SonicWeld Rx®

Surgical Techniques and Product Range

www.klsmartin.com
Oral and maxillo-facial surgery is our passion!
Its further development, together with our
customers, is our ambition. Every day we work
on developing innovative products and services
which meet the highest demands on quality,
and which contribute to the wellbeing of
the patient.

2
SonicWeld Rx®: Surgical techniques and product range

Table of Contents

Pages

Indications and Surgical Techniques 4-17

■ System Configuration 6-9

■ Midface Fracture 10-17
■ Craniosynostosis 18-27

References 28-29

Product Range 30-59

■ SonicWeld Rx® 30-31

■ Xcelsior Water Bath 32-33
■ BOS Drill and Twist Drills 34-37
■ Resorbable Implants 38-55
■ Storage System 56-59

3
 SonicWeld Rx®: Surgical techniques

Step by Step
to Optimal Fixation

Indications
The KLS Martin Resorb x® and Resorb xG implants are intended
for surgical procedures in which an internal fixation by resorbable implants
is required for aligning, reconstructing and stabilizing bone tissue.

4
Surgical Techniques

System Configuration
Configure your operatory Pages 6-9

Midface Fracture
Zygomatic complex fracture Pages 10-17

Craniosynostosis
Trigonozephalus Pages 18-27
PD Dr. Dr. M. Engel
Prof. Dr. Dr. J. Hoffmann

5
 SonicWeld Rx®: Configure your operatory

System configuration

To manage different operative sites and approaches and to Connect the handpiece to the connecting socket by plugging
facilitate the operation for both right- and left-handed surgeons, the connecting cable into the socket following the guide groove.
it is advantageous to place the SonicWeld Rx® system on a
flexible side table. The connecting cable of the handpiece is approx. 2.95 m long.
If this is not long enough, you can order an additional handpiece
The SonicWeld Rx® ultrasonic unit must be set up and operated with long connection cable, which is approx. 6 m long.
in the non-sterile area of the operating environment.

Sonotrodes, handpieces with connecting cables and the wrench

are located in the sterile area of the operating environment,
which is why they must be used in sterile condition.

6
Screw the sonotrode manually in place on the handpiece and Upon turning on the unit with the on-standby switch, the hand-
use the open-end wrench to check it for secure attachment piece is ready for a self-test. This will be indicated by a display
(torque: max. 0.3 Nm). icon at the unit and by the blinking blue LED on the handpiece.

Plug the mains cable into the ultrasonic unit and then into a The self-test is performed as soon as the handpiece is operated
mains socket-outlet with ground contact. for the first time. Be sure to keep the tip of the sonotrode out of
contact with objects during this process. If the test is successful,
As soon as the unit has been connected to the power supply, the unit is automatically set to working mode.
it is automatically set to standby mode. Therefore, full switch-off
is only possible by pulling the plug of the mains cable out of
the socket-outlet.

7
 SonicWeld Rx®: Configure your operatory

Using two handpieces, the self-test needs to be triggered Prepare the BOS Drill by plugging in the sterile battery pack
with each handpiece. into the sterilized handle of the BOS Drill.

The two handpieces can only be used alternatingly. Then, insert the appropriate twist drill into the BOS Drill.

By pressing the activation switch of the other handpiece,

an acoustic click can be perceived and the „A“ appears in
the display side of that handpiece.

8
 3

The Xcelsior water bath must be set up and operated in the Then, cover the thermal unit 1 with the sterile cover hood 2.
sterile area of the operating environment.
Place the sterile water container with the frame 3 into the
After plugging the mains cable into the device and then into sterile cover hood.
a mains socket-outlet with ground contact, the water bath can
be turned on with the on-off switch. The water container can then be filled up with sterile fluid
(e. g. aqua destilata, physiologic saline) until the water level
reaches the marking (approx. 500 ml).

The water bath is ready for action, when the orange thermo
control display „OK“ lights up. Depending on the amount of
liquid in the water container, heating time of the device is
normally approx. 20 minutes.

9
 Midface fracture: Zygomatic complex fracture

Source: Prof. Dr. Dr. Rolf Ewers, Astrid Reichwein

Preoperative planning Patient positioning

The x-ray shows a right-sided zygomatic complex fracture. The patient is placed on his back on the OR table.
The following three fractures are identified: Normally, a nasotracheal intubation is aimed.

1 fracture of the zygomatic arch For the installation of the SonicWeld Rx® system
2 fractures of the inferior orbital rim and anterior and its accessories, please see page 6 - 10.
and posterior maxillary sinus walls
3 fracture of the lateral orbital rim

After fracture reduction, a „three point fixation“ will be performed

with Resorb x® plates and SonicPins Rx using the SonicWeld Rx®
system.

10
1. Approach / Zygoma reduction Option 1

First, the zygoma needs to be mobilized into its proper position. With a retractor via a transoral approach placed through the
There are various options to perform the reduction. maxillary vestibular incision.

11
 Midface fracture: Zygomatic complex fracture

Option 2 2. Bending the lateral orbital wall plate

A threaded reduction tool can be used for zygoma reduction A 4-hole plate with bar is typically used for this fracture.
inserted percutaneously into the zygoma. The template of the plate is placed across the frontozygomatic
fracture area and bent to fit the bone surface. Then, the template
The surgeon can use the Byrd zygoma reduction screw with is removed from the patient. The appropriate resorbable plate
a conventional screwdriver handle. is put on the template and both parts are hold in the preheated
water of the Xcelsior water bath.

After only a few seconds the resorbable plate is formable and

automatically adapts to the shape of the template.

12
3. Placing the lateral orbital wall plate 4. Fixation of lateral orbital wall plate

The material cools down quite fast and the implant keeps its Predrilling
shape.
Next, predrill the pilot hole through the positioned plate using
The plate is then placed across the frontozygomatic fracture a SonicWeld Rx® twist drill. The special Twist Drills are charac-
area. It fits to the bone surface perfectly. terized by a triple ring identification marking.

■ Twist Drills for Ø 1.6 mm SonicPins Rx are marked

with 3 green rings.

■ Twist Drills for Ø 2.1 mm SonicPins Rx are marked

with 3 red rings.

Plate-holding forceps, curved BOS Drill Twist drill with BOS attachment
for Ø 1.6-mm SonicPins Rx

13
 Midface fracture: Zygomatic complex fracture

5. Insertion of first SonicPin Rx 6. Insertion of second SonicPin Rx

The first SonicPin is placed in the unstable zygomatic fracture. The second SonicPin Rx is inserted in the same way also
in the unstable zygomatic fracture part to maintain the plate
Secure a SonicPin Rx on the tip of the standard sonotrode and in the correct position.
seat it into the top of the pilot hole. Apply slight pressure and
then activate the ultrasonic unit of the SonicWeld Rx® system
by pressing the activation switch. During activation period there
is a light and acoustic feedback.

Maintain slight pressure until the head is fully welded into the
pilot hole. Then release the switch, but do not yet remove the
sonotrode. Allow the SonicPin Rx to cool down for at least two
seconds. Finally spin the sonotrode left and right.

Then lift it away.

2
2Sek.

3 1

14
7. Zygoma reduction 8. Insertion of further SonicPins Rx

After reduction of the zygomatic fragment into cranial direction The third and fourth SonicPins Rx are inserted in the same way
the plate holding instrument is assembled during inserting as before into the stable bone.
further pins.
Option:
For smoothing the contours, the smoothing sonotrode may be
used as follows: Bring the sonotrode in contact with the plate,
press the activation switch until the material liquefies, release
the activation switch and finally release the sonotrode.

15
 Midface fracture: Zygomatic complex fracture

9. Positioning and fixation of the infraorbital rim plate 10. Positioning and fixation of zygomatico-maxillary
buttress plate
For this fracture the curved 8-hole plate is the best choice.
A L-shaped plate is the ideal solution for this fracture.
After shaping the infraorbital rim plate in the Xcelsior waterbath It is important to three-dimensionally adapt this plate.
and if applicable, cutting it with the scissors, it is positioned
through a lower eyelid incision. Please make sure that the lateral ■ The horizontal portion must be adapted to the most lateral
orbital wall has been properly reduced prior to placing this plate. portion of the lateral maxillary buttress, where the bone is
still thick enough for insertion of the SonicPins Rx.
The first SonicPin is placed in the unstable zygomatic fracture.
■ The vertical portion is placed along the alveolar bone.
The dental roots must not be harmed.

The L-shaped plate is positioned through a maxillary vestibular

incision.

16
11. Wound closure Postoperative treatment

Finally after the plate is inserted successfully, the wound The x-ray shows the patient postoperatively.
can be closed.
Remark:
Please note that Resorb x® plates and SonicPins Rx
are not visible on the x-ray photograph.

17
 Craniosynostosis

Preoperative planning Positioning the patient

The illustration on the right shows a patient with a clinical The patient is placed in the supine position on the operating table.
picture typical of trigonocephaly.
To set up and operate the SonicWeld Rx® system and accessories
The typical triangular appearance is due to premature closure refer to pages 6 - 10.
of the metopic suture.

18
1. Coronal approach 2. Skin incision

First of all, an undulating coronal incision is marked dorsal A skin flap is first detached along the marked undulating incision.
to the two coronal sutures under orotracheal anesthesia.
The skin incision can be made with a scalpel or a monopolar
needle.

19
 Craniosynostosis

3. Lifting away the pericranium 4. Exposure of the cranium

After the skin incision and applying skin clips, a skin flap When the epicranial periosteum has been detached, further
is made down to supraorbital. exposure is conducted with strict bone contact, including the
temporal fossae, mobilizing the ventral portion of the temporal
Then an epicranial periosteal flap is made, pedunculated muscle on both sides down to the lateral bony orbit, the roof
to anterior. of orbit, preserving and neurolysing the supraorbital nerves
and the bony nasal root on both sides.
Intraoperative hemostasis of soft tissue is performed
using bipolar forceps and by applying compresses soaked
in hydrogen peroxide. Hemostasis in the bone region is
performed with bone wax.

20
5. Marking the osteotomy lines 6. Trepanation

The osteotomy lines are marked. The osteotomy is then First, extracranial craniotomy of a frontal bone cap has to be
performed in two steps: performed in the region just posterior to the coronal suture and
approx. 20 - 25 mm supraorbitally above the frontal bone.
■ Osteotomy of the frontal segment
■ Osteotomy of the orbital segment For this purpose a trephine is used to make appropriate burr
holes parasagittally and temporally, with which the dura is
detached from the bone by undercutting from burr hole to
burr hole.

21
 Craniosynostosis

7. Osteotomy of the frontal segment 8. Osteotomy of the orbital segment

Osteotomy of the frontal bone segment is performed using Subsequent osteotomy in the region of the temporal fossa of
a craniotome from burr hole to burr hole. the orbital segment is performed with the aid of a microsaw,
first horizontally, then vertically. After extracranial osteotomy
After removal of the segment the dura is detached from the of the lateral orbit up to the connection to the vertical osteotomy
bone in the region of the frontal and temporal lobes. line a triangular osteotomy is performed in the region of the
nasal root.

The orbital roof and the sphenoid mass are osteotomized from
intracranial, protecting the frontal and temporal lobes.

22
9. Treatment of the orbital segment 10. Plate selection

There follows extracorporeal treatment of the orbital bone For fixation of the segments both Resorb x® plates and larger
segment: to eliminate the triangular appearance a partial meshes can be used, which can be cut to the required size
median osteotomy of the inner cortical bone is required with scissors if necessary.
in order to widen the frontal bone (by bending up
We recommend warming Resorb x® implants in the prewarmed
liquid of an Xcelsior water bath just before they are used.
After only a few seconds the implant can be shaped, as a result
of which it can easily be adapted to the surface of the bone
segment.

23
 Craniosynostosis

11. Fixation of the orbital segment 12. Insertion of the SonicPins Rx

The next step is to drill a pilot hole through the plate using a The next step is medial fixation of the upward-bent orbital
SonicWeld Rx® twist drill. The special-purpose pilot drill has a segment.
colored mark:
The first SonicPin is secured with the tip of a standard sonotrode
■ The pilot drills for Ø 1.6 mm SonicPins Rx and is thus mounted on the pilot hole. By applying slight pressure
are marked with 3 green rings. toward the pilot hole and then operating the finger actuator the
ultrasound unit of the SonicWeld Rx® system is actuated and the
■ The pilot drills for Ø 2.1 mm SonicPins Rx pin is inserted.
are marked with 3 red rings.
Pressure should be maintained until the head of the pin is secure
On account of their atraumatic properties, Resorb x® implants in the hole. Then the finger actuator is released, without removing
can be fixed to the bone either extracranially or intracranially. the sonotrode from the implantation site. The surgeon should
allow the SonicPin Rx to cool down for a few seconds. Then the
sonotrode is completely detached and withdrawn with a twisting
motion.

2
2Sek.

3 1

BOS Drill Twist drill with BOS attachment

for Ø 1.6-mm SonicPins Rx

24
13. Fixation of the orbital segment to the cranium 14. Treatment of the frontal segment

For harmonious shaping of the orbital segment the latter has The last step is to adapt the frontal bone cap to the newly
to be weakened lateroorbitally on both sides in the region of the shaped orbital segment in order to achieve homogeneous
inner cortical bone. forehead curvature. To be able to adapt the frontal bone cap
to the newly shaped forehead, it must be transected along the
Following reduction and fixation of the orbital segment in the metopic suture. Normally, due to adaptation the metopic suture
region of the nasal root, check symmetry and profile. region is automatically opened, whereby the more severe
the clinical picture, the larger the gap.
For bilateral fixation of the orbital segment in the region of the
temporal bone or remaining frontal bone (“tongue in groove”)
Resorb x® plates or meshes are used.

25
 Craniosynostosis

15. Fixation with more plates 16. Wound closure

After the opening of the closed frontal suture there are usually The epicranial periosteum and the skin flap are reduced when
two frontal bone segments. These may have to be rotated through the temporal muscle has also been reattached carefully on both
180 degrees to ensure that the frontal segments connect to the sides.
orbital segment in a harmonious curve.
Before layer-by-layer skin closure a low-suction drain is attached.
Placement of the two frontal segments is followed by fixation to
the orbital bone segment with small resorbable osteosynthesis
plates.

26
27
 SonicWeld Rx®: References

References

Abdel-Galil, K. & Loukota, R., Buijs, G. J., et al., Eckelt U., et al.,
Fixation of comminuted diacapitular fractures Mechanical strength and stiffness of the bio- Ultrasoand aided pin fixation of biodegradable
of the mandibular condyle with ultrasoand- degradable SonicWeld Rx® osteofixation system. osteosynthetic materials in cranioplasty for
activated resorbable pins. J Oral Maxillofac Surg, 67(4), 2009. S. 782-787 infants with craniosynostosis.
Br J Oral Maxillofac Surg, 46(6), 2008, J Craniomaxillofac Surg, 35(4-5), 2007,
S. 482-484 Burger B. W., S. 218-221
Use of ultrasoand-activated resorbable poly-D,
Aldana, P. R., et al., L-lactide pins (SonicPins) and foil panels Freudlsperger C, et al.,
Ultrasoand-aided fixation of a biodegradable (Resorb x®) for horizontal bone augmentation The value of ultrasound-assisted pinned
cranial fixation system: uses in pediatric of the maxillary and mandibular alveolar ridges. resorbable osteosynthesis for cranial vault
neurosurgery. J Oral Maxillofac Surg, 68(7), 2010, remodelling in craniosynostosis,
J Neurosurg Pediatr, 3(5), 2009, S. 420-424 S. 1656 -1661 Journal of Cranio-Maxillo-Facial Surgery (2013)

Aldana, P. R., et al., Chen, Y. B. & Zhang, H. Z., Heidemann W., et al.,
Ultrasoand-aided fixation of biodegradable Ultrasoand-aided biodegradable osteosynthesis Degradation of poly(D,L)lactide implants with
implants in pediatric craniofacial surgery. system: application in fixation of oral and or without addition of calciumphosphates in vivo.
Pediatr Neurosurg, 47(5), 2011, S. 349-353 maxillofacial fractures. Biomaterials, 22(17), 2001, S. 2371-2381
Zhonghua Yi Xue Za Zhi, 93(18), 2013,
Arnaud, E. & Renier, D., S. 1418 -1421 Heidemann W. & Gerlach K. L.,
Pediatric craniofacial osteosynthesis and Sonographic examinations on the degradation
distraction using an ultrasonic-assisted pinned Cho P. W. J., et al., of bioresorbable osteosynthesis materials.
resorbable system: a prospective report with Biomechanical study of SonicWeld Rx® pin Biomed Tech, 46(9), 2001, S. 236-240
a minimum 30 months’ follow-up. in cortical bone graft layering technique.
J Craniofac Surg, 20(6), 2009, S. 2081-2086 J Oral Maxillofac Surg, 69(5), 2011, Heidemann W, et al.,
S. 1519-1524 In vivo investigation of the degradation of
Basa, S., poly(D,L)lactide and poly(L-lactide-co-glycolide)
Does ultrasonic resorbable pin fixation offer Cristofaro, M. G., et al., osteosynthesis material.
predictable results for augmentation eminoplasty A new system of resorbable rigid three- Mand-, Kiefer- GesichtsChir, 7, 2003,
in recurrent dislocations? dimensional fixation using ultrasoands S. 283-288
J Oral Maxillofac Surg, 72(8), 2014, (SonicWeld Rx® + Sonic Pins Rx) adopted
S. 1468 -1474 in craniofacial traumatology: the author’s Iglhaut, G.,
experience. The Minimally Invasive Shell Technique
It J Maxillofac Surg, 20, 2009, S. 4-52 for Bone Augmentation.
Oralchirurgie Journal, 9(3), 2009
28
Iglhaut, G., et al., Pietrzak W.S., Schneider, M., et al.,
Shell technique using a rigid resorbable barrier Bioabsorbable polymer applications in Stability of fixation of diacapitular
system for localized alveolar ridge augmentation. musculoskeletal fixation and healing. fractures of the mandibular condylar
Clin Oral Implants Res, 25(2), 2014, In: Pietrzak W. S. (ed.), Orthopedic biology process by ultrasoand-aided resorbable pins
S. 149 - 154 and medicine: Musculoskeletal tissue (SonicWeld Rx® System) in pigs.
regeneration, biological materials and Br J Oral Maxillofac Surg, 49(4), S. 297-301
Lee, J. H. & Park, J. H., methods,
The clinical usefulness of ultrasoand-aided fixation Totawa: Humana Press, 2008, S. 509-529 Schneider, M., et al.,
using an absorbable plate system in patients with Ultrasoand-aided resorbable osteosynthesis
zygomatico-maxillary fracture. Pilling E., et al., of fractures of the mandibular condylar base:
Arch Plast Surg, 40(4), 2013, S. 330-334 An Experimental study of the biomechanical an experimental study in sheep.
stability of ultrasoand-activated pinned Br J Oral Maxillofac Surg, 50(6), 2012,
Konofaos P, et al., (SonicWeld Rx® + Resorb x®) and screwed S. 528-532
The Role of Resorbable Mesh as a Fixation fixed (Resorb x®) resorbable materials for
Device in Craniosynostosis; osteosynthesis in the treatment of simulated Stelnicki, E. J., et al.,
J Craniofac Surg 2016;27: 105–108 craniosynostosis in sheep. Use of absorbable poly (D,L) lactic acid plates
Br J Oral Maxillofac Surg, 45(6), 2007, in cranial-vault remodeling: presentation of the
Mai, R., S. 451-456 first case and lessons learned about its use.
Bone welding – a histological evaluation in the jaw. Cleft Palate Craniofac J, 42(4), 2005,
Ann Anat, 189(4), 2007, S. 350-355 Pilling, E., et al., S. 333-339
An experimental in vivo analysis of the
Meara, D. J., et al., resorption to ultrasoand-activated pins Völker, W., et al.,
Fixation of Le Fort I osteotomies with poly-DL-lactic (SonicWeld Rx®) and standard biodegradable The use of resorbable osteosynthesis materials.
acid mesh and ultrasonic welding – screws (Resorb x®) in sheep. Laryngorhinootologie. 90(1), 2011, S. 23-25
a new technique. Br J Oral Maxillofac Surg, 45(6), 2007,
J Oral Maxillofac Surg, 70(5), 2012, S. 1139-1144 S. 447-450 Wood, R. J., et al.,
New resorbable plate and screw system
Müller-Richter, U. D., et al., Reichwein, A., in pediatric craniofacial surgery.
Treatment of intracapsular condylar fractures Clinical experiences with resorbable J Craniofac Surg, 23(3), 2012, S. 845-849
with resorbable pins. ultrasonic-guided, angle-stable osteosynthesis
J Oral Maxillofac Surg, 69(12), 2011, in the panfacial region.
S. 3019-3025 J Oral Maxillofacial Surg, 67(6), 2009,
S. 1211-1217

29
 Product range: SonicWeld Rx®

SonicWeld Rx®

SonicWeld Rx® System

52-500-20-04 SonicWeld Rx® basic set, consisting of:

52-500-21-04 Ultrasonic unit SonicWeld Rx®
52-500-23-04 Handpiece with finger activation
52-501-21-04 Standard sonotrode, straight
52-502-01-04 Wrench for sonotrodes

52-500-21-04 52-500-23-04
Ultrasonic unit, alone Handpiece with finger activation, 2.95 m cable
SonicWeld Rx®
52-500-24-04
Handpiece with finger activation, 6 m cable

30
 Explanation of icons:

Stainless steel

Packaging unit

52-501-21-04 52-501-22-04 52-501-23-04 52-501-24-04 52-502-01-04

Standard sonotrode, Standard sonotrode, Smoothing sonotrode, Smoothing sonotrode, Wrench for sonotrodes
straight angled straight angled

31
 Product range: SonicWeld R®

SonicWeld Rx®
Xcelsior Water Bath

Xcelsior Water Bath

52-400-10-04 52-400-13-04 52-400-14-07

Xcelsior water bath Cover hood Water container
complete with frame

32
 Explanation of icons:

Stainless steel

Packaging unit

Instruments

1
⁄1

1
⁄2 1
⁄1 1
⁄2 1
⁄2

52-201-01-07 52-201-02-07 11-180-15-07

Plate-holding instrument Plate-holding forceps, curved Scissors

33
 Product range: SonicWeld Rx®

SonicWeld Rx®
BOS Drill

50-800-03-07 50-800-02-04
BOS Drill Battery pack,
w/o battery pack sterile

34
 Explanation of icons:

Stainless steel

for BOS Drill

1 Packaging unit

Sterile packaged implants

SonicPins Rx S L Ø Non-Sterile
1 Ø 1.6 mm
Ø Stop S Core Hole 3 mm 40 mm 1.0 mm 52-610-03-07

Core Hole 4 mm 40 mm 1.0 mm 52-610-04-07 52-610-04-71

Overall Length L

Core Hole 5 mm 40 mm 1.0 mm 52-610-05-07

Core Hole 8 mm 40 mm 1.0 mm 52-610-08-07

Ø 2.1 mm

Core Hole 3 mm 40 mm 1.6 mm 52-616-03-07

Core Hole 4 mm 40 mm 1.6 mm 52-616-04-07 52-616-04-71

1
⁄1 Core Hole 5 mm 40 mm 1.6 mm 52-616-05-07

Core Hole 10 mm 40 mm 1.6 mm 52-616-10-07

35
 Product range: SonicWeld Rx®

SonicWeld Rx®
Twist Drills

Twist drills
for 1.6-mm SonicPins Rx

SonicPins Rx S L Ø Non-Sterile
1 Stop S Dental attachment

Core Hole 5 mm 20.0 mm 1.0 mm 52-509-05-07 52-509-05-71

Core Hole 5 mm 29.5 mm 1.0 mm 52-512-05-07

Overall Length L

Core Hole 6 mm 20.0 mm 1.0 mm 52-509-06-07 52-509-06-71

Core Hole 6 mm 39.5 mm 1.0 mm 52-512-06-07

J-notch attachment

Ø Core Hole 3 mm 50.0 mm 1.0 mm 52-510-03-07

Core Hole 4 mm 50.0 mm 1.0 mm 52-510-04-07 52-510-04-71

Core Hole 5 mm 50.0 mm 1.0 mm 52-510-05-07 52-510-05-71

1
⁄1 Core Hole 6 mm 50.0 mm 1.0 mm 52-510-06-07

Core Hole 7 mm 50.0 mm 1.0 mm 52-510-07-07 52-510-07-71

Core Hole 8 mm 50.0 mm 1.0 mm 52-510-08-07

36
 Explanation of icons:

Stainless steel

Dental attachment

J-notch attachment

1 Packaging unit

Sterile packaged implants

Twist drills
for 2.1-mm SonicPins Rx

SonicPins Rx S L Ø Non-Sterile
1 Stop S Dental attachment

Core Hole 4 mm 28.5 mm 1.6 mm 52-518-04-07

Core Hole 5 mm 20.0 mm 1.6 mm 52-515-05-07 52-515-05-71

Overall Length L

Core Hole 5 mm 29.5 mm 1.6 mm 52-518-05-07

Core Hole 6 mm 20.0 mm 1.6 mm 52-515-06-07 52-515-06-71

Ø Core Hole 6 mm 30.5 mm 1.6 mm 52-518-06-07

Core Hole 10 mm 24.5 mm 1.6 mm 52-515-10-07

Core Hole 10 mm 34.5 mm 1.6 mm 52-518-10-07

Core Hole 20 mm 34.5 mm 1.6 mm 52-515-20-07

1
⁄1 Core Hole 20 mm 44.5 mm 1.6 mm 52-518-20-07

Scorrimento 10 mm 22.0 mm 2.1 mm 52-522-10-07

Scorrimento 10 mm 32.0 mm 2.1 mm 52-525-10-07

J-notch attachment

Core Hole 3 mm 50.0 mm 1.6 mm 52-516-03-07

Core Hole 4 mm 50.0 mm 1.6 mm 52-516-04-07 52-516-04-71

Core Hole 5 mm 50.0 mm 1.6 mm 52-516-05-07 52-516-05-71

Core Hole 6 mm 50.0 mm 1.6 mm 52-516-06-07

Core Hole 8 mm 50.0 mm 1.6 mm 52-516-08-07

Core Hole 10 mm 50.0 mm 1.6 mm 52-516-10-07

Scorrimento 35 mm 70.0 mm 2.2 mm 50-022-01-07

37
 Product range: SonicWeld Rx®

SonicWeld Rx® Implants

SonicPins Rx

1.6-mm SonicPins Rx

Pin length Item No. Item No. Item No.

x 4 mm 52-516-24-04 2 52-516-54-04 5 unit(s)
52-616-24-04 20

5 mm 52-516-25-04 2 52-516-55-04 5 unit(s)

52-616-25-04 20

6 mm 52-516-26-04 2 52-516-56-04 5 unit(s)

7 mm 52-516-27-04 2 52-516-57-04 5 unit(s)

1
⁄1 3
⁄1

1.6-mm Micro SonicPins Rx

Pin length Item No. Item No.

x 5 mm 52-519-25-04 2 52-519-45-04 4

1
⁄1 3
⁄1

38
 Explanation of icons:

x Resorb x®

1 Packaging unit

Sterile packaged implants

2.1-mm SonicPins Rx

Pin length Item No. Item No. Item No.

x 4 mm 52-521-24-04 2 52-521-54-04 5 unit(s)
52-621-24-04 20

5 mm 52-521-25-04 2 52-521-55-04 5 unit(s)

52-621-25-04 20

7 mm 52-521-27-04 2 52-521-57-04 5 unit(s)

9 mm 52-521-29-04 2 52-521-59-04 5 unit(s)

11 mm 52-521-31-04 2
1
⁄1 3
⁄1 13 mm 52-521-33-04 2

15 mm 52-521-35-04 2

17 mm 52-521-37-04 2

2.1-mm Endobrow SonicPins Rx

Pin length Item No.

x 4 mm 52-641-14-04 1

5 mm 52-641-15-04 1

1
⁄1 3
⁄1

39
 Product range: SonicWeld Rx®

SonicWeld Rx® Implants

Resorb x® Plates

1
⁄1 1
⁄1 1
⁄1 1
⁄1

52-080-04-04 x 1 52-082-04-04 x 1 52-076-04-04 x 1 52-075-08-04 x 1

= 0.8 mm = 0.8 mm Magdeburg = 1.0 mm
= 1.0 mm
52-075-04-04 x 1 52-077-04-04 x 1
= 1.0 mm = 1.0 mm

52-175-04-04 1 52-177-04-04 1 52-176-04-04 1 52-175-08-04 1

Template Template Template Template

1
⁄1 1
⁄1

52-076-22-04 x 1 52-076-08-04 x 1
= 1.0 mm = 1.0 mm

52-176-08-04 1
Template

40
 Explanation of icons:

x Resorb x®

Aluminum

1 Packaging unit

Plate profile

Sterile packaged implants

1
⁄1 1
⁄1 1
⁄1 1
⁄1

52-095-06-04 x 1 52-096-06-04 x 1 52-095-07-04 x 1 52-096-07-04 x 1

= 1.0 mm = 1.0 mm = 1.0 mm = 1.0 mm

52-196-06-04 1 52-196-06-04 1 52-196-07-04 1 52-196-07-04 1

Template Template Template Template

1
⁄1 1
⁄1 1
⁄1

52-085-05-04 x 1 52-090-06-04 x 1 52-088-06-04 x 1

= 1.0 mm = 1.0 mm = 1.0 mm

52-185-05-04 1 52-190-06-04 1 52-188-06-04 1

Template Template Template

41
 Product range: SonicWeld Rx®

SonicWeld Rx® Implants

Resorb x® Meshes and Templates

1
⁄1 1
⁄1 1
⁄1

52-303-26-04 x 1 52-303-25-04 x 1 52-313-25-04 1

flexible, 29 x 29 mm 26 x 26 mm 25 x 25 mm
= 0.3 mm = 0.3 mm Template

52-306-26-04 x 1 52-306-25-04 x 1

flexible, 29 x 29 mm 26 x 26 mm
= 0.6 mm = 0.6 mm

52-310-25-04 x 1
26 x 26 mm
= 1.0 mm

1
⁄1 1
⁄1 1
⁄1

52-303-50-04 x 1 52-303-51-04 x 1 52-313-50-04 1

51 x 51 mm flexible, 51 x 51 mm 50 x 50 mm
= 0.3 mm = 0.3 mm Template

52-306-50-04 x 1 52-306-51-04 x 1
51 x 51 mm flexible, 51 x 51 mm
= 0.6 mm = 0.6 mm

52-308-50-04 x 1 52-310-53-04 x 1
53 x 53 mm flexible, 51 x 51 mm
= 0.8 mm = 1.0 mm

52-310-50-04 x 1
51 x 51 mm
= 1.0 mm

42
 Explanation of icons:

x Resorb x®

Aluminum

1 Packaging unit

Plate profile

Sterile packaged implants

1
⁄1

52-306-12-04 x 1

flexible, 126 x 126 mm

= 0.6 mm 1
⁄1

52-310-12-04 x 1 52-310-13-04 x 1
flexible, 126 x 126 mm 126 x 126 mm
= 1.0 mm = 1.0 mm

43
 Product range: SonicWeld Rx®

SonicWeld Rx® Implants

Resorb x® Meshes

1
⁄1 1
⁄1 1
⁄1

52-306-27-04 x 1 52-310-31-04 x 1 52-308-11-04 x 1

29 x 104 mm 31 x 106 mm 11 x 126 mm

= 0.6 mm = 1.0 mm = 0.8

52-310-27-04 x 1 52-310-11-04 x 1
29 x 104 mm 11 x 126 mm
= 1.0 mm = 1.0 mm

44
 Explanation of icons:

x Resorb x®

1 Packaging unit

Plate profile

Sterile packaged implants

52-251-00-04 x 1 52-311-11-04 x 1 52-314-31-04 x 1

16 x 251 mm 11 x 249 mm 11 x 310 mm, curved

= 1.0 mm = 1.0 mm = 1.0 mm

52-251-01-04 x 1 52-311-15-04 x 1

16 x 251 mm 11 x 249 mm
= 1.5 mm = 1.5 mm

1
⁄1 1
⁄1
1
⁄1

45
 Product range: SonicWeld Rx®

SonicWeld Rx® Implants

Resorb x® Orbita Floor Meshes and Burr Hole Covers

1
⁄1 1
⁄1 1
⁄1

52-306-17-04 x 1 52-306-19-04 x 1 52-306-23-04 x 1

17 x 17 mm 23 x 19 mm Ø 23 mm
Foil for orbital floor Mesh for orbital floor Mesh for orbital floor
= 0.1 mm = 0.3 mm = 0.6 mm

1
⁄1 1
⁄1 1
⁄1

52-306-30-04 x 1 52-306-40-04 x 1 52-306-24-04 x 1

Ø 30 mm 40 x 40 mm Ø 30 mm
Foil for orbital floor Foil for orbital floor Foil for orbital floor
= 0.6 mm = 0.6 mm = 0.6 mm

46
 Explanation of icons:

x Resorb x®

1 Packaging unit

Plate profile

Sterile packaged implants

flat

1
⁄1 1
⁄1 1
⁄1 1
⁄1

52-312-12-04 x 1 52-312-17-04 x 1 52-312-22-04 x 1 52-091-06-04 x 1

Ø = 12 mm Ø = 17 mm Ø = 22 mm = 1.0 mm
= 1.0 mm = 1.0 mm = 1.0 mm

contoured

1
⁄1 1
⁄1 1
⁄1 1
⁄1

52-312-13-04 x 1 52-312-18-04 x 1 52-312-23-04 x 1 52-092-06-04 x 1

Ø = 12 mm Ø = 17 mm Ø = 22 mm = 1.0 mm
= 1.0 mm = 1.0 mm = 1.0 mm

47
 Product range: SonicWeld Rx®

SonicWeld Rx® Implants

Resorb x® Membranes and Non-Perforated Meshes

1
⁄1 1
⁄1 1
⁄1

52-301-28-04 x 1 52-301-38-04 x 1 52-302-31-04 x 1

25 x 25 mm 25 x 25 mm 30 x 30 mm
= 0.1 mm = 0.1 mm = 0.2 mm

1
⁄1 1
⁄1 1
⁄1

52-301-20-04 x 1 52-302-30-04 x 1 52-302-41-04 x 1

50 x 20 mm 50 x 20 mm 40 x 40 mm
= 0.1 mm = 0.2 mm = 0.2 mm

48
 Explanation of icons:

x Resorb x®

1 Packaging unit

Plate profile

Sterile packaged implants

1
⁄1 1
⁄1 1
⁄1 1
⁄1

52-303-28-04 x 1 52-303-52-04 x 1 52-310-32-04 x 1 52-310-14-04 x 1

26 x 26 mm 51 x 51 mm 31 x 51 mm 11 x 126 mm
= 0.3 mm = 0.3 mm = 1.0 mm = 1.0 mm

52-306-28-04 x 1 52-306-52-04 x 1
26 x 26 mm 51 x 51 mm
= 0.6 mm = 0.6 mm

52-310-52-04 x 1
51 x 51 mm
= 1.0 mm

49
 Product range: SonicWeld RxG

SonicWeld RxG Implants

New resorbable Polymer

Since Resorb x® was launched back in 2000, the intrinsically amorphous

polymer consisting of PDLLA is well-known all over the world.

Now, we are pleased to be able to present another resorbable polymer that

supplements the SonicWeld technology:

Resorb xG

Its base material is PLLA-PGA. The two substances are mixed at a ratio
of 85% PLLA (poly-L-lactic acid) and 15% PGA (poly glycolic acid).
The initial tensile strength of Resorb xG is significantly higher than that
of Resorb x®. Furthermore, PGA is a substance that binds water easily to
store it. Consequently, Resorb xG tends to degrade faster than Resorb x®
(12 – 14 months).

Thanks to those facts, however, Resorb xG implants tend to be superior to

Resorb x® implants in some clinical applications.

Resorb xG implants are also compatible with the SonicWeld Rx® technology
without any handling differences compared to Resorb x® and can be fixed in
place with the usual SonicPins Rx.

50
 O
c
O c H
H
c H c
c cc O
H
H

c HH
c H
H

O
H

O
H

O
O

c c
c

H
H
O

O
H
O
H

c HH
Hc
c

Resorbable materials maintain the majority of their strength for 8 - 10 weeks. After the loss
H

of strength, the material will be processed by the body in the Krebs cycle into CO₂ and water.
c
H

Complete degradation of the implant will vary depending on the size and location of the
implant, and the age of the patient.
H

Tensile
Tensile Strength
Strength
Tensile Strength
Resorb
ResorbResorb
xG xG
xG
90 Resorb x®
Resorb
Resorbxx®®
80
Tensile Strength (N/mm2)

70
60
50
40
30
20
10
0
0 5 10 15 20 25
Weeks

Example
Resorbablefor mechanical
materials maintainproperties
the majority of their strength for 8-10 weeks. After the loss of
strength, the material will be processed by the body in the Krebs cycle into CO2 and water.11
55 10
10 15
15 20
20
The chart above compares the tensile strength of Resorb x® and Resorb xG polymers. Complete 25
25
degradation of the implant will vary depending on the size and location of the implant, and the age of
The Weeks
Weeks
chart above compares the tensile strength of Resorb x® and Resorb xG polymers.
the patient.
The measurements were done in vitro with standardized tensile bars at 37°C.
The results of animal studies show that resorbable implants of similar material composition, size, shape, and manufacturing
materials
materialsmaintain
maintain
technique willthe
the majority
resorbmajority of
oftheir
in approximately theirmonths.
12-14 strength
strengthfor
for8-10
8-10weeks.
weeks. After
Afterthe
theloss
8
lossof
of
51
ematerial
materialwill
willbe
beprocessed
processedby
bythe
thebody
bodyin
inthe
theKrebs
Krebscycle
cycleinto
intoCO
CO22and
andwater.
water.1111
 Product range: SonicWeld RxG

SonicWeld RxG Implants

New resorbable Polymer

1
⁄1 1
⁄1 1
⁄1

52-877-04-04 1 52-876-22-04 1 52-890-06-04 1

= 1.0 mm = 1.0 mm = 1.0 mm

52-877-04-04 1 52-190-06-04 1
Template Template

52
 Explanation of icons:

Resorb xG

Titanium

Aluminum

1 Packaging unit

Plate profile

Sterile packaged implants

1
⁄1 1
⁄1 1
⁄1

52-806-50-04 1 52-810-52-04 1 52-313-50-04 1

51 x 51 mm 51 x 51 mm 50 x 50 mm
= 0.6 mm = 1.0 mm Template

52-810-50-04 1
51 x 51 mm
= 1.0 mm

53
 Product range: SonicWeld RxG

SonicWeld RxG Implants

New resorbable Polymer

1
⁄1 1
⁄1

52-810-14-04 1 52-810-11-04 1 52-849-00-04 1 52-851-00-04 1

11 x 126 mm 11 x 126 mm 11 x 246 mm 16 x 251 mm

=1.0 =1.0 = 1.0 mm = 0.8 mm

1
⁄1 1
⁄1

54
 Explanation of icons:

x Resorb xG

1 Packaging unit

Plate profile

Sterile packaged implants

1
⁄1

52-806-13-04 x 1
126 x 126 mm
= 0.6 mm

52-810-13-04 x 1
126 x 126 mm
= 1.0 mm

55
 Product range: Sistema di magazzinaggio SonicWeld Rx®

Component Trays

55-969-44-04 55-969-46-04 55-962-45-04 55-891-40-01

Component tray Small parts module Storage rack 80 x 80 x 40 mm
for clip magazines Small-parts basket, fine-mesh

Optional Components

55-962-44-04 55-962-43-04 55-963-51-04

Bottom part Upper part for sonotrodes Sliding cover
for twist drills and small parts

56
Storage Trays and Containers

55-804-15-01 55-861-70-04
Tray for miniSet container microStop® miniSet container
incl. lid Ext. dimensions 310 x 189 x 90 mm
277 x 172 x 51 mm (L x W x H)
(L x W x H) Int. dimensions 283 x 177 x 65 mm
(L x W x H)

55-964-30-04 55-440-10-04
Storage tray microStop® container
26 x 26 cm Ext. Dimensions 272 x 267 x 122 mm
(L x W x H)
Int. Dimensions 267 x 262 x 81 mm
(L x W x H)

57
 Product range: SonicWeld Rx® storage system

Storage Options

55-804-15-01 Tray for miniSet container incl. lid

Option 1 277 x 172 x 541 (L x W x H)
55-891-40-01 Small-parts basket, fine-mesh, 80 x 80 x 40 mm
55-969-46-04 Small parts module
55-806-50-04 3x Separadors, 123 x 9 x 22 mm
55-806-33-04 2x Shaft holder, 8-10 mm

55-969-44-04 Component tray, consisting of:

Option 2 55-962-44-04 Bottom part for twist drills
55-962-43-04 Upper part for sonotrodes and small parts
55-963-51-04 Sliding cover

55-969-42-04 Storage and processing tray, complete, consisting of:

55-964-30-04 Storage tray 26 x 26 cm
55-969-93-04 Silicone mat
55-963-38-04 Lid for storage tray

55-969-46-04 Small parts module

Option 3
55-969-42-04 Storage and processing tray, complete, consisting of:
55-964-30-04 Storage tray 26 x 26 cm
55-969-93-04 Silicone mat
55-963-38-04 Lid for storage tray

58
59
KLS Martin Group

KLS Martin Australia Pty Ltd. KLS Martin do Brasil Ltda. KLS Martin Medical (Shanghai) KLS Martin India Pvt Ltd.
Sydney · Australia São Paulo · Brazil International Trading Co. Ltd. Chennai · India
Tel. +61 2 9439 5316 Tel. +55 11 3554 2299 Shanghai · China Tel. +91 44 66 442 300
[email protected] [email protected] Tel. +86 21 5820 6251 [email protected]
[email protected]

Martin Italia S.r.l. Nippon Martin K.K. KLS Martin SE Asia Sdn. Bhd. KLS Martin de México S.A. de C.V.
Milan · Italy Tokyo · Japan Penang · Malaysia Mexico City · Mexico
Tel. +39 039 605 67 31 Tel. +81 3 3814 1431 Tel. +604 505 7838 [email protected]
[email protected] [email protected] [email protected]

Martin Nederland/Marned B.V. Gebrüder Martin GmbH & Co. KG KLS Martin Taiwan Ltd. Gebrüder Martin GmbH & Co. KG
Huizen · The Netherlands Moscow · Russia Taipei 106 · Taiwan Dubai · United Arab Emirates
Tel. +31 35 523 45 38 Tel. +7 499 792-76-19 Tel. +886 2 2325 3169 Tel. +971 4 454 16 55
[email protected] [email protected] [email protected] [email protected]

KLS Martin UK Ltd. KLS Martin LP

London · United Kingdom Jacksonville · Florida, USA
Tel. +44 1189 000 570 Tel. +1 904 641 77 46
[email protected] [email protected]

Gebrüder Martin GmbH & Co. KG

A company of the KLS Martin Group
KLS Martin Platz 1 · 78532 Tuttlingen · Germany
P.O. Box 60 · 78501 Tuttlingen · Germany
Tel. +49 7461 706-0 · Fax +49 7461 706-193
[email protected] · www.klsmartin.com

90-422-02-06 · Rev. 01 · 2019-09 · Printed in Germany · Copyright by Gebrüder Martin GmbH & Co. KG · Alle Rechte vorbehalten · Technische Änderungen vorbehalten
We reserve the right to make alterations · Cambios técnicos reservados · Sous réserve de modifications techniques · Ci riserviamo il diritto di modifiche tecniche

The KLS Martin SonicWeld Rx® solution is based on the BoneWelding® technology1) protected by the
industrial property rights of WoodWelding AG, Switzerland, and has been licensed by this company.
1)
“BoneWelding®“ is a registered Swiss trademark.