Surgical Procedure

DIAMOND Cementless Hip Joint System

TianJin ZhengTian Medical Instrument Co., Ltd.
A Company of NATON Medical Group

Facility
Add: 318, Jingyi Road, Airport Economic Zone, TianJin 300308, P.R.China
Website: http://www.irene-ortho.com/

Customer Services
Add: Bldg 1-C, Yonyou Software Park, No. 68 Beiqing Road, Haidian District,
Beijing,100082, China
Website: http://www.natongroup.com/
Tel: +86 10 8229 2929

IRENE® is the registered brand name of TianJin ZhengTian Medical Instrument Co., Ltd.
DIAMOND™, OPTIMA™, NAVIGATOR™, PLATINUM™, Kylin™ and ACUTEC™ are
registered trademarks of TianJin ZhengTian Medical Instrument Co., Ltd.
Copyright ©2014 Naton Medical Group, or its affiliates. All rights reserved.
 CONTENT
DIAMOND Cementless Hip Joint System

Overview 1

Product Specification 5

Preoperative Preparation 9

Surgical Procedure 9

Precautions 18

Instrument Specification 23
01 Overview

Excellent biomechanics
Simplified operating procedures.

Plasma-spray finish of
the proximal stem surface
enhances bone ingrowth.
Tapered geometry of the neck, polished
design increases range of motion of the
implant, decreases impingement of the
prosthesis components as well as debris
generation.

Grit blasted surface of the

diaphyseal region provides
best anti-rotation.
High polished and bullet design of
the distal end effectively reduces
post-operative thigh pain.
 Overview 02

shear force compressive force

45°Smooth 45°Step

The slot on the lateral shoulder

of the stem provides easy
removal of prosthesis in
The step geometry of the revision surgery.
proximal stem surface
converts shear force into
compressive force.

Proximal tapered design means when load

Medial roundness provides optimal transfers from femoral head to femoral
fit with the medial curvature and stem, radial force is generated which
anteversion of the medullary canal. increases the compression force thus
increases initialstability after surgery.
03 Overview

Design rationale of the cup:

Pure titanium plasma spray coating
technology of the cup surface enhances
bone ingrowth

There is an observation hole in the upper

region of the wall which helps to verify
sufficient bone contact, 3 acetabular
fixation holes through which screws can
be inserted to provide initial stability of the
prosthesis.

Anti-dislocation design of the liner:

10 degree lateral posterior high wall
design creates extended femoral head
coverage, reducing dislocation due to
flexion of the hip; dome design decreases
micromotion of the liner and the cup and
thus decreases prosthesis wear.
 Overview 04

Reliable locking mechanism:

Unique6-point locking mechanism
avoids micromotion, effectively
reducing the rate of wear and risk
of dislocation of the liner.

Anti-impingement design:
Slope geometry of the rim of the liner
prevents the neck of the stem from
impacting against the liner (resulting in
loosening of the liner) and increases range
of motion of the prosthesis.
05 Product Specification

DIAMOND™ Ti Femoral Stem

Material: Titanium Alloy (Ti6Al4V)
Matching Instrument: B08000 Instrument Set for DIAMOND Hip system (Semi Hip)/
B13000 Instrument Set for DIAMOND Hip system (Total Hip)

Ref No. Code Stem Length Distal Diameter Neck Angle Offset Taper
(Sterile) (mm) (Φ) (mm)

T25210001 1# 140 6.5 130° 36 12/14

T25210002 2# 145 7.3 130° 38 12/14
T25210003 3# 150 8.1 130° 38 12/14
T25210004 4# 156 8.8 130° 40 12/14
T25210005 5# 162 9.6 130° 40 12/14
T25210006 6# 168 10.5 130° 42 12/14
T25210007 7# 174 11.8 130° 42 12/14
T25210008 8# 180 13.2 130° 44 12/14

DIAMOND™ Stainless Steel Femoral Head

Material: Stainless Steel (316L)

Ref No. Head Diameter Cervical Length

(Sterile) (Φ) (mm)

S32112400 24 0 (Standard)
S32112403 24 3.5

S32112801 28 1.5
S32112805 28 5 (Standard)
S32112808 28 8.5
S32112812 28 12
S32112815 28 15.5

CAUTION: DIAMOND™ Stainless Steel Femoral Head cannot be used with

femoral stems made of Titanium or Co-Cr-Mo.
 Product Specification 06

DIAMOND™ Cementless Acetabular Cup

Material: Shell: Titanium Alloy(Ti6Al4V)
Liner: Polyethylene (UHMWPE)

Ref No. Code Outer Diameter Inner Diameter

(Sterile) (Φ) (Φ)

T27410044 44# 44 24
T27410046 46# 46 24

T27410048 48# 48 28
T27410050 50# 50 28
T27410052 52# 52 28
T27410054 54# 54 28
T27410056 56# 56 28
T27410058 58# 58 28
T27410060 60# 60 28

Note: 1. A standard package of DIAMOND™ Cementless Acetabular Cup includes one shell and one liner.
2. Inner diameter of DIAMOND™ Cementless Acetabular Cup corresponds with the diameter of its
compatible head respectively.
3. 44#,46# Acetabular Cup matches Φ24 Femoral Head.

DIAMOND™ Cementless Acetabular Cup Screw

Material: Titanium Alloy(Ti6Al4V)

Ref No. Specifications

(Sterile) (Diameter×Length,mm)

T35006520 Φ6.5×20
T35006525 Φ6.5×25
T35006530 Φ6.5×30
T35006535 Φ6.5×35

Note: A standard package of DIAMOND™ Cementless Acetabular Cup Screw includes 1 pcs of screw.
07 Preoperative Preparation

(Using posterior approach)

Patient Position
Place the patient in lateral position with the
pathological leg on top. Place a mat under
the axilla and restraint the patient from
moving without obstructing limb circulation.

Surgical Approach
Make a 10cm incision from the end of
posterior superior iliac spine running in
the direction of the fibers of the gluteus
maximus, extending to the posterior
margin of greater trochanter then running
down in the direction of long axis of femur
for about 5cm.
 Preoperative Preparation 08

Cut open the skin and underlying tissue

then expose the external rotators. Take
caution to protect the sciatic nerve.

Straighten the affected leg and detach the

external rotators from greater trochanter,
exposing the posterior joint capsule.

Dissect or resect the capsule at the rim of

acetabulum and intertrochanter.
09 Surgical Procedure

1. Dislocation of The Hip Joint

Dislocate the hip joint with a combination
of movements of internal rotation, flexion
and adduction.

2. Femoral Head Resection

Determine the resection level by aligning
the top of the neck resection guide with
the tip of the greater trochanter or by
referencing a measured resection level
1-1.5cm above the lesser trochanter.
 Surgical Procedure 10

Ma rk t h e re s e c t i o n l i n e u s in g t h e
electrocautery, then make a vertical
osteotomy.

3. Acetabular Preparation Acetabulum Exposure

a. Expose the acetabulum completely

using retractors. Remove osteophytes a
around the acetabulum and soft
tissues in it. Take caution to protect the
transverse acetabulum ligament.
11 Surgical Procedure

b. Acetabular Reaming
b
The reamer angulation should be kept at
45 degrees of abduction and 15 degrees
of anteversion. Make sure reamer is
fully seated in the acetabulum then start
reaming. Do not sway the reamer while
reaming.

c. Progressively ream the acetabulum

until the bleeding subchondral bone is c
reached.
 Surgical Procedure 12

d.Implanting the Trial Cup

d
Confirm the trial cup size by referencing
to the trial cup sizer. The diameter of
the cup is usually 1-2mm smaller than
that of the largest acetabular reamer
used.

e. Implanting the Liner Trial

e
Place the desired liner trial into the cup
trial.
13 Surgical Procedure

4. Femoral Preparation Medullary Canal Opening

a
a. Open the medullary canal using
the Box Osteotome at the junction
of the femoral neck and the greater
trochanter.

b. Establish the Medullary Canal

Utilize the tapered canal probe
attached to the T-handle to establish a
direct pathway to the medullary canal.
Advance the canal probe to where the
superior margin of the cutting flutes
meets the neck resection. Take caution
to ensure neutral alignment of the canal
probe in order to establish a direct
pathway to the medullary canal.

Right Wrong
 Precautions 14

c.Optional Trochanteric Reaming

c
To aid neutral stem alignment, the
optional trochanteric reamer may be
used to lateralize the proximal entry
point for the subsequent tapered
reamers and broaches. Direct the
cutting region of the reamer laterally
into the greater trochanter to widen the
canal entry point.

d.Distal Femoral Reaming

d
Progressively ream the distal femoral
canal with tapered reamers until the
last reamer has slight contact with the
cortical bone of the femoral canal.
15 Surgical Procedure

Dual Referencing Options

Calcar referencing: The distal reamer
depth reference line for the desired
size should align with the medial neck
resection line.

Greater trochanter referencing: The

proximal reamer depth reference line
for the desired size should align with
the tip of the greater trochanter.

Femoral Broaching e
Progressively broach the proximal
femoral canal. To achieve rotational
stabilization, align the long axis of the
broach with that of the plane of the
osteomized femoral neck.
 Precautions 16

Calcar Planning
f Perform Calcar planning to achieve a
definitive landmark for stem insertion by
milling a precise resection level.

Trial Reduction
g
Assemble the corresponding trial
head and trial neck segments with
the broach. Perform trial reduction to
evaluate joint stability. There should be
no dislocation or impingement.
The neck length options for trial heads
are: 1.5, 5.0 (standard) , 8.5, 12, 15.5.
17 Surgical Procedure

5. Prosthesis Insertion Acetabular shell insertion:

a. Remove the trial cup. Insert the

a acetabular shell into the acetabulum
using the acetabular shell inserter
with several mallet taps on the end
of the inserter until the shell matches
the acetabulum completely. The angle
of orientation should be 45 degrees
of abduction and 15 degrees of
anteversion and the screw insertion
area should be in the lateral superior
acetabulum. Insert the liner into the
shell. Note that the thin area of the
inserter should match with the thick
15° area of the liner and vice versa.

b. Stem Insertion
Choose the femoral stem corresponding
to the broach and assemble it with the
stem inserter. Insert the stem into the
femoral canal while maintaining the
correct anteversion. Advance the stem
into position with moderate blows from
the mallet.

c c . Cle a n a n d d ry t h e s t e m n ec k .
Manually introduce the appropriate
femoral head by firmly pushing and
twisting the femoral head into place
on the taper. Using the head impactor,
engage the head with several mallet
taps. Perform final reduction of the hip
with a combination of movements of
external rotation, flexion and abduction.
Cleanse, drain and suture the incision.
 Precautions 18

Precautions:
1. What are the requirements for pre-operative X-ray imaging?
An AP X-ray view of both hip joints, AP view and lateral view of the pathological hip and a
radiograph of the hip in an abduction and internal rotation position.
An AP X-ray view of both hip joints can help surgeons to compare the pathological hip with
the healthy one and determine if there is anteversion or tilt of the pelvis. For AP view of the
pathological hip, a mark is required by attaching a metal measure ruler to the distal greater
trochanter outside of the lateral thigh, which can eliminate the errors caused by magnification
and increase the precision of measurement of the acetabulum and medullary canal. The
lateral radiograph of the pathological hip can help observe the ball-socket coverage. It is
recommended to obtain radiograph of the hip in an abduction and internal rotation position so
the conditions of the femoral neck of the pathological hip can be identified.

2. How can pre-operative X-ray evaluation help surgeons?

Preoperative X-ray analysis is essential. It can help: choose the proper prosthesis; reduce
inventory; confirm the rotation center of the prosthesis to select the appropriate neck-length
for the prosthesis; determine the osteotomy location.

3. What kind of approach to use?

For the anterior approach, the incision starts from the middle of the iliac crest to the anterior
superior iliac spine then runs in the direction of the lateral patella for 10-12 cm, the lower
end of the incision runs for 3-5 cm in the lateral posterior direction. Complications of anterior
approach: it is easy to cause lateral femoral cutaneous nerve damage and lateral femoral
circumflex artery and ascending branch bleeding while retracting tensor fascia latae and
Sartorius; mistakenly get into the medial space of Sartorius and Vastus medialis and harm
the femoral nerves and arteries. It is also easy to mistakenly remove the iliopsoas from the
lesser trochanter when retracting the anterior medial prosthesis.
Posterior approach: the incision is 6 cm inferior to the lateral side of superior posterior iliac
crest, running in the direction of the gluteus maximus fibers to the posterior margin of the
greater trochanter, then along the femoral stem, extending about 5 cm downwards. It is
the approach that does the least damage and causes the least interference to the hip joint.
Because the inferior gluteus nerve is far from the medial side of the incision, it will not cause
denervation of the gluteus maximus to enter from the lower half of the gluteus maximus fibers
but still might lead to sciatic nerve damage and inferior gluteus vessels bleeding.
Lateral approach: the incision is 8 cm inferior to the greater trochanter, running upwards
along the lateral femoral stem passing the tip of the greater trochanter and stops 10 cm
superior posterior to it. Disadvantages: Gluteus medius is partly dissected which may affect
gait postoperatively.

4. How to protect the sciatic nerve from being stretched.

For posterior approach, a lump of fat is observed in the back when exposing the external
rotators, inside of which is the sciatic nerve. It is optional to protect the fat tissue first then
detach the external rotators. For experienced surgeons exposure of the sciatic nerve is not
necessary, they can retract the sciatic nerve together with the fat tissue.
19 Precautions

5. What needs to be noted when cutting off the external rotators?

Extend the leg till it is straight and rotate it internally. Tense the external rotators and expose
the attachment to the greater trochanter. Cut off the external rotators near to the attachment
and bluntly retract the fat tissue outside of the capsule until the joint capsule is exposed.

6. How to dislocate the hip joint intraoperatively?

A combination of movements of internal rotation, adduction and internal flexion may dislocate
the hip joint. Avoid using too much force. When there is difficulty dislocating, find out why,
perform osteotomy of the femoral neck and pull out the head when necessary.

7. How to determine the femoral neck section line?

Determine the section line according to the preoperative planning. Usually the section line is
1-1.5 cm above the lesser trochanter. The neck resection guide or the femoral broach can be
used for reference when needed.

8. Where to use the retractors?

Usually the location of use of Hohmann retractors are: the first one at the anterior superior
acetabulum, retracting Sartorius and vastus lateralis; the second one at the posterior superior
acetabulum, retracting gluteus; the third one at the anterior inferior acetabulum.

9. Trouble with exposing the acetabulum is a common situation, what are the
major causes?
Problem with the incision and patient position, insufficient exposure, patient obesity and
bleeding can all cause difficulty exposing the acetabulum. The common reason is that
for posterior approach, resection of the posterior capsule is complete but not the anterior
capsule, which leads to difficulty exposing especially when there is contracture of the anterior
capsule.
Problem with the iliopsoas. When patients have DDH or old fracture, there is often
contracture of the iliopsoas. Division of the iliopsoas is required for total exposure of the
acetabulum.
Problem with the quadratus femoris. Detachment of the external rotators is necessary for
posterior approach. However, when the quadratus femoris is too strong, internal rotation of
the leg is hard to achieve, which can also lead to difficulty exposing the acetabulum.

10. How to clear the acetabulum before acetabular reaming?

Extend and internally rotate the lower limb and expose the acetabulum completely using the
retractors. Remove osteophytes and capsule at the rim of acetabulum and soft tissues in it.
Take caution to protect the transverse acetabulum ligament.

11. Can the transverse acetabulum ligament be removed?

No, it cannot. There are two reasons why. First, the transverse acetabulum ligament can
keep the tension of the bone and cup interface which helps to keep the cup in place and it
can help
to achieve better press-fit of the cup. If removed the elasticity of the acetabulum is compromised
and the initial fixation is affected. Since initial fixation and press-fit of the prosthesis is the key of
 Precautions 20

uncemented arthroplasty (Without which the implant can easily loosen and osteointegration is
hard to form), the transverse acetabulum ligament should be intact.

12. Which size of reamer should we start with when performing acetabular
reaming?
It is recommended to start with the smallest size and then ream the acetabulum progressively.
Surgeons can also start with a reamer two sizes smaller than the femoral head. Note that at
the bottom of the acetabulum, specially around the acetabular fossa, osteophytes are usually
formed. When starting with a large size of reamer it is hard to get the osteophytes and
cartilage around the acetabular fossa, so it is recommended to start with the smallest size.
Mind the orientation and force when using the smallest size of reamer especially when
reaming the region around the acetabular fossa where we only need to clear off the cartilage.
Sometimes it is needed to graft bone in the acetabular fossa. If the acetabular fossa is
reamed away it is possible that other area of the acetabulum was reamed too much.
Acetabulum is not an exact hemisphere and has some differences from the acetabular
reamer. The aim of reaming is to clear off the cartilage and expose the subchondral bone
and form the acetabulum into the same shape as the reamer which means after reaming, a
hemisphere is achieved. If it is not the same shape as the reamer the effect of press-fit of the
cup will not be good.

13. Can the acetabular screws reach the opposite cortex?

No. They should stay in the cancellous bone. The acetabular screw is a cancellous screw
and if probes into the opposite cortex it can harm the vessels on the pelvic wall.

14. What should be noted when inserting the acetabular screws?

Do not drill too deep when preparing the screw holes. Because the diameter of the drill bit
is much smaller than that of the screw hole, if drilling is too deep it is hard to keep the right
orientation. It is suggested to drill to the subchondral bone. Once the subchondral bone is
reached and a certain depth is achieved, stop drilling. The acetabular screw is a cancellous
screw with self-tapping feature. As long as the insertion direction is correct, there will be no
trouble with the insertion. If the initial fixation of the cup is very good there is no need to use
acetabular screws. Theoretically the insertion of acetabular screws has influence on the
stability of the cup insertion since the stress direction has been changed and initial stability
increased.

15. How to expose osteotomy plane of the femur completely?

Taking the posterior approach for instance, place both knee and hip joints into 90 degree
flexion and adduct the hip joint. While an assistant holds the knee and pushes it forward,
place 2 retractors at the femoral neck at the same time, another retractor at the osteotomy
side, lifting the anterior margin of the femoral neck until the osteotomy plane is exposed.
21 Precautions

16. Is it necessary to start femoral broaching with the smallest size of broach?
Normally the femoral broaching should be achieved at one go but still it depends on different
situations. If the surgeon is very experienced in uncemented arthroplasty surgery and can
handle the force and frequency of mallet strikes very well, it is best to successfully ream the
femoral canal.
at one go. But that should not be overstated. If the bone condition of the patient is good
and the shape of femoral canal is not clear and the surgeon is not familiar with uncemented
arthroplasty surgery, it is easy to create problems. Then it is recommended to take the
conservative way and start with the smallest broach.
Difficulties with advancing the broach into the canal are related to the shape of the femoral
canal, broach size, incomplete clearance of the osteophytes below the greater trochanter and
osteoproliferation of the medial calcar cortex.

17. How to deal with intraoperative proximal femur fracture?

Intraoperative proximal femur fracture usually happens in uncemented implant fixation.
Before advancing the implant into the femoral canal clear out the soft tissue around the
opening of the passage. If fracture occurs, expose the distal fracture line, confirm the degree
of fracture and fix the fracture with wires if there is no distraction of fracture.

18. How to determine the tightness of the joint after inserting trial components?
How to evaluate the prosthesis implantation?
Usually it is appropriate when the hip joint can be flexed at 120 degrees without dislocation,
abducted at 30 degrees, internally rotated at 20 degrees without resistance and the head
and socket coverage reaches 50 percent. Longitudinal distraction of the lower limb is only
for reference concerns because peri-prosthetic soft tissue removal imposes great influence
on the tightness of the joint. When large areas of soft tissue are removed, overstatement
of tightness of the hip joint may lead to lengthening of the lower limb The preoperative
and postoperative distance between the tip of the greater trochanter and the margin of the
acetabulum can be utilized as reference for determination of the leg length.

19. For uncemented hip replacement patients, when can they exercise
postoperatively?
Patients can do active or passive exercises of the joint under the guidance of their doctors
after surgery as preventive methods against deep vein thrombosis DVT. Progressively
increase the range of motion of active/passive exercises. Patients can take non-weight-
bearing walks using a walker 3 days after surgery and take partially weight-bearing walks
with crutches one week after surgery. Remove the stiches 14 days after surgery. Patients
can start total weight-bearing walks without aid 6 weeks after surgery. Take precaution when
bearing weight -go to the doctor in time when excessive pain or regional infection occurs.
 Precautions 22

20.How to deal with postoperative dislocation?

There are many causes of postoperative dislocation: surgical approach, malposition of
the implantation of the prosthesis, impingement of the femoral stem and the margin of the
acetabulum, the position of the postoperative placement of the lower limb, etc. If it is because
of inappropriate or unstable prosthesis implantation, the prosthesis should be removed and
reimplanted. If there is no problem with the position of the prosthesis, manual reduction
may be performed. After giving the patient anesthesia, place the hip joint at 20 degrees
flexion, 20-30 degrees abduction and immobilize it with coxa apical plaster. For posterior
dislocation, a slight external rotation should be performed to the lower limb and for anterior
dislocation, a slight internal rotation should be performed or perform skeletal traction for 4-6
weeks to achieve stability of the joint. If it is semi-dislocation without pain or discomfort, the
operated leg should be kept in an abducent position for 3 weeks or longer. For malposition
of implantation or weak abduction muscle strength, continual dislocation of the joint or if
reduction cannot be performed, it is suggested to redo the surgery.

21. Major causes of postoperative dislocation of THA.

Operation history on the same joint; malposition of implantation of prosthesis; impact between
prosthetic components; weak peri-prosthetic muscular tone; inappropriate position of the leg
after surgery or during rehab.

22. How to prevent the postoperative joint from dislocating?

Correct position of implantation of prosthesis; ensure peri-prosthetic muscular tone; utilize
trials to determine range of motion before implanting prosthesis; avoid excessive internal
rotation of the joint after surgery; for unstable joints, external fixation time should be extended
postoperatively.

23. What are the causes of postoperative thigh pain?

When the pain starts and how long it lasts should be taken into consideration. If the pain
starts after surgery and lasts since then it is suggested to examine the patients CRP and
ESR. If there are increases, there is possibility of infection. If the pain occurs years after
surgery the possibility of loosening should be considered.
23 Instrument Specification

1 2
3
4

5
15 11 6 7
13
16 14 12 10 9
8

17
18
21 22
19 23
40 39 38 37
24 25
20
26 27

36 35 34 33 32
31 30 29 28

41 42 43 44 45
46
47
48
49
50
51
53
52
 Instrument Specification 24

B08000 Instrument Set for DIAMOND Hip system (Semi Hip)

Ref No. Description Specification Qty

1 B01002 Box Osteotome 1

2 B04012 Medullary Cavity Trimming Reamer 1
3 B04001 Neck Resection Guide 1
4 B04009-1 Broach Handle 1
5 B05120 Stem Inserter(Non-threaded) 1
6 B04013-1 Stem Inserter-Handle 1
7 B04013-2 Stem Inserter-Shaft 1
8 B08028 Hammer 1
9 B04008-0 Broach for Cementless Stem 1# 1
10 B04008-1 Broach for Cementless Stem 2# 1
11 B04008-2 Broach for Cementless Stem 3# 1
12 B04008-3 Broach for Cementless Stem 4# 1
13 B04008-4 Broach for Cementless Stem 5# 1
14 B04008-5 Broach for Cementless Stem 6# 1
15 B04008-6 Broach for Cementless Stem 7# 1
16 B04008-7 Broach for Cementless Stem 8# 1
17 B05018 Bone Cement Embolus Inserter M5 1
18 B08009 Calcar Planer 1
19 B08001 Femoral Head Extractor 1
20 B04021 Cling Ring Forceps 1
21 B08029 Trial Femoral Head 24+0 mm 1
22 B08030 Trial Femoral Head 24+3.5 mm 1
23 B08031 Trial Femoral Head 28+1.5 mm 1
24 B08032 Trial Femoral Head 28+5 mm 1
25 B08033 Trial Femoral Head 28+8.5 mm 1
26 B08034 Trial Femoral Head 28+12 mm 1
27 B08035 Trial Femoral Head 28+15.5 mm 1
28 B08017 Trial Bipolar Head 39# 1
29 B08018 Trial Bipolar Head 41# 1
30 B08019 Trial Bipolar Head 43# 1
31 B08020 Trial Bipolar Head 45# 1
32 B08021 Trial Bipolar Head 47# 1
33 B08022 Trial Bipolar Head 49# 1
34 B08023 Trial Bipolar Head 51# 1
35 B08024 Trial Bipolar Head 53# 1
36 B08025 Trial Bipolar Head 55# 1
37 B04025-1 Broach for Cemented Stem 1# 1
38 B04025-2 Broach for Cemented Stem 2# 1
39 B04025-3 Broach for Cemented Stem 3# 1
40 B04025-4 Broach for Cemented Stem 4# 1
41 B08026 Femoral Head Impactor 1
42 B04014-1 Trial Neck 2#-3# 1
43 B04014-2 Trial Neck 4#-5# 1
44 B04014-3 Trial Neck 6#-7# 1
45 B04014-4 Trial Neck 8#-9# 1
46 B08003 Trochanteric Reamer 1
47 B08002 Tapered Canal Probe 1
48 B08004 Tapered Reamer 0-1 1
49 B08005 Tapered Reamer 2-3 1
50 B08006 Tapered Reamer 4-5 1
51 B08007 Tapered Reamer 6-7 1
52 B08008 Tapered Reamer 8-9 1
53 B08027 Universal T-Handle 1
B08998 Tray 1
B08999 Instrument Box 1
25 Instrument Specification

19 18 17 16 15 14 13

30
11 12 25
27
23
26
28

24

29
21 20
31
33
32
22
10 1 2

9 8 7 6 3
5 4
 Instrument Specification 26

B13000 Instrument Set for DIAMOND Hip system (Total Hip)

Ref No. Description Specification Qty
(mm)

1 B08046 Acetabular Reamer Φ44 1

2 B08047 Acetabular Reamer Φ46 1
3 B08048 Acetabular Reamer Φ48 1
4 B08049 Acetabular Reamer Φ50 1
5 B08050 Acetabular Reamer Φ52 1
6 B08051 Acetabular Reamer Φ54 1
7 B08052 Acetabular Reamer Φ56 1
8 B08053 Acetabular Reamer Φ58 1
9 B08054 Acetabular Reamer Φ60 1
10 B09011-1 Acetabular Reamer Handle 1
11 B08037 Trial Acetabular Shell & Liner Φ44 1
12 B08038 Trial Acetabular Shell & Liner Φ46 1
13 B08039 Trial Acetabular Shell & Liner Φ48 1
14 B08040 Trial Acetabular Shell & Liner Φ50 1
15 B08041 Trial Acetabular Shell & Liner Φ52 1
16 B08042 Trial Acetabular Shell & Liner Φ54 1
17 B08043 Trial Acetabular Shell & Liner Φ56 1
18 B08044 Trial Acetabular Shell & Liner Φ58 1
19 B08045 Trial Acetabular Shell & Liner Φ60 1
20 B09022 Acetabular Liner Impactor 1
21 B05005-1 Acetabular Liner Impactor-cap Φ24 1
22 B05005-2 Acetabular Liner Impactor-cap Φ28 1
23 B09023 Acetabular Cup Positioner 1
24 B05147 Cemented Acetabular Cup Postitoner M8 1
25 B05148 Cemented Acetabular Cup Postitoner-cap Φ24 1
26 B05149 Cemented Acetabular Cup Postitoner-cap Φ28 1
27 B09025 Acetabular Soft Drill Bit Φ3.2×32×182 1
28 B09026 Drill Guide Φ3.2×290 1
29 B09027 Acetabular Drill Φ5 1
30 B02027 Acetabular Depth Gauge 1
31 B09028 Polyaxial Screwdriver SW3.5 1
32 C48009 Hex Screwdriver SW3.5 1
33 B05007 Screw Holding Forceps Φ5.2 1
B09998 Tray 1
B09999 Instrument Box 1
 Joint
System
 Reference No. VA-0060000
Version: 5.1
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