201
Quartex: What is the conical screw angulation of a 4.0mm diameter screw?
80 (+/-40)
75 (+/-37.5
90 (+/-45)
Quartex: What is the largest diameter screw?
5.5mm
5.0mm
4.5mm
Quartex: The head to head locking cap can be inserted through the tower reducer
True
False
Quartex: Once the screw has been implanted using the Rigid Driver how does the surgeon remove the driver from the screw
Rotate the knurled knob counterclockwse
Push the gold button
Rotate the knurled knob clockwise
Quartex What is the correct method for removing the tower reducer or top loading ratcheting reducers from the screw thread
Slight twist and then pull
Pull straight out
Rock side to side
The ELLIPSE system final tightens at ___Nm
3.5
2.5
1.5
5.5
Ellipse: The drill guide with adjustable stop can be set to what minimum depth?
5mm
6mm
7mm
8mm
ELLIPSE: What is the smallest length polyaxial screw available
6mm
8mm
10mm
12mm
ELIPSE screws offer ____ degrees of angulation
+/-20
+/-25
+/-30
+/-40
ELLIPSE: The pre-set drill guide is fixed to how many mm?
10mm
12mm
14mm
What diameter polyaxial screws are available for ELLIPSE
3.0, 4.0mm
3.5, 4.0, 4.5mm
3.5, 4.0mm
3.0, 4.0, 4.5mm
COALITION AGX: Allograft must be hydrated prior to assembly
True
False
COALITION AGX: The allograft spacer is available in three footprints
True
False
COALITION AGX: After finding the correct footprint size on the assembly press, the plate should slide down the gold track
True
False
COALITION AGX: How many Nm does it take for the set screw positioner 2.0mm Hex torque out?
0.3Nm
3Nm
0.2Nm
0.1Nm
COALITION AGX: What size plates to the gold midline holders go with in the standard instrument set
Small (12x14mm)
Small (14x16mm)
Both
Neither
COALITION: The set screw needs to be turned 90 degrees to be in lock position
True
False
Coalition: Are these screws self-drilling or self-tapping?
Self-Tapping
Self-Drilling
Coalition: Are these screws Variable or Fixed?
Variable
Fixed
COALITION: The anterior portion of the plate should be flush or up to 1mm recessed on final positioning
True
False
Coalition: What length are the screws?
10mm
12mm
14mm
16mm
COALITION: FDA cleared for two levels in the spine
True
False
COALITON: Which of the two sizes is the width on a 12X14 implant
12mm
14mm
COALITION: you can flip as a rescue option and get new screw hole paths
True
False
COALITION MIS: Anchors should be selected to match the respective color coordinated spacer
True
False
COALITION MIS: The spacer should always be implanted as far posterior as possible so that the positive stop on the double anchor guide contacts the vertebrae
True
False
COALITION MIS: How can you ensure an anchor is correctly loaded into the double barrel anchor guide?
Lay instrument flat on table
Slide center rib of anchor into the slot of the anchor port
Use rounded end of Hex driver to press on anchor head to secure in instrument
Confirm that a click was felt and/or heard
Check that no part of Anchor head protrudes from instrument
All of the above
COALITION MIS: Each anchor is to be incrementally impacted one at a time, using the fluoroscopy to monitor the advancement of each anchor
True
False
COALITIONS MIS: If an anchor needs to be removed from the spacer once implanted, what should you advice the surgeon before the removal?
Confirm that the set screw has been rotated to the open position
Confirm that the freehand inserter is attached to the spacer
Confirm that the anchor removal tool is fully threaded into the anchor
All of the above
COALITION MIS: The double barrel anchor guide will not disengage from the spacer. What can you advise the surgeon to do?
Ensure both anchors are fully seated
Rotate the Hex Driver clockwise, then withdraw the instrument
Confirm the Hex Driver is fully seated into the Threaded Rod hex hole
Rotate Hex Driver counterclockwise while simultaneously withdrawing the instrument, rocking left/right as needed
SECURE C: What are the two sagittal profiles?
0 and 10 degrees
0 and 7 degrees
0 and 6 degrees
0 and 8 degrees
SECURE C: What is the height and width of the multiple serrated keels
Height: 1.5mm; Width: 2mm
Height: 2.5mm; Width: 2mm
Height: 2mm; Width: 2.5mm
What ROM does the SecureC implant offer? Flexion/extension? Lateral Bending? Sagitall plane transition?
+/-15, +/-10, +/-1.25mm
+/-10, +/-15, +/-1.5mm
+/-15, +/-20, +/-1.25mm
MARS: What lengths do the blades come in?
30mm to 70mm
15mm to 20mm
35mm to 100mm
MARS: How are the blades held in place in the retractor?
Vice Mechanism
Spring-Loaded Lock
Tension from the tissue
MARS: What sets are required for a case using a table arm
ACDF Retractor Set
MARS Instruments II
Both 1&2
MARS: What material are the blades made out of?
Titanium
Stainless Steel
Aluminum
MARS ACDF retractor set contains all of the following except
Depth Gauge
Blades
Retractor Frame
Distractor
The torque on the CREO non threaded system is
8.0Nm
6.5Nm
7.5Nm
5.5Nm
CREO Threaded will accommodate which rod diameters
5.0mm-6.35mm
5.5mm, 6.0mm
5.5mm
4.75mm, 5.5mm
Creo Threaded uses the black torque limiting handle 8.0Nm
True
False
CREO: The clip reducer offers how many millimeters of reduction?
5mm
10mm
20mm
30mm
CREO threaded profile is?
16mm
15mm
14.75mm
16.5mm
CREO: Uniplanar screws offer how many degrees of angulation in the cranial caudal direction
+/-15
+/-20
+/-30
+/-10
CREO Threaded curved rods are offered in what lengths?
20mm-150mm
50mm-600mm
30mm-600mm
30mm-150mm
How many reduction options are available with CREO non threaded?
4
6
5
3
Revere: What is the depth up to the first line on the 6.5 tap?
35mm
30mm
20mm
25mm
Revere: What is the torque limit of the 3.5mm Torque limiting driver?
5.5Nm
3.5Nm
4.5Nm
4.0Nm
Revere: What is the torque limit of the 2.5mm torque limiting driver?
2.0Nm
1.5Nm
5.5Nm
2.5Nm
Revere: Taps are undersized by how man mm?
.2mm
.1mm
.5mm
1mm
CALIBER is intended for use in a max of ___ contiguous levels
2
1
3
4
CAIBER is available in what two widths
6mm and 10mm
10mm and 12mm
8mm and 10mm
12mm and 14mm
What lengths are available with the CALIBER implant?
20mm, 24mm, 26mm
22mm, 26mm, 30mm
24mm,26mm,30mm
22mm,24mm,26mm
CALIBER: How many degrees is the largest available Lordotic option?
19
17
15
13
CALIBER: It is ok to rotate implant while on the implant holder
True
False
CALIBER: On a 9-13mm implant _____ turns on the torque limiting driver indicate 1mm of expansion
1.5
1.25
2.0
1.75
CALIBER: The purpose of the torque limiting feature of the trail and implant is to protect the integrity of the instrument/implant not the endplate
True
False
CALIBER: It is okay to impact on the torque limiting driver when placed in insertion handle
True
False
RISE: Approximately how many revolutions equal 1mm of expansion
1.75 Revolutions
1 Revolution
1.5 Revolutions
1.25 Revolutions
Rise: How many Nm is the torque limiting driver?
2.25Nm
2.0Nm
2.75Nm
3.0Nm
Rise is intended for use at what levels in the spine?
T12-L5
L2-S1
T12-S1
L1-S1
RISE offers up to how many mm of expansion?
7mm
8mm
9mm
6mm
What are the lordotic options with Rise?
4, 10, and 15 degrees
6,10, and 15 degrees
6,8, and 12 degrees
4,8, and 10 degrees
What are the width options with RISE?
6,8,10mm
8,10,12mm
8,12,14mm
6,10,12mm
You can use the CALIBER torque limiting driver wit RISE
False
True
What are the three ALTERA features to present to surgeons?
Optimized fusion area
Steerability
Ease of placement
Expandability
Saggital Balance
Packability
What are the three length options for ALTERA?
26,31,36mm
22,26,30mm
18,22,16mm
28,33,38mm
What are the two primary ALTERA benefits to present to surgeons who are currently using static banana cages?
Optimized fusion area
Ease of placement
Saggital Balance
ALTERA: What is the radiographic landmark used to confirm full articulation into anterior placement in the lateral plane
2 holes: 1 in front of implant, one in back
Through hole in middle of implant at midline
Notch along anterior edge of implant
Expanded endplates
ALTERA: What is the radiographic landmark used to confirm full articulation into anterior placement?
2 holes: 1 in front of implant, one in back
Through hold in middle of implant at midline
Notch along anterior edge of implant
Expanded endplates
What sets are necessary to cover an ALTERA case?
ALTERA Instruments
At least one size of ALTERA Implant Module
Posterior Disc Prep 1&2
SIGNATURE Instruments
All of the above
How many independent clinical studies are available on ALTERA?
0
1
2
3
Which of the following are the footprints that are available with Latis?
10x30mm
10x35mm
10x32
10x37mm
10x40
Latis: When medium footprint is fully expanded the footprint is 26X26
True
False
How many degrees of lordosis do we offer with Latis?
4
8
10
6
LATIS: The implant with the blue and gold links is the small footprint
True
False
Latis: When implanting the device the gold link should be facing ____?
Laterally
Medially
LATIS: Where on the inserter should the surgeon strike for initial impaction into the disc space
T-Handle Actuator
Threaded Shaft
Latis: How much autogenous bone graft material should be loaded into each bone funnel tube?
About 3 quarters of the way through
About half way through
Fill the tube the whole way
LATIS needs to be at 100% expansion to be locked with the torque limiting driver
True
False
Fortify: The notches on the adjustable trail are how many mm increment when reading through the window on the trail?
1mm
2mm
6mm
8mm
Fortify: FORTIFY titanium is indicated for use from C2-L5
True
False
Fortify: Once the FORTIFY implant is removed from the inserter there is an additional step to lock implant for height stability
True
False
FORTIFY: What direction does the implant attachment socket need to be turned to release the implant when using the inserter angled?
Clockwise
Counter-clockwise
Fortify: What direction does the implant attachment socket need to be turned to release the implant when using the inserter, straight?
Clockwise
Counter-clockwise
FORTIFY: Once the endplates are assembled to the core they can be taken off
True
False
Fortify: A black triangle is visible on the core when the fortify implant is at full expansion
True
False
FORIFY: When preparing to assemble the implant you should ensure the extending cylinder is expanded 1-2 threads from the superior end of the core
True
False
Fortify: If impaction is required what are the authorized methods
The back of the inserter with nothing attached
Light impaction on the silver surface on the back of the inserter, OC Handle
The hex version of the implant attachment socket when placed on the back of the inserter
FOTIFY VARIABLE ANGLE implant uses a standard fortify core and lower endplate to complete the construct
True
False
Fortify variable angle small set includes 13mm standard fortify lower endplate
True
False
Which of the procedural techniques for fortify variable angle utilizes the same instruments as a standard fortify case?
Height trialing
Assembly
Insertion
Footprint trialing
When aligning the endplates for assembly the FORTIFY VARIABLE angle upper endplate locking screw will always be aligned with the core inserter hole regardless of the approach
True
False
When aligning the Fortify lower endplate for assembly for the lateral and posterolateral approach, you should
Always align the lower endplates black laser etched line with the locking screw on the upper endplate for the lateral or posterolateral approach
Utilize the existing technique for a standard Fortify construct orienting the black laser etched line based on the surgical approach and whether the implant is lordotic or kyphotic
Truss is indicated for use at what levels?
T11-L5
C7-L5
T1-L5
T2-L5
TRUSS: The integrated slider mechanism provides up to ___mm of compression
8mm
7mm
6.5mm
7.5mm
TRUSS: How man NM is the set screw positioner?
2.0Nm
1.75Nm
1.5Nm
2.5Nm
What is the width of the TRUSS plate?
18mm
20mm
19mm
21mm
TRUSS: What is the plate profile
3.5mm
4.5mm
3mm
4mm
TRUSS: How many degrees is the fixed angle pre set trajectory for the posterior screw
10
8
11
9
TRUSS: The variable angle drill guide provides +/- how many degrees of angulation?
10 degrees
14 degrees
8 degrees
12 degrees
TRUSS: The first four plates offer how man mm of compression
3mm
4mm
2mm
5mm
TRUSS: On the DTS guide handle you turn the blue handle clockwise to thread barrels to plate
True
False
TRUSS: How many degrees is the fixed angle pre set trajectory or the cephalad/caudal screw
5 degrees
4 degrees
9 degrees
0 degrees
What sets would you order to complete a 12X14mm or 14X16mm colosseum case?
Small implant loaner set
Large implant loaner set
Instrument set
Demo set
Where are the double spacer etching located in relation to the single spacer etching on the COLOSSEUM implant?
180 from the single spacer etching
Below the endcap etching
90 to the left and right of the spacer etching
Can COLOSSEUM be used without endcaps?
Yes
No
COLOSSEUM: Can you assemble two endcaps at the same time?
Yes
No
The small diameter side of the GRAFT PACKER is designed for use with which footprint?
12x14
14x16
16x16
21x23
25x30
COLOSSEUM: If a surgeon decides to remove an endcap.....
Rotate the mesh until another hole is visable and compress
Detach and re-attach the holder to the first full holes between the double spacer etchings and compress
Cut the mesh below the endcap and choose the taller spacer to make up the difference
COLOSSEUM: What pattern should be used to cut the mesh spacer for height
The mesh spacer cannot be cut
V pattern
Straight line
CREO MIS is a pre-assembled system
True
False
CREO MIS: The extended screw heads come in reduction options of
5 and 10mm reduction options
10 and 15mm reduction options
10 and 30mm reduction options
20 and 40mm reduction options
CREO MIS: A counter torque is required for final tightening
True
False
What rod options are available for CREO MIS?
4.5 and 6.5mm
5.0 and 6.0mm
5.0 and 5.5mm
5.5 and 6.0mm
CREO MIS: What is the diameter of the extended screw head?
12.9mm
25.9mm
22.3mm
14.5mm
CREO MIS: What is the torque of the threaded locking cap?
5Nm
8Nm
6Nm
7Nm
What rod diameters work with Revolve screws?
5.5 & 6.0mm
5.5mm
6.0mm
6.0 & 6.35mm
REVOLVE: What screws are available with the revolve system?
Polyaxial
Monoaxial
Uniplanar
All of the above
REVOLVE: What direction should the fulcrum on REVOLVES compressor/distractor face to distract
Up
Down
How many Nm does the REVOLVE torque limiting 3.5mm hex driver torque?
8Nm
3.5Nm
10Nm
5.5Nm
How many mm of reduction can you get with REVOLVE threaded reducer?
30mm
20mm
15mm
22mm
CREO FENESTRATED: How many fenestration does a 35mm screw have?
4
6
CREO FENESTRATED: How many fenestration does a 55mm screw have?
4
6
CREO FENESTRATED: How many CCs should be injected into a lumbar vertebrae per screw?
Up to 1.8cc
Up to 2.3cc
Up to 1cc
CREO FENESTRATED: How many CCs does one premiere filler needle hold?
1cc
2cc
1.5cc
CREO FENESTRATED: What is the quick to dough bone cement?
Fortress
Fortress Plus
CREO FENESTRATED: Can Cement be injected into the screw while it is still liquid?
Yes
No
CREO FENESTRATED: How many CCs should be injected into a thoracic vertebrae per screw
Up to .8cc
Up to 1.5cc
Up to 1.3cc
CREO FENESTRATED is offered in which of the following product offerings?
Threaded CoCr
4.75
Non-Threaded
MIS
Threaded
The INDEPENDENCE screws allows for how many degrees of conical variability?
5
4
6
7
What are the sagittal profiles available with INDEPENDENCE?
10,15,20
8,15
8,15,20
9,13
INDEPENDENCE: How many mm is the posterior radiographic marker from the posterior edge
1
1.5
2
.5
INDEPENDENCE: The cephalad/caudal screw orientation is how many degrees?
40
25
30
35
What are the three INDEPENDENCE axial footprints options?
24x30, 26x34, 29x39
18x24, 22x28, 26x36
22x28,26x34, 28x38
What is the INDEPENDENCE screw diameter?
5.0
4.0
4.5
5.5
INDEPENDENCE spacer is indicated for how many contiguous levels?
1
3
4
2
With the INDEPENDENCE medium spacers what is the largest height available?
18
19
20
21
INDEPENDENCE: What is the longest screw available in the ALIF bone Screw set?
45
55
40
50
INDEPENDENCE: The implant cant be flipped that one screw needs to be inserted into the inferior vertebrae.
True
False
INDEPENDENCE MIS: The spacer should always be implanted as far posterior as possible so that the positive stop on the Triple anchor guide contacts the vertebrae.
True
False
INDEPENDENCE MIS: How can you ensure an anchor is correctly loaded into the triple barrel anchor guide
Lay the instrument flat on the table
Confirm anchors were fully seated
Confirm click was felt/heard
Use your thumb to secure the anchor in the instrument
Use the laser marked anchor indicator as a guide to the anchor orientation
All of the above
INDEPENDENCE MIS: Each anchor is to incrementally impacted one at a time using fluro
True
False
INDEPENDENCE MIS: The triple barrel anchor guide will not disengage from the spacer, what can the surgeon do?
Confirm the Hex Driver is fully seated in the Threaded Rod Hex hole
Rotate Hex Driver counterclockwise while withdrawing the instrument, rock right/left if needed
All of the above
INDEPENDENCE MIS: If an anchor needs to be removed from the spacer once implanted, what should the surgeon do
Confirm that the set screw has been rotated to the open position
Confirm that the Freehand Inserter is attached to the spacer
Confirm that the Anchor Removal tool is fully threaded into the anchor
Both 1 & 3
Which of the following sets to do a MAGNIFY-S case?
Instrument Set
Implant Set
ALIF Instrument Set
ALIF Trials
ALIF Bone Screws
Anterior Disc Prep I
Anterior Disc Prep II
All of the above
MAGNIFY-S: Select the inserter that allow placement of screws with inserter attached to implant?
Midline Inserter
Offset Inserter
Lateral Inserter
MAGNIFY-S: When contracting the implant DO NOT use excess torque as implant integrity could be compromised
True
False
MAGNIFY-S: How many revolutions of torque limiting hex driver will result in 1mm of expansion?
1.5
1
.5
2
MAGNIFY-S: Can you pack into bone screw holes?
No
Yes
MAGNIFY-S: The midline inserter does not attach to implant if set screw are in ______
Locked Position
Unlocked Position
SI-LOK: Do you final tighten?
No
Yes
What screw types do we offer for SI-LOK?
Lag Screws
Threaded Screws
Lag Screws with Slot
Threaded Screws with Slot
Dual Outer Diameter
What is the maximum length of SI- LOK screw?
70mm
110mm
60mm
50mm
SI-LOK is indicated for the __________ approach.
Lateral
Superior
Posterior
Anterior
Axial
SI-LOK SELECT is HA coated.
True
False
Which of the following is not an approved approach for SI-LOK SELECT?
Anterior: Lateral to Medial
Posterior: Lateral to Medial
Posterior: Medial to Lateral
Lateral
What is the longest screw offering for SI-LOK SELECT?
90
60
120
110
What is the drive feature for SI-LOK SELECT?
T27 Hexalobe
T25 Hexalobe
Phillips Heade
4.0mm Hex
SI-LOK SELECT is available in 8mm, 10mm, and 12mm diameter options
True
False
Which of the following is MONUMENT approved for?
Approved for a stand alone interbody fusion device
Approved for a interbody fusion device with supplemental fixation from L2-S1
Approved for the thoracic spine
Approved as a vertebral body replacement device
Which of the following is MONUMENT approved for?
Grade 1 spondy
Grade 2 spondy
Grade 3 spondy
Grade 4 spondy
Grade 5 spondy
How man millimeters of translation can MONUMENT achieve?
8mm
4mm
6mm
10mm
MONUMENT: Once complete revolution of the implant reduction driver is?
3mm of implant reduction
2mm of implant reduction
1mm of implant reduction
0.5mm of implant reduction
MONUMENT: The implant reduction driver has a __ hex with __ of torque
1.0mm of hex with 2.0Nm of torque
2.5mm of hex with 1.5 Nm of torque
2.0mm of hex with 1.0Nm of torque
1.5mm of hex and 2.0Nm of torque
What are the components of KINEX?
Bioglass and Hyaluronic Acid
Collagen, Bioglass, and DBM
Bioglass, Collagen, and Hydroxyapaitie
Bioglass, Collagen, Hyaluronic Acid
KINEX: What types of cells does bioglass signal?
Osteoclasts
MSC's
Osteoblasts
Hydrate KINEX PLUS with BMA using a ___ ration of KINEX PLUS:BMA
3:1
1:2
1:1
2:1
What is the percentage of bioglass in KINEX PLUS putty and KINEX PLUS Gel?
74%
80%
84%
90%
Is SIGNIFY radiopaque?
Yes
No
Which SIGNIFY products are indicated to be used in posterolateral spine?
Crunch
Putty
Gel
What is the composition of XEMPLIFI DBM PLUS?
DBM, Hydrogel, cancellous chips
DBM, Hydrogel
DBM, cancellous chips
Cancellous chips only
XEMPLIFI DBM stays in place with no migration because
It has proven osteoinductive potential
It is ready to use
It is moldable
It thickens at body temp and water is insoluable
Every lot of XEMPLIFI is tested for osteoinductive potential after sterilization
True
False
Which of the following properties of the hydrogel in XEMPLIFI?
Gets thinner at body temp
Gets thicker at body temp
Water insoluable
What is unique about the hyrogel carrier in XEMPLIFI DBM?
Becomes more viscous at body temp and water is insoluable
Becomes less viscous at body temp and water is insoluable
Becomes more viscous at OR temp
ViaSorb is demineralized
True
False
What sizes does ViaShield come in?
2x3cm, 4x6cm, 4x8cm, 10x10cm
2x2cm, 4x4cm, 4x6cm, 4x8cm
2x2cm, 4x6cm, 4x8cm
2x2cm, 2x4cm, 4x6cm, 4x8cm
What materials is ViaShield processed from?
Dermal tissue
Bio-resorbable polymer
Amniotic Membrane
Gore-tex
VIASHIELD is a single layer of amnion with a single layer of chorion
True
False
What type of stem cell is found in VIACELL?
Epithelial Stem Cells
Neural Stem Cells
Hemotopoietic Stem Cells
Mesenchymal Stem Cells
What is the source of the MSCs in ViaCell?
Muscle
Fat
Bone Marrow Aspirate
Cancellous Bone
ViaCell is available in these sizes:
5cc and 10cc
1cc, 3cc, 8cc, and 10cc
2cc, 5cc, and 10cc
1cc, 5cc, and 10cc
What is the shelf life of ViaCell?
2 years
6 months
1 year
5 years
At what temperature must ViaCell be frozen?
Between -30 and -50 C
Between -70 and -90 C
Between -70 and -90 F
Between -10 and -30 C
What are the components of ViaCell?
Cortical fibers and Cortical chips
Demineralized cancellous fibers and Cortical chips
Demineralized cancellous fibers and Cancellous chips with inherent cells
Cancellous chips with inherent cells
ViaCell is processed within ___ hours of post mortem
48
96
24
72
VIACELL: Once thawed the graft should be used within ___ to maintain cell viability
1 hour
15 min
30 min
2 hours
At what temperature should the saline be to thaw the vial of ViaCell?
110-130 F
70-90 F
110-130 F
95-102 F
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