TORS System

Torsional Orthopaedic Revision System

The newest ultrasound technology to remove bone cement

The TORS system is currently the world's newest and most modern surgical ultrasound device for the removal of polymethyl methacrylate (PMMA) bone cement.

The system also contains an HF surgery module / device for high-frequency, tissue cutting and coagulation of vessels.

The technically mature system impresses with its extremely stable functional performance compared to the systems available on the market, as well as simple and pleasant handling.

Advantages at a glance:

  • Can be used with all cemented endoprostheses
  • Faster softening of the bone cement thanks to the vertical and torsional movement of the newly designed probes compared to conventional systems
  • Targeted and efficient removal of the bone cement using piercer and scraper probes in various sizes
  • Acoustic feedback for cortical contact
  • Precise medullary canal preparation for the stem revision
  • Relief of the operating hand thanks to the foot switch to activate the probes
  • Improved planning of the surgical procedure and significantly reduced operating time
  • Easy setup and handling of the system
  • Soft tissue transducer, integrated HF device with 2 energy levels for cutting and coagulating

Fig. 1 - Initial situation before surgery.
Fig. 2 - Access via tibial plateau, extended working probe total 400mm

Fig. 3 - Use of the piercer probe to open the canal .: Overview piercer probes :.
Fig. 4 - Use of the scraper probe for retrograde recovery of the cement .: Overview scraper probes :.

Bone cement removal with TORS system: principle, advantages

Cement removal with TORS

TORS cement removal Consumables

Outer Handpiece

T1T1AH - Axial Grip Handpiece -SU- Steril

Sterile packaged receptacle for the handpiece for cement removal. The holder is in two parts and is locked with a bayonet catch.

Outer handpiece – a lightweight, ergonomic, single use plastic handle with comfy annular switch accessible at all angles.
The handpiece holder is mounted on the TORS handpiece, which is shown below:

The new Longitudinal-torsional Piercer Probes enable the most efficient means for impact-free cement removal.

The Longitudinal-torsional combination-mode ultrasound offers the best of both technology worlds with newly patented acoustic designs to maximise energy delivery efficiency and therefore ease of cement removal, reducing time and stress.

The impedance mismatch between titanium and bone means that TORS stops cutting and squeals on bone contact in the same way as longitudinal ultrasound systems.

Reusable probes - Piercers

The piercer has a round, lance-shaped tip with holes on the head. It is used for the forward and backward processing of the bone cement as well as the perforation of the distal cement peg.

The aim is to first loosen the bone cement in depth and then to transport parts of it from the depth towards the opening.
These probes can be extended using the T1ESR1, T1ECR1 or T1ESR2 extensions.

Reusable probes - Scrapers

The scraper has a round, flattened tip. It is used to remove the bone cement.
The aim is to first loosen the bone cement in depth and then to transport parts of it from the depth towards the opening.

These probes can be extended using the T1ESR1, T1ECR1 or T1ESR2 extensions.

Application areas

Knee, shoulder, elbow and proximal areas:

T1P6R1 - TORS Piercer
100mm - ø6 mm

Length of the probe: 100mm
Head diameter: 6mm

T1P8R1 - TORS Piercer
100mm - ø8 mm

Length of the probe: 100mm
Head diameter: 8mm

T1S6R1 - TORS Scraper
100mm - ø6 mm

Length of the probe: 100mm
Head diameter: 6mm

T1S8R1 - TORS Scraper
100mm - ø8 mm

Length of the probe: 100mm
Head diameter: 8mm

Hip (femur)

T1P6R2 - TORS Piercer
200mm - ø6 mm

Length of the probe: 200mm
Head diameter: 6mm

T1P8R2 - TORS Piercer
200mm - ø8 mm

Length of the probe: 200mm
Head diameter: 8mm

T1P10R2 - TORS Piercer
200mm - ø10 mm

Length of the probe: 200mm
Head diameter: 10mm

T1P4R2 -TORS Piercer
200mm - ø4 mm for PE cement plugs

Length of the probe: 200mm
Head diameter: 4mm

The unique 4mm head is designed to penetrate the toughest, low friction cement plugs in use.

T1S6R2 - TORS Scraper
200mm - ø6 mm

Length of the probe: 200mm
Head diameter: 6mm

T1S8R2 - TORS Scraper
200mm - ø8 mm

Length of the probe: 200mm
Head diameter: 8mm
 

T1S10R2 - TORS Scraper
200mm - ø10 mm

Length of the probe: 200mm
Head diameter: 10mm
 

Reusable instruments - Probe extensions

T1T1ES

Extension: 90mm
Form: straight

T1T1EC

Extension: 90mm
Form: curved to replicate the bend of the femur

T1ESR2

Extension: 132mm
Form: straight

Soft tissue scalpel

T1T1TT - TORS Soft Tissue Scalpel

The soft tissue scalpel is a completely reusable device that will enable haemostatic skin and muscle incisions equivalent to monopolar diathermy but running much cooler and therefore smoke-free yet with better bleeding control.

The soft tissue scalpel can be used in primaries as well.