This document provides information on medical implant instrumentation and sets for osteosynthesis procedures. It describes steel implant materials, indications and contraindications for use, cleaning and sterilization requirements. Instrument sets are listed, including drills, taps, guides, templates and other tools for placing bone screws and plates. Proper use and potential risks are outlined.

1. MEDICAL ADVANCED TECHNOLOGY
STEEL DHSP / DCSP DYNAMIC HIP -
AND CONDYLAR SCREW PLATE SYSTEM
IncludeS basic large fragment instruments

2. 2
Contact
Friedrich-Wöhler-Straße 10
78576 Emmingen, Germany
phone +49(0)74 65 / 909188
Fax +49(0)74 65 / 909024
Internet
info@mat-medical.com
Manual for use under our Hompage:
www.mat-medical.com
INSTRUCTIONS FOR USE 3.
(GB) Warning: The implants described may only be used in combination with MAT products!
OSTEOSYNTHESIS – STEEL IMPLANTS
(Bone: Plates / Screws / Pins / Wires / Clips) non-sterile
IMPLANT MATERIAL:
Implants made from steel in accordance with ISO 5832 – 1 stainless steel ; ISO 5832 – 9 high nitrogen stainless steel manufactured by MAT MEDICAL AD-
VANCED TECHNOLOGY. The surface of these implants is chemically passive: not magnetic. These implants can be combined with the standardised material
provided that its composition lies within the analysis stipulated in the ISO 5832 – 1 / ISO 5832 – 9 standard and the required specifications. Material alloys with
chrome-nickel (implant steel) components can trigger a so-called chrome-nickel allergy by their nature; there are no other known biocompatible hazards! We
would point out that implants only function correctly if the following basic rules are observed:
- When selecting implants (bone: plates / screws / pins wires / clips), care must be taken to choose the appropriate implants on the basis of the
weight and level of activity of the patient, and the bone fracture to be treated.
- Note that by making the correct choice of biomechanics the forces to
be transferred by the implants remain low.
- Extreme deformation of the implants must be avoided; the cautious bending of wires, plates and pins does not, however, lead to implant
damage provided it is done with sufficient care.
- Repeated deformation should be avoided at all costs as it will fatigue the
implant material.
- The re-use of implants is absolutely forbidden (single use).
- We strongly advise you to inform patients of the advantages and disadvantages of implants.
- Excessive strain as a result of body weight and the level of activity of the patient should be avoided due to the limited strength of the im
plants. Failure to observe these precautionary measures can have serious consequences for the healing process.
INDICATIONS
These relate to the current practice of applications of implants in osteosynthesis (e.g. see literature AO/ASIF Instruments and Implants
Texhammer*Colton ISBN 3-540-56895-6 / ISBN 0-387-56895-6).
CONTRAINDICATIONS
Acute and chronic infections; muscle, nerve or vascular diseases that endanger the affected extremity; a lack of bony tissue or poor bone quality (e.g. severe
osteoporosis); local bone tumours. Systemic diseases and metabolic disorders; infections and falls; drug dependence; obesity; highly physical activities together
with activities
involving extreme vibrations which can lead to overstraining of the implants.
NOTES
The user should record and keep all information provided to the patient. It should be checked before use whether the patient tolerates the material to be implan-
ted. The implants described in these instructions for use may only be used (implanted) by surgeons with the appropriate experience.
POSSIBLE NEGATIVE EFFECTS (RISKS)
Failure of the fracture to heal, allergy to the material, failure of the product (break, bending), bone deformation and refracture, infection.
REMOVAL OF IMPLANTS
The implants are normally removed once the fracture has healed.
CLEANING AND STERILISATION OF UNSTERILE IMPLANTS
Before use, the implants must be sterilised using a validated procedure (autoclaved).
MAT MEDICAL ADVANCED TECHNOLOGY VALIDATED PROCEDURES
STERILISER:
Steam autoclave: Temperature = 121° to 123° Celsius; Pressure = 1-1.2 bar (15 to 17 psi) with an exposure time of at least 30 minutes in the packaged state.
STERILISER:
Autoclave with prevacuum: During the prevacuum phase the air is extracted from the chamber before the steam flows in. Standard circulation for packaged
objects: 132° to 135° Celsius; Pressure = 2 – 3 bar (27 to 30 psi) with an exposure time of at least 4 to 10 minutes.
IMPORTANT NOTES:
Every time the implants are used or sterilised you must first check that they function perfectly!
In the event of failure to observe these instructions or demonstrable violation, no guarantee or compensation for damages can be provided.
LARGE fragment Manual for use 3.

3. 3
SET - LISTING FOR SET: SET-011-0010-010 dhsp / dcsp instrument set complete
ref. - NO.: index - instruments:
TRAY-011-0010-010 Graphic case (tray in steel) tray for DHSP / DCSP instrument - 1-Pcs.
006-0010-002 Calibrated threaded Guide Pin ø 2.5 mm x length 230 mm -10-Pcs.
006-0010-004 Drill guide adjustable 125° up to 150° - 1-Pcs.
006-0010-006 Direct measuring device - 1-Pcs.
006-0010-007 Angled drill guide for condylar plates 95° - 1-Pcs.
006-0010-008 Triple reamer complete for dynamic hip screw plates - 1-Pcs.
006-0010-009 Triple reamer compolete for dynamic dondylar screw plates - 1-Pcs.
006-0010-010 Tap for lag screws - 1-Pcs.
006-0010-012 Centring sleeve short for used tap - 1-Pcs.
006-0010-014 Centring sleeve long for used wrench - 1-Pcs.
006-0010-016 Guide shaft for coupling screw short - 1-Pcs.
006-0010-018 Coupling screw for wrench - 1-Pcs.
006-0010-020 Coupling screw short for guide shaft - 2-Pcs.
006-0010-022 Wrench for used assembled guide shaft short with coupling screw - 1-Pcs.
006-0010-024 Impactor - 1-Pcs.
006-0010-026 T-handle with quick coupling - 1-Pcs.
set-011-0010-010 dhsp / dcsp instrument set

4. 4
set-011-0010-010 Dhsp / dcsp instrument set
TRAY-011-0010-010 Graphic case ( tray in steel ) tray for DHSP / DCSP instrument

5. 5
sterilization container for set-011-0010-010
Recommended sterilization container for Set-011-0010-010
ref. - NO.: sterilization container:
cb-105-135 Container bottom non perforated 580 x 280 x 135 mm
cl-100-010 Container lid perforated 580 x 280 mm

6. 6
DHSP / DCSP - Instruments
006-0010-004 Drill guide adjustable 125° up to 150°
006-0010-005 Drill guide adjustable 125° up to 150° used for three guide pins ( without picture )
006-0010-002 Calibrated threaded Guide Pin ø 2.5 mm x length 230 mm
006-0010-007 Angled drill guide for condylar plates 95°

7. 7
Instruments
006-0010-006 Direct measuring device
006-0010-008 Triple reamer complete for dynamic hip screw plates - DHSP
006-0010-009 Triple reamer complete for dynamic hip condylar screw plates - DCSP
006-0010-010 Tap for lag screws

8. 8
006-0010-012 Centering sleeve short for used tap
006-0010-014 Centering sleeve long for used wrench
006-0010-016 Guide shaft used for coupling screw short REF.: 006-0010-020
006-0010-018 Coupling screw used for wrench REF.: 006-0010-022
dhsp / DCSP - Instruments

9. 9
dhsp / DCSP - Instruments
006-0010-020 Coupling screw short for guide shaft
006-0010-022 Wrench for used assembled guide shaft short with coupling screw
006-0010-024 Impactor
006-0010-026 T-handle with quick coupling

10. 10
set-011-0010-004 large fragment
basic instrument set

11. 11
SET - LISTING FOR SET: SET-011-0010-004 large fragment basic instrument set used
for 4.5 mm and 6.5 mm bone screws
ref. - NO.: index - instruments:
TRAY-011-0010-004 Graphic case ( tray in steel ) tray for basic instrument set - 1-Pcs.
005-0210-031 Drill bit - AO shaft ø 3.2 mm x length 145 mm / 120 mm - 3-Pcs.
005-0210-096 Malleolar countersink ø 3.2 mm - 1-Pcs.
005-0210-099 Countersink ø 4.5 mm with T-handle and tip - 1-Pcs.
005-0210-044 Drill bit - AO shaft ø 4.5 mm x length 145 mm / 120 mm - 2-Pcs.
005-0211-044 T-handle small with AO - quickcoupling - 1-Pcs.
005-0211-046 Tap - AO shaft ø 4.5 mm with cortical pitch 1.75 mm used for ø 4.5 mm cortical screws - 2-Pcs.
005-0211-066 Tap - AO shaft Ø 6.5 mm with cancellous pitch 2.75 mm - 1-Pcs.
005-0214-015 Large hexagonal screw driver - AO shaft standard ( hexagonal flats 3.5 mm) used for ø 4.5 mm /
ø 6.5 mm screw
- 1-Pcs.
005-0219-006 Depth gauge large, extra long for measurement 120 mm used for ø 4.5 mm and ø 6.5 mm screws - 1-Pcs.
005-0212-026 Tap sleeve, ø 3.5 mm, also for use as ø 3.2 mm drill guide - 1-Pcs.
005-0212-032 Insert drill sleeve, ø 4.5 mm / ø 3.2 mm - 1-Pcs.
005-0212-045 Tap sleeve, ø 4.5 mm - 1-Pcs.
005-0221-004 Drill sleeve for round hole plates - 1-Pcs.
005-0222-044 Universal drill guide ø 4.5 mm / ø 3.2 mm used for tap ø 4.5 mm and ø 3.2 mm drill bit applicable
for neutral - load position
- 1-Pcs.
009-0368-035 Large hexagonal screw driver for selfholding sleeve - 1-Pcs.
005-0221-012 Plate articulated tension device with joint, to tension of 20 mm also can be used as a distractor, color sale
yellow up to 500N green up to 1000N, red over 1000N
- 1-Pcs.
005-0221-016 Combination wrench width across flats 11 mm used for tension device REF. 005-0221-012 - 1-Pcs.
005-0221-015 Socket wrench, width across flats 11 mm used for tension device REF. 005-0221-012 - 1-Pcs.
005-0219-039 Sharp hook, length 155 mm - 1-Pcs.
005-0229-045 Bending template 5 holes used for large plates - 1-Pcs.
005-0229-047 Bending template 7 holes used for large plates - 1-Pcs.
005-0229-049 Bending template 9 holes used for large plates - 1-Pcs.
004-0310-020 K-wire ø 2.0 mm x 150 mm with trocar tip and round end - 10-Pcs.
set-011-0010-004 large fragment
basic instrument set

12. 12
sterilization container for set-011-0010-004
Recommended sterilization container for Set-011-0010-010
ref. - NO.: sterilization container:
cb-105-135 Container bottom non perforated 580 x 280 x 135 mm
cl-100-010 Container lid perforated 580 x 280 mm

13. 13
large fragment basic Instruments
005-0210-029 Drill bit - AO shaft ø 3.2 mm x length 195 mm / 170 mm
005-0210-031 Drill bit - AO shaft ø 3.2 mm x length 145 mm / 120 mm
005-0210-044 Drill bit - AO shaft ø 4.5 mm x length 145 mm / 120 mm
005-0210-096 Malleolar countersink ø 3.2 mm
005-0210-099 Countersink ø 4.5 mm with T-handle and tip
005-0211-044 T-handle small with AO - quickcoupling

14. 14
large fragment basic Instruments
005-0211-046 Tap AO shaft ø 4.5 mm with cortical pitch 1.75 mm used for ø 4.5 mm cortical screws
005-0211-066 Tap - AO shaft ø 6.5 mm with cancellous pitch 2.75 mm
005-0214-015 Large hexagonal screw driver - AO shaft standard ( hexagonal flats 3.5 mm )
used for ø 4.5 mm / ø 6.5 mm screws
005-0219-006 Depth gauge large, extra long for measurement 120 mm used for ø 4.5 mm and 6.5 mm screws
005-0212-026 Tap sleeve, ø 3.5 mm, also for us as ø 3.2 mm drill guide - 1-Pcs.

15. 15
large fragment basic Instruments
005-0212-032 Insert drill sleeve, ø 4.5 mm / ø 3.2 mm
005-0212-045 Tap sleeve, ø 4.5 mm
005-0221-004 Drill sleeve for round hole plates
005-0212-047 Pointed drill guide
005-0222-029 Drill guide 6.5 mm / 3.5 mm used for ø 6.5 mm screws and ø 3.5 mm drill bit

16. 16
large fragment basic Instruments
009-0368-035 Large hexagonal screw driver used for selfholding sleeve REF.: 009-0390-062
009-0390-062 Coupling self - holding sleeve for screw driver REF. 009-0368-035
005-0222-044 Universal drill guide 4.5 mm / 3.2 mm used for tap ø 4.5 mm and ø 3.2 mm drill bit applicable
for neutral - load position
005-0221-001 Drill sleeve for tension device

17. 17
005-0221-012 Plate articulated tension device with joint, to tension of 20 mm also can be used as distractor, color scale
yellow up to 500 N, green up to 100N, red over 100N
large fragment basic Instruments
005-0221-016 Combination wrench width across flats 11 mm used for tension device REF. 005-0221-012
005-0221-015 Socket wrench, width across flats 11 mm used for tension device REF. 005-0221-012
005-0219-039 Sharp hook, length 155 mm

18. 18
large fragment basic Instruments
005-0229-045 Bending template 5 holes used for large plates
005-0229-047 Bending template 7 holes used for large plates
005-0229-049 Bending template 9 holes used for large plates
004-0310-020 K - wire ø 2.0 mm x 150 mm with trocar tip and round end

19. 19
index: Steel DHSp hip screw plates 130°
ref. - NO.:
Important technical dimensions:
Thickness 5.8 mm profile
Broad 19.0 mm profile
Distance between holes 16.0 mm
Barrel outer ø 12.6 mm
Barrel length ø 38.0 mm
Angel 130° Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
AP-1066-04 4 holes x length 78 mm - 1-Pcs.
AP-1066-05 5 holes x length 94 mm - 1-Pcs.
AP-1066-06 6 holes x length 110 mm - 1-Pcs.
AP-1066-07 7 holes x length 126 mm - 1-Pcs.
AP-1066-08 8 holes x length 142 mm - 1-Pcs.
AP-1066-10 10 holes x length 174 mm
Steel DHSP hip screw plates
130°

20. 20
index: Steel DHSp hip screw plates 135°
ref. - NO.:
Important technical dimensions:
Thickness 5.8 mm profile
Broad 19.0 mm profile
Distance between holes 16.0 mm
Barrel outer ø 12.6 mm
Barrel length ø 38.0 mm
Angel 135°
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
AP-1065-02 2 hole x length 46 mm
AP-1065-03 3 hole x length 62 mm
AP-1065-04 4 hole x length 78 mm
AP-1065-05 5 hole x length 94 mm
AP-1065-06 6 hole x length 110 mm
AP-1065-07 7 hole x length 126 mm
AP-1065-08 8 hole x length 142 mm
AP-1065-10 10 hole x length 174 mm
AP-1065-12 12 hole x length 206 mm
AP-1065-14 14 hole x length 238 mm
AP-1065-16 16 hole x length 270 mm
135°
Steel DHSP hip screw plates

21. 21
index: Steel DHSp hip screw plates 140°
ref. - NO.:
Important technical dimensions:
Thickness 5.8 mm profile
Broad 19.0 mm profile
Distance between holes 16.0 mm
Barrel outer ø 12.6 mm
Barrel length 38.0 mm
Angel 140°
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
AP-1067-02 2 holes x length 46 mm
AP-1067-04 4 holes x length 78 mm
AP-1067-05 5 holes x length 94 mm
AP-1067-06 6 holes x length 110 mm
Steel DHSP hip screw plates
140°
145°
index: Steel DHSp hip screw plates 145°
ref. - NO.:
Important technical dimensions:1Thickness 5.8 mm profile
Broad 19.0 mm profile
Distance between holes 16.0 mm
Barrel outer ø 12.6 mm
Barrel length 38.0 mm
Angel 145°
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
AP-1068-00-02 2 hole x length 46 mm
AP-1068-00-04 4 hole x length 78 mm
AP-1068-00-05 5 hole x length 94 mm
AP-1068-00-06 6 hole x length 110 mm

22. 22
Steel DHSP hip screw plates
150°
index: Steel DHSp hip screw plates 150°
ref. - NO.:
Important technical dimensions:
Thickness 5.8 mm profile
Broad 19.0 mm profile
Distance between holes 16.0 mm
Barrel outer ø 12.6 mm
Barrel length ø 38.0 mm
Angel 150°
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
AP-1068-02 2 hole x length 46 mm
AP-1068-04 4 hole x length 78 mm
AP-1068-05 5 hole x length 94 mm
AP-1068-06 6 hole x length 110 mm
AP-1068-08 8 hole x length 142 mm
AP-1068-10 10 hole x length 174 mm
AP-1068-12 12 hole x length 206 mm

23. 23
index: Steel DcSp condylar screw plates 95°
ref. - NO.:
Important technical dimensions:
Thickness 5.8 mm profile
Broad 19.0 mm profile
Distance between holes 16.0 mm
Barrel outer ø 12.6 mm
Barrel length ø 25.0 mm
Angel 95°
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
AP-1069-06 6 holes x length 100 mm
AP-1069-08 8 holes x length 130 mm
AP-1069-10 10 holes x length 163 mm
AP-1069-12 12 holes x length 198 mm
AP-1069-14 14 holes x length 225 mm
AP-1069-16 16 holes x length 260 mm
AP-1069-18 18 holes x length 306 mm
AP-1069-20 20 holes x length 338 mm
AP-1069-22 22 holes x length 370 mm
Steel DcSP condylar screw plates
95°

24. 24
index: Steel DHSP / DcSp dynamic lag screws
ref. - NO.:
Important technical dimensions:
Thread ø 12.5 mm
Thread length 22.0 mm
Pitch 3.0 mm
Shaft ø 8.0 mm
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
LS-1001-050 Thread length 22 mm x length 50 mm
LS-1001-055 Thread length 22 mm x length 55 mm
LS-1001-060 Thread length 22 mm x length 60 mm
LS-1001-065 Thread length 22 mm x length 65 mm
LS-1001-070 Thread length 22 mm x length 70 mm
LS-1001-075 Thread length 22 mm x length 75 mm
LS-1001-080 Thread length 22 mm x length 80 mm
LS-1001-085 Thread length 22 mm x length 85 mm
LS-1001-090 Thread length 22 mm x length 90 mm
LS-1001-095 Thread length 22 mm x length 95 mm
LS-1001-100 Thread length 22 mm x length 100 mm
LS-1001-105 Thread length 22 mm x length 105 mm
LS-1001-110 Thread length 22 mm x length 110 mm
LS-1001-115 Thread length 22 mm x length 115 mm
LS-1001-120 Thread length 22 mm x length 120 mm
LS-1001-125 Thread length 22 mm x length 125 mm
LS-1001-130 Thread length 22 mm x length 130 mm
LS-1001-135 Thread length 22 mm x length 135 mm
LS-1001-140 Thread length 22 mm x length 140 mm
LS-1001-145 Thread length 22 mm x length 145 mm
Steel DhSP / dcsp dynamic lag screws
index: Steel DHSP / DcSp compression screws
ref. - NO.:
Important technical dimensions:
Thread ø 4.0 mm
Full - threaded
Length 36 mm
Material alloyed steel ISO 5832-1 according to
biocompatibility ISO 10993-1
LS-1002-131 Steel DHSP / DCSP compression screw

25. 25
set-011-0010-011 DHSP Standard implant set
TRAY-011-0010-011 Graphic case ( tray in steel ) tray for DHSP implant set

26. 26
set-011-0010-011 DHSP Standard implant set
index: tray and implants
TRAY-011-0010-011 Graphic case ( tray in steel ) tray for DHSP implant set - 1-Pcs.
ref. - NO.:
LS-1001-065 Thread length 22 mm x lenght 65 mm - 1-Pcs.
LS-1001-070 Thread length 22 mm x lenght 70 mm - 1-Pcs.
LS-1001-075 Thread length 22 mm x lenght 75 mm - 1-Pcs.
LS-1001-080 Thread length 22 mm x lenght 80 mm - 1-Pcs.
LS-1001-085 Thread length 22 mm x lenght 85 mm - 2-Pcs.
LS-1001-090 Thread length 22 mm x lenght 90 mm - 2-Pcs.
LS-1001-095 Thread length 22 mm x lenght 95 mm - 2-Pcs.
LS-1001-100 Thread length 22 mm x lenght 100 mm - 2-Pcs.
LS-1001-105 Thread length 22 mm x lenght 105 mm - 1-Pcs.
LS-1001-110 Thread length 22 mm x lenght 110 mm - 1-Pcs.
LS-1001-115 Thread length 22 mm x lenght 115 mm - 1-Pcs.
index: tray and implants
Steel DHSP / DCSP compression screw
LS-1002-131 Steel DHSP / DCSP compression screw - 3-Pcs.
index: steel dhsp hip screw plates 135°
REF.:
AP-1065-04 4 hole x length 78 mm - 3-Pcs.
AP-1065-05 5 hole x length 94 mm - 2-Pcs.
AP-1065-06 6 hole x length 110 mm - 2-Pcs.
index: steel dhsp hip screw plates 150°
ref. - NO.:
AP-1068-04 4 hole x length 78 mm - 1-Pcs.
AP-1068-05 5 hole x length 94 mm - 1-Pcs.
AP-1068-06 6 hole x length 110 mm - 1-Pcs.

27. 27
sterilization container for set-011-0010-011
Recommended sterilization container for Set-011-0010-004
ref. - NO.: sterilization container:
cL-100-010 Container bottom non perforated 580 x 280 x 135 mm

28. 28
set-011-0010-012 DCSP Standard implant set
TRAY-011-0010-012 Graphic case ( tray in steel ) tray for DCSP implant set

29. 29
set-011-0010-012 DCSP Standard implant set
index: tray and implants
TRAY-011-0010-012 Graphic case ( tray in steel ) tray for DCSP implant set - 1-Pcs.
index: steel dhsp / dcsp DYNAMIC LAG SCREWS
ref. - NO.:
LS-1001-050 Thread length 22 mm x lenght 50 mm - 2-Pcs.
LS-1001-055 Thread length 22 mm x lenght 55 mm - 2-Pcs.
LS-1001-060 Thread length 22 mm x lenght 60 mm - 2-Pcs.
LS-1001-065 Thread length 22 mm x lenght 65 mm - 2-Pcs.
LS-1001-070 Thread length 22 mm x lenght 70 mm - 2-Pcs.
LS-1001-075 Thread length 22 mm x lenght 75 mm - 1-Pcs.
index: STEEL DHSP / DCSP COMPRESSION SCREW
LS-1002-131 Steel DHSP / DCSP compression screw - 5-Pcs.
index: steel dcsp CONDYLAR SCREW PLATES 95°
REF.:
AP-1069-06 6 hole x length 100 mm - 2-Pcs.
AP-1069-08 8 hole x length 130 mm - 2-Pcs.
AP-1069-10 10 hole x length 163 mm - 2-Pcs.
AP-1069-12 12 hole x length 198 mm - 1-Pcs.
AP-1069-14 14 hole x length 225 mm - 1-Pcs.
AP-1069-16 16 hole x length 260 mm - 1-Pcs.

30. 30
sterilization container for set-011-0010-012
Recommended sterilization container for Set-011-0010-012
ref. - NO.: sterilization container:
cb-105-135 Container bottom non perforated 580 x 280 x 135 mm
cl-100-010 Container lid perforated 580 x 280 mm

31. 31
Notice:

32. MEDICAL ADVANCED TECHNOLOGY
MAT GmbH&Co.KG
Friedrich-Wöhler Straße 10
78576 Emmingen-Liptingen, Germany
Phone: +49 (0)7465 909 188 · Fax : +49 (0)7465 909 024
www.mat-medical.com · info@mat-medical.com
Revision 18.03.2010DHSP / DCSP © MAT