EXPEDIUM VERSE Spine System Powered Instruments

EXPEDIUM VERSE® Spine SystemPowered InstrumentsSurgical Technique

The MatrixPRO™ Driver and Powered Instruments deliver:

• powered set screw insertion

See pages 26-34 for details.

Power Options for EXPEDIUM VERSE® Spine System

The Colibri II and Powered Instruments deliver:

• powered drilling

• powered tapping

• powered screw insertion

See pages 2-25 for details.

Image intensifier control

Powered Instruments for EXPEDIUM VERSE® Spine System Surgical Technique DePuy Synthes 1

POWER SCREW DELIVERY

Features and Benefits 3

Product Overview 5

Set Contents 6

Pre-operative Preparations 8

Screw Bed Preparation Cannulation 13

Tapping 16

Screw Delivery 19

Poly Driver Assembly 20

Loading an EXPEDIUM VERSE® Screw 21

Delivering an EXPEDIUM VERSE Screw 23

Manual Operation 25

POWER SET SCREW DELIVERY

Product Overview 27

Set Contents 28

Pre-operative Preparations 30

Set Screw Delivery 32

Load Set Screw 32

Insert Set Screw 33

Remove Set Screw 34

Processing, Reprocessing, Care and Maintenance 35

Product Catalog 36

Indications 44

Contents

Power Pedicle Screw Delivery


The Powered Instruments for EXPEDIUM® Spine System enable powered drilling, tapping, and screw delivery with a cordless handpiece, Quick Coupling attachment, and optimized instrumentation.

EXPEDIUM System PedigreePowered Instruments for the EXPEDIUM System build upon more than ten years of clinical experience with the comprehensive EXPEDIUM System, delivering refined instrumentation, which enables surgeons to unlock the full potential of the EXPEDIUM System.

Ergonomics and HealthInstrument length is designed to improve surgeon ergonomics and to provide a more comfortable shoulder and torso positioning during the procedure. Additionally, the powered handpiece reduces the number of repetitive motions that can lead to surgeon fatigue or overuse injuries¹.

Speed and EfficiencyThe application of Powered Instruments offers potential timesaving for each screw implanted. The greatest cumu lative benefit is expected during deformity procedures.

AccuracyThe power handpiece is designed to facilitate steadier hand positioning during pedicle preparation and screw delivery, potentially reducing the off-axis motion associated with manual pedicle preparation and screw delivery.

Features and Benefits

¹ Auerbach et. Al. “Musculoskeletal Disorders Among Spine Surgeons”, Spine Vol. 36, No. 26, pp E1715-E1721, 2011.

4 DePuy Synthes Powered Instruments for EXPEDIUM VERSE® Spine System Surgical Technique

BiomechanicsThe Powered Instruments for the EXPEDIUM Spine System were developed in close collaboration with deformity surgeons having ergonomics in mind. Through optimization of instrument length and geometry, shoulder, elbow, and trunk positioning is improved when compared to manual instrumentation.

During pedicle preparation and screw delivery, Powered Instrumentation allows the surgeon to maintain a low shoulder position, an elbow position close to the torso, and decreases the amount of lateral bending often seen when using manual instrumentation. Maintaining alignment of the torso while minimizing the extension of the upper extremities provides an opportunity to reduce muscle recruitment and surgeon fatigue.

Similarly, using Powered Instruments reduces the number of repetitive motions required during spine surgery, reducing energy expenditure and decreasing the potential for musculoskeletal disorders associated with overuse¹.

Comparison of surgeon posture using manual and Powered Instruments:

¹ Auerbach et. Al. “Musculoskeletal Disorders Among Spine Surgeons”, Spine Vol. 36, No. 26, pp E1715-E1721, 2011.

² Shown: EXPEDIUM System Quick Connect Polyaxial Driver 279712400 with Elliptical Handle 279702140 (not included in set Powered Instruments for EXPEDIUM 5.5 Spine System).

Comparison of shoulder height and elbow position (left: manual², right: Powered Instruments).

Comparison of spine lateral bend and elbow lift (left: manual², right: Powered Instruments).


POWER TOOLS COLIBRI II

Product Overview

Highly Controllable Power Handpiece

Powerful handpiece (85 Watts) with highly durable motor

Simple mode selection from forward

14.4 V Li-Ion battery offering high battery capacity

Attachment provides speed and torque suitable for pedicle preparation and screw delivery

Push release Quick Coupling for fast instrument exchange

Standing battery casing for greater convenience

Coupling for quick and secure attachment exchange

Dual trigger for easy speed regulation and directional control

LI-ION


Set Contents

The drills and dual lead taps from the Powered Instruments for the EXPEDIUM 5.5 System are compatible with the EXPEDIUM VERSE® Spine System for Screw Insertion. The Powered Instruments include drill bits, taps, and screwdrivers with Quick Coupling modular connection allowing for attachment and detachment of the instrumentation to the powered handpiece.

EXPEDIUM VERSE Screw

For power insertion of EXPEDIUM VERSE Screws an additional polyaxial screwdriver needs to be ordered to use in conjunction with the Powered Instruments for EXPEDIUM 5.5 Spine System (see Required Equipment section on page 19 for details).


It is important to note that the Powered Instruments for the EXPEDIUM Spine System are intended to be used to compliment the EXPEDIUM VERSE System Core Instrument Set or the EXPEDIUM 5.5 System Core Instrument Set.

The EXPEDIUM System Powered Instruments set are presented in three cases:• Graphic Case for Powered Instruments• Graphic Case for Power Handpiece• Transport Case for Universal Battery Charger II

and Batteries

For set content details, please refer to the product catalog at the end of this guide.

Graphic Case for Powered Instruments

Graphic Case for Power Handpiece

Transport Case for Universal Battery Charger II and Batteries


Pre-Operative Preparations¹

Required Equipment

05.001.204 Universal Battery Charger II

532.103 Battery for Nos. 532.101 and 532.110

532.132 Battery Casing for Nos. 532.101 and 532.110, with Locking for Lid

532.104 Insertion Shield for Nos. 532.101 and 532.110

532.101 Colibri II

532.015 Quick Coupling for DHS/DCS triple reamers, for Nos. 532.001, 532.010, 532.101 and 05.001.175 (Attachment)

Before surgery, ensure the batteries of the handpiece are fully charged.

Precaution: Only use the Synthes Universal Battery Charger II (05.001.204) to charge the batteries. Using another charger can damage the battery.

1. Charging the batteryPlace the battery to be charged in the proper direction into the corresponding slot of an empty charger bay. Only one battery can be charged in each charger bay at a time. All charger bays can, however, be used simulta-neously with any combination of battery types.

Once the battery types have been identified, the charging process starts automatically. This is signaled by the yellow charger display (Fig. 1).

Depending on the charge status and type of battery, it can take from about 15 minutes to around 60 minutes to charge.

Once the battery is fully charged, the green display lights up and the charger switches to maintenance charge (Fig. 2). The battery can be left in the charger. Leave the device switched on to ensure that the battery is always fully charged.

If the battery is removed from the charger before the green display lights up, it will not be fully charged.

Figure 1 Figure 2

¹ The section PRE-OPERATIVE PREPARATIONS (pages 8–12) has been extracted from the Colibri II Handpiece, User’s Manual and the Universal Battery Charger II, User’s Manual.

For additional instructions on the use of the Universal Battery Charger II, please refer to the Synthes Universal Battery Charger II User’s Manual.


2. Inserting the battery in the battery casingTo ensure sterility, the battery is to be inserted into the battery casing by two people, one of whom is wearing sterile garments:

The person with the sterile garments holds the sterile battery casing. If the casing is not opened, the same person presses the central button to unlock (Fig. 1), turns the lid sideways (90°) as indicated by the arrow (Fig. 2) and pulls to open (Fig. 3). Leave the locking mechanism swung outward.

The person wearing the sterile garments places the sterile insertion shield on the battery casing (Fig. 4) and checks if it is seated correctly. The sterile insertion shield ensures that the unsterile battery does not contact the outside of the sterile casing.

The person not wearing sterile garments carefully guides the unsterile battery through the sterile insertion shield (Fig. 5). As an orientation, the two symbols on the battery and the sterile insertion shield should face each other (Fig. 6). The same person presses it completely into the battery casing to ensure a correct seat (Fig. 7). This person may not contact the outside of the battery casing.

The person not wearing sterile garments grasps the flanges on the sterile insertion shield and removes it from the battery casing (Fig. 8).

The person wearing the sterile garments closes the casing cover from the outside without contacting the battery or the inside of the casing. After having closed the casing cover, turn the lid sideways (90°) until it locks.

Figure 1 Figure 2

Figure 3 Figure 4

Figure 5 Figure 6

Figure 7 Figure 8


Precautions:• Normally, one battery is sufficient for one surgery.

A second battery pack (battery casing with the battery) should be kept ready to ensure fast intraoperative changing of batteries under sterile conditions if necessary.

• Never open a battery casing intraoperatively to insert a new battery. Always replace the whole battery pack with another battery pack, which should have been prepared before the start of the surgery.

• If the unsterile battery contacts the outside of the casing, the casing must be resterilised before being used in the OR.

• To close the casing cover, press it firmly to ensure that it is completely closed (Fig. 9 and 10) so that the locking mechanism properly engages. Always ensure that the cover is totally closed before using the system.

• Sterilize the insertion shield after each use to ensure aseptic conditions when inserting the unsterile battery into the sterile battery casing.

Pre-Operative Preparations

Figure 11 Figure 12

Inserting the battery pack into the power toolGuide the battery pack (battery casing with inserted battery) from below into the shaft of the handpiece (Fig. 11). The shape of the battery casing prevents the battery from being inserted incorrectly. Check if the battery pack is seated correctly by gently pulling on it.

Removing the battery pack from the power toolSimultaneously press the release buttons for the battery casing with one hand (Fig. 12) and use the other hand to remove the battery pack from the handpiece.

Figure 10

Figure 9


3. Mounting the AttachmentThe attachment (532.015) contains gearing which de-creases the speed of the handpiece while increasing torque. Insert the coupling into the handpiece. If the positioning pins do not lock in place right away, twist the attachment slightly until it locks into the correct position. Check if the attachment is seated correctly by gently pulling on it.

4. Removing the AttachmentPress the release buttons on the handpiece simultane-ously and remove the coupling.

For further details about the charging process, battery insertion or attachment assembly and disassembly, please refer to: • Colibri II handpiece, User’s Manual • Universal Battery Charger II, User’s Manual

1

3

2


5. Speed and Rotational Direction Control Mode selector switch 1 in the ON positionThe bottom trigger 2 gradually controls the forward speed (up to approx. 384 rpm with the Quick Coupling for DHS/DCS® Triple Reamers 532.015). When the bottom and top triggers 2 and 3 are pressed at the same time, the tool operates in reverse. The top trigger 3 can be depressed first. Depressing the bottom trigger 2 with the top trigger already depressed will ensure the tool will start in reverse and allow for precise speed control. The speed of rotation may be controlled by how much depression is placed on trigger 2 . When the bottom trigger 2 is released, the tool immediately stops.

Precaution: The Colibri II offers an oscillating mode ( ) which is not recommended for use with the Powered Instruments for EXPEDIUM Spine System or EXPEDIUM VERSE Spine System.



CANNULATION

Equipment

532.101 Colibri II




3100-02-100P Power 2.4 mm Diameter Drill Bit, short, Quick Coupling

3100-02-105P Power 2.4 mm Diameter Drill Bit, medium, Quick Coupling


3100-02-210P Power 3.2 mm Diameter Drill Bit, long, Quick Coupling

EXPEDIUM System Core Instruments

2750-10-140/160 Ball Tip feeler, Straight/Curved

Identify screw entry point and penetrate the cortex using a suitable instrument (awl, rongeur, high speed burr or equivalent).

Cannulation using the Powered Instruments represents an optional step in the procedure. Depending on sur-geon preference, cannulation can be completed using the EXPEDIUM 5.5 System core instruments or the EXPEDIUM VERSE System core instruments.

Drill bits are available in two diameters and three lengths to provide the surgeon the option to choose a suitable instrument based upon the vertebral level and patient size.

To ensure full screw thread purchase, it is recommended to use a 2.4 mm drill bit when preparing a pedicle for the placement of a 4.35 mm diameter screw. For 5 mm and larger diameter screws, either a 2.4 mm or a 3.2 mm drill bit is acceptable.

Screw Bed Preparation


Apply the drill bit to the entry point of the bone and depress lower trigger until a cannulation of desired depth is attained.

INSERTION


To connect the drill bit to the Quick Coupling, push the outer ring away from the powered handpiece and insert the drill until the hexagonal flange is flush with the Quick Coupling. Check if the drill bit is retained by gently pulling on it.

Make sure the mode selector switch of the powered handpiece is in the ON position.

10 mm

10 mm

10 mm

30 mm


Depth markings are provided every 10 mm to assess depth drilled. The distal end of the marking corresponds to the indicated depth (as shown). The length of the fluted section is 30 mm.

Use a ball tip feeler to verify pedicle wall integrity.

To remove the drill bit from the Quick Coupling, push the outer ring away from the powered handpiece and pull the drill bit in the same direction.

Should any difficulty occur during the completion of a powered step, turn off the handpiece and disengage it from the instrument. Remove the instrument manually. Manual handles are included in the set.


TAPPING

Required Equipment

532.101 Colibri II




Power EXPEDIUM System Double Lead Taps, Quick Coupling (compatible with EXPEDIUM VERSE Screw)

2997-04-040P 4.35 mm, short

2997-04-050P 5.00 mm, short

2997-04-060P 6.00 mm, short

2997-04-061P 6.00 mm, medium

2997-04-070P 7.00 mm, medium

2997-04-080P 8.00 mm, long

EXPEDIUM VERSE Pedicle Preparation Instruments

2997-04-125/130 Ball Tip Feeler, Straight/Curved

EXPEDIUM VERSE Screws have a fully threaded, tapered tip minimizing the need to tap. However, tapping is recommended and taps are provided for surgeon preference.

Precautions:• Single Lead Taps should not be used with

EXPEDIUM VERSE Screws.

• 9 mm and 10 mm taps are available in the Powered Instruments Set but should not be used with EXPEDIUM VERSE Screws.

Undersized major B

Undertapping of EXPEDIUM VERSE System Screw Beds using EXPEDIUM 5.5 System Power Taps

Tap core B



Screw/Tap Undersizing

Screw Size Major Diameter

Minor Diameter

Tap Core Diameter

4.35 mm 0.2 mm 0.6 mm 2.5 mm 5 mm 0.2 mm 0.75 mm 2.9 mm 6 mm 0.2 mm 0.75 mm 3.3 mm 7 mm 0.2 mm 0.75 mm 3.7 mm 8 mm 0.15 mm 0.2 mm 4.9 mm

EXPEDIUM 5.5 System Power Tap and EXPEDIUM VERSE Screw Dimension Table

Tap SizeMaximum Tapping Depth

Double Lead 4.35 mm 40 mm 5 mm 50 mm 6 mm 60 mm 7 mm 70 mm 8 mm 130 mm

EXPEDIUM 5.5 Power System Maximum Tapping Depth Table

INSERTION

10 mm

10 mm

10 mm

30 mm

1 2


Clear the surrounding soft tissue and bony anatomy to allow for full screw angulation.

Tap design incorporates a degree of undertapping. To choose the appropriate tap size, reference the Tap Dimension Table for values to determine the amount of undertapping.

6 mm taps are offered in two lengths to provide the surgeon the option to choose a suitable instrument based upon the vertebral level and patient size.

For 8 mm diameter screws, it is recommended to apply a sequential tapping procedure. Start with a smaller tap diameter and complete sequentially tapping steps, in-creasing tap diameter until the desired screw diameter is reached. It is recommended to limit the change in hole diameter by one size and to tap to the full length of the screw intended to be placed.

In order to decrease the amount of torque re quired for large diameter screws, the degree of undertapping is reduced for 8 mm taps. Reference the EXPEDIUM 5.5 System Power Tap and EXPEDIUM VERSE Screw Dimension Table.

To connect the tap to the Quick Coupling, push the outer ring away from the powered handpiece and insert the tap until the hexagonal flange is flush with the Quick Coupling. Verify that the tap is retained by gently pulling on it.

The handpiece has a proportional trigger control, meaning that the further the trigger is depressed, the faster the tap will be rotated.

Make sure the mode selector switch of the powered handpiece is in the ON position.

Apply the instrument to the entry point of the cannu-lation and depress lower trigger until tapped to desired depth.


REMOVAL


Screw Delivery

Required Equipment

532.101 Colibri II




2997-04-152P Power EXPEDIUM Verse Poly Driver Handle

2997-04-155P Power EXPEDIUM Verse Poly Driver Shaft

2997-04-160P Power EXPEDIUM Verse Poly Driver Sleeve

2797-03-150P Power Ratcheting T-Handle, Quick Coupling

Optional Equipment

2797-03-140P Power Ratcheting Elliptical Handle, Quick Coupling

Choose desired screw type, length, and diameter. Power EXPEDIUM VERSE Poly Driver Handle, Poly Driver Shaft and Poly Driver Sleeve are not included in the Powered Instruments Set and will need to be ordered separately.

Precaution: For screw lengths 70 mm and above, switching to a manual handle may be required to fully seat the screw.


POLY DRIVER ASSEMBLY

If desired, assemble the optional Poly Driver Sleeve (2997-04-160P) to the Poly Driver Handle (2997-04-150P) by depressing the release lever buttons and sliding the sleeve towards the handle. The sleeve allows the instru-ment to be held distally, improving stability. Additionally, the sleeve reduces the potential that soft tissue will be-come entangled around the driver during screw insertion.

The aqua blue color band on the instrument corresponds to compatibility with EXPEDIUM VERSE System Screws.

Insert the Driver Shaft (2997-04-155P) into the handle and advance until the handle engages the shaft.

Screw Delivery


LOADING EXPEDIUM VERSE SCREWS

Attach the Poly Driver Assembly to a manual handle. Make sure the ratcheting function of the handle is de-activated by setting it in the neutral position. Couple the driver to the screw by placing the X25 driver tip into the X25 feature of the screw shank. It is recommended to couple the driver to the screw while the screw is in the implant caddy.

Secure the implant by sliding the Poly Driver toward the implant and rotate the Poly Driver clockwise, engaging the threads.

The manual handle serves to provide countertorque and can be removed once implant is rigidly attached to the driver.

Precaution: For insertion of EXPEDIUM VERSE Screws without tabs, please refer to the EXPEDIUM VERSE System Guide for manual insertion technique.

Screw Delivery


Attach the Poly Driver and screw assembly to the Quick Coupling of the powered handpiece. Verify if the instrument is retained correctly by gently pulling on it.

The handpiece has a proportional trigger control, meaning that the further the trigger is depressed, the faster the screw will be rotated.

Apply the instrument to the entry point of the pedicle and depress lower trigger until the screw is inserted to the desired depth. Once the pedicle screw is inserted, make sure the polyaxial head does not interfere with the bony anatomy and polyaxiality of head is retained.

1 2


DELIVERING AN EXPEDIUM VERSE SCREW

If a screw needs to be adjusted or removed from the bone, operate the handpiece in the reverse (counter-clockwise) direction.

Precaution: To operate the handpiece in the reverse (counterclockwise) direction, first depress the top trigger and then depress the bottom trigger to avoid inadvertent advancement of the tap.

For fine screw height adjustment, alternatively a manual handle can be used.

Screw Delivery

INSERTION

REMOVAL


To release the implant, turn the handle of the Poly Driver counterclockwise to disengage the driver from the screw head.

Disconnect the Poly Driver from the Quick Coupling by pushing the outer ring away from the powered hand-piece and then removing the instrument. The second Poly Driver should be preloaded and ready to insert the subsequent screw.

Should any difficulty arise from the powered handpiece or instruments during the performance of the procedure, turn off the handpiece and disengage the instrument from the Quick Coupling. Remove the instrument using a manual handle.


Manual Operation

A Ratcheting T-Handle (2797-03-150P) and a Ratcheting Elliptical Handle (2797-03-140P) with a Quick Coupling have been included in this set to allow for manual completion of tapping or screw delivery. The manual handles can also be used for screw head height adjustment.

Both manual handles have clockwise and counter-clock-wise ratcheting as well as a lock position. The direction or lock can be selected by turning the ring at the base of the handle.

Power Set Screw Delivery


Product Overview

An ergonomic, well balanced battery powered screwdriver.

Ergonomic

Comfortable handling when inserting multiple set screws

Torque-Limiting Technology

Torque-limiting technology that controls insertion torque

Well Balanced

Allows for control over the hand piece while inserting set screws

Fast and efficient insertion

Allows for timely placement of set screws

Sterilization

Ability to withstand washer-disinfector and autoclave cycles (MatrixPRO Driver Hand Piece only)

Single Use Battery

The MatrixPRO Driver Battery is packaged sterile and single use only.

MatrixPRO DRIVER

Power Correction Key Set Screw Inserter

Unitized Set Screw

Correction Key Set Screw

Power Unitized X25 Set Screw Inserter

Power Facilitator


Set Contents

The EXPEDIUM VERSE Powered Instruments for set screw delivery are compatible with the EXPEDIUM VERSE Spine System only.

The Powered Instruments for set screw delivery include a facilitator, a unitized X25 set screw inserter and a correction key set screw inserter.

The provided Inserters allow for insertion ofEXPEDIUM VERSE System Unitized Set Screws andCorrection Key Set Screws.

Warning: powered set screw insertion is not intended for:

• Final tightening of set screws*

• Loosening of set screws after final tightening

• Rod reduction

• Derotation

*Final tightening should be performed with the manual set screw inserter and torque handle as perthe EXPEDIUM VERSE System Guide (DSEM/SPN/0915/0337(1))


Set Contents

It is important to note that the Powered Instruments forEXPEDIUM VERSE Set Screw Delivery are designed tocompliment the EXPEDIUM VERSE System CoreInstrument Set.

The EXPEDIUM VERSE System Powered Instruments for Set Screw Delivery are presented in two cases:

• 60.000.010 MatrixPRO Driver Sterilization Case*

• 60.000.012 MatrixPRO Driver Transport Case

• Power Set Screw Inserters need to be ordered separately (please see product codes on page 30)

* The MatrixPRO Driver Sterilization Case can not be used as a shipping container

MatrixPRO Driver Sterilization Case

MatrixPRO Driver Transport Case

Figure 13

Figure 14

Figure 15



Required Equipment

05.000.020 MatrixPRO Driver Hand Piece

05.000.021S MatrixPRO Driver Battery – Sterile

2997-04-230P EXPEDIUM VERSE Power X25 Inserter

2997-04-220P EXPEDIUM VERSE Power Correction Key Inserter

2997-04-205P EXPEDIUM VERSE Power Facilitator

Insert Set Screw Inserter

For insertion of the Correction Key, the Key Inserter must be assembled to the powered handpiece. For insertion of the Unitized Set Screw, the X25 Inserter must be assembled to the powered handpiece.

Only EXPEDIUM VERSE Power Set Screw Inserters (2997-04-220P and 2997-04-230P) can be used for powered Set Screw insertion.

Attach the chosen Set Screw Inserter to the MatrixPRO Driver while pulling the collet grip back and hold in that position while inserting the Set Screw Inserter into the collet shaft (Fig. 13). Slowly rotate the Set Screw Inserter as necessary while pushing it into the collet shaft until it drops and seats into the internal hex interface (Fig. 14). Release the collet grip to allow it to spring forward to the locked position. Pull on the Inserter to ensure it is locked into the collet (Fig. 15).

Precaution: Prior to use always ensure that the Set Screw Inserter is properly seated and locked into the collet by visually confirming that the collet grip has sprung forward to the locked position, and by giving the chosen Set Screw Inserter a firm pull.



Insert Battery, Self-Diagnostic Check

Orient the black arrow on the battery with the white arrow on the driver. Firmly insert the battery onto the battery mount ring until the tabs “click”and lock the battery securely in place.

Gently pull on the battery to confirm that it is locked in place.

After battery insertion, the hand piece will be ready to use. To operate, press either the Forward or Reverse button and hold for at least one second. The buttons will illuminate and the hand piece will do an internal self-check of the electronics, buttons, and motor. If the system passes the internal checks, the inserted set screw inserter will rotate in the direction as determined by the selected button (forward or reverse).

Should any of the internal checks fail, the lights will flash indicating an internal failure. Replace the battery with a fresh, unused one and repeat the operation. If the lights flash again, return the hand piece for repair or replacement.

Precaution: • If the lights under the button pad begin to flash, this

indicates that the device has failed the self-diagnostics check and it will not function. Do not attempt to use it.

Warning: • The MatrixPRO Driver has been designed and

tested to operate only with the MatrixPRO Driver Battery – Sterile. Do not attempt to use another power source with this device. Use of a power source other than the MatrixPRO Driver Battery – Sterile may present a risk of fire, explosion, or other damage, and should therefore never be attempted.

DO NOT heat battery above 80°C (176°F). DO NOT autoclave battery.

Note: The battery will go into ‘standby mode’ if the battery is not used for a Period of 10 minutes.

For more information please see MatrixPRO Driver Battery – Sterile Instruction for Use.

forward reverse


Set Screw Delivery

Load Set Screw

Load the set screw directly from the caddy.

Select the corresponding Set Screw, (Unitized or Correction Key), align the Set Screw Inserter with the Set Screw recesses and push down to engage with the Set Screw.


Set Screw Delivery

Insert Set Screw

Place the Facilitator over the EXPEDIUM VERSE Screw (Fig. 16), align the Set Screw Inserter with the Facilitator and advance it until the Set Screw engages with the extended tabs of the Screw. Depress the forward button, which will light up green, to insert the set screw until it engages the rod (Fig. 17).

Once inserted, remove the MatrixPRO Driver with the SetScrew Inserter attached and the Facilitator.

Precautions: • The EXPEDIUM VERSE Power Facilitator must be

used during set screw insertion to reduce the risk of cross-threading.

• EXPEDIUM VERSE Power Facilitators should not be used for derotation. Refer to EXPEDIUM VERSE System Core Instrument Set for appropriate reduction/derotation instrumentation.

Note: The average no-load forward speed is 2,000RPM.

forward

Figure 16

Figure 17


Remove Set Screw (if necessary)Place the Power Facilitator back over the EXPEDIUM VERSE Screw. Re-engage the Set Screw Inserter with the Set Screwrecesses and push the reverse button.

Precautions: • If the Set Screw does not reverse, help initiate Set

Screw removal by simultaneously holding down the reverse button and rotating your wrist ¼ turn counter clockwise (repeat if necessary).

• Do not use the EXPEDIUM VERSE Power Set Screw Inserters to remove a set screw that has been final tightened.

Note: The average no-load reverse speed is 275 RPM.

Remove Set Screw Inserter and Battery

To remove the Set Screw Inserter pull the collet grip back and hold in that position while removing the Set Screw Inserter from the collet grip. Release the collet grip and allow it to again spring forward to the locked position.

To remove the battery, press the movable latches on the battery together and pull the battery from the hand piece.

Set Screw Delivery

reverse

1

1


Processing, Reprocessing, Care and Maintenance

Proper handling and maintenance help to extend the useful life of surgical instruments. Gentle care and maintenance with proper lubrication can substantially increase the reliability and life of the system compo-nents.

Special care has to be applied for regular lubrication of the power handpiece, the Battery Casing, the attachment and the manual handles. For instruction for lubrication of the powered device please refer to the Small Battery Drive II User’s Manual. The manual handles are lubricated with 1 drop of stan-dard autoclavable oil at the marked points. Lubricate the unlocking ring of the Quick Coupling. Distribute the oil by moving it back and forth several times. Wipe off the excess oil with a cloth.

The Colibri II batteries and the Universal Battery Charger should not be sterilized at any time.

The MatrixPRO Driver Battery – Sterile is single use only. DO NOT autoclave battery. DO NOT heat battery above 80°C (176°F). Waste disposal must be in accordance with the applicable Federal, State and the Local regulations

For further details about the reprocessing and the maintenance of the Powered Instruments please refer to:

• Colibri II User’s Manual

• Colibri II Cleaning Chart

• Colibri II Sterilization Guide

• Universal Battery Charger II User’s Manual

• Instructions for Use and Reprocessing Instructions for

Surgical Instruments 0902-90-044

• MatrixPRO Driver Brochure

• MatrixPRO Driver Sterile Battery – Instructions for Use


Product Catalog

Cases and Trays

Case 1

3100-06-100P Power EXPEDIUM 5.5 Case for Ped Prep, Screw & Set Screw Insertion

Case 2

60.692.001 Graphic Case for Power Handpiece (complete with lid)

Case 3

60.692.016 Transport Case for Universal Battery Charger II and Batteries

3100-06-150P Power EXPEDIUM 5.5 Tray for Ped Prep, Screw & Set Screw Insertion

3100-06-105P Power EXPEDIUM Double Lead Tap Caddie

3100-06-110P Power EXPEDIUM Single Lead Tap Caddie (not used for EXPEDIUM VERSE screws)

2797-92-109 EXPEDIUM Instruments Case Generic Lid

60.600.007 Lid for Graphic Case (spare part)


Product Catalog

Case 4

60.000.012 MatrixPRO Driver Transport Case


Drill Bits

3100-02-100P Power 2.4 mm Diameter Drill Bit, short, Quick Coupling

Taps for EXPEDIUM System Polyaxial Screws (Double Lead)

2997-04-040P Power EXPEDIUM 4.35 mm Double Lead Tap, Short, Quick Coupling



3100-02-210P Power 3.2 mm Diameter Drill Bit, long, Quick Coupling



2997-04-061P Power EXPEDIUM 6.00 mm Double Lead Tap, Medium, Quick Coupling

2997-04-070P Power EXPEDIUM 7.00 mm Double Lead Tap, Medium, Quick Coupling

2997-04-080P Power EXPEDIUM 8.00 mm Double Lead Tap, Long, Quick Coupling



Product Catalog

Short: 100 mm, Medium: 150 mm, Long: 200 mm

Short: 100 mm, Medium: 150 mm, Long: 200 mm


Manual Handles

2797-03-150P Power T-Handle, Ratcheting, Quick Coupling

2797-03-140P Power Elliptical Handle, Ratcheting, Quick Coupling

Product Catalog


Polyaxial Power Screwdriver

2997-04-152P Power EXPEDIUM VERSE Poly Driver, Handle

Power Set Screw Drivers

2997-04-155P Power EXPEDIUM VERSE Poly Driver, Shaft, Quick Coupling

2997-04-160P Power EXPEDIUM VERSE Poly Driver, Sleeve

2997-04-230P EXPEDIUM VERSE Power X25 Inserter

2997-04-220P EXPEDIUM VERSE Power Correction Key Inserter

2997-04-205P EXPEDIUM VERSE Power Facilitator

Product Catalog


Power Tool handpiece and Batteries

532.101 Colibri II

532.015 Quick Coupling for DHS/DCS triple reamers, for Nos. 532.001, 532.010, 532.101, 532.110 and 05.001.175 (Attachment)



532.104 Insertion Shield for Nos. 532.101 and 532.110

05.001.204 Universal Battery Charger II (delivered with power cord)

Product Catalog


Product Catalog

05.000.020 MatrixPRO Driver Hand Piece

05.000.021S MatrixPRO Driver Battery – Sterile


Reprocessing

68.001.610 Washing Basket, size 1/1, for Colibri (II)

OPTIONAL EQUIPMENT

Reprocessing

519.97 Synthes Special Oil, 40 ml

68.001.602 Lid for Washing Basket, size 1/1

519.40 Cleaning Brush for Compact Air Drive, Power Drive, Colibri II and Small Electric Drive

60.000.010 MatrixPRO Driver Sterilization Case

Product Catalog


Indications

Indications for Powered Instruments for EXPEDIUM VERSE Spine System

The EXPEDIUM VERSE Spine Systems are intended to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of acute and chronic instabilities or deformities of the thoracic, lumbar and sacral spine.The EXPEDIUM VERSE Spine System is intended for noncervical pedicle fixation and nonpedicle fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/or lordosis); tumor, pseudoarthrosis; and failed previous fusion in skeletally mature patients.

When used in a posterior percutaneous approach with MIS instrumentation, the EXPEDIUM VERSE System is intended for noncervical pedicle fixation and nonpedicle fixation for the following indications: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); spinal stenosis; curvatures (i.e., scoliosis, kyphosis, and/ or lordosis); tumor, pseudoarthrosis; and failed previous fusion in skeletally mature patients.

When used for posterior non-cervical pedicle screw fixation in pediatric patients, the EXPEDIUM VERSE System metallic implants are indicated as an adjunct to fusion to treat adolescent idiopathic scoliosis. The EXPEDIUM VERSE systems are intended to be used with autograft and/or allograft. Pediatric pedicle screw fixation is limited to a posterior approach.

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DePuy Synthes Spine 325 Paramount DriveRaynham, MA 02767USA

EC REPDePuy International, Ltd.St Anthony's RoadLeedsLS11 8DTUnited Kingdom

Medos International SARLChemin-Blanc 382400 Le LocleSwitzerland

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This publication is not intended for distribution in the USA.

All surgical techniques are available as PDF files at www.depuysynthes.com/ifu 0086

Documents

EXPEDIUM VERSE Spine System Powered Instruments