Sternal Talon - Sternal Closure System

Sternal Talon ® - Sternal Closure System 

Schelbert/ Bödeker | January 2010

Indication Sternal Talon ® 

The system can be used for cardiothoracic patients 

but is especially suitable for those at high risk 

resulting from: 

� Morbid obesity 

� Diabetes 

� Chronic obstructive pulmonary disease 

� … 

More over the Sternal Talon ® is effective for 

reconstruction procedures. 


Sternal Talon ® System Components 

� The Sternal Talon Implant is available in two basic versions. 

� All Implants consist of two parts. 

Single Talon Double Talon 

„female“ 

Schelbert/ Bödeker | January 2010 

„male“ „male“ 

„female“

Sternal Talon ® System Components 

Function of screw: 

The front side of the implant features a blue 

screw offering three different setting options. 

7 o‘ clock Pos. 

„OPEN“ 


„CLOSE“ 


„LCOKED“ 


Single Sternal Talon ® 

The Single Talon has two legs and is available in the five widths – XS, S, M, L, XL – and 

four foot plate depths: 11 mm, 14 mm, 17 mm, 20 mm. 


Double Sternal Talon ® 

The Double Talon has for legs and is available in four widths – S, M, L, XL – 

and four foot plate depths: 11 mm, 14 mm, 17 mm, 20 mm. 


Sternal Talon � Set 

� Each Sternal Talon � Set consists of two trays; a Single Talon and instrument tray and 

a Double Talon tray 

� The complete set contains all necessary instruments and 57 implants (43 Single and 

14 Double) in different measurements. 


Indication Video 


Measuring of the Sternum 

Measure sternal width 

Measuring of the total sternum width at the 

application points (ICS 1-5) by using the caliper. 

Both sternum halves have to be measured 

separately. 


Measure sternal thickness 

After measurement of the sternum width the 

sternum thickness has to be measured at the 

placement points (ICS 1-5)

Measurement Chart 

All measurement results have to be entered into the measurement chart. 

The correct implant size has to be evaluated. 


Preparing Site for Insertion of Sternal Talon ® 

� Retract the skin and soft tissue to expose the articulations of the ribs to sternum. 

� Utilize blunt dissection or use an electro cautery to create a track. 

� This allows for the footplates of the Sternal Talon ® to pass in the intercostal space. 


Placing the Sternal Talon ® 

� Three position screw must be turned to the 

3 o´clock “Closing” position. 

� Hold the Sternal Talon ® at a 45 degree angle to 

the sternum. 

� Guide the legs into the tracks in the intercostal 

space and push the plate downwards. 

� Repeat these steps until all Implants are placed. 


Placing and aligning the Sternal Talon ® 

� Placing the Talon with the Talon 

Introduction Forceps 


� Aligning the Talon with the Talon 

Introduction Forceps

Closing the Sternal Talon ® 

� Once all implant halves have been engaged, move 

the reduction clamp to the designated points and 

firmly lock the implants step by step 



� All implants are etched with a “SAFE 

ZONE” to indicate proper closure position. 

� If after closing the device the “safe zone 

arrow” is not within the “safe zone”, the 

device should be removed and a more 

appropriate size placed. 

| SAFE ZONE | 


SAFE ZONE


� Once the Sternal Talon ® has been firmly 

closed, turn the screw counterclockwise 

to the 11 o’clock (LOCKED) position. 

� This will lock the device and prevent 

it from disengaging. 


Sternal Talon ® Placement 

� Usually three Sternal Talon Implants are used for 

the sternal closure. 

� Different configurations are possible. 

� To obtain additional stability, wires can be used. 


Removal and Emergency Re-entry 

� Removal of the Sternal Talon ® is accomplished by rotating 

the screw clockwise to the 7 o'clock “Open” position. 

� This will unlock the device and allow the two sides to 

be separated and removed. 


Removal and Emergency Re-entry 

� A second re-entry method can be accomplished by 

cutting the device at the cut points. 

� A third re-entry method is to insert a flat screwdriver in 

the lock mechanism and rotate superiorly to disengage 

teeth. 


cut point 

cut point

Important warning 

� Do not use round perforated drains in conjunction 

with the Sternal Talon ® . 

� The drain holes could engage the footplates of the 

device. 


� Only use linear fluted drains with the Sternal Talon ®

Instruments 

24-008-01 

Screwdriver 


24-003-01 

Introdution Clamp 

24-004-01 

Tenaculum Clamp 

24-006-01 

Caliper

Instruments 

24-005-01 

Reduction Clamp 


24-003-02 

Removal Clamp 

24-007-01 

Cutter

Emergency Release 

� In order to ensure a fast re-entry in case of emergency each patient has to be equipped with 

a Sternal Talon “Hospital Kit”. 

� This includes a sterile screw driver as well as a laminated wallet card showing removal 

instructions. 


Patient information 

� Every patient must be provided with a implant 

passport including important information 

concerning the implanted Sternal Talon ® 

devices. 

� Additionally the patient has to be given a 

patient ID Tag 


Advantages Sternal Talon ® 

� Advanced system with high stability and high safety 

� Forces get distributed over a wider area; lower force per mm; 

much less likely to cut into the bone 

� Improves sternal stability which likely translates to a decrease in 

non-union, dehiscence and mediastinitis 

� Easy handling and fast application 

� Fast and easy re-entry in case of emergency immediately after 

operation 

� No sharp edges that could harm the patient or surgeon 

� No penetration of bone 

� Stability much less depends on the quality of bone 


Thank you 

for your attention

Sternal Talon - Sternal Closure System

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