Surgical Technique Guide: The Winquist III

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-Ž
WIN3-Ž
WIN3-Ž
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-Ž
WIN17- 17
WIN14- 14
WIN8-“
WIN16- 16
WIN16- 16
WIN3-Ž
WIN7-’
WIN6-‘
WIN3-Ž
WIN9-”
WIN1-Œ
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
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