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SN Old
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SN Old

Product catalog summary
Features of the Supracondylar Nail:
The supracondylar nail features an external diameter of Ø 11 mm and is available in lengths of 200 mm, 240 mm, and 280 mm. It includes Ø 4.7 mm double-thread bolts and Ø 6.5 mm cortical screws made from TiAL6V4 ELI material, enhancing fatigue strength and reducing risks of cold bonding, inflammation, and allergies.
Indications and Contraindications:
This nail is indicated for various fractures and conditions such as supracondylar fractures, osteoporosis, and distal femoral fractures with endoprostheses. Contraindications include open epiphyseal plates, infections, poor bone quality, and non-cooperative patients.
Procedure Overview:
The nail is inserted retrograde into the femur using a minimally invasive approach. The procedure involves opening the femoral canal, inserting the nail, and securing it with interlocking screws, requiring careful preoperative planning.
Implantation Technique:
The femoral canal is opened with an awl or guide wire, followed by drilling. The nail is inserted and secured with screws using a screw aiming device, emphasizing the avoidance of excessive pressure.
Materials and Anodization:
The implant undergoes Type II anodization to enhance the titanium surface, reduce inflammation risk, and improve wear resistance, with a layer thickness of 2000-10,000 nm.
Cleaning and Sterilization:
Guidelines for cleaning, disinfection, and sterilization emphasize non-abrasive materials and steam sterilization. Regular inspections and maintenance are advised.
Important Notes:
Instructions for use must be followed, and compatibility with other devices ensured. Postoperative follow-up and adherence to safety measures are crucial.
Cleaning and Maintenance:
Ensure all visible dirt is removed, repeat cleaning if necessary, and lubricate movable mechanisms. Ensure parts fit together easily for reassembly.
Packaging:
The delivery package is for transport only and not suitable for sterilization.
Sterilization:
The hospital is responsible for assembly, inspection, and packaging. Instruments should be dismantled for sterilization, with heat/steam sterilization preferred.
Disposal:
Follow hospital guidelines for disposal.
Patient Information:
Patients should be informed about post-implantation behavior and report any negative changes.
Hospital Responsibility for Loaned Instruments:
Instruments should be cleaned, disinfected, inspected, and sterilized before return, with decontamination confirmation.
Important Note:
Instructions are validated for re-use suitability. Reconditioners must ensure effective reconditioning and validate processes.
Symbols and Contact Information:
Includes symbols related to standards and product information, with contact details for I.T.S. GmbH.
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Catalog excerpts

SN Old-1

SUPRACONDYLAR NAIL emergency team for broken bones®

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SN Old-2

• aterial of screws: TiAL6V4 ELI M • asier removal of implant after fracture has healed E • mproved fatigue strength of implant I • educed risk of cold bonding R • educed risk of inflammation and allergy R • xternal diameter Ø 11 mm E • ength: L 200 mm, 240 mm, 280 mm • 4.7 mm Bolt double-thread Ø • 6.5 mm Cortical Screw Ø SUPRACONDYLAR NAIL emergency team for broken bones® Bolt double-thread

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• upracondylar fractures, with or S without intraarticular involvement • steoporosis and nonhealing O fractures • alpositioning and pathological M fractures • ractures proximal to femurF knee-joint implants • istal femoral fractures with knee D and hip endoprostheses • pen epiphysial plate in young O patients • lorid infections F • oor bone quality P • istory of septic gonarthrosis H • xtensor contracture of the knee E • atient who is unwilling or P unable to cooperate during the postoperative phase SUPRACONDYLAR NAIL emergency team for broken bones® Supracondylarnail The retrograde femur nail...

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Preoperative planning A preoperative x-ray of the injury extremity should be available. The length of the implant can be determined with a ruler applied to the x-ray. The I.T.S. supracondylar nail can be used on the left or right side of the body, has a diameter of Ø 11 mm and is available in lengths of 200, 240 and 280 mm. Patient‘s position The patient lies supine with the injured extremity bent at approx. 45° on an operating table suitable for x-ray exposures. With a dislocated, com-minuted fracture or with an obese patient, it has proved to be advantageous to apply a tibial plateau extension...

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Distal interlocking On the distal end of the nail there are five holes for Ø 6.5 mm cortical screws. To apply the first screw, push the protective cover system through the chosen hole in the aiming device. Push the drill bit for the Ø 5.3 mm drill through the protective cover and drill through to the contracortex. You can immediately read the correct length of screw on the calibrated drill. Remove the drill cover and apply the self-cutting Ø 6.5 mm cortical screw through the protective cover with the SW 5.0 mm hexagonal screw driver. Follow this procedure for all the remaining screws. Before...

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Case studies SUPRACONDYLAR NAIL

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Implants & Instruments SUPRACONDYLAR NAIL emergency team for broken bones® Order No. Supracondylar Nail, D=11mm, L=200mm Jig Adaptor, Supracondylar Nail Drill Guide, 5.3mm Drill Sheath, D=4.7mm Locking Bolt Drill Sleeve, 5.3mm, 3.8/4.7mm Step Drill Screwdriver Shank, WS 3.5, L=170mm, Solid T-Handle, Cannulated Screwdriver, 3.5mm, Socket Key with Clamping Piece Guide Wire, Steel, D=3.2mm, L=400mm, RR Targeting Jig, Supracondylar Nail Endcap for Supracondylar Nail, (Short)

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SUPRACONDYLAR NAIL Endcap for Supracondylar Nail (Long)

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Implants & Instruments SUPRACONDYLAR NAIL emergency team for broken bones® Double Thread Bolt, D=4.7mm, L=36mm Double Thread Bolt, D=4.7mm, L=40mm Double Thread Bolt, D=4.7mm, L=44mm Double Thread Bolt, D=4.7mm, L=48mm Double Thread Bolt, D=4.7mm, L=52mm Double Thread Bolt, D=4.7mm, L=56mm Double Thread Bolt, D=4.7mm, L=60mm Double Thread Bolt, D=4.7mm, L=65mm Double Thread Bolt, D=4.7mm, L=70mm Double Thread Bolt, D=4.7mm, L=75mm Double Thread Bolt, D=4.7mm, L=80mm Double Thread Bolt, D=4.7mm, L=32mm Double Thread Bolt, D=4.7mm, L=28mm

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SN Old-11

SUPRACONDYLAR NAIL Cortical Screw, D=6.5mm, L=55mm Cortical Screw, D=6.5mm, L=60mm Sterilisation Tray, Supracondylar Nail, Instrument

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Chemical process - anodization in a strong alkaline solution * Type III anodization Dotize Type II anodization Different colors Film become an interstitial part of the titanium Implant surface remains sensitive to: Chipping Peeling Discoloration No visible cosmetical effect Anodization Type II leads to following benefits * • • • • • • • • Oxygen and silicon absorbing conversion layer Decrease in protein adsorption Closing of micro pores and micro cracks Reduced risk of inflammation and allergy Hardened titanium surface Reduced tendency of cold welding of titanium implants Increased fatigue resistance...

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Sterilization Guidelines The following remarks should serve as a guideline in the sterilization of medical products. IMPORTANT INDICATIONS FOR DOCTORS AND OPERATING THEATRE PERSONNEL This instruction leaflet refers to all supplied nonsterile implants and all reusable instruments from I.T.S. GmbH. Detailed information for the identification of the product (such as system classification, cat. no.) can be found in the product identification code and/ or on the package label. Make sure that you are familiar with the possibilities of application, combinability and correct handling of the product....

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Sterilization Guidelines Disinfection Equipment: Commercially available disinfectants authorized for use with medical products e.g.. MEDICLEAN FORTE) can be used (but only according to the instructions of the disinfectant producer). In the case of automatic cleaning, a final rinse cycle at 90 °C for 5 minutes can be finally carried out to provide thermal disinfection. Drying Drying as part of the cleaning/ disinfection cycle should not exceed 110 °C. Checking, Maintenance and Inspection • Each instrument or implant is to be inspected carefully to make sure that all visible dirt has been removed....

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I.T.S. GmbH part of the MED-HOLD GROUP Autal 28, 8301 Lassnitzhöhe Austria © I.T.S. GmbH Graz/Austria 2011. Subject to technical alterations, errors and misprints excepted.

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*Prices are pre-tax. They exclude delivery charges and customs duties and do not include additional charges for installation or activation options. Prices are indicative only and may vary by country, with changes to the cost of raw materials and exchange rates.