T L I F P E E K C A G E
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1. TLIF PEEK CAGE SCIENT X VUE SCH d e EE E Enhanced fusion es Large graft windows to allow an optimum graft area and to improve graft vascularization lt Unique design to enhance anterior and posterior graft impaction a Pure PEEK Optima es Modulus of PEEK Optimas is close to the cortical bone s and provides micro movements to enhance bone growth es Radiolucent material to ensure accurate fusion follow up Ki ul ws El From Invibio n es Smooth design to preserve nervous structure during insertion es Anatomical biconvex shape for a natural adaptation to the concavity of endplates lentation ys N ha ZOO Q zed Instrun LS GE ui q tne natural Respect of the balance Safe approach Complete range of cages to restore es Unilateral transforaminal approach the intervertebral space and the lordosis to minimize dural exposure Time saving es Single cage insertion to reduce operative time H Approach and posterior fixation 2 The follo wing procedure illustrates the insertion of a cage for a Iransforaminal Lumbar Interbody Fusion TLIF in the L4 L5 intervertebral area The patient is in genu pectoral or in prone position Standard posterior incision and approach are performed A posterior fixation associated to a postero lateral fusion is mandatory to ensure medium and long term stability to the segment2. 220L511 28F 220L513 28F Cage socket 2250 05 Graft pusher 22C0M09 Curved pusher 221MP14 Straight pusher 221MP13 B timent Calypso Parc Ariane 3 33 1 39 30 69 30 5 rue Alfred Kastler FX 433 1 30 43 82 77 78284 Guyancourt FRANCE wwwscientx com info scientx com T es Please read carefully the instruction for use bulletin DN Devices maybe subject to modification Patended
3. Il est imp ratif que cette instrumentation soit associ e une fixation post rieure La fusion s effectue entre les deux plateaux vert braux par l interm diaire des greffons osseux pr alablement introduits l int rieur des cages Les implants de l instrumentation Olys sont r alis s en PEEK rappel par le symbole ll est imp ratif d utiliser les implants Olys avec le mat riel ancillaire concu cet effet pour obtenir un descriptif plus d taill du mat riel il est n cessaire de se r f rer la documentation technique Le mat riel Olys doit tre assembl avec des l ments neufs d finis comme tant compatibles entre eux INDICATIONS Les crit res et principes g n raux pour poser les indications en mati re de chirurgie rachidienne s appliquent Discopathies d g n ratives Pseudarthroses lombaires Spondylolisth sis isthmique ou d g n ratif de grade 1 avec ou sans r duction CONTRE INDICATIONS Fracture tumeur Ost oporose d sordre m tabolique du calcium Grossesse Infection allergie reconnue au mat riau EFFETS SECONDAIRES COMPLICATIONS POSSIBLES Pseudarthrose Rupture migration ou enfoncement d implant Infection allergie au mat riau PRECAUTIONS D EMPLOI Ne jamais r utiliser un implant en parfait tat Tout implant ayant t utilis d form tordu courb implant puis retir m amp me s il apparait intact doit tre limin Ceci est rappel
4. Therefore pedicular screws must be inserted before the Olys cage Afterwards distraction on these screws will promote exposure of the interbody space and will facilitate the insertion of instruments 2 Arthrectomie The lower facet of the cranial vertebra L4 and the upper facet of the caudal vertebra L5 are removed on one side with the osteotome his maneuver can be completed by a nerve root decompression by removing the internal part of the upper facet on the caudal vertebra Osteotome 2205102 L Discectomy The hemostasis of epidural veins is performed before any disc approach The protruding nerve root is protected with the nerve root retractor The spinal cord is slightly retracted with the second retractor Incision of the L4 L5 disc is then performed Nerve root retractor 22 05 0 Shavers used to start the progressive restoration of disc height and facilitate disc removal Available in sizes ranging from 6 to 12mm they are chosen and inserted in accordance with intervertebral height and until resistance to instrument rotation occurs Shaver 22FRAO1 xx 4 Completion of discectomy Discectomy is completed using straight curved and angled disc rongeurs With those three types of disc rongeurs optimal discectomy is obtained even in the contra lateral disc space Straight disc rongeur Angled disc rongeur 22PIN15 Curved disc rongeur 22PIN14 5 Dis
5. sur l tiquette par le symbole Utiliser syst matiquement des implants neufs Pr op ratoire 12 Le chirurgien doit parfaitement tous les aspects de la technique chirurgicale connaitre les indications et contre indications Le chirurgien doit v rifier qu aucun facteur d origine biologique biom canique ou autre ne viendra affecter le bon d roulement de l intervention et de ses suites Un ventail ad quat des tailles doit amp tre disponible lors de l intervention Per op ratoire La s lection correcte du type et de la taille des implants adapt s au patient ainsi que son positionnement sont extr mement importants Post op ratoire Les patients doivent inform s des pr cautions prendre dans leur vie quotidienne afin de garantir la dur e de vie maximale des implants est recommand d effectuer un contr le postop ratoire r gulier qui permet de mettre en vidence des signes pr coces de faillite du mat riel La d t rioration du dispositif apr s consolidation osseuse ne peut tre consid r e comme un dysfonctionnement ou une alt ration des caract ristiques du mat riel Un programme de r ducation adapt doit tre tabli et mis en ceuvre MANIPULATION STOCKAGE La manipulation du mat riel Olys doit tre effectu e aussi peu souvent que possible et avec pr cautions Le stockage des implants Olys dans leur conditionnement d origine doit tre r alis avec soin
6. STERILISATION Reinigung Dekontamination und Sterilisation sind obligatorish f r die Implantate und die Instrumente vorher und nach Benutzung Die Implantate und die Instrumente in Sackchen m ssen aus ihrer Ursprungsverpackung f r die folgenden Operationen herausgekommon sein Dekontamination Tauchen Sie die Implantate und die Instrumente w hrend 30 Minuten in eine 0 5 ige bakterien und pilzt tende L sung vom Typ Didecylammoniumchlorid in Verbindung mit proteolytischen Enzymen 5g pro Liter Warmwasser AnschlieBend sp len Reinigung In einer Waschmaschine vom Typ MIELE mit entsprechendem Waschmittel die Implatate und die Instrumente waschen sp len trocknen Keine materialver ndernde Mittel verwenden Die Instrumentgelenk und Mechanismus mit Paraffindl zbs Neodisher IP Spray ein len m ssen Sterilisation Wir empfehlen die Implatate und die Instrumente eine Sterilisation im Autoklaven 25 Vorheizen bei 110 und 1 bar 5 Vakuum 0 8 bar bei atmosph rischem Druck 5 Erhitzen auf 120 bei 1 bar 5 Vakuum 0 8 bar 18 Sterilisieren bei 134 C und 2 bar 20 Trocknen Abk hlen auf Raumtemperatur Manual de instrucciones La instrumentaci n Olys est destinada al tratamiento quir rgico del raquis para patolog as discales Este tratamiento consiste en fusionar dos v rtebras o m s entre ellas Esta fusi n se efect a entre los cuerpos vertebrales de dos v rtebras adyacentes Para optim
7. biomechanische noch andere Faktoren den normalen Verlauf des Eingriffs und der Genesung beeintrachtigen k nnen W hrend des Eingriffs muB eine angemessene Auswahl an Gr Benmodellen zur Verf gung stehen W hrend der Operation Die richtige auf den Patienten abgestimmte Implantatart und gr Be sowie seine Lage sind uBerst wichtig Nach der Operation Die Patienten m ssen ber die zu treffenden Vorkehrungen aufgekl rt werden um eine maximale Lebensdauer der Implantate zu gewahrleisten Eine regelm Bige postoperative Kontrolle zur fr hzeitigen Erkennung von eventuellen Materialsch den wird empfohlen Eine Verschlechterung nach der Konsolidierung kann nicht als Funktionsst rung oder als Ver nderung der Materialeigenschaften betrachtet werden Eine angemessene Krankengymnastik muB verordnet und vollzogen werden HANDHABUNG LAGERUNG Handhabung des Olys Materials muss mit Vorschriften und wie wenig wie m glich erfolgen Die Olys Implantate In der originalen Verpackung m ssen mit Sorgfalt in einem sauber und trocken Umwelt gelagert werden Die Olys Implantate m ssen in die Strahlen und in die Hochlufttemperatur nicht stellen Werden die Vorschriften nicht beachtet k nnen Materialver nderungen eintreten die in einzelnen F llen zum Materialbruch f hren k nnen Die f r das Olys Set spezifischen chirurgischen Instrumente m ssen vor jedem Eingriff auf ihre Funktionsfahigkeit berpr ft werden REINIGUNG DEKONTAMINATION
8. dans un environnement propre et sec Ne pas exposer les implants Olys des rayonnements ou des temp ratures extr mes Le non respect de ces prescriptions peut provoquer une baisse des caract ristiques m caniques pouvant conduire dans certains cas leur rupture Les instruments chirurgicaux sp cifiques l instrumentation Olys devront tre v rifi s sur le plan fonctionnel avant toute intervention NETTOYAGE D CONTAMINATION STERILISATION Les op rations de nettoyage d contamination et st rilisation sont imp ratives pour les implants et les instruments avant et apr s utilisation Les implants et les instruments en sachet doivent tre sortis de leur emballage d origine pour les op rations suivantes D CONTAMINATION Plonger les implants et les instruments dans une solution bact ricide et fongicide de type chlorure did cyl ammonium associ e des enzymes prot olytiques dilu e 0 2 5g pour 1 litre d eau ti de Dur e du trempage 30 Rincer Nettoyage Laver les implants et les instruments en machine de type MIELE avec des produits de nettoyage adapt s rincer s cher Tout produit susceptible d alt rer le mat riel est proscrire eau de javel formol Lubrifier les articulations et m canismes des instruments l aide d une huile de paraffine type Neodisher IP Spray St rilisation Nous recommandons le mode de st rilisation en autoclave pour les implants et les instruments pr cha
9. durch den Buchstaben 9 symbolisiert wird Es ist unbedingt erforderlich die Olys Implantate mit dem daf r vorgesehenen Hilfsmaterial zu verwenden Eine genauere Beschreibung finden Sie in den technischen Unterlagen des Materials Das Olys Material muB mit neuen kompatiblen Elementen zusammengestellt werden INDIKATIONEN Es gelten die allgemeinen Kriterien und Grunds tze der VVirbels ulenchirurgie Degenerativer Bandscheibenschaden Lumbale Pseudoarthrosen Isthmische oder degenerative Spondylolisthesis ersten Grades mit oder ohne Reposition GEGENANZEIGEN Bruch Tumor Osteoporose Kalzium Stoffwechselst rungen Schwangerschaft IInfektion Nachgewiesene Allergie gegen das Material NEBENWIRKUNGEN M GLICHE KOMPLIKATIONEN Pseudoarthrose Eindr cken Bruch und Wanderung des Implantats Infektion Allergie gegen das Material ANWENDUNGSVORKEHRUNGEN Ein Implantat selbst wenn es in einwandfreiem Zustand ist darf niemals wiederverwendet werden Jedes bereits verwendete verformte gekr mmte oder gebogene Implantat muB entfernt und beseitigt werden selbst wenn es in gutem Zustand erscheint Darauf wird auf dem Etikett durch das Symbol hingewiesen Es d rfen nur neue Implantate verwendet werden Vor der Operation Der Chirurg muB die verschiedenen Aspekte der Technik perfekt beherrschen und die Indikationen sowie Gegenanzeigen genau kennen Der Chirurg mu sich vergewissern daB weder biologische
10. calcium metabolism disorder Pregnancy Infection recognized allergies to material used SECONDARY AND POSSIBLE SIDE EFFECTS Pseudarthrosis Implant penetration migration or implant failure Infection Allergy to materials used CAUTIONS OF USE Never reuse an implant even in perfect state Any implant which has been used twisted bent implanted and then removed even if appears intact must be discarded Use new implants routinely This is indicate on the labeling of the implant package by the next symbol Q Preoperatively The surgeon must be fully conversant with all aspects of the surgical technique and know the indications and contra indications of this type of implant The surgeon must have acquainted himself before the operation with the specific technique for insertion of the product which is available from the manufacturer As part of the pre operative examination the surgeon must check that no biological biomechanical or other factors will affect the correct conduct of the operation and the post operative period An appropriate range of sizes must be available at the time of the operation Peroperatively The correct selection of the type of size of implant appropriate to the patient and the positioning of the implant are extremely important Postoperatively Patients must be informed of the precautions to be taken in their everyday life to guarantee a maximum implant service life It is recommended t
11. hat a regular postoperative follow up is undertaken to detect early signs of failure of the implants and to consider the action to be taken Deterioration of the device after bone consolidation cannot be considered to constitute a dysfunction or a deterioration in the characteristics of the implant A suitable rehabilitation program must be designed and implemented HANDLING AND STORAGE The handling of the Olys material must be done as seldom as possible and always with the utmost care The Olys implants in their original packaging must be stored with care in a clean and dry place Do not expose the Olys implants to radiations or extreme temperatures Should these requirements not be followed reduced mechanical properties may occur which could lead to implant failure in some cases Proper function of the surgical instruments specific to the Olys instrumentation should be verified prior to every surgical procedure CLEANING DECONTAMINATION STERILISATION The operations of cleaning decontamination and sterilisation must be realized for implants and instruments before and after use All packaging must be removed before the next steps Decontamination Immerge the implants and the instruments in a bactericidal and fungicidal solution didecyl ammonium chloride combine with proteolytics enzymes diluted at 0 5 5g for 1 litter of mild water Time of dip 30 Rinse out Cleaning Clean the implants and the instruments in a machine sim
12. ilar to MIELE machine with products adapted rinse out and dry All products which can alter the implants are forbidden Lubricate all hinge and mechanism on instruments with paraffin oil type Neodisher IP spay Sterilisation We recommend the next sterilization procedure with an autoclave for implants and instruments preheating 25 at 110 C 1 bar vacuum 5 0 8 bar under atmospheric pressure e heating 5 at 120 C 1 bar vacuum 5 0 8 bar sterilization 18 at 134 C 2 bars drying 20 return to surrounding temperature Notice d instructions L instrumentation Olys est destin e au traitement chirurgical des pathologies discales Ce traitement consiste fusionner deux vert bres ou plus entre elles Cette fusion se fait entre les corps vert braux de deux vert bres adjacentes Pour optimiser le r sultat un diagnostic pr op ratoire d taill une technique chirurgicale m ticuleuse ainsi que des soins post op ratoires adapt s sont indispensables Il est important que le patient et le chirurgien soient pleinement conscients des risques et complications inh rents ce type de chirurgie Nous conseillons au chirurgien de suivre une formation aupr s d un chirurgien d j exp riment avant de d marrer l utilisation de cette technique DESCRIPTION L instrumentation Olys est compos e de cages ins r es dans l espace discal L abord se fait par voie post rieure l aide d instruments sp cifiques
13. izar el resultado son indispensables un diagn stico preoperatorio detallado una t cnica quir rgica meticulosa y cuidados postoperatorios adaptados Es importante que el paciente y el cirujano sean plenamente conscientes de los riesgos y complicaciones inherentes a este tipo de cirug a Recomendamos que antes de utilizarla el cirujano siga una formaci n con un cirujano experimentado DESCRIPCI N La instrumentaci n Olys se compone de jaulas insertadas en el espacio discal El acceso se realiza por v a posterior por medio de instrumentos espec ficos Es imperativo utilizar la instrumentaci n con una fijaci n posteriora La fusi n se efect a entre los dos platos vertebrales por intermedio de injertos seos previamente introducidos en el interior de las jaulas Los implantes de la instrumentaci n Olys se hallan constituidos por PEEK sefialada con el s mbolo Es imperativo utilizar los implantes Olys con el material ancillar dise ado con este objeto Para obtener una descripci n m s detallada del material remitirse a la documentaci n t cnica El material Olys debe ensamblarse con elementos nuevos definidos como compatibles entre s Olys INDICACIONES Se aplican los criterios y principios generales para las indicaciones en materia de cirug a raqu dea Discopat as degenerativas Pseudoartrosis lumbares e Espondilolistesis istmica o degenerativa de grado 1 con o sin reducci n CONTRAINDICACIONES Fractura t
14. lantes y los instrumentes en m quina de tipo MIELE con productos de limpieza adaptados enjuagar secar Debe proscribirse todo producto que pueda alterar el material Lubricar las articulaciones y los mecanismos de los instrumentos con ayuda de un aceite de parafina tipo Neodisher IP Spray Esterilisacion Recomendamos el modo de esterilizaci n en autoclave por los implantes y los instrumentes precalentamiento 25 a 110 C 1 bar vac o 5 0 8 bares por debajo de la presi n atmosf rica calentamiento 5 a 120 C 1 bar vac o 5 0 8 bares esterilizaci n 18 a 134 C 2 bares secado a 20 retorno a la temperatura ambiente IMP LAN TS NS TRUM EN 5 Cage Lg 28mm Osteotome 2205 02 Heightzmm 70157 28 1201509 28 1201511 28 1201513 28 Nerve root retractor Lg 6mm 22 05 06 Nerve root retractor Lg 8mm 22 05 08 o gt D lt o 22FRA01 06 22FRA01 07 22FRA01 08 22FRA01 09 22FRA01 10 22 01 11 22FRA01 12 Straight disc rongeur 22PIN13 Curved disc rongeur 22PIN14 Angled disc rongeur 22PIN15 N S T RU M ENT S Lateral distractor 2208117 Wrench for 22DST17 22CLE19 Universal ends 22bEMB02 Osteotome tube Straight scraper 22CUR05 220ST01 08 220ST01 10 220ST01 12 220ST01 14 Left curved scraper 22CUR06G Right curved scraper 22CUR06D N S T R U M ENT S Trial cage instruments Lg 28mm Cage holder 22PRE 14 2201507 28 220LS09 28F
15. parts on the instrument handle allow to control the relative position of the cage holder in relation to the cage Once the cage has reached an adequate position the cage holder is unlocked by rotating the ring After a 90 rotation of the instrument the cage holder is released from the cage with a light traction and is removed from the disc space m Final cage positioning An X ray must be performed to verify the proper position of the cage The straight and curved pushers allow to adjust the position of the cage The straight pusher is positioned at the cage extremity and the curved pusher at the center of the cage Gentle impactions are performed to adjust the position of the cage Graft can be inserted at the posterior part of the cage Straight pusher 22IMP13 Curved pusher 221 14 Completion of the posterior fixation After final positioning of the Olys cage the optimal stability of the segment will be ensured by adding a posterior fixation and a postero lateral graft The cage must be positioned in compression to maintain lordosis and to avoid any future movement of the cage in the intervertebral space 0009 INSTRUCTIONS IMPLANTS AND INSTRUMENTS Uus Instructions for use The Olys instrumentation is designed for the surgical treatment of spinal disc diseases The treatment involves the fusion of two or more vertebrae This fusion is realized between the vertebral bodies of two adjacent ver
16. rtebral disc space Trial cage instruments 22015 28 8 Cage preparation The cage is mounted and locked on the cage holder extremity of the cage holder is inserted in the cage groove A 90 rotation of the cage holder with regards to the cage is performed and the ring on the instrument is locked In order to respect the A introduction direction of the cage the horizontal marker located in the center of the age holder m i 22PRE14 cage must be in the superior part of the cage Then the cage is inserted in the cage socket and filled in with graft autologous bone bone substitutes The graft is impacted in the cage using the graft pusher and a mallet Graft pusher 2260 09 Cage socket 2250005 Cage insertion The cage is first inserted straight into the intervertebral space A Cage holder 22PRE14 The cage holder is then inclined laterally a few degrees B to start the cage inclination The cage holder is unlocked by rotating the ring in order to recover its initial position C This maneuver straightens the cage holder without modifying the position of the cage in the intervertebral space The cage holder is locked once again The cage insertion in the intervertebral space goes on D Warning When unlocking the cage holder and until the cage holder is locked again any rotation of the cage holder must be avoided Otherwise the cage will dissociate from the instrument The flat
17. tebrae For best results a detailed preoperative evaluation a meticulous surgical technique and adequate post operative care are mandatory It is important that both the patient and surgeon are fully aware of the risks and possible complications associated with this type of surgery Before attempting this technique surgeon are advised to attend a training course with a surgeon already experienced with the use of the device DESCRIPTION The Olys system is composed of cages inserted into the discal space The cages are introduced by posterior approach using special instruments This instrumentation must be associated with a posterior fixation Fusion is effected at the two vertebral end plates using bone grafts previously introduced into the cages The implants used in the Olys system are in PEEK as indicated by the 9 symbol It is essential to insert implants with instrumentation specifically designed for this purpose For more description of the instrumentation it is necessary to read the technical documentation associated to the Olys product The Olys implants must be assembled with new Olys components defined as being compatible with an other one INDICATIONS General criteria and principles related to instrumented spinal surgery are applied here Degenerative disc pathologies Lumbar pseudarthrosis Grade 1 degenerative or isthmic spondylolisthesis with or without reduction CONTRAINDICATIONS Fracture tumor Osteoporosis
18. terial El deterioro del dispositivo despu s de la consolidaci n sea no puede ser considerado como un disfuncionamiento o una alteraci n de las caracter sticas del material Se deber establecer y aplicar un programa de reeducaci n adaptado MANIPULACI N ALMACENAMIENTO La manipulaci n del material Olys debe efectuarse lo m s r ramente que posible y con precauciones El almacenamiento de los implantes Olys en su envase original tiene que ser realizado con cuidado en un ambiente limpio y seco No exponer los implantes Olys a radiaciones o temperaturas extremo El incumplimiento de esas condiciones puede provocar una bajada de caracteristicas m canicas pudiendo conducir en algunos casos a su ruptura Los instrumentos quir rgicos especificos de la instrumentaci n Olys tendr n que ser comprobados al nivel funcional antes de toda intervenci n LIMPIEZA DESCONTAMINACI N STERILISACION Las operaciones de limpieza de descontaminacion y de esterilisacion son imperativas por los implantes y los instrumentes delantera y despues la utilizacion Los implantes y los instrumentes deben extraerse de su embalaje de origen para las siguientes operaciones Descontaminaci n Sumergir los implantes y los instrumentes en una soluci n bactericida y fungicida de tipo cloruro didecyl amonio asociada a enzimas proteol ticas diluida al 0 5 50 por 1 litro de agua templada Duraci n del ba o 30 Enjuagar Limpieza Lavar los imp
19. traction Once discectomy has been achieved the lateral distractor is inserted on the pedicle screws Increased exposure of the intervertebral space is promoted by activating the toothed bar with the wrench Wrench 22CLE19 Lateral distractor 22DST1 22EMB02 D Completion of the approach The osteotome tube is impacted in the intervertebral space to calibrate the window Four sizes of osteotome tube are available and chosen according to the intervertebral space and the cage size The rounded extremities must be inserted before any impaction The tube is gently impacted with a mallet to remove posterior osteophytes and adjust the edges of the window The window thus obtained will ensure good visibility into the disc space and completion of the discectomy pe r CU WI Endplates scraping The remaining layers of annulus and cartilaginous endplates are removed with the scrapers Curved scrapers allow to reach all parts of the vertebral endplates in the contra lateral disc area Ostetome tube 220ST01 xx Straight scraper 2260805 Right curved scraper 22608060 Left curved scraper 22C URO6G Trial instruments insertion Inserting trial cage instruments allow to check that the discectomy is sufficient for cage insertion while confirming the cage size 10 each cage size corresponds a cage instrument At this step graft can be inserted and impacted in the anterior part of the interve
20. uffage 25 110 1 bar vide 5 0 8 bar sous pression atmosph rique chauffage 5 120 1 bar vide 5 0 8 bar st rilisation 18 134 2 bars s chage 20 retour l ambiante Gebrauchsanweisung Das Olys Instrumentarium dient bei Bandscheibenerkrankungen chirurgischen Eingriffen an der Wirbels ule Bei dieser Behandlung werden zwei oder mehrere Wirbel bzw die beiden Wirbelkan le zweier benachbarter Wirbel miteinander verschmolzen Zur Optimierung des Ergebnisses sind eine genaue pr operative Diagnostik eine einwandfreie chirurgische Technik und eine angemessene postoperative Nachversorgung unerlaBlich Es ist wichtig daf sich Patient und Chirurg der mit diesem Eingriff verbundenen Risiken und m glichen Komplikationen bewuBt sind Wir empfehlen dem Chirurgen vor Anwendung dieser Technik bei einem erfahrenen Kollegen eine Ausbildung zu machen BESCHREIBUNG Instrumentarium besteht aus Lumbalcage Eins tzen die in den Bandscheibenraum eingedreht werden Der Zugang erfolgt auf posteriorem Weg mit Hilfe von Spezialinstrumenten Das is wichtig daB dieses Olys Lumbalcage in verbindung mit einem hinter Befestigung wird Pro zu verschmelzendem Segment ist n r eine Eins tze erforderlich damit das Segment stabil genug ist Die Wirbelscheibe wird durch Knochentransplantate die vorher in diese Eins tze eingef hrt wurden verschmolzen Die Implantate des Olys Instrumentariums werden aus PEEK hergestellt was
21. umor Osteoporosis desorden metab lico del calcio Embarazo Infecci n alergia reconocida al material EFECTOS SECUNDARIOS COMPLICACIONES POSIBLES Pseudoartrosis Hundimiento ruptura y migraci n del implante Infecci n Alergia al material PRECAUCIONES DE EMPLEO Vo reutilizar nunca un implante incluso si est en perfecto estado Todo implante que haya sido utilizado deformado torcido curvado implantado y despu s retirado incluso si parece intacto debe ser desechado Esto se recuerda en la etiqueta con el s mbolo Utilizar sistem ticamente implantes nuevos Preoperatorio El cirujano debe dominar perfectamente todos los aspectos de la tecnolog a quir rgica y conocer las indicaciones y contraindicaciones Tambi n debe verificar que ning n factor de origen biol gico biomec nico u otro pueda afectar al correcto desarrollo de la intervenci n y de sus consecuencias Durante la intervenci n se deber disponer de una gama adecuada de tamafios de implantes Peroperatorio La correcta selecci n del tipo y tamafio de los implantes adaptados al paciente as como su posici n son sumamente importantes Postoperatorio Los pacientes deben ser informados de las precauciones que deben tomar en su vida diaria para garantizar la duraci n de vida m xima de los implantes Se aconseja efectuar un control postoperatorio regular que permita poner de manifiesto signos precoces de fallo del ma
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