PRESS FIT CUP

PRESS FIT CUP

UNCEMENTED

The key in
orthopaedic
sciences

SURGICAL TECHNIQUE
CERRAH TEKNK

IMPLANTS & INSTRUMENTS

MPLANTLAR VE EL ALETLER

Press Fit Cup

U N C E M E N T E D

CONTENTS/NDEKLER
Introduction

Patient Positioning

Acetabular Reaming

Cup Trialing

Cup Impaction

Screw Fixation

10

Insert Impaction

11

Instruments&Trays

13

Giri

Hasta Pozisyonlama

Acetabulumun Oyulmas

Test Cupn Uygulanmas

Cupn Yerletirilmesi

Vidann Fiksasyonu

Insertn Yerletirilmesi

El Aletleri&Tavalar

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Press Fit Cup

U N C E M E N T E D

Introduction
Giri
Press Fit Cup

In principal for all forms of arthrosis, advance wear and tear of the hip joint because
of degeneratif, posttraumatic or rheumatoid arthritis fracture of avascular necrosis of the
head of femur. Sequelae of earlier operations such as osteosynthesis, joint reconstruction,
arthrodesis, hemiarthroplastic or total hip replacement. Press-fit cup, is an acetabular
implant for uncemented fixation. The standard cup made of Ti6Al4V alloy with three
dimensional interlock grit blast presents a hemispherical shape with polar deflection to
enhance the perifery distribution of the stresses effecting the cup. The titanium
cup has three holes on supero-lateral side.The screws have a spheric head and have
always a good contact with their seatings, even if the introduction angle may be different.
This prevents the fratting corrosion and assures the screw stability. In spite of the different
possible introduction angles of the screw. Choosen as the basic material was Ti6Al4V which
has been tried and tested over many years and is outstandingly biocompatible. For the
bone side contact surface optional Titanium Plasma Spray coating or additional
Hydroxyapatite coating enhances initial fixation and long term bone integration. The
porosity of plasma spray is ideal for osseointegration.
Esas itibariyle arthrosisin btn formlar iindir. Femur bann avascular necroisisinde
olan dejeneratif, posttraumatik veya rheumatoid arthritis krklarndan kaynaklanan kala
ekleminin ilerlemi anma durumlarnda kullanlr. Osteosynthesis gibi erken operasyonlarn
sonrasnda kalan bozukluklarnda, eklem yeniden yaplandrmalarnda, arthrodesis,
hemiarthroplastic veya total kala yenilemelerinde de kullanlr. Pres-fit cup sementsiz
fiksasyon salayan bir acetabular implanttr. Standart cup Ti6Al4V alamndan imal edilmi
olup, kabn d yzeyinde oluan basknn yzeye dalmn salamak iin kumlanarak
przl bir yzey yapsna kavuturulmutur. Titanyum kabn supero lateral tarafnda 3 adet
delik vardr. Vidalar kresel bir kafaya sahiptirler ve balang alar farkl bile olsa yuvalaryla
her zaman iyi bir uyum iindedirler. Bu durum, korozyona kar koruma salar ve vidann
dengeli olmasn temin eder. Temel materyal olarak Ti64Al4V seilmi ve yllarca bu materyal
denenerek ve test edilerek biyolojik olarak son derece uygun olduu kantlanmtr. Kemik
tarafndaki tutunma yzeyi iin opsiyonel olarak plazma sprey kaplama veya ek olarak
hydroxyapatite kaplama ilk andaki tutunmay ve uzun dnemdeki kemik entegrasyonunu
arttrr. Plazma spreyinin gzenekli oluu osseointegrasyon iin idealdir.
Please Note : This document is intended as a guide for the surgeon only. There are multiple
techniques for the insertion of Press Fit Cup Uncemented and, as with any surgical
procedure, a surgeon should be thoroughly trained and beware that this procedure is
appropriate for the patient before proceeding.
Not: Bu dokman cerrahlar iin bir klavuz niteliindedir. Press Fit Cup (sementsiz) uygulanmas
iin oklu teknikler mevcuttur ve dier cerrahi ilemlerde olduu gibi cerrah derinlemesine
eitimli olmal ve ilemin hastaya uygun olduundan emin olmaldr.

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Press Fit Cup

U N C E M E N T E D

Material
Malzeme

Certified Titanium alloy according to ASTM F.136 - ISO 5832/3. It is selected for its,
modulus of elasticity closest to that living bone, high fatique strength and perfect
biocompatibility.
Esneklik katsaysnn canl kemik dokuya ok yakn olmasndan, yksek yorulma
dayanmndan ve mkemmel biyolojik uyumluluundan dolay ASTM F 136 - ISO 5832/3ye
gre sertifikal titanyum alamdan imal edilmitir.

Ref. Number
Ref. Numaras

TiAlV-alloy

Titanyum Alam

Grit Blast

Kumlanm

10220000001
10220000002
10220000003
10220000004
10220000005
10220000006
10220000007
10220000008

Ref. Number
Ref. Numaras

Ref. Number
Ref. Numaras

Ti Plasma Spray Ti Plasma Spray+HA

Ti Plazma Sprey

Ti Plazma Sprey+HA

10220010046
10220010048
10220010050
10220010052
10220010054
10220010056
10220010058
10220010060

10220020046
10220020048
10220020050
10220020052
10220020054
10220020056
10220020058
10220020060

Diam
D mm
46
48
50
52
54
56
58
60

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Press Fit Cup Insert

The PE-UHMW insert is fixed into the metal acetabular cup. However, the insert can
be removed via the two slots in the rim and reused again. The press fit cup can reduce
the possibility of wear debris from the inner surface of the UHMWPE cup. It
is done by machining and polishing of the inner surface. The good precision of manufacture
assures more over the direct contact between the UHMWPE insert and inner surface of
the metal cup reducing micromotions and fretting The polyethylene insert is produced
with a 10 raised rim to reduce the incident of dislocation.
PE-UHMW insert metal acetabular kabn iine sabitlenmitir. Bununla birlikte, insert
kenardaki iki slot kullanlarak yerinden karlabilir ve tekrar kullanlabilir. Pres-fit cupn iinde
PE-UHMW insert bulunmasndan dolay anma ihtimali dktr. Bu durum i yzeyin hassas
bir ekilde ilenmesinden kaynaklanr. retimin bu hassasiyeti PE-UHMW ile metal kabn i
yzeyi arasndaki direkt kontaktan kaynaklanan mikro hareketleri ve anmay azaltr.
Polietilen insert, kklar engellemek iin, ykselen bir kenara sahiptir.

Material
Malzeme

UHMWPE Ultra Heavy Molecular Weight Polyethylene meets ASTM F.648 and ISO
5834/2 standards.
Selected for its;
- High degree fo purity
- Good biotolerance
- Good mechanical performance
- Friction properties
ASTM F 648 ve ISO 5834-1/2ye uygun olarak PE-UHMW malzemeden imal edilmitir.
Bu malzemenin seilmesinin nedenleri:
-Yksek saflk derecesi
-yi biyolojik uyum
-yi mekanik performans
-Srtnebilme zellii
Ref. Number

Referans Numaras

Inside
Diam

10218007001
10218007002
10218007003
10218007004
10218007005
10218007006
10218007007
10218007008

28
28
28
28
28
28
28
28

PE-UHMW

28 mm
D

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ap

Outside
Diam
D ap

D mm
46
48
50
52
54
56
58
60

Press Fit Cup

U N C E M E N T E D

Starex Screw
Starex Vida

If bone quality is such that the titanium cup has to be secured with screws, special
bone screws with spheric head and cancellous thread ( 6.5 mm) are used for fixation.
For fixation, flexible drill and universal joint screw driver are avaliable. The screw have
always a good contact with their seatings, even if the introduction angle may be different.
This prevent the fretting corrosion and assure the screw stability.
Eer kemik kalitesinden dolay titanyum kabn vidalarla sabitlenmesi gerekiyorsa,
fiksasyon iin kresel kafal ve spongioz dili zel kemik vidalar (q 6,5mm) kullanlr. Sabitlemeyi
yapmak iin esnek matkap ve niversal eklem torna vidas edinilebilir. Vida, giri as farkl
bile olsa, her zaman girdii yerle iyi bir temas iindedir. Bu srtnme kaynakl korozyonu
nler ve vidann dengeli olmasn temin eder.

Material
Malzeme

Certified Titanium alloy according to ASTM F.136 and ISO 5832/3.

ASTM F 136ve ISO 5832/3ya gre sertifikal titanyum alam.

Ref. Number

Diam

Lenght

Titanium

D mm

mm

10802382003
10802382004
10802382005
10802382006
10802382007

6.5
6.5
6.5
6.5
6.5

Referans Numaras

D
L

ap

Uzunluk

25
30
35
40
45

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Press Fit Cup

U N C E M E N T E D

Patient Positioning
Hasta Pozisyonlama

The goal of the surgical approach is to

establish adequate visualization of the
anatomy so that the entire surgical area is
exposed.
Cerrahi yaklamn amac anatomik
yapnn uygun grntlenmesini salamaktr.
The patient should be placed in a full
lateral position secured with positioning
devices to ensure complete patient stability.
An anterolateral approach via a lateral
curvilinear incision is recommended.
Hasta, btnyle dengede olacak
ekilde, pozisyonlama cihazyla birlikte tam
lateral pozisyona getirilmelidir.

Acetabular Reaming
After the resection of femoral head
and neck, the acetabulum is exposed.
Femoral kafa ve boynun kesilip
karlmasndan sonra acetabulum ortaya
kar.
With elevators, which are anchored at
the anterior and posterior acetabular rim,
the femur and adjacent soft tissues are
displaced, where by the acetabulum
becomes accessible throughout, its entire
circumference. Using motorised accessories
with Acetabular Reamers (Ref:1061002100412), Acetabular Reamer Shaft
(Ref:10610021101) and Extraction Sleeve (Ref:
10601290005), the cartilage is first removed
from the acetabulum which is then gradually
deepened and widened.
Acetabular kenarlarn arterior ve
posterioruna tutturulmu ekartrler yardmyla
femur ve yumuak doku yerinden karlr
bylece acetabulum ve evresi kolayca
ulalabilir hale gelir. Acetabular oyucuyla ve
acetabular oyucu aftyla (Ref:10610040001)
birlikte motorize aksesuarlar kullanlarak nce
kkrdak alnr sonra cihaz aamal olarak daha
geniletilir ve derinletirilir.

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The last reamer according to the preoperative planning is turned in manually using
T-Handle (Ref:10610040001) and Acetabular reamer components, slowly and carefully,
so that excessive removal of bone is avoided and an exact hemispherical inner shape is
achieved in the acetabulum.
Kemik artklarnn alnmas ve acetabulumun iine yarm kre eklinde bir ekil
oluturmak iin operasyon ncesi planland gibi son oyucu T-Handle (Ref:10610040001)
ve acetabular kompenentler kullanlarak son derece yava ve dikkatlice dndrerek ieri
doru girii salanr.

Cup Trialing

Test Cupn Uygulanmas

The test cup (Ref:10608211044-60) is
inserted into the reamed acetabulum until it
reaches the floor. The test cup should fit fairly
tightly in the acetabulum; it is desirable that
light hammer blows are needed to drive the
test cup as far as the floor of the acetabulum.
Forceful driving in of the test cup must be
avoided especially when the bone is hard,
because, otherwise, there is a danger of pelvic
fracture. With the test cup it is possible to check
wherher the definitive implant is sufficiently
surrounded by bone.
Test Cup (Ref:10608211044-60) zemine
ulaana kadar oyulmu acetebulum iine
yerletirilir. Test Cup olduka sk bir ekilde
acetebuluma oturmu olmaldr. Test cupn
acetebulum zeminine yerletirilmesinde hafif
eki darbeleri vurulabilir. Kemik eer ok sertse
gl bir ittirme yaplmamaldr. Yaplmas
durumunda pelvisde krk oluabilir. Test kabyla
birlikte olmas gereken asl implantn boyutlar
tamamen anlalr.

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U N C E M E N T E D

Cup Impaction
Cupn Yerletirilmesi

Mounting the Press Fit Cup on the setting device: the setting instrument consists of
a disc-like impactor attachment (Ref:10601351044-60) marked with the implant nominal
diameter, a long handle and a central threaded rod (Ref:10601350010). There is an invidual
impactor attachment for each Press Fit Cup size. During implantation, attention needs
to be paid to matching the diameter markings on the Press Fit Cup and the impactor
attachment. The Press Fit Cup is mounted on the impactor attachment and the threaded
rod is screwed into the central hole of the titanium shell. Both implant and impactor
attachment are marked with arrows, which must point towards each other. They should
be orientated before impaction in the direction of the sacro-iliac joint, e.g. in the craniodorsal direction, so that the screw sockets are correctly positioned.
Press Fit Cupn tutucuya montaj: press fit cup tutucu implant apyla markalanm
impactor attachment (Ref:10601351044-60), uzun bir sap ve u ksmna di alm merkez
rodundan (Ref:10601350010) oluur. Her ebattaki Press Fit Cup ile kullanlabilecek farkl
boylarda impactor attachment paralar mevcuttur. mplantasyon esnasnda Press Fit
Cup zerindeki ap ls ve impactor attachment elemesi hususuna dikkat edilmelidir.
Press Fit Cup impactor attachment zerine tutturulur ve di alm rod press fik cupn
merkez deliine doru vidalanr. mplant ve impactor attachment oklarla iaretlidir, oklar
birbirlerini iaret edecek ekilde paralar birbirine tutturulur. Yerletirme ileminden nce
vida delikleri sacro-iliac eklemi dorultusuna, rnein craniodorsal dorultusunda,
ynlendirilmi olmaldr. Bylece vida delikleri dzgnce konumlandrlabilirler.

40-45

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The prepared acetabulum is lined with a thin layer of bone shavings from the last
two reamers, so that even small gaps between acetabulum and implant are filled with
bone material. The positioning guide (Ref:10602180009) for orienting the shell is pushed
on to the handle (Ref:10601350010) connected to the positioning top. For orientation of
the cup, lateral tilt of approx. 45 is aimed for, as well as anteversion of approx. 10. The
positioning guide has two insert nuts for the positioning bar (Ref:10602180008), to be set
for the right (R) and left (L) hip. The Press Fit Cup is then inserted into the acetabulum using
the setting instrument, its orientation checked using the positioning guide, and just fixed
with light hammer blows so that it can be re-orientated without use of significant force.
The directional arrow points toward the sacro-iliac joint.
Son iki reamern kullanm srasnda kan kemik paralar ince bir tabaka halinde
acatebuluma yaylr, bylece acetabulum ve implant arasndaki kk boluklar bile
kemik malzemesiyle doldurulmu olur. Press fit cup ynlendirmek iin Pozisyonlama Klavuzu
(Ref:10602180009) Pozisyon Verdirici kolu zerine taklr. Cupn ynlendirilmesi iin lateral
eim ortalama 45, anteversion eimi de ortalama 10 derece olmaldr. Pozisyonlama
Klavuzunun Pozisyonlama Bar (Ref:10601350010) iin her iki yannda yuvalar vardr ve
hangi tarafa taklaca sa ve sol kalaya gre ayarlanr. Sonra Press Fit Cup, tutucu
kullanlarak acetabulum ierisine yerletirilir ve yerletirme ilemi pozisyonlama klavuzuyla
dorulanr. Hafif eki darbeleriyle sabitlenir, bylece fazla g kullanlmadan yerletirilmi
olur. Okun yn sacro-iliac eklemini gsterir.
When the implant is oriented correctly, all three pins of the positioning guideand
the positioning bar should lie horizontally. The thinner guide pins are aligned along the
body axis. The rim of the acetabulum is, of course, also an important aid to orientation.
mplant doruca yerletirildiinde, pozisyonlama klavuzundaki adet kol ve
pozisyonlama bar yatay eksene paralel olarak uzanyor olmaldr. Pozisyonlama klavuzunun
ubuklar vcut ekseni boyunca yatay konuma getirilirler. Acetabulumun kenar da
yerletirme iin yardmc bir klavuz niteliindedir.
When the orientation is confirmed, the implant is driven into the acetabulum using
a heavy hammer. Adequate impaction of the Press Fit Cup can be recognised by the
change in the sound of the hammer blows and also by the fact that the implant does
not go in any deeper with further hammer blows, and the rim of the implant closes with
the rim of the bony acetabulum, which was previously removed along the test cup.
Additionally, following removal of the setting instrument.
Yerletirme ilemi tamamlannca, implant ar bir eki yardmyla acetabulum
ierisine aklr. Press Fit Cupn tam yerine yerleip yerlemedii eki sesindeki deiimden
anlalabilir ayrca implant yerine yerleince ne kadar vurursanz vurun daha ileriye
gitmeyecektir ve implantn kenarlar acatebulumda alan yuvann kenarlar ile ayn hizada
olacaktr. Bundan sonra press fit cup tutucu sklr.

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U N C E M E N T E D

Screw Fixation

Vidann Fiksasyonu

Should additional screw fixation be

necessary, holes are drilled (Ref:1080907104050) in the direction of the sacro-iliac joint using
the drill guide (Ref:10608021021) and a drill with
flexible drive schaft (Ref:10601361101).
Eer ekstra vida fiksasyonu gerekli ise;
delikler (Ref:10809071040-50), sacro-iliac eklemi
hizasnda olacak ekilde ve Matkap Klavuzu
(Ref:10608021021), matkap ve Flexible Drive
Schaft (Ref:10601361101) kullanlarak delinir.

The depth of the drilled hole in the bone

is measured using the screw depth gauge
(Ref:10608031021), in order to determine the
correct screw length. Following this, the first
thread pitches (about 10mm deep) for the
spongiosa screw are pre-cut using the screw
tap (Ref:10606001101) on a Universal Joint Tap
Handle. The screw is then easily inserted into
the deeper soft spongiosa layers.
Doru vida uzunluunu belirlemek iin
deliklerin derinlii Vida Derinlik lm aleti
(Ref:10608031021) ile belirlenir. Bunu takiben,
spongioz vidalar iin ilk giri derinlii (yaklak
10 mm), Universal Joint Tap Tutacann
zerindeki Vida Tap (Ref:10606001101)
kullanlarak nceden alr. Bundan sonra vida
yumuak spongioz tabakaya kolayca sokulabilir.
Where high torque is necessary for
insertion, it is recommended to either revert to
a shorter screw or to pre-cut the thread in the
bone to the measured length using a steel
screw. Following this, the steel screw is removed
and replaced with a titanium screw.
Giri iin yksek bir dndrme kuvvetinin
gerekli olduu yerde, ya daha kk bir vidaya
dnlmesi ya da elik vida kullanlarak kemikteki
boluun belirlenen derinlie gre yeniden
almas tavsiye edilir. Bundan sonra elik viday
skn ve yerine titanyum bir vida takn.

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Press Fit Cup

U N C E M E N T E D

When the screw holes are adequately

prepared, the screws are inserted in the
direction of the sacro-iliac joint and tightened
using the Universal Joint Screw Driver
(Ref:10604010012).
Vida delikleri uygun ekilde
hazrlandnda, vidalar sacro-iliac eklem
hizasnda yerletirilir ve Universal Torna Vida
(Ref:10604010012) kullanlarak sklr.

Insert Impaction

Insertn Yerletirilmesi
When the screw position is correct, the
flat screw heads are fully recessed into the
screw sockets, avoiding contact with the
polyethylene insert. The complete recessing of
the screw heads into the sockets can be
checked using Insert Control Guide
(Ref:10601361044-60) with Replacement Handle
(Ref:10601361010) and Extraction Sleeve (Ref:
10601290005). The central pin of the Insert
Control Guide , which is inserted into the central
hole of the shell and then rotated.
Dz olan vida balar tamamyla yuvalarn
iine gmlm duruma gelince vida konumlar
uygun hale gelmi demektir. Vidalarn Polietilen
Insert ile kesinlikle temas etmemesi
gerekmektedir. Vida balarnn, yuvalara
tamamen gmlp gmlmedii Insert Kontrol
Klavuzu (Ref:10601361044-60), nsert Yerletirici
Kol (Ref:10601361010) ve Cup Yerletirici Kolu
Tespit Paras (Ref: 10601290005) yardmyla
dorulanabilir. Bu ilem Insert Kontrol Klavuzunun
merkezindeki pimin press fit kabn merkez
deliine yerletirilmesi ve bu delik etrafnda
dndrlmesi eklinde olur.
The polyethylene insert has three small
holes on its front face, which grip the pins of
the Screw-in Attachment (Ref:10601361028).
Polietilen Insert n yznde kk
delie sahiptir ve bu delikler Screw-in
Attachment (Ref:10601361028) parasnn
pimleriyle skca kenetlenmeye yarar.

11

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Press Fit Cup

U N C E M E N T E D

The polyethylene insert is guided into the titanium shell using the setting instrument.
Initially, the central polyethylene pin is inserted into the central hole of the shell. The antidislocation rim can be rorated in 30 steps into the desired position such that, in the final
position, the teeth on the insert rim fit into the grooves in the titanium shell. the raised rim
of the insert, which serves as protection against dislocation in extreme positions without
load especially in low sitting positions with adducted thigh, is normally inserted in a craniodorsal position, i.e. at an approximately 10 oclock position for the right hip, and 2
oclock for the left hip. When the desired position is achieved, the polyethylene insert
is impacted into the titanium shell using the hammer, ensuring that the teeth of the insert
are fully recessed into the grooves in the titanium shell. This ends the implantation.
Polietilen Insert Replacement Handle (Ref:10601361010) yardmyla press fit cup
ierisine yerletirilir. lk olarak insertn merkezindeki polietilen knt press fit cupn merkez
deliine yerletirilir. nsertn yksek kenar knts 30 derecelik aralklarla istenilen pozisyon
yakalanana kadar dndrlebilir. Son pozisyonda insertn kenarndaki dilerin press fit
cuptaki karlklara oturmas gerekmektedir. nsertn ykseltilmi kenar, yklemesiz ve
zellikle baz oturu pozisyonlarnda kklar nlemek iindir. Bu kenar normal olarak
craniodorsal pozisyonda yerletirilir. rnein; ortalama sa kala iin saat 10 pozisyonunda
ve sol kala iin saat 2 pozisyonunda. stenilen pozisyona eriildiinde polietilen insert eki
kullanlarak press fit cup ierisine sktrlr. Bu ilem srasnda insertn dilerinin press fit
cuptaki yuvalara tam olarak oturduuna emin olarak implantasyonu bitiriniz.

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Press Fit Cup

U N C E M E N T E D

Instruments & Trays/El Aletleri & Tavalar

tray 1

tray 2

tava 1

tava 2

tray 3
tava 3

10601091011

Starex Screw Holding Forceps

Starex Vida Tutucu

Extraction Sleeve

10601290005

Cup Yerletirici Kolu Tespit Paras

10601350010

Press Fit Cup Handle

Cup Yerletirici Kol

Impactor Attachment for Press Fit Cup

Cup Yerletirici

10601351044
10601351046
10601351048
10601351050
10601351052
10601351054
10601351056
10601351058
10601351060

44
46
48
50
52
54
56
58
60

10601361010

Replacement Handle

10601361028

Screw-in Attachment for Press Fit Cup

Insert Yerletirici Kol

Insert Yerletirici

13

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U N C E M E N T E D

Insert Control Guide for Press Fit Cup

Insert Kontrol Guide

10601361044
10601361046
10601361048
10601361050
10601361052
10601361054
10601361056
10601361058
10601361060

44
46
48
50
52
54
56
58
60

10601361101

Flexible Shaft

10601361110

Universal Joint Tap Handle

10602041002

Bone Hook Blunt

10602101005

Hohmann Retractor Type 5

Fleksibl aft

Fleksibl Tap Tutucu

Kemik engeli - Kt

Ekartr Hohmann - Tip 5

10602180008

Bar for Positioning Guide

Yn Gsterici Pozisyon Guide Kolu

10602180009

Positioning Guide

Yn Gsterici Pozisyon Guide

10604010010

Hexagonal Long Screw driver for Press Fit Cup

10604010012

Universal Joint Screw driver for Press Fit Cup

10604101020

Hexagonal Wrench for Press Fit Cup

10606001101

Tap for Press fit Cup

10608021021

Gyroscopic Drill Guide

10608031021

Depth Gauge

Kortikal Tornavida

Fleksibl Tornavida
Altgen Tornavida
Tap

Drill Guide

Derinlik ler

Test Cup for Press Fit Cup

Test Cup

10608211044
10608211046
10608211048
10608211050
10608211052
10608211054
10608211056
10608211058
10608211060

SURGICAL TECHNIQUE / CERRAH TEKNK

IMPLANTS & INSTRUMENTS / MPLANTLAR VE EL ALETLER

44
46
48
50
52
54
56
58
60

14

Press Fit Cup

U N C E M E N T E D

Acetabular Reamer
Acetabular oyucu

10610021004
10610021005
10610021006
10610021007
10610021008
10610021009
10610021010
10610021011
10610021012

44
46
48
50
52
54
56
58
60

10610021101

Acetabular Reamer Shaft

10610040001

T- Handle

10809071040
10809071050

Drill for Press Fit Cup

Acetabular oyucu aft

Drill

3.5x25x40
3.5x30x50

15

SURGICAL TECHNIQUE / CERRAH TEKNK

IMPLANTS & INSTRUMENTS / MPLANTLAR VE EL ALETLER

Press Fit Cup

U N C E M E N T E D

Notes/Notlar

SURGICAL TECHNIQUE / CERRAH TEKNK

IMPLANTS & INSTRUMENTS / MPLANTLAR VE EL ALETLER

16

Revision 03 / Printed in TURKEY - 09/10 - TIPSAN Design

The products being manufactured by TIPSAN A.S. has been certified from SZUTEST (Strojrensk
Zkuebn stav) for EC certificate (CE 1015) according to Annex II. 3 and II.4 of Council Directive
93/42/EEC concerning medical devices

Kemalpasa Cd. 7404/1 Sk. No: 3 Pinarbasi - IZMIR - TURKEY

Tel: +90 232 479 56 54 Fax: +90 232 479 58 27
marketing@tipsan.com.tr www.tipsan.com.tr