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Summary of Contents for Synthes Pelvic C-Clamp II
- Page 1 Emergency Stabilization Instrument for Unstable Injuries and Fractures of the Pelvic Ring Pelvic C-Clamp II Surgical Technique...
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Page 2: Table Of Contents
MR environment. It has not been tested for heating, migration or image artifact in the MR environment. The safety of the Pelvic C-Clamp II System in the MR environment is unknown. Scanning a patient who has this device may result in patient injury. -
Page 3: Pelvic C-Clamp Ii
The pelvic C-clamp is composed of rails and arms with a locking mechanism, allowing linear movement of the arms. The pelvic C-clamp should always be used in combination with the system’s cannulated nails. DePuy Synthes Pelvic C-Clamp II Surgical Technique... - Page 4 C-clamp applied, there is still adequate access for a laporotomy or tamponade. Inner rail Cannulated nail Outer rail (190 mm or 210 mm) Upper arm Side buttons Lower arm Upper buttons Threaded tube Locking mechanism Pelvic C-Clamp II Surgical Technique DePuy Synthes...
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Page 5: Indications
Indications The Pelvic C-Clamp II is intended for emergency stabilization of sacrum fractures or disruptions of the sacroiliac joint with associated circulatory instability. Precautions: Avoid use where: – Fractures of the ilium are present, as there is risk of pin perforation through the fracture line –... -
Page 6: Preoperative Preparation
– To facilitate reduction, ensure free draping of the leg on the injured side and good coverage of the genital region – To prepare the patient, disinfect the proximal femur and the buttocks and cover with sterile sheets Pelvic C-Clamp II Surgical Technique DePuy Synthes... -
Page 7: Preparation Of The Pelvic C-Clamp
Extend the upper bars by depressing the buttons on the upper rails while pulling on the side arms. Note: Maximum extension of the pelvic C-clamp facilitates safe positioning. DePuy Synthes Pelvic C-Clamp II Surgical Technique... - Page 8 The buttons on the top of the pelvic C-clamp can be locked. Ensure the buttons are not locked when applying the pelvic C-clamp to the patient, or the side arms cannot be adjusted to apply compression. 1 Unlock, 2 Lock Pelvic C-Clamp II Surgical Technique DePuy Synthes...
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Page 9: Identify Insertion Point
– Inserting the nail too distally endangers the sciatic nerve and the gluteal vessels in the sciatic notch. Malpositioning of the nail in osteoporotic bone, combined with excessive compression, can result in unwanted nail penetration. DePuy Synthes Pelvic C-Clamp II Surgical Technique... -
Page 10: Place Kirschner Wire
– Handle devices with care and dispose of worn bone cutting instruments in an approved sharps container. – Select the appropriate Schanz screw for the patient’s bony anatomy. *Also available. Pelvic C-Clamp II Surgical Technique DePuy Synthes... -
Page 11: Apply Pelvic C-Clamp
(no Kirschner wire is necessary on this side). Note: In cases of severe dislocations of the pelvis, pulling on the leg, internal rotation and even lateral compression may improve reduction and facilitate application of the pelvic C-clamp. DePuy Synthes Pelvic C-Clamp II Surgical Technique... - Page 12 Note: It is recommended to place a drape cloth or lap sponges as a cushion between the pelvic C-clamp and the patient. Warning: Do not use the pelvic C-clamp to lift the patient. Figure B Pelvic C-Clamp II Surgical Technique DePuy Synthes...
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Page 13: Postoperative Management And Removal
Removal The pelvic C-clamp is removed before definitive treatment of the posterior pelvic ring injury. Be sure to remove the protective caps from the cannulated nails and Kirschner wire from the uninjured side. DePuy Synthes Pelvic C-Clamp II Surgical Technique... -
Page 14: Disassembly Of The Pelvic C-Clamp
(1). To remove the lower arms completely, keep the buttons depressed (1) and slide the arms out (2). The threaded tubes can be unscrewed from the lower arms. Pelvic C-Clamp II Surgical Technique DePuy Synthes... - Page 15 The outer rails can be separated from the inner rail by pressing the buttons on the outer rails (3) and pulling the two rails apart. DePuy Synthes Pelvic C-Clamp II Surgical Technique...
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Page 16: Care And Maintenance
Because the pelvic C-clamp consists of stainless steel, aluminum and a few pieces of polymer, it should always be cleaned at temperatures below 284ºF (140°C), using a detergent with a pH between 7 and 9.5. *Also available. Pelvic C-Clamp II Surgical Technique DePuy Synthes... -
Page 17: Implants
Implants 02.306.006 Short Cannulated Nail for Pelvic C-Clamp II 02.306.007 Long Cannulated Nail for Pelvic C-Clamp II 292.26 2.5 mm Kirschner Wire, 285 mm, trocar point DePuy Synthes Pelvic C-Clamp II Surgical Technique... -
Page 18: Instruments
Instruments 03.306.009 2.5 mm K-Wire Insertion Handle 03.306.010 Pelvic C-Clamp II (shown with cannulated nails) 03.306.011 8 mm Protective Cap 321.20 Ratchet Wrench, 11 mm width across fl ats 391.93 Wire Cutter, 220 mm 398.32 Socket Wrench with Hammer Pelvic C-Clamp II Surgical Technique DePuy Synthes... - Page 19 Inner Rail for Pelvic C-Clamp II 03.306.001 Outer Rail for Pelvic C-Clamp II, 2 ea. 03.306.002 Upper Side Arm for Pelvic C-Clamp II, 2 ea. 03.306.003 Lower Side Arm for Pelvic C-Clamp II, 2 ea. 03.306.008 Threaded Tube for Pelvic C-Clamp II, 2 ea.
- Page 20 Limited Warranty and Disclaimer: DePuy Synthes products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. Please also refer to the package insert(s) or other labeling associated with the devices identified in this surgical technique for additional information.
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