– General Instrument Set

– Posterior ThoracolumbarInstrument Set

– Cervical and AnteriorThoracolumbar Instrument Set

Spine Screw Removal System.Three comprehensive instrument sets forremoving spine screw implants.

Instruments and implantsapproved by the AO Foundation

Spine Screw Removal System

General Instrument Set(01.611.002)

Synthes Spine Spine Screw Removal System

Posterior ThoracolumbarInstrument Set (01.611.020)

Cervical and AnteriorThoracolumbar Instrument Set(01.611.010)

Note: It is recommended that producttechnique guides be reviewed before re-vising or removing spine screw implants.

Synthes Spine 1

A comprehensive instrument set for removing spine screwimplants in any condition.

Graphic Case690.099 for Spine Screw Removal Set

General Instrument Set (01.611.002)

Broken Screw Removers03.611.014 4.0 mm 03.611.015 5.0 mm03.611.016 6.0 mm

03.611.017 7.0 mm03.611.018 8.0 mm03.611.019 9.0 mm

Remove screws with damaged drive recess

03.611.031

03.611.017

Trephines03.611.004 4.0 mm03.611.005 5.0 mm03.611.006 6.0 mm

03.611.007 7.0 mm03.611.008 8.0 mm03.611.009 9.0 mm

03.611.007

Flat Blades03.611.050 Small03.611.051 Medium

Remove screws with slotted drive03.611.051

Setscrew Extractors03.611.030 1.5 mm03.611.031 2.5 mm03.611.032 3.0 mm, short

03.611.033 3.0 mm, long03.611.034 3.5 mm03.611.035 4.0 mm

Remove screws which no longer have a head

Clear bone and soft tissue from around damaged screws

2 Synthes Spine Spine Screw Removal System

General Instrument Set (01.611.002) continued

Hex Drivers, female03.611.121 5.0 mm03.611.122 6.0 mm03.611.123 7.0 mm03.611.124 8.0 mm03.611.125 9.0 mm03.611.126 10.0 mm

03.611.131 1/8 inch03.611.132 5/32 inch03.611.133 3/16 inch03.611.134 7/32 inch03.611.135 1/4 inch03.611.136 5/16 inch03.611.137 3/8 inch03.611.138 7/16 inch03.611.139 1/2 inch

Remove screws with hexagonal head

03.611.121

Hex Drivers, male03.611.101 2.5 mm03.611.102 3.0 mm03.611.103 3.5 mm03.611.104 4.5 mm03.611.105 5.0 mm03.611.107 7.0 mm

03.611.111 7/64 inch03.611.112 1/8 inch03.611.113 5/32 inch03.611.114 3/16 inch03.611.115 7/32 inch03.611.116 1/4 inch

Remove screws with hexagonal recess

03.611.105

Extenders03.611.054 Square coupling03.611.059 6 mm hex coupling03.611.058 AO coupling

03.611.058

03.611.059

03.611.054

Note: All drivers have a 1/4” square coupling for use withdrive extenders 03.611.054, 03.611.058 and 03.611.059

Hexalobe Drivers, male03.611.142 T20 03.611.143 T25

03.611.144 T3003.611.145 T40

Remove screws with an intact hexalobe drive03.611.143

Quarter-inch square drive shafts compatible with handleswhich have 6 mm hex, AO, or 1/4” square couplings

Synthes Spine 3

Custom Drivers03.611.063 Conical Removal Driver

for Click’X Locking Cap 03.611.071 5.0 mm Saddle Driver 03.611.072 6.0 mm Saddle Driver03.611.076 11 mm Hex Driver,

12 point03.611.077 13.8 mm Hex Driver,

female03.611.080 Sleeve Nut Driver03.611.081 2-Prong Driver03.611.082 3-LOK Driver03.611.083 Pentalobe Driver03.611.084 Cap Nut Driver03.611.091 Cruciform Driver03.611.092 Octagon Driver03.611.093 4-Prong Driver03.611.094 Anchor Driver

A selection of drivers to remove a variety of spine screw implants

03.611.063 03.611.071

03.611.072 03.611.076

03.611.077 03.611.080

03.611.081 03.611.082

03.611.083 03.611.09103.611.084

03.611.092 03.611.093 03.611.094

4 Synthes Spine Spine Screw Removal System

Handles03.611.052 Ratchet T-Handle, square coupling03.611.053 Multiaxial Handle, square coupling388.396 Handle, with quick coupling, small

388.39603.611.052

03.611.053

Countertorques03.611.056 Narrow03.611.057 Wide

03.611.057

03.611.056

Wrenches03.611.061 1/4 inch –3/8 inch03.611.062 7/32 inch –9/32 inch 03.611.062

Adjustable Pliers03.611.055 Adjustable Pliers

General Instrument Set (01.611.002) continued

Synthes Spine 5

Posterior Thoracolumbar Instrument Set (01.611.020)

A comprehensive instrument set for removing screws fromany Synthes Spine posterior thoracolumbar implant system.

Graphic Case690.280 for Posterior Thoracolumbar Screw Removal

Instrument Set

Socket Wrenches388.14 with straight handle, 6 mm388.158 with L-handle, for 12 point nut, 11 mm

11 mm and 6 mm socket sizes for use on USS Locking Nutand Fracture Clamp

388.158

Handles388.274 Tap Handle (USS, 6 mm hex coupling) 388.652 Ratchet T-Handle, 6 mm hex coupling388.653 Ratchet Handle, with 5 mm drive

Handles compatible with 5 mm and 6 mm hex coupling

388.652

6 Synthes Spine Spine Screw Removal System

Posterior Thoracolumbar Instrument Set (01.611.020) continued

Screwdrivers03.620.003 StarDrive Screwdriver Shaft, T25, 6 mm hex

coupling313.892 3.0 mm Hexagonal Screwdriver Shaft , 6 mm

hex coupling314.57 Small Hexagonal Screwdriver, long388.079 3.5 mm Hexagonal Screwdriver Shaft, 6 mm

hex coupling 388.33 Screwdriver, for side-opening Implants 388.337 4.0 mm Hexagonal Screwdriver Shaft, 5 mm

hex coupling 389.224 3.5 mm Hexagonal Screwdriver 396.303 Footed Screwdriver Shaft, 6 mm hex coupling

Extractors309.540 Click’X Locking Cap Extractor309.541 Countertorque Sleeve, for Click’X Locking

Cap Extractor321.20 Ratchet Wrench, 11 mm388.353 Extraction Pliers for Click’X388.357 Locking Ring Extractor, for USS Variable Angle

Screws388.756 Locking Ring Extractor

388.337

388.756

A selection of screwdrivers compatible with Click’X, Click’XMonoaxial, Pangea, USS, USS Dual Opening, USS SmallStature, USS VAS, and VAS I and II

Synthes Spine 7

Reference chart for removal of Synthes posterior thoracolumbar spine systems

System Part No. DescriptionClick’X 388.079 3.5 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling

309.540 Click’X Locking Cap Extractor309.541 Countertorque Sleeve, for Click’X Locking Cap Extractor321.20 Ratchet Wrench, 11 mm across flats388.353 Extraction Pliers for Click’X388.274 Universal Spinal System Tap Handle388.652 Ratchet T-Handle, 6 mm hex coupling314.57 Small Hexagonal Screwdriver, long

Click’X Monoaxial 388.079 3.5 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling309.540 Click’X Locking Cap Extractor309.541 Countertorque Sleeve, for Click’X Locking Cap Extractor321.20 Ratchet Wrench, 11 mm across flats396.303 Footed Screwdriver Shaft, 6 mm hex coupling388.274 Universal Spinal System Tap Handle388.652 Ratchet T-Handle, 6 mm hex coupling314.57 Small Hexagonal Screwdriver, long

Pangea 03.620.003 StarDrive Screwdriver Shaft, T25, 6 mm hex coupling388.652 Ratchet T-Handle, 6 mm hex coupling314.57 Small Hexagonal Screwdriver, long

USS 388.158 Socket Wrench with L-Handle, for 12 point nut, 11 mm across flats388.33 Screwdriver, for side-opening implants314.57 Small Hexagonal Screwdriver, long

USS Dual Opening 388.158 Socket Wrench with L-Handle, for 12 point nut, 11 mm across flats388.337 4.0 mm Hexagonal Screwdriver Shaft, 5 mm hex coupling388.653 Ratchet Handle, with 5.0 mm drive314.57 Small Hexagonal Screwdriver, long

Small Stature USS 388.158 Socket Wrench with L-Handle, for 12 point nut, 11 mm across flats388.337 4.0 mm Hexagonal Screwdriver Shaft, 5 mm hex coupling388.653 Ratchet Handle, with 5.0 mm drive314.57 Small Hexagonal Screwdriver, long

USS Fracture 388.158 Socket Wrench with L-Handle, for 12 point nut, 11 mm across flats388.14 Socket Wrench with straight handle, 6 mm across flats

USS VAS 313.892 3.0 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling388.652 Ratchet T-Handle, 6 mm hex coupling388.158 Socket Wrench with L-Handle, for 12 point nut, 11 mm across flats388.274 Universal Spinal System Tap Handle388.357 Locking Ring Extractor, for USS VAS 314.57 Small Hexagonal Screwdriver, long

VAS I and II 388.158 Socket Wrench with L-Handle, for 12 point nut, 11 mm across flats388.756 Locking Ring Extractor389.224 3.5 mm Hexagonal Screwdriver314.57 Small Hexagonal Screwdriver, long

8 Synthes Spine Spine Screw Removal System

Cervical and Anterior Thoracolumbar Instrument Set (01.611.010)

A comprehensive instrument set for removing screws fromany Synthes Spine cervical and anterior thoracolumbar implant system.

Graphic Case690.281 for Cervical and Anterior Thoracolumbar

Screw Removal Instrument Set

Screwdrivers03.620.002 StarDrive Screwdriver Shaft, T25, long313.843 2.0 mm Screwdriver Blade, self-retaining,

StarDrive, long314.57 Small Hexagonal Screwdriver, long 324.07 Screwdriver Shaft, for expansionhead screws

(4.0 mm/4.35 mm)352.311 Extraction Screwdriver387.282 Screwdriver for expansionhead screws, self-

retaining 387.284 Screwdriver for locking screws, self-retaining387.285 1.8 mm Screwdriver Shaft, self-retaining, for

Titanium Locking Screws387.686 StarDrive Screwdriver Shaft, T15, quick

coupling388.032 3.5 mm/4.0 mm StarDrive Screwdriver, self-

retaining389.829 3.5 mm Hexagonal Screwdriver Shaft, 6 mm

hex coupling

324.07

A selection of screwdrivers compatible with BLP, ATB, TSLP,CerviFix, CSLP, ARCH Fixation, StarLock, ACLP, ATLP, ACCS,Axon, Vectra, Vectra-T, and VentroFix

Note: For additional information, please refer to package insert.

For detailed cleaning and sterilization instructions, please refer tohttp://us.synthes.com/Medical+Community/Cleaning+and+Sterilization.htmor to the below listed inserts, which will be included in the shipping container:—Processing Synthes Reusable Medical Devices—Instruments, Instrument Trays

and Graphic Cases—DJ1305—Processing Non-sterile Synthes Implants—DJ1304

Synthes Spine 9

Socket Wrench388.031 Socket Wrench, 5.5 mm width across flats

5.5 mm socket wrench for StarLock and CerviFix screws

Handles311.43.99 Handle, with quick coupling311.03 Handle, with mini quick coupling, small388.652 Ratchet T-Handle, 6 mm hex coupling388.396 Handle, with quick coupling, small

388.396

Removal/Release Tools388.035 Clamp Removal Tool388.548 Release Tool

Compatible with StarLock, CerviFix, and Axon screw implants

388.548

Countertorque324.067 Countertorque Wrench (CSLP)

Quick-connect handles compatible with a variety of screw-driver shafts

10 Synthes Spine Spine Screw Removal System

Cervical and Anterior Thoracolumbar Instrument Set (01.611.010) continued

Extractors03.600.001 Conical Extraction Screw, for 5.5 mm locking

screws387.34 Conical Extraction Screw

03.600.001

Cleaning Tool324.071 Screw Head Cleaning Tool

Used to clean drive recess of ACCS or Vectra screws

Conical screw extractors for the removal of TSLP, ATB, ACCS,Vectra, and Vectra-T screws with damaged drive recesses

Synthes Spine 11

Reference chart for removal of Synthes cervical and anterior thoracolumbar spine systems

System Part No. DescriptionArch Fixation 311.03 Handle, with mini quick coupling, small

313.843 2.0 mm Screwdriver Blade, self-retaining, StarDrive, long

CerviFix 314.57 Small Hexagonal Screwdriver, long

StarLock 388.031 Socket Wrench, 5.5 mm width across flats388.032 3.5 mm/4.0 mm StarDrive Screwdriver, self-retaining388.035 Clamp Removal Tool

ACCS 324.071 Screw Head Cleaning Tool352.311 Extraction Screwdriver

ACLP 387.686 StarDrive Screwdriver Shaft, T15, quick coupling388.396 Handle, with quick coupling, small

Axon 387.686 StarDrive Screwdriver Shaft, T15, quick coupling388.396 Handle, with quick coupling, small314.57 Small Hexagonal Screwdriver, long388.548 Release Tool

Vectra, Vectra-T 324.071 Screw Head Cleaning Tool352.311 Extraction Screwdriver

CSLP 387.282 Self-Retaining Screwdriver, for expansionhead screws 387.284 Self-Retaining Screwdriver, for locking screws 387.34 Conical Extraction Screw388.396 Handle, with quick coupling, small324.067 Countertorque Wrench

BLP 387.282 Self-Retaining Screwdriver, for expansionhead screws387.284 Self-Retaining Screwdriver, for locking screws387.34 Conical Extraction Screw324.07 Screwdriver Shaft, for expansionhead screws (4.0 mm/4.35 mm) 388.396 Handle, with quick coupling, small311.43.99 Handle, with quick coupling

ATB 389.829 3.5 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling03.600.001 Conical Extraction Screw, for 5.5 mm locking screws388.652 Ratchet T-Handle, 6 mm hex coupling

TSLP 389.829 3.5 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling03.600.001 Conical Extraction Screw, for 5.5 mm locking screws388.652 Ratchet T-Handle, 6 mm hex coupling

VentroFix 389.829 3.5 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling03.600.001 Conical Extraction Screw, for 5.5 mm locking screws388.652 Ratchet T-Handle, 6 mm hex coupling

ATLP 389.829 3.5 mm Hexagonal Screwdriver Shaft, 6 mm hex coupling03.600.001 Conical Extraction Screw, for 5.5 mm locking screws388.652 Ratchet T-Handle, 6 mm hex coupling

Synthes Spine1302 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. ACCS, ACLP, ARCH, Axon, CerviFix, Click’X, Pangea, Vectra, Vectra-T, and Synthes are trademarks of Synthes, Inc. Printed in U.S.A. 10/10 J6272-C

www.synthes.com