EX NAIL INSTRUMENTATION
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- Edwin Lester
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1 EX NAIL INSTRUMENTATION PRODUCT OVERVIEW
2 OPENING INSTRUMENTS Awl Description Cannulated to accommodate a 3.0 mm Ball Tipped Reaming Rod mm Cannulated Curved Awl Wire Guide Accessory Removable for C-arm image clearance Silicone Handle with quick coupling Wire Guides Can be used for initial placement of K-wire, or to correct positioning Center hole and off-set hole(s) available Trocar tip Color-coded with corresponding protection sleeve Multi Hole Wire Guide, for Expert Retrograde Femoral Nail Multi Hole Wire Guide, for Expert Antegrade Femoral Nail Multi Hole Wire Guide, for Expert Adolescent Lateral Entry Femoral Nail Protection Sleeves Multi Hole Wire Guide, for Expert Lateral Entry Femoral Nail Color-coded with corresponding drill bits mm Protection Sleeve, for Expert Tibial Nail with quick coupling mm Protection Sleeve, for RAFN Retrograde with quick coupling mm Protection Sleeve, for RAFN Antegrade with quick coupling mm Protection Sleeve, for Expert ALFN with quick coupling mm Protection Sleeve, for Expert LFN with quick coupling DePuy Synthes EX Nail Instrumentation
3 Features Surgical Technique Reference For use with all EX nails For use with all EX Nail Protection Sleeves For use with 13 mm Protection Sleeve for Retrograde Nail ( ) For use with 13 mm Protection Sleeve for Antegrade Nail ( ) For use with 13 mm Protection Sleeve for ALFN ( ) For use with 13 mm Protection Sleeve for LFN ( ) For use with tibia nails For use with Retrograde RAFN For use with Antegrade RAFN For use with ALFN For use with LFN EX Nail Instrumentation DePuy Synthes 1
4 Opening Instruments Description Drill Bits Color bands added to correspond to Protection Sleeves and Wire Guides for each system mm Cannulated Drill Bit, 300 mm mm Cannulated Drill Bit, large quick coupling, 280 mm mm Cannulated Drill Bit, large quick coupling, 280 mm mm Flexible Cannulated Drill Bit, large quick coupling, 465 mm mm Percutaneous Cannulated Flexible Drill Bit, large quick coupling, 390 mm (additionally available) mm Cannulated Drill Bit, large quick coupling, 190 mm 2 DePuy Synthes EX Nail Instrumentation
5 Features Surgical Technique Reference For use with Retrograde RAFN and ALFN For use with LFN For use with LFN For use with Antegrade RAFN For use with LFN For use with Tibial Nail EX Nail Instrumentation DePuy Synthes 3
6 REDUCTION INSTRUMENTS Description Available in Reduction Sets ( and ) Intramedullary Reduction Tool, curved, with quick coupling T-Handle, cannulated, with quick coupling Straight Ball Spike, 337 mm 4 DePuy Synthes EX Nail Instrumentation
7 Features Surgical Technique Reference Flat curved tip to aid fracture alignment Cannulated to accommodate a 3.0 mm Ball-Tipped Reaming Rod Quick coupling Accepts Intramedullary Reduction Tool Silicone handle added for additional length and grip EX Nail Instrumentation DePuy Synthes 5
8 INSERTION INSTRUMENTS Insertion Handles Description Radiolucent Accepts strike cap in off-set position for soft tissue clearance, or in-line with the nail Backwards compatible with existing aluminum aiming arms Radiolucent Short Insertion Handle, for expert tibia nails, 23 mm (additionally available) Radiolucent Standard Insertion Handle, for expert nails, 100 mm Radiolucent Percutaneous Insertion Handle, for expert nails, 175 mm (additionally available) Radiolucent Standard Insertion Handle, for expert ALFN, 100 mm 6 DePuy Synthes EX Nail Instrumentation
9 Features Surgical Technique Reference Dedicated design to lock in extension Length allows for nail to be overinserted to achieve compression Use with Cannulated Connecting Screw ( ) and Compression Device ( ) Use with the LFN, RAFN, and Tibia EX Nail Systems Use with Cannulated Connecting Screw ( ) Use with the LFN and RAFN EX Nail Systems Design offers additional soft tissue clearance Use with Cannulated Connecting Screw ( ) Specific to the ALFN System Use with Cannulated Connecting Screw ( ) EX Nail Instrumentation DePuy Synthes 7
10 Insertion Instruments Insertion Instrumentation Description T-Handle Ball Hex Screwdriver, 8.0 mm Driving Cap, threaded Hammer Guide Spiral Combination Hammer, 500 g Long Scalpel Handle 8 DePuy Synthes EX Nail Instrumentation
11 Features Surgical Technique Reference For insertion of all cannulated connecting screws Threaded attachment point Can be added to strike cap to offer extension when necessary Use captured or free Inserted through aiming arms to cut channel through soft tissues, reducing force on protection sleeves Use with standard 10 blades EX Nail Instrumentation DePuy Synthes 9
12 Insertion Instruments Aiming Arms Description Radiolucent Backwards compatible with existing insertion handles True locking or retention mechanisms for protection sleeves Radiolucent Aiming Arm for Expert RAFN, Antegrade Standard Locking Radiolucent Aiming Arm for Expert RAFN, Retrograde Standard Locking Aiming Arm, Retrograde Spiral Locking 10 DePuy Synthes EX Nail Instrumentation
13 Features Surgical Technique Reference For use with Antegrade RAFN For use with Retrograde RAFN For use with Retrograde RAFN, Spiral Blade EX Nail Instrumentation DePuy Synthes 11
14 Insertion Instruments Aiming Arms Description Radiolucent Backwards compatible with existing insertion handles True locking or retention mechanisms for protection sleeves Radiolucent Aiming Arm for Expert LFN, Recon Locking Radiolucent Aiming Arm for Expert ALFN, Recon Locking 12 DePuy Synthes EX Nail Instrumentation
15 Features Surgical Technique Reference For use with LFN For use with ALFN EX Nail Instrumentation DePuy Synthes 13
16 LOCKING INSTRUMENTS Description Depth Gauges and Measuring Devices Anti-friction coating adds increased contrast for readability Etch contrast for readability Direct Measuring Device for Locking Screw to 100 mm, IM Nails Depth Gauge for Locking Screws to 100 mm, IM Nails Depth Gauge, Locking Screws to 100 mm Spiral Blade Measuring Device, Expert Retrograde Femoral Nail Direct Measuring Device, recon screws to 400 mm 14 DePuy Synthes EX Nail Instrumentation
17 Features Surgical Technique Reference For measuring off of drill bits For use with all EX nails For distal measuring Telescopes into the patient without interference from C-arm position For use with Retrograde RAFN Spiral Blade For use with LFN and ALFN recon screws EX Nail Instrumentation DePuy Synthes 15
18 Locking Instruments Screwdrivers Description Silicone teardrop handle for ergonomic grip StarDrive Screwdriver, self-retaining, T25, 250 mm StarDrive Screwdriver, self-retaining, T25, 320 mm StarDrive Screwdriver, self-retaining, T25, 440 mm Cannulated StarDrive Screwdriver, T40, 277 mm Handle, large, with quick coupling Interlock Screwdrivers For use with all Synthes T25 and 3.5 mm hex recess screws Silicone teardrop handle added for ergonomic grip Inter-Lock Screwdriver, T25 StarDrive/ 3.5 mm hexagonal, 330 mm Inter-Lock Screwdriver, T25 StarDrive/ 3.5 mm hexagonal, 224 mm Inter-Lock Screwdriver, T40, 377 mm 16 DePuy Synthes EX Nail Instrumentation
19 Features Surgical Technique Reference Shorter length for distal locking without interference from C-arm position For use with all EX nails For use with LFN and ALFN recon screws For endcaps For use with all screwdriver shafts For use with all EX nails Shorter length for distal locking without interference from C-arm position For endcaps EX Nail Instrumentation DePuy Synthes 17
20 Synthes, Inc Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) DePuy Synthes Trauma, a division of DOI All rights reserved. J11987-B 1/14
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