Deformities of the chest wall

STRATOS was developed in order to surgically manage deformities of the chest such as pectus excavatum, pectus carinatum and pectus arcuatum. Mixed forms of the said deformities, asymmetric forms and deformities of the costal arch can also be treated with STRATOS.

Depending on the type and severity of the deformity this disease involves not only psychological side effects but also physiological ones.

With appropriate preoperative evaluation and surgical strategy, STRATOS is highly versatile and constitutes an innovative technique for the management of chest deformities.

Application

  • one implant bridge per mobilised rib level
  • an implant bridge comprises of two titanium rib clips and one Titanium connecting bar
  • the titanium rib clips are selected according to the anatomical situation and placed on the left and right sides of the rib
  • after precise positioning and alignment of the Titanium rib clips the Titanium connecting bar is shortened to the particular length and introduced to the connectors of the Titanium rib clips
  • the titanium rib clips are fixed in place on the rib
  • the titanium connecting bar is crimped onto the connectors of the Titanium rib clips

Benefit and outcome

Technical advantages

  • The rib clips comprise one item so time-consuming intraoperative configuration is eliminated
  • Functionally stable fixation of the previously mobilised ribs and / or cartilage
  • Clearly organised range of implants
  • User-friendly instrument set
  • Made of pure titanium so imaging for postoperative monitoring is interference-free

Results

  • stable fixation of the Titanium rib clip on the costal arch, left and right
  • secure connection by crimping the connectors of the Titanium rib clips to the Titanium connecting bar
  • immediate functionally stable fixation of the mobilised rib level
  • the patient is mobile directly after the intervention.

Successes

Subjective successes in the applicationof STRATOS

  • Patient satisfaction due to tremendous improvement in the quality of life
  • Surgeon satisfaction due to individual, easy selection and application of products

Objective successes in the application of STRATOS

  • Easy adaptation of implants at the rib
  • Quantitative morphological change
  • Functional changes such as improvement in heart function and respiratory function
  • Uncomplicated removal of implants after healing

Implants

012-02225
Titanium rib clip, right, 22.5°, Standard

012-01225
Titanium rib clip, left, 22.5°, Standard

012-02450
Titanium rib clip, right, 45°, Standard

012-01450
Titanium rib clip, left, 45°, Standard

012-04225
Titanium rib clip, right, 22.5°, XL

012-03225
Titanium rib clip, left, 22.5°, XL

012-04450
Titanium rib clip, right, 45°, XL

012-03450
Titanium rib clip, left, 45°, XL

014-01000
Titanium rib clip, straight, Standard

014-01001
Titanium rib clip, straight, XL

012-02226
Titanium rib clip, right, 22.5°, Standard,
rotatable connector

012-01226
Titanium rib clip, left, 22.5°, Standard,
rotatable connector

012-02451
Titanium rib clip, right, 45°, Standard,
rotatable connector

012-01451
Titanium rib clip, left, 45°, Standard,
rotatable connector

012-04226
Titanium rib clip, right, 22.5°, XL,
rotatable connector

012-03226
Titanium rib clip, left, 22.5°, XL,
rotatable connector

012-04451
Titanium rib clip, right, 45°, XL,
rotatable connector

012-03451
Titanium rib clip, left, 45°, XL,
rotatable connector

014-01002
Titanium rib clip, straight, Standard,
rotatable connector

014-01004
Titanium rib clip, straight, XL,
rotatable connector

012-05010
Titanium rib clip, 2/1 segments, Standard,
rotatable connector

012-05011
Titanium rib clip, 2/1 segments, XL,
rotatable connector

012-10150
Titanium connecting bar, partially serrated, 150 mm

014-10190
Titanium connecting bar, completely serrated, 190 mm

012-10190
Titanium connecting bar, partially serrated, 190 mm

014-10230
Titanium connecting bar, completely serrated, 230 mm

012-10230
Titanium connecting bar, partially serrated, 230 mm

012-05020
Titanium connecting bar connector

014-10195
Titanium connecting bar, sliding function with stop, 195mm

012-05015
Titanium connecting bar connector, rotatable connector

Instruments

010-00025
Flat-nosed bending pliers for rib clips and connecting bars, 13.5 cm
Pliers for horizontal bending and axial torquing of the rib clips. In this procedure the pliers are used in pairs.

010-00020
Three-point bending pliers for rib clips, 18 cm
Pliers for longitudinal axis-adjustment of the angle of the Titanium rib clip

010-00050
Rib clip fixation pliers, Universal
Pliers for affixing the titanium rib clip to the rib
The pliers is placed vertically on the titanium rib clip to be closed and then closed completely.
In this procedure the hold-down device presses on the titanium rib clip and keeps it in position whilst the lateral jaws shape and fix the titanium rib clip segments around the rib.
With this instrument it is possible to affix not only standard titanium rib clips but also XL ones.

010-00037
Rib clip fixation pliers for Standard rib clips, angled 100°, 20.5 cm
010-00047
Rib clip fixation pliers for XL rib clips, angled 100°, 20.5 cm
Pliers for affixing the titanium rib clip to the rib.

010-00060
Rib clip fixation pliers for titanium rib clips, 2/1 segments
Pliers for fixing the Titanium rib clip, 2/1 segments, to the rib.
The pliers is placed vertically on the Titanium rib clip to be closed and then closed completely.
In this procedure the hold-down device presses on the Titanium rib clip and keeps it in position whilst the lateral claws shape and fix the titanium rib clip segments around the rib.
With this instrument it is possible to affix not only standard Titanium rib clips but also XL ones.

010-00030
Implant crimping pliers, 18 cm

010-00032
Implant crimping pliers, angled 100°, 20.5 cm
Pliers for final closure (crimping) of the connection between Titanium rib clip and Titanium connecting bar.

010-00010
Implant cutting pliers with exchangeable jaw inserts, 22cm
Pliers for cutting the titanium connecting bars

010-00090
Tunneling instrument, 36 cm
Instrument for the preparation of retrosternal or presternal soft-tissue tunnels in order to accommodate Titanium connecting bars..

010-00005
Sterilizing container (Polyphenylsulfone)

010-00007
Sterilizing Container (Polyphenylsulfone), half-size

Do you have a question or would you like further information? Please contact us!