Modular Sternal Cable System.Flexibility and strength in sternalclosure and repair.

Multiple closureoptions

Stable fixation inall configurations

Improved strengthand flexibility compared to wire

Synthes CMF Modular Sternal Cable System

Modular Sternal Cable System

Peristernal using cable with needle Sternal reconstruction using cable, cannulated screws and plates

Transsternal using cable and cannulatedscrews

Modular Sternal Closure Options– Flexibility in sternal closure due to

modular options

– Intraoperative choice depending on patient’s needs

– Stable fixation in all configurations

– Sternal cable with an improved strengthand stability compared to wire*

– Sternal cannulated screws for reinforcement of sternal bone quality

– Sternal reconstruction plates for repair of transverse fractures

* See page 4 for mechanical testing results

Synthes CMF 1

1.0 mm Sternal Cable– Multifilament structure provides

improved strength and flexibility– A greater bone-to-implant contact

area than wire provides a reduced riskfor cutting through the sternal bone

– Flexible cable contours to the shapeof the sternum

Cross sectional view, 1.0 mm diameter cable

7 x 19 filaments

– Ferrule is crimped onto the end of the cable to secure the finished construct and avoid sharp edges

Ferrule

Parallel end fitting Cable Cable with needle

– Available with or without a quick- release needle

Modular Sternal Cable System continued

2 Synthes CMF Modular Sternal Cable System

4.5 mm Sternal Cannulated Screws– Easily insert into the manubrium or

sternal body using the adjustablescrewdriver blade with spade point

– Eliminate the need to insert a needlethrough the sternum

– Cannulation provides a metal surfacefor cable to pass through for reinforce-ment in weak cancellous bone

– Blunt tip allows safe bicortical insertion

– Available in lengths from 8 mm to 28 mm, in 1 mm increments

4.5 mm Sternal Reconstruction Plates– For reconstruction of sternal transverse

fractures

– Distribute forces along the length ofthe sternum, reducing the likelihood of bony failure

– Attach to the sternum with cannulatedscrews

– Contourable, to closely match the sternum

– With transverse holes for peristernalcable passage

– Available in several lengths (80 mm–192 mm) to minimize intraoperativeplate cutting

Synthes CMF 3

Indications– Sternal repair and reconstruction

Tensioner/Crimper/Cutter– Single, multipurpose instrumentation

– Force limiting for easy handling and consistent tensioning

1 Tensioning wheel with force limiting

2 Trigger to crimp and cut the cable

3 Instrument nose for ferrule insertion

Tensioning of the cable Crimping the ferrule and cutting the cablewith single action

4 Synthes CMF Modular Sternal Cable System

Stable Fixation

214

260+21%

279+30%

358

1028+187%

1053+194%

25

251 251

0

50

100

150

200

250

300

Peak Force (N)Implant construct testing Peak load in “poor quality bone” until cut-through1

The Modular Sternal Cable Systemprovides increased resistance toimplant cut-through in the sternum.

SST Wire Synthes SternalCable

Synthes Sternal Cableand Cannulated Screws

0

200

400

600

800

1000

1200

Force (N)Tensile load at failure of the implants2

The Modular Sternal Cable Systemprovides greater strength.

SST Wire Synthes SternalCable

Synthes Sternal Cable and Cannulated Screws

0

50

100

150

200

250

300

Peak Force (N)Fatigue load3

Maximum load to reach 800,000 cycles**

The Modular Sternal Cable Systemshows a higher resistance to fatigue.

SST Wire Synthes SternalCable

Synthes Sternal Cable and Cannulated Screws

1. Synthes Mechanical Test Numbers: MT03-005, MT03-006 and MT03-007. All tests were performed on composite polyurethanefoam test blocks each measuring 165 mm in length x 40 mm inwidth x 10 mm thick. The test blocks were composed of an inner(cancellous) core of 5 lb/ft3 polyurethane foam with a 1.25 mmthick (cortical) shell of 10 lb/ft3 polyurethane foam laminated tothe exterior. All samples were loaded at a rate of 10 mm/minute.

2. Synthes Mechanical Test Number MT04-455. All samples wereloaded at a rate of 10 mm/minute.

3. Synthes Mechanical Test Numbers: SET_20060413 andSET_20060213.

** Estimating 20 breaths per minute 24 hours a day, 800,000 cycleswould be the equivalent of about 4 weeks.

Synthes CMF 5

Modular Sternal Cable System Sternal Cable Instrument Set (01.501.602)

Graphic Case 690.695 Graphic Case, for Modular Sternal Cable

System Cable Instrument Set

Instruments391.291 Tensioner/Crimper/Cutter, for 1.0 mm

Sternal Cable, 2 ea.

391.905 Cable Cutter, standard

398.903 Sternal Reduction Forceps, angled with teeth, 2 ea.

398.985 Bone Reduction Forceps, large, 2 ea.

Implants291.906 1.0 mm Sternal Crimping Ferrule, long,

1 pkg. of 5

291.907 1.0 mm Sternal Parallel End Fitting, 1 pkg. of 5

Also Available1.0 mm Sternal Cables, with long crimpingferrule and parallel end fitting, sterile

291.911.01S (without needle), 1 per pkg.

291.911.03S (without needle), 3 per pkg.

291.916.01S with needle, 1 per pkg.

291.916.03S with needle, 3 per pkg.

398.902 Sternal Reduction Forceps

305.696

305.697

6 Synthes CMF Modular Sternal Cable System

Modular Sternal Cable System 4.5 mm Cannulated Screw and Plate Set (01.501.610)

Graphic Cases, Modules and Screw Length Markers690.696 Modular Sternal Cable System, 4.5 mm

Cannulated Screw and Plate Set GraphicCase

305.696 Screw Module, for 4.5 mm Sternal Cannulated Screws

305.697 Plate Module, for 4.5 mm Sternal Reconstruction Plates

304.108– Screw Length Markers, 8 mm–26 mm,304.126 (10/pkg.), 1 pkg. of each

Instruments03.501.001 Depth Gauge, for 4.5 mm Sternal

Cannulated Screws

311.006 Screwdriver Handle with hex coupling,medium, 2 ea.

329.142 Combination Bending Pliers, for 2.0 mm/2.4 mm plates

329.40.98 Bending Template, 37 holes, for reconstruction plates, 2 ea.

351.026 2.7 mm Awl, hex coupling

351.027 Obturator, for Sternal Cable Passer, 37 mm

351.028 Cable Passer, for 1.0 mm Sternal Cable

351.034 4.5 mm Hexagonal Adjustable ScrewdriverBlade, with spade point, hex coupling, 2 ea.

Implants4.5 mm Sternal Cannulated Screws

213.508– 10 ea.: 8 mm, 9 mm, 25 mm and 26 mm

213.526 15 ea.: 10 mm–24 mm

4.5 mm Sternal Reconstruction Plates, 4 ea.

260.060 10 holes, 80 mm

260.062 12 holes, 96 mm

260.064 14 holes, 112 mm

260.066 16 holes, 128 mm

260.068 18 holes, 144 mm

260.070 20 holes, 160 mm

260.072 22 holes, 176 mm

260.074 24 holes, 192 mm

Synthes CMF 7

Modular Sternal Cable System 4.5 mm Cannulated Screw Set (01.501.601)

Graphic Cases, Modules and Screw Length Markers690.683 Modular Sternal Cable System

Cannulated Screw Set Graphic Case

305.696 Screw Module, for 4.5 mm Sternal Cannulated Screws

304.108– Screw Length Markers, 8 mm–26 mm,304.126 (10/pkg.), 1 pkg. of each

Instruments03.501.001 Depth Gauge, for 4.5 mm Sternal

Cannulated Screws

311.006 Screwdriver Handle with hex coupling, medium, 2 ea.

351.026 2.7 mm Awl, hex coupling

351.027 Obturator, for Sternal Cable Passer, 37 mm

351.028 Cable Passer, for 1.0 mm Sternal Cable

351.034 4.5 mm Hexagonal Adjustable Screwdriver Blade, with spade point, hex coupling, 2 ea.

Implants4.5 mm Sternal Cannulated Screws

213.508– 10 ea.: 8 mm, 9 mm, 25 mm and 26 mm

213.526 15 ea.: 10 mm–24 mm

Also Available213.525– 4.5 mm Sternal Cannulated Screws,

213.528 25 mm–28 mm

304.125– Screw Length Markers, 304.128 25 mm–28 mm

351.035 Replacement Blade, for 4.5 mm HexagonalAdjustable Screwdriver (351.034)

351.034

351.035

8 Synthes CMF Modular Sternal Cable System

Modular Sternal Cable System Compact 4.5 mm Cannulated Screw and Plate Set (01.501.611)

Graphic Case, Module and Screw Length Markers690.688 Graphic Case for Compact 4.5 mm

Cannulated Screw and Plate Set

305.698 Compact 4.5 mm Cannulated Screw and Plate Module

304.108– Screw Length Markers, 8 mm–26 mm,304.126 (10/pkg.), 1 pkg. of each

Instruments03.501.001 Depth Gauge, for 4.5 mm Sternal

Cannulated Screws

311.006 Screwdriver Handle with hex coupling, medium

311.023 Ratcheting Screwdriver Handle, 2 ea.

329.142 Combination Bending Pliers, for 2.0 mm/2.4 mm plates

329.40.98 Bending Template, 37 holes, for reconstruction plates, 2 ea.

351.026 2.7 mm Awl, hex coupling

351.027 Obturator, for Sternal Cable Passer, 37 mm

351.028 Cable Passer, for 1.0 mm Sternal Cable

351.034 4.5 mm Hexagonal Adjustable Screwdriver Blade, with spade point, hex coupling, 2 ea.

Implants4.5 mm Sternal Cannulated Screws

213.508– 5 ea.: 8 mm, 9 mm, 10 mm, 11 mm and 26 mm213.526 10 ea.: 12 mm–25 mm

4.5 mm Sternal Reconstruction Plates, 2 ea.

260.060 10 holes, 80 mm

260.062 12 holes, 96 mm

260.064 14 holes, 112 mm

260.066 16 holes, 128 mm

260.068 18 holes, 144 mm

260.070 20 holes, 160 mm

260.072 22 holes, 176 mm

260.074 24 holes, 192 mm

Also Available213.527 4.5 mm Sternal Cannulated Screws, 27 mm

213.528 4.5 mm Sternal Cannulated Screws, 28 mm

304.127 Screw Length Marker, 27 mm

304.128 Screw Length Marker, 28 mm

Label Clips, for sternal plates

260.060LC for plate 260.060

260.062LC for plate 260.062

260.064LC for plate 260.064

260.066LC for plate 260.066

260.068LC for plate 260.068

260.070LC for plate 260.070

260.072LC for plate 260.072

260.074LC for plate 260.074

305.698LC for Sternal Module 305.698

305.001LC blank

Synthes CMF 9

Synthes—In the Service of Health

Synthes is an internationally leadingcompany in medical technology.

Over 8,400 Synthes employees worldwideare involved in serving the needs of surgeons,surgical support staff and patients. Synthes—a company specializing in the field of osteosynthesis—develops, producesand markets surgical instruments, implants,and biomaterials for the surgical treatmentof bone fractures and reconstructions of the human skeleton and its associated soft tissue.

The main goal of Synthes is to provide safeand highly advanced implants, surgical instruments and technologies that enable reliable operations, fast healing and a complaint-free life after surgery. We gua ran-tee high quality, continuous innovation and afocused customer orientation.

AO—A medically-oriented nonprofit organization in the service of surgeonsand patients

Synthes works closely with the AO Foundation, and is licensee of the productsbearing the brand name Synthes.

AO stands for “Arbeitsgemeinschaft für Osteosynthesefragen” (Association for theStudy of Internal Fixation). The foundationboasts more than 5,000 surgeons who participate in AO activities throughout theworld—one of the largest networks in thefield of medicine. In the professional world,this surgeon-led, scientific nonprofit organi-zation focused on treating bone fracturesand diseases of the musculoskeletal system is a pioneer in research, documentation anddevelopment.

The Technical Commission of the AO monitors the implementation of medicalstudies of new products, as a fully independent institution administered byhealth professionals. Only when it confirmsthe effectiveness and quality of a productdoes it award the seal of quality of the Synthes brand. Surgeons throughout theworld place great trust in Synthes productsbecause they know they have been carefullyevaluated and tested.

Yet even the best implants and instrumentsare useless if they are not used properly.AO International, the arm of the foundationresponsible for training, annually organizesmore than 160 AO courses throughout the world that offer practical exercises and discussions. Since the beginnings of the AO,experienced AO physicians have providedtheoretical and practical training for morethan 500,000 surgeons and more than150,000 surgical support staff members.

Synthes products are a familiar sight in nearly every operating room in the world.

AO Foundation, Davos, Switzerland

The AO Foundation offers numerous training courses worldwide.

Synthes CMF1302 Wrights Lane EastWest Chester, PA 19380Telephone: (610) 719-5000To order: (800) 523-0322Fax: (610) 251-9056

Synthes (Canada) Ltd.2566 Meadowpine BoulevardMississauga, Ontario L5N 6P9Telephone: (905) 567-0440To order: (800) 668-1119Fax: (905) 567-3185

© 2006 Synthes, Inc. or its affiliates. All rights reserved. Synthes is a trademark of Synthes, Inc. or its affiliates. Printed in U.S.A. 6/08 J6131-C

www.synthes.com