Shukla Medical Xtract-All Hip Series, Xtract-All Hip 104-00, Xtract-All Hip 120-00 Surgical Technique Manual

...Because Every Minute Counts
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Surgical Technique Guide
©Shukla Medical 2018 FCD-0358 REV04
Xtract-All® Hip (104-00) Universal Hip Stem Extraction System
Xtract-All® Hip (104-00) Universal Hip Stem Extraction System
Contents
Introduction ........................................................................................................................................................ Page 3
List of Components ......................................................................................................................................... Page 4
Surgical Technique .......................................................................................................................................... Page 6
Surgical Technique - Modular Hip Stems .............................................................................................. Page 9
Cleaning & Sterilization ................................................................................................................................. Page 10
Introduction
Intended Use
The Xtract-All® Universal Hip Stem Extraction System is designed for the removal of hip implants during revision procedures.
Indications for Use
For use by, or as directed by, a surgeon during hip revision surgeries. Appropriate for removal of most hip implant types, including but not limited to tapered neck, monoblock, threaded, & modular stems.
Contraindications
The Xtract-All® Hip System includes multiple
attachment methods specic to a variety of hip stem implant styles. All attachment congurations
ultimately connect to the Extraction C-frame and require repeated strikes with a mallet to extract the
implant. Therefore, when there is insufcient quality
or quantity of bone, or any other condition that may result in fracture of the femur during extraction, the provided instrumentation should not be used.
Warning and Precautions
Preoperative
• The surgeon should be familiar with general principles of revision surgery and techniques for removal of implants.
• The instruments should be inspected for visible damage prior to use. Do not use the product if damage is suspected.
• Only validated cleaning and sterilization procedures should be used
Operative
• Proper handling and storage of the instrumentation is mandatory. Damage to the instrumentation may produce stresses and cause defects, which could become a focal point for failure.
• The surgeon should be cautious with limb position change and/or excessive force when extracting implants with instrumentation provided in the tray.
Hip stem extractor
Listed below are possible (not inclusive) scenarios in which the Xtract-All® Hip System should not be used:
• Fully porous-coated straight and bowed stems:
Due to the excessive bone ingrowth on fully porous-coated straight and bowed stems, it is not recommended to use this system for removal of such implants.
• Foreign body sensitivity: Where material
sensitivity is suspected, appropriate tests should be performed to rule out sensitivity prior to use.
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Xtract-All® Hip (104-00) Universal Hip Stem Extraction System
Xtract-All® Hip (104-00) Universal Hip Stem Extraction System
Xtract-All® Hip (104-00) Universal Hip Stem Extraction System
Part # Description Qty
104-01 Case 1
SCS011 Lid 1
104-04 Hip Stem Extractor 1
104-05 Femoral Head Disassembly Instrument 1
104-06 Hook Extractor 1
104-07 Monoblock Stem Extractor 1
104-08 Tray 1
104-11 #12-24 Male Extractor Tip 2
104-12 #12-28 Male Extractor Tip 2
104-13 1/4-20 Male Extractor Tip 2
104-14 1/4-28 Male Extractor Tip 2
104-15 5/16-18 Male Extractor Tip 2
104-16 5/16-24 Male Extractor Tip 2
104-17 3/8-16 Male Extractor Tip 2
104-18 3/8-24 Male Extractor Tip 2
104-19 7/16-14 Male Extractor Tip 2
104-20 7/16-20 Male Extractor Tip 2
104-21 M5 X 0.8 - 6G Male Extractor Tip 2
104-22 M5.5 X 0.9 - 6G Male Extractor Tip 2
104-23 M6 X 0.75 - 6G Male Extractor Tip 2
104-24 M6 X 1.0 - 6G Male Extractor Tip 2
104-25 M7 X 1.0 - 6G Male Extractor Tip 2
104-26 M8 X 1.0 - 6G Male Extractor Tip 2
104-27 M8 X 1.25 - 6G Male Extractor Tip 2
104-28 M10 X 1.0 - 6G Male Extractor Tip 2
104-29 M10 X 1.25 - 6G Male Extractor Tip 2
104-30 M10 X 1.5 - 6G Male Extractor Tip 2
MMI1222 Hudson T-Handle 1
SH700 Shaft Driver, Thread-F 1/4-28 Hudson 2
MIWW 1/2” & 11/16” Double Open End Wrench 1
WR140 5/16” & 1/2” Double Open End Wrench 1
MMM5 Mallet 1
MIWN 7/16-20 UNF 2B Nut, Hex 3
MIWE Extraction C-Frame 1
*Extractor tips 104-11 through 104-30 are single-use only and must be discarded after use
104-00 Hip System: Level 2
104-04 Hip Stem Extractor
104-05 Femoral Head
Disassembly Instrument
104-06 Hook Extractor
104-00 Hip System: Level 1
MMI1222 Hudson
T-Handle
104-07 Monoblock Stem Extractor
Single-Use Only Extractor Tips
104-11 #12-24 UNC 2A Male Extractor Tip
104-12 #12-28 UNC 2A Male Extractor Tip
104-13 1/4-20 UNC 2A Male Extractor Tip
104-14 1/4-28 UNF 2A Male Extractor Tip
104-15 5/16-18 UNC 2A Male Extractor Tip
104-16 5/16-24 UNF 2A Male Extractor Tip
104-17 3/8-16 UNC 2A Male Extractor Tip
104-18 3/8-24 UNF 2A Male Extractor Tip
104-18 7/16-14 UNC 2A Male Extractor Tip
104-20 7/16-20 UNF 2A Male Extractor Tip
MIWE Extraction C-Frame
104-21 M5 X 0.8 - 6G Male Extractor Tip
104-22 M5.5 X 0.9 - 6g Male Extractor Tip
104-23 M6 X 0.75 - 6G Male Extractor Tip
104-24 M6 X 1.0 - 6G Male Extractor Tip
104-25 M7 X 1.0 - 6G Male Extractor Tip
104-26 M8 X 1.0 - 6G Male Extractor Tip
104-27 M8 X 1.25 - 6G Male Extractor Tip
104-28 M10 x 1.0 - 6G Male Extractor Tip
104-29 M10 x 1.25 - 6G Male Extractor Tip
104-30 M10 x 1.5 - 6G Male Extractor Tip
MMM5 Mallet
Xtract-All® Modular Hip Stem Extraction System (120-00)
Part # Description Qty
120-01 Case 1
120-02 Lid 1
120-03 Modular Hip Stem Extractor 1
120-04 Stryker Rejuvenate Clamping Pin 2
120-05 Smith & Nephew Clamping Pin 2
120-06 Wright Medical Clamping Pin 2
120-07 Zimmer Clamping Pin 2
120-08 Extension Adapter 1
HD218-M01 T-Handle 1/4” Square Drive 1
MBT130 Driver Bit 3.0mm 1
† For use in conjunction with the Shukla Medical Xtract-All® Universal Hip Stem Extraction System
120-00 Modular Hip System
120-08 Extension Adapter
MBT130 Driver Bit 3.0mm
HD218-M01 T-Handle 1/4” Square Drive
120-04
Stryker Rejuvenate Clamping Pin
120-05
Smith & Nephew Clamping Pin
120-06
Wright Medical Clamping Pin
MIWW 1/2” & 11/16” Double Open End Wrench
Emergo Europe
EC REP
Prinsessegracht 20 2514 AP The Hague The Netherlands
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REF
104-00 120-00
Shukla Medical
8300 Sheen Drive St. Petersburg, FL 33709 USA
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SH700 Shaft Driver, Thread-F 1/4-28 Hudson
WR140 5/16” & 1/2” Double Open End Wrench
CONSULT INSTRUCTIONS
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FOR USE
NON
STERILE
Parts not shown to scale
NON-STERILE PRODUCT
MIWN 7/16-20 UNF 2B Nut, Hex
120-03 Modular Hip Stem Extractor
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120-07
Zimmer Clamping Pin
Parts not shown to scale
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