Silony Medical VERTICALE Navigation User manual

VERTICALE
®
Navigation
INSTRUMENTATION GUIDE
MADE IN GERMANY
MADE IN GERMANY

TABLE OF CONTENTS
Introduction / Preface ................................................................................................................................................................................. 3
Indications / Contraindications .............................................................................................................................................................. 3
Preparation of Navigation system and instrumentation.............................................................................................................. 4
Prerequisites on Navigation system and tracker ...................................................................................................................... 4
Assembly of instruments .................................................................................................................................................................... 5
Assembly of Navigated shaft instruments .................................................................................................................................. 5
Instrument registration instructions ........................................................................................................................................... 6
Instrumentation / surgical steps ............................................................................................................................................................ 7
General Notes on use of Navigation instruments .................................................................................................................... 7
Position and approach ......................................................................................................................................................................... 8
Opening the cortex of the pedicle ................................................................................................................................................... 8
Open the pedicle canal with a probe ............................................................................................................................................. 8
Tapping (optional) .................................................................................................................................................................................. 9
Selection of screw .................................................................................................................................................................................. 9
Screw loading onto Navigated Screw Driver ............................................................................................................................. 10
Screw insertion ....................................................................................................................................................................................... 11
Further surgical steps .......................................................................................................................................................................... 11
PRODUCT INFORMATION ................................................................................................................................................................. PI 01
Instruments .............................................................................................................................................................................................. PI 02
Implants .................................................................................................................................................................................................... PI 03
The Navigation tracker shown in this instrumentation guide is representative for a variety of general navigation
tracker customary in the market.
NOTE: The following guide is intended to familiarize you with the surgical procedure and use of the VERTICALE®
Navigation Instrumentation. This instrumentation guide supplements the guides for the VERTICALE® Screw Rod
System. Instruments from Silony Medical are processed, serviced, and cared for in accordance with the information
given in the instructions for use. Please read this guide and the instructions for use accompanying the implants
carefully before using the implant, and also pay particular attention to the information appended to this guide. This
guide does not replace brieng by a surgeon experienced in the instrumentation used in spinal surgery. We would be
happy to assist you in nding a hospital that provides an opportunity to observe surgical procedures.
NOTE: Silony Medical is not a manufacturer of navigation systems or equipment. Please refer to the navigation
company’s software and user guides for instructions for use and training prerequisites on the navigation system.
Instructions for use and handling of any third-party navigation systems in combination with Silony instruments
are the responsibility of the hospital and navigation company. The navigation system should be set up per the
manufacturer’s instructions.

VERTICALE NAVIGATION 3
Navigation Instruments for Silony Medical VERTICALE® Screw Rod Systems
The Navigation Instruments for VERTICALE® are designed for compatibility with the Medtronic StealthStation®
Navigation System and the Medtronic NavLock™ tracker.
For general instructions on use, indications, contraindications and warnings please refer to the following manuals and guides:
VERTICALE® OPEN and MultiLocking Screw Rod System Instrumentation Guide
Instructions for Use VERTICALE implants
Instructions for Use Silony surgical instruments
Medtronic’s current navigation system software and user guides (StealthStation®, NavLock™)
Position Verication of VERTICALE® Navigation Instruments for VERTICALE® Spine Systems has been performed with
Medtronic StealthStation® S8 Navigation System and NavLock™ Tracker.
Physicians and operators of the system, instruments and software should read all related (Silony Medical and third-party)
user guides carefully before handling the equipment and have access to the user guides at all times. Prior to using the
VERTICALE® Navigated Instruments for VERTICALE® Screw Rod Systems, the physicians and operators should review the
Silony Medical VERTICALE® System guides for their indications for use.
Silony Medical navigation instruments for VERTICALE® Screw Rod Systems are NOT compatible with the implants from
other manufacturers. The VERTICALE® Navigation Instruments are intended for use with Silony Medical VERTICALE®
implants only:
• VERTICALE® Pedicle screws with short & reduction head
- VERTICALE® Polyaxial screw
- VERTICALE® Monoaxial screw
- VERTICALE® Uniplanar screw
- VERTICALE® Revision / Iliac screw
- VERTICALE® MultiLocking screw
INDICATIONS / CONTRAINDICATIONS
Please refer to the supplemental VERTICALE® system guides and Instructions for Use for general procedural instructions,
indications, contraindications and warnings.
Please consider the following additional information for Navigation use:
Additional Indications for Navigation use
Silony Medical Navigation Instruments are intended to be used during the preparation and placement of VERTICALE®
pedicle screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in open procedures.
These instruments are designed for use with third-party stereotactic navigation system Medtronic StealthStation®,
which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where
reference to a rigid anatomical structure, such as vertebra, can be identied relative to a CT or MR based model,
uoroscopy images, or digitized landmarks of the anatomy.
Additional Contraindications for Navigation use
Medical conditions which contraindicate the use of a computer-assisted surgery system and its associated applications with
Silony Medical VERTICALE® system include any medical conditions which may contraindicate the medical procedure itself.
INTRODUCTION / PREFACE
NOTE: Please also note the Instructions for Use provided with each product. They may include additional advice that leads to
exclusion of the implant procedure.
All instrumentation guides and Instructions for Use can be found on our eLabeling portal (https://elabeling.silony-medical.com/)

PREPARATION OF
NAVIGATION SYSTEM
AND INSTRUMENTATION
Prerequisites on Navigation System and tracker
Note: For navigated instrumentation with Medtronic StealthStation®, the hospital’s Medtronic navigation
instrument set must include the Medtronic NavLock™ trackers. Silony Navigation Instruments require following the
instructions for use for the respective Medtronic navigation system and its navigation tracker, which are provided
by the navigation system manufacturer. If the respective third-party instrument tracker set is not available at the
hospital, the VERTICALE® Navigation Instruments cannot be navigated. In the event that the respective third-party
instrument tracker set is unavailable, a non-navigated technique using uoroscopy and respective Silony Medical
instrumentation may be adopted as per Silony Medical Instrumentation guides.
*Note: Position verication was performed with Medtronic StealthStation® System S8 and Software Version 1.2.0.
Navigation System Respective Instrument tracker / Array
Medtronic StealthStation® System S8* Medtronic NavLock™ tracker

VERTICALE NAVIGATION 5
Assembly of Navigated Shaft Instruments
1) Attach the corresponding Navigation tracker to the respective
Navigation Instrument (awl, probe, tap or SD Inner Shaft)* until
it snaps into place, make sure that the Navigation tracker is
securely connected to the respective instrument.
2) Attach Silony handle according to your preference to the
proximal interface of the instrument shaft*.
3) Additional steps for Navigated Screw Driver
The Navigated screw driver consists of a navigated driver shaft
in combination with modular components of the VERTICALE®
Screw driver VI-1130. Please refer to the instrument list
section at the end of this guide for combination options, e.g.
with SI-0024. For further (dis-)assembly instructions of the
modular screw driver VI-1130 or SI-0024, please refer to the
supplemental information provided with the instruments.
3.1) Attach your desired outer sleeve option onto
the Basic Core.
3.2) Instead of a non-navigated driver shaft, insert
the VI-7130 SD Inner Shaft into the respective
Screw driver Basic Core options.
* Further instrument options can be found in the instrument list
section at the end of this guide
** Further handle options can be found in the instrument list
section at the end of this guide
NOTE: Do not use the same tracker type/geometry on
two dierent instruments without new registration
procedure. For registration instructions, please refer to
the registration section.
Fig. 1 Attaching Navigation tracker to navigated shaft
instrument.
GI3111
Ratchet T-Handle**
Fig. 2 Assembling Navigated screwdriver shaft with Basic Core
of e.g. VI-1130.
NOTE: If the tracker cannot be rigidly connected to the
respective Silony Navigation Instrument, utilize Silony
standard non-navigated surgical technique as described
in the VERTICALE® system guides.
Follow the instructions for NavLock™ tracker.
Assembly of instruments
Note: For selection on tracker type or array size please
refer to the third-party’s user guides.

6 SILONY MEDICAL – Instrumentation Guide
Instrument Registration Instructions
Refer to the navigation manufacturer’s current navigation software and user guides for patient referencing and instrument
registration.
Follow the instructions for StealthStation® and NavLock™ tracker.
For each instrument to be navigated, assign the appropriate instrument tool card and tracker type/geometry in the navigation
software that has been attached to the respective instrument. Use the cross-reference table at the end of this guide for any
VERTICALE Navigation Instrument being used.
Upon successful registration, the trajectory and location of the distal tip of the instrument or screw are visually represented
within the software by the third-party instrument or screw selected from the corresponding tool cards. If you desire to change
the tip of the virtual representation to reect the diameter and length of the screw, follow the instructions of the chosen
navigation system.

VERTICALE NAVIGATION 7
Instrumentation / Surgical Steps
General Notes on use of Navigation instruments
The following section describes only the specic steps for the use of VERTICALE® Navigation instruments. For the general
instrumentation steps of the VERTICALE system for an open appraoch, we ask you to study the instrumentation guide for the
VERTICALE® OPEN Screw Rod system.
Please review the following notes prior to using VERTICALE® Navigation instruments.
• Prior to navigation, always conrm that accuracy of the instrument tip or tip of screw driver with rigidly connected
screw is in an acceptable range for the intended use by positioning the navigated tip on an identiable anatomical
landmark and comparing the actual tip location to that displayed by the system.
• Assess navigational accuracy repeatedly throughout a procedure.
• After each change to the navigated instrumentation assembly in use (e.g. for each new screw; after
re-attachment of tracker including array and spherical markers) when using a surgical navigation system, the
navigated instrumentation assembly must be re-veried for accuracy.
• Discontinue use if inaccuracy is suspected.
• If the stereotactic navigation system does not appear to be accurate or registration of Silony instruments fails
despite troubleshooting (e.g. resetting the system), do not rely on the navigation system. A non-navigated
technique using uoroscopy and respective Silony Medical instrumentation should be used as per Silony Medical
Instrumentation guides.
• If the desired virtual screw or instrument diameter is not available in the software, use the next larger available
size in diameter (e.g. Ø 5.2 mm screws Software: select Ø 5.5 mm screw projection).
• At all times during use, ensure the navigation tracker is visible to the camera of the respective navigation system
in use.
• For probes, taps and the screw driver, the navigation tracker will rotate around the instrument shaft. Please
hold the tracker with the hand for permanent camera visibility of the array markers while using the
instrument.
• For inserting taps and screws rotate proximal instrument handle clockwise, for removal rotate
anti-clockwise.
• Some instruments are equipped with an anti-rotation pin. For these instruments, the navigation tracker will
not rotate around the instrument shaft during use (only back and forth rotation allowed for permanent
camera visibility).
• Care should be taken to avoid bending forces on registered instruments during navigation procedure as deection
can inuence navigation accuracy.
• If instruments drop or may otherwise be damaged, re-verify them with respect to anatomical landmarks or use
another instrument. Do not use any instrument if verication of anatomical landmarks fails. Omission to
do so may lead to serious injury to the patient.
• Do not use the tracker and/or Silony Navigation instruments if any components appear to be loose, bent or
otherwise damaged.
• Cannulated instruments (taps, screw driver) are available for using guide wires
• The guide wires are not navigated instruments.
• Ensure that the length of the guide wire exceeds the length of implant, instrument and additional handle.
• Push the instrument over the placed guide wire
• Ensure the guide wire remains securely in position throughout the entire duration of the procedure.
• Remove the guide wire after screw insertion and conrming nal screw position.

VI7010
VERTICALE Nav Awl with Stop*
Assemble and register respective probe as described in
assembly and registration section. Please refer to general
notes section prior to navigation.
Please refer to the VERTICALE® OPEN Instrumentation Guide
for information on opening up the cancellous bone of the
vertebral body with a probe.
* Further instrument options at the end of this guide.
Open the pedicle canal with a probe
8 SILONY MEDICAL – Instrumentation Guide
Position and approach
Assemble and register respective awl as described in assembly
and registration section. Please refer to general notes section
prior to navigation.
Please refer to the VERTICALE® OPEN Instrumentation Guide
for information on opening the pedicle with an awl.
* Further instrument options at the end of this guide.
VI7024
VERTICALE Nav Thoracic Probe*
VI7025
VERTICALE Nav Lumbar Probe*
Please refer to the VERTICALE® OPEN Instrumentation Guide for information on patient position and approach.
Opening the cortex of the pedicle

VERTICALE NAVIGATION 9
Selection of screw
Select the VERTICALE® pedicle screw type and size (length
and diameter) based on pre-operative planning and
uoroscopic imaging. VERTICALE® Pedicle screws with
short & reduction head are compatible with VERTICALE®
Navigation Instruments:
• VERTICALE® Polyaxial screw
• VERTICALE® Monoaxial screw
• VERTICALE® Uniplanar screw
• VERTICALE® Revision / Iliac screw
• VERTICALE® MultiLocking screw
Assemble and register respective tap as described in assembly
and registration section. Please refer to general notes section
prior to navigation.
Please refer to the VERTICALE® OPEN Instrumentation Guide
for information on tapping with solid taps or cannulated taps
in combination with guide wires for guided insertion.
* Further instrument options at the end of this guide.
Tapping (optional)
VI7045
VERTICALE Nav Tap
4.5 + 5.2 mm*
VI7067
VERTICALE Nav Tap
6.2 + 7.2 mm*

10 SILONY MEDICAL – Instrumentation Guide
VI7130
VERTICALE Nav SD Inner Shaft
Fig. 3 Navigated screw driver with loaded screw.
NOTE: Please ensure the screw driver tip is fully seated
in the screw drive feature and the connection is rigid
after tightening
Screw loading onto Navigated Screw Driver
1) Assemble and register screw driver shaft as described in
assembly and registration section.
2) Adjust for short or long head screws, in analogy to VI-1130,
by pressing the button on the middle part of the handle of
the Screw driver basic core and pulling or pushing the driver
shaft into its dedicated position.
3) Loading screw, in analogy to VI-1130
The VERTICALE® pedicle screw driver tip is rst inserted
deeply into the inner drive feature of the screw shaft. After
that, the internal thread of the screw head is connected to
the external thread of the instrument by rotating clockwise
and applying gentle downward force with the instrument
shaft.
NOTE: For full instructions please refer to the VERTICALE®
OPEN Instrumentation Guide and supplemental
information provided with the instrument.

Please refer to the VERTICALE® system instrumentation
guides for information on further surgical steps after screw
placement or the implant removal procedure to complete
surgery.
Further surgical steps
VERTICALE NAVIGATION 11
Screw insertion
Please refer to the VERTICALE® OPEN Instrumentation
Guide for information on inserting the pedicle screw and
disengaging the screw driver.
For insertion of additional screws, follow the previous steps
for the remaining screws.
NOTE: The tip position of the navigated instrument with
loaded screw must be veried for accuracy prior to use
when using a navigation system. Please refer to general
notes section prior navigation.
NOTE: Do not hold the middle handle of the screw driver
basic core until disengaging the screw driver from the
screw.
NOTE: If the screw is changed, the tip position of the
navigated instrument with loaded new screw must be
re-veried for accuracy prior to use. Please refer to general
notes section.

VERTICALE
® NAVIGATION
PRODUCT INFORMATION
The following section gives an overview on compatible instruments of the VERTICALE® Screw Rod System.

VERTICALE® Navigation Instruments
Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number Illustration Page
VI-1130* VERTICALE Screw Driver T25 5, 10
VI-7010 VERTICALE Nav Awl with stop Awl Sharp 9734678 8
VI-7020 VERTICALE Nav Awl Starter Awl Sharp 9734678 8
VI-7024 VERTICALE Nav Thoracic Probe Probe Thoracic 9734680 8
VI-7025 VERTICALE Nav Lumbar Probe Probe Lumbar 9734679 8
VI-7028 VERTICALE Nav Iliac Probe Probe Lumbar 9734679 8
VI-7034 VERTICALE Nav Awl Tap
4.5 mm Solera 4.5 mm Tap 9734298 9
VI-7045 VERTICALE Nav Tap 4.5 +
5.2 mm
Solera 4.5 mm Tap or
Solera 5.5 mm Tap
9734298 or
9734300 9
VI-7067 VERTICALE Nav Tap 6.2 +
7.2 mm
Solera 6.5 mm Tap or
Solera 7.5 mm Tap
9734302 or
9734303 9
VI-7089 VERTICALE Nav Tap 8.2 +
9.2 mm Solera 8.5 mm Tap 9734304 9
VI-7102 VERTICALE Nav Tap 10.2 mm Solera 8.5 mm Tap 9734304 9
VI-7130 VERTICALE Nav SD Inner
Shaft
Solera 4.75 Standard Driver or
Solera 5.5/6.0 MAS Driver or
Legacy PEEK Driver
9734279 or
9735023 or
9734278
5, 10
VI-7145 VERTICALE Nav Tap 4.5 +
5.2 mm, can
Solera 4.5 mm Tap or
Solera 5.5 mm Tap
9734298 or
9734300 9
VI-7167 VERTICALE Nav Tap 6.2 +
7.2 mm, can
Solera 6.5 mm Tap or Solera
7.5 mm Tap
9734302 or
9734303 9
VI-7189 VERTICALE Nav Tap 8.2 +
9.2 mm, can Solera 8.5 mm Tap 9734304 9
VI-7202 VERTICALE Nav Tap 10.2 mm,
can Solera 8.5 mm Tap 9734304 9
* Note: VERTICALE Screw driver options
• Basic Core VI-1130.1 or VI-1131.1 or SI-0024.1 with
a) Outer Sleeve VI-1130.2 or
b) Outer Sleeve SI-0024.2
VERTICALE
® NAVIGATION
PRODUCT INFORMATION
VERTICALE NAVIGATION PI 02

VERTICALE® Implants
Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VPS-4525-S2 Ø 4.5 x 25 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera Ø 4.5 x 25mm 54840004525
S-VPS-4525-K2 Ø 4.5 x 25 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-4525-RS3 Ø 4.5 x 25 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-4525-RK3 Ø 4.5 x 25 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-4525-S1 Ø 4.5 x 25 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-4525-K1 Ø 4.5 x 25 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-4525-RS2 Ø 4.5 x 25 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-4525-RK2 Ø 4.5 x 25 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-4525-S1 Ø 4.5 x 25 Uniplanar Pedicle Screw, solid shaft
S-VUS-4525-K1 Ø 4.5 x 25 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-4525-RS2 Ø 4.5 x 25 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-4525-RK2 Ø 4.5 x 25 Uniplanar Pedicle Screw, reduction, cannulated shaft
S-VML-4525-S2 Ø 4.5 x 25 MultiLocking Pedicle Screw, solid shaft
S-VML-4525-K2 Ø 4.5 x 25 MultiLocking Pedicle Screw, cannulated shaft
S-VML-4525-RS2 Ø 4.5 x 25 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-4525-RK2 Ø 4.5 x 25 MultiLocking Pedicle Screw, reduction, cannulated shaft
PI 03 SILONY MEDICAL – Instrumentation Guide
For a full article list of pedicle screws and further associated implants (e.g. rods, set screw etc.), please refer to the following
instrumentation guides of VERTICALE® systems.
• VERTICALE® OPEN (D60000)
• VERTICALE® Polyaxial screw
• VERTICALE® Monoaxial screw
• VERTICALE® Uniplanar screw
• VERTICALE® Revision / Iliac screw
• VERTICALE® MultiLocking (D60065)
• VERTICALE® MultiLocking screw
The following table contains information on navigation compatible VERTICALE® pedicle screw assemblies and the associated toolcard
that should be selected when that assembly is utilized in a navigation procedure.

Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VPS-4530-S2 Ø 4.5 x 30 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera Ø 4.5 x 30 mm 54840004530
S-VPS-4530-K2 Ø 4.5 x 30 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-4530-RS3 Ø 4.5 x 30 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-4530-RK3 Ø 4.5 x 30 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-4530-S1 Ø 4.5 x 30 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-4530-K1 Ø 4.5 x 30 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-4530-RS2 Ø 4.5 x 30 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-4530-RK2 Ø 4.5 x 30 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-4530-S1 Ø 4.5 x 30 Uniplanar Pedicle Screw, solid shaft
S-VUS-4530-K1 Ø 4.5 x 30 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-4530-RS2 Ø 4.5 x 30 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-4530-RK2 Ø 4.5 x 30 Uniplanar Pedicle Screw, reduction, cannulated shaft
S-VML-4530-S2 Ø 4.5 x 30 MultiLocking Pedicle Screw, solid shaft
S-VML-4530-K2 Ø 4.5 x 30 MultiLocking Pedicle Screw, cannulated shaft
S-VML-4530-RS2 Ø 4.5 x 30 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-4530-RK2 Ø 4.5 x 30 MultiLocking Pedicle Screw, reduction, cannulated shaft
S-VPS-4535-S2 Ø 4.5 x 35 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera Ø 4.5 x 35 mm 54840004535
S-VPS-4535-K2 Ø 4.5 x 35 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-4535-RS3 Ø 4.5 x 35 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-4535-RK3 Ø 4.5 x 35 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-4535-S1 Ø 4.5 x 35 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-4535-K1 Ø 4.5 x 35 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-4535-RS2 Ø 4.5 x 35 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-4535-RK2 Ø 4.5 x 35 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-4535-S1 Ø 4.5 x 35 Uniplanar Pedicle Screw, solid shaft
S-VUS-4535-K1 Ø 4.5 x 35 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-4535-RS2 Ø 4.5 x 35 Uniplanar Pedicle Screw, reduction, solid shaft
VERTICALE® Implants
VERTICALE NAVIGATION PI 04

Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VUS-4535-RK2 Ø 4.5 x 35 Uniplanar Pedicle Screw, reduction, cannulated shaft
Solera Ø 4.5 x 35 mm 54840004535
S-VML-4535-S2 Ø 4.5 x 35 MultiLocking Pedicle Screw, solid shaft
S-VML-4535-K2 Ø 4.5 x 35 MultiLocking Pedicle Screw, cannulated shaft
S-VML-4535-RS2 Ø 4.5 x 35 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-4535-RK2 Ø 4.5 x 35 MultiLocking Pedicle Screw, reduction, cannulated shaft
S-VPS-4540-S2 Ø 4.5 x 40 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera Ø 4.5 x 40 mm 54840004540
S-VPS-4540-K2 Ø 4.5 x 40 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-4540-RS3 Ø 4.5 x 40 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-4540-RK3 Ø 4.5 x 40 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-4540-S1 Ø 4.5 x 40 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-4540-K1 Ø 4.5 x 40 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-4540-RS2 Ø 4.5 x 40 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-4540-RK2 Ø 4.5 x 40 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-4540-S1 Ø 4.5 x 40 Uniplanar Pedicle Screw, solid shaft
S-VUS-4540-K1 Ø 4.5 x 40 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-4540-RS2 Ø 4.5 x 40 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-4540-RK2 Ø 4.5 x 40 Uniplanar Pedicle Screw, reduction, cannulated shaft
S-VML-4540-S2 Ø 4.5 x 40 MultiLocking Pedicle Screw, solid shaft
S-VML-4540-K2 Ø 4.5 x 40 MultiLocking Pedicle Screw, cannulated shaft
S-VML-4540-RS2 Ø 4.5 x 40 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-4540-RK2 Ø 4.5 x 40 MultiLocking Pedicle Screw, reduction, cannulated shaft
S-VPS-4545-S2 Ø4.5x45 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera Ø 4.5 x 45 mm 54840004545
S-VPS-4545-K2 Ø4.5x45 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-4545-RS3 Ø4.5x45 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-4545-RK3 Ø4.5x45 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-4545-S1 Ø4.5x45 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-4545-K1 Ø4.5x45 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
VERTICALE® Implants
PI 05 SILONY MEDICAL – Instrumentation Guide

Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VFS-4545-RS2 Ø 4.5 x 45 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
Solera Ø 4.5 x 45 mm 54840004545
S-VFS-4545-RK2 Ø 4.5 x 45 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-4545-S1 Ø 4.5 x 45 Uniplanar Pedicle Screw, solid shaft
S-VUS-4545-K1 Ø 4.5 x 45 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-4545-RS2 Ø 4.5 x 45 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-4545-RK2 Ø 4.5 x 45 Uniplanar Pedicle Screw, reduction, cannulated shaft
S-VML-4545-S2 Ø 4.5 x 45 MultiLocking Pedicle Screw, solid shaft
S-VML-4545-K2 Ø 4.5 x 45 MultiLocking Pedicle Screw, cannulated shaft
S-VML-4545-RS2 Ø 4.5 x 45 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-4545-RK2 Ø 4.5 x 45 MultiLocking Pedicle Screw, reduction, cannulated shaft
S-VPS-4550-S2 Ø 4.5 x 50 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera Ø 4.5 x 50 mm 54840004550
S-VPS-4550-K2 Ø 4.5 x 50 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-4550-RS3 Ø 4.5 x 50 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-4550-RK3 Ø 4.5 x 50 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated
S-VFS-4550-S1 Ø 4.5 x 50 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-4550-K1 Ø 4.5 x 50 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-4550-RS2 Ø 4.5 x 50 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-4550-RK2 Ø 4.5 x 50 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-4550-S1 Ø 4.5 x 50 Uniplanar Pedicle Screw, solid shaft
S-VUS-4550-K1 Ø 4.5 x 50 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-4550-RS2 Ø 4.5 x 50 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-4550-RK2 Ø 4.5 x 50 Uniplanar Pedicle Screw, reduction, cannulated shaft
S-VML-4550-S2 Ø 4.5 x 50 MultiLocking Pedicle Screw, solid shaft
S-VML-4550-K2 Ø 4.5 x 50 MultiLocking Pedicle Screw, cannulated shaft
S-VML-4550-RS2 Ø 4.5 x 50 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-4550-RK2 Ø 4.5 x 50 MultiLocking Pedicle Screw, reduction, cannulated shaft
VERTICALE® Implants
VERTICALE NAVIGATION PI 06

Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VPS-5225-S2 Ø 5.2 x 25 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 25 mm 55840005525
S-VPS-5225-K2 Ø 5.2 x 25 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-5225-RS3 Ø 5.2 x 25 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-5225-RK3 Ø 5.2 x 25 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-5225-S1 Ø 5.2 x 25 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-5225-K1 Ø 5.2 x 25 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-5225-RS2 Ø 5.2 x 25 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-5225-RK2 Ø 5.2 x 25 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-5225-S1 Ø 5.2 x 25 Uniplanar Pedicle Screw, solid shaft
S-VUS-5225-K1 Ø 5.2 x 25 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-5225-RS2 Ø 5.2 x 25 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-5225-RK2 Ø 5.2 x 25 Uniplanar Pedicle Screw, reduction, cannulated shaft
S-VML-5225-S2 Ø 5.2 x 25 MultiLocking Pedicle Screw, solid shaft
S-VML-5225-K2 Ø 5.2 x 25 MultiLocking Pedicle Screw, cannulated shaft
S-VML-5225-RS2 Ø 5.2 x 25 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-5225-RK2 Ø 5.2 x 25 MultiLocking Pedicle Screw, reduction, cannulated shaft
S-VPS-5230-S2 Ø 5.2 x 30 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 30 mm 55840005530
S-VPS-5230-K2 Ø 5.2 x 30 Polyaxial Pedicle Screw, self-tapping, cannulated shaft
S-VPS-5230-RS3 Ø 5.2 x 30 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-5230-RK3 Ø 5.2 x 30 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VFS-5230-S1 Ø 5.2 x 30 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-5230-K1 Ø 5.2 x 30 Monoaxial Pedicle Screw, self-tapping, cannulated shaft
S-VFS-5230-RS2 Ø 5.2 x 30 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-5230-RK2 Ø 5.2 x 30 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated shaft
S-VUS-5230-S1 Ø 5.2 x 30 Uniplanar Pedicle Screw, solid shaft
S-VUS-5230-K1 Ø 5.2 x 30 Uniplanar Pedicle Screw, cannulated shaft
S-VUS-5230-RS2 Ø 5.2 x 30 Uniplanar Pedicle Screw, reduction, solid shaft
VERTICALE® Implants
PI 07 SILONY MEDICAL – Instrumentation Guide

Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VUS-5230-RK2 Ø 5.2 x 30 Uniplanar Pedicle Screw, reduction, cannulated shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 30 mm 55840005530
S-VML-5230-S2 Ø 5.2 x 30 MultiLocking Pedicle Screw, solid shaft
S-VML-5230-K2 Ø 5.2 x 30 MultiLocking Pedicle Screw, cannulated shaft
S-VML-5230-RS2 Ø 5.2 x 30 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-5230-RK2 Ø 5.2 x 30 MultiLocking Pedicle Screw, reduction, cannulated shaft
S-VPS-5235-S2 Ø 5.2 x 35 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 35 mm 55840005535
S-VPS-5235-KF2 Ø 5.2 x 35 Polyaxial Pedicle Screw, self-tapping, cannulated and fenestrated shaft
S-VPS-5235-RS3 Ø 5.2 x 35 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-5235-RF3 Ø 5.2 x 35 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated and fenestrated
shaft
S-VFS-5235-S1 Ø 5.2 x 35 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-5235-KF1 Ø 5.2 x 35 Monoaxial Pedicle Screw, self-tapping, cannulated and fenestrated
shaft
S-VFS-5235-RS2 Ø 5.2 x 35 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-5235-RF2 Ø 5.2 x 35 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated and
fenestrated shaft
S-VUS-5235-S1 Ø 5.2 x 35 Uniplanar Pedicle Screw, solid shaft
S-VUS-5235-KF1 Ø 5.2 x 35 Uniplanar Pedicle Screw, cannulated and fenestrated shaft
S-VUS-5235-RS2 Ø 5.2 x 35 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-5235-RF2 Ø 5.2 x 35 Uniplanar Pedicle Screw, reduction, cannulated and fenestrated shaft
S-VML-5235-S2 Ø 5.2 x 35 MultiLocking Pedicle Screw, solid shaft
S-VML-5235-KF2 Ø 5.2 x 35 MultiLocking Pedicle Screw, cannulated and fenestrated shaft
S-VML-5235-RS2 Ø 5.2 x 35 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-5235-RF2 Ø 5.2 x 35 MultiLocking Pedicle Screw, reduction, cannulated and fenestrated shaft
S-VPS-5240-S2 Ø 5.2 x 40 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 40 mm 55840005540
S-VPS-5240-KF2 Ø 5.2 x 40 Polyaxial Pedicle Screw, self-tapping, cannulated and fenestrated shaft
S-VPS-5240-RS3 Ø 5.2 x 40 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-5240-RF3 Ø 5.2 x 40 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated and
fenestrated shaft
S-VFS-5240-S1 Ø 5.2 x 40 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-5240-KF1 Ø 5.2 x 40 Monoaxial Pedicle Screw, self-tapping, cannulated and fenestrated shaft
VERTICALE® Implants
VERTICALE NAVIGATION PI 08

Article number Description Corresponding
StealthStation Toolcard
Medtronic Toolcard
Part Number
S-VFS-5240-RS2 Ø 5.2 x 40 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 40 mm 55840005540
S-VFS-5240-RF2 Ø 5.2 x 40 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated and
fenestrated shaft
S-VUS-5240-S1 Ø 5.2 x 40 Uniplanar Pedicle Screw, solid shaft
S-VUS-5240-KF1 Ø 5.2 x 40 Uniplanar Pedicle Screw, cannulated and fenestrated shaft
S-VUS-5240-RS2 Ø 5.2 x 40 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-5240-RF2 Ø 5.2 x 40 Uniplanar Pedicle Screw, reduction, cannulated and fenestrated shaft
S-VML-5240-S2 Ø 5.2 x 40 MultiLocking Pedicle Screw, solid shaft
S-VML-5240-KF2 Ø 5.2 x 40 MultiLocking Pedicle Screw, cannulated and fenestrated shaft
S-VML-5240-RS2 Ø 5.2 x 40 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-5240-RF2 Ø 5.2 x 40 MultiLocking Pedicle Screw, reduction, cannulated and fenestrated shaft
S-VPS-5245-S2 Ø 5.2 x 45 Polyaxial Pedicle Screw, self-tapping, solid shaft
Solera 5.5/6.0 MAS
Ø 5.5 x 45 mm 55840005545
S-VPS-5245-KF2 Ø 5.2 x 45 Polyaxial Pedicle Screw, self-tapping, cannulated and fenestrated shaft
S-VPS-5245-RS3 Ø 5.2 x 45 Polyaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VPS-5245-RF3 Ø 5.2 x 45 Polyaxial Pedicle Screw, self-tapping, reduction, cannulated and
fenestrated shaft
S-VFS-5245-S1 Ø 5.2 x 45 Monoaxial Pedicle Screw, self-tapping, solid shaft
S-VFS-5245-KF1 Ø 5.2 x 45 Monoaxial Pedicle Screw, self-tapping, cannulated and fenestrated shaft
S-VFS-5245-RS2 Ø 5.2 x 45 Monoaxial Pedicle Screw, self-tapping, reduction, solid shaft
S-VFS-5245-RF2 Ø 5.2 x 45 Monoaxial Pedicle Screw, self-tapping, reduction, cannulated and
fenestrated shaft
S-VUS-5245-S1 Ø 5.2 x 45 Uniplanar Pedicle Screw, solid shaft
S-VUS-5245-KF1 Ø 5.2 x 45 Uniplanar Pedicle Screw, cannulated and fenestrated shaft
S-VUS-5245-RS2 Ø 5.2 x 45 Uniplanar Pedicle Screw, reduction, solid shaft
S-VUS-5245-RF2 Ø 5.2 x 45 Uniplanar Pedicle Screw, reduction, cannulated and fenestrated shaft
S-VML-5245-S2 Ø 5.2 x 45 MultiLocking Pedicle Screw, solid shaft
S-VML-5245-KF2 Ø 5.2 x 45 MultiLocking Pedicle Screw, cannulated and fenestrated shaft
S-VML-5245-RS2 Ø 5.2 x 45 MultiLocking Pedicle Screw, reduction, solid shaft
S-VML-5245-RF2 Ø 5.2 x 45 MultiLocking Pedicle Screw, reduction, cannulated and fenestrated shaft
VERTICALE® Implants
PI 09 SILONY MEDICAL – Instrumentation Guide