INDEX
4 NORM SILVER Antibacterial Silver Spinal System NORM POSTERIOR SPINAL SYSTEM
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20
NORM ARMADA Anterior Thoracolumbar System NORM POLAR Cervical Peek Cage NORM ALLIGATOR Posterior Lumbar Interbody Fusion Peek Cage NORM LUMBAR BANANA PEEK CAGE Thoracolumbar Interbody Fusion Banana Peek Cage NORM EXPANDABLE PEEK CAGE Expandable Lumbar Peek Cage NORM VERTELIFT - C Distractable Cervical Corpectomy Cage NORM VERTELIFT - T Dual Distractable Thoracolumbar Corpectomy Cage SPINE SYSTEM Vertebraplasty Set NORM VIVAX Synthetic Bone Substitute NORM Cervical Disc Prosthesis NORM PLATE Anterior Cervical System CERVICAL POSTERIOR OKSIPITAL STABILIZATION SYSTEM
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29
31
33
35
39
43
47
51
55
58
NORM SILVER
Antibacterial Silver Spinal System
This Project has been supported by the Scientific and Technological Research Council of Turkey
Antibacterial Silver Screw System is a pedicle screw system which is used for the treatment of degenerative or pathologic diseases to achieve an artificial stabilization. The pedicle screw systems are considered the most common application for spinal column fixation. And the feautre of coating with nanoarticular silver ions distinguish Norm Antibacterial Silver Screw System from these pedicle screw systems. Length of the operation time in transpedicular stabilization with screwrod system, which has become one of the routine applications in spinal surgery, and predisposing causes like wideness of the incision or foreign material applications (titanium screws) carry an increased risk of infection. In case of infection growth antibiotic therapies and the increased hospitalization period increase greatly the cost of treatment. In addition, the available antibiotics may not always be sufficient to
solve the problem and in some patients, removing of the implant is necessary with a second operation. The main purpose of this study is coating of the titanium implants used with nanoarticular silver ions and reducing the infection rate and risk.
NORM SILVER
This Project has been supported by the Scientific and Technological Research Council of Turkey
Silver, which is the basic logic of the system, has antibacterial characteristics. Among the most effective antibiotics, Meticillin-Resistant Staphylococcus Aureus (MRSA) is one of the primary dangerous bacteriums. It was found in the studies performed that silver protects the stabilization systems used in spinal surgery from bacteriums such as MRSA (meticillin-resistant Staphylococcus aureus Meticillin is among the most powerful antibiotics) that causes hospital infections with a rate of 91,6 percent, an deven kils these deadly microorganisms. With the purpose of not changing the biomedical characteristics of the system that this procedure will be applied to, an not to create side effects because of the material used, the coating material in microgram weights must be implanted onto the system in micron thickness. Following the silver coating with Sol-Gel method, it was projected that the volume of silver changes by 2mg to 5mg in total. Even in case that the entire volume of silver rapidly involves the circulation in body, it will not
or chronic argyria. Spinal systems which are coated silver by Nanotechnology method, is considered
biomechanical compliance.
This Project has been supported by the Scientific and Technological Research Council of Turkey
NORM SILVER
be possible that silver level in blood can reach a toxic level that will cause acute
Antibacterial Silver Screw System is composed of pedicle screws, reduction screws, transverse connector, hook, rod and set screw devices. Pedicle screws are available in 2 forms, Monoaxial and Polyaxial.
57 angulation
NORM SILVER
This Project has been supported by the Scientific and Technological Research Council of Turkey
Transverse connectors are available in 2 type of connector, Mono and Multiaxial Connectors. Multiaxial Transverse Connectors allow 360 angulation and both Mono and Multiaxial connectors are compatible with pedicle screws allowing a strong fixation to prevent rotation.
This Project has been supported by the Scientific and Technological Research Council of Turkey
NORM SILVER
NORM SILVER
This Project has been supported by the Scientific and Technological Research Council of Turkey
The system does include 3 kind of Hooks; Pedicular Hook, Laminar Hooks (Left and Right Angled) and Laminar Hook Small. Other than the feature of an effective fixation with Hook System, Lateral and Domino Connectors are the additional features which complete the system. NORM SILVER Antibacterial Silver Coated Polyaxial Reduction Pedicle Screw
Product Code Description Size 5.5 x 35 ~ 50 6.0 x 35 ~ 50 6.5 x 35 ~ 50 7.0 x 30 ~ 55 7.5 x 40 ~ 55 AB-NSPRS5535 ~ 50 NORM SILVER Antibacterial Silver Coated Polyaxial Reduction Pedicle Screw AB-NSPRS6035 ~ 50 NORM SILVER Antibacterial Silver Coated Polyaxial Reduction Pedicle Screw AB-NSPRS6535 ~ 50 NORM SILVER Antibacterial Silver Coated Polyaxial Reduction Pedicle Screw AB-NSPRS7035 ~ 55 NORM SILVER Antibacterial Silver Coated Polyaxial Reduction Pedicle Screw AB-NSPRS7540 ~ 55 NORM SILVER Antibacterial Silver Coated Polyaxial Reduction Pedicle Screw
Hooks
Effective Fixation
This Project has been supported by the Scientific and Technological Research Council of Turkey
NORM SILVER
AB-NPLH0706 ~ 11 NORM SILVER Antibacterial Silver Coated Laminar Hook W/Narrow Blade AB-NPLHLA711 AB-NPLHRA709 AB-NPLHRA711
NORM SILVER Antibacterial Silver Coated Laminar Right Angled 20 Hook Small W/Narrow Blade 7x9 NORM SILVER Antibacterial Silver Coated Laminar Right Angled 20 Hook Small W/Narrow Blade 7x11
NORM SILVER
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This Project has been supported by the Scientific and Technological Research Council of Turkey
Norm Posterior Spinal System is composed of pedicle screws, reduction screws, transverse connector, multiaxial connector, lateral and domino connector, ominiaxial lateral connector, hook, flexible hook, sacral screw and sacral connector,rod and set screw devices. Pedicle
57 angulation
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Sacral Connector
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Omniaxial Connector
Lateral Connector
NORM Connector
Product Code Description NSLCNT15 NSLCNT20 NSECNT01 NSECNT02 NSOCNT NORM LATERAL-EXTENSION CONNECTOR LATERAL NORM LATERAL-EXTENSION CONNECTOR LATERAL NORM LATERAL-EXTENSION CONNECTOR EXTEND FOR 1 ROD NORM LATERAL-EXTENSION CONNECTOR EXTEND FOR 2 ROD NORM OMNIAXIAL CONNECTOR Size 15 MM 20 MM
ROD
Iliac Screw
NORM Rod
Product Code NSR1604 ~ 60 Description NORM ROD Size 6,0x40 ~ 600
AWL
TEST PROBE
PEDICULAR PROBE
GUIDE PIN
SCREW DRIVER
4.0 mm Driver-I
4.0 mm Driver-T
L TORQUE
ROCKER
ROD PUSHER
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ROD HOLDER
ROD BENDER
COMPRESSOR
DISTRACTOR
ROCKER
PERSUADER
NORM ARMADA
Anterior Thoracolumbar System
NORM ARMADA
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Rod
Corpus Plate
Anterior Transverse
NORM ARMADA
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Anterior Thoracolumbar system consists of Straight Plate, self-locking screws, nuts and washers create a rigid fixation, rod, anterior screw and connector, anterior transverse link and corpus plate. Thorocolumbar Plate has two different holes which are rounded and elliptical for universal Locking screws and self locking screws. Straight Plate System provides anterior stabilization and fixation for unstable thoracolumbar vertebrae
NORM ARMADA
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NORM ARMADA
NORM POLAR
Cervical Peek Cage
POLAR Cervical Peek Cage is manufactured from PEEK material which is compatible with MRI and does not allow any lesional problems. Its implanted from anterior approach using SmithRobinson technique. Through its toothed surface feature which facilitates a strong fixation by superior and inferior area, any additional implantation such as plate is not necessary. Determination of appropriate size through trials and implantation with only one instrument offer an easy application and advantage of time saving to the user. The device is provided with inserted Norm Vivax Pre-filling synthetic bone substitute which has the same dimensions of filling area on the device for easy application or separately on request.
Titanium marker
Toothed Surface
NORM POLAR
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NORM POLAR
NORM ALLIGATOR
Posterior Lumbar Interbody Fusion Peek Cage
Posterior Lumbar Peek Cage, is manufactured from PEEK material which is compatible with MRI and does not allow any lesional problems. Its implanted from posterior approach for following indications: Mechanical Instability, Spondylolisthesis, DDD. Its toothed surface feature facilitates a strong fixation by superior and inferior area. Through its grafting spaces, its possible to reach appropriate fusion by grafting technique.
Titanium marker
NORM ALLIGATOR
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Thoracolumbar interbody fusion is designed as compatible to anatomical constitution at different sizes. It is manufactured from PEEK material which is full compatible with body. It
allows to obtain full and quick fusion through the slots which are on its surface. These slots dosnt effect the endurance which Banana Cage resists against the pressure caused by body weight. It is fixed to body strongly through the tooths at its inferior and superior surface.
Titanium marker
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Expandable interbody lumbar peek cage, is manufactured from PEEK material which is compatible with MRI and dosnt allow any lesional problems. Its implanted from posterior approach for following indications: Mechanical Instability, Spondylolisthesis, DDD. Its toothed surface feature facilitates a strong fixation by superior and inferior area.
Toothed Surface
Expandable In Body
Titanium Marker
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NORM VERTELIFT - C
Distractable Cervical Corpectomy Cage
Distractible cervical Corpectomy Cage, is manufactured from Titanium alloy, Its angled inferior and superior area allow a complete contact with vertebral surface and composed by 1 piece. This feature allowing a complete contact with vertebral surface also provide a secure fixation with the feature of toothed surface and prevent any dislocation. With an efficient grafting space, the system allows applying graft before distraction and provides a one stage locking mechanism.
Toothed Surface
NORM VERTELIFT - C
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NORM VERTELIFT - C
NORM VERTELIFT - T
Dual Distractable Thoracolumbar Corpectomy Cage
VERTELIFT Dual Distractible Toracolumbar Corpectomy Cage, is manufactured from Titanium alloy, ts angled inferior and superior area allow a complete contact with vertebral surface and composed by 1 piece. This feature allowing a complete contact with vertebral surface also provide a secure fixation with the feature of toothed surface and prevent any dislocation. The system which provides an efficient grafting space, must be implanted in according to provide an equal distance simultaneously from inferior and superior. The system allows applying graft before distraction and provides a one stage locking mechanism.
NORM VERTELIFT - T
Toothed Surface
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NORM VERTELIFT - T
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SPINE SYSTEM
Vertebraplasty Set
Spine System is designed to perform percutaneous vertebroplasty, a procedure that offers relief to patients suffering prolonged and debilitating pain from compression fractures in the spinal vertebrae. It involves injecting bone cement into the vertebrae to stabilize fractures, and results in significant pain relief and restoration of mobility in patients. It is an inventionist minimally invasive therapeutic procedure for the treatment of the painful vertebral fractures. It consists of bone cement in the injection through a needle, introduced with the combinated guidance of CAT (Computerized Axial Tomography) and digital fluoroscopy. That determines a reduction of the pain and allows the ability of retrieving the mobility for the normal activity to the patients that have involved to this procedure. Such procedure gives optimal results in the treatment of the pain caused from osteoporosis and vertebral metastasis.
SPINE SYSTEM*
Vertebraplasty Set
*Tecnomed S.R.L.
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150 x 2.7mm 100 x 3.0mm 150 x 3.0mm 100 x 2.5mm 150 x 2.5mm
100 x 3.2mm
150 x 3.2mm
100 x 2.7mm
VP6024
Dual-In Set 4
VP6010 VP6011
SPINE SYSTEM
NORM Spinal Products
Vertebraplasty Set
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NORM VIVAX
Synthetic Bone Substitute
Pure resorbable synthetic -Tricalcium Phosphate For a total resorption 20 Years experience 13 Years clinical experience Elaborated from high purity synthetic Tricalcium phosphate (-TCP = Ca3(PO4)2), NORM VIVAX implants are processed by high temperature sintering (over 1.000 C) and contain no organic molecules : no risk of viral contamination from human or animal origin (AIDS, hepatitis, prion, ) Composed of Calcium and phosphate ions, like natural bone mineral, VIVAX is perfectly well tolerated (no adverse reactions) and conform ASTM 1088 to guaranty established biocompatibility. Shape, size and porosity of VIVAX has been designed and tested in our laboratories to fit a large variety of cancellous bone defects. With its unique porosity rate ranging 45 % to 70 %, the NORM VIVAX range is adapted to most
surgical indications and allows easy handling (Figure 1). Bone cells proliferation Stem cells from bone marrow can differentiate into specific osteogenic cells (Osteoblasts) capable of synthesizing extracellular bone matrix. The chemical composition and physical structure of VIVAX allows for human osteoblasts fixation and proliferation (In vitro study). The porous structure permits cellular penetration inside internal cavities where bone formation occurs directly onto the -TCP surface, leading to complete integration. Just like in natural endochondral bone healing, immature bone is first formed, progressively maturing into haversian bone (Figure 2). The implant is progressively resorbed by osteoclast cells and replaced by healthy new-formed bone, just like in normal bone remodeling. It has been evidenced that dissolved calcium and phosphate ions are involved in local mineralization processes.
NORM VIVAX
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Figure 1 : Variation of compressive strength as a function of the total porous volume (In vitro study)
Figure 2
NORM VIVAX
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NORM VIVAX
NORM
Cervical Disc Prosthesis
The rationale for motion preservation by disc replacement with MCD Device after anterior cervical discectomy is to diminish long-term morbidity secondary to adjacent segment degeneration. This procedure can be readily applied in patients presenting with neurologic deficit, radiculopathy or myelopathy because the approach and anterior spinal cord decompression are identical for anterior cervical disc replacement and traditional SmithRobinson cervical decompression. In addition, the application of more complex spinal osteotomies, revision of pseudarthroses and deformity correction are much more applicable to the cervical arthroplasty procedures. MCD Device is an attractive alternate to arthrodesis for management of disc degeneration and herniation in the cervical spine. The advantages of this system include preservation of normal motion and biomechanics in the previous cervical spine and reduction of adjacent-segment degeneration. Other potential advantages include faster return to normal activity and elimination of the need for bone graft and associated donor site morbidity. The physical structure of the device consists Titanium Alloy inferior and superior pieces, introducing the mobility with Titanium Nitride (TiN) coated part included to inferior piece.
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NORM
Toothed surface - safety with the fixation onto superior and inferior vertebrae
NORM
NORM PLATE
Anterior Cervical System
Anterior Cervical system consists of mobile emergency screws, fixed emergency screw, plate which provides high strength with low thickness, screws of mobile and fixed bone anchorage. Blocking system that avoids the anteropulsion of screws, is friendly and effective with the plate. The mobile emergency screws allow poliaxial angulation of 15. The fixed emergency screws are placed perpendicularly to the plate in order to obtain more solid fixings. The ionically anodized surface avoids friction wearing out and boosts resistance to fatigue. The rounded peripheral rim lowers the aggressiveness of the implant over soft tissues. It provides effective and simple use.
NORM PLATE
Locking System
Colour-Coded Screw
Low Profile
NORM PLATE
Cervical Posterior Oksipital Stabilization system consists of occipital hooks, polyaxial screws and rods as well as plates, angled lateral connector which facilitates combination of hooks and screws and thoracol extension connector which enables to extend the construct to the thoracic spine. The system has been developped to provide the surgeon
Angled Hook
Lateral Connector
Hook
Transverse Connector
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Rod Connector
Angled Screw
with unsurpassed versatility for the treatment of pathologies of the occipitocervical junction,