Partner for your surgery - Global DDiameter Ø 2.7 mm 2.9 mm 3.2 mm 3.4 mm 3.7 mm 3.9 mm 4.2 mm 4.4...

Surgical protocol

Partner for your surgery


Made inFrance

Presentation & characteristics 4

Compatible ranges In-Kone® Universal 7 In-Kone® PRIMO 7

ULTIMATE surgical kit 10

ULTIMATE instrumentation Preparation instruments 13 ULTIMATE drill range 14 Insertion instruments 15

ULTIMATE surgical kit: description 18

ULTIMATE surgical protocol: chart 19

Examples of surgical protocols In-Kone® Universal Ø3.5 L10 20 In-Kone® Universal Ø4 L10 21 In-Kone® Universal Ø4.5 L10 22 In-Kone® Universal Ø5 L10 23

Optional instruments Ø3 mm depth stop micro kit 24 ULTIMATE stop kit 24

In-Kone® optional instruments 25

Advanced surgery 26

Global D - ZI de Sacuny - BP 82 - 118 av. Marcel Mérieux - 69530 Brignais - FRANCEPhone +33(0)4 78 56 97 00 - Fax +33(0)4 78 56 01 63 - www.globald.com

- Created in 2000 with narrow focus on maxillofacial surgery and dental implantology

- Designing, manufacturing and selling dental implants since 2004

- Designer of In-Kone®, one of the first implants in France with an internal conical connection

- More than 200,000 In-Kone® implants sold to date

- Created in 1973 with focus on orthopedic and dental implants

- Designing, manufacturing and selling dental implants since 1991

- Designer of dental esthetic ring and dual mobility concept for hip replacement

- More than 250,000 EVL® implants sold to date

In July 2012, two well-known companies in the French dental implantmarket joined forces to create Global D:

Featured products are medical devices and as such carry the CE marking in accordance with Directive 93/42/EEC.

It is possible that all medical devices presented are not available for sale in all countries. For more information please contact the sales department of Global D.

Thank you to consult the instructions before use. If in doubt please contact the sales department of Global D.

The instructions may in some cases be dematerialized. If it is the case a QR code and a URL link are present on the label of the device. Instructions are still available on request and at no extra cost within a period of 7 days. The request must be made at the following address: [email protected].

Presentation & characteristicsPresentation & characteristics

5

The ULTIMATE protocol has been developed to provide even or uniform distribution of the primary anchorage over the whole of the active surface of In-Kone® implants.

The drilling sequence enables the In-Kone® Universal and In-Kone® PRIMO implant profiles to be inserted in an intuitive and reproducible way.

The ULTIMATE operating technique provides an appropriate response to all clinical indications.

Presentation & characteristics

Presentation & characteristics Compatible ranges

7

The ULTIMATE protocol has been developed and clinically validated in partnership with a multi-centre team of dental surgeons.This protocol provides an innovative approach to the preparation of the implant site using the latest technological advances in cutting instruments for bone surgery.Designed for maximum adaptability whatever the bone density, the ULTIMATE surgery protocol provides an effective response to the most demanding requirements.The very gradual drilling sequence which is homothetic to the shape of the In-Kone® range of implants enables an initial close contact between the bone and the titanium to be obtained, which encourages uniform distribution of the primary stability.

The ULTIMATE protocol is compatible with all 3.5 - 4 - 4.5 and 5 mm diameter In-Kone® implants

4 lip drill:stabilisation of the drill

Helical vents: Removal of bone chips

120°

Open angle:controlled penetration

Laser treatment:non-reflecting surface

Intuitive:dual colour code

Machined markings: radio-opaque

Implants In-Kone® Universal

Implants In-Kone® PRIMO

Implant diameters

Lengths (L)

6 mm 8.5 mm 10 mm 11.5 mm 13 mm 15 mm

Ø 3.5 mm DPINK3.5L8.5 DPINK3.5L10 DPINK3.5L11.5 DPINK3.5L13 DPINK3.5L15

Ø 4 mm DPINK4L6 DPINK4L8.5 DPINK4L10 DPINK4L11.5 DPINK4L13 DPINK4L15

Ø 4.5 mm DPINK4.5L6 DPINK4.5L8.5 DPINK4.5L10 DPINK4.5L11.5 DPINK4.5L13 DPINK4.5L15

Ø 5 mm DPINK5L6 DPINK5L8.5 DPINK5L10 DPINK5L11.5 DPINK5L13

Implant diameters

Lengths (L)

6 mm 8.5 mm 10 mm 11.5 mm 13 mm 15 mm

Ø 3.5 mm DPINKP3.5L8.5 DPINKP3.5L10 DPINKP3.5L11.5 DPINKP3.5L13 DPINKP3.5L15

Ø 4 mm DPINKP4L6 DPINKP4L8.5 DPINKP4L10 DPINKP4L11.5 DPINKP4L13 DPINKP4L15

Ø 4.5 mm DPINKP4.5L6 DPINKP4.5L8.5 DPINKP4.5L10 DPINKP4.5L11.5 DPINKP4.5L13 DPINKP4.5L15

Ø 5 mm DPINKP5L6 DPINKP5L8.5 DPINKP5L10 DPINKP5L11.5 DPINKP5L13

76

surgical kit

ultimate surgical kitultimate surgical kit

10 11

Instructions enclosed in the packaging of the ULTIMATE surgical kit.Link to the instructions for the ULTIMATE surgical kit:

http://doc-globald.com/0206A.pdf

1 Marking drill Ø 2 mm Short DFCL-INIT

2 Pilot drill Ø 2.4 mmShort DFU1.5-2.4C

Long DFU1.5-2.4L-17

3 Intermediate drills

Ø2.7 mmShort DFKU2.7C

Long DFKU2.7L-17


Long DFKU2.9L-17


Long DFKU3.2L-17


Long DFKU3.4L-17


Long DFKU3.7L-17


Long DFKU3.9L-17


Long DFKU4.2L -17


Long DFKU4.4L -17


Long DFKU4.7L -17


Long DFKU4.9L -17

4 Extension DPROL

5 Parallelism and depth indicators 3 x DAPULTI-C

6 Spacing indicator

DIA-ULTI

7 Torque wrench 15-70N.cm DCDYN-70D

8Manual hex screwdrivers 1.2 mm

Short DCM1.2C

Standard DCM1.2

Hex contra-angle wrench 1.2 mm Standard DCCA1.2

9 In-Kone® implant driver

Standard DCPIMCI2-1.2

Manual Longue DCPIMCI2-1.2-L

Standard DCPICACI2

Contra-angle Longue DCPICACI2-L

10 Empty Space for optional instruments

3

4

5

6

7

8 9 10

1

2

ultimate INSTRUMENTATION

13

instrumentationPreparation instruments

Marking drills

Pilot drills

Standard Optionallong

Reference DFCL-INIT DFCL-INIT-L

Standard Long

Reference DFU1.5-2.4 DFU1.5-2.4L-17

6 mm

15 mm

28 mm

33.1 mm

40 mm

38.4 mm

0

0

17 mm

Diameter Ø 1.5 - 2.2 mmFor drilling up to 6 mm

DFCL-INIT : total length 28 mm

DFCL-INITL optional: total length 40 mm

Diameter Ø 1.5 - 2.4 mmFor drilling up to 15 or 17 mm

Staged drills

DFU1.5-2.4C : total length 33.1 mm

DFU1.5-2.4L-17 : total length 38.4 mm

ultimate INSTRUMENTATIONultimate INSTRUMENTATION

14 15

This screwdriver is used to fit the cover screw or healing screw.(REF: DCPIMCI2-1.2-L & DCPIMCI2-1.2).Diameter Ø 2.7 mm 2.9 mm 3.2 mm 3.4 mm 3.7 mm 3.9 mm 4.2 mm 4.4 mm 4.7 mm 4.9 mm

Colour of associated depth stop

Reference DFKU27C DFKU29C DFKU32C DFKU34C DFKU37C DFKU39C DFKU42C DFKU44C DFKU47C DFKU49C

Diameter Ø 2.7 mm 2.9 mm 3.2 mm 3.4 mm 3.7 mm 3.9 mm 4.2 mm 4.4 mm 4.7 mm 4.9 mm

Reference DFKU27L-17 DFKU29L-17 DFKU32L-17 DFKU34L-17 DFKU37L-17 DFKU39L-17 DFKU42L-17 DFKU44L-17 DFKU47L-17 DFKU49L-17

Short drills

Long drills

In-Kone® Universal & In-Kone® PRIMO implant driver

1.2 mm hex screwdriver integrated in manual implant drivers

ultimate drill ranges Insertion instruments

0

6 mm

8.5 mm

11.5 mm10 mm

13 mm

15 mm

Manual Contra-angle

Standard Long Standard Long

Reference DCPIMCI2-1.2 DCPIMCI2-1.2-L DCPICACI2 DCPICACI2-L

1.2 mm integrated

screwdriveryes yes - -

21.8 mm

11.5 mm20.5 mm

25.5 mm

26.8 mm

16.5 mm

15 mm


1616


Surgical protocol

1 2 3 4

The vertical positioning of the In-Kone® implant depends on a number of parameters: appearance, tissue thickness and available vertical height. The sealed connector of the In-Kone® implant enables it to be embedded subcrestally, if the bone volume permits Embedding can be recommended to limit the stresses on the bone and for ease of management of the prosthesis.For example, if the practitioner wants to embed a 10 mm long In-Kone® implant 1.5 mm subcrestally, he can use the 11.5 mm height markings on the drills or the 11.5 mm height series of depth stops for reference. If there is a great deal of resistance when inserting the implant, remove the implant, replace it in its titanium support, check the drilling depth with the gauge or the drill, and consider additional widening of the site if necessary.

1 - Hold the implant with the contra-angle implant driver (DCPICACI2 or -L) or manual implant driver (DCPIMCI2-1.2 or -L). Always check that the driver is engaged in the implant. If necessary rotate the driver slightly axially until the hexagonal

end is fully inserted in the indexation in the base of the connector.

2 - Screw into the mouth. Start at 25 N.cm and gradually increase. For 6 mm long implants, start at 35 N.cm.

3 - Screw in manually with the implant driver (DCPIMCI2-1.2 or -L) and the ratchet wrench (DCCLIC-2). Position one of the facets of the implant driver in a vestibular position so that the indexed prosthetic pillar abutments can be repositioned easily.

4 - Fit the healing screw or cover screw with the manual implant driver (DCPIMCI2-1.2 or -L) or with the hex screwdriver (DCM1.2, C or L). Tighten manually (10 N.cm maximum).

Placement of the In-Kone® UNIVERSAL & In-Kone® PRIMO implant

Positioning the implant

ultimate surgical protocolultimate surgical protocolultimate surgical protocol

18 19

The kit is read from left to right with the coloured rubber ring identifying the final drill for the required implant diameter (ill.1). The preceding drill offers an under-drilling solution in low density bone and the next drill can be used for over-drilling in high density bone (ill.2).

There are several possible protocols for each implant diameter (3.5, 4.0, 4.5 and 5.0) according to the bone density encountered. The engravings on the drills do not take account of subcrestal positioning of the implant. It is therefore necessary to go to the next graduation to position the implant subcrestally (for example marking engraved at 11.5 mm for a 10 mm long implant positioned 1.5 mm subcrestally).

ill.1. Final drills

ill.2. Drills for under-drilling and over-drilling

Final drills: 2 rings of the same colour

For example:In-Kone® diam. 3.5 ●

Colour code

Linear presentation of the surgical protocol

Ø 3.5 mm drills

Implant Ø3.5

D4 D3/D2 D1

Implant Ø4

Implant Ø4.5

Implant Ø5

ultimate surgical kit: description ultimate surgical protocol: chart

Ø3.5D4

D1D3/D2

Ø4D4

D1D3/D2

Ø4.5D4

D1D3/D2

D1

Ø5D4

D3/D2


20 21

In-Kone® UNIVERSAL & In-Kone® PRIMO Ø4 L10 mm In-Kone® UNIVERSAL & In-Kone® PRIMO Ø3.5 L10 mm

D2D2

D1High densitydensity

D1D1High density

D3-D4 Low densityD3-D4 Low density

! To avoid damaging the internal construction of the implant, it is advisable not to exceed the contra-angle tightening torque of 50 N.cm for In-Kone® Universal & In-Kone® PRIMO implants. Use a surgery motor with regularly calibrated torque control for this or the torque wrench supplied in the kit (if final tightening is carried out manually, do not exceed 70 N.cm).


densitydensity

Optional marking drill

Pilot drill Ø 1.5-2.4 mm


Drill Ø 2.9 mm

Drill Ø 2.9 mm

Drill Ø 3.4 mm

Drill Ø 3.4 mm

Drill Ø 3.9 mm

800-600 rpm800-600 rpm

800-600 rpm800-600 rpm

800-600 rpm800-600 rpm 1200 rpm


1200 rpm

Drill Ø 3.7 mm

Drill Ø 3.2 mm

Implant Ø 4 mm

Implant Ø 3.5 mm


22 23

In-Kone® UNIVERSAL & In-Kone® PRIMO Ø5 L10 mm In-Kone® UNIVERSAL & In-Kone® PRIMO Ø4.5 L10 mm

D2D2

D1High density

D1D1High density

D3-D4 Low densityD3-D4 Low density



densitydensity



Drill Ø 2.9 mm

Drill Ø 2.9 mm

Drill Ø 3.4 mm

Drill Ø 3.4 mm

Drill Ø 3.9 mm

Drill Ø 3.9 mm 800-600 rpm800-600 rpm

800-600 rpm800-600 rpm

800-600 rpm800-600 rpm 1200 rpm1200 rpm

Drill Ø 4.4 mm

Drill Ø 4.4 mm

Drill Ø 4.9 mm

Drill Ø 4.7 mm

Drill Ø 4.2 mm

Implant Ø 5 mm

Implant Ø 4.5 mm



Optional instrumentsOptional instruments

24 25

In-Kone® Universal short, manual implant driver

DCPIMCI2-1.2-C

Removable container, containing two sets of Ø3 mm depth stops for use with DFU1.5-2.4C/DFKU2.7C/DFKU2.9C drills. This depth stop micro kit enables direct contra-angle pick-up.

For Ø3.5/Ø4/Ø4.5/Ø5 diameter In-Kone® Universal and In-Kone® PRIMO implants

* This kit contains two sets of Ø3 mm depth stops compatible with DFU1.5-2.4C/DFKU2.7C/DFKU2.9C drills.

Description Reference

9

1.2 mm manual hex screwdriver (short) DCM1.2C

20

1.2 mm manual hex screwdriver (long) DCM1.2L

Contra-angle hex screwdriver (short) DCCA1.2C

17

Standard manual extractor for abutments H 0.7-1.5 and 3 DEMCI2

22

Long manual extractor for abutments H 0.7-1.5-3-5 and 7 DEMCI2L

30

Extra-long manual extractor for abutments H 0.7-1.5- 3-5 and 7

DEMCI2-XL

Optional screwdrivers

DJP

DBUMICROKIT

ULTIMATE depth stop micro kit

Complete ULTIMATE depth stop kit

Implant diameter Ø

Colour code 6 mm 7.5 mm 8.5 mm 10 mm 11.5 mm 13 mm

3 DBU3L6 DBU3L7.5 DBU3L8.5 DBU3L10 DBU3L11.5 DBU3L13

Implant diameter Ø

Colour code 6 mm 7.5 mm 8.5 mm 10 mm 11.5 mm 13 mm

3 DBU3L6* DBU3L7.5* DBU3L8.5* DBU3L10* DBU3L11.5* DBU3L13*

3.5 DBU3.5L6 DBU3.5L7.5 DBU3.5L8.5 DBU3.5L10 DBU3.5L11.5 DBU3.5L13

4 DBU4L6 DBU4L7.5 DBU4L8.5 DBU4L10 DBU4L11.5 DBU4L13

4.5 DBU4.5L6 DBU4.5L7.5 DBU4.5L8.5 DBU4.5L10 DBU4.5L11.5 DBU4.5L13

5 DBU5.5L6 DBU5.5L7.5 DBU5.5L8.5 DBU5.5L10 DBU5.5L11.5 DBU5.5L13

DBULTIKIT

ultimate optional instruments In-Kone® optional instruments

101

46

8.51013 11.5

1517

½ scale Checking periodontal height

Checking drilling depth

46

8.51013 11.5

1517

Dual-use gauge (drilling depth/soft tissue height)

0 0.71.535

2.24

Surgical guide

Presentation & characteristicsPresentation & characteristics

27

Advanced surgery

Global D has a variety of screws for pre-implant surgery.

Our screws feature: ▪ Self-drilling thread ▪ Colour code to identify the diameter ▪ Excellent grip between the shaft and the screw head ▪ Good stability while screwing (even if angled)

Our product line consists of:Cross-drive self-drilling screw. Indications : fixation of bone grafts and membranes.

Cross-drive self-drilling compression screw. Indication : fixation of bone grafts.

The threadless neck of the screw improve a better compression.

Our entire range and associated instrumentation are described in our Graftek catalog.

Our other field of application: ▪ Orthognathic surgery ▪ Facial trauma surgery ▪ Oncological surgery ▪ Plastic and reconstructive surgery ▪ Cranial surgery ▪ Pre-implant surgery

▪ Orthodontics

Precautions:Follow the instructions for use included with the device. Global D assumes no liability for failure to comply with its recommendations.

Use of the In-Kone® restoration implant system is reserved for practitioners who have been properly trained in implant surgery and in prosthetic restoration with implants.

The system functionality is guaranteed only if all original manufacturer parts are used. Any non-certified copy from a manufacturer other than Global D is not entitled to any claim in the event of system malfunction.

The condition of new or reused components must be carefully inspected by the user before being placed in the mouth.

The user is responsible for verifying the correct handling of the instrumentation before any surgery. He is responsible for maintaining and sterilizing the equipment in accordance with current practices and regulations. He is also responsible for replacing reusable instruments deemed defective or unsuitable for the proper equipment use.

Pre-implant surgery: Graftek

Cross-drive self-drilling compression screw

Advanced surgery

00D

C-U

LTI P

RT-

EN

-Ed1

-14

Fields of applicationImplantologyPre-implant surgeryOrthognathic surgeryReconstructive SurgeryFacial trauma surgeryTumor surgeryCranial surgeryOrthodonticsTraining

ZI de Sacuny - BP 82118 avenue Marcel Mérieux69530 BrignaisFrancePhone +33 (0)4 78 56 97 00Fax +33 (0)4 78 56 01 63

www.globald.comA MENIX GROUP company


Partner for your surgery - Global DDiameter Ø 2.7 mm 2.9 mm 3.2 mm 3.4 mm 3.7 mm 3.9 mm 4.2 mm 4.4...

Documents

Transcript of Partner for your surgery - Global DDiameter Ø 2.7 mm 2.9 mm 3.2 mm 3.4 mm 3.7 mm 3.9 mm 4.2 mm 4.4...