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KLS Martin group GENOS Mode D'emploi page 23

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Danger of bodily harm!
CAUTION!
Latency period: 3–5 days
Activating the distractor during the distraction phase
The distractor is activated with the patient screwdriver (item no. 26-750-25) by clockwise ro-
tation. The arrow marks on the screwdriver (26-750-25) indicate the correct direction of rota-
tion during the distraction phase. We recommend a total distraction length of 0.5 mm (= 2 full
rotations) per day, to be achieved in two steps: 0.25 mm in the morning and 0.25 mm again in
the evening (each time one complete rotation through 360°).
The distraction must be performed by a physician. Given adequate instruction by the physi-
cian, however, it is possible for the patient or his relatives to perform the distraction them-
selves.
Danger of bodily harm!
CAUTION!
V 1.1
The distractor must not become bent during distraction.
Therefore, the bone segments to be distracted must be mobilized prior to
distraction (full osteotomy). Insufficient mobilization would subject the
distractor to excessive forces that could lead to deformation or even frac-
ture of the device.
Make sure that the activation is always carried out in the correct direction
during the distraction process. Please note the arrows provided on the pa-
tient screwdriver for this purpose.
The distractor may never be bent or modified in any way.
The distractor may never become bent or deformed during distraction.
Should deformation occur as a result of excessive forces acting upon the
device (e.g. due to high soft-tissue pull, insufficient mobilization of the
bone segments, static or non-permitted dynamic overload, patient fall,
etc.), the distraction process must be stopped and the treating physician
visited at once. If distraction is carried on in spite of distractor defor-
mation, this can lead to fracture of the device (due to overload), screw
breakage or the screw being torn out of the bone.
The tensile forces acting upon the soft tissues of the patient must be
monitored during the distraction phase. Sufficient callus formation must
be checked regularly by X-ray control. If necessary, adjust the distraction
speed to the appropriate level.
All physical or sports activities that could adversely affect the distractor or
the bone sections connected with it must be strictly avoided throughout
the treatment (e.g. activities posing a risk of the distractor or bone sec-
tions being impacted by a fall, blow, knock or similar cause).
KLS Martin GENOS Distractors (non sterile)
Instructions for use
23

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