Insignia TM

Hip Stem
Surgical protocol
Insignia Hip Stem | Table of contents Home Table of contents

Insignia Hip Stem

Surgical protocol

Table of contents

Indications and contraindications..........................................................................................................3

Introduction..................................................................................................................................................4

Step 1: Preoperative planning...................................................................................................................5

Step 2: Femoral neck resection.................................................................................................................6

Step 3: Preparing the femoral canal.........................................................................................................7

Step 4: Broaching.......................................................................................................................................8

Step 5: Trial reduction...............................................................................................................................9

Step 6: Calcar preparation.......................................................................................................................11

Step 7: Implanting the stem....................................................................................................................12

Step 8: Final reduction............................................................................................................................14

Implant information.................................................................................................................................15

Catalog information..................................................................................................................................17

This publication sets forth detailed validated procedures for using the Insignia Hip Stem. It offers instructions that you should heed, but, as with any such
technical guide, each surgeon must consider the particular needs of each patient and make appropriate adjustments when and as required.
Insignia Hip Stem | Indications and contraindications Home Table of contents

Indications and contraindications and precautions

Indications Warnings and precautions

1. Painful, disabling joint disease of the hip resulting from: See package insert for warnings, precautions, adverse effects
noninflammatory degenerative joint disease (including and other essential product information.
osteoarthritis or avascular necrosis), rheumatoid arthritis Before using Insignia instrumentation, verify:
or post-traumatic arthritis.
• Instruments have been properly disassembled prior to
2. Revision of previous unsuccessful femoral head cleaning and sterilization;
replacement, hip arthroplasty or other procedure.
• Instruments have been properly assembled post-
3. Correction of functional deformity sterilization;
4. Treatment of nonunion, femoral neck and trochanteric • Instruments have maintained design integrity; and,
fractures of the proximal femur with head involvement
that are unmanageable using other techniques. • Proper size configurations are available.

Additional indication specific to use of Insignia Hip Stems For Instructions for Cleaning, Sterilization, Inspection
with compatible Howmedica Osteonics Constrained Liners: and Maintenance of Orthopaedic Medical Devices, refer to
LSTPI-B, QIN 4310, 4330, 4333, 4350, 4383, 4441, 0090-9-621,
• When the stem is to be used with compatible Howmedica 0095-3-200, and SLI001.
Osteonics Constrained Liners, the device is intended for
use in primary or revision patients at high risk of hip
dislocation due to a history of prior dislocation, bone
loss, soft tissue laxity, neuromuscular disease, or intra-
operative instability.
Additional indication specific to use of Insignia Hip Stems
with compatible ADM and MDM Acetabular Components:
• When the stem is to be used with compatible Howmedica
Osteonics ADM and MDM Acetabular Components, the device
is indicated for Dislocation risks.
Insignia Hip Stems are intended for cementless use only and
are intended for total and hemiarthroplasty procedures.

Contraindications
1. Any active or suspected latent infection in or about the hip
joint.
2. Any mental or neuromuscular disorder which would create
an unacceptable risk of prosthesis instability, prosthesis
fixation failure, or complications in post-operative care.
3. Bone stock compromised by disease, infection or prior
implantation which cannot provide adequate support and/
or fixation to the prosthesis
4. Skeletal immaturity

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Insignia Hip Stem | Introduction Home Table of contents

Introduction
This surgical protocol is a guide to preparing the femur for
an Insignia Hip Stem. The total system includes 12 body sizes
ranging from size 0 to size 11.
Insignia is a broach only, fully HA coated stem designed for
muscle-sparing surgical approaches in addition to traditional
approaches. Designed using Stryker’s proprietary SOMA
database, it features a size specific collar and size specific
medial curvature.
The stem is designed for use with Stryker V40 femoral heads,
sleeves and their compatible acetabular components.

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Preoperative planning
Step 1
Pre-operative planning aids in the determination of
probable implant style and size. The pre-operative planning
process should take qualitative and quantitative factors
(including patient bone quality, density, and morphology) into
consideration in order to evaluate and select the appropriate
implant system for the patient. Digital templates are available
for use.
Determining leg length
With the templates provided, determine the desired
postoperative leg length, taking into consideration
radiographic leg length inequality and patient clinical
assessment.
Figure 1
For example, if 8mm of leg lengthening is required to equalize
the leg lengths, make a new mark 8mm superior to the center
of rotation marked during templating of the acetabular shell.
Tips: This new mark will be your target when templating the
• Templating is an important aspect of pre-operative femoral stem (described below).
planning, but it should only serve as a guide. Final decision In this example, if this plan is properly executed at the time of
making concerning fit, size, and soft tissue tensioning surgery, there will be 8mm of leg lengthening.
should take place intra-operatively at the surgeon’s
Similarly, the predicted change in offset is also considered by
discretion.
comparing the relative medial/ lateral position of the center of
• The templated stem size and neck resection level may have rotation marking of the acetabular component and new mark
to be adjusted if leg length cannot be managed solely by used to plan the femoral component. The digital templates
changing the head offset. should be used to estimate the final components that most
• Patient positioning is key to obtaining adequate hip closely restore the normal offset of the patient’s hip.
stability and acetabular placement. Acetabular cup position and sizing
• Standing pre-operative x-rays are recommended. Both an Utilize the acetabular templates to determine the optimal
A/P and lateral x-ray are preferred to assess stem size. position and size for the acetabular component. Be sure the
cup is well centered in the acetabulum and the size fills
• To help facilitate correct placement of final implants, take
between the tear drop and the superior rim (Figure 1). After
into account any pelvic tilt observed.
templating, mark the center of rotation.
Femoral stem selection
Insignia has two offset options for each size: Standard and
High Offset. Refer to page 15 for more information on sizing
options. High Offset is designed to provide 5mm of direct
lateralization, increasing offset without changing leg length.
Choose the template for which the stem size achieves medio-
lateral cortical engagement at the proximal two- thirds of the
stem and recreates the desired leg length and offset. For both
Standard and High Offset options, the template has markings
that indicate the center of the femoral head for a range of head
offset options.
Through templating and trialing, determine which option
restores proper offset and center of rotation by matching
the cup’s center of rotation with the desired head center of
rotation of either the Standard or High Offset stem.
Templates Once the final estimated stem size and position is determined,
the neck resection level should be noted. This will be used as
Insignia Digital Templates
a reference during intra-operative neck resection.

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Femoral neck resection

Step 2
A proper neck resection level directly affects the final
placement and fit of the femoral stem. A neck resection is
made with an oscillating saw and with the aid of the Neck
Resection Guide (1020-1100).
The guide helps the surgeon to determine the correct stem
placement. The guide is placed on the anterior/posterior
aspect of the exposed proximal femur and the planned
femoral neck cut is marked using a marking instrument of
choice (Figure 2). Care should be taken to align the body of
the guide with the axis of the femoral canal.

Tip: The neck resection should be about 1-2mm above the

planned broach seating height. This will allow for calcar
planing prior to final implant placement enhancing collar
contact with medial bone.
Note: To achieve collar contact with the calcar, the calcar
should be reamed to the level of the final broach.

Figure 2

Instruments
Neck Resection Guide
1020-1100

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Insignia Hip Stem | Surgical protocol Home Table of contents

Preparing the femoral canal

Step 3
To help facilitate desired final stem orientation, accessing
the canal laterally and posteriorly is ideal. Make sure to
retract/protect abductors.
Often, removal of the cortical bone of the inner table of the
greater trochanter at the piriformis insertion is required.
The Reverse Cutting Rasp (1440-2003), Modular Box
Osteotome (1601-1210) or a rongeur can be used to remove
bone from this area and establish version (Figure 3). The
Rasp operates in one direction and cuts as it is pulled out of
the femur.

Tips:
• Remove the lateral cortical bone at the piriformis fossa
to help obtain ideal proximal fit and to minimize the risk
of undersizing and/or varus placement of the femoral
component.
• The Axial Starter Reamer (1020-1200) may be used with
the T-Handle (1101-2200) or power to open the femoral
canal and to aid in determining the orientation of the
femoral axis.
Note: Care should be taken not to sink the Axial Starter
Reamer below the first graduation mark to allow for proper
press fit of the implant.

Figure 3

Instruments
Modular Box Osteotome Orthonomic Modular Handle Mallet
1601-1210 1020-2900 1120-1000

Axial Starter Reamer Orthonomic T-Handle Reverse Cutting Rasp

1020-1200 1101-2200 1440-2003

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Broaching
Step 4
Insignia is designed to be compatible with several broach
handle designs to ease insertion in various surgical
approaches.
Broaching is performed beginning with the size 0 broach.
The broach should be inserted via canal access by
positioning the broach laterally and posteriorly. Insignia
was designed to be inserted parallel to the posterior
cortical bone of the femoral neck although adjustments can
be made by the surgeon during insertion based on patient
need.
Sequentially broach upward in size until the proper fit is
achieved. The surgeon’s clues to a firm fit and final size
Figure 4
include 1.) increased resistance to forward advancement;
2.) changing pitch of sound that results from mallet blows
to the broach handle; 3.) lack of further motion, and 4.)
rotational stability as assessed with broach handle in place.
Upon reaching the final size and depth of the broach, detach
the broach handle from the broach, leaving the broach fully
seated in the femoral canal (Figure 4, Figure 5).

Tips:
• The neck resection should be about 1-2 mm above the
final broach height. This will allow for calcar planing
prior to final implant placement enhancing collar contact
with medial bone.
• Relying only on the neck resection height alone for
final seating height may lead to improper sizing and
inadequate component fixation.
Figure 5 • For good fixation of the implant, it is important to
maintain rotational alignment throughout the broaching
process.
• For broach handles featuring a lever design, close the
Broach handle styles Insignia is
lever arm until the broach is secured onto the Broach
compatible with:
Handle.
1. Extra Offset Broach Handle – Lever • For broach handles featuring a lever design, to open the
(7000-5529) lever with one hand place your thumb on the top edge
of the impaction pad and your index finger in the notch
2. Straight Broach Handle – Lever
under the end of the lever. Use your index finger to pull
(7000-5525)
up on the lever.
3. Offset Broach Handle – Lever Note: Insignia broaches can be properly identified through
(7000-5526) the following:

4. Straight Broach Handle 1) The size is marked on the top of the broach post.
(1440-1460) 2) The size is marked in the tab slot.

5. Offset Broach Handle 3) 8000-77xx part number.

(1020-1460)

6. Dual Offset Broach Handle

(Left: 1440-2000; Right: 1440-2001)

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Trial reduction
Step 5
Select a Neck Trial that corresponds to the color shown on
top of the final broach and matches the planned Standard
or High Offset implant size (Figure 6). The High Offset
option is designed to provide 5mm of direct offset without
changing leg length.
The table below indicates the correct neck trial color code
for each stem size. The High Offset neck trials feature a
gold TiN coating (Figure 7).
Assemble the Neck Trial onto the broach. Next, assemble
a V40 Head Trial onto the Neck Trial. Femoral heads come
in multiple options and are different for each femoral head
implant material (see table below). For this reason, final
head material should be chosen prior to trial reduction.
Offsets add or subtract from the base neck length of the
implant and help to achieve the desired leg length and
offset.
Perform a trial reduction of the hip. The final broach size
facilitates determination of the correct implant size. Upon
confirmation of the selected components, note selected neck
offset, femoral head, and broach size.

Stem size Color

Figure 6 0, 1 Yellow
2, 3, 4 Blue
5, 6 Green
7, 8, 9 Black
10, 11 Red

Figure 7

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Insignia Hip Stem | Surgical protocol Home Table of contents

Femoral head family Catalog no. Size (mm) Offsets (mm)

28 -4, -2.7, 0, +4
BIOLOX delta V40 6570-0-XXX 32 -4, 0, +4
36 -5, -2.5, 0, +2.5, +5, +7.5
28 -2.5, 0, +4
32 -2.5, 0, +4
BIOLOX delta Universal Taper
6519-1-XXX 36 -2.5, 0, +4
(must be used with Universal Taper Sleeve #6519-T-XX)
40 -2.5, 0, +4
44 -2.5, 0, +4
18-28XX 28 -2.5, 0, +2.5, +5
BIOLOX delta C-Taper
18-32XX 32 -2.5, 0, +2.5, +5
(must be used with a C-Taper Sleeve #17-0000E)
18-36XX 36 -5, -2.5, 0, +2.5, +5, +7.5
28 -2.7, 0, +4
Alumina V40 6565-0-XXX 32 -4, 0, +4
36 -5, 0, +5
17-28XXX 28 -2.5, 0, +5
Alumina C-Taper
17-32XXX 32 -2.5, 0, +5
(must be used with a C-Taper Sleeve #17-0000E)
17-36XXX 36 -5, 0, +5
22 0, +3, +8
26 -3, 0, +4, +8, +12
28 -4, 0, +4, +6, +8, +12
LFIT CoCr V40 6260-9-XXX 32 -4, 0, +4, +8, +12
36 -5, 0, +5, +10
40 -4, +0, +4, +8, +12
44 -4, +0, +4, +8, +12
6260-4-XXX 22 0, +3, +8
26 -3, 0, +4, +8, +12
CoCr V40
6260-5-XXX 28 -4, 0, +4, +6, +8, +12
32 -4, 0, +4, +8, +12

Unitrax Modular Endo head

6942-5-XXX 38, 40-56, 58, 61 -4, 0, +4, +8, +12
(must be used with a Unitrax V40 Sleeve #6942-6-XXX)

Tips:
• Neck trials are collarless, designed to allow trialing of the construct prior to calcar planning. Trialing should be done prior to
planing the calcar to allow for stem size adjustments.
• During the trial reduction, an x-ray may be used to verify proper broach size and position, leg length and offset.
• After trialing, check broach rotational stability again.

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Calcar preparation
Step 6
Assemble the Calcar Planer to the reamer power adaptor.
With the final broach in place, guide the Calcar Planer
over the broach post ensuring the Calcar Planer is axially
aligned with the post and is stable. Initiate power prior
to contacting the femur and slowly advance the Calcar
Planer toward the broach using continuous power until the
positive stop on the Calcar Planer contacts the broach face
and the bone is removed (Figure 8). Failure to operate the
Calcar Planer in accordance with these instructions may
result in damage to the femur.
In the event that the Calcar Planer cannot fully engage the
Figure 8 broach post, remove the broach and perform a new neck
resection at a lower level. Alternatively, a larger broach size
could also be considered.
Upon confirmation of the selected components, reassemble
the broach handle to the broach. Remove the broach from
the femoral canal.

Note: Two sizes of Calcar Planers are available, Calcar

Planer – Standard (1020-1111) and Calcar Planer – Large
(1020-1112).

Note: Calcar planing is required to facilitate preparation of

stem collar.

Instruments
Calcar Planer – Standard Calcar Planer – Large
1020-1111 1020-1112

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Implanting the stem

Step 7
Prior to any impaction using a mallet, the implant should
be inserted into the femoral canal by hand until it meets
resistance. This aids in positioning the implant in the same
orientation that was broached, preventing the stem from
being forced into a different position.
Several stem inserters are available to help facilitate various
surgical approaches.

Option 1 – Modular Offset Quick Connect Stem Inserter

(1020-1860)
Insignia can be inserted using the Modular Offset Quick
Connect Stem Inserter. Place tip of the inserter into the
Figure 9
drive hole of the stem taking care to align the version tab
on the inserter with the slot in the stem (Figure 9). The
quick connect design provides the inserter with a stable
spring connection, providing rotational control during
stem implantation, but it does not provide a mechanical
lock. Therefore, this assembly should be handled with
care, as excessive shaking or motion may result in the stem
disassociating from the inserter.
Note: For Size 0 and Size 1 Insignia stems, use the Modular
Stem Impactor or Modular Threaded Stem Inserter. The
Modular Offset Quick Connect Stem Inserter cannot be used.
Misuse could lead to instrument failure.

Option 2 – Modular Stem Impactor (1020-1870)

The Modular Stem Impactor has a spherical tip, which is
placed onto the drive hole of the stem. This instrument
allows for off-axis impaction of the stem, if needed. The
Modular Stem Impactor does not connect to the stem, and,
therefore, can only be used for final impaction of the stem.

Option 3 – Modular Threaded Stem Inserter

(1020-1800)
If using the Modular Threaded Stem Inserter, thread the
Modular Threaded Stem Inserter into the drive hole on
the proximal face of the stem. The inserter should be fully
threaded and secured to the stem prior to impaction to
help prevent damage to the threads on the implant or the
instrument. This inserter is designed to provide rotational
control during stem implantation.

Instruments
Modular Offset Quick Connect Modular Stem Impactor
Stem Inserter 1020-1870
1020-1860
Modular Threaded Stem Inserter
1020-1800

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A mallet is then used to gently seat the stem into the canal,
following the central axis of the femur, ideally when the
collar is just above or rests on the calcar (Figure 10). If
the collar is sitting proud, do not attempt to continue
impacting the stem if visual and auditory clues indicate
that it is firmly seated in the canal. These clues, rather than
the collar seating level, should be used to determine the
final seating height of the implant. Continued aggressive
impaction could lead to femoral fracture.
In the event that dense bone is encountered intra-
operatively and compounding anatomical factors are
present, the seating of the implant may not be consistent
with the level of the broach due to the viscoelastic nature of
the femoral bone.* If the final seating height is undesirable,
the implant can be removed and additional broaching can
be performed.
Figure 10
Tip: Use moderate mallet strikes/blows to seat the stem
until it is stable.
If the stem hangs up due to impingement of the Modular
Threaded Stem Inserter against the overhanging tip of
the greater trochanter, remove the threaded stem inserter
leaving the stem in place and use the Modular Stem
Impactor to fully seat the stem.
Warning:
• If any intra-operative stem extraction is required, utilize
the Modular Threaded Stem Inserter (1020-1800).
• If the stem inserter is contacting the greater trochanter
during insertion, continued impaction could lead to a
fracture.

*Fung, Y.C, (1993). Biomechanics: Mechanical Properties of Living Tissues

(2nd ed.). pp.500-519

Instruments
Orthonomic Modular Handle Mallet
1020-2900 1120-1000

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Final reduction
Step 8
Prior to final head assembly, femoral head selection may be
re-evaluated using a V40 Head Trial. Place the Head Trial
onto the stem neck taper and reduce the hip.
Leg length equality and proper soft tissue tension are
evaluated. Remove the Head Trial and dry the implant
trunnion with a sponge or sterile towel.
Select the appropriate corresponding V40 Femoral Head
(BIOLOX delta Ceramic, CoCr, Alumina Ceramic) or sleeve
and place it onto the dry trunnion of the femoral stem
with a slight twist. Impact the head with two moderate
impactions using the Modular Head Impactor (1601-1700)
Figure 11 (Figure 11).
Verify the head is secure on the trunnion after head
impaction by applying traction to the head and confirming
stability on the trunnion. If necessary, the head can be
removed utilizing a head disassembly instrument
(6059-9-505).*
Relocate the femoral head into the acetabular cup and
re-check the hip biomechanics. The surgical site is then
closed according to surgeon preference.
*If a ceramic head is placed on the trunnion and then removed, it must be
replaced with a V40 cobalt chrome head or a V40 Titanium Adapter Sleeve
(17-0000E) and a C-Taper ceramic head.
If the stem must be removed, utilize the Modular Threaded Stem Inserter
(1020-1800).

Warning:
• Following trial reduction and prior to final head assembly, After completing the trialing process, intra-operatively
clean and dry the implant to ensure the taper is free of assemble the adaptor sleeve to the femoral stem manually.
debris. Finally, clean the bearing surfaces and reduce the The Universal Adaptor Sleeve must be fully seated on the
hip. stem taper before the head is assembled.
• Any debris that is potentially generated must be fully Note: In no instance should any attempt be made to
lavaged prior to wound closure. pre-assemble the adaptor sleeve inside the BIOLOX delta
Universal Ceramic Head.
Optional:
Intra-operatively assemble the BIOLOX delta Universal Taper
When selecting a BIOLOX delta Universal Taper Ceramic Ceramic Head onto the sleeved femoral stem and set with
Femoral Head (6519-1-0XX) for implantation, use of a two moderate strikes using the Stem Head Impactor (1104-
Universal Adaptor Sleeve (below) is necessary. 1000). Care must be taken to avoid excessive impact forces
when assembling the Ceramic Head to the sleeved femoral
Catalog no. Offset (mm) Taper component.
6519-T-025 -2.5 V40
6519-T-100 +0 V40
6519-T-204 +4 V40

Instruments
Orthonomic Modular Handle Modular Head Impactor V40 Head Trial
1020-2900 1601-1700 6264-x-xxxR

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(FO)
Femoral offset
Implant information

(NL)
Neck
Length

Leg
Length

48˚

(SL)
Stem Length Center axis

Distal
Dimension

Stem length Neck length Leg length Femoral Distal Diameter

Part number Size
(mm) (mm) (mm) Offset (mm) (mm)
7000-5500 0 Standard 93 30.5 30 30 7
7000-5501 1 Standard 96 30.5 30 31.5 7
7000-5502 2 Standard 99 32.5 32 34 8
7000-5503 3 Standard 101 32.5 32 35.5 9
7000-5504 4 Standard 103 32.5 32 37 10
7000-5505 5 Standard 105 35 34 40 11
7000-5506 6 Standard 107 35 34 41.5 13
7000-5507 7 Standard 109 38 36 45 14
7000-5508 8 Standard 111 38 36 46.5 15
7000-5509 9 Standard 113 38 36 48 16
7000-5510 10 Standard 115 40.5 38 51 17
7000-5511 11 Standard 117 40.5 38 52.5 18

7000-6600 0 High 93 33.5 30 35 7

7000-6601 1 High 96 33.5 30 36.5 7
7000-6602 2 High 99 36 32 39 8
7000-6603 3 High 101 36 32 40.5 9
7000-6604 4 High 103 36 32 42 10
7000-6605 5 High 105 38.5 34 45 11
7000-6606 6 High 107 38.5 34 46.5 13
7000-6607 7 High 109 41 36 50 14
7000-6608 8 High 111 41 36 51.5 15
7000-6609 9 High 113 41 36 53 16
7000-6610 10 High 115 43.5 38 56 17
7000-6611 11 High 117 43.5 38 57.5 18

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Implants

Standard Offset High Offset

Catalog no. Size Description Catalog no. Size Description

7000-5500 Size 0 Insignia Collared Standard Size 0 7000-6600 Size 0 Insignia Collared High Size 0
7000-5501 Size 1 Insignia Collared Standard Size 1 7000-6601 Size 1 Insignia Collared High Size 1
7000-5502 Size 2 Insignia Collared Standard Size 2 7000-6602 Size 2 Insignia Collared High Size 2
7000-5503 Size 3 Insignia Collared Standard Size 3 7000-6603 Size 3 Insignia Collared High Size 3
7000-5504 Size 4 Insignia Collared Standard Size 4 7000-6604 Size 4 Insignia Collared High Size 4
7000-5505 Size 5 Insignia Collared Standard Size 5 7000-6605 Size 5 Insignia Collared High Size 5
7000-5506 Size 6 Insignia Collared Standard Size 6 7000-6606 Size 6 Insignia Collared High Size 6
7000-5507 Size 7 Insignia Collared Standard Size 7 7000-6607 Size 7 Insignia Collared High Size 7
7000-5508 Size 8 Insignia Collared Standard Size 8 7000-6608 Size 8 Insignia Collared High Size 8
7000-5509 Size 9 Insignia Collared Standard Size 9 7000-6609 Size 9 Insignia Collared High Size 9
7000-5510 Size 10 Insignia Collared Standard Size 10 7000-6610 Size 10 Insignia Collared High Size 10
7000-5511 Size 11 Insignia Collared Standard Size 11 7000-6611 Size 11 Insignia Collared High Size 11

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Catalog information
Femoral head implants & trials: BIOLOX delta Ceramic

V40 Taper BIOLOX delta Ceramic Anatomic

V40 Taper BIOLOX delta Ceramic Heads
Heads
Diameter Offset Trial Diameter Offset Trial
Catalog no. Catalog no.
(mm) (mm) catalog no (mm) (mm) catalog no
6570-0-028 28 -4 6264-8-028R 6570-0-036 36 -5 6264-8-036R
6570-0-328 28 -2.7 6264-8-928R 6570-0-436 36 -2.5 6264-8-436R
6570-0-128 28 +0 6264-8-128R 6570-0-136 36 +0 6264-8-136R
6570-0-228 28 +4 6264-8-228R 6570-0-536 36 +2.5 6264-8-536R
6570-0-032 32 -4 6264-8-032R 6570-0-236 36 +5 6264-8-236R
6570-0-132 32 +0 6264-8-132R 6570-0-736 36 +7.5 6264-8-736R
6570-0-232 32 +4 6264-8-232R

Universal Taper BIOLOX delta Universal Adapter V40 Additional Universal V40
Ceramic Heads* Sleeves - Titanium Trial Heads
Diameter Offset Offset Diameter Offset
Catalog no. Catalog no. Catalog no.
(mm) (mm) (mm) (mm) (mm)
6519-1-028 28 -2.5, 0, +4 6519-T-025 -2.5 6264-8-728R 28 -2.5
6519-1-032 32 -2.5, 0, +4 6519-T-100 +0 6264-8-632R 32 -2.5
6519-1-036 36 -2.5, 0, +4 6519-T-204 +4 6264-8-236R 36 +5.0
6519-1-040 40 -2.5, 0, +4 6264-8-940R 40 -2.5
6519-1-044 44 -2.5, 0, +4 6264-8-944R 44 -2.5
*Must be used with Universal Adapter Sleeve,
catalog # 6519-T-XXX

C-Taper BIOLOX delta Ceramic Heads** C-Taper BIOLOX delta Ceramic Anatomic Heads**

Diameter Offset Diameter Offset

Catalog no. Catalog no.
(mm) (mm) (mm) (mm)
18-28-3 28 -2.5 18-36-5 36 -5
18-2800 28 +0 18-36-3 36 -2.5
18-2825 28 +2.5 18-3600 36 +0
18-2805 28 +5 18-3625 36 +2.5
18-32-3 32 -2.5 18-3605 36 +5
18-3200 32 +0 18-3675 36 +7.5
18-3225 32 +2.5 **Must be used with a C-Taper Sleeve catalog #17-0000E.

18-3205 32 +5
**Must be used with a C-Taper Sleeve catalog #17-0000E.

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Insignia Hip Stem | Catalog information Home Table of contents

Catalog information
Femoral head implants & trials: Alumina Ceramic

V40 Taper Alumina Ceramic Heads C-Taper Alumina Ceramic Heads*

Diameter Offset Trial Diameter Offset

Catalog no. Catalog no.
(mm) (mm) catalog no (mm) (mm)
6565-0-028 28 -2.7 6264-8-928R 17-28-3E 28 -2.5
6565-0-128 28 +0 6264-8-128R 17-2800E 28 +0
6565-0-228 28 +4 6264-8-228R 17-2805E 28 +5
6565-0-032 32 -4 6264-8-032R 17-32-3E 32 -2.5
6565-0-132 32 +0 6264-8-132R 17-3200E 32 +0
6565-0-232 32 +4 6264-8-232R 17-3205E 32 +5
6565-0-036 36 -5 6264-8-036R 17-36-5E 36 -5
6565-0-136 36 +0 6264-8-136R 17-3600E 36 +0
6565-0-236 36 +5 6264-8-236R 17-3605E 36 +5
*Must be used with a C-Taper Sleeve catalog #17-0000E.

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Insignia Hip Stem | Catalog information Home Table of contents

Catalog information
Femoral head implants & trials: CoCr

V40 Taper LFIT Heads V40 Vitallium

Diameter Offset Trial Diameter Offset Trial

Catalog no. Catalog no.
(mm) (mm) catalog no (mm) (mm) catalog no
6260-9-122 22 +0 6264-8-122R 6260-4-122 22 +0 6264-8-122R
6260-9-222 22 +3 6264-8-222R 6260-4-222 22 +3 6264-8-222R
6260-9-322 22 +8 6264-8-322R 6260-4-322 22 +8 6264-8-322R
6260-9-026 26 -3 6264-8-026R 6260-5-026 22 -3 6264-8-026R
6260-9-126 26 +0 6264-8-126R 6260-5-126 26 +0 6264-8-126R
6260-9-226 26 +4 6264-8-226R 6260-5-226 26 +4 6264-8-226R
6260-9-326 26 +8 6264-8-326R 6260-5-326 26 +8 6264-8-326R
6260-9-426 26 +12 6264-8-426R 6260-5-426 26 +12 6264-8-426R
6260-9-028 28 -4 6264-8-028R 6260-5-028 28 -4 6264-8-028R
6260-9-128 28 +0 6264-8-128R 6260-5-128 28 +0 6264-8-128R
6260-9-228 28 +4 6264-8-228R 6260-5-228 28 +4 6264-8-228R
6260-9-628 28 +6 6264-8-628R 6260-5-628 28 +6 6264-8-628R
6260-9-328 28 +8 6264-8-328R 6260-5-328 28 +8 6264-8-328R
6260-9-428 28 +12 6264-8-428R 6260-5-428 28 +12 6264-8-428R
6260-9-032 32 -4 6264-8-032R 6260-5-032 32 -4 6264-8-032R
6260-9-132 32 +0 6264-8-132R 6260-5-132 32 +0 6264-8-132R
6260-9-232 32 +4 6264-8-232R 6260-5-232 32 +4 6264-8-232R
6260-9-332 32 +8 6264-8-332R 6260-5-332 32 +8 6264-8-332R
6260-9-432 32 +12 6264-8-432R 6260-5-432 32 +12 6264-8-432R

V40 Taper LFIT Anatomic Heads

Diameter Offset Trial

Catalog no.
(mm) (mm) catalog no
6260-9-036 36 -5 6264-8-036R
6260-9-136 36 +0 6264-8-136R
6260-9-236 36 +5 6264-8-236R
6260-9-336 36 +10 6264-8-336R
6260-9-040 40 -4 6264-8-040R
6260-9-140 40 +0 6264-8-140R
6260-9-240 40 +4 6264-8-240R
6260-9-340 40 +8 6264-8-340R
6260-9-440 40 +12 6264-8-440R
6260-9-044 44 -4 6264-8-044R
6260-9-144 44 +0 6264-8-144R
6260-9-244 44 +4 6264-8-244R
6260-9-344 44 +8 6264-8-344R
6260-9-444 44 +12 6264-8-444R

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Insignia Hip Stem | Catalog information Home Table of contents

Catalog information
Femoral head implants & trials: Modular Endo head
Unitrax Unipolar
(For full list of Unitrax instruments and trials, refer to UHT Instrument System surgical protocol)

Unitrax Unipolar Femoral Heads* Unitrax V40 Sleeve

Diameter Diameter Offset

Catalog no. Catalog no. Catalog no.
(mm) (mm) (mm)
6942-5-038 38 6942-5-049 49 6942-6-060 -4
6942-5-040 40 6942-5-050 50 6942-6-065 +0
6942-5-041 41 6942-5-051 51 6942-6-070 +4
6942-5-042 42 6942-5-052 52 6942-6-075 +8
6942-5-043 43 6942-5-053 53 6942-6-080 +12
6942-5-044 44 6942-5-054 54
6942-5-045 45 6942-5-055 55
6942-5-046 46 6942-5-056 56
6942-5-047 47 6942-5-058 58
6942-5-048 48 6942-5-061 61
*Must be used with the Unitrax V40 Sleeve catalog #6942-6-0XX

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Insignia Hip Stem | Catalog information Home Table of contents

Catalog information

Instruments/Trays Femoral Head trials (select 10)

Catalog no. Description Catalog no. Description
7000-5520 Femoral Instrument Tray - General 6264-8-028R 28mm -4mm V40 Trial Head
1020-1111 Calcar Planer – Standard 6264-8-728R 28mm -2.5mm Trial Head
1020-1112 Calcar Planer - Large 6264-8-928R 28mm -2.7mm Trial Head
1101-2200 Orthonomic T-Handle 6264-8-128R 28mm +0(STD) V40 Trial Head
1601-1700 Modular Head Impactor 6264-8-228R 28mm +4mm V40 Trial Head
6264-X-XXXR Femoral heads (select 10 from list) 6264-8-828R 28mm +5mm Trial Head
Broach handles x2 (select from below 6264-8-628R V40 Trial Femoral Head 28+6mm
1XXX-1460
list of handle options) 6264-8-328R 28mm +8mm V40 Trial Head
1601-1210 Modular Box Osteotome
6264-8-428R 28mm +12mm Trial Head
1020-1200 Axial Starter Reamer
6264-8-032R 32mm -4mm V40 Trial Head
1020-2900 Orthonomic Modular Handle
6264-8-632R 32mm -2.5mm Trial Head
1440-2003 Reverse Cutting Rasp
6264-8-132R 32mm +0(STD) V40 Trial Head
6264-8-232R 32mm +4mm V40 Trial Head
Broach handles 6264-8-732R 32mm +5mm Trial Head
(Select two from the following options)
6264-8-332R 32mm +8mm V40 Trial Head
Catalog no. Description
6264-8-432R 32mm +12mm Trial Head
7000-5529 Extra Offset Broach Handle – Lever
6264-8-036R 36mm -5mm V40 Trial Head
7000-5525 Straight Broach Handle – Lever
6264-8-436R 36mm/-2.5mm Trial Head
7000-5526 Offset Broach Handle – Lever
6264-8-136R 36mm +0(STD) V40 Trial Head
1440-1460 Straight Broach Handle
6264-8-536R 36mm/+2.5mm Trial Head
1020-1460 Offset Broach Handle
6264-3-236R 36mm +4mm V40 Trial Head
6264-8-236R 36mm +5mm V40 Trial Head
Stryker Orthopaedics has validated the following reusable
instrument trays with Aesculap’s SterilContainer™ System 6264-8-736R 36mm/+7.5mm Trial Head
and with CSR wrap. Refer to LSTPI-B (Instructions for 6264-8-336R 36mm +10mm Trial Head
Cleaning, Sterilization, Inspection, and Maintenance of
Reusable Medical Devices).
6147-0-100 Universal Lid
7000-5200 Femoral Instrument Tray - General
7000-5521 Insignia Broach Tray - General

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Insignia Hip Stem | Catalog information Home Table of contents

Catalog information

Instruments/Trays Auxiliary Instruments

Catalog no. Description Catalog no. Description
7000-5521 Insignia Broach Tray Navigation Compatible Accolade
2124-1400
Broach Handle
8000-7700 Insignia Broach Size 0
Right - Nav Compatible Dual-Offset
2124-1700
8000-7701 Insignia Broach Size 1 Accolade Rasp Handle
Left - Nav Compatible Dual-Offset
8000-7702 Insignia Broach Size 2 2124-1750
Accolade Rasp Handle
8000-7703 Insignia Broach Size 3
6059-9-505 Femoral Head Remover
8000-7704 Insignia Broach Size 4
8000-7705 Insignia Broach Size 5 1104-1000 Stem Head Impactor

8000-7706 Insignia Broach Size 6 1440-1700 Neck Trial Forceps

8000-7707 Insignia Broach Size 7
1440-2000 Dual Offset Broach Handle, Left
8000-7708 Insignia Broach Size 8
8000-7709 Insignia Broach Size 9 1440-2001 Dual Offset Broach Handle, Right
8000-7710 Insignia Broach Size 10
8000-7711 Insignia Broach Size 11
7555-0001 Insignia Standard Neck Trial 0/1
7555-0002 Insignia Standard Neck Trial 2/3/4
7555-0003 Insignia Standard Neck Trial 5/6
7555-0004 Insignia Standard Neck Trial 7/8/9
7555-0005 Insignia Standard Neck Trial 10/11
7555-0006 Insignia High Neck Trial 0/1
7555-0007 Insignia High Neck Trial 2/3/4
7555-0008 Insignia High Neck Trial 5/6
7555-0009 Insignia High Neck Trial 7/8/9
7555-0010 Insignia High Neck Trial 10/11
1020-1800 Modular Threaded Stem Inserter
1020-1860 Modular Offset Quick Connect Inserter
1020-1870 Modular Stem Impactor
1020-1100 Neck resection guide

22
A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when Howmedica Osteonics Corp.
treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular 325 Corporate Drive
product before using it in surgery. Mahwah, NJ 07430, USA
A subsidiary of Stryker Corporation
The information presented is intended to demonstrate the breadth of Stryker’s product offerings. A surgeon must always refer to the package
t: 201 831 5000
insert, product label and/or instructions for use before using any of Stryker’s products.

Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual stryker.com
markets. Please contact your sales representative if you have questions about the availability of products in your area.

Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service
marks: Accolade, Howmedica, Insignia, Osteonics, PureFix, Stryker, Stryker Orthopaedics, V40. All other trademarks are trademarks of their
respective owners or holders.

Aesculap is a registered trademark of Aesculap Ag. BIOLOX delta is a registered trademark of Ceramtec Ag.

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