T2006 Femur Interlocking Nail System

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T2006 Femur Interlocking Nail System
T2006
T2006 FEMUR
INTERLOCKING
NAIL SYSTEM
FEMUR INTERLOCKING
NAIL SYSTEM
The key in
orthopaedic
sciences
SURGICAL TECHNIQUE
CERRAHÝ TEKNÝK
IMPLANTS & INSTRUMENTS
ÝMPLANTLAR VE EL ALETLERÝ
T2006
FEMUR INTERLOCKING NAIL SYSTEM
CONTENTS
Introduction
Giriþ
ÝÇÝNDEKÝLER
2
Accessing the Femoral Canal
5
Insertion of Guide Wire
5
Reaming
6
Nail Selection
7
Guide Fixed
7
Nail Insertion
8
Proximal Locking
9
Distal Locking
9
Femoral Kanala Eriþim
Klavuz telinin uygulanmasý
Oyma Ýþlemi
Çivi Seçimi
Klavuzun Sabitlenmesi
Çivinin Yerleþtirilmesi
Proksimal Kilitleme
Distal Kilitleme
End Cap Insertion
11
Instruments&Trays
12
End Cap’ýn Yerleþtirilmesi
El Aletleri&Tavalar
SURGICAL TECHNIQUE / CERRAHÝ TEKNÝK
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T20 0 6
FEMUR INTERLOCKING NAIL SYSTEM
Introduction
Giriþ
This interlocking nail system is the result of long term experience in medullary nailing.
This nail can be used for the following fractures;
* Femoral shaft fractures.
* Subtrochanteric fractures
* Impending pathologic fractures
* Ipsilateral femoral neck / shaft fractures
For femoral shaft fractures or stable subtrochanteric fractures, 135º
antegrade fixation for the left-side / right-side femur. Locking bolts screw diameter is
proximally and distally the same. In pertrochanteric (femoral neck) fractures as well as
subtrochanteric fractures, this femoral nail system (nails for the left and right femur with
8º anteversion integrated in proximal nail drill holes) offer a secure fixation. This nail
system can also be applied in the case of dangerous pathologic fractures. Fixation is
achieved with lag screws placed into femoral neck in retrograde direction, as a result
rotation is avoided.
Kilitli çivi sistemi medular çivilerdeki uzun süreli deneyimlerimiz sonunda geliþtirilmiþ
bir sistemdir. Bu çivi aþaðýdaki yapýlarda kullanýlabilir:
·Femoral þaft kýrýklarýnda
·Subtrochanteric kýrýklarda
·Olasý patolojik kýrýklarda
·Ipsilateral femoral boyun/þaft kýrýklarýnda
Femoral þaft kýrýklarý veya dengeli subtrochanteric kýrýklarda femurun sol/sað tarafý
için 135° antegrade fiksasyonludur. Kilitleme vidalarý ve civatalarý proksimal ve distal olarak
aynýdýr. Pertrochanteric (femoral boyun) kýrýklarda ve subtrochanteric kýrýklarda, bu femoral
çivi sistemi ( sol ve sað femur için çiviler proksimal çivi matkap deliklerinde 8° anteversion
açýsýyla bütünleþmiþlerdir) güvenli bir fiksasyon saðlar. Bu çivi sistemi tehlikeli patolojik
kýrýklarda da uygulanabilir. Fiksasyon, çektirme cývatalarýnýn femoral boyunda tersine bir
doðrultuda yerleþtirilmesiyle saðlanýr. Böylece dönme hareketi engellenmiþ olur.
Material
Malzeme
Certified Stainless Steel according to ASTM F 138 and ISO 5832-1and Titanium alloy
according to ASTMF 136 and ISO 5832-3.
ASTM F 138 ve ISO 5832-1’ya göre sertifikalý paslanmaz çelik ve ASTM F 138 ve ISO
5832/3’e göre sertifikalý titanyum alaþým.
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T2006
FEMUR INTERLOCKING NAIL SYSTEM
ØD
Reference Number: 1080120 XXXX
Length
Paslanmaz Çelik
Titanium alloy
Titanyum Alaþýmý
L
Stainless Steel
Uzunluk
Referans Numarasý: 1080120 XXXX
mm
240
260
280
300
320
340
360
380
400
420
440
460
Ø8
1001
1002
1003
1004
1005
1006
1007
1008
Ø9
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
Ø10
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
Ø11 Ø12
Ø13 Ø14 Ø15 Ø16
1151
1152
1153
1154
1155
1156
1157
1158
1201
1202
1203
1204
1205
1206
1207
1208
1251
1252
1253
1254
1255
1256
1301
1302
1303
1304
1305
1306
1351
1352
1353
1354
1355
1401
1402
1403
1404
1405
240
260
280
300
320
340
360
380
400
420
440
460
2001
2002
2003
2004
2005
2006
2007
2008
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
1061
2101
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2151
2152
2153
2154
2155
2156
2157
2158
2201
2202
2203
2204
2205
2206
2207
2208
2251
2252
2253
2254
2255
2256
2301
2302
2303
2304
2305
2306
2351
2352
2353
2354
2355
2401
2402
2403
2404
2405
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FEMUR INTERLOCKING NAIL SYSTEM
Locking Screws
Length
Kanüllü Kilitleme vidalarý
Uzunluk
Stainless Steel
Paslanmaz Çelik
Titanyum Alaþýmý
Titanium alloy
Stainless Steel
Paslanmaz Çelik
Titanyum Alaþýmý
25
30
35
40
45
50
55
60
65
70
75
80
85
90
10802281001
10802281002
10802281003
10802281004
10802281005
10802281006
10802281007
10802281008
10802281009
10802281010
10802281011
10802281012
10802281013
10802281014
10802282001
10802282002
10802282003
10802282004
10802282005
10802282006
10802282007
10802282008
10802282009
10802282010
10802282011
10802282012
10802282013
10802282014
10802301001
10802301002
10802301003
10802301004
10802301005
10802301006
10802301007
10802301008
10802301009
10802301010
10802302001
10802302002
10802302003
10802302004
10802302005
10802302006
10802302007
10802302008
10802302009
10802302010
mm
Ø5.0
Canullated Locking Screws
Kilitleme Vidalarý
Locking Screws
Length
Ø5.0
Canullated Locking Screws
Kilitleme Vidalarý
Kanüllü Kilitleme vidalarý
Uzunluk
Stainless Steel
Paslanmaz Çelik
Titanyum Alaþýmý
Titanium alloy
Stainless Steel
Paslanmaz Çelik
Titanyum Alaþýmý
30
35
40
45
50
55
60
65
70
75
80
85
90
10802411001
10802411002
10802411003
10802411004
10802411005
10802411006
10802411007
10802411008
10802411009
10802411010
10802411011
10802411012
10802411013
10802412001
10802412002
10802412003
10802412004
10802412005
10802412006
10802412007
10802412008
10802412009
10802412010
10802412011
10802412012
10802412013
10802431001
10802431002
10802431003
10802431004
10802431005
10802431006
10802431007
10802431008
10802431009
10802431010
10802431011
10802431012
10802432001
10802432002
10802432003
10802432004
10802432005
10802432006
10802432007
10802432008
10802432009
10802432010
10802432011
10802432012
mm
Ø6.4
Titanium alloy
Titanium alloy
Ø6.4
Locking End Cap
Kilitli Kuntscher Bolt Vidasý
Stainless Steel
Titanium alloy
Paslanmaz Çelik
Titanyum Alaþýmý
10802421002
10802422002
Please Note : This document is intended as a guide for the surgeon only. There are multiple
techniques for the insertion of T2006 Femur Interlocking Nail System and, as with any
surgical procedure, a surgeon should be thoroughly trained and beware that this procedure
is appropriate for the patient before proceeding.
Not: Bu doküman cerrahlar için bir klavuz niteliðindedir. T2006 Femur Kilitli Çivi Sistemi
uygulanmasý için çoklu teknikler mevcuttur ve diðer cerrahi iþlemlerde olduðu gibi cerrah
derinlemesine eðitimli olmalý ve iþlemin hastaya uygun olduðundan emin olmalýdýr.
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FEMUR INTERLOCKING NAIL SYSTEM
Accessing the Femoral Canal
Femoral Kanala Eriþim
Identify the entry site, which is in the
piriformis fossa. The ideal entry point is
adjacent to the greater trochanter at the
lateral edge of the piriformis fossa.
Piriformis fossa’da giriþ tarafýný belirleyiniz.
Ýdeal giriþ noktasý; piriformis fossa’nýn lateral
kenarýndaki büyük trochanter’e bitiþik olmalýdýr.
P
A
The medullary canal is opened with the
Cortical AWL (Ref:10606111002) at the junction
of the anterior third and posterior two-thirds
of the Greater Trochanter, on the medial
edge of the tip it self. Image intensification
(A/P and Lateral) is used for confirmation.
Medular kanal kortikal AWL
(Ref:10606111002) ile büyük trochanterin
anterior kýsmýnýn üçte biri ve posterior kýsmýnýn
üçte ikisinin kesiþim noktasýndan, kendinin
medial kenarýnýn ucundan açýlmalýdýr.
Doðrulama için görüntüleme cihazý (A/P ve
lateral) kullanýlýr.
Insertion of Guide Wire
Klavuz Telinin Uygulanmasý
Initiate the entry site with a guide wire
through a stab incision proximal to the
trochanteric region, in line with the femoral
axis. Confirm correct entry location and guide
wire
placement radiographically with AP and
lateral views. The guide wire placement should
be in line with the center of the femoral canal
in both views.
Kýlavuz teli, giriþ iþlemine baþlamak için
proksimal olarak býçakla kesilen tarafa doðru
ve femoral eksenle ayný hiza üzerindeki
trochanteric bölgeye doðru olmalýdýr. AP ve
lateral görüntüler ile giriþ yerinin doðruluðunu
kontrol ediniz. Kýlavuz telinin yeri her iki
görüntüde de femoral kanalýn merkezinden
geçen hat üzerinde olmalýdýr.
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FEMUR INTERLOCKING NAIL SYSTEM
Reaming
Oyma Ýþlemi
Canal access can be obtained using
a Tapered Reamer (Ref:10606170305). The
proximal nail diameter is 13 mm for nail sizes
equal to or less than 13 mm, and equal to
the nail diameter for nail sizes equal to or
greater than 14 mm. Use A/P and lateral
fluoroscopic views to confirm accurate
placement. Use the Cortical Awl or Tapered
Reamer to open the proximal femur in the
piriformis fossa.
Kanala ulaþým Tapered Reamer
(Ref:10606170305) kullanýlarak olabilir.
Proksimal çivi çapý, çapý 13 mm’den küçük
ve eþit boylar için 13 mm, 14 mm den büyük
çaplar için kendi çapý kadardýr. A/P ve lateral
görüntüleri kullanarak konumlandýrmayý
doðrulayýnýz. Priformis fossa’daki proksimal
femuru açmak için Cortical Awl veya Tapered
Reamer kullanýnýz.
Achieve proper alignment of the
fracture prior to reaming and maintain it
throughout the reaming process to avoid
eccentric reaming. Initiate reaming by placing
the Flexible Reamers (Ref:1061009 . . . .) over
the ball nose guide pin. Flexible reamers are
used to ream the shaft of the femur in stages
starting with 8mm in diameter and increasing
by 1mm increments until Cortical bone is
reached.
Kýrýkta düzgün bir hizalama yapabilmek
için oyma iþlemi ve tamirat sýrasýnda eksantrik
oymadan kaçýnmak gerekir. Oyma iþlemi
Flexible Reamer’ýn (Ref: 106100910 . . ) yuvarlak
uçlu kýlavuz telinin üzerine yerleþtirilmesiyle
baþlar. Flexible reamer ile femurun þaftýný 8
mm’den baþlayýp 1’er mm artýrarak kademeli
olarak kortikal kemiðe ulaþana kadar oymaya
devam edin.
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FEMUR INTERLOCKING NAIL SYSTEM
Surgeon preference should dictate the actual extent of intramedullary reaming,
whether to go further in cortical bone or stop at an earlier stage. It is advised to monitor
the reaming procedure using image intensification to avoid eccentric or excessive cortical
reaming.
Kortikal kemiðe ulaþýldýktan sonra daha ileri seviyeye doðru gitmek ya da erken bir
evrede sonlandýrmak gibi konularda medular oyma iþleminin geniþliðini cerrah kendisi
belirlemelidir. Eksantrik veya aþýrý kortikal oymadan kaçýnmak için oyma iþleminin görüntüleme
cihazý kullanýlarak görüntülenmesi tavsiye edilir.
Nail Selection
Çivi Seçimi
Nail length is determined by measuring the remaining length of the guide wire.
The diameter of the selected nail should be 1mm smaller than that of the last reamer
used. Femoral Nails are available in 1 mm increments from 8 mm to 14 mm diameters.
Çivi uzunluðu, dýþta kalan kýlavuz telinin uzunluðuna göre tespit edilir. Seçilen çivinin
çapý son kullanýlan oyucunun çapýndan 1 mm daha küçük olmalýdýr. Femoral çiviler 8’den
14 mm’ye kadar 1 mm’lik farklarla bulunmaktadýr.
Guide Fixed
Klavuzun Sabitlenmesi
The selected nail is assembled on to
the Femur Guide Attachment
(Ref:10606450010) fixed with Femur guide
Screw (Ref:10606450015). The curvature of
the nail must match the curvature of the
reamed femur.
Seçilen çivi feur guide vidalarý
(Ref:10606450010) vasýtasýyla femur guide
attachment’e (Ref:10606450015) baðlanýr.
Çivinin eðikliði ile oyularak hazýrlanmýþ olan
femurun eðikliði birbirine denk olmalýdýr.
The
Femur
Guide-Long
(Ref:10606450025) is slided into the Femur
Guide Attachment and fixed with the Guide
Fixed Screw at the nail length. The nail lengths
are marked on the Femur Guide-Long for
easier alignment (Fig.1).
Femur Guide Long (Ref:10606450025)
femur guide attachment üzerinde kaydýrýlarak
çivi uzunluðuna gelince guide sabitleme
vidalarýyla sabitlenir. Kolay bir hizalama
yapmak için çivi uzunluklarý femur guide long
üzerinde iþaretlenmiþtir (Þekil 1).
7
(Fig.1)
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FEMUR INTERLOCKING NAIL SYSTEM
Two fixation guides (Ref:10606450028)
are slided into the adjustable sliding apparatus
(Fig.2) located at the end of Femur GuideLong so that the apparatus is aligned with
the distal holes in the femur nail.
Ýki adet fiksasyon guide
(Ref:10606450028) ayarlanabilir kaydýrma
aparatýndan (Þekil 2) kaydýrýlarak Femur Guide
Long üzerine yerleþtirilir. Böylece aparat femur
çivisindeki distal deliklerle hizalanmýþ olur.
(Fig.2)
With T-Wrench (Ref:10604071105) or
(Ref:10604011402) the alignment is fixed for
further operative steps. Check if the fixation
is done appropriate by letting the Fixation
Guides glide from the fixed adjustable sliding
apparatus directly in the distal holes of the
nail. If these Fixation Guides are nothing the
holes easily realignment is needed.
Bu
hizalama
T
Anahtarý
(Ref:10604071105) veya (Ref:10604011402)
ile diðer adýmlar için sabitlenir. Fiksasyonun
uygunluðunu fiksasyon guide’larýn sabitlenmiþ
ayarlanabilir aparattan çivinin distal deliklerine
doðru uzatarak, kontrol edilir. Eðer fiksasyon
guide’leri deliklere kolayca geçmiyorsa
yeniden ayarlama ihtiyacý oluþabilir.
Nail Insertion
Çivinin Yerleþtirilmesi
All additional apparatus used for guidance are detached from the Femur Guide
Attachment except femur nail. Femur Guide-Long and the adjustable sliding apparatus
are aligned for distal holes of the femoral nail. This alignment and the nail length will be
used in further steps. Do not realign or change the nail length. Gently slide the femoral
nail into the hole opened previously at piriformis fossa by hand as far as possible.
Femur çivisi dýþýndaki tüm aparatlar kýlavuz olarak kullanýlýr ve femur guide
attachment’den ayrý parçalardýr. Femur guide long ve ayarlanabilir kayan aparat femoral
çivinin distal deliklerine hizalanýr. Bu hizalama ve çivi uzunluðu ileriki aþamalarda iþimize
yarayacaktýr. Bu aþamada çivi uzunluðunu deðiþtirmeyiniz ve yeniden hizalama yapmayýnýz.
Femoral çiviyi priformis fossa üzerinde açýlmýþ olan deliðe elle yavaþça ittiriniz.
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FEMUR INTERLOCKING NAIL SYSTEM
Slide Hammer (Ref:10611031001)
attached to the Femur Guide Screw. Femoral
Nail is impacted using the Slide hammer.
Avoid excessive force while inserting the nail.
Femur guide vidasýna slide hammer
(Ref:10611031001) baðlayýnýz. Bu çekiç
vasýtasýyla çiviyi yerine çakýnýz. Çiviyi çakarken
aþýrý yüklenmeden kaçýnýnýz.
Proximal Locking
Proksimal Kilitleme
After this step the surgeon may choose three alternative positions for proximal locking.
Only one of those positions can be applied.
Bu aþamadan sonra cerrah proksimal kilitlemeyi yapmak için üç alternatif yol seçebilir.
The same operations as for distal locking can be applied to proximal locking of
femur nail. For the 3rd position an additional Femur Guide-Short has to be used to extend
the length of Femur Guide.
Ayný operasyonlar femur çivisinin proksimal olarak kilitlenmesinde de geçerlidir.
Üçüncü pozisyonda femur guide’ýn boyunu uzatmak için ek olarak bir femur guide short
kullanýlmalýdýr.
1
2
3
Distal Locking
Distal Kilitleme
The aligned Femur Guide-Long is
mounted to Femur Guide Attachment and
fixed at the nail length.
Hizalanmýþ olan femur guide long femur
guide attachment’e monte edilir ve çivi
uzunluðu guide üzerinden seçilerek sabitlenir.
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FEMUR INTERLOCKING NAIL SYSTEM
A Skin incision should be performed so that Drill Sleeves Long(Ref:10606181007) can
be slided through both holes in adjustable sliding apparatus up to femur. After Drill Sleeve
Ø8 long are inserted, appropriate Drill sleeve (Ref:10606181004-05) (Ø2.1, Ø4.0, Ø4.8) are
inserted inside the Drill Sleeves Ø8 Long. Long Drill (Ø4.0, Ø4.8) is put into the Drill Guide,
and drilled through the lateral and medial cortex. Firstly the last distal hole should be
drilled. Special attention has to be paid that the drill passes directly through the distal
holes of femur nail, adjustable slotted apparatus should result in precise drilling.
Cilt kesisi gerçekleþtirilir. Böylece drill sleeve uzun (Ref:10606181007) femura kadar
ayarlanabilir kayma aparatýndaki deliklerin ikisine de kaydýrýlabilir. Drill Sleeve Ø8 Uzun,
kaydýrýlabilir aparattaki deliklere yerleþtirildikten sonra uygun çaptaki drill sleeve (Ref:
10606181001-04-05) (Ø2.1, Ø4, Ø4,8) Drill Sleeve Ø8 Uzun içerisine yerleþtirilir. Long Drill
(Ø4.0, Ø4.8) Drill Guide içine yerleþtirilir akabinde lateral ve medial cortekse doðru delinir.
Öncelikle son distal delik açýlýr. Drill’in direkt olarak femur çivisinin distal deliklerine geçmesi
için dikkatli olunmalýdýr. Ayarlanabilir slotlu aparat doðru bir delme için yardýmcý olacaktýr.
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FEMUR INTERLOCKING NAIL SYSTEM
Long Drill and Drill Sleeve is removed from the apparatus, Screw Length Gauge
(Ref:10608081001) is inserted in the Screw Guide and the length of screw is determined
by this measurement.
Long Drill ve Drill Sleeveaparattan sökülür, Vida Uzunluk Ölçücü (Ref) Vida Guide’a
yerleþtirilir ve vida uzunluðu tespit edilir.
According to the nail diameter the appropriate screw diameter should be chosen.
(Ref:1080228 . . . . or 1080230 . . . .) screws may be used for all nail sizes equal to or less
than 11 mm, (Ref:1080241 . . . . or 1080243 . . . .) screws are used in nails with 12 mm to
14 mm.
Çivi çapýna göre uygun çapta vida seçilmelidir. 11 mm’ye eþit ve altýndaki tüm çivi
ebatlarý için (Ref:1080228 . . . . ve 1080230 . . . .) vidalar kullanýlabilir, 12 mm’den 14 mm’ye
kadar olan çivilerde ise (Ref:1080241 . . . . ve 1080243 . . . .) vidalar kullanýlabilir.
The right screw is locked by inserting and screwing through the Screw Guide using
T Wrench (Ref:10604011401 or 10604011402). The operations are repeated for the other
distal hole.
Uygun vida T Anahtarý kullanýlarak Screw Guide’a doðru itirilip vidalanarak kilitlenir
(Ref:10604011401 ve 10604011402. Operasyonlar diðer distal delik için de aynen tekrarlanýr.
Locking of distal holes for femoral nail is completed. Screw Guide and Femur GuideLong can be dismounted.
Femoral çivinin distal deliklerinin kilitlenmesi tamamlandýktan sonra, vida guide ve
femur guide long çýkarýlabilir.
End Cap Insertion
End Cap’in Yerleþtirilmesi
By mounting the Locking End Cap (Ref:10802421002) at the top of Femur Nail. The
procedure is finalized and ingrowth of bone is made impossible.
Locking End Cap’ýn femur çivisinin tepesine geçirilmesiyle proses tamamlanmýþ ve
kemiðin içe doðru büyümesi engellenmiþ olur.
11
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FEMUR INTERLOCKING NAIL SYSTEM
Instruments & Trays/El Aletleri & Tavalar
tray 1
tray 2
tray 3
tray 4
tava 1
tava 2
tava 3
tava 4
10604001012
Universal Socket Wrench
10604001013
T Handle for Flexible Reamer
10604011401
T Wrench for Canullated Screw / 4
10604011402
T Wrench for Canullated Screw / 5
10604051003
Double Open Wrench
10604071105
T Wrench for Femur-Tibia Adjusted Guide
10606011340
Trocar AWL
10606061003
Reamer Guide Rod Holder
Universal Soket Anahtarý
T Kol Fleksibl Oyucu
Kanüllü Vida T Anahtarý / 4
Kanüllü Vida T Anahtarý / 5
Ýki Aðýzlý Anahtar
Ayarlý Guide T Anahtar
Trokar AWL
Tutucu
10606111002
SURGICAL TECHNIQUE / CERRAHÝ TEKNÝK
IMPLANTS & INSTRUMENTS / ÝMPLANTLAR VE EL ALETLERÝ
Cortical Awl
Kuntscher Bizi
12
T2006
FEMUR INTERLOCKING NAIL SYSTEM
10606170305
Tapered Reamer Canullated
10606170315
Internal Fracture Alignment Device
10606181001
10606181004
10606181005
Drill Sleeve
Ø2.1
Ø4.0
Ø4.8
10606181007
Drill Sleeve Ø8.0 Long
10606190011
Tube for Intramedular Nail
10606191002
Guide Rod for Intramedular Nail-Straight / Ø2.5 x 750
10606191003
Guide Rod for Intramedular Nail-Straight / Ø3.0 x 750
10606191004
10606191022
10606191023
10606191043
Kanüllü Oyucu
Dahili Kýrýk Düzeltme Cihazý
Drill Sleeve Ø8.0 Uzun
Teflon Tüp
Tel Guide-Düz / Ø2.5 x 750
Tel Guide-Düz / Ø3.0 x 750
Guide Rod for Intramedular Nail-Straight / Ø4.0 x 750
Tel Guide-Düz / Ø4.0 x 750
Guide Rod for Intramedular Nail-Spherical Tip / Ø2.5 x 750
Tel Guide-Küre Uçlu / Ø2.5 x 750
Guide Rod for Intramedular Nail-Spherical Tip / Ø3.0 x 750
Tel Guide-Küre Uçlu / Ø3.0 x 750
Guide Rod for Intramedular Nail-Curved / Ø3.0 x 750
Tel Guide-Eðri / Ø3.0 x 750
10606450010
Femur Guide Attachment
Femur Guide Parçasý
10606450015
Femur Guide Screw
Femur Guide Çektirme Civatasý
10606450020
Femur Guide Short
10606450025
Femur Guide Long
10606450028
Fixation Guide for Femur Guide
10807051009
Threaded Kirschner Wire
10608081001
Screw Length Gauge
10608081002
Ruler
10608081003
Skin Protector
Femur Klavuz-Kýsa
Femur Klavuz-uzun
Ayarlý Aparat Tespit Klavuzu
Ucu yivli Kirschner Teli
Vida Uzunluk Ölçer
Cetvel
Cilt Koruyucu
13
SURGICAL TECHNIQUE / CERRAHÝ TEKNÝK
IMPLANTS & INSTRUMENTS / ÝMPLANTLAR VE EL ALETLERÝ
T200 6
FEMUR INTERLOCKING NAIL SYSTEM
10610091005
10610091007
10610091009
10610091011
10610091013
10610091015
10610091017
Flexible Reamer
10610091100
Flexible Reamer Attachment
Fleksibl Oyucu
Ø8
Ø9
Ø10
Ø11
Ø12
Ø13
Ø14
Fleksibl Reamer Tutucu Adaptör
Slide Hammer
10611031001
Çakýcý/Çýkarýcý
10611031003
Supine Driver
10611031012
Femoral Extractor Bolt
Çýkarýcý Ucu
Long Drill
Uzun Drill
10809021005
10809021048
Ø4.0
Ø4.8
Canullated Drill
Kanüllü Drill
10809031201
10809031211
SURGICAL TECHNIQUE / CERRAHÝ TEKNÝK
IMPLANTS & INSTRUMENTS / ÝMPLANTLAR VE EL ALETLERÝ
Ø4.0
Ø4.8
14
T2006
FEMUR INTERLOCKING NAIL SYSTEM
Notes/Notlar
15
SURGICAL TECHNIQUE / CERRAHÝ TEKNÝK
IMPLANTS & INSTRUMENTS / ÝMPLANTLAR VE EL ALETLERÝ
T200 6
FEMUR INTERLOCKING NAIL SYSTEM
Notes/Notlar
SURGICAL TECHNIQUE / CERRAHÝ TEKNÝK
IMPLANTS & INSTRUMENTS / ÝMPLANTLAR VE EL ALETLERÝ
16
Revision 03 / Printed in TURKEY - 09/11 - TIPSAN Design
The products being manufactured by TIPSAN A.S. has been certified from SZUTEST (Strojírensk•
Zkušební Ústav) for EC certificate (CE 1015) according to Annex II. 3 and II.4 of Council Directive
93/42/EEC concerning medical devices
Kemalpasa Cd. 7404/1 Sk. No: 3 Pinarbasi - IZMIR - TURKEY
Tel: +90 232 479 56 54 Fax: +90 232 479 58 27
[email protected] www.tipsan.com.tr

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