Cement Test Flashcards
How much cement in the standard BFD
Standard: 1.5 (6)
Size 2: 1.2 (8)
How much cement fills each pack?
17-19cc
HV-R contains ______ % barium sulfate
How can you see cement on the screen?
30%
Purple switch up=
Closed
Mixing and handling times at ideal temp of 22 degrees Celsius (71.6 degrees Fahrenheit)
HVR
Mixing: 2
Handling: 6
Working: 8
Setting in body: 4
Mixing and handling times at ideal temp of 22 degrees Celsius (71.6 degrees Fahrenheit)
Expede
Mixing: 30 sec
Handling: 2.4
Working: 13.5
Setting in body: 15.8
Can you leave partially filled BFD in body?
No, it can leak and lock in
When is cement ready?
Tooth paste consistency
We do not need to add any addition grams of barium in HVR
Why may a physician use a directional BFD
Breached or a weakened endplate
Know garages of osteointroducer
10 gauge (size 2) 3.5mm 8 gauge (size 3) 4.2 mm
Ballon sizes: Xpander 1 (size 3)
Size: Pressure Volume
10/3 400psi 4cc
15/3 400psi 4cc
20/3 400psi 6cc
What effect bone cement timing?
Temperature
Humidity
Mixing technique
Ballon sizes: Xpander 2
Size: Pressure Volume
10/3 700psi 4cc
15/3 700psi 5cc
20/3 700psi 6cc
Ballon size: express 1
Size: Pressure Volume
10/2 400psi 4cc
15/2 400psi 5cc
Ballon size: exact: will best guide balloon
Size: Pressure Volume
10/3 300psi 3cc
15/3 300psi 4cc
How can you tell the different between the balloons?
Swoosh, color of collar & sheath, label
Why did they introduce need cannula for expander II?
Expander II were getting ballon a stuck in cannula
Ballon is made of less-complaint, so harder to get back inside cannula
Key features of new cannula
Purple colored hub
Backwards compatible
What to use kiss syringe for
Want to use it for 700psi bc it can read that high, merit syringe can’t read that high
Why can expander II maintain
Less compliant bone material
Higher lift force
Strengths of bonds
Reinforced connecting points on IBT shaft
Identify functions on KIS syringe
Display aligned w units on plunger
Units are white
Handle is different
Advanced tools: Kyphon one step Latitude Express Osteointroducer
.
Why would Doctor want to use osteointroducer pack?
Cortical bone on younger patient
Local anesthesia
Tips in advanced kyphopack tray
Diamond and bevel
Express curette:
Can be reset 4x Universal Used in size 2 and 3 Angle 45 and 90 T tip only
Curette in express
Do you still need to drill?
Yes still need to drill in express after bone biopsy
BBD isn’t wide enough in express kit
Precision drill widens channel
Can express curette be used in size 2?
Yes and size 3 (size 2 what it is made for)
One stop system removes what?
Jamshidi and guide pins
Directional balloons
Directional guide
External stainless steel shaft
When using curette, how to explain to Doctor?
Speak to direction, will articulate to short side of handle
When to instruct doctor to use directional bone filler or curette
Anterior wall compromised
Who is ideal for curette?
Everyone is an ideal user
Curette is used to:
Scrape and score
T tip vs wedge tip
T tip: 8mm / medial lateral scrape and score
Wedge: 8.5mm and 6.5mm / AP scrape and score
Color of handles:
Trocar
Bevel
Diamond
Trocar: white
Bevel: beige
Diamond: purple
Exact IBT (inflation bone tamp)
Directional balloon
CDS system
Stopper at 2in down
Immediate stop 48”
8cc, use 2 ___
Express bone filler
1 cc and .2cc / plunger gets out 1cc
One step system is for ______ physicians only and can reduce __________
Skilled; reduce OR time, radiation exposure, malleting and tool exchanges
What is in the osteointroducer kit?
1 osteointroducer 2 guide (2 sharp and 2 blunt) 1 precision drill 2 balloons 2 jamshid
