depuy synthes spine screw removal system

Note: It is recommended that product technique guides be reviewed before revising or removing spine screw implants.

DePuy Synthes Spine Screw Removal SystemPosterior Thoracolumbar Removal SetAnterior Thoracolumbar & Cervical Removal Set

2 DePuy Synthes Companies | Posterior Thoracolumbar Removal Set | Cervical & Anterior Thoracolumbar Removal Set

Posterior Thoracolumbar Removal Bits & Graphic Case 3

Posterior Thoracolumbar Instruments & Graphic Cases 10

Reference Chart for the Removal of DePuy Synthes Thoracolumbar Spine Systems 12

Anterior Thoracolumbar & Cervical Removal Bits & Graphic Case 16

Anterior Thoracolumbar & Cervical Instruments & Graphic Cases 21

Reference Chart for the Removal of DePuy Synthes Anterior Thoracolumbar & Cervical Spine Systems 22

Table of Contents


Posterior Thoracolumbar Removal SetA three tray and lid instrument set for removing spine screw implants.


REMOVAL BITS GRAPHIC CASE

Stainless Steel

LC40004 Thoracolumbar Removal Bits Lid

TY10005 Thoracolumbar Removal Bits Case

Setscrew Extractors

RS101006 2.5 mm

RS101007 3.0 mm

RS101008 3.5 mm

Remove screws with damaged drive recess.

Broken Screw Removers

RS2011575 4.0 mm

RS2011969 5.0 mm

RS2012362 6.0 mm

RS2012756 7.0 mm

RS2013150 8.0 mm

RS2013543 9.0 mm

Remove screws which no longer have a head.

RS101007

RS2012362


Flat Blade

CD101008 Medium

Remove screws with slotted drive.

Trephines

HR1011575 4.0 mm

HR1011969 5.0 mm

HR1012362 6.0 mm

HR1012756 7.0 mm

HR1013150 8.0 mm

HR1013543 9.0 mm

Clear bone and soft tissue from around damaged screws.

HR1011969


Hexalobe Drivers, male

HD203T20 T20

HD203T25 T25

HD203T27 T27

HD203T30 T30

HD203T40 T40

CD101018 X15

CD101019 X20

CD101020 X25

Remove screws with an intact Hexalobe drive.

Hex Drivers, male

HD2010984 2.5 mm

HD2011181 3.0 mm

HD2011378 3.5 mm

HD2011772 4.5 mm

HD2011969 5.0 mm

HD2012756 7.0 mm

HD2011094 7/64” (2.78 mm)

HD2011250 1/8” (3.18 mm)

HD2011563 5/32” (3.97 mm)

HD2011875 3/16” (4.76 mm)

HD2012188 7/32” (5.56 mm)

HD2012500 1/4” (6.35 mm)

Remove screws with a hexagonal recess.

HD2011969

CD101019

HD203T20


Hex Drivers, female

HD2021969 5.0 mm

HD2022362 6.0 mm

HD2022756 7.0 mm

HD2023150 8.0 mm

HD2023543 9.0 mm

HD2023937 10 mm

HD2025906 15 mm

HD2021250 1/8” ( 3.18 mm)

HD2021563 5/32” (3.97 mm)

HD2021875 3/16” (4.76 mm)

HD2022188 7/32” (5.56 mm)

HD2022500 1/4” (6.35 mm)

HD2023125 5/16” (7.94 mm)

HD2023750 3/8” (9.53 mm)

HD2024375 7/16” (11.11 mm)

HD2025000 1/2” (12.70 mm)

Remove screws with a hexagonal head.

HD2021969


Custom Drivers

CD101001 5 mm Saddle Driver

CD101002 6 mm Saddle Driver

CD101003 Sleeve Nut Driver

CD101004 2 Prong Driver

CD101005 3-LOK Driver

CD101006 Pentalobe Driver

CD101010 Phillips Driver

CD101011 4-Prong Driver

CD101014 Locking & Inner ScrewDriver

CD101015 Outer Bone ScrewDriver

CD101016 Cam Driver


CD101021 Small

CD101022 MONARCH® Driver

CD201002 Octagon Driver

CD201003 AESCULAP Driver

CD201004 Anchor Driver

CD201006 11 mm Hex Driver (12 Point)

CD201007 13.8 mm Hex Driver, female

CD201008 Cap Nut Driver

CD201010 Dodecagon Driver

CD201014 ISOLA™ Open Driver

CD201015 ISOLA™ Closed Driver

A selection of drivers to remove a variety of implants.


INSTRUMENT TRAY 1 OF 2 GRAPHIC CASE

Stainless Steel

LC40005 Thoracolumbar Removal Instruments 1 of 2 Lid

TY10006 Thoracolumbar Removal Instruments 1 of 2 Case

Instruments

WB101007 3/8”, 1/4” Wrench, Open End

WB101009 9/32”, 7/32” Wrench, Open End

EX103064 Extension 4”

2390015 Power TRI-LOBE Adaptor

EX103128 Extension 8”

TC104000 Counter Torque

TR423000A Ratcheting T-HANDLE 1/4”

2997-04-135 EXPEDIUM VERSE® Ratcheting T-Handle

AP211001 Adjustable Pliers

277040700 Cap Inserter

279830200 FRONTIER™ Cap Inserter

275015100 MOSS MIAMI™ Outer Tightener

279722000 EXPEDIUM® Dual Innie Inserter

279712830 EXPEDIUM® MONO Screw Shaft

299704220 EXPEDIUM VERSE® Castle Nut Inserter



Stainless Steel

854793 Thoracolumbar Removal Instruments 2 of 2 Lid

854794 Thoracolumbar Removal Instruments 2 of 2 Case

Instruments

309.540 CLICK’X® Locking Cap Extractor

309.541 CLICK’X® Counter Torque Sleeve

Not yet available in EMEA

ScrewDriver for Side-Opening Implants

388.353 CLICK’X® Extraction Pliers

388.357 USS® VAS Locking Ring Extractor


Locking Ring Extractor


Footed ScrewDriver Shaft

03.620.075 Threaded Remobilization Tool

388.652 T-Handle 6 mm Hex Lock Adapter

Additionally Available Instruments

03.636.004 Screwdriver, cannulated for Locking Cap for Universal Reduction Screw


REFERENCE CHART FOR THE REMOVAL OF DEPUY SYNTHES THORACOLUMBAR SPINE SYSTEMS

SYSTEM PART DRIVE FEATURE

NOTES ON REMOVAL USING THORACOLUMBAR REMOVAL KIT

CLICK’X® Pedicle Screw System

Locking Cap 3.5 mm Female Hex

3.5 mm Hex Driver, Male - HD2011378, CLICK'X® Locking Cap Extractor - 309.540, CLICK'X® Counter Torque Sleeve - 309.541

CLICK’X® Pedicle Screw System

Bone Screw 3.5 mm Female Hex

Extraction Pliers for CLICK'X® - 388.353, 3.5 mm Hex Driver, Male - HD2011378, OR 3.5 mm Screw Extractor - RS101008

CROSSOVER™ System Cross Connector

3.2 mm Female Hex

1/8” Hex Driver - HD2011250 OR Set Screw Extractor - RS101007

EXPEDIUM® 4.5 System Set Screw X20 X20 Hex Driver - CD101019

EXPEDIUM® 4.5 System Bone Screw T15 2.5 mm Set Screw Remover - RS1020984 (TL) T15 Hexalobe Driver - HD207T15 (Cervical)

EXPEDIUM® 5.5 Spine System Single Innie Set Screw & Unitized Set Screw

X25 X25 Hex Driver - CD101020

EXPEDIUM® 5.5 Spine System Dual Innie Set Screw

Castle Nut Outer / X25 inner

2297-22-000 DI Castle Nut Inserter -Outer, Hexalobe X 25 - CD101020 - Inner

EXPEDIUM® 5.5 Spine System Bone Screw T20 T20 Hexalobe Driver - HD203T20

EXPEDIUM® 6.35 System Single Innie Set Screw & Unitized Set Screw


EXPEDIUM® 6.35 System Dual Innie Set Screw

Castle Nut Outer / X25 inner

2797-22-000 DI - Castle Nut Inserter

EXPEDIUM® 6.35 System Bone Screw T27 T27 Hexalobe Driver - HD203T27

EXPEDIUM® Favored Angle Screw System

Set Screw Castle Nut Outer / X25 inner

2297-22-000 DI Castle Nut Inserter - Outer, Hexalobe X25 - CD101020 - Inner

EXPEDIUM® Favored Angle Screw System

Bone Screw X25 X25 Hex Driver - CD101020

EXPEDIUM® Offset & Plates System

Set Screw X25 X25 Hex Driver - CD101020


Locking Nut 8 mm / 5/16” hex

8 mm Hex Driver Female - HD2023150


Bolt X20 X20 Hex Driver - CD101019

EXPEDIUM® SFX™ Cross Connector System


EXPEDIUM® Universal Connector Set





EXPEDIUM VERSE® Spine System

Screw X25 X25 Hex Driver - CD101020


Unitized Set Screw



Correction Key

X25 X25 Hex Driver - CD101020 (inner); 299704220 - EXPEDIUM VERSE™ Castle Nut Inserter (outer)

ISOLA™ / VSP™ Spine System Locking Nut / Posted Bolt

3/8” Male Hex

3/8” Hex Socket - HD2023750 OR Open End Wrench - WB101007

ISOLA™ / VSP™ Spine System Open Screw U-Shape ISOLA® Open Screw Driver - CD201014 OR 5 mm Saddle Driver - CD101001 OR Open End Wrench - WB101007

ISOLA™ / VSP™ Spine System Closed Screw Thru Hole ISOLA® Closed Screw Driver - CD201015 OR Open End Wrench - WB101007

ISOLA™ / VSP™ Spine System Slotted Connector Set Screw

3.2 mm Female Hex


KASS KANEDA™ Anterior Scoliosis System

Nut 1/8" female 1/8" (3.18 mm) Hex Driver, Male - HD2011250


Open Screw Saddle Driver, 5 mm - CD101001


Closed Screw Nut 3/8”, 1/4” Wrench, Open End - WB101007 OR 9/32”, 7/32” Wrench, Open End - WB101009

MATRIX Pedicle Screw System

Set Screw T25 StarDrive T25 Hexalobe Driver - HD203T25


Bone Screw T25 StarDrive T25 Hexalobe Driver - HD203T25


Locking Screw

T15 StarDrive 2.5 mm Set Screw Remover - RS1020984 (TL) T15 Hexalobe Driver - HD207T15 (Cervical)

MATRIX MIS Pedicle Screw System

Set Screw T25 StarDrive T25 Hexalobe Driver - HD203T25

MATRIX MIS Pedicle Screw System

Bone Screw T25 StarDrive T25 Hexalobe Driver - HD203T25

MONARCH™ 5.50 & 6.35 Ti Spine System

Monoaxial Screw

5 mm Saddle Driver - CD101001 OR 6 mm Saddle Driver - CD101002


Polyaxial Screw

X15 Set Screw Extractor - RS101006 OR Set Screw Extractor - RS101007


Bolt / Slotted Connector Bone Screw & Set Screw

3.2 mm Female Hex



Slotted Connector Nut

3/8” Male Hex






Typhoon Cap X20 or X25 Set Screw, Dovetail Cap

Hexalobe X20 - CD101019, or Hexalobe X 25 - CD101020 (Set Screw) Cap Inserter - 2770-40-700 (Cap)

MOSS MIAMI™ Spine System 5.5 Ti, 5.0 SS

Monoaxial Screw

Rod Slot 5 mm Saddle Driver - CD101001 OR 6 mm Saddle Driver - CD101002

MOSS MIAMI™ Spine System 4.0, 5.5, 5.0, 6.0, 6.35

Inner Screw 3.5 mm Female Hex

3.5 mm Hex Driver - HD2011378 OR Hexalobe Driver - HD203T20

MOSS MIAMI™ Spine System 5.5 Ti, 5.0 SS, 4.0 SS

Outer Nut 13 mm Male Hex

MM Outer Nut Tightener - 2750-15-100 OR 13.8 mm Hex Socket - HD201007

MOSS MIAMI™ Spine System 6.35 Magnum (and 5.0 & 5.5 8 mm Screws)

Outer Nut 15 mm Male Hex

15 mm Hex Driver, Female - HD2025906

MOSS MIAMI™ Spine System 4.0, 5.0, 5.5, 6.0, 6.35

Polyaxial Screw Internal Drive Feature

2.5 mm Female Hex

2.5 mm Hex Driver - HD2010984

MOSS MIAMI™ Spine System Single Innie


MOSS MIAMI™ Spine System Single Innie

Polyaxial Screw Internal Drive Feature


PANGEA® Pedicle Screw System

Locking Cap / Bone Screw

T25 STARDRIVE™

T25 Hexalobe Driver Male - HD203T25

SPONDY HOOK SCREW Nut 5.5 mm 9/32", 7/32" Wrench, Open End - WB101009

TIMX™ Low Back System Locking Nut / Screw

3/8” Male Hex


TIMX™ Low Back System Slotted Connector Set Screw

3.2 mm Female Hex


URS / UDS System Locking Cap T25 T25 Hexalobe Driver - HD203T25

URS / UDS System 2 Step Locking Cap

ScrewDriver, cannulated, for Locking Cap for Universal Reduction Screw (Additionally Available) - 03.636.004

URS / UDS System Bone Screw T25 T25 Hexalobe Driver - HD203T25

USS® Dual Opening System Nut 12 Point Nut 11 mm (12 Point) Hex CD201006

USS® Dual Opening System Side-opening Implants (Screws / Hooks)

4.0 Female Hex

5/32" (3.97 mm) Hex Driver, Male - HD2011563

USS® Polyaxial-Iliosacral System

Nut / Bone Screw

12 Point Nut 11 mm (12 Point) Hex CD201006, See Technique Guide: Use 03.607.001 and other proprietary instruments (not in set 01.611.002)

USS® Small Stature Nut 12 Point Nut 11 mm (12 Point) - Hex CD201006




USS® Small Stature Side-opening Implants (Screws / Hooks)

4.0 Female Hex

5/32" (3.97 mm) Hex Driver, Male - HD2011563

USS® Spinal System Collar Use General Instruments to Remove Collars from all USS Systems

USS® Spinal System Nut 11 mm Male Hex

11 mm (12 Point) Hex - CD201006

USS® Spinal System Side-opening Implants (Screws / Hooks)

ScrewDriver, for Side-opening Implants - Not yet available in EMEA

USS® VAS System Nut / Bone Screw

11 mm Male Hex / 3.0 mm Female Hex

11 mm (12 Point) Hex - CD201006 / 3.0 mm Hex Driver, Male - HD2011181

VIPER® 2 MIS Spine System Set Screw X25 X25 Hex Driver - CD101020

VIPER® 2 MIS Spine System Bone Screw T20 T20 Hexalobe Driver - HD203T20

VIPER PRIME™ System Screw X25 X25 Hex Driver - CD101020

VIPER PRIME™ System Set Screw X25 X25 Hex Driver - CD101020

VIPER® Sacral-Alar-Iliac Fixation


VIPER® Sacral-Alar-Iliac Fixation

Bone Screw T27 T27 Hexalobe Driver HD203T27

VIPER® F2 Transfacet Pedicular System

Bone Screw X25 X25 Hex Driver CD101020

Transconnectors

CROSSOVER™ System Screw X20 Hexalobe X 20 - CD101019

EXPEDIUM® SFX™ Cross Connector System

Screw X20 Hexalobe X 20 - CD101019

MATRIX Transconnectors Screw T15 2.5 mm Set Screw Remover - RS1020984 (TL) T15 Hexalobe Driver - HD207T15 (Cervical)

USS® Transconnectors Screw Hex 2.5 mm Hex Driver, Male - HD2010984


REMOVAL BITS & TRAY 1 GRAPHIC CASE

Stainless Steel

LC50003 Cervical Removal Bits Lid

TY20004 Cervical Removal Bits Case

TY20005 Cervical Removal Instruments 1 of 2 Case

Cervical & Anterior Thoracolumbar Removal SetA comprehensive three tray and two lid instrument set for removing screws from DePuy Synthes Spine cervical and anterior thoracolumbar implant systems.


CERVICAL REMOVAL BITS CASE

Cervical Removal Bits Case

RS1020591 1.5 mm

RS1020787 2.0 mm

RS1020984 2.5 mm

RS1021181 3.0 mm

RS1021378 3.5 mm

RS1021575 4.0 mm

Remove screws with damaged drive recess.

Flat Blades

CD102001 Small

Remove screws with slotted drive.

Trephines

HR1041378 3.5 mm

HR1041575 4.0 mm

HR1041771 4.5 mm

HR1041969 5.0 mm

Clear bone and soft tissue from around damaged screws.

RS1020984

CD102001

HR1041378


Hexalobe Drivers, male

HD207T08 T8

HD207T10 T10

HD207T15 T15

HD207T20 T20

HD207T25 T25

CD102007X15 X15

CD102007X20 X20

CD102007X25 X25

Remove screws with an intact Hexalobe drive.

Hex Drivers, male

HD2060591 1.5 mm

HD2060787 2.0 mm

HD2060984 2.5 mm

HD2061181 3.0 mm

HD2061250 3.2 mm

HD2061378 3.5 mm

Remove screws with a hexagonal recess.

HD207T15

CD102007X15

HD2060984


Custom Drivers

CD102003 Cruciform 3.0 mm Driver



CD102004 5 Star Driver

CD102005 TRI-LOBE Driver

CD102006 2 Prong Driver

CD102008 CAM Driver

CD102009 Outer Nut DODECAGON Driver

CD102010 Unlocking Tool Driver

CD102012 Quad Driver

CD102013 CERVIVE Driver

CD102014 CERVI-LOK Driver


CD102015 SPINELINK ACS Driver

CD102016 TRILOBE Driver

UT101001 Unlocking Tool

A selection of drivers to remove a variety of implants.



Cervical Removal Instruments 1 of 2 Case

AP211001 Adjustable Pliers

EX201076 Shaft Extension

MA101000A Handle, Mini A-O, Black O-G

SR632000A SD, Ratcheting A-0, Black O-G

TA101000 T-Handle, A-O

KM 46-629 4 mm Rod Cutter


Stainless Steel

854784 Cervical Instruments Tray 2 of 2 Lid

854785 Cervical Instruments Tray 2 of 2 Case

Cervical Removal Instruments 2 of 2 Case

324.067 Countertorque Wrench for CSLP

324.071 Screw Head Cleaning Tool

352.311 Extraction Screwdriver


Self-Retaining Screwdriver for Expansionhead Screws

387.285 1.8 mm Screwdriver Shaft Self-Retaining


5.5 mm Socket Wrench


Clamp Removal Tool

388.548 Release Tool

388.396 Handle with Quick Coupling


REFERENCE CHART FOR THE REMOVAL OF DEPUY SYNTHES CERVICAL AND ANTERIOR THORACOLUMBAR SPINE SYSTEMS

SYSTEM PART DRIVE FEATURE NOTES ON REMOVAL USING CERVICAL REMOVAL KIT

ACCS™ Bone Screw Screw Extraction Screwdriver - 352.311

ACLP™ Cervical Plate System Screw T15 T15 Hexalobe Driver - HD207T15

AEGIS® Anterior Lumbar Plate

Screw X15 Hexalobe X15 Driver - CD102007X15 (Cervical)

AEGIS® Anterior Lumbar Plate

CAM CAM Tri-lobe Driver - CD102016 (Cervical)

ANTEGRA™ / ANTEGRA-T™ Plate Systems

Screw T25 T25 Hexalobe Driver, MALE - HD203T25 (TL) T25 Hexalobe Driver - HD207T25 (Cervical)

ARCH™ Fixation System Screw CRUCIFORM 3.0 mm Driver - CD102003

ARCOFIX™ Anterior Plate Screw T25 T25 Hexalobe Driver - HD207T25

ATB™ Screw 3.5 mm Hex 3.5 mm Hex Driver - HD2061378

ATLP™ Screw 3.5 mm Hex 3.5 mm Hex Driver - HD2061378

AXON™ Pedicle Screw System Screw T15 T15 Hexalobe Driver - HD207T15 RELEASE TOOL - 388.548

AXON™ Pedicle Screw System Set Screw T15 T15 Hexalobe Driver - HD207T15

Buttress Locking Plate Expansion Head Screw

1.8 mm Screwdriver Shaft Self-Retaining - 387.285

Buttress Locking Plate Locking Screws

Self-Retaining Screwdriver for Expansionhead Screws - 387.284

CERVIFIX™ Implant System Nut 5.5 mm Nut 5.5 mm Socket Wrench - Not yet available in EMEA

CERVIFIX™ Implant System Screw 2.5 mm Hex 2.5 mm Hex Driver - HD2060984

CSLP™ System Expansion Head Screw

Self-Retaining Screwdriver for Expansionhead Screws - Not yet available in EMEA,Countertorque Wrench for CSLP - 324.067

CSLP™ System Locking Screws

1.8 mm Screwdriver Shaft Self-Retaining - 387.285 Countertorque Wrench for CSLP - 324.067

CODMAN® ACP Anterior Cervical Plate System

CAM Cam Driver - CD102008

CODMAN® ACP Anterior Cervical Plate System

Screw 2.5 mm Hex 2.5 mm Hex Driver - HD2060984

EAGLE™ Plus & SWIFT® Anterior Cervical Plate System

Screw X15 Hexalobe X15 Driver - CD102007X15

MOUNTAINEER® System Screw / Set Screw

X15 Hexalobe X15 Driver - CD102007X15

MOUNTAINEER® System CT Connector

X25 Hexalobe X25 Driver - CD102007X25


SYSTEM PART DRIVE FEATURE NOTES ON REMOVAL USING CERVICAL REMOVAL KIT

PEAK™ Polyaxial Cervical Plating System

Screw T15 (2002- present) 2.5 mm Hex (pre-2002)

T15 Hexalobe Driver - HD207T15 or 2.5 mm Hex Driver - HD2060984

SKYLINE™ Anterior Cervical Plate System


SKYLINE™ Anterior Cervical Plate System

Screw X15 Hexalobe X15 Driver - CD102007X15

SLIM-LOC™ Anterior Cervical Plate System

Screw 2.5 mm Hex 2.5 mm Hex Driver - HD2060984

SLIM-LOC™ Anterior Cervical Plate System


SYNAPSE™ System Screw / Locking Cap

T15 T15 Hexalobe Driver - HD207T15

TELEFIX™ Screw 3.5 mm Female Hex

3.5 mm Hex Driver, Male - HD2011378 (TL) 3.5 mm Hex Driver - HD2061378 (Cervical)

Titanium BUTTRESS LOCKING PLATE

Screw Self-Retaining Screwdriver for Expansionhead Screws - Not yet available in EMEA

T.S.L.P. Locking Plate System Screw 3.5 mm Hex 3.5 mm Hex Driver - HD2061378

UNIPLATE™ Anterior Cervical Plate System

Screw X15 Hexalobe X-15 Driver - CD102007X15

UNIPLATE™ Anterior Cervical Plate System

CAM TRILOBE Driver- CD102016

VECTRA™ & VECTRA-T™ Plate and Screw Fixation Systems

Screw Extraction Screwdriver - 352.311

VENTROFIX® Implants Screw 3.5 mm Hex 3.5 mm Hex Driver - HD2061378

ZERO-P® Implant Screw T8 T8 Hexalobe Driver - HD207T08

Limited Warranty and Disclaimer: DePuy Synthes Spine products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed.

Not all products are currently available in all markets.

This publication is not intended for distribution in the USA.

Surgical techniques are available as PDF files at www.depuysynthes.com/ifu

Note: For recognized legal manufacturer, refer to the product label.

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Manufactured by:

DePuy Spine Inc.325 Paramount DriveRaynham, MA 02767USATel: +1 (800) 227-6633

Medos International SARLChemin-Blanc 382400 Le LocleSwitzerland

Synthes GmbHEimattstrasse 34436 OberdorfSwitzerlandTel: +41 61 965 61 11Fax: +41 61 965 66 00

Tecomet5307 95th AvenueKenosha, WI 53144USA

Symmetry Medical Manufacturing Inc.253 Abby RoadManchester, NH 03103USA

DePuy International, Ltd.St. Anthony's RoadLeeds LS11 8DT EnglandPhone: +44 113 270 0461FAX: +44 113 272 4101

Meditec SourceGmbH & Co. KGSattlerstr 1978532 Tuttlingen-NendingenGermany

Symmetry Medical PolyVac SASParc d'Activites du Moulin 139 avenue Clement Ader59118 WambrechiesFrance

depuy synthes spine screw removal system

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