Pocket Reference Cards

Transcription

1 Stryker Nailing T2 Pocket Reference Cards Tibial Nails Femoral Nails Humeral Nails T2 Arthrodesis Nails Flexible Nails

2 General Notes The following notes apply to all T2 IM Nails (except T2 Kids) unless separately delineated either below or on the Important Facts page for each nail. Read carefully for tips, pointers, and other facts. 1. All screw hole dimensions reference the center point of the screw. 2. Internal compression screws require a 5. partially threaded screw in the oblong hole. 3. T2 8mm Nails require the use of 4mm fully threaded locking screws (distally) and 5mm (proximally). 4. T2 A/R Humeral nails require ALL 4mm locking screws. 5. T2 nails may ALL require additional reaming for the proximal (driving section) beyond 1 to 1.5mm larger than the nail diameter. 6. T2 GTN - 8, 14 & 15mm nails are special order.

3 T2 Tibia Nail Required Instruments Instruments: T2 Basic Long Tray T2 Tibia Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm) a Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 1 3 x 800 Ball Tip Guide Wire b S 1 Bixcut Mod Trinkle Shaft, 448mm c S x 340 Drill Bit (Proximal Guided) d S x 130 Drill Bit (Distal Freehand) b S For Internal Compression - Partially threaded screw is required in oblong hole. - Overdrill near cortex only with the drill below x 230 Drill Bit d S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. 8mm diameter Tibia nail requires the following: (1) 3.5 x 130 Drill Bit Cat No: S for 4mm distal screws (1) 3 x 800 Smooth Tip Guide Wire Cat No: S (1) Teflon Exchange Tube Cat No: S c. Optional: Bixcut Mod Trinkle Shaft, 51 - Cat No: S Bixcut with AO shaft, 448mm Cat No: S 3 x 1000 Ball Tip Guide Wire - Cat No: S d. Optional: If utilizing the short Tissue Protection and Drill Sleeve, the 4.2 x 26 Drill Bit ( S) and 5.0 x 18 Drill Bit ( S) may be utilized.

4 Impor tant Facts Shaft Diameter: 8, 9, 10, 11, 12, 13, 14, 15mm Driving End Diameter: 11.5mm for shaft diameters 11mm Same as shaft diameter for all other sizes Length: 240 to 42 (15mm increments) Driving End 10 A /P slope Compression 41 Range 7mm 50 Herzog Bend, 10 Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5. fully threaded Distal Screw Size: 5. fully threaded 4. fully threaded for 8mm diameter nail only image of standard nail No Bow Screw Hex Size: 3.5mm End Caps: Fully threaded, Standard, +5, +10, +15, +20, +25, +30, +35mm (Only the fully threaded end cap locks proximal screw hole) Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Compression Screw: Advanced (8mm metric thread) 6 Distal Bend,

5 T2 Femoral Nail (Antegrade Mode) Required Instruments Instruments: T2 Basic Long Tray T2 Femoral Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) a Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 1 3 x 1000 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm b S x 340 Drill Bit (Proximal Guided) S x 180 Drill Bit (Distal Freehand) S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below x 230 Drill Bit S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm - Cat No S 8mm diameter T2 Femoral nails requires the following: (1) 3.5 x 130 Drill Bit Cat No: S for 4mm distal screws (1) 3 x 800 Smooth Tip Guide Wire Cat No: S (1) Teflon Exchange Tube Cat No: S

6 Impor tant Facts (Antegrade Mode) Shaft Diameter: 9, 10, 11, 12, 13, 14, 15mm (8mm diameter require special order) Driving End Diameter: 11.5mm for shaft diameters 11mm Same as shaft diameter for all other sizes Length: 140 to 48 (2 increments) length for R1.5 Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5. fully threaded Distal Screw Size: 5. fully threaded Screw Hex Size: 3.5mm End Caps: Standard, +5, +10, +15, +20, +25,+30, +35mm Internal Diameter: Shaft - 5. Driving End - 8mm metric thread Compression Screw: Advanced, Standard +5, +10, +15mm 50 (all sizes are 8mm metric thread) 25 Driving End 35 Compression 45 range 1 60 R=3.0 or 1.5m

7 T2 Femoral Nail (Retrograde Mode) Required Instruments Instruments: T2 Basic Long Tray T2 Femoral Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) a Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 1 3 x 1000 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm b S x 340 Drill Bit (Distal Guided) S x 230 Drill Bit (Proximal Freehand) S Optional: Condyle Screws x 310 Condyle Screw K-Wire S x 340 Drill Bit S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below x 230 Drill Bit S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm Cat No: S 8mm diameter Femoral nails requires the following: (1) 3.5 x 130 Drill Bit Cat No: S for 4mm distal screws (1) 3 x 800 Smooth Tip Guide Wire Cat No: S (1) Teflon Exchange Tube Cat No: S

8 Impor tant Facts (Retrograde Mode) Shaft Diameter: 9, 10, 11, 12, 13, 14, 15mm (8mm diameter require special order) Driving End Diameter: 11.5mm for shaft diameters 11mm Same as shaft diameter for all other sizes Length: 140 to 48 (2 increments) length for R1.5 Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5. fully threaded Distal Screw Size: 5. fully threaded 1 5. condyle screws Screw Hex Size: 3.5mm for fully and partially threaded 6.3mm for condyle screws and nuts End Caps: Standard, +5, +10, +15, +20, +25,+30, +35mm (All sizes lock screw in most distal hole) Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Compression Screw: Advanced (8mm metric thread) Driving End R=3.0 or 1.5m 60 Compression range 1 15

9 T2 GTN Instruments: T2 Basic Long Tray GTN Indication Tray Bixcut Modular Head Reamer Kit (Diameter 9 to 18mm) Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 1 3 x 1000 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm S x 340 Drill Bit (Proximal Guided) S x 180 Drill Bit (Distal Freehand) b S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below x 230 Drill Bit S Notes: a. Optional: Bixcut with AO Shaft, 448mm - Cat. No: S b. 8mm diameter T2 GTN Nails can only be locked with 4mm Fully threaded screws at non-driving end Use the Ø3.5 x 18 Drill ( S) for freehand locking

10 Important Facts Type: Left & Right Shaft Diameter: 8, 9, 10, 11, 12, 13, 14, 15mm Driving End Diameter: 11.5mm for shaft diameters 11mm Same as shaft diameter for all other sizes Length: 240 to 48 (2 increments) Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5. fully threaded Distal Screw Size: 5. fully threaded Screw Hex Size: 3.5mm for all End Caps GTN: Standard, +5, +10, +15mm End Caps T2: Standard, +5, +10, +15mm Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Canulated Compression Screw: Standard (8mm metric thread) GTN End-Caps cannot be used with internal compression screw T2 End-Caps used with cannulated compression screw Compression Range 1 Driving End 26.6mm 45mm 55mm 69.5mm 4 Valgus Bend R=1.5m 43mm 8mm

11 T2 Supracondylar Nail (SCN) Required Instruments Instruments: T2 Basic Long Tray T2 SCN Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) a Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 1 3 x 1000 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm S x 340 Drill Bit (Distal & Proximal Guided) S x 230 Drill Bit (Proximal Freehand) S x 310 Condyle Screw K-Wire S x 340 Drill Bit (For Condyle Screw) S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm - Cat No: S

12 Important Facts Shaft Diameter: 9, 10, 11, 12, 13, 14mm Driving End Diameter: 11.5mm for shaft diameters 11mm Same as shaft diameter for all other sizes Length: Short Nail 170 & 20 Long Nail 240 to 44 (2 increments) Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5. fully threaded R=2m Long Nail Only Short Nail has No Bow Distal Screw Size: 5. fully threaded 5. condyle screws Screw Hex Size: 3.5mm for fully threaded 6.3mm for condyle screws and nuts End Caps: Standard (locks most distal screw) Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Hole reference dimensions are the same for the Long and Short nails. Driving End 42 (4 A/P bend)

13 T2 Recon Nail (Antegrade Mode) Required Instruments Instruments: T2 Basic Long Tray T2 Recon Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm) a Disposables - Sterile: x 400 Recon K-Wire (Entry) S 1 3 x 1000 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm b S x 250 Drill Bit (Proximal Guided First Cortex) S x 340 Drill Bit (Proximal Guided) S x 180 Drill Bit (Distal Freehand) S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm Cat No: S

14 Important Facts (Antegrade Mode) Type: Left & Right Shaft Diameter: R2.0: 9, 11, 13, 15 R1.5: 9, 10, 11, 12, 13, 15 Driving End Diameter: 13mm for shaft diameters 9-12mm 15mm for shaft diameters 13 & 15mm Length: R2.0: 280 to 48 R1.5: 260 to 48 (20 mm increments) Reaming: 1.5 to 2. larger than the nail diameter Proximal Screw Size: 5. fully threaded Distal Screw Size: 5. fully threaded Screw Hex Size: 3.5mm for all Set Screw: 8. metric thread (Locks oblique screw) End Caps: Standard, +5, +10, +15mm Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Driving End Set Screw, Antegrade retroversion 75 4 Valgus Bend 40 R= 2.0 or 1.5m

15 T2 Recon Nail (Recon Mode) Required Instruments Instruments: T2 Basic Long Tray T2 Recon Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm) a Disposables - Sterile: x 400 Recon K-Wire (Entry & Lag Screws) S 1 3 x 1000 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm b S 1 Solid Step Drill (Lag Screws) S x 180 Drill Bit (Distal Freehand) S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm Cat No: S

16 Important Facts (Recon Mode) Type: Left & Right Shaft Diameter: R2.0: 9, 11, 13, 15 R1.5: 9, 10, 11, 12, 13, 15 Driving End Diameter: 13mm for shaft diameters 9-12mm 15mm for shaft diameters 13 & 15mm Length: R2.0: 280 to 48 R1.5: 260 to 48 (20 mm increments) Reaming: 1.5 to 2. larger than the nail diameter Proximal Screw Size: 6.5mm Lag Screws Distal Screw Size: 5. fully threaded Screw Hex Size: 3.5mm for fully threaded screws 5. for Lag Screws Set Screw: 8. metric thread (locks most proximal lag screw) End Caps: Standard, +5, +10, +15mm Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Driving End Set Screw, Recon 10 Anteversion CCD Valgus Bend 2.0 or 1.5m

17 T2 Humeral Nail (Antegrade & Retrograde) Required Instruments Instruments: T2 Basic Short Tray T2 Humeral Tray Full Bixcut Kit (diameter 6 to 22mm) Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S x 800 Ball Tip Guide Wire S 1 Teflon Exchange Tube a S x 800 Smooth Tip Guide Wire S x 230 Drill Bit (Proximal & Distal) b S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below x 180 Drill Bit S Notes: a. With T2 PHN / HUM b. Optional: Drill for freehand locking: (1) 3.5 x 130 Drill Bit Cat No: S

18 Impor tant Facts Shaft Diameter: 7, 8, 9mm Driving End Diameter: 8mm for 7mm shaft diameter Same as shaft diameter for all other sizes Length: 140 to 18 (2 increments) 190 to 32 (1 increments) Reaming: 1 to 1.5mm larger than the nail diameter Proximal/Distal Screw Size: 4. fully threaded 1 Screw Hex Size: 3.5mm for all 2.5mm for commpression screw only End Caps: Standard, +5, +10, +15, +20, +25mm (all sizes lock screw in hole closest to driving end) Internal Diameter: Shaft mm Driving end - 6mm metric thread Compression Screw: Advanced (6mm metric thread) Compression Range 6mm Bend, 4 Driving End Bend, No Bow

19 T2 Proximal Humeral Nail (PHN) Required Instruments Instruments: T2 Basic Short Tray T2 PHN Tray Full Bixcut Kit Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S x 800 Ball Tip Guide Wire S 1 Teflon Exchange Tube S x 800 Smooth Tip Guide Wire S x 130 Drill Bit (Distal free-hand) b S Optional: Drills for Proximal screws in case of dense bone. Drill Near Cortex Only x 180 Drill Bit (Proximal) S Notes: a. Distal guided drill only for short nail b. Use with long nail only

20 Important Facts Type: Left & Right Shaft Diameter: 8mm Driving End Diameter: 1 Length: Short Nail: 15 Long Nail: 220 to 30 (2 increments) Reaming: 1-1.5mm larger than the diameter of nails Proximal Screw Size: 5. fully threaded Distal Screw Size: 4. fully threaded Screw Hex Size: 3.5mm for all End Caps: Standard, +2 +4mm (all sizes lock screw in most proximal hole) Internal Diameter: Shaft mm Driving end - 6mm metric thread Long Nail Driving End 9 Bend, 6 Short Nail No Bow Long & Short Nail 7.5

21 T2 Knee Arthrodesis Nail Required Instruments Instruments: T2 Basic Long Tray T2 Femoral Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 2 3 x 1250 Ball Tip Guide Wire b S 1 Bixcut Mod Trinkle Shaft, 885mm b S x 340 Drill Bit (Proximal) S x 180 Drill Bit (Distal) S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below x 230 Drill Bit S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: For separate reaming of Tibia and Femur use: Tibia: 3 x 800 Ball Tip Guide Wire Cat No: S Femur: 3 x 1000 Ball Tip Guide Wire Cat No: S Bixcut Mod Trinkle Shaft, 448mm Cat No: S Optional: Bixcut with AO shaft, 448mm - Cat No: S

22 Impor tant Facts Type: Left & Right Shaft Diameter: 10, 11.5, and 13mm Driving End Diameter: Same as shaft diameter Length: 540 to 78 (4 increments) Reaming: 1.5 to 2. larger than the diameter of the nail Proximal Screw Size: 5. fully threaded 1 Distal Screw Size: 5. fully threaded Compression range 1 Driving End R=3m Screw Hex Size: 3.5mm for all End Caps: Standard, +5, +10, +15, +20, +25, +30, +35mm (does not lock most proximal screw) Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Compression Screw: Standard, only 8mm compression screw (Cat. No: S) (all sizes have 8mm metric thread) Do not use the most proximal hole on the Targeting device. 5 Bend (Valgus)

23 T2 Ankle Arthrodesis Nail Required Instruments Instruments: T2 Basic Long Tray T2 Ankle Tray Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) Disposables - Sterile: 1 3 x 285 K-Wire (Entry) S 1 3 x 800 Ball Tip Guide Wire S 1 Bixcut Mod Trinkle Shaft, 448mm c S 1 Teflon Exchange Tube S 1 3 x 800 Smooth Tip Guide Wire S x 340 Drill Bit S x 250 Drill Bit (Proximal Guided) b S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below x 230 Drill Bit S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. For 30 nail proximal free hand locking is required Use: 4.2 x 130 Drill Bit Cat No: S c. Optional: Bixcut with AO Shaft, 448mm Cat. No: S

24 Important Facts Type: Left & Right Shaft Diameter: 10, 11, and 12mm Driving End Diameter: 12mm for all shaft diameters Length: 150, 200 and 30 Reaming: 1 to 1.5mm larger than the diameter of the nail Proximal Screw Size: 5. fully threaded Distal Screw Size: 5. fully threaded 1 Screw Hex Size: 3.5mm for all End Caps: Standard, +5, +10, +15mm (All sizes lock screw in most distal hole) Internal Diameter: Shaft - 5. Driving end - 8mm metric thread Compression Screw: 8mm metric thread, cannulated 2 (Cat. No: S) Must be pre-loaded into nail prior to insertion valgus bend mm Driving End No Bow Internal Compression Range 5mm Distal hole is 10 P/M to A/L Ball tip Guide wire does not pass through compression screw

25 T2 Kids Flexible Nail Instruments: T2 Kids Basic Materials The T2 Flexible Nail is offered in two materials: Titanium: Ti6Al4V Type II anodized with laser-etched bands for easy nail diameter identification Stainless Steel: (316LVM) with laser etched bands for easy nail diameter identification Diameters Diameters: Ø1.5; Ø1.75; Ø2.0; Ø2.25mm with length 30 Diameters: Ø2.5; Ø3.0; Ø3.5; Ø4. with length 45 Ø Nail = 0.4 x ØIM Canal (with some individual adaptations tolerated). Pre-curved shaft portion It can be bent back with the bending instrument, if required. ø Nail (d) Tip Nail Tip Outer curve (convex) Inner Curve (concave) Curved Nail tip or nail tip curvature Tapered extremity ønail = øim canal x 0.4 Tip ønail = 2.2 R = 4 x Nail ø T2 Kids Optional Instrument Set available separately. Nail end (Driving end)

26 325 Corporate Drive Mahwah, NJ t: A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker 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: Stryker, T2. All other trademarks are trademarks of their respective owners or holders. T2-BR-1 Rev Copyright 2014