SHUKLA Medical Innovators of R Winquist III Universal IM Nail Extraction System Surgical Technique Guide IM NAIL TO EXTRACTOR USAGE CHART MANUFACTURER NAIL ACUMED® POLARUS® HUMERAL AIM® HUMERAL AIM® TIBIAL DEPUY/ACE® AIM® FEMORAL, SUPRACONDYLAR & A.R.T.® RETROGRADE CHANDLER TIBIAL VERSANAIL™ ANKLE FUSION NAIL RUSSEL-TAYLOR® HUMERAL RUSSEL-TAYLOR® FEMORAL & RECON SMITH + RUSSEL-TAYLOR® TIBIAL NEPHEW® TRIGEN® ALL ENDER NAIL SOLID HUMERAL SOLID TIBIAL SOLID FEMORAL, RECON & SUPRACONDYLAR ® SYNTHES UNIVERSAL TIBIAL & FEMORAL CANNULATED FEMORAL, RECON & SUPRACONDYLAR FLEXIBLE HUMERAL CANNULATED TIBIAL ZICKEL UNKNOWN ANKLE ARTHRODESIS & UNIFLEX® TIBIAL KNEE ARTHRODESIS, HOLLAND FEMORAL, ® BIOMET UNIFLEX® FEMORAL & UNIFLEX® RECONSTRUCTION RETROGRADE FEMORAL TRUEFLEX® HUMERAL & FOREARM TRUE/FIX® DISTAL FEMORAL, PROX HUMERAL & ENCORE® TRUE/FIX® ANKLE FUSION TRUEFLEX® TIBIAL T-2™ HUMERAL GROSS/KEMPF® FEMORAL STRYKER®HOWMEDICA®- IC™ NAIL FEMORAL, TIBIAL & T-2 TIBIAL OSTEONICS® T-2™ FEMORAL ANTEGRADE/RETROGRADE ALTA® HUMERAL ALTA® FEMORAL M/DN® ALL ZMS® TIBIAL & HUMERAL ® ZIMMER ZMS® FEMORAL HANSEN-STREET™, HARRIS®, TIBIA®, SCHNEIDER® NEFF NAIL DIAMETER 12.5 to 15mm SOLID & BROKEN* IM NAILS UNKNOWN DIAMETER 10 to 12.5mm SOLID & BROKEN* IM NAILS DIAMETER 8 to 10mm SOLID & BROKEN* IM NAILS DIAMETER 6 to 8mm SOLID & BROKEN* IM NAILS KUNTSCHER DIAMETER 12.5 to 15mm KUNTSCHER DIAMETER 10 to 12.5mm UNKNOWN KUNTSCHER DIAMETER 8 to 10mm KUNTSCHER DIAMETER 6 to 8mm EXTRACTOR 1/4-20 UNC-2A 1/4-20 UNC-2A 1/4-20 UNC-2A 5/16-18 UNC-2A TIP NO: WIN3- WIN3- WIN3- WIN6- 1/4- 28 UNF2A 5/16-18 UNC-2A 7/16-20 UNF-2A 3/8-24 UNF-2A 5/16-24 UNF-2A 5/16-24 UNF-2A SMALL HOOK M5.5x.9-6g M6x1.0-6g M8x1.25-6g / M7x1.0-6g CONICAL M8x1.25-6g / M7x1.0-6g M5x.8-6g M8x1.25-6g / M7x1.0-6g 5/16-24 UNF-2A 5/16-24 UNF-2A WIN4- WIN6- WIN11- 11 WIN10- WIN7- WIN7- WIN26 (MIWA14***) WIN13- 13 WIN2- WIN5- WIN27 (MIWA13***) WIN5- WIN12- 12 WIN5- WIN7- WIN7- 3/8-24 UNF-2A 5/16-24 UNF-2A #8-32 UNC-2B 1/4-20 UNC-2A 3/8-32 UNEF-2B M6x.75-6g M10x1.5-6g M8x1-6g M8x1-6g 1/4-20 UNC-2A 5/16-24 UNF-2A 5/16-18 UNC-2A 1/4-20 UNC-2A 3/8-16 UNC-2A 1/4-20 UNC-2B LARGE HOOK Solid Nail Extractor 12.5-15mm Solid Nail Extractor 10-12.5mm Solid Nail Extractor 8-10mm Solid Nail Extractor 6-8 mm Solid Nail Extractor 12.5-15mm Solid Nail Extractor 10-12.5mm Solid Nail Extractor 8-10mm Solid Nail Extractor 6-8 mm WIN10- WIN7- WIN15- 15 WIN3- WIN17- 17 WIN14- 14 WIN8- WIN16- 16 WIN16- 16 WIN3- WIN7- WIN6- WIN3- WIN9- WIN1- WIN25 (MIWA15***) WIN20 WIN21 WIN22 WIN23 WIN20 WIN21 WIN22 WIN23 SINGLE USE DRIVER ADAPTER 2.5mm** Hex & 3.5mm** Hex 2.5mm** Hex & 3.5mm** Hex 3.5mm** Hex 3.5mm** Hex & 5.0mm** Hex Not Applicable 3.5mm** Hex 3/16" ** Hex 3/16" ** Hex & 5/32" ** Hex 5/32" ** Hex 6mm Hex Socket & 1/4" x 1/4" SQ. Not Applicable 2.5mm** Hex 2.5mm** Hex 2.5mm** Hex 3.5mm** Hex 3.5mm** Hex 2.5mm** Hex 3.5mm** Hex 5/32" ** Hex 3.5mm** Hex 5.0mm** Hex 5.0mm** Hex 3.5mm** Hex 3.5mm** Hex 3.5mm**Hex & 8.0mm Hex &1/4" x 1/4" SQ. 2.5mm** Hex 3.5mm** Hex & 5.0mm** Hex 3.5mm** Hex 3.5mm**Hex & 6.0mm Hex &1/4" x 1/4" SQ. T20 Torx T25 Torx 3.5mm** Hex 5.0mm** Hex 5.0mm** Hex 2.5mm** Hex Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable * BROKEN: NAILS BROKEN MIDSHAFT OR LESS ** REVERSE CAPTIVE TWIST *** APPLIES TO UPGRADE KITS ONLY 888-4shukla (888-474-8552) Contact us at: or [email protected] See our website at: www.ShuklaMedical.com Form Controlled Document FCD-0249 Rev 00 Winquist III Surgical Technique Guide Step 1 - Determine size Step 7 - Using the T-handle screw the extractor into the rod until the extractor is tight. of bone screw & select appropriate screwdriver shaft. Insert screwdriver shaft into ratcheting handle & set ratchet to counter-clockwise. Step 2 - Remove all Step 8 - Assemble the proximal & distal screws. extraction frame (MIWE) on the extractor using a nut (MIWN). Step 3 - Using the bone Step 9 - Tighten the nut using the 11/16" wrench. It may be necessary to retighten during the extraction of the nail. chisel, remove bone growth from around proximal neck of IM rod & remove threaded cap. Step 4 - Select the appropriate size extractor tip to match the threads on the rod. Hooks and solid nail extractors may also be used. Step 10 -Using the mallet (MMM5) to strike the frame plate, drive the rod out of the IM canal. Step 5 - Tighten the tip Note 1 - If the tip should break, use the socket wrench (WIN18) to remove the broken tip and start over at step 4. into the extractor body (WIN19) using the 9/32" & 11/16 "wrench. Step 6 - Tighten the T-handle (MIWD) on the assembled extractor. Note 2 - If the extractor is not long enough to attach to the frame, use the 6 inch extension extractor (WIN24 or MIWA22***) *** APPLIES TO UPGRADE KITS ONLY %-%2'/ '2/50 3HUKLA -EDICAL -OLENSTRAAT "( 4HE (AUGE 4HE .ETHERLANDS 4EL 4 EL E &AX /LD .EW "RUNSWICK K 2OAD 0ISCATAWAY .* 5 0ISCATAWAY 53! WWWSHUKLAMEDICALCOM WWW SHUKLAMEDICALCOM M -+3 #/.35,4 #/.35, 4 ).3425#4)/.3 &/2 53% ./. ./ /. 34%2),% 02/$5#4 02 2/$5#4
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