SPINE EASY SCREW REMOVAL SYSTEM B A S I C S Y S T EM

mahe medical – a committed specialistthat cares for clinical resources

Specialized in the fields of orthopedics, traumatology and spinalcolumn, mahe medical develops innovative products and solutions,from which you as a dealer benefit just like the respectively responsible doctor or the OP personnel and – beyond the economic and administrative aspect – clinic management as well.

The excellent quality and precision of our products, as well as thewillingness to adapt our developments exclusively to your requirements, are the most important elements of our offered products and services.

Our product ideas help you to preserve the most precious resourcesof daily clinic operations: Nerves, time and money.

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SPINE ESR-BASIC SYSTEM

ALWAYS WELL PREPARED

A situation you have experienced time and time again:Everything seems well-prepared for the removal of an unspecified dual rod system.But then, you realize there is no fitting screwdriver for the locking screw, or that the tulip-head pedicle screw does not match your screwdriver...

Thanks to our Spine Easy Screw Removal System, this situation will not create an unpredictable delay that could postpone your subsequent interventions - regardless of whether you are dealing with intact or broken pedicle screws or with older systems that still employed Schanz screws. With our Spine Easy Screw Removal System, you have a firm grip even on the most complicated explantations.

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SPINE ESR-BASIC SYSTEM

COMPACT AND CLEARLY ARRANGED

The Spine Easy Screw Removal System is your safe companion for the efficient removal of all dual rod instrumentation in the spine. This compact solution meets all the requirements of a modern and efficient explantation system. The intuitive design ensures that the system is self-explanatory and easy to use.

Hex. double-bit*, sizes � 3.5 / 4.0 mm Ref. No. ESR-HXHX3540 � 4.5 / 5.0 mm Ref. No. ESR-HXHX4550 � 5.5 / 6.0 mm Ref. No. ESR-HXHX5560

* cannulated

The Right Bit for Every Screw

TX. double-bit, sizes � T15 / T20 Ref. No. ESR-TXTX1520 � T25 / T30 Ref. No. ESR-TXTX2530

High end bit coupling � Quick locking � Secure grip � Sleek design

Smart Universal Pedicle Screw Removal Components

Short rods for tulip-head pedicles � Ø 4.0 mm / Length 20 mm Ref. No. ESR-IN9 � Ø 5.0 mm / Length 20 mm Ref. No. ESR-IN10 � Ø 6.0 mm / Length 20 mm Ref. No. ESR-IN11

Pedicle screw retrieval instrument � After the short rods are inserted,

it is placed over the tulip � Can also be used as a

counter-torque wrench.

Removal Components for Schanz Screws, Broken and Cold-Welded Screws

Universal extractors for Schanz or broken screws with a diameter of:

� Ø 3.5 mm to 7.5 mm

Universal extractors for defective or cold-welded screws with a diameter of:

� Ø 3.5 mm to 7.5 mm

Distance adapter Ref. No. ESR-IN3

Rod grasping forceps Ref. No. ESR-IN13

Ref. No. ESR-IN8

Ref. No. U-ESR-AS3 to U-ESR-AS6 Ref. No. U-ESR-KS3 to U-ESR-KS6

Ref. No. ESR-IN7

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SPINE ESR-BASIC SYSTEM

All locking screws can be easily removed with this system. Always make sure that you have selected the right Hex. or TX. bit. If none of the bits fits, please use the KS extractor.

REMOVING LOCKING SCREWS

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First select the appropriate bit for the locking screw. To do this, connect the bit attachment that you think will fit to the quick coupling and place the bit on the screw head. Check that the selected size is right.

Now, insert the bit into the screw head of the pedicle screw. Make sure that the slide ring is set to „counter-clockwise“ for the ratchet function of the screw driver. Now carefully turn the screwdriver handle counter-clockwise. Locking screws are generally not particularly tight, and tend to be easy to loosen.

To improve handling, you can also connect the bit quick coupling to the distance adapter. Now, turn the T-Handle counter-clockwise to loosen the locking screw while continuing to apply counter-pressure on the rod. By applying counter-pressure, you avoid damaging the construction or tearing out adjacent screws.

After selecting the correct bit, connect the quick coupling to the handle. You can choose between the T-handle and the I-handle.

However, there are also exceptions, with very tight screws. In these situations, you must use the pedicle screw retrieval tool as a counter-torque wrench. Place the tool directly over the rod next to the screw you want to remove.

If none of the TX. or Hex. bits fit, you can also remove the screw plugs using the KS extractor. Please use the extractor that grips the sides of the screw head without touching its base. Connect the extractor directly to the T-handle.

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SPINE ESR-BASIC SYSTEM

REMOVING PEDICLE SCREWS

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If the internal screw heads are identical in size to the locking screws, then use the same Hex. or TX. bit as you would to remove the locking screws.

If there is no fitting bit for the screw heads in the tulip, insert the rods with 4.0, 5.0 and 6.0 mm diameter. The rod inserts are placed in the tulip head with the rod pliers.

Now place the pedicle retrieval instrument over the tulip head and the rod.

Connect the quick bit adapter to a handle and turn it counterclockwise to remove the pedicle screw.

Now secure the rod insert with one of the previously removed locking screws. Make sure that you tighten the locking screw enough to firmly attach the pedicle screw to the tulip head.

You can now easily remove the pedicle screw. Repeat this step until all screws are removed.

In many pedicle screw systems, the sizes of the screw heads that connect to the „tulip“ are identical to the sizes of locking screws. However, pedicle screws can easily be removed with this clever system, even if they have a completely different fitting in the tulip-head.

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SPINE ESR-BASIC SYSTEM

ESR-IN1ESR-IN3ESR-IN6 ESR-IN7ESR-IN8ESR-IN12 ESR-IN13ESR-IN9 ESR-IN10ESR-IN11ESR-HXHX3540ESR-HXHX4550ESR-HXHX5560ESR-TXTX1520ESR-TXTX2530 U-ESR-AS3U-ESR-AS4U-ESR-AS5U-ESR-AS6U-ESR-KS3U-ESR-KS4U-ESR-KS5 U-ESR-KS6TRAY-S-ESR-IN0CL-S-ESR

C-110-100

T-handle w. ratchet, 1/4“ conn. Distance adapter medium Drill adapterQuick coupling f. double-bitsExtractor f. spine screwsI-Handle w. ratchet function quick coupl. 1/4“ conn. Rod grasping forceps 45° angledRod inlay 4.0 mm f. extractorRod inlay 5.0 mm f. extractor Rod inlay 6.0 mm f. extractorHex. double-bit 3.5/4.0 mmHex. double-bit 4.5/5.0 mmHex. double-bit 5.5/6.0 mmTX. double-bit 15/20 mmTX. double-bit 25/30 mmExtractor f. 3.5-5.0 mm broken screwsExtractor f. 4.5-6.0 mm broken screwsExtractor f. 5.5-7.0 mm broken screwsExtractor f. 6.0-7.5 mm broken screwsExtractor f. 3.5-4.5 mm cold welded screw Extractor f. 4.5-5.5 mm cold welded screwExtractor f. 5.5-6.5 mm cold welded screwExtractor f. 6.0-7.5 mm cold welded screwSpine ESR instrument tray 480x260x60 mmLid for spine ESR tray

1/1 sterile container, lid perforated/bottom non perforated, silver, outside 580x280x135 mm, inside 550x265x115 mm

SET-CONFIGURATION SPINE EASY SCREW REMOVAL SYSTEMComplete System available with the Ref. No.: SET-S-ESR

Ref. No. Description Quantity

A

F

G

B

EC

D

PQRSTUVW

NO

LK

M

(A) (B)(C)(D)(E)(F)(G)(H)(I)(J)(K) (L) (M) (N) (O)(P)(Q)(R)(S)(T)(U)(V)(W)

1111111222222 2 2 2 222222211

JIH

Recommended sterile container for SET-S-ESR

Rev. 25.01.2018mahe medical gmbh | Friedrich-Wöhler-Straße 10 | 78576 Emmingen-Liptingen | Germany Tel. +49 7465 9275-0 | Fax +49 7465 9275-29 | www.mahe-med.de

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