Braun Aesculap S4 MIS Spyder Manual

Aesculap®
Aesculap Spine
Instructions for use/Technical description
S4MIS instruments
Gebrauchsanweisung/Technische Beschreibung
S4MIS Instrumente
Mode d’emploi/Description technique
Instruments S4MIS
Instrucciones de manejo/Descripción técnica
Instrumental S4MIS
Istruzioni per l’uso/Descrizione tecnica
Strumenti S4MIS
Instruções de utilização/Descrição técnica
Instrumentos S4MIS
Gebruiksaanwijzing/Technische beschrijving
S4MIS instrumenten
Bruksanvisning/Teknisk beskrivning
S4MIS instrument
Инструкция по примению/Техническое опи-
сание
S4MIS инструменты
Návod k použití/Technický popis
Nástroje S4MIS
Instrukcja użytkowania/Opis techniczny
Instrumenty S4MIS
Návod na použitie/Technický opis
Nástroje S4MIS
Kullanım Kılavuzu/Teknik açiklama
S4MIS el aletleri
사용 설명서 /기술 설명
S4MIS 기구

30 40 50 60 70
30 40 50 60 70
8080
100
80 70 60 50
40
90
1
2
4
3
5
6
7
8

FW734R 4
7
b
FW238R
5a
6
A
B
C
D

c
3
d
40 50 10 0
20
30
FW272R
1
5a
100
80 70 60 50
40
90
ce 2 f
F
E
G
4
FW734R
H
I
30 40 50 60 70
30 40 50 60 70
8080

6
7
FW238R
J
K

2
Aesculap®
S4 MIS instruments
Aesculap® S4MIS instruments
Key
1S4MIS thread cutter FW714R, FW715R and
FW716R
2S4MIS guiding instrument FW708R
3S4MIS outer sleeve of repositioning lever, short
FW705R
4S4MIS adjustable screw, long FW707R (for use
with S4percutaneous threaded tube FW734R)
5S4MIS spacer FW709R (for use with nut and
guidesleeve of FW241R)
6S4MIS bar insertion instrument, angulated
FW711R
7S4MIS distraction sheet, short FW706R (for use
with a distractor FW238R)
8S4MIS flank-breaking forceps FW712R
aNut and guide sleeve of FW241R
bSlider on the distraction blade
cReference point of the markings
dPedicle screw
eMonoaxial pedicle screw
fAll-around marking
Images
ARemoving the threaded tube FW734R and adjust-
ing screw FW707R
BRemoving the spacer FW709R
CRemoving the bar insertion instrument FW711R
DRemoving the distractor FW238R and the distrac-
tion blades, short FW706R
EAdditional information regarding the marking on
the outer sleeve
FAdditional information regarding the marking on
the thread cutter
GAdditional information regarding the marking on
the guide instrument
HInstalling the threaded tube FW734R and adjusting
screw FW707R
IInstalling the spacer FW709R
JInstalling the bar insertion instrument FW711R
KRemoving the distractor FW238R and the distrac-
tion blades, short FW706R
Symbols on product and packages
Applicable to
►For item-specific instructions for use and informa-
tion on material compatibility, see also the
Aesculap Extranet at https://extranet.bbraun.com
Intended use
The S4MIS instruments complete the scope of the
S4FRI – fracture repositioning instrument set system.
The S4instruments are used for implanting S4implants
with the following systems:
■S4Spinal System
■S4CS – Cannulated System
■S4FRI/S4FRI perkutan
The S4MIS instruments and S4fracture reposition
instruments are used to reposition and stabilize frac-
tures with the cannulated S4implants of the S4Spinal
System.
Caution, general warning symbol
Caution, see documentation sup-
plied with the product

3
Safe handling and preparation
►Ensure that the product and its accessories are
operated and used only by persons with the requi-
site training, knowledge, or experience.
►Read, follow, and keep the instructions for use.
►Read, follow, and keep the instructions for use for
S4instruments TA012384.
►Read, follow and keep the surgical manual for the
S4Spinal System instrument set S4FRI, S4SRI and
S4MIS and keep it in a safe place.
►Use the product only in accordance with its
intended use, see Intended use.
►Remove the transport packaging and clean the new
product, either manually or mechanically, prior to
its initial sterilization.
►Store any new or unused products in a dry, clean,
and safe place.
►Prior to each use, inspect the product for loose,
bent, broken, cracked, worn, or fractured compo-
nents.
►Do not use the product if it is damaged or defec-
tive. Set aside the product if it is damaged.
►Replace any damaged components immediately
with original spare parts.
►To avoid damage to the working end: Carefully
insert the product through the working channel
(e.g. trocar).
Safe operation
DANGER
Pushing the K wire forward
into the aorta risks the life of
the patient!
►When inserting S4implants
or S4instruments using the
guide wire, pay attention
to the markings on the
guide wire.
►Hold the guide wire with a
forceps.
►Remove the guide wire at
the right moment.
DANGER
Positioning implants incor-
rectly causes a serious risk of
injury!
The depth markings and scales
on the instruments are only
intended for orientation!
►Pay attention to the
appropriate reference
points of the markings -
see installation section.
►Ensure that the implants
are positioned correctly
using an x-ray check.
WARNING
Risk of injury and/or malfunc-
tion!
►Always carry out a func-
tion check prior to using
the product.

4
Aesculap®
S4 MIS instruments
Disassembling
The threaded tube FW734R and adjust-
ing screw FW707R
►When using the adjusting screw FW707R with
S4percutaneous threaded tube FW734R: Screw the
adjusting screw 4off the threaded tube FW734R,
see Fig. A.
Spacer FW709R
►Remove the nut and the guide sleeve afrom the
spacer 5, see Fig. B.
Bar insertion instrument FW711R
►Screw the inner part out of the bar insertion
instrument 6, see Fig. C.
Distractor FW238R and distraction
blades, short FW706R
►Activate slider band remove the distraction
blades 7from the distractor FW238R, see Fig. D.
►Dismantle distractor FW238R with the distraction
blades.
WARNING
Excessive trocar insertion
depth in the event of a missing
end stop means a risk of
injury!
►Use trocar FW271R only in
combination with the aim-
ing device FW258R.
WARNING
Delay in surgery due to the
outer sleeve slipping down
FW705R!
►Secure the outer sleeves by
hand when inserting or
removing other instru-
ments (e.g. the thread cut-
ter, screwdriver).
■The outer sleeve can be
reapplied using the posi-
tioning aid FW708R.
■The outer sleeve can be
secured using the threaded
tube FW234R and the
adjusting screw, long
FW707R
CAUTION
Damage to the pedicle screws
and incorrect positioning due
to using the wrong screw-
driver!
►Only use the guide instru-
ment FW708R for screw-
ing in monoaxial pedicle
screws.
CAUTION
Damage to the monoaxial ped-
icle screw when screwing in
with the FW708R with the
screwdriver in the wrong posi-
tion!
►When screwing in the
monoaxial pedicle screw,
always insert the screw-
driver all the way into the
head of the pedicle screw.

5
Assembling
Note
The scale on the outer sleeve 3relates to the reference
point con the body of the pedicle screw d, see Fig. E.
Note
The scale on the thread cutters 1relates to the total
length of the dilatation sleeve FW272R, see Fig. F.
Note
The scale on the guide instrument 2relates to the ref-
erence point con the body of the pedicle screw e, see
Fig. G.
The all-around marking fis used as an orientation aid
when using the instrument as a guide instrument for
reapplying the outer sleeve.
The threaded tube FW734R and adjust-
ing screw FW707R
►When using the adjusting screw FW707R with
S4percutaneous threaded tube FW734R: Screw the
adjusting screw 4onto the threaded tube FW734R,
see Fig. H.
Spacer FW709R
►Screw the nut of the spacer 5as well as the guide
sleeve and the nut of FW241R ain the sequence
shown onto the thread of the spacer 5, see Fig. I.
Bar insertion instrument FW711R
►Insert the inner part into the bar insertion instru-
ment 6and screw it tight, see Fig. J.
Distractor FW238R and distraction
blades, short FW706R
►Install distractor FW238R, see Fig. TA012384.
►Place the distraction blades 7onto the distractor
FW238R, see Fig. K.
Validated reprocessing procedure
General safety instructions
Note
Adhere to national statutory regulations, national and
international standards and directives, and local, clini-
cal hygiene instructions for sterile processing.
Note
For patients with Creutzfeldt-Jakob disease (CJD), sus-
pected CJD or possible variants of CJD, observe the rel-
evant national regulations concerning the reprocessing
of products.
Note
Mechanical reprocessing should be favored over man-
ual cleaning as it gives better and more reliable results.
Note
Successful processing of this medical device can only
be ensured if the processing method is first validated.
The operator/sterile processing technician is responsi-
ble for this.
The recommended chemistry was used for validation.
Note
If there is no final sterilization, then a virucidal disin-
fectant must be used.
Note
For up-to-date information about reprocessing and
material compatibility, see also the Aesculap Extranet
at https://extranet.bbraun.com
The validated steam sterilization procedure was carried
out in the Aesculap sterile container system.

6
Aesculap®
S4 MIS instruments
General information
Dried or affixed surgical residues can make cleaning
more difficult or ineffective and lead to corrosion.
Therefore the time interval between application and
processing should not exceed 6 h; also, neither fixating
pre-cleaning temperatures >45 °C nor fixating disin-
fecting agents (active ingredient: aldehydes/alcohols)
should be used.
Excessive measures of neutralizing agents or basic
cleaners may result in a chemical attack and/or to fad-
ing and the laser marking becoming unreadable visu-
ally or by machine for stainless steel.
Residues containing chlorine or chlorides e.g. in surgi-
cal residues, medicines, saline solutions and in the ser-
vice water used for cleaning, disinfection and steriliza-
tion will cause corrosion damage (pitting, stress
corrosion) and result in the destruction of stainless
steel products. These must be removed by rinsing thor-
oughly with demineralized water and then drying.
Additional drying, if necessary.
Only process chemicals that have been tested and
approved (e.g. VAH or FDA approval or CE mark) and
which are compatible with the product’s materials
according to the chemical manufacturers’ recommen-
dations may be used for processing the product. All the
chemical manufacturer's application specifications
must be strictly observed. Failure to do so can result in
the following problems:
■Optical changes of materials, e.g. fading or discol-
oration of titanium or aluminum. For aluminum,
the application/process solution only needs to be
of pH >8 to cause visible surface changes.
■Material damage such as corrosion, cracks, fractur-
ing, premature aging or swelling.
►Do not use metal cleaning brushes or other abra-
sives that would damage the product surfaces and
could cause corrosion.
►Further detailed advice on hygienically safe and
material-/value-preserving reprocessing can be
found at www.a-k-i.org, link to Publications, Red
Brochure – Proper maintenance of instruments.
Disassembling the product before carry-
ing out the reprocessing procedure
►Disassemble the product immediately after use, as
described in the respective instructions for use.
►Open up products with hinges.
Preparations at the place of use
►If applicable, rinse non-visible surfaces preferably
with deionized water, with a disposable syringe for
example.
►Remove any visible surgical residues to the extent
possible with a damp, lint-free cloth.
►Transport the dry product in a sealed waste con-
tainer for cleaning and disinfection within 6 hours.
Preparation before cleaning
►Dismantle the product prior to cleaning, see Disas-
sembling.

7
Cleaning/disinfection
Product-specific safety notes on the repro-
cessing procedure
►Use suitable cleaning/disinfecting agents if the
product is put away in a wet condition. To prevent
foam formation and reduced effectiveness of the
process chemicals: Prior to mechanical cleaning
and disinfection, rinse the product thoroughly with
running water.
►To prevent increased contamination of loaded
instrument trays during use, please ensure that
contaminated instruments are collected separately
and not returned to the instrument tray.
CAUTION
Damage to the product due to
inappropriate cleaning/disin-
fecting agents and/or exces-
sive temperatures!
►Use cleaning and disinfect-
ing agents according to the
manufacturer’s instruc-
tions which
–be approved for plastic
material and high-
grade steel,
–do not attack softeners
(e.g. in silicone).
►Observe specifications
regarding concentration,
temperature and exposure
time.
►Do not exceed the maxi-
mum allowable tempera-
ture of 55 °C.

8
Aesculap®
S4 MIS instruments
Validated cleaning and disinfection procedure
Validated procedure Specific requirements Reference
Manual cleaning with
immersion disinfection
■FW705R–FW709R
■FW711R
■FW712R
■FW714R–FW716R
■FW734R
■Suitable cleaning brush
■20 ml disposable syringe
■Keep working ends open for clean-
ing.
■When cleaning products with mov-
able hinges, ensure that these are in
an open position and, if applicable,
move the joint while cleaning.
■Drying phase: Use a lint-free cloth
or medical compressed air
Chapter Manual cleaning/disinfection
and sub-chapter:
■Chapter Manual cleaning with
immersion disinfection
Mechanical alkaline
cleaning and thermal
disinfection
■FW712R
■Place the product in a tray that is
suitable for cleaning (avoiding rins-
ing blind spots).
■Connect components with lumens
and channels directly to the rinsing
port of the injector carriage.
■Keep working ends open for clean-
ing.
■Place products in the tray with their
hinges open.
Chapter Mechanical cleaning/disinfect-
ing and sub-chapter:
■Chapter Mechanical alkaline clean-
ing and thermal disinfecting
Manual pre-cleaning
with brush and subse-
quent mechanical alka-
line cleaning and ther-
mal disinfection
■FW705R–FW709R
■FW711R
■FW714R–FW716R
■FW734R
■Suitable cleaning brush
■20 ml disposable syringe
■Place the product in a tray that is
suitable for cleaning (avoiding rins-
ing blind spots).
■FW705R/FW709R/FW714R–
FW716R: Connect components with
lumens and channels directly to the
rinsing port of the injector carriage.
■Keep working ends open for clean-
ing.
■Place products in the tray with their
hinges open.
Chapter Mechanical cleaning/disinfec-
tion with manual pre-cleaning and sub-
chapter:
■Chapter Manual pre-cleaning with a
brush
■Chapter Mechanical alkaline clean-
ing and thermal disinfecting

9
Manual cleaning/disinfection
►Prior to manual disinfecting, allow water to drip off
for a sufficient length of time to prevent dilution of
the disinfecting solution.
►After manual cleaning/disinfection, check visible
surfaces visually for residues.
►Repeat the cleaning /disinfection process if neces-
sary.
Manual cleaning with immersion disinfection
D–W: Drinking water
FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water
quality at least)
RT: Room temperature
*Recommended: BBraun Stabimed
►Note the information on appropriate cleaning
brushes and disposable syringes, see Validated
cleaning and disinfection procedure.
Phase Step T
[°C/°F]
t
[min]
Conc.
[%]
Water
quality
Chemical
I Disinfecting
cleaning
RT (cold) >15 2 D–W Aldehyde-free, phenol-free,
and QUAT-free concentrate,
pH ~ 9*
II Intermediate rinse RT (cold) 1 - D–W -
III Disinfection RT (cold) 15 2 D–W Aldehyde-free, phenol-free,
and QUAT-free concentrate,
pH ~ 9*
IV Final rinse RT (cold) 1 - FD-W -
VDrying RT - - - -

10
Aesculap®
S4 MIS instruments
Phase I
►Fully immerse the product in the cleaning/disinfec-
tant for at least 15 min. Ensure that all accessible
surfaces are moistened.
►Clean the product with a suitable cleaning brush in
the solution until all discernible residues have been
removed from the surface.
►If applicable, brush through non-visible surfaces
with an appropriate cleaning brush for at least
1min.
►Mobilize non-rigid components, such as set screws,
links, etc. during cleaning.
►Thoroughly rinse through these components with
the cleaning disinfectant solution (at least five
times), using a disposable syringe.
Phase II
►Rinse/flush the product thoroughly (all accessible
surfaces) under running water.
►Mobilize non-rigid components, such as set screws,
joints, etc. during rinsing.
►Drain any remaining water fully.
Phase III
►Fully immerse the product in the disinfectant solu-
tion.
►Mobilize non-rigid components, such as set screws,
joints, etc. during rinsing.
►Rinse lumens at least 5 times at the beginning of
the exposure time using an appropriate disposable
syringe. Ensure that all accessible surfaces are
moistened.
Phase IV
►Rinse/flush the product thoroughly (all accessible
surfaces).
►Mobilize non-rigid components, such as set screws,
joints, etc. during final rinse.
►Rinse lumens with an appropriate disposable
syringe at least five times.
►Drain any remaining water fully.
Phase V
►Dry the product in the drying phase with suitable
equipment (e.g. cloth, compressed air), see Vali-
dated cleaning and disinfection procedure.

11
Mechanical cleaning/disinfecting
Note
The cleaning and disinfection device must be of tested
and approved effectiveness (e.g. FDA approval or CE
mark according to DIN EN ISO 15883).
Note
The cleaning and disinfection device used for process-
ing must be serviced and checked at regular intervals.
Mechanical alkaline cleaning and thermal disinfecting
Machine type: single-chamber cleaning/disinfection device without ultrasound
D–W: Drinking water
FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water
quality at least)
*Recommended: BBraun Helimatic Cleaner alkaline
►Check visible surfaces for residues after mechani-
cal cleaning/disinfecting.
Phase Step T
[°C/°F]
t
[min]
Water
quality
Chemical/Note
IPrerinse <25/77 3 D–W -
II Cleaning 55/131 10 FD-W ■Concentrate, alkaline:
–pH=13
– <5 % anionic surfactant
■0.5 % working solution
– pH = 11*
III Intermediate rinse >10/50 1 FD-W -
IV Thermal disinfect-
ing
90/194 5 FD-W -
VDrying - - - According to the program for cleaning
and disinfection device

12
Aesculap®
S4 MIS instruments
Mechanical cleaning/disinfection with manual pre-cleaning
Note
The cleaning and disinfection device must be of tested
and approved effectiveness (e.g. FDA approval or CE
mark according to DIN EN ISO 15883).
Note
The cleaning and disinfection device used for process-
ing must be serviced and checked at regular intervals.
Manual pre-cleaning with a brush
D–W: Drinking water
RT: Room temperature
*Recommended: BBraun Stabimed
►Note the information on appropriate cleaning
brushes and disposable syringes, see Validated
cleaning and disinfection procedure.
Phase I
►Fully immerse the product in the cleaning/disinfec-
tant for at least 15 min. Ensure that all accessible
surfaces are moistened.
►Clean the product with a suitable cleaning brush in
the solution until all discernible residues have been
removed from the surface.
►If applicable, brush through non-visible surfaces
with an appropriate cleaning brush for at least
1min.
►Mobilize non-rigid components, such as set screws,
links, etc. during cleaning.
►Thoroughly rinse through these components with
the cleaning disinfectant solution (at least five
times), using a disposable syringe.
Phase II
►Rinse/flush the product thoroughly (all accessible
surfaces) under running water.
►Mobilize non-rigid components, such as set screws,
joints, etc. during rinsing.
Phase Step T
[°C/°F]
t
[min]
Conc.
[%]
Water
quality
Chemical
I Disinfec-
tant
cleaning
RT (cold) >15 2 D–W Aldehyde-free, phenol-free, and
QUAT-free concentrate, pH ~ 9*
II Rinsing RT (cold) 1 - D–W -

13
Mechanical alkaline cleaning and thermal disinfecting
Machine type: single-chamber cleaning/disinfection device without ultrasound
D–W: Drinking water
FD–W: Fully desalinated water (demineralized, low microbiological contamination: drinking water
quality at least)
*Recommended: BBraun Helimatic Cleaner alkaline
►Check visible surfaces for residues after mechani-
cal cleaning/disinfecting.
Phase Step T
[°C/°F]
t
[min]
Water
quality
Chemical
I Prerinse <25/77 3 D–W -
II Cleaning 55/131 10 FD-W ■Concentrate, alkaline:
–pH=13
– <5 % anionic surfactant
■0.5 % working solution
– pH = 11*
III Intermediate rinse >10/50 1 FD-W -
IV Thermal disinfect-
ing
90/194 5 FD-W -
VDrying - - - According to the program for cleaning
and disinfection device

14
Aesculap®
S4 MIS instruments
Inspection, maintenance and checks
►Allow the product to cool down to room tempera-
ture.
►After each complete cleaning, disinfecting and dry-
ing cycle, check that the product is dry, clean,
operational, and free of damage (e.g. broken insu-
lation or corroded, loose, bent, broken, cracked,
worn, or fractured components).
►Dry the product if it is wet or damp.
►Repeat cleaning and disinfection of products that
still show impurities or contamination.
►Check that the product functions correctly.
►Immediately put aside damaged or inoperative
products and send them to Aesculap Technical Ser-
vice, see Technical Service.
►Assemble dismountable products, see Assembling.
►Check for compatibility with associated products.
Packaging
►Appropriately protect products with fine working
tips.
►Store products with ratchet locks fully opened or
locked no further than in the first notch.
►Close the locks so that the jaw tips just touch each
other.
►Place the product in its holder or on a suitable tray.
Ensure that all cutting edges are protected.
►Pack trays appropriately for the intended steriliza-
tion process (e.g. in Aesculap sterile containers).
►Ensure that the packaging provides sufficient pro-
tection against recontamination of the product
during storage.
Steam sterilization
Note
FW711R: The product may only be sterilized in disas-
sembled condition.
Note
FW734R: the product can be sterilized either in disas-
sembled or in assembled condition.
Note
To avoid breakage due to stress crack corrosion, steril-
ize the product with the lock fully open or locked no fur-
ther than on the first ratchet tooth.
►Check to ensure that the sterilizing agent will come
into contact with all external and internal surfaces
(e.g. by opening any valves and faucets).
►Validated sterilization process
– Disassemble the product
– Steam sterilization through fractionated vac-
uum process
– Steam sterilizer according to DIN EN 285 and
validated according to DIN EN ISO 17665
– Sterilization using fractionated vacuum pro-
cess at 134 °C/holding time 5 min
►When sterilizing several products at the same time
in a steam sterilizer, ensure that the maximum load
capacity of the steam sterilizer specified by the
manufacturer is not exceeded.
CAUTION
Damage (metal seizure/fric-
tion corrosion) to the product
caused by insufficient lubrica-
tion!
►Prior to function checks,
lubricate moving parts (e.g.
joints, pusher components
and threaded rods) with
maintenance oil suitable
for the respective steriliza-
tion process (e.g. for steam
sterilization: Aesculap
STERILIT® I oil spray JG600
or STERILIT® I drip lubrica-
tor JG598).

15
Storage
►Store sterile products in germ-proof packaging,
protected from dust, in a dry, dark, temperature-
controlled area.
Technical Service
►For service and repairs, please contact your
national B. Braun/Aesculap agency.
Modifications carried out on medical technical equip-
ment may result in loss of guarantee/warranty rights
and forfeiture of applicable licenses.
Service addresses
Aesculap Technischer Service
Am Aesculap-Platz
78532 Tuttlingen / Germany
Phone: [phone]
Fax: [phone]
E-Mail: [e-mail]
Other service addresses can be obtained from the
address indicated above.
Disposal
►Adhere to national regulations when disposing of
or recycling the product, its components and its
packaging!
WARNING
Risk of injury and/or malfunc-
tion!
►Do not modify the product.

16
Aesculap®
S4 MIS Instrumente
Aesculap® S4MIS Instrumente
Legende
1S4MIS Gewindeschneider FW714R, FW715R und
FW716R
2S4MIS Führungsinstrument FW708R
3S4MIS Repositionshebel Außenhülse kurz FW705R
4S4MIS Stellschraube lang FW707R (zum Einsatz
mit S4Perkutan Gewinderohr FW734R)
5S4MIS Abstandshalter FW709R (zum Einsatz mit
Mutter und Führungshülse von FW241R)
6S4MIS Stabeinsetzinstrument gekröpft FW711R
7S4MIS Distraktionsblatt kurz FW706R (zum Einsatz
mit Distraktor FW238R)
8S4MIS Flankenabbrechzange FW712R
aMutter und Führungshülse von FW241R
bSchieber am Distraktionsblatt
cBezugspunkt der Markierungen
dPedikelschraube
eMonoaxiale Pedikelschraube
fRundummarkierung
Abbildungen
ADemontage Gewinderohr FW734R und Stell-
schraube FW707R
BDemontage Abstandshalter FW709R
CDemontage Stabeinsetzinstrument FW711R
DDemontage Distraktor FW238R und Distraktions-
blätter kurz FW706R
EZusatzinformation Markierung Außenhülse
FZusatzinformation Markierung Gewindeschneider
GZusatzinformation Markierung Führungsinstru-
ment
HMontage Gewinderohr FW734R und Stellschraube
FW707R
IMontage Abstandshalter FW709R
JMontage Stabeinsetzinstrument FW711R
KMontage Distraktor FW238R und Distraktionsblät-
ter kurz FW706R
Symbole an Produkt und
Verpackung
Geltungsbereich
►Für artikelspezifische Gebrauchsanweisungen und
Informationen zur Materialverträglichkeit siehe
auch Aesculap Extranet unter
https://extranet.bbraun.com
Verwendungszweck
Die S4MIS Instrumente ergänzen den Systemumfang
des S4FRI – Fraktur-Repositions-Instrumentariums.
Die S4-Instrumente werden zur Implantation der S4-
Implantate mit folgenden Systemen verwendet:
■S4Spinal System
■S4CS – Cannulated System
■S4FRI/S4FRI perkutan
Die S4MIS Instrumente und S4-Fraktur-Repositions-
Instrumente werden zur Reposition und Frakturstabili-
sierung mit den kanülierten S4-Implantaten des S4
Spinal Systems verwendet.
Achtung, allgemeines Warnzei-
chen
Achtung, Begleitdokumente
beachten