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SonicWeld Rx® Resorbable osteosynthesis Instructions for use Events Media Library

SonicWeld Rx® Dental

With SonicWeld Rx® we have developed a revolutionary system for craniomaxillofacial osteosynthesis. Consistent advancement of the system resulted in interdisciplinary expansion of the application field. As a consequence, the field of dental and oral surgery benefits from the most advanced procedure in augmentation: SonicWeld Rx® Dental.

 

The system combines state-of-the-art ultrasonic technology with resorbable implants and thus creates so far unsurpassed three-dimensional primary stability. As all implant components are based on resorbable materials, a second procedure is not necessary - a significant advantage, particularly for patients.

 

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The Polymers

Two resorbable polymers for osteosynthesis, PDLLA and PLLA-PGA, have been well-established in craniomaxillofacial surgery:

  • Resorb x® polymer is a 100% Poly-D,L-Lactic Acid (PDLLA).
  • Resorb xG polymer consists of 85% Poly-L-Lactic Acid (PLLA) and 15% Poly Glycolic Acid (PGA).
     

Both resorbables maintain the majority of their strength for 8-10 weeks, allowing complete fracture healing and bone regeneration.

The core of the degradation process: The complex polymer chains absorb the water contents (H2O molecules) of surrounding body fluids through a process called “hydrolysis”. The stored water initiates the degradation process by continuously breaking down the long polymer chains into ever shorter structures or simpler molecules. Metabolic pathways subsequently transform the molecules into carbon dioxide and water; both of these compounds are discharged naturally.

 

Indications – preprosthetic augmentation

The procedure step by step

SonicWeld Rx® system

Easiest handling and attractive design for error-free working

Indications:

  • Osteosynthesis in non-load-bearing craniomaxillofacial areas
  • Craniofacial corrective osteotomies, for example, syndrome patients, fronto-orbital advancement, in the non-load-bearing craniomaxillofacial areas
  • Pediatric neurosurgery
  • Preprosthetic augmentation

Features:

a) of the unit itself:

  • Simple and elegant design
  • Round corners
  • Recesses for safe holding of the device
  • Two sockets for the optional connection of two handpieces
  • A preset power level
  • Opportunity to choose the individual system language

b) of the handpiece:

  • Ergonomically designed handpiece
  • Finger activation
  • Visual and acoustic feedback during activation
  • Autoclavable

Benefits:

a) of the unit itself:

  • Easy to clean
  • Secure grip of the device during transport
  • Alternating work with two connected sonotrodes is possible
  • Optimal system setting
  • User-friendly operation
  • User-friendliness is given by easily understandable spoken instructions and icons

b) of the handpiece:

  • Handpiece lies securely in the hand
  • Handpiece is equally suited for left-handed and right-handed persons
  • Feedback during activation guarantees best functionality
  • Guaranteed biocompatibility for up to 250 sterilization cycles

Foil, membrane and alveolar protectors

Resorbable implants for oral and dental bone augmentation

Indications:

  • Preprosthetic augmentation

Features:

  • Based on ultrasonic technology
  • Foil, membrane and alveolar protectors in different profiles
  • Pin diameter: 1.6 mm

Benefits:

  • Compared with resorbable screws, the SonicWeld Pins® offer twice the strength
  • Extremely fast implantation of the SonicWeld Pins® as tapping is not necessary
  • No risk of pin/screw breakage
  • No bone necrosis as the rise in temperature when inserting the pin is low

SonicWeld Pin®

Easiest application - maximum reliability!

Indications:

  • Osteosynthesis in non-load-bearing craniomaxillofacial areas
  • Craniofacial corrective osteotomies, for example, syndrome patients, fronto-orbital advancement, in the non-load-bearing craniomaxillofacial area
  • Pediatric neurosurgery
  • Preprosthetic augmentation

Features:

  • Supplied sterile 
  • Optimized pin geometry guarantees easy insertion of the pins into the bone structure together with best anchoring 
  • SonicWeld Pins® can be inserted into the bone in a straightforward movement
  • Time-consuming tapping is eliminated completely
  • Self-retaining pin head on the sonotrode tip
  • Packaged in 2, 5 or 20 units
  • Can be applied from color-coded clip magazines

Benefits:

  • Extremely simple, intuitive application
  • No dislocation of the bone fragments, no shearing of screw heads!
  • Maximum anchorage in the bony cavities of the trabecular structure
  • Full compatibility of plates/meshes with the SonicWeld Pins®: Every SonicWeld Pin® is compatible with every Resorb-x® implant
  • Disposition of the SonicWeld Pin® in strict adherence with expected consumption
  • No unwanted falling off from the sonotrode tip
  • Ready-to-use: Remove from outer packaging and apply! 
  • No risk of mix-ups
     

Micro SonicWeld Pins®

Reliable welding of resorbable SonicWeld Pins® under the ultrasonic impulses of the SonicWeld Rx® system works. That is beyond question today! But does the sheer mass of the pin head not interfere with the highly sensitive augmentation region? If the pin head of a SonicWeld Pin® is deemed to be too massive, then we recommend the Micro SonicWeld Pin®: This offers minimal thickness, yet still provides a sufficient basis for the reliable anchorage of resorbable foils and membranes.

Xcelsior water bath

Simply ingenious, as ingeniously simple!

Indications:

  • Osteosynthesis in non-load-bearing craniomaxillofacial areas
  • Craniofacial corrective osteotomies, for example, syndrome patients, fronto-orbital advancement, in the non-load-bearing craniomaxillofacial area
  • Pediatric neurosurgery
  • Preprosthetic augmentation

Features:

  • Preheating of Resorb-x® implants under the influence of heat
  • Sterile liquid acts as heating medium
  • Sterilizable cover and hood for working close to the patient in the operating field
  • Extremely simple, intuitive application

Benefits:

  • Best contourability of the implants for seamless adaptation to the existing bone surface
  • Cooled, the resorbable implants remain three-dimensionally stable
  • High efficiency, even for large-area of stronger implants
  • The risk of maloperation is largely excluded
  • Environment-friendly - durable, reliable and safe working with the Xcelsior

Other products

TRACK distractors 

Devices for distraction of the alveolar ridge 

Indications: 

  • Partial defects of the mandibular and maxillar alveolar crest 
  • Periodontal diseases with severe localized bone loss 
  • Localized atrophy of the alveolar crest 

Features:

  • Distraction length: 9 mm, 10 mm, 12 mm, 15 mm
  • Distraction length/turn: 0.3 mm, 0.5 mm 
  • To be fixed with 1.0-mm / 1.5-mm screws

Benefits:

  • Available in different designs to treat all kind of alveolar defects 
  • Vector stabilizing plate to prevent tilting of the distractor body

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