surgical Technique

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Table of contents Introduction … … … … … … … … … … … … … … … … … … … … … … … … … … … … … 3 TRIGEN Humeral Nail Specifications … … … … … … … … … … … … … … … … … 4 surgical Technique Patient put … … … … … … … … … … … … … … … … … … … … … … … … … … 5 Establish the incision and introduction portal site … … … … … … … … … … … … … … … .. 6 place the Entry Cuff Guard and Guide Pin … … … … … … … … … … … … … .. 7 Prepare the proximal section … … … … … … … … … … … … … … … … … … … … .. 8 Reduce the fracture … … … … … … … … … … … … … … … … … … … … … … … … …. 8 Measuring the implant length … … … … … … … … … … … … … … … … … … … …. 9 Additional limited ream … … … … … … … … … … … … … … … … … … … … … … 9 Nail Drill Guide assembly … … … … … … … … … … … … … … … … … … … … … …. 10 Nail interpolation … … … … … … … … … … … … … … … … … … … … … … … … … … … … … 11 Final version adjustment … … … … … … … … … … … … … … … … … … … … … … … 11 Distal locking screws for TRIGEN Proximal 16cm Humeral Nails … …. 12 proximal locking screws … … … … … … … … … … … … … … … … … … … … … … … 13 Anterior locking fuck … … … … … … … … … … … … … … … … … … … … … … … … 14 Distal locking screws … … … … … … … … … … … … … … … … … … … … … … … … .. 16 blockage … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … … 17 Catalog information … … … … … … … … … … … … … … … … … … … … … … … … .. 18

Nota Bene The technique description herein is made available to the healthcare professional to illustrate a indicate treatment for the elementary procedure. In the concluding analysis, the choose discussion is that which addresses the needs of the patient.

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Introduction The follow proficiency is for informational and educational purposes merely. It is not intended to serve as medical advice. It is the duty of treating physicians to determine and utilize the allow products and techniques, according to their own clinical judgment, for each of their patients. For more information on the TRIGEN™ Humeral Nail System, including its indications for function, contraindications, and product safety information, please mention to the intersection ’ second label, the Instructions for Use packaged with the product, and, if using the TRIGEN SURESHOT™ Distal Targeting System, the TRIGEN SURESHOT Distal Targeting System User Manual ( REF 7118-1540 ). The TRIGEN™ Humeral Nail System is designed specifically for the treatment of proximal humeral fractures and humeral quill fractures, and is indicated for the animate of non-unions, mal-alignments, diseased humeral fractures, and impending pathological fractures. With multiplanar screws that are threaded into the collar to inhibit proximal prison guard back-out, and effective, bare instrumentation that helps protect soft tissues, the TRIGEN™ Humeral Nail System offers an effective intramedullary smash for humeral fault management. The Humeral Nail System can be used with or without the SURESHOT Distal Targeting System. If using the SURESHOT Distal Targeting System, be surely to read and understand the TRIGEN SURESHOT Distal Targeting System User Manual ( REF 7118-1540 ). only trained operators are allowed to use the TRIGEN SURESHOT Distal Targeting System. Features of the TRIGEN Humeral Nail System • Four multiplanar proximal locks to improve fault stability • Threaded screw holes and polyethylene bushings to enhance fixation and prevent screw back-out • Short and long straight and bended nails to address multiple indications • 4° lateral bend in deflect nails to facilitate portal entry • Trapezoidal nail profile to provide enhance rotational stability • Nails and Nail Drill Guide are keyed to ensure proper orientation of the nail on the drill guide

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TRIGEN™ Humeral Nail specifications Proximal Bent Nail

Proximal Straight Nail

Long Bent Nail

8/7mm ten 16cm

8/7mm x 16cm

8/7mm, 9/7.5mm, 10/8.5mm diameter ; 18cm – 28cm lengths, by 2cm increments

35mm

80mm

Trapezoidal 12mm x 10.5mm crossbreed incision

Trapezoidal 12mm x 10.5mm cross incision

Trapezoidal 12mm x 10.5mm intersect department

Proximal taper

Proximal taper

Proximal taper 4º lateral pass bend

30mm First diameter measurement = 8mm

First diameter measurement = 8mm, 9mm or 10mm

20mm

Second diameter measurement = 7mm 20mm

10mm

5.0mm Cancellous Proximal Locking Screws ; 24mm – 64mm lengths, 2mm increments

4.0mm Cortical Distal Locking Screws ; 20mm – 40mm lengths, 2mm increments

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25°

25°

Proximal locking holes have innovative threaded design. Screws thread into the nail to help prevent sleep together back-out.

Second diameter measurement = 7mm, 7.5mm or 8.5mm

Surgical Technique Patient positioning Supine position 1.

Position the patient resistless ( Figure 1 ).

2. Tilt the affected role on the fluoroimage table so that

the humerus can be extended posteriorly.

note The C-arm can be positioned either superior to the shoulder or, if the C-arm modus is large enough, opposite the shoulder. Beach electric chair situation 1.

number 1

Position the patient in a slight “ beach-chair ” put. Note Allow the arm of the semi-recumbent patient to hang near the proboscis so that its slant helps reposition the humeral head front tooth to the acromion.

2. Place the C-arm above the head of the table

at 30°, extending distally over the patient ’ sulfur shoulder. This allows an anteroposterior watch of the humerus.

3. Place the arm in the revoke pushing position

to clear the submission decimal point, which is anatomically located at the superior margin of the articular open, equitable median to the greater tuberosity.

4. once the right placement and visualize are

assured, prepare and drape the shoulder and arm.

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Establish the incision and entrance portal The commend incision approach for antegrade humeral breeze through is the lateral pass deltoid splitting incision ( Figure 2 ). For complete fractures or nonunions, a traditional deltopectoral access may be used. 1.

Make a 2 – 3cm incision from the border of the acromion to the border of the humeral head, anterolateral to the tip off of the acromion.

2. Divide the deltoid down to the sub-deltoid

bursa, and then retract the deltoid.

3. Visualize the rotator handcuff insertion into the

greater tuberosity.

4. Palpate the biceps tendon anteriorly. 5. Incise the rotator handcuff supraspinatus tendon

Figure 2

15 – 20mm in cable with its fibers, exposing the humeral head.

6. Insert a suture into the rotator cuff time interval to

retract the rotator cuff and facilitate its repair following insertion of the nail down.

Central portal ( straightaway proximal nail down ) If using a heterosexual proximal nail down, establish the central introduction portal site at the vertex of the humeral head and centered midway between the biceps groove anteriorly and the back tooth humeral head ( Figure 3a ). lateral pass portal Establish a lateral entry portal just medial to the tendon insertion and centered midway between the biceps groove anteriorly and the back tooth humeral headway ( Figure 3b ).

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Central Portal Figure 3a

Lateral Portal Figure 3b

Place the Entry Cuff Guard and Guide Pin 1.

Divide the rotator manacle to expose the ranking part of the humeral head.

2. Use the Entry Cuff Guard ( 7175-1100 ) protective

device to retract the easy tissue of the rotator handcuff for visual image of the bone. ( Figure 4 )

Note The Cuff Guard provides a ocular work channel, while protecting the rotator manacle and soft tissue during the routine.

figure 4

Note The Disposable Cuff Guard ( 7175-1101 ) may be used to protect the rotator handcuff while preparing the humerus for the nail. The breeze through can be inserted through the Disposable Cuff Guard. A Drill Guide comes packaged with the Disposable Cuff Guard to facilitate the placement of the guidebook trap in the precise position desired. 3. Attach the 3.2mm Tip Threaded Guide Pin

( 7175-1147 ) or Trocar ( 7175-1136 ) to the Mini Connector with Handle ( 7175-1133 ).

4. Avoiding the rotator cuff interpolation, introduce

the template pin or trocar through the Cuff Guard and into the superscript gross profit of the humeral head, just medial to the greater tuberosity.

5. Verify by oblique pictures that guide pin

placement is aligned in the medullary canal at 45° with inner and external rotation of the shoulder.

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Prepare the proximal incision 1.

Insert the Straight Entry Reamer ( 7175-1103 ) over the 3.2mm Tip Threaded Guide Pin or the Trocar through the Entry Cuff Guard and/or the disposable Cuff Guard to prepare the humerus for the proximal segment of the collar ( Figure 5 ).

2. ream until the cutting teeth are fair below the

Figure 5

articular open of the humeral oral sex.

Note The depth index on the reamer should be horizontal surface with the top of the Cuff Guard. alternatively, insert a Straight Ratcheting Driver ( 7175-1141 ) through a Cannulated Awl ( 7175-1102 ) to ream the humeral heading.

Reduce the fracture 1.

Remove the Straight Entry Reamer and 3.2mm Tip Threaded Guide Pin or Trocar.

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2. Insert the Straight Reducer ( 7175-1105 ) and

attached Straight Ratcheting Driver ( Figure 6 ), with the slot oriented toward the lateral pass cerebral cortex.

3. Reduce the fracture.

Note Place the tiptoe of the Straight Reducer just above the medial cerebral cortex to help reduce the fracture ( Figure 7 ). 4. To maintain reduction, introduce the 2.0mm

Graduated Ball Tip Guide Rod ( 7175-1146 ) through the Straight Reducer ( Figure 8 ).

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5. Center the Guide Rod 1 – 2cm proximal to

the olecranon pit in the distal end of the humerus.

6. once the Guide Rod is in place, cautiously

remove the Straight Reducer, using the Obturator ( 7175-1145 ) as needed to ensure the Guide Rod stays in space ( Figure 9 ). Figure 8

Figure 9

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Measure the implant length 1.

When measuring the length of the implant needed, ensure that the distal tip of the 2.0mm Graduated Ball Tip Guide Rod is located at the desire military position of the distal tap of the nail.

2. Slide the Ruler ( 7175-1126 ) over the proximal goal

of the 2.0mm Graduated Ball Tip Guide Rod and advance the open end of the Ruler to the location where the proximal parcel of the implant will be seated, barely below the articular airfoil of the proximal humerus ( Figure 10 ).

number 10

3. Read the complete length from the calibrations

exposed at the other end of the Ruler.

Note Ensure the nail will be slenderly set. Note The 2.0mm Graduated Ball Tip Guide Rod has graduated markings and can be used to determine required implant length. The straight Reducer can besides be used to determine implant length using the markings on the reducer shaft. Both options are used to directly measure to the articular surface.

Additional limited reaming Additional limited ream is necessary for Proximal Nails longer than 8mm ten 16cm. once the allow smash length has been determined, perform extra circumscribed ream in order to avoid nail captivity and distraction at the fracture site during interpolation of the complete. 1.

figure 11

Begin with the 6.0mm Fixed End Cutting Reamer ( 7111-8220 to 7111-8230 ) and insert it over the 2.0mm Graduated Ball Tip Guide Rod ( Figure 11 ).

2. Ream the intramedullary canal consecutive.

eminence Be careful not to shift the guide rod distally during reaming. note Never insert a pinpoint that has a larger diameter than the survive reamer used. It is recommended that templating be used in all cases to estimate the size of the plant needed ( Figure 12 ). The diameter of the last reamer used will help determine the diameter of the implant needed. Keep in mind that all of the breeze through sizes taper, and that the canal should be reamed to 1mm larger than the implant diameter.

human body 12

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Nail Drill Guide fabrication 1.

Once the implant has been selected, use the Humeral Nail Guide Bolt ( 7175-1108 ) to attach the Nail Drill Guide ( 7175-1129 ) to the nail. The Nail and Nail Drill Guide are keyed to ensure proper orientation of the nail on the Nail Drill Guide ( Figure 13 ).

2. Tighten the Humeral Nail Guide Bolt using the

Guide Bolt Wrench ( 7175-1134 ).

3. Attach the Impactor ( 7175-1133 ) to the Humeral

Nail Guide Bolt.

4. Attach the Proximal Drop ( 7175-1131 ) to the

lateral arm of the Nail Drill Guide to complete the assembly. Tighten the Proximal Drop to the Guide using the knurled knob.

5. Use the Proximal Drop to target the proximal

screws on all Humeral Nails, deoxyadenosine monophosphate well as the distal sleep together on the 16cm Humeral Nails.

note To target distal lock screws for the 18cm or longer Humeral Nails, use either the TRIGEN™ SURESHOT™ Distal Targeting System or a freehand proficiency. If using the TRIGEN SURESHOT Distal Targeting System, refer to the User Manual ( 7118-1540 ) for Field Accuracy Check instructions. 6. Verify targeting accuracy by inserting a Humeral

Gold Outer Drill Sleeve ( 7175- 1128 ) and 3.2mm Silver Inner Drill Sleeve ( 7175- 1116 ) into the drop and passing a 3.2mm Long Graduated TwoFlute Drill ( 7175-1149 ) through the assembly. Note An incorrectly attached complete will not target.

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human body 13

Nail interpolation When inserting the nail, be certain to insert the nail with the decline amount of regression and astuteness in orderliness to maximize locking screw arrested development while avoiding critical soft tissues such as the biceps tendon and axillary and radial nerves. 1.

Insert the collar over the 2.0mm Graduated Ball Tip Guide Rod and through the Entry Cuff Guard ( Figure 14 ) until the lateral ledge on the drill lead is above the lateral pass lens cortex and the nail is seated just below the articular surface ( Figure 15 ). The lateral arm of the drill guide should be oriented with approximately 30-35° of Adjustments to this version can be made so that the anterior weapon of the exercise guide is in line with the lesser tuberosity, avoiding conjunction with the bicipital groove.

human body 14

Figure 15

2. Remove the Guide Rod from the top of the Nail

Drill Guide ( 7175-1129 ).

3. confirm that the fault is fully compacted and

not distracted.

Final version adjustment

Figure 16

Final adaptation adjustment to the nail can be performed anterior to proximal locking fuck insertion by attaching the Anterior Stylus ( 7175-1130 ) to the anterior arm of the Nail Drill Guide ( Figure 16 ). Insert the Trocar through the Anterior Stylus and situation the nail so that the Trocar can be inserted into the lesser tuberosity at the location of the anterior lock hole ( Figures 17 and 18 ). Leave the Trocar in place to maintain fracture decrease and rotational stability during the interpolation of the proximal lateral screws.

number 17

eminence This footstep ensures that the proximal front tooth and proximal anterolateral locking screws will not be inserted into the bicipital groove, which could injure the biceps tendon. figure 18

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Distal locking screws for TRIGEN™ Proximal 16cm Humeral Nails Note The Proximal Drop targets the distal holes for the 16cm nails merely. When targeting nail longer than 16cm, use the freehand proficiency or the TRIGEN SURESHOT™ Distal Targeting System. 1.

trope 19

Connect the Proximal Drop to the lateral arm of the Nail Drill Guide.

2. Place the 3.2mm Silver Inner Drill Sleeve into the

Humeral Gold Outer Drill Sleeve.

3. Insert the sleeve unit into the targeting hole in the

Proximal Drop which corresponds to the superior M/L ( mediolateral ) distal locking hole in the nail.

4. While applying compression at the condyles of

the elbow to reduce cheat fractures as needed, make a knife incision and push the sleeve unit down to the bone ( Figure 19 ). Note The Trocar, in combination with the drill sleeve unit, may be used to dimple the cerebral cortex.

figure 20

5. Drill through both cortices using the 3.2mm Long

Graduated Two-Flute Drill.

6. A duration measurement can be taken from the

calibrations on the bore against the 3.2mm Silver Inner Drill Sleeve, or the Screw Depth Gauge ( 7175-1139 ) can be used through the Humeral Gold Outer Drill Sleeve to measure for distal locking screws ( Figure 20 ).

figure 21

7. Select the allow distance 4.0mm Self-

Tapping Cortical Screw and attach it to the 3.5mm Hex Driver ( 7175-1140 ).

8. Insert the screw through the Humeral Gold

Outer Drill Sleeve using the 3.5mm Hex Driver ( Figure 21 ). The head of the screw should be about seated when the laser-marked ring on the Hex Driver is flush with the Humeral Gold Outer Drill Sleeve.

9. Use the Straight Ratcheting Driver to manually

tighten the prison guard ( Figure 22 ).

Note Always perform final reduce of the screw manually using the Straight Ratcheting Driver. 10. Repeat this process for the deficient distal screw.

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visualize 22

Proximal locking screws Caution To avoid damage to the axillary nerve, do not countersink the proximal lock screws below the level of the humeral head. 16cm nail Anterolateral lock screw

Figure 23

In rate to avoid impingement of the biceps tendon, begin with the proximal anterolateral lock screw. 1.

Place the 3.2mm Silver Inner Drill Sleeve into the Humeral Gold Outer Drill Sleeve.

2. Insert the sleeve unit into the Proximal Drop

( Figure 23 ).

3. Insert the Trocar into the sleeve unit to determine

the exact location for the insertion of the lock in screw ( Figure 24 ).

figure 24

Note If the Trocar tip indicates that the proximal anterolateral screw is in line with the bicipital groove, reorient the pinpoint to avoid impingement. 4. once proper alignment has been achieved, make

a shot incision and push the sleeve unit down to the bone.

5. Use the Trocar to dimple the cortex and then

remove the Trocar from the sleeve unit.

6. Use the 3.2mm Graduated Two-Flute Drill to drill

through the cheeseparing cerebral cortex, stopping at the articular coat of the army for the liberation of rwanda lens cortex.

7. Take the length measurement from the

Figure 25

calibrations on the drill or the Screw Depth Gauge ( Figure 25 ). Note The 3.2mm Silver Inner Drill Sleeve must be removed from the Humeral Gold Outer Drill Sleeve in order to use the Screw Depth Gauge.

8. Remove the 3.2mm Silver Inner Drill Sleeve and

insert the 3.5mm Hex Driver with the allow duration 5.0mm cancellate Screw ( Figure 26 ) attached. The heading of the fuck should be closely seated when the laser-marked ring on the 3.5mm Hex Driver is evening with the Humeral Gold Outer Drill Sleeve.

figure 26

note To avoid over interpolation of the prison guard in easy bone, constantly perform final examination seat of the screw under manual control using the Straight Ratcheting Driver. 9. Insert the remaining two proximal locking screws.

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Anterior locking screw 1.

To target the proximal anterior lock in hole, remove the Anterior Stylus.

2. Attach the Proximal Drop on the front tooth weapon of

the Nail Drill Guide.

eminence Locate the biceps tendon anterior to placing the front tooth prison guard. 3. Insert the 3.2mm Silver Inner Drill Sleeve into the

Humeral Gold Outer Drill Sleeve.

figure 27

4. Insert the sleeve unit into the hole marked

“ Anterior ” on the Proximal Drop ( Figure 27 ).

5. Insert the Trocar into the sleeve unit to

determine the demand localization for the insertion of the front tooth screw eminence If the Trocar tip indicates that the front tooth sleep together is in argumentation with the bicipital groove, reorient the complete to avoid impingement.

6. once proper alliance has been achieved, make

a jab incision and push the sleeve unit down to the bone.

figure 28

7. Use the Trocar to dimple the lens cortex and then

remove the Trocar from the sleeve unit.

8. Use the 3.2mm Graduated Two-Flute Drill to drill

through the cheeseparing lens cortex, stopping at the articular airfoil of the far cerebral cortex.

9. Take the distance measurement from the

calibrations on the drill or the Screw Depth Gauge ( Figure 28 ). Note The 3.2mm Silver Inner Drill Sleeve must be removed from the Humeral Gold Outer Drill Sleeve in club to use the Screw Depth Gauge.

digit 29

10. Remove the 3.2mm Silver Inner Drill Sleeve and

insert the 3.5mm Hex Driver with the appropriate length 5.0mm Cancellous Screw attached. ( Figure 29 ) The head of the cheat should be about seated when the laser marked ring on the 3.5mm Hex Driver is even with the Humeral Gold Outer Drill Sleeve ( Figure 30 ). note To avoid over interpolation of the screw in soft bone, final examination induct of the screw should always be done under manual control using the Straight Ratcheting Driver.

11. Insert the remaining two proximal locking screws. trope 30

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18cm or longer nails Freehand locking Always use the freehand proficiency to lock anterolateral or front tooth nails 18cm or longer. alternatively, 18cm or longer nails may be locked using the TRIGEN™ SURESHOT™ Distal Targeting System. If using the SURESHOT Distal Targeting System, be certain to read and understand the TRIGEN SURESHOT Distal Targeting System User Manual ( REF 7118-1540 ).

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Distal locking screws 16cm nails 1.

Use the Screw Length Sleeve ( 11-0238 ) with the 3.2mm Graduated Two-Flute Drill to drill for the A/P ( anteroposterial ) distal locks.

2. bill the screw depth distance using the

graduations on the bore against the Screw Length Sleeve. alternatively, use the Screw Depth Gauge to determine the allow prison guard length.

3. once the appropriate duration 4.0mm Self-Tapping

Cortical Screw is selected, attached the fuck to the 3.5mm Hex Driver.

4. Insert the screw through the Humeral Gold Outer

Drill Sleeve using the 3.5mm Hex Driver.

5. manually tighten the screw until the head is flush

with the cram.

Note Always perform final fuck tightening manually using the Straight Ratcheting Driver. 6. Repeat this serve for the inferior distal screw.

18cm or longer Nails Freehand locking Always use the freehand proficiency to perform distal locking on nails 18cm and longer. alternatively, 18cm or longer nails may be locked using the TRIGEN™ SURESHOT™ Imaging System. If using the SURESHOT Distal Targeting System, be certain to read and understand the TRIGEN SURESHOT Distal Targeting System User Manual ( REF 7118-1540 ).

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closure 16cm nails 1.

Close the wind in layers. note Use non-resorbable sutures in the rotator manacle compensate.

2. Close the end of the wind as preferred.

To remove the nail The Screw Head Trephine ( 7175-1144 ), the Proximal Nail Trephine ( 7175-1143 ) and the Extractor ( 7175-1142 ) are included in the instrument set to facilitate smash removal. Standard technique 1.

Use the 3.5mm Hex Driver to remove all of the distal lock screws, and all but one of the proximal lock screws.

2. Thread the Impactor ( 7175-1133 ) into the rear of

the Extractor ( 7175-1142 ).

3. Thread the assembly into the top of the breeze through. 4. Remove the remaining proximal interlock screw. 5. Use the Slotted Hammer with a back-slapping

movement to extract the smash.

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Catalog information

TRIGEN™ Instrument Set Set No. 7175-1150 Cat. Item 7175-1133 7175-1149 7175-1139 7175-1140 7175-1108 7175-1129 7175-1131 7175-1134 7175-1135 110238 7175-1130 7175-1128 7175-1116 7175-1105 7175-1145

Description Impactor 3.2mm Long Graduated Two-Flute Drill Screw Depth Gauge 3.5mm Hex Driver Humeral Nail Guide Bolt Nail Drill Guide Proximal Drop Guide Bolt Wrench Small Hammer Screw Length Sleeve Anterior Stylus Gold Outer Sleeve 3.2mm Silver Inner Drill Sleeve Straight Reducer Obturator

Qty 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

TRIGEN Flex Reamer Cassette Set No. 7175-1156 Cat. No.

Description

Qty

7111-8220

6.0mm Fixed Endcutting RMR

1

7111-8222

7.0mm Fixed Endcutting RMR

1

7111-8224

8.0mm Fixed Endcutting RMR

1

7111-8226

9.0mm Fixed Endcutting RMR

1

7111-8228

10mm Fixed Endcutting RMR

1

7111-8230

11.0mm Fixed Endcutting RMR

1

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Cat. Item 7175-1147 7175-1103 7175-1126 7175-1136 7175-1102 7175-1141 7175-1137 7175-1143 7175-1144 7175-1104 7175-1142 7163-1187 7163-1186 7175-1153 7175-1100

Description 3.2mm Tip Threaded Guide Pin Straight Entry Reamer Ruler Trocar Cannulated Awl Straight Ratcheting Driver Mini Connector with Handle Proximal Nail Trephine Screw Head Trephine Humeral Broach Extractor Trinkle Connector Mini Connector AO Mini Connector Entry Cuff Guard

Qty 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Implants TRIGEN™ Humeral Nail Implant Set Set. No. 7175-0703 TRIGEN Humeral Nail Cap ( not Shown ) Cat. No. 7176-0000 TRIGEN Proximal Straight Humeral Nail Cat. Item

Size

Length

7176-0816

8/7mm

16cm

TRIGEN Proximal Bent Humeral Nail Cat. Item

Size

Length

7177-0816

8/7mm

16cm

5.0mm Self-Tapping Cancellous Screw Cat. Item 7175-5024 7175-5026 7175-5028 7175-5030 7175-5032 7175-5034 7175-5036 7175-5038 7175-5040 7175-5042 7175-5044 7175-5046 7175-5048 7175-5050 7175-5052 7175-5054 7175-5056 7175-5058 7175-5060 7175-5062 7175-5064

Length 24mm 26mm 28mm 30mm 32mm 34mm 36mm 38mm 40mm 42mm 44mm 46mm 48mm 50mm 52mm 54mm 56mm 58mm 60mm 62mm 64mm

4.0mm Self-Tapping Cortical Screw

TRIGEN Long Bent Humeral Nail Cat. Item 7177-0818 7177-0820 7177-0822 7177-0824 7177-0826 7177-0828 7177-0918 7177-0920 7177-0922 7177-0924 7177-0926 7177-0928 7177-1018 7177-1020 7177-1022 7177-1024 7177-1026 7177-1028

Size 8/7mm 8/7mm 8/7mm 8/7mm 8/7mm 8/7mm 9/7.5mm 9/7.5mm 9/7.5mm 9/7.5mm 9/7.5mm 9/7.5mm 10/8.5mm 10/8.5mm 10/8.5mm 10/8.5mm 10/8.5mm 10/8.5mm

Length 18cm 20cm 22cm 24cm 26cm 28cm 18cm 20cm 22cm 24cm 26cm 28cm 18cm 20cm 22cm 24cm 26cm 28cm

Cat. Item 7175-4020

Length 20mm

7175-4022

22mm

7175-4024

24mm

7175-4026

26mm

7175-4028

28mm

7175-4030

30mm

7175-4032

32mm

7175-4034

34mm

7175-4036

36mm

7175-4038

38mm

7175-4040

40mm

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Smith & Nephew, Inc. 1450 Brooks Road Memphis, TN 38116 USA

www.smith-nephew.com

Telephone : 1-901-396-2121 data : 1-800-821-5700 Orders and Inquiries : 1-800-238-7538 ™ Trademark of Smith & Nephew.

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©2016 Smith & Nephew. 01363 V2 71181802 REVC 01/16

reference : https://nailcenter.us
Category : Nail Technique

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