Instrumentation Design Rationale

Enabling efficient, repeatable, tissue-sparing total hip replacement.

Balancing the potential benefits of less invasive techniques, including accelerating recovery with less pain,

with the goals of optimizing function and maximizing implant survivorship.

A comprehensive instrumentation system designed to enhance tissue preservation during surgery,

whether it is a mini-posterior, anterolateral, 2-Incision or anterior approach.

2

Tissue Sparing Solutions Instruments that accommodate

your surgical approach preference and implant choice

4

Anterior Approach Instrumentation

Exposure Management

Insert

Base

Designed to facilitate the Anterior Smith-Petersen approach, as

described by Joel Matta, M.D. The instruments included in the kit

enable acetabular and femoral exposure.

1. 37-4106 Blunted Serrated Cobra (2)

2. 2598-07-200 MI 2-Incision Sharp Cobra (Serrated Point)

3. 2598-07-260 Blunted Cobra

4. 2598-07-240 Single Prong Soft Tissue Retractor

5. 2181-10-000 Hohmann Retractor Narrow/Curved (120 degree)

6. 2001-42-000 Excel T-Handle

7. 2125-00-600 Modular Head Ball Remover

1. 2598-07-180 Right Angle Posterior Capsular Retractor (Hibbs)

2. 2598-07-230 Sorrel Retractor Weight 2lbs

3. 2598-07-210 Sorrel Incision Retractor Blade Wide

4. 2004-00-000 Murphy Bone Skid

5. 2598-07-190 MI Narrow Curved Hohmann

6. 2598-07-110 MI Gluteus Medius Retractor (Right Angle Hohmann)

7. 2176-10-000 Muller Type Retractor

8. 2598-07-220 Sorrel Retractor Weight 2.5 lbs

1

1

3

2

4

56

78

1

2

34

5

6

7

5

2598-07-310 Anterior Approach Case Complete

2598-07-320 Lid

2598-07-340 Insert

2598-07-330 Base

6

MI Retractor Kit

Insert

Base

The Minimal Incision (MI) Hip retractor kit is designed to facilitate the

mini-posterolateral and mini-anterolateral techniques. The instruments

included in the kit enable acetabular and femoral exposure.

2

1

1 4

32

3

56

4

8

7

1. 2598-07-650 MI XL Femoral Neck Elevator

2. 2598-07-625 Inferior Posterior Capsular Retractor Right

3. 2598-07-626 Inferior Posterior Capsular Retractor Left

4. 2598-07-180 Right Angle Posterior Capsular Retractor

5. 2598-07-120 Blunt Right Angle Posterior Capsular Retractor

6. 2598-07-150 Sciatic Nerve Retractor

7. 2598-07-140 Superior Capsular Retractor

8. 2598-07-170 Anterior Hohmann

1. 2598-07-130 MI Cobra Retractor with Armrest

2. 2598-07-190 MI Narrow Curved Hohmann

3. 2598-07-160 MI Narrow Cobra

4. 2598-07-110 MI Gluteus Medius Retractor (Right Angle Hohmann)

2598-07-500 MI Retractor Case Complete

2598-07-520 Lid

2598-07-515 Insert

2598-07-510 Base

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Direct 2-Incison Core Instrument SetThe kit contains retractors and ancillaries designed specifically for the Direct 2-Incision technique, as pioneered

by Jack Irving, M.D. However, many of the instruments contained in the kit, such as the femoral head ball/trial

head holder, long-handled scalpel blade holder, long-handled rongeur and narrow and sharp cobra retractors

also have broad application across the range of less-invasive surgical techniques.

1. 2598-07-160 MI Narrow Cobras

2. 2598-07-700 MI Long Handle Blade Holders

3. 2598-07-300 MI 2-Incision Deaver Retractor

4. 2598-07-200 MI 2-Incision Sharp Cobra Retractor (Serrated Point)

5. 2598-07-680 MI 2-Incision Acetabular Retractor 1 1

2 2

5

Base1. 2598-07-710 MI Femoral Trial/Head Inserter

2. 2598-07-670 MI Irving Retractor Small

3. 2598-07-660 MI Irving Retractor Large

4. 2598-07-690 MI Long Handle Rongeur

1

2 3

4

4

4

3

Insert

2598-07-800 2-Incision Base Set Case Complete

2598-07-820 Lid

2598-07-830 Insert

2598-07-810 Base

MI Acetabular PreparationTSS Low-Profile ReamersDesigned to allow easier access into the acetabulum during a minimally invasive procedure.

The reamers' low-profile shape and rounded edges enables easy insertion into the wound

with less risk of soft tissue damage. The reamers also allow for concentric reaming.

8

2440-00-748 TSS Low-Profile Reamer 48 mm



















2440-00-767 TSS Low-Profile Reamer Case Complete

2440-00-769 Lid

2440-00-768 Base

MAcS Acetabular Set

Othy Acetabular Set

The Minimally Invasive Acetabular Set (MAcS) is designed to enable access to the

acetabulum through a variety of less invasive surgical exposures, including the

mini-anterolateral, mini-posterolateral, direct 2-Incision and anterior approaches.

The instrument angulation and slim profile allows passage through a small

incision directly into the joint space without disrupting the surrounding tissue,

using either the TSS Low-Profile Graters or Quickset Graters.

The Othy Acetabular Set of less invasive acetabular instruments features

angled geometry that allows the surgeon to minimize incision length while

still maintaining accurate cup alignment.

1. 9200-10-024 Impactor Tip 22.225 mm

2. 9200-10-025 Impactor Tip 26 mm

3. 9200-10-026 Impactor Tip 28 mm

4. 9200-10-027 Impactor Tip 32 mm

5. 9200-10-028 Impactor Tip 36 mm

6. 2598-08-160 Angled Drive Shaft Dual Coupling

7. 9200-10-029 Angled Acetabular Inserter

8. 9200-10-023 Bantam Adaptor

9. 2598-08-150 Angled Reamer Driver Housing Assembly

9200-10-017 MAcS Case Complete Inserter Replacement Parts (not shown):

9200-10-088 Spring

9200-10-089 Button

9200-10-091 Lock Catch

9200-10-093 Standard Adapter

Optional Impactor Tips (not shown):

2217-50-060 Impactor Tip 40 mm



9




















2440-00-767 TSS Low-Profile Reamer Case Complete

2440-00-769 Lid

2440-00-768 Base

1 6

7

7

7

9

93

5

2

4 8

1 1

2

3

34

4

1. 2217-50-044 Pinnacle Version Guide

2. 2598-08-130 MI Curved Cup Impactor

3. 2598-08-110 MI Curved Acetabular Reamer

4. 2598-08-120 MI Curved Acetabular Reamer Handle

2598-08-140 MI Curved Acetabular Case Complete

Optional Tommy Bar Instruments:

53-1500 S-ROM® Pin Punch

8282-20-000 Tommy Bar

Femoral Preparation

Modular Box Osteotome 2598-07-530

The modular box osteotome is designed to attach to any of the technique specific

broach handles to allow the surgeon to easily open the femoral canal in patients

and surgical approaches where a straight, monoblock osteotome is not appropriate.

Posterior Broach Handle 2598-07-540

The Posterior Broach Handle is designed to facilitate easier

broaching during a posterior approach with an increased

handle body length to allow for surgical wound preservation.

The broach handle also features a wider strike plate and

optional version control rod (part number 2001-97-000)

attachment to provide smoother broach extraction.

10

Dual Offset Anterior Approach Broach Handle

Left 2598-07-350, Right 2598-07-360

The Dual Offset Anterior Approach Broach Handles are designed for use with

the Anterior Approach to enable broaching in obese or muscular patients.

The instrument's dual-angled design reduces soft-tissue impingement for

wound clearance and minimizes soft-tissue damage during broaching.

Other broach handle options:

2570-00-000 Summit® Universal Broach Handle9522-10-500F Corail® AMT Straight Broach Handle9522-11-500 Corail AMT Curved Broach Handle

Technique-specific femoral component inserters:

The modular stem inserters are designed to allow accurate stem placement during a minimally invasive posterior, anterolateral or anterior approach. Their various geometries allow the surgeon to avoid soft tissue impingement during all aspects of insertion.

2598-07-460 Universal Stem Inserter Handle2598-07-440 Corail/Tri-Lock® Bone Preservation Stem Anterior Inserter Shaft2598-07-450 Summit Anterior Inserter Shaft2598-07-430 Standard Straight Inserter Shaft2598-07-470 Corail/Tri-Lock Bone Preservation Stem Posterior Inserter Shaft2598-07-480 Summit Posterior Inserter Shaft2598-07-435 Bullet Tip Inserter Shaft

Extra-Curved Broach Handle 2598-07-550 Suitable for multiple surgical approaches.

11

TSS Core Case 1

Femoral PreparationCompatible with the Summit, Corail and Tri-Lock Bone Preservation Stem systems, the TSS Core kits feature

instrumentation to facilitate the femoral preparation for a surgeon using an anterolateral, posterior or anterior approach.

To further enhance OR flexibility the kits hold two sets of trial heads, up to size 44 mm, and can accommodate two

different broach handles of any of the designs mentioned below.

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1. 2598-07-460 Universal Stem Insert Handle

2. Trial Heads – Two Sets Per Case

3. 2598-07-570 Retaining Stem Inserter (2 pcs)

4. 2598-07-530 Modular Box Osteotome

1

1

2

2

3

2

4

7

5

6

3

4

1. Any two handles:

2570-00-000 Summit Universal Broach Handle

9522-10-500F Corail AMT Straight Broach Handle

9522-11-500 Corail AMT Curved Broach Handle

2598-07-540 Long Posterior Broach Handle

2001-97-000 Optional Version Control Rod

(for Posterior Broach Handle)

2598-07-550 Extra Curved Broach Handle

2598-07-350 Anterior Broach Handle - Left

2598-07-360 Anterior Broach Handle - Right

2. 2598-07-470 Corail/Tri-lock Bone Preservation Stem

Posterior Stem Insert Shaft

3. 2598-07-480 Summit Posterior Stem Insert Shaft

4. 2598-07-435 Bullet Tip Stem Insert Shaft

5. 2598-07-430 Standard Straight Stem Insert Shaft

6. 2598-07-450 Summit Anterior Stem Insert Shaft

7. 2598-07-440 Corail/Tri-lock Bone Preservation Stem

Anterior Stem Insert Shaft

2598-07-390 Tissue Sparing Femoral Core Case 1 Complete

2598-07-410 Lid

2598-07-411 Insert

2598-07-400 Base

Base

Insert

TSS Core Case 2

13

1. 2354-10-000 Muller Awl Reamer w / Hudson End

2. 2001-42-000 Excel T-Handle

3. 2001-80-501 IM Initiator Sized

4. 9400-80-007 MI Calcar Reamer Small (Shielded)

5. 85-3927 Femoral Rasp

6. 9400-80-001 Canal Finder

7. 2001-65-000 Femoral/Humeral Head Impactor

2598-07-420 Tissue Sparing Femoral Core Case 2 Complete

2598-07-422 Lid

2598-07-421 Base

Optional Replacement Part:

2001-66-000 Replacement Tip for Femoral Head Impactor

1

2

3

4

5

6

77

S-ROM® MI InstrumentationThe S-ROM minimally invasive instrumentation includes the Mini Calcar Miller and the S-ROM Calcar Broaching System.

A modular inserter included with the broaches provides greater rotational control during implantation, and the modular

forks allow for less trunion overhang, reducing the possibility of impingement against surgical instrumentation or

soft tissues. The lateralizing rasps included in the system enable the surgeon to retain important lateral soft tissue

attachments, while creating a cavity that permits insertion of the trial and final femoral component.

1. 2576-08-000 S-ROM MI Triangle Miller Frame Complete

2. 2576-08-012 S-ROM Cutter MI Triangle Miller Size 12







2576-05-500 S-ROM MI Calcar Mill Case Complete

2576-05-100 Lid

2576-05-200 Base

1. 2576-08-224 S-ROM Lateral Rasp Size 24







8. 2576-08-500 S-ROM MI Stem Inserter Assembly

9. 85-3965 T-Handle

10. 2576-08-540 S-ROM MI Inserter Fork 30 Standard

11. 2576-08-510 S-ROM MI Inserter Fork Small

12. 2576-08-520 S-ROM MI Inserter Fork Medium

13. 2576-08-530 S-ROM MI Inserter Fork Large

14. 2576-09-000 S-ROM MI Miller Shell Inserter/Extracter

1

Base

1

2

4

6

8

3

5

7

S-ROM Mini Calcar Miller System

2

1

3

4

5

6

7

8

S-ROM Calcar Broaching System

Insert

1

9

10

14

11

12 13

2

3

4

5

6

7

8

8

8

1. 2576-08-110 S-ROM MI Starter Broach

2. 2576-08-112 S-ROM MI Broach 7x12

3. 2576-08-114 S-ROM MI Broach 9x14

4. 2576-08-116 S-ROM MI Broach 11x16

5. 2576-08-118 S-ROM MI Broach 13xa18

6. 2576-08-120 S-ROM MI Broach 15x20

7. 2576-08-122 S-ROM MI Broach 17x22

8. 2576-08-124 S-ROM MI Broach 19x24

2576-07-000 S-ROM MI Broach Case Complete

2576-07-200 Lid

2576-07-300 Insert

2576-07-400 Base

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Lighted RetractorsDesigned to optimize visibility in a small incision surgical setting, the light strips provide controlled lighting by only emitting

light at the tip, eliminating the problem of glare. The strips are sterile, single-use and disposable with built-in adhesive

backings that can be attached to any DePuy retractor for full intraoperative flexibility.

1. 2598-07-940 Cable with Olympus Adaptor

2. 2598-07-930 Cable with Storz Adaptor

3. 2598-07-910 Cable with ACMI Adaptor

4. 2598-07-920 Cable with Wolf Adaptor

5. 2598-07-900 Lightstrips (Package of 5)

1 2

3 4

5

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2.5M06090612-37-508

DePuy Orthopaedics, Inc.700 Orthopaedic DriveWarsaw, IN 46581-0988USATel: +1 (800) 366 8143Fax: +1 (574) 371 4865

DePuy International LtdSt Anthony’s RoadLeeds LS11 8DTEnglandTel: +44 (0)113 387 7800Fax: +44 (0)113 387 7890

Printed in USA. ©2009 DePuy Orthopaedics, Inc. All rights reserved.

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