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INSTRUCTIONS  FOR USE 4.(GB)
               Warning: The implants described may only be used in combination with DIGI-MED products!

               OSTEOSYNTHESIS  – TITANIUM  IMPLANTS
               (Bone: Plates / Screws / Pins / Wires / Staples )   non-sterile

               IMPLANT  MATERIAL:
               Implants made from titanium in accordance with ISO 5832-2 unalloyed Titanium; ISO 5832 – 3 Ti6A14V alloy ; ISO 5832 – 11
               Ti6Al7Ni alloy manufactured by DIGI-MED.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- 2 / ISO
               5832-3 / ISO 5832-11 standard and the required specifications.The material wrought unalloyed titanium and alloyed titanium, is
               biocompatible and prevents a so-called chrome-nickel allergy by its nature

               We would point 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 implants. 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 implanted. 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).

               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.
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