Surgical Technique
`Product Catalogue
`
`Deformity - Degenerative
`
`Interbody Fusion
`
`Tumour - Trauma
`
`Cervical
`
`Tissue Management
`
`DePuy Spine is a joint venture with Biedermann Motech GmbH
`
`This publication is not intended for distribution in the USA
`
`DePuy SpineTM, ExpediumTM, MonarchTM, Saber™ and TiMXTM are trademarks of DePuy Spine, Inc.
`I/F Cage®, Isola® and VSP® are registered trademarks of DePuy Spine, Inc.
`MOSS® Miami is a registered trademark of Biedermann Motech GmbH.
`© 2004 DePuy International Limited. All rights reserved.
`
`Cat No: 9082-87-000
`
`DePuy International Ltd
`St Anthony’s Road
`Leeds LS11 8DT
`England
`Tel: +44 (113) 270 0461
`Fax: +44 (113) 272 4191
`
`0086
`
`1
`
`NUVASIVE 2017
`Medtronic v. NuVasive
`IPR2013-00506
`IPR2013-00507
`IPR2013-00508
`
`

`

`Consulting Surgeons
`
`Dr. C Spreuwers
`AZ Jan Portaels
`Vilvoorde, Belgium
`
`Mr. M Krishna
`North Tees General Hospital
`Stockton-on-Tees, UK
`
`Dr. B Biscup
`The Cleveland Clinic
`Cleveland
`Ohio, USA
`
`SABER™ SURGICAL TECHNIQUE / PRODUCT CATALOGUE
`
`Contents
`
`Introduction
`
`Pedicle Screw Systems
`
`Surgical Technique
`
`Step One: Patient Positioning
`
`Step Two: Exposure
`
`Step Three: Laminotomy
`
`Step Four: Pedicle Screw Insertion
`
`Step Five: Disc Height Restoration / Locking Distraction (Optional)
`
`Step Six: Disc Removal & Endplate Preparation
`
`Step Seven: Final Rasping and Trialing
`
`Step Eight: Cage Insertion
`
`Step Nine: Additional Bone Graft
`
`Step Ten: Compression
`
`Step Eleven: Wound Closure & Post-Operative Care
`
`Ordering Information
`
`Saber™ Implants and Instruments
`
`2
`
`3
`
`5
`
`5
`
`6
`
`7
`
`8-9
`
`9
`
`11
`
`12
`
`13
`
`14
`
`14
`
`15
`
`2
`
`

`

`Pedicle Screw Systems Monarch™
`
`The Saber™ Lumbar I/F Cage® is built
`upon the proven design features and the
`clinical success of the original lumbar
`Brantigan Cage.
`The Lumbar I/F Cage® has 10 years of
`clinical history for the treatment of
`degenerative disc disease with
`documented success of restoring disc
`height and achieving fusion.
`Building on this success, the Saber™
`Lumbar I/F Cage® offers a contoured
`profile which is designed to fit the natural
`shape of the disc space, allowing ease
`of insertion and improved stability as the
`implant corresponds to the cortical rim
`of the endplate.
`
`The Saber™ PLIF Cage is made of a
`carbon fibre reinforced PEEK material and
`is supplied non sterile. It is radiolucent,
`thereby allowing visualisation of the fusion
`when viewed by normal plan radiographs.
`Available in three footprint sizes of 9, 11
`and 13 mm widths, the Saber™ Cage is
`offered in 1 mm incremental height options
`from 8 mm to 13 mm. These are available
`in both 0˚ and 5˚ options.
`Supporting instrumentation includes the
`Saber™ Instrument Set and the TLIF SG Set.
`Approved pedicle fixation systems include
`Monarch™, MOSS® Miami and Expedium™
`Spinal Systems. This Surgical Technique
`will be illustrated using the Monarch™
`Spinal System.
`
`Building upon decades of design history,
`
`Monarch™ in-line Polyaxial Screws
`
`clinical experience and biomechanical
`
`incorporate an internal closure mechanism,
`
`performance of the VSP®, Isola® and MOSS®
`Miami Systems, the Monarch™ Spine
`
`which captures the rod while maintaining
`
`the ability to independently lock the rod with
`
`System represents the combination of these
`
`a pre-loaded set screw.
`
`technologies. By combining Pedicle Bolt
`
`and in-line Polyaxial screw technology into a
`
`single system, surgeons may intra-operatively
`
`choose to build a construct utilising
`
`either technology.
`
`Modular polyaxial washers can be added to
`
`Pedicle or Reduction Bolts to provide a 25°
`
`cone of angulation at any position within a
`
`Implant options include:
`
`• 6.35 mm and 5.50 mm Titanium
`Rod diameters
`
`• Monoaxial and Polyaxial Screws
`(4.75, 5.50, 6.25, 7.00, 7.75, 8.50 mm
`diameters)
`
`• Pedicle and Reduction Bolts
`(Polyaxial capable)
`
`Spine Plate or Offset Connector slot.
`
`• Spine Plates
`
`• Offset Slotted Connectors
`
`• Polyaxial Band Clamp
`
`• Anatomic Open and Closed Hooks
`
`2
`
`3
`
`3
`
`

`

`Pedicle Screw Systems MOSS® Miami
`
`Step One Patient Positioning
`
`The MOSS® Miami System is a versatile
`
`• 5.0 Stainless Steel Rod diameter
`
`hook, rod, and screw system utilising
`
`• 5.5 Titanium Rod diameter
`
`polyaxial screw technology and a patented
`
`• Monoaxial and Polyaxial Screws
`
`dual closure mechanism offering 6 points of
`
`(4.35, 5.0, 6.0, 7.0 diameters)
`
`contact with the rod. MOSS® Miami is
`
`• Hooks and Reduction Screws
`
`available in Titanium and Stainless Steel in a
`
`• Sacral Connectors
`
`variety of rod diameters.
`
`Figure 1
`
`The patient is placed on a frame or table,
`
`It is advised that the shoulders should be
`
`allowing the abdomen to hang freely. Care
`
`abducted less than 90 degrees to avoid
`
`should be taken to protect the patient’s
`
`damage to the brachial plexus (Figure 1).
`
`pressure points.
`
`Step Two Exposure
`
`A posterior midline incision is made long
`
`procedure it would not be necessary to
`
`enough so that the pedicles above and
`
`expose the facet joints at this stage.
`
`below the screw insertion sites can be
`
`A variety of soft tissue retractors can be
`
`exposed and accessed if necessary.
`
`used to maintain the correct exposure.
`
`Further exposure of the facets joints or other
`
`Localising X-Ray or image intensification is
`
`posterior elements is dependent on surgical
`
`made to verify the appropriate spinal level.
`
`preference, eg for those surgeons who
`
`routinely undertake a less invasive PLIF
`
`4
`
`5
`
`4
`
`

`

`Step Three Laminotomy
`
`Step Four Pedicle Screw Insertion
`
`Figure 2
`
`A small laminotomy is made to expose
`
`disruption to adjacent segments (Figure 2).
`
`the medial wall of the pedicles and the
`
`The axilla of the exiting and traversing nerve
`
`origin and insertion of the ligamentum
`
`root over the disc space must be visualised
`
`flavum. The ligamentum flavum must be
`
`and mobilised since this creates a safe
`
`completely removed. The Laminotomy can
`
`working area for the PLIF technique.
`
`be performed with a small osteotome, chisel
`
`Carefully release any adhesions from the
`
`or Kerrison type rongeur. Excised bone can
`
`dura over the disc space.
`
`be cleaned and saved as graft material for
`
`The epidural veins covering the disc space
`
`later in the PLIF procedure. Care is taken to
`
`should be cut and cauterised with a bipolar
`
`preserve the spinous process and / or the
`
`to allow clear visualisation and access to
`
`upper half of the lamina to minimise
`
`the disc space.
`
`Figure 3
`
`Some surgeons may prefer to access
`
`Care is taken to preserve the pars inter-
`
`through a bilateral laminotomy. In this
`
`articularis, the upper half of the lamina,
`
`situation both inferior and superior articular
`
`and the facet joint above.
`
`processes are completely removed thereby
`
`This exposure is favoured for a lateral or far
`
`exposing the entire foraminal canal and
`
`lateral approach, or if the patient has a small
`
`exiting nerve root (Figure 3). This allows the
`
`or previously operated spinal canal where
`
`midline to remain intact, whilst allowing a
`
`the dura is difficult to mobilise and retract.
`
`thorough decompression of the exiting
`
`nerve root.
`
`Figure 4
`
`The optimum insertion point of the pedicle
`
`The pedicle canal is entered with a blunt
`
`is at the intersection of the a horizontal line
`
`curved tip probe. Ball tipped feelers and
`
`joining the midpoint of the transverse
`
`pedicle screw taps are used to prepare the
`
`process and a vertical line through the
`
`space for screw insertion. The appropriate
`
`mid point of the superior articular process.
`
`sized screw (diameter and length) is then
`
`The remaining mamillary process above
`
`inserted into the pedicle.
`
`the pars inter-articularis can also be used
`
`At any point, X-Ray or image intensification
`
`as a landmark for the entry point of the
`
`can be used to verify correct placement.
`
`Note: Some surgeons may
`prefer to undertake the
`laminotomy prior to screw
`insertion.
`
`pedicle screws (Figure 4).
`
`The centre of the pedicle canal can be
`
`easily identified using a neural dissector or
`
`Slim Jim. The entry point into the pedicle
`
`canal can be exposed using an awl, high-
`
`speed burr or a rongeur.
`
`6
`
`7
`
`5
`
`

`

`Step Five Disc Height Restoration
`
`Locking Distraction ‘Optional’
`
`Note: In cases of a very
`narrowed disc space a starter
`dilator (8 mm) maybe used prior
`too inserting the first spreader.
`
`Note: In cases of narrowed disc
`space care should be taken to
`release the lateral most part of
`the annulus, in order to achieve
`the maximum distraction.
`A straight osteotome or a
`Saber™ Shaver can be used
`to clear the lateral annulus.
`
`Figure 5a
`
`Figure 5b
`
`Prior to disc space distraction, thorough
`
`The disc spreaders are available in 1 mm
`
`soft tissue release of the annulus must
`
`incremental heights from 9 – 15mm.
`
`be performed to facilitate access to the
`
`A starter dilator (8 mm) is also available,
`
`disc space and minimise injury to the
`
`to initially penetrate the annulus.
`
`vertebral endplates.
`
`These are found in Tray 1 of the Saber™
`
`Blunt tipped disc spreaders are then
`
`Instrumentation Set.
`
`inserted into the disc with the paddle blade
`
`Once successfully inserted, the disc spreader
`
`horizontal to the disc space. Gently tap
`
`is gently rotated 90º to elevate the disc space
`
`the spreader into position (Figure 5a).
`
`to the height of the disc spreader size.
`
`Depth marks are located on the disc
`
`(Figure 5b).
`
`spreaders to avoid penetrating the front
`
`A second disc spreader is then inserted on
`
`wall of the annulus. In most cases, the
`
`the opposite side and the first disc spreader
`
`spreader should be inserted to a maximum
`
`is removed. The next size disc spreader is
`
`depth of 30 mm.
`
`then inserted in the original site and the
`
`process repeated until maximum disc height
`
`is restored and parallel distraction is
`
`achieved. Positioning should be checked
`
`by X-Ray or image intensification.
`
`Figure 6
`
`With the disc space fully distracted and the
`
`Further distraction can be achieved by
`
`Saber™ spreaders in place, plates or rods
`
`loosening one of the nuts and placing a
`
`can be inserted and temporarily tightened
`
`screw distraction device between the
`
`to hold the distraction in place (Figure 6).
`
`screws, then gently spreading.
`
`The disc space spreaders can be removed
`
`and the site inspected and any further disc
`
`material removed.
`
`Step Six Disc Removal & Endplate Preparation
`
`Figure 7a
`
`Figure 7b
`
`Thorough removal of all disc material and
`
`Care must always be taken not to penetrate
`
`cartilaginous endplates must be performed
`
`the endplates which can lead to subsidence
`
`in order to expose the bleeding sub-
`
`of the interbody device into the vertebral body
`
`chondral bone of the vertebral endplates.
`
`(Figures 7a & 7b).
`
`8
`
`9
`
`6
`
`

`

`Step Seven Final Rasping and Trialing
`
`Figure 7c
`
`Figure 8a
`
`Preparatory Trial
`
`Figure 8b
`
`Endplate Rasp
`
`Figure 7d
`
`Figure 8c
`
`Whilst accessing the disc space through the
`
`A down pushing curette or small osteotome
`
`safe working area created by the
`
`from the Saber™ Instrument Set facilitates
`
`laminotomy, the anatomic disc shavers are
`
`removal of additional disc material and
`
`inserted and used in a similar fashion to the
`
`osteophytes from under the dura, in the
`
`disc spreaders. These are cutting
`
`foramen, and adjacent to the nerve roots.
`
`instruments that shave disc material away
`
`In addition a straight osteotome may be
`
`from the endplate. Begin with the 8 mm
`
`used to remove the posterior lip of the
`
`disc shaver, then continue to use the shavers
`
`endplates to create an open pathway for
`
`sequentially, until the size corresponds to the
`
`the trialing and rasping process (Figure 7d).
`
`Note: If hard sclerotic bone is
`present within the vertebral
`endplate, an endplate perforator
`can be used to expose
`bleeding bone. It is best to use
`the perforator in areas where
`bone graft inserted into the
`cage or disc space will make
`contact with the vertebral
`endplates (see below).
`
`height achieved by the spreaders.
`
`The shavers are moved back and forth in a
`
`medial to lateral direction in order to remove
`
`further disc material (Figure 7c).
`
`If desired, an end plate preparatory rasp
`
`The preparatory trial is designed to measure
`
`can be used to further prepare the end
`
`the appropriate cage length and anterior
`
`plates prior to cage insertion. These are
`
`height, incorporating the tread pattern of
`
`available in 1 mm height increments and
`
`the final implant. As a result a parallel trial is
`
`have domed superior and inferior surfaces,
`
`sufficient whether a parallel or lordotic cage
`
`designed to conform to the endplates and
`
`is to be used.
`
`Note: Both the trial and rasp
`are 25 mm long and include a
`depth etching at 21 mm to
`indicate for the appropriate
`length cage. The curved radius
`of the trial and rasp should face
`laterally when inserted.
`
`maximise disc material removal (Figure 8a).
`
`Utilising the appropriate lateralising retractor
`
`The appropriate sized rasp is selected
`
`(left / right) in order to protect the nerve
`
`according to the height achieved by the
`
`roots, the preparatory trial is gently tapped
`
`shavers / spreaders. Again the rasp should
`
`into the disc space with the mallet
`
`be gently tapped into place with the mallet
`
`(Figure 8c). The preparatory trial should
`
`and orientated so that the cutting edges are
`
`be recessed 3 - 4 mm from the posterior lip
`
`in contact with the endplates.
`
`of the vertebral endplate to allow for proper
`
`The appropriate sized preparatory trial is
`
`cage placement. The height of the trial
`
`then selected so that the size corresponds
`
`excludes the teeth which is 0.75 mm on
`
`to the size of the final Saber™ Shaver /
`
`both superior and inferior surfaces.
`
`Spreader, and the desired footprint (width)
`
`of the final implant (Figure 8b).
`
`10
`
`11
`
`7
`
`

`

`Step Eight Cage Insertion
`
`Lordotic cage - 5˚
`
`Parallel cage
`
`Step Nine Additional Bone Graft
`
`Figure 9a
`
`Figure 9b
`
`The cage is anatomically designed to
`
`The anti rotation inserter is then attached
`
`conform to the natural shape of the disc
`
`fully threaded, to the implant, taking care not
`
`space. Once cage size and lordosis have
`
`to over-tighten. Prior to insertion, the
`
`been determined, the cage can be filled
`
`surgeon may prefer to place additional bone
`
`with bone graft material using the filler
`
`graft in the anterior aspect of the disc space
`
`block and bone tamp.
`
`(Figures 9a & 9b).
`
`Figure 11
`
`Figure 10
`
`Figure 12
`
`The lateralising retractor guide is then
`
`The cage is then inserted by gently tapping
`
`inserted. This ensures that the implant will
`
`the inserter cage assembly with the mallet.
`
`stay where inserted and will not migrate
`
`The cage should be recessed at least
`
`medially under the dura (Figure 10). The
`
`3-4 mm from the posterior lip of the
`
`contoured shape of the cage facilitates
`
`vertebral body. Carefully remove the
`
`placement of the cage near the lateral
`
`lateralising retractor to avoid injury to the
`
`cortical rim of the endplate providing a
`
`nerve roots. Prior to insertion of the second
`
`more stable load-sharing construct. The
`
`cage bone graft can be packed medially
`
`cage should be orientated so that the curved
`
`against the first cage.
`
`lateral radius is lateral to the dura and the
`
`teeth face caudal / rostral (Figure 11).
`
`Additional bone graft can be placed lateral
`
`Bone graft should occupy as much of the
`
`to and in between the two cages. This is
`
`disc space as possible.
`
`gently compressed into place with the use
`
`of a bone tamp. If required bone graft
`
`material can be placed in the postero-lateral
`
`area and the facet joints (Figure 12).
`
`Note: Intra-operative
`radiographs should be obtained
`to inspect the final positioning of
`the cages (the tantalum marker
`beads embedded in the cages
`are used as radiographic
`landmarks).
`
`12
`
`13
`
`8
`
`

`

`Step Ten Compression
`
`Ordering Information
`
`Parallel cage
`
`Lordotic cage - 5˚
`
`Figure 13
`
`Once both cages are in place, final plates
`
`It is important to match the desired
`
`or rods are selected and contoured to the
`
`segmental lordosis to the lordosis of the
`
`required lordosis, then final compression is
`
`cage and contoured plate assembly.
`
`applied. Final compression can be applied
`
`Once compression is complete, final
`
`by first tightening the top screws then
`
`tightening of the screws and plates
`
`Saber™ Cage
`
`9 mm Width Implants
`
`Catalogue No.
`
`Description
`
`1870-250-08
`
`Parallel
`
`1870-250-09
`
`Parallel
`
`1870-250-10
`
`Parallel
`
`1870-250-11
`
`Parallel
`
`1870-250-12
`
`Parallel
`
`1870-250-13
`
`Parallel
`
`1870-255-09
`
`5˚ Lordotic
`
`1870-255-10
`
`5˚ Lordotic
`
`1870-255-11
`
`5˚ Lordotic
`
`1870-255-12
`
`5˚ Lordotic
`
`1870-255-13
`
`5˚ Lordotic
`
`2874-099-00
`
`9 mm Width Implant Caddy
`
`Width
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`Height
`
`Length
`
`8 mm
`
`25 mm
`
`9 mm
`
`25 mm
`
`10 mm 25 mm
`
`11 mm 25 mm
`
`12 mm 25 mm
`
`13 mm 25 mm
`
`9 mm
`
`25 mm
`
`10 mm 25 mm
`
`11 mm 25 mm
`
`12 mm 25 mm
`
`13 mm 25 mm
`
`11 mm Width Implants
`
`Description
`
`Width
`
`Height
`
`Length
`
`applying the tightening wrench over the
`
`is achieved with a torque wrench system.
`
`loose bottom screw. A screw compression
`
`A thorough inspection is then carried out
`
`device is then placed over both screws and
`
`ensuring that no graft material is impinging
`
`tightening wrench, and compression
`
`upon any neurological structures. It is also
`
`applied. If a wedged cage has been used,
`
`important to re-examine the foramina to
`
`the compression will cause the endplates
`
`ensure that an iatrogenic stenosis (from
`
`to close and engage the entire length of
`
`compression) has not occurred (Figure 13).
`
`the cage creating the desired lordosis.
`
`Step Eleven Wound Closure and Post-Operative Care
`
`If desired, an epidural catheter is inserted
`
`A drainage catheter is inserted. Fascial,
`
`through an intra-cath sleeve adjacent to the
`
`subcutaneous and skin layers are closed.
`
`incision and threaded under the lamina
`
`above the surgical area. The laminectomy
`
`defect is protected appropriately.
`
`Catalogue No.
`
`1872-250-08
`
`Parallel
`
`1872-250-09
`
`Parallel
`
`1872-250-10
`
`Parallel
`
`1872-250-11
`
`Parallel
`
`1872-250-12
`
`Parallel
`
`1872-250-13
`
`Parallel
`
`11 mm
`
`8 mm
`
`25 mm
`
`11 mm
`
`9 mm
`
`25 mm
`
`11 mm
`
`10 mm 25 mm
`
`11 mm
`
`11 mm 25 mm
`
`11 mm
`
`12 mm 25 mm
`
`11 mm
`
`13 mm 25 mm
`
`1872-255-09
`
`5˚ Lordotic
`
`11 mm
`
`9 mm
`
`25 mm
`
`1872-255-10
`
`5˚ Lordotic
`
`11 mm
`
`10 mm 25 mm
`
`1872-255-11
`
`5˚ Lordotic
`
`11 mm
`
`11 mm 25 mm
`
`1872-255-12
`
`5˚ Lordotic
`
`11 mm
`
`12 mm 25 mm
`
`1872-255-13
`
`5˚ Lordotic
`
`11 mm
`
`13 mm 25 mm
`
`2874-100-00
`
`11 mm Width Implant Caddy
`
`14
`
`15
`
`9
`
`

`

`13 mm Width Implants
`
`Catalogue No.
`
`Description
`
`Width
`
`Height
`
`Length
`
`Catalogue No.
`
`Description
`
`Instrument Tray 1- Spreaders and Shavers
`
`13 mm
`
`8 mm
`
`25 mm
`
`2874-066-00
`
`Instrument Tray 1 - Spreaders and Shavers
`
`1874-250-08
`
`Parallel
`
`1874-250-09
`
`Parallel
`
`1874-250-10
`
`Parallel
`
`1874-250-11
`
`Parallel
`
`1874-250-12
`
`Parallel
`
`1872-450-13
`
`Parallel
`
`13 mm
`
`9 mm
`
`25 mm
`
`13 mm
`
`10 mm 25 mm
`
`13 mm
`
`11 mm 25 mm
`
`13 mm
`
`12 mm 25 mm
`
`Catalogue No.
`
`Description
`
`13 mm
`
`13 mm 25 mm
`
`2874-053-00
`
`Saber“ Spreader
`
`1874-255-09
`
`5˚ Lordotic
`
`13 mm
`
`9 mm
`
`25 mm
`
`2874-074-00
`
`Saber“ Spreader
`
`2874-052-00
`
`Saber“ Spreader
`
`Height
`
`9 mm
`
`10 mm
`
`11 mm
`
`Spreader
`
`1874-255-10
`
`5˚ Lordotic
`
`13 mm
`
`10 mm 25 mm
`
`1874-255-11
`
`5˚ Lordotic
`
`13 mm
`
`11 mm 25 mm
`
`2874-075-00
`
`Saber“ Spreader
`
`1874-255-12
`
`5˚ Lordotic
`
`13 mm
`
`12 mm 25 mm
`
`2874-051-00
`
`Saber“ Spreader
`
`1874-255-13
`
`5˚ Lordotic
`
`13 mm
`
`13 mm 25 mm
`
`2874-101-00
`
`13 mm Width Implant Caddy
`
`21 mm Length Implants
`
`Catalogue No.
`
`Description
`
`1870-210-08
`
`Parallel
`
`1870-210-09
`
`Width
`
`9 mm
`
`Height
`
`Length
`
`8 mm
`
`21 mm
`
`9 mm
`
`21 mm
`
`Catalogue No.
`
`Description
`
`2874-061-00
`
`Saber“ Shaver
`
`2874-060-00
`
`Saber“ Shaver
`
`2874-059-00
`
`Saber“ Shaver
`
`2874-058-00
`
`Saber“ Shaver
`
`12 mm
`
`13 mm
`
`Length
`
`8 mm
`
`9 mm
`
`10 mm
`
`11 mm
`
`Shaver
`
`Parallel
`
`1870-210-10
`
`Parallel
`
`1870-210-11
`
`Parallel
`
`1870-210-12
`
`Parallel
`
`1870-210-13
`
`Parallel
`
`1870-215-09
`
`5˚ Lordotic
`
`1870-215-10
`
`5˚ Lordotic
`
`1870-215-11
`
`5˚ Lordotic
`
`1870-215-12
`
`5˚ Lordotic
`
`1870-215-13
`
`5˚ Lordotic
`
`1872-210-08
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`10 mm 21 mm
`
`11 mm 21 mm
`
`12 mm 21 mm
`
`13 mm 21 mm
`
`9 mm
`
`21 mm
`
`10 mm 21 mm
`
`11 mm 21 mm
`
`12 mm 21 mm
`
`13 mm 21 mm
`
`21 mm
`
`2874-057-00
`
`Saber“ Shaver
`
`2874-056-00
`
`Saber“ Shaver
`
`Catalogue No.
`
`Description
`
`2874-031-00
`
`Saber“ Dilator
`
`12 mm
`
`13 mm
`
`Length
`
`8 mm
`
`Dilator
`
`Parallel
`
`11 mm
`
`8 mm
`
`1872-210-09
`
`Parallel
`
`1872-210-10
`
`Parallel
`
`1872-210-11
`
`Parallel
`
`1872-210-12
`
`Parallel
`
`1872-210-13
`
`Parallel
`
`11 mm
`
`9 mm
`
`21 mm
`
`11 mm
`
`10 mm 21 mm
`
`11 mm
`
`11 mm 21 mm
`
`11 mm
`
`12 mm 21 mm
`
`11 mm
`
`13 mm 21 mm
`
`1872-215-09
`
`5˚ Lordotic
`
`11 mm
`
`9 mm
`
`21 mm
`
`1872-215-10
`
`5˚ Lordotic
`
`11 mm
`
`10 mm 21 mm
`
`1872-215-11
`
`5˚ Lordotic
`
`11 mm
`
`11 mm 21 mm
`
`1872-215-12
`
`5˚ Lordotic
`
`11 mm
`
`12 mm 21 mm
`
`1872-215-13
`
`5˚ Lordotic
`
`11 mm
`
`13 mm 21 mm
`
`2874-102-00
`
`21 mm Length Implant Caddy
`
`Catalogue No.
`
`Description
`
`2874-015-00
`
`Saber“ T Handle
`
`T Handle
`
`16
`
`17
`
`10
`
`

`

`Instrument Tray 2- Cage Insertion and Trials
`
`Catalogue No.
`
`Description
`
`Catalogue No.
`
`Description
`
`2874-068-00
`
`Instrument Tray 2 - Cage Insertion and Trials
`
`2874-024-00
`
`Preparatory Trial
`
`Angled Bone Tamp
`
`Catalogue No.
`
`Description
`
`2874-005-00
`
`Saber“ Angled Bone Tamp
`
`2874-080-00
`
`Preparatory Trial
`
`2874-025-00
`
`Preparatory Trial
`
`2874-083-00
`
`Preparatory Trial
`
`2874-026-00
`
`Preparatory Trial
`
`Width
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`9 mm
`
`Height
`
`Length
`
`9 mm
`
`25 mm
`
`10 mm 25 mm
`
`11 mm 25 mm
`
`12 mm 25 mm
`
`13 mm 25 mm
`
`Preparatory Trial
`
`Cage Filler Block
`
`Catalogue No.
`
`Description
`
`2874-072-00
`
`Saber“ Cage Filler Block
`
`2874-037-00
`
`Preparatory Trial
`
`11 mm
`
`9 mm
`
`25 mm
`
`2874-081-00
`
`Preparatory Trial
`
`11 mm
`
`10 mm 25 mm
`
`2874-035-00
`
`Preparatory Trial
`
`11 mm
`
`11 mm 25 mm
`
`2874-084-00
`
`Preparatory Trial
`
`11 mm
`
`12 mm 25 mm
`
`2874-064-00
`
`Preparatory Trial
`
`11 mm
`
`13 mm 25 mm
`
`2874-036-00
`
`9 mm
`
`25 mm
`
`Lateralising Retractor Right
`
`Catalogue No.
`
`Description
`
`2874-032-00
`
`Saber“ Lateralising Retractor Right
`
`Preparatory Trial
`
`13 mm
`
`2874-082-00
`
`Preparatory Trial
`
`13 mm
`
`10 mm 25 mm
`
`2874-034-00
`
`Preparatory Trial
`
`13 mm
`
`11 mm 25 mm
`
`2874-085-00
`
`Preparatory Trial
`
`13 mm
`
`12 mm 25 mm
`
`2874-033-00
`
`Preparatory Trial
`
`13 mm
`
`13 mm 25 mm
`
`Instrument Tray 3 - End Plate Preparation
`
`Catalogue No.
`
`Description
`
`2874-070-00
`
`Instrument Tray 3 - End Plate Preparation
`
`Lateralising Retractor Left
`
`Catalogue No.
`
`Description
`
`Catalogue No.
`
`Description
`
`2874-076-00
`
`Saber“ Lateralising Retractor Left
`
`2874-027-00
`
`Saber“ End Plate Rasp
`
`2874-087-00
`
`Saber“ End Plate Rasp
`
`2874-028-00
`
`Saber“ End Plate Rasp
`
`2874-088-00
`
`Saber“ End Plate Rasp
`
`2874-029-00
`
`Saber“ End Plate Rasp
`
`Height
`
`9 mm
`
`10 mm
`
`11 mm
`
`12 mm
`
`13 mm
`
`Universal Inserter
`
`18
`
`Catalogue No.
`
`Description
`
`Catalogue No.
`
`Description
`
`2874-030-00
`
`Saber“ Universal Inserter*
`
`2874-006-00
`
`Saber“ Cup Curette
`
`*Note: For use with the Saber™ PLIF Cage and the preparatory trials
`
`Endplate Rasp
`
`Cup Curette
`
`19
`
`11
`
`

`

`Down Biting Curette
`
`Catalogue No.
`
`Description
`
`2874-062-00
`
`Saber“ Down Biting Curette
`
`Endplate Elevator
`
`Catalogue No.
`
`Description
`
`2874-021-00
`
`Saber“ End Plate Elevator
`
`Catalogue No.
`
`Description
`
`2874-077-00
`
`Preparatory Trial
`
`Width
`
`9 mm
`
`Height
`
`Length
`
`8 mm
`
`25 mm
`
`2874-078-00
`
`Preparatory Trial
`
`11 mm
`
`8 mm
`
`25 mm
`
`2874-079-00
`
`Preparatory Trial
`
`13 mm
`
`8 mm
`
`25 mm
`
`Catalogue No.
`
`Description
`
`2874-089-00
`
`Cage Rasp
`
`Width
`
`9 mm
`
`Height
`
`Length
`
`8 mm
`
`25 mm
`
`2874-090-00
`
`Cage Rasp
`
`11 mm
`
`8 mm
`
`25 mm
`
`2874-091-00
`
`Cage Rasp
`
`13 mm
`
`8 mm
`
`25 mm
`
`2874-046-00
`
`Cage Rasp
`
`9 mm
`
`9 mm
`
`25 mm
`
`2874-045-00
`
`Cage Rasp
`
`11 mm
`
`9 mm
`
`25 mm
`
`2874-044-00
`
`Cage Rasp
`
`13 mm
`
`9 mm
`
`25 mm
`
`2874-092-00
`
`Cage Rasp
`
`9 mm
`
`10 mm 25 mm
`
`2874-093-00
`
`Cage Rasp
`
`11 mm
`
`10 mm 25 mm
`
`Optional Instruments
`
`2874-094-00
`
`Cage Rasp
`
`13 mm
`
`10 mm 25 mm
`
`2874-043-00
`
`Cage Rasp
`
`9 mm
`
`11 mm 25 mm
`
`2874-042-00
`
`Cage Rasp
`
`11 mm
`
`11 mm 25 mm
`
`2874-041-00
`
`Cage Rasp
`
`13 mm
`
`11 mm 25 mm
`
`2874-095-00
`
`Cage Rasp
`
`9 mm
`
`12 mm 25 mm
`
`2874-096-00
`
`Cage Rasp
`
`11 mm
`
`12 mm 25 mm
`
`2874-097-00
`
`Cage Rasp
`
`13 mm
`
`12 mm 25 mm
`
`2874-040-00
`
`Cage Rasp
`
`9 mm
`
`13 mm 25 mm
`
`2874-039-00
`
`Cage Rasp
`
`11 mm
`
`13 mm 25 mm
`
`2874-038-00
`
`Cage Rasp
`
`13 mm
`
`13 mm 25 mm
`
`Catalogue No.
`
`Description
`
`2029-90
`
`2029-92
`
`Slim Jim
`
`Ganglion Knife
`
`2874-073-00
`
`Bone Graft Funnel
`
`2874-022-00
`
`Bone Graft Funnel Tamp
`
`2874-010-00
`
`Flat Retractor
`
`2874-011-00
`
`Angled Retractor
`
`2874-008-00
`
`Straight Osteotome
`
`2874-065-00
`
`Slotted Mallet
`
`2874-086-00
`
`End Plate Rasp 8 mm
`
`2874-055-00
`
`Shaver 14 mm
`
`2874-054-00
`
`Shaver 15 mm
`
`2874-098-00
`
`Spreader 14 mm
`
`2874-050-00
`
`Spreader 15 mm
`
`2870-03-00
`
`End Plate Perforator
`
`20
`
`21
`
`12
`
`