BREMER HALO SYSTEM Product Information

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BREMER HALO SYSTEM Product Information
Product Information

BREMER HALO   ™

   SYSTEM

                  External Bracing
BREMER HALO SYSTEM Product Information
BREMER HALO ™
SYSTEM
External Bracing

Contents

Product Information
Bremer Halo™ System                2
3-D Crown                          3
HIFix™ Skull Pin                   4
AirFlo™ Vest                       5
Bremer™ Classic II Vest System     6
Paediatric System                  6
Adjusting Ring                     6
Universal and Trippi-Wells Tongs   7
Kyphosis Vest                      7

        1
B REMER H ALO ™ S YSTEM

A DVANCED       TECHNOLOGY

WORKING FOR YOU AND

YOUR PATIENTS

The Bremer Halo ™ System is an

advanced bracing system with

over 20 years of clinical usage.

Designed for security, strength,

and comfort, it offers ease of

application and cost-effective

treatment for many cervical

pathologies.

Bremer’s crown and vest systems

are fully MRI compatible up

to 1.5 Tesla and CT compatible

to the level of the crown.

                                   2
3-D C ROWN
A F ULLY     ADJUSTABLE HALO CROWN

• Optimized anterior pin position – Movable anterior pin sliders
  allow optimal medial/lateral pin positioning.

• Crown adjustments are more secure and efficient allowing:

   a) Unlimited flexion/extension range.

   b) Up to 127mm of A/P adjustment in normal cases with more
      available for unusual circumstances.

   c) Up to 127mm of distraction in normal cases with more
      available for unusual circumstances.

• One size fits all – Posterior pin holders adjust to fit various head
  sizes allowing one crown to fit most adults.

• Optimized pin/skull angle – Anterior pin sliders available in 0°
  and 12° angles to optimize pin/bone angle for straight or sloped
  foreheads.

• Capital arch allows a strong, solid crown without additional
  weight, as well as reducing posterior expansion.

• Torque Limiting Caps provide accuracy and ease of use,
  simplifying and shortening crown application time.*

• Unique “hinged” design enables fast, efficient full chest CPR access.

• This unique, fixation system allows below the equator posterior
  pin positioning, enhancing security.

*Note: For use on adult patients with sufficient bone quality only.

         3
HIF IX ™ S KULL P IN *
                                                        I MPROVED H ALO S KULL P INS

                                                        • The HIFix™ Skull Pin utilises a unique cutting head to
                                                          significantly reduce bone destruction.

                                                        • As a result, HIFix™ Skull Pins provide significantly increased
                                                           initial resistance to transverse loading and reduced skull pin
                                                           motion at the pin site as compared to the conventional Bremer™
                                                           skull pin, (as indicated in Table 1).

                                                        • Provides the opportunity for significantly improved skull
                                                          pin fixation1.

                                                        • Lightweight titanium alloy design increases strength and
                                                          reduces pin threading problems.*

                                                        • Knurled distraction now allows rapid, accurate Halo distraction.*

                                                        • Standard application procedure for ease of use.

                                                        *Note: For use on adult patients with sufficient bone quality only.

     SKULL PIN MOTION AT PIN SITE **                   FAILURE STRENGTH OF SKULL PINS **

                                3.15mm                       2010N

                                                                                    1128N

          .43mm
   HIFix™-type skull pin   Standard skull pin         HIFix™-type skull pin   Standard skull pin

Table 1
** Halo pin loosening: a biomechanical comparison of experimental and conventional designs.
   Journal of Biomechanics 31 (1998) pp397-400. Michael J. Voor, Cyna Khalily.

                                                                     4
A IR F LO ™ V EST
A   VERSATILE   V ACUUM F ORMED H ALO V EST

• Two sizes fit 98% of all adults, reducing inventory and simplifying
  vest selection.

• Short vest length worn at or above the xiphoid, along with soft
  medially placed shoulder straps allows enhanced patient range of
  motion while reducing skull pin stress and cervical motion.

• The superstructure is highly adjustable, producing a wedge effect
  which rests on major muscle groups. This offers exceptional
  flexibility to meet patients’ needs while remaining lightweight
  and strong.

• Specially engineered toothed joints are exceptionally strong and do
  not come loose, improving patient safety and freeing the carer
  from periodic retorquing of loose vest joints.

• Large posterior openings maximise ventilation, improving patient
  comfort and reducing potential for skin problems.

• Roll-edge construction significantly reduces redundant tissue
  capture, thereby improving patient comfort by allowing for a
  lighter weight and smaller size, while improving vest strength.
• Lightweight and slim profile, providing improved patient comfort.

        5
B REMER ™ C LASSIC II V EST S YSTEM

The Bremer™ Classic II vest system, compatible with all Bremer
Rings and Crowns as well as Ace Trippi-Wells* and Universal Tongs*,
is designed to fit most adults and provides a cost-effective alternative
to the AirFlo ™ vest.

PAEDIATRIC S YSTEM

The Bremer™ Paediatric System, with two vest sizes and two
ring sizes, is designed to optimize halo traction for very
small children and infants.

A DJUSTING R ING

            ™
The Bremer Adjustable Ring is compatible with the AirFlo™,
        ™
Bremer Classic II and Paediatric systems and provides a cost
effective alternative to competitive designs.

*Note: Requires Catalogue no CLP010

        6
U NIVERSAL       AND    T RIPPI -W ELLS T ONGS

The Ace tong systems are designed to provide maximum fixation for
traction while providing ease of use and the ability to be attached to
an Ace or Bremer Halo™* vest for mobile halo fixation.

K YPHOSIS V EST

The Bremer™ Kyphosis vest, allowing a closer approximation of
patient anatomy, is specially designed to provide ease of use and
flexibility of application for highly kyphotic patients.

*Note: Requires Catalogue no CLP010

        7
Notes

        8
References

1. Voor, M.J., Khalily, C.,: Halo pin loosening: a biomechanical comparison of experimental and conventional designs,
   J Biomech 31: 4, 397-400 (1998).

DePuy AcroMedTM is a joint venture with Biedermann Motech GmbH.

BremerTM, Bremer HaloTM System, AirfloTM Vest, HIFixTM and the External Bracing icon are
trademarks of DePuy AcroMed, Inc.

This publication is not intended for distribution in the USA.

© 2001 DePuy International Ltd. All rights reserved.

Cat No: 9081-13-000

Revised: 12/01

                                                                   DePuy International Ltd
                                                                   St Anthony’s Road
                                                                   Leeds LS11 8DT            0086
                                                                   England
                                                                   Tel: +44 (113) 270 0461
                                                                   Fax: +44 (113) 202 5992
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