Aesculap SpineS4® Spinal System

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S4® Spinal SystemA benchmark from a leader in innovation and quality.

Innovation Through TabsS4 is design engineered to maximize stability of construct and provide easy implantation.

S4 Pressure Vessel EffectS4 efficiently transfers energy throughout the construct maximizing rod grip while maintaining an exceptionally small implant volume.

Features Benefits� Extended tabs � Increase rod capture range of motion� Set screw lead in � Minimize set screw cross threading�Break off tabs � Achieve low profile to minimize interference with

anatomical structures� Patented � Minimize splaying of screw body

interlocking thread design

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PressureVessel

Achieved

Features Benefits� Small implant � Maximize screw head range of motion� Extended tabs � Simplify rod insertion due to low run on the rod

on screw head � Increase rod capture distance of the screw, virtually eliminating need for extra instrumentation (i.e. rocker, rod persuader)

S4 VersatilityS4 offers access to a unique set of specialty instruments to reduce spondylolisthesis (SRI) and fractures (FRI).

S4 Spinal System Maximizes Rod Capture Range of Motion*The extended tabs, small diameter (10.5 mm), and the 42 degree polyaxicity maximizes the range of the screw body to ease rod capturewithout the use of additional instruments.

S4

42°

*Rod Capture Range of Motion - the zone in which the rod can be effectively inserted into the screw head.

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S4® Implant Overview

Item No. Diameter LengthSW792T 8.0 mm 30 mmSW793T 8.0 mm 35 mmSW794T 8.0 mm 40 mmSW796T 8.0 mm 45 mmSW797T 8.0 mm 50 mmSW798T 8.0 mm 55 mmSW799T 8.0 mm 60 mmSW802T 9.0 mm 30 mmSW803T 9.0 mm 35 mmSW804T 9.0 mm 40 mmSW806T 9.0 mm 45 mmSW807T 9.0 mm 50 mmSW808T 9.0 mm 55 mmSW809T 9.0 mm 60 mmSW812T 10.0 mm 30 mmSW813T 10.0 mm 35 mmSW814T 10.0 mm 40 mmSW816T 10.0 mm 45 mmSW817T 10.0 mm 50 mmSW818T 10.0 mm 55 mmSW819T 10.0 mm 60 mm

Item No. Diameter LengthSW751T 4.5 mm 25 mmSW752T 4.5 mm 30 mmSW753T 4.5 mm 35 mmSW754T 4.5 mm 40 mmSW756T 4.5 mm 45 mmSW757T 4.5 mm 50 mmSW761T 5.0 mm 25 mmSW762T 5.0 mm 30 mmSW763T 5.0 mm 35 mmSW764T 5.0 mm 40 mmSW766T 5.0 mm 45 mmSW767T 5.0 mm 50 mmSW771T 6.0 mm 25 mmSW772T 6.0 mm 30 mmSW773T 6.0 mm 35 mmSW774T 6.0 mm 40 mmSW776T 6.0 mm 45 mmSW777T 6.0 mm 50 mmSW778T 6.0 mm 55 mmSW779T 6.0 mm 60 mmSW781T 7.0 mm 25 mmSW782T 7.0 mm 30 mmSW783T 7.0 mm 35 mmSW784T 7.0 mm 40 mmSW786T 7.0 mm 45 mmSW787T 7.0 mm 50 mmSW788T 7.0 mm 55 mmSW789T 7.0 mm 60 mm

S4 Polyaxial Screws

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Item No. Diameter LengthSW701T 4.5 mm 25 mmSW702T 4.5 mm 30 mmSW703T 4.5 mm 35 mmSW704T 4.5 mm 40 mmSW706T 4.5 mm 45 mmSW707T 4.5 mm 50 mmSW711T 5.0 mm 25 mmSW712T 5.0 mm 30 mmSW713T 5.0 mm 35 mmSW714T 5.0 mm 40 mmSW716T 5.0 mm 45 mmSW717T 5.0 mm 50 mmSW721T 6.0 mm 25 mmSW722T 6.0 mm 30 mmSW723T 6.0 mm 35 mmSW724T 6.0 mm 40 mmSW726T 6.0 mm 45 mmSW727T 6.0 mm 50 mmSW728T 6.0 mm 55 mmSW729T 6.0 mm 60 mm

S4 Monoaxial Screws

Item No. DescriptionSW790T Set Screw

S4 Set Screw

Item No. Diameter LengthSW731T 7.0 mm 25 mmSW732T 7.0 mm 30 mmSW733T 7.0 mm 35 mmSW734T 7.0 mm 40 mmSW736T 7.0 mm 45 mmSW737T 7.0 mm 50 mmSW738T 7.0 mm 55 mmSW739T 7.0 mm 60 mmSW742T 8.0 mm 30 mmSW743T 8.0 mm 35 mmSW744T 8.0 mm 40 mmSW746T 8.0 mm 45 mmSW747T 8.0 mm 50 mmSW748T 8.0 mm 55 mmSW749T 8.0 mm 60 mm

Item No. Size TypeSW836T 10 mm LeftSW837T 10 mm Right

S4 Offset Hooks (Purple)

Item No. SizeSW831T 6 mmSW832T 10 mm

S4 Pedicle Hooks (Silver)

Item No. SizeSW833T 6 mmSW834T 8 mm

S4 Thoracic Hooks (Blue)

Item No. Size TypeSW826T 6 mm LeftSW827T 6 mm RightSW828T 10 mm LeftSW829T 10 mm Right

S4 Lamina Hooks (Gold)

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S4® Implant Overview

Item No. LengthSW653T 30 mmSW654T 35 mmSW655T 40 mmSW656T 45 mmSW657T 50 mmSW658T 55 mmSW659T 60 mmSW661T 70 mmSW662T 80 mmSW663T 90 mmSW684T 100 mm

S4 Pre-Bent Rods, 5.5 mmItem No. LengthSW674T 35 mmSW675T 40 mmSW676T 45 mmSW677T 50 mmSW678T 55 mmSW679T 60 mmSW681T 70 mmSW682T 80 mmSW664T 100 mmSW666T 120 mmSW667T 150 mmSW668T 180 mmSW669T 200 mmSW670T 300 mmSW671T 400 mmSW672T 500 mm

S4 Straight Rods, 5.5 mm

Item No. LengthSW488T 35-36 mmSW489T 36-38 mmSW494T 38-42 mmSW495T 42-50 mmSW496T 50-60 mmSW497T 60-77 mmSW498T 77-107 mmSW697T 43-49 mmSW698T 49-60 mmSW699T 60-75 mm

S4 Adjustable Cross ConnectorsItem No. LengthSW490T 28 mmSW491T 30 mmSW492T 32 mmSW493T 34 mmSW690T 21 mmSW691T 25 mmSW692T 29 mmSW693T 32 mmSW694T 35 mmSW695T 38 mmSW696T 41 mm

S4 Rigid Cross Connectors

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S4® Instrumentation Overview

S4 Preparation InstrumentsItem No. DescriptionFW146R Ball-Tip Pedicle Sounder, Straight

Item No. DescriptionFW147R Ball-Tip Pedicle Sounder, Curved

Item No. DescriptionME175R Ratchet Handle, Straight

Item No. DescriptionFW188R Pedicle Probe, Straight

Item No. DescriptionFW189R Pedicle Probe, Curved

Item No. DescriptionFW190R Bone Awl

Item No. DescriptionFW191R Pedicle Marker, Single Band

Item No. DescriptionFW192R Pedicle Marker, Dual Band

Item No. DescriptionFW194R Screw Tap, 4.5 mmFW195R Screw Tap, 5.0 mmFW196R Screw Tap, 6.0 mmFW197R Screw Tap, 7.0 mmFW198R Screw Tap, 8.0 mm

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S4 Application InstrumentsItem No. DescriptionFW170R Torque Wrench (10 Nm)

Item No. DescriptionFW178R Counter Torque Handle

Item No. DescriptionFW173R Screwdriver with Retaining Clip for Polyaxial Screws

Item No. DescriptionFW174R Removal Screwdriver for Polyaxial Screws

Item No. DescriptionFW176R Screwdriver for Monoaxial Screws

Item No. DescriptionFW177R Set Screw Starter

Item No. DescriptionFW179R Tab Breaker

Item No. DescriptionFW180R Screw Body Manipulator

Item No. DescriptionFW154R Marnay Lever

S4® Instrumentation Overview

Item No. DescriptionFW193R Removal Screwdriver for Set Screws

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S4 Rod Bending and Reconstruction InstrumentsItem No. DescriptionFW012R Derotation Forceps

Item No. DescriptionFW185R Rod Trial (Single Use)

Item No. DescriptionFW024R Rod Bending Forceps, Adjustable

Item No. DescriptionFW513R Rod Pusher

Item No. DescriptionFW208R Rod Persuader

Item No. DescriptionFW181R Distraction Forceps

Item No. DescriptionFW183R Derotation Sleeve

Item No. DescriptionFW210R Compression Forceps

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S4® Instrumentation Overview

S4 Cross Connector Application InstrumentsItem No. DescriptionFW202R Cross Connector Sizing Template

Item No. DescriptionFW203R Cross Connector Bender

Item No. DescriptionFW204R Counter Torque for Cross Connectors

Item No. DescriptionFW207R Torque Wrench for Cross Connectors (4 Nm)

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S4 Hook InstrumentationItem No. DescriptionFW211R Hook Holder

Item No. DescriptionFW212R Hook Pusher

Item No. DescriptionFW226R In-Situ Bender, Left

Item No. DescriptionFW227R In-Situ Bender, Right

Item No. DescriptionFW149R Thoracic Pedicle Probe, Straight

Item No. DescriptionFW151R Pedicle Preparator

Item No. DescriptionFW152R Lamina Preparator

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S4® Instrumentation Overview

S4 SRI InstrumentationItem No. DescriptionFW225R SRI Spondylolisthesis Reduction Instrument

Item No. DescriptionFG322R Quick Tightening Key

Item No. DescriptionFW231R T-Wrench

Item No. DescriptionFW232R T-Wrench with Hexagonal Chuck

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Item No. DescriptionFW162P Storage Disk for Set Screws

Item No. DescriptionTE854P Pin for 4.5 mm Polyaxial ScrewTE855P Pin for 5.0 mm Polyaxial ScrewTE856P Pin for 6.0 mm Polyaxial ScrewTE857P Pin for 7.0 mm Polyaxial ScrewTE858P Pin for 8.0 mm Polyaxial Screw

*Note: Contains 10 per pack

Storage Pins for Polyaxial Screws*

Item No. DescriptionTE864P Pin for 4.5 mm Monoaxial ScrewTE865P Pin for 5.0 mm Monoaxial ScrewTE866P Pin for 6.0 mm Monoaxial ScrewTE867P Pin for 7.0 mm Monoaxial ScrewTE868P Pin for 8.0 mm Monoaxial Screw

*Note: Contains 10 per pack

Storage Pins for Monoaxial Screws*

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S4® Trays & Recommended Sterile Containers

Item No. DescriptionJK388 1/2-size Lid w/ Retention Plate (Gold)JK486 Full-size Lid w/ Retention Plate (Blue)JK488 Full-size Lid w/ Retention Plate (Gold)JK489 Full-size Lid w/ Retention Plate (Silver)JN340 1/2-size Perforated Bottom (90 mm)JN341 1/2-size Perforated Bottom (120 mm)JN441 Full-size Perforated Bottom (120 mm)JN442 Full-size Perforated Bottom (135 mm)JN444 Full-size Perforated Bottom (187 mm)

Recommended Sterile Containers

Item No. DescriptionFW161P Basic Implant TrayFW163P Basic Instrument TrayFW164P Tray for Rod Bending/Reconstruction InstrumentsFW160P Tray for Hook SystemFW166P Tray for Cross ConnectorsUS005 SRI Instrument Tray

S4 Trays

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S4 Set Configurations

Order Information

For additional information, contact Customer Service at 1-866-229-3002 orvisit our website at www.aesculapimplantsystems.com.

Set No. Set DescriptionST0184 Standard S4 Polyaxial Implant and Instrument SetST0190 Monoaxial Implant SetST0272 Cross Connector Set (Adjustable and Rigid)ST0312 Cross Connector Set (Adjustable Only)ST0278 Hook Implant SetST0033 SRI Instrument Set

ST0184 Standard S4 Polyaxial Implant and Instrument Set ComponentsImplant Components

� 5.0 mm Polyaxial Screws (Sizes 30 - 50 mm)� 6.0 mm, 7.0 mm, 8.0 mm Polyaxial Screws (Sizes 30 - 60 mm)� Set Screws� 5.5 mm Pre-bent Rods (30 - 100 mm)� 5.5 mm Straight Rods (35 - 150 mm)� Bar Style Rigid Cross Connectors (38, 41 mm)� Bar Style Adjustable Cross Connectors (43-49, 49-60, 60-75 mm)

Instrument Components� Preparation Instruments� Application Instruments� Rod Bending and Reconstruction Instruments� Cross Connector Application Instruments

ST0190 Monoaxial Screw Set ComponentsImplant Components

� 4.5 mm and 5.0 mm Monoaxial Screws (Sizes 25 - 50 mm)� 6.0 mm and 7.0 mm Monoaxial Screws (Sizes 25 - 60 mm)� 8.0 mm Monoaxial Screws (Sizes 30 - 60 mm)

Instrument Components� Screwdriver

ST0272 Cross Connector (Adjustable and Rigid) Implant Set Components� Bar Style Rigid Cross Connector (21, 25 mm)� Rigid Cross Connector (28, 30, 32, 34 mm)� Adjustable Cross Connectors (35-36, 36-38, 38-42, 42-50, 50-60, 60-77, 77-107 mm)

ST0312 Cross Connector Set (Adjustable only) Components� Adjustable Cross Connectors (35-36, 36-38, 38-42, 42-50, 50-60, 60-77, 77-107 mm)

ST0278 Hook Implant Set Components� Lamina Hooks� Pedicle Hooks� Thoracic Hooks� Offset Hooks

ST0033 SRI Instrument Set Components� SRI Jig Left and Right, and Reduction T-wrenches

Aesculap Implant Systems, Inc.

3773 Corporate ParkwayCenter Valley, PA 18034Phone: 866-229-3002

www.aesculapimplantsystems.com©2009 AESCULAP. ALL RIGHTS RESERVED. PRINTED IN THE USA. DOC858 3M 8/09Aesculap is an equal opportunity employer

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