ESIN Plug Insert and Aiming Device ESIN ... - Hofer-medical

Instruction Manual
ESIN Plug Insert and Aiming Device
ESIN Measurement Gauge
www.hofer-medical.com

Content
Single Parts
PI-1
Intra-operative Handling
PI-2
Assembling Instrument
PI-2.1
Connecting Plug
PI-2.2
Insertion of Sleeve System
PI-2.3
Using Measurement Gauge
PI-2.4
Disconnecting Plug
PI-2.5
Post-operative Handling
PI-3
Preparation
PI-3.1
Symbols
Do not hammer in!
Do not touch!
Warning
This description is not sufficient for immediate use of implants and instruments.
An instruction into handling these instruments by a surgeon experienced with them is strongly recommended.

PI-1
Single Parts
C
A
D
B
A - Aiming Device
B - Inserter: 35° (standard) or 25° (optional)
C - Fixation Screw (F)
D - Clamping Screw (CS)
E - Fixation Bolt
E
ESIN Trocar
ESIN Drill Sleeve
ESIN Tissue Protector Sleeve
ESIN Measurement Gauge
Drill Bit

PI-2.1
Intraoperative Handling - Assembling Instrument
Assembling of Instrument - Steps
35°
25°
1 - Lead inserter (25° or 35°) into aiming device all the way
to the stop - skid of inserter has to point upwards, inserted
hole in aiming device and groove of inserter should be in
one line
1
1
3
Lateral view opposite side
2
3
2 - Fix aiming device by means of the clamping screw (CS) -
clamping screw should be screwed in until it is positioned
flush to the aiming device
3 - Depending on the used version (25° oder 35°) screw in
fixation screw (F) in correspondingly marked position (see
detail view)
2
Detail
3
25°
35°
Lateral view opposite side
4 - Tighten clamping screw with flat wrench
4
4

PI-2.2
Intra-operative Handling - Connecting Plug
Connecting Plug - Steps
1
1 - For connecting the plug the inserter is put on the plug
from above. In doing so the plug has to be positioned on a
solid surface.
IMPORTANT: Pay attention to the correct alignment of
the plug. The holes in plug and inserter have to correspond
to eachother (see detail views).
Detail lateral view
Detail front view
1
1
Check:
1) correct alignment /
position of plug?
2) hole freely accessible?
2- Screw fixation bolt in the inserter all the way to the
stop to fix the plug (2).
2
ATTENTION: During screwing in do not touch the front
part of the instrument (skid area)! The tip of the fixation
bolt might damage gloves.
Do not use fixation bolt or plug together with a hammer!
The connection of the plug to the nail and an eventually correction of the position (see surgical technique)
has to happen without using a hammer!

PI-2.3
Intraoperative Handling - Insertion of Sleeve System
Please note: The following steps are performed at different stages during surgery. For more information on
use - especially on time of use - of the sleeve system please refer to the surgical technique.
Depending on the used inserter (35° or 25°) the tissue protector sleeve (A) is inserted in the correspondingly marked
hole of the aiming device.
Attention: The tissue protector sleeve is not self retaining and may slip out, if it is not fixed by means of the fixation
screw (F).
The drill sleeve (B) exactly fits in the tissue protector sleeve. Finally, the trocar (C) can be inserted in the drill sleeve.
C
B
A
35° Version - Standard 25° Version - Optional
back hole
front hole
Lateral view detail opposite side
Lateral view detail opposite side

PI-2.4
Intra-operative Handling - Using the Measurement Gauge
Direct Reading of drill bit protrusion
Example: here = 30
B
Pay attention to the correct alignment of the measurement gauge!
Scaling should increase in downward direction!
A
ATTENTION:
Use measurement gauge only in combination with tissue protector sleeve (A) AND drill sleeve (B)!
For measuring only use drill with length of 175 mm!
B
A

PI-2.5
Intra-operative Handling - Disconnecting Plug
For disconnection of the plug the fixation bolt is unscrewed totally (1). Then the inserter can be taken off from the
plug (2).
1
2

PI-3.1
Post-operative Handling - Preparation
The instrument must be disassembled before cleaning according to the pictures.
3
Disassembling - steps
2
1 - Unscrew fixation bolt
2 - Loosen and unscrew clamping screw (if necessary
use flat wrench)
3 - Unscrew fixation screw
1
4 - Remove inserter from aiming device
4
Inserter and/or aiming device should be exchanged if:
• they show no strong connection anymore
• the aiming device does not guide the sleeve system properly anymore
• the plug can not be connected safely to the inserter anymore
• safe handling is negatively affected in any other form

Area for Notices

Epilogue
© 2012 Hofer GmbH & Co KG. All rights reserved.
Operation Manuals, Handbooks, Handouts and Software are proprietary. Copies, duplicates, translations or conversion of
any form in a whole or only in parts are not allowed without a prior written approval by HOFER.
Any further rights for the software are specified in the provided licence regulation.
The HOFER logo is a registered trademark of the Hofer GmbH & Co KG in Austria and other countries.
The rights at other brand and product names mentioned in this document lie with its owners and are recognized hereby.
The mentioning of products which aren‘t from HOFER serves exclusively for information purposes and doesn‘t represent
advertisement of any form. HOFER doesn‘t take on any liability with regard to the choice, performance or usability of
the products.
The methods specified in this document, modes of operation and the like were carefully checked. If faults or suggestions
for improvement should stand out, however, despite this examination, then we ask you to inform us about these. The
operation method represented here introduces merely a possible method for the indication to be treated. It remains
to the decision of the respective surgeon to hold on to the described surgical technique or to vary it according to the
requirements. Direct and indirect damages as well as consequential damages are therefore excluded in every case.
Please do not hesitate to contact us for further information.
20120511da_ESIN_Plug_Instrument_and_ESIN_Measurement_Gauge_Instruction_Manual-ge.indd
Rev. May 2012
Hofer GmbH & Co KG
Fehringerstrasse 45
A-8280 Fürstenfeld
TEL: +43 (0)3382/53388
FAX: +43 (0)3382/53093
office@hofer-medical.com
www.hofer-medical.com
FN21826y
UID ATU30764704