Surgical Technique Guide 70-007, Rev. E . ■HONOUR® ORB Cervical Interbody

Honour® Orb Cervical Interbody General Description and Indications pg. 3 Exposure of Operative Level(s) pg. 3 Trialing and Endplate Preparation pg. 4 Implant Product Numbers pg. 6 Instrument Product Numbers pg. 7 Caution: Federal law (USA) restricts this device to sale and use by, or on the order of, a physician. HONOUR® ORB Cervical Interbody

PATIENT POSITIONING Following adequate general anesthesia, the patient is placed in the supine position with the head in slight extension. The mandible is tilted out of the surgical field. The posterior cervical spine is supported to establish and maintain normal lordosis. EXPOSURE OF OPERATIVE LEVEL(S) Access the operative site and retract the tissues using preferred instruments. Retract the muscles, trachea, esophagus and carotid artery to clearly see the vertebral bodies and discs. Insert a marker into the disc(s) and confirm the correct operative level(s) using a lateral radiograph. DISCECTOMY...

IMPLANT PLACEMENT The implant has 0.5mm ridges (teeth) on superior and inferior aspects and is sized from the surface valley. Trial and rasp heights are to the implant valley (Fig. 3). Select the appropriately sized implant that corresponds to the final trial spacer. Trial in front of implant Rasp in front of implant Attach implant to threaded inserter (Fig 4.) and pack the center cavity of the implant with autogenous bone graft material. Insert the implant between the vertebral bodies. It is important to ensure the implant is seated in the midline of the disc space and slightly recessed (implant...

IMPLANT REMOVAL Removal of the implant can be accomplished by attaching the threaded removal tool into the insertion hole and gently removing the implant. Vertebral bone overgrowth or osteophytes may be removed to facilitate implant retrieval. GENERAL DESCRIPTION The HONOUR® Spacer System is a collection of radiolucent cage devices constructed of medical grade polyetheretherketone with tantalum markers as described in ASTM F-2026 and ASTM F-560. The HONOUR® implants are comprised of various heights and footprints to accommodate individual patient anatomy and to maximize bone graft material volume....

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NEXXT MATRIXX® INSTRUMENT PRODUCT NUMBERS I35-10M-XX Cervical, Trial, 6° (0°*), 12x14xXXmm (12x12xXX*, 14x16xXX*, 16x18xXX*) I35-08-01-SM Graft Tamp, Small / Medium* I35-08-01-ML Graft Tamp, Medium / Large I35-50-01S Universal Remover, Short I35-31-01 Cervical, Inserter Sleeve* I35-09-01 Graft Block HONOUR® ORB Cervical Interbody

HONOUR® ORB Cervical Interbody Nexxt Spine, LLC 14425 Bergen Blvd, Suite B Noblesville, IN 46060