cut the last holes of the posterior vertical por-tion of the plate to match the length of the ramus.

Reposition the plate on the mandible to determine the number of holes to be cut from the chin region, if any.

Cut the holes from the chin region, as determined.

Note: Plate cannot be cut in region indicated in red.

Surgical Technique


5Contour the plate

Instruments

03.503.056 Bending Pliers with Nose, for MatrixMANDIBLE Plates

03.503.077 Bending Iron for MatrixMANDIBLE Plates, Left

03.503.078 Bending Iron for MatrixMANDIBLE Plates, Right

Use the bending pliers with nose to perform in-plane and out-of-plane bending. For torsional bends use the bending irons. The bending irons can also be used to perform in-plane and out-of-plane bending.

If in-plane bending is required, complete the bend using the “IN-PLANE BENDING” feature of the bending pliers with nose, or the bending irons.

To make out-of-plane bends in the ramus portion of the plate, starting with the hole adjacent to the non-bendable plate sec-tion. Bend each hole section in consecutive order, as necessary.

Bend the chin area, starting at the hole adjacent to the non-bendable plate section. Bend each hole in consecutive order, as necessary. Flip the plate if the desired region of the plate does not fit in the “OUT-OF-PLANE BEND” feature of the instrument.

Precautions: – If the Condylar Head Add-On System will be used, the

last three holes in the region of the ramus should not be bent or restricted.

– Avoid reverse bends, repetitive bends, and sharp bends (sharp bends include a single out-of-plane bend between two adjacent holes of >30º). Reverse, repetitive, or sharp bends may weaken the plate and lead to premature plate failure.

Note: When using the MatrixMANDIBLE System Combina-tion Bender, follow the steps as shown on the instrument. The “LAST HOLE BEND” feature should only be used for bending the last hole of the plate.


Bend the chin area, starting at the hole adjacent to the non- bendable plate section. Bend each hole section in consecu-tive order, as necessary. Flip the plate if the desired region of the plate does not fit in the “OUT-OF-PLANE BEND” feature of the instrument.

Precaution: For extensive bending, bending screws may be used. Extensive bending includes bends that exceed 20 de-grees in torsion and “in-plane” bending, and 30 degrees for “out-of-plane” bending.

Notes: – Bending screws are made from biocompatible implant

grade material (Ti-6Al-7Nb). If bending insert becomes stuck in plate, the plate may be implanted with the insert.

– For out-of plane bends >30 ,̊ perform bend across multi-ple hole segments. This can be achieved by first using the “OUT-OF-PLANE BEND” features of the Combination Bender, then bending to the desired angle.

Precautions: – When bending out-of-plane in a single point (using the

“LAST HOLE BEND” feature of the bending pliers with nose or the bending irons) bend in a controlled manner. Do the bend in small increments. Do not excessively bend outwards in a single point, or plate breakage may occur. Distribute sharp bending over several holes whenever possible.

– Do not use threaded drill guides as benders.

Surgical Technique


6Position the plate

Instrument

398.660 Holding Forceps with Ball, ratchet lock, length 180 mm

Place the plate over the planned resection or fracture zone.

7Select the screws size

Determine the appropriate locking screw diameter (2.4 mm or 2.9 mm).

Precautions: – 2.0 mm diameter screws should only be used with the

MatrixMANDIBLE Preformed Reconstruction Plates if inserted into a bone graft, or if bone volume does not permit the placement of a larger screw.

– In accordance with AO technique, it is important not to insert screws into infected bone.


(1)

(2)

8Drill the first hole

Three drill guide options are available to meet surgeon preference: short threaded drill sleeve, double drill guide or transbuccal instruments.

Regardless of the option chosen, drill hole next to the frac-ture or osteotomy site in the proximal (posterior) segment (1). Then drill the hole closest to the fracture or osteotomy site in the distal (anterior) segment (2).

Precautions: – Drill speed rate should never exceed 1,800 rpm, parti-

cularly in dense, hard bone. Higher drill speed rates can result in: – thermal necrosis of the bone, – soft tissue burns, – an oversized hole, which can lead to reduced pullout

force, increased ease of the screws stripping in bone, suboptimal fixation, and/or the need for emergency screws.

– Avoid damaging the plate threads with the drill. – Always irrigate during drilling to avoid thermal damage to

the bone. – Irrigate and apply suction for removal of debris potentially

generated during implantation or removal. – Take care while drilling as to not damage, entrap, or tear a

patient’s soft tissue or damage critical structures. Be sure to keep drill clear of loose surgical materials.

– Handle devices with care and dispose worn bone cutting instruments in a sharps container.

Surgical Technique


Option 1 – Threaded drill sleeve, short

Instruments

03.503.044 Drill Sleeve 1.8, short, with thread, for MatrixMANDIBLE


03.503.461 Drill Bit B 1.8 mm, length 90 mm, for J-Latch Coupling*, for 03.503.044


If wide exposure is available, use the appropriate diameter short threaded drill sleeve. Rotate the drill sleeve clockwise to engage the threads into the plate.

Note: Drill sleeves are color coded to match the optimal screw size.

* Drill bits with mini quick coupling are also available.


Option 2 – Double drill guide

Instruments

312.180 Double Drill Guide 2.4/1.8



The double drill guide may be used when good visualization is available. If using a locking screw, align the drill guide perpendicular to the plate.

Option 3 – Cannula and obturator 2.0

Instruments

397.211 Universal Handle for Drill Sleeves

397.213 Cannula and Obturator 2.0

03.503.045 Drill Sleeve, long, for MatrixMANDIBLE

03.503.047 Drill Sleeve, long, with thread, for MatrixMANDIBLE

03.503.477 MatrixMANDIBLE Drill Bit B 1.8 mm, 2-flute, for J-Latch Coupling*, for No. 03.503.045 and No. 03.503.047

03.503.478 MatrixMANDIBLE Drill Bit B 2.4 mm, 2-flute, for J-Latch Coupling*, for No. 03.503.045 and No. 03.503.047

* Drill bits with mini quick coupling are also available.

Surgical Technique


After creating a stab incision pass the cannula with obturator carefully through the soft tissue, then remove the obturator. Pass the drill sleeve through the cannula and snap it in place. Position the tip of the cannula on plate, at the hole intended for the screw. If the drill sleeve with thread is used, rotate the drill sleeve clockwise to engage the threads in the plate. With the correct diameter calibrated drill bit, drill directly through the drill sleeve. When using the threaded drill sleeve, the depth of drilling can be determined by observing where the colored rings on the drills match the fixed surface on the drill sleeve, and correlating these to the chart in the trans-buccal module.

Precaution: To achieve optimal angular stability with locking screws, the hole must be drilled coaxially with the plate hole, or at a right angle to the plate.

Three different cheek retractor options are available for use with the cannula and obturator.

Optional Instruments

397.232 Cheek Retractor for MatrixMANDIBLE, U-shaped, flexible

397.420 Cheek Retractor 2.0, for No. 397.213

397.430 Cheek Retractor Ring 2.0, for No. 397.213

Note: Drill sleeves 03.503.045 and 03.503.047 together with the drill bits from the transbuccal module can also be used alone as longer alternatives for the short drill sleeves described in option 1.


9Determine the screw length

Instrument

03.503.036 Depth Gauge for MatrixMANDIBLE, measuring range from 6 to 40 mm

Determine the appropriate screw length using the depth gauge.

Note: If bicortical purchase is desired, choose a screw length 2 mm longer than previously established.

Surgical Technique


10Insert screws

Instruments

03.503.070 Screwdriver Shaft MatrixMANDIBLE, short, self-holding, for Hexagonal Coupling

03.503.071 Screwdriver Shaft MatrixMANDIBLE, medium, self-holding, for Hexagonal Coupling

03.503.072 Screwdriver Shaft MatrixMANDIBLE, long, self-holding, for Hexagonal Coupling

311.004 Screwdriver Handle, lockable, with Hexagonal Coupling

311.007 Handle, large, with Hexagonal Coupling

311.023 Ratcheting Screwdriver Handle, with Hexagonal Coupling

Insert the proper length screw through the plate into the first drilled hole. Tighten the screw until secured.

Precaution: For maximum stability, locking screws are recommended. Use nonlocking screws if a bone fragment has to be repositioned by pulling it against the plate, or if additional screw angulation is needed.

Notes: – If using the cannula 2.0 (as described in step 8, option 3),

remove the drill sleeve, then insert the self-holding screwdriver with the screw engaged on the blade.

– To engage the screw on the blade, align the blade over the cruciform recess and slowly rotate it counterclock-wise until the blade drops into the recess. Firmly press the blade to fully seat it into the screw. A half counter-clockwise rotation of the engaged screwdriver facilitates the screw removal from the screw holding clip.


11Drill and place the remaining screws

Drill the hole closest to the fracture or osteotomy site in the distal (anterior) segment after the first screw was placed.

Insert the second screw following the previously described procedure.

Insert all remaining screws alternating to each side of the mandible. Securely tighten all screws unless resection is to follow. Apply additional fixation as desired.

Surgical Technique


1Resect the mandible

Instruments







Once the plate is in place, remove the plate and screws, taking note of each screw’s placement. The screw caddy provided in the instrument tray can be used to store each screw according to its location within the plate.

Resect the mandible.

Optional Technique for Bone Resection


2Replace the implants

Place the plate back onto the mandible in its original position. Reinsert each predetermined screw. Check all screws to ensure a secure fit in the plate.

3Apply bone graft2

A vascularized or non-vascularized bone graft may be applied for a primary reconstruction.

The MatrixMANDIBLE Preformed Reconstruction Plate may bridge continuity defects without bone grafting temporarily, prior to a secondary reconstruction.*

* Plate fracture is possible when any plate bears the entire functional load for extended periods. Therefore, the implantation of a bone graft immediately, or at a later date, is necessary to support the construct.

2 J. Prein. Manual of Internal Fixation in the Cranio-Facial Skeleton. Berlin: Springer-Verlag 1998.

Optional Technique for Bone Resection


04.503.901 MatrixMANDIBLE Preformed Reconstruction Plate, Small, Left, Thickness 2.5 mm, Pure Titanium

04.503.902 MatrixMANDIBLE Preformed Reconstruction Plate, Medium, Right, Thickness 2.5 mm, Pure Titanium

04.503.903 MatrixMANDIBLE Preformed Reconstruction Plate, Medium, Left, Thickness 2.5 mm, Pure Titanium

2.5 mm thick (light blue)

04.503.900 MatrixMANDIBLE Preformed Reconstruction Plate, Small, Right, Thickness 2.5 mm, Pure Titanium

MatrixMANDIBLE Preformed Reconstruction Plates

Product Information


04.503.905 MatrixMANDIBLE Preformed Reconstruction Plate, Large, Left, Thickness 2.5 mm, Pure Titanium

04.503.904 MatrixMANDIBLE Preformed Reconstruction Plate, Large, Right, Thickness 2.5 mm, Pure Titanium

MatrixMANDIBLE Preformed Reconstruction Plates


03.503.901 Sizer for MatrixMANDIBLE Preformed Reconstruction Plate, Small, Left, 2.5 mm

03.503.900 Sizer for MatrixMANDIBLE Preformed Reconstruction Plate, Small, Right, 2.5 mm

Instruments for MatrixMANDIBLE Preformed Reconstruction Plates

03.503.902 Sizer for MatrixMANDIBLE Preformed Reconstruction Plate, Medium, Right, 2.5 mm

03.503.903 Sizer for MatrixMANDIBLE Preformed Reconstruction Plate, Medium, Left, 2.5 mm


03.503.905 Sizer for MatrixMANDIBLE Preformed Reconstruction Plate, Large, Left, 2.5 mm

03.503.904 Sizer for MatrixMANDIBLE Preformed Reconstruction Plate, Large, Right, 2.5 mm

Instruments for MatrixMANDIBLE Preformed Reconstruction Plates


03.503.912 Bending Template for MatrixMANDIBLE Preformed Reconstruction Plate, Large

03.503.910 Bending Template for MatrixMANDIBLE Preformed Reconstruction Plate, Small

03.503.911 Bending Template for MatrixMANDIBLE Preformed Reconstruction Plate, Medium


MatrixMANDIBLE Preformed Reconstruction Plates Modules

01.503.900 MatrixMANDIBLE Preformed Reconstruction Plates

61.503.900 Module MatrixMANDIBLE Preformed Reconstruction Plates, with Lid, without Contents

04.503.900 MatrixMANDIBLE Preformed Reconstruction Plate, Small, Right, Thickness 2.5 mm, Pure Titanium

04.503.901 MatrixMANDIBLE Preformed Reconstruction Plate, Small, Left, Thickness 2.5 mm, Pure Titanium

04.503.902 MatrixMANDIBLE Preformed Reconstruction Plate, Medium, Right, Thickness 2.5 mm, Pure Titanium

04.503.903 MatrixMANDIBLE Preformed Reconstruction Plate, Medium, Left, Thickness 2.5 mm, Pure Titanium

04.503.904 MatrixMANDIBLE Preformed Reconstruction Plate, Large, Right, Thickness 2.5 mm, Pure Titanium

04.503.905 MatrixMANDIBLE Preformed Reconstruction Plate, Large, Left, Thickness 2.5 mm, Pure Titanium










04.503.080 MatrixMANDIBLE Bending Screws


01.503.901 Instrument Set for MatrixMANDIBLE Preformed Reconstruction Plates

61.503.901 Instrument Tray MatrixMANDIBLE Preformed Reconstruction Plates, with Lid











Sterile implants

04.503.900S MatrixMANDIBLE Preformed Reconstruction Plate, small, right, thickness 2.5 mm, Pure Titanium, sterile

04.503.901S MatrixMANDIBLE Preformed Reconstruction Plate, small, left, thickness 2.5 mm, Pure Titanium, sterile

04.503.902S MatrixMANDIBLE Preformed Reconstruction Plate, medium, right, thickness 2.5 mm, Pure Titanium, sterile

04.503.903S MatrixMANDIBLE Preformed Reconstruction Plate, medium, left, thickness 2.5 mm, Pure Titanium, sterile

04.503.904S MatrixMANDIBLE Preformed Reconstruction Plate, large, right, thickness 2.5 mm, Pure Titanium, sterile

04.503.905S MatrixMANDIBLE Preformed Reconstruction Plate, large, left, thickness 2.5 mm, Pure Titanium, sterile


MatrixMANDIBLE Reconstruction Screws

01.503.836 MatrixMANDIBLE Reconstruction Screws

61.503.836 Module MatrixMANDIBLE Recon Screws, 3/3, with Lid

MatrixMANDIBLE Screws, B 2.4 mm, self-tapping, Ti Alloy (TAN), pack of 4 units in Clip*

Art. No. Length

04.503.435.04C 5 mm

04.503.436.04C 6 mm

04.503.438.04C 8 mm

04.503.440.04C 10 mm

04.503.442.04C 12 mm

04.503.444.04C 14 mm

04.503.446.04C 16 mm

04.503.448.04C 18 mm

MatrixMANDIBLE LOCK Screws B 2.4 mm, self-tapping, Ti Alloy (TAN), pack of 4 units in Clip*

Art. No. Length

04.503.638.04C 8 mm

04.503.640.04C 10 mm

04.503.642.04C 12 mm

04.503.644.04C 14 mm

04.503.646.04C 16 mm

04.503.648.04C 18 mm

MatrixMANDIBLE Emergency Screws, B 2.7 mm, self-tapping, Ti Alloy (TAN), pack of 1 unit in Clip

Art. No. Length

04.503.465.01C 5 mm

04.503.466.01C 6 mm

04.503.468.01C 8 mm

04.503.470.01C 10 mm

04.503.472.01C 12 mm

04.503.474.01C 14 mm

04.503.476.01C 16 mm

04.503.478.01C 18 mm

MatrixMANDIBLE LOCK Screws B 2.9 mm, self-tapping, Ti Alloy (TAN), pack of 4 units in Clip*

Art. No. Length

04.503.668.04C 8 mm

04.503.670.04C 10 mm

04.503.672.04C 12 mm

04.503.674.04C 14 mm

04.503.676.04C 16 mm

04.503.678.04C 18 mm

Drill Bits for J-Latch Coupling, Length 90 mm

Art. No. B For Art. No.

03.503.461 1.8 mm 03.503.044

03.503.471 2.4 mm 03.503.046

Drill Sleeves, short, with thread, for MatrixMANDIBLE

Art. No. For drill bit B

03.503.044 1.8 mm

03.503.046 2.4 mm

Screwdriver Shafts MatrixMANDIBLE, self-holding, for Hexagonal Coupling

Art. No. Length

03.503.070 Short

03.503.071 Medium

03.503.072 Long

Screwdriver MatrixMANDIBLE, with Holding Sleeve, for Hexagonal Coupling

03.503.068 Screwdriver Shaft MatrixMANDIBLE, long, not self-holding

03.503.069 Holding Sleeve, long, for No. 03.503.068

Additional available

03.503.408 Drill Bit B 1.5 mm with Stop, length 50/8 mm, 2-flute, for J-Latch Coupling

03.503.451 Drill Bit B 1.5 mm, length 90 mm, for J-Latch Coupling, for No. 03.503.043

03.503.508 Drill Bit B 1.5 mm with Stop, for MatrixMANDIBLE, length 50/8 mm, 2-flute, for Mini Quick Coupling

03.503.551 Drill Bit B 1.5 mm, for MatrixMANDIBLE, length 90 mm, 2-flute, for Mini Quick Coupling




03.503.066 Screwdriver Shaft MatrixMANDIBLE, short, not self-holding

03.503.067 Holding Sleeve, short, for No. 03.503.066

04.503.xxx.04C Other screws options are available. See the MatrixMANDIBLE Trauma Screws Set

* Also available in packs of 1 screw in Clip. Substitute “.04C” with “.01C” in the part number to order.


MatrixMANDIBLE Reconstruction Instruments

01.503.831 MatrixMANDIBLE Reconstruction Instruments

61.503.831 Instrument Tray MatrixMANDIBLE Recon, 3/3, with Lid

03.503.056 Bending Pliers with Nose, for MatrixMANDIBLE Plates

03.503.077 Bending Iron for MatrixMANDIBLE Plates, left

03.503.078 Bending Iron for MatrixMANDIBLE Plates, right

398.660 Holding Forceps with Ball, ratchet lock, length 180 mm



03.503.057 Shortcut for MatrixMANDIBLE Plates, thickness 1.5 to 2.8, with Rasp, required in pairs

03.503.036 Depth Gauge for MatrixMANDIBLE, measuring range from 6 to 40 mm







311.006 Handle, medium, with Hexagonal Coupling


01.503.838 MatrixMANDIBLE Recon for Use with Sterile Implants

61.503.838 Module MatrixMANDIBLE Recon, 2/3, with Lid, for use with sterile implants

03.503.461 Drill Bit, B 1.8 mm, length 90 mm, for J-Latch-Coupling

03.503.471 Drill Bit, B 2.4 mm, length 90 mm, for J-Latch-Coupling

03.503.044 Drill Sleeve 1.8, short, with thread

03.503.046 Drill Sleeve 2.4, short, with thread

03.503.068 Screwdriver Shaft MatrixMANDIBLE, long, not self-holding

03.503.069 Holding Sleeve, long, for No. 03.503.068





03.503.173 MatrixMANDIBLE template for 04.503.726/727

03.503.174 MatrixMANDIBLE template for 04.503.728/729/730

03.503.175 MatrixMANDIBLE template for 04.503.731

03.503.176S MatrixMANDIBLE template for 04.503.732/733 (does not fit in the case)

03.503.180 MatrixMANDIBLE template for 04.503.737/738/770/771

03.503.181S MatrixMANDIBLE template for 04.503.739/740/772/773 (does not fit in the case)


03.503.408 Drill Bit B 1.5 mm with Stop, length 50/8 mm, 2-flute, for J-Latch Coupling

03.503.451 Drill Bit B 1.5 mm, length 90 mm, for J-Latch Coupling, for No. 03.503.043

03.503.508 Drill Bit B 1.5 mm with Stop, for MatrixMANDIBLE, length 50/8 mm, 2-flute, for Mini Quick Coupling





03.503.066 Screwdriver Shaft MatrixMANDIBLE, short, not self-holding

03.503.067 Holding Sleeve, short, for No. 03.503.066

Ordering sterile implants and drill bits (listed with the Screw and Plates modules):− Screws: substitute “C” with “S” in the non-sterile item number.− Plates and drill bits: add an “S” to the item number, e.g. 04.503.733 becomes

04.503.733S in sterile.

MatrixMANDIBLE Reconstruction for Use with Sterile Implants

0123

Synthes GmbHEimattstrasse 34436 OberdorfSwitzerlandTel: +41 61 965 61 11Fax: +41 61 965 66 00www.depuysynthes.com ©

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This publication is not intended for distribution in the USA.

All surgical techniques are available as PDF files at www.depuysynthes.com/ifu

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