mat lock humeral, anterograde and retrograde nail system
Contents
1. INTRAMEDULLARY NAILING HUMERAL NAIL SYSTEM INTRODUCING OURSELVE Manufacturer of surgical implants and medical devices Solutions for patient orthopaedic and osteosyntheses fracture treatments osteosyntheses customized orthopaedic innovations and solutions CORPORATE COMPANY PHILOSOPHY SOLUTION WITHOUT COMPROMISE MAT GmbH amp Co KG design develop and manufacture implants and instruments for use in specific treatments of trauma orthopedic systems fracture reconstruction treat ment systems Plate and screw systems mini small and large fragment systems Locking plate and screw systems small and large fragment systems Interlocking nailing systems Cranio maxillo facial plate and screw systems Cannulated screw system Flexible reamer systems Hand and Foot implants screws and staple systems External fixator systems Oscillating saw blades Power tool systems battery and air drive systems General surgical instruments Hemi arthroplasty instruments for hip surgeries and cement extraction MAT GmbH amp Co KG innovative and exiting product portfolio is updated and expanded in line with technological advances to satisfy the current and future needs of both patients and healthcare professionals MAT GmbH amp Co KG is committed to playing our part in achieving improved healthcare outcomes worldwide GENERAL INFORMATION BEFORE USING THE PRODUCT A2. Phone 49 0 7465 909 188 Fax 49 0 7465 909 024 MEDICAL ADVANCED TECHNOLOGY www mat medical com info mat medical com Revision 10 07 2012 Intramedullary Nailing Humeral MAT AtelierUrban
3. Before every use you should carefully check the operability of the implants and the operating instruments They should be free of damages If there are any cracks fractures discolouration deformation or any damages on the implants which may be due to unsuitable storing imperfect sterilization or preliminary inefficient treatment the use of the implant is prohibited The assembly perfect fitting and operation of the implants and all the necessary instruments should be tested Perfect fitting and operation appropriate dimensions and positions should be checked in all cases REQUIREMENTS TOWARDS THE USER The set of tools and implants can only be applied by doctors with appropriate qualifications and special information and experience in the field of using implants The doctor who performs the operation is responsible for choosing the correct indication the type of the implants and the operation technology CONTRAINDICATION Implantation is not recommended if the patient s health condition makes it difficult to accept it or problems are expected during the recovery process e g decreased circulation weak quality or quantity bone system impossibility of rehabilitation due to the mental condition of the patient etc GENERAL WARNINGS Before the operation the patient should be informed about the possible disadvantages of the implant By choosing the appropriate implant the type of the bone fracture the weight and activity of the patient shoul
4. 13 and a drill sleeve 25 into the hole of the targeting arm 7 8 On the prepared boring with spiral drill 17 we do a length measuring like by the proximal locking and screw in the necessary locking screws If the direction of the fracture requires we can do sagittal locking as well In order to do it we have to use the auxiliary targeting arm 4 with a fixing screw 3 The preparing locking the length measuring and the locking is the same as previously described After finishing locking we remove the targeting device 2 7 8 4 with the wrench 15 putan end cup into the nail and close the cut After the operation we check the reconstruction of the function of the shoulder During the recovering process we control several times the process of the recovering We control the position of the implants as needed but at least after 2 days and after 6 and 12 weeks with X ray as well At appropriate stage of the bone regeneration we can remove the medullary nail At first we take out the locking screws then with removing the end cup we open the threaded link at the end of the nail We screw the threaded removal shaft 14 into the end of the nail than fix the removal shaft 28 on it We place the hammer 24 and close the shaft with the removal bumper 22 We remove the nail with indulgent use of the hammer MAT Ld MAT GmbH amp Co KG Friedrich W hler Stra e 10 E E 78576 Emmingen Liptingen Germany
5. image of dt i I ay the Kirschner wire led through the targeting arm helps to 24 control the right position of the nail After reaching wished position we remove the impactor shaft 28 and the hammer 24 MAT BH n 6 We begin locking on the distal end We look for the position of the locking borings with bi directional X ray control If necessary before drilling the lateral locking hole we can help through the soft tissue protector 13 with the use of pointer 27 we carry out first the distal locking to which we look for the position of the locking borings with bi directional X ray control Using the soft tissue protector 13 and drill sleeve 25 with use of 3 2 x 190 mm spiral drill 17 we prepare a locking boring 8 Keeping the soft tissue protector we define the length of the proper locking screw For this we fix the length gauge 19 into the opposite corticalis through the locking boring The size shown on the soft tissue protector matches to the length of the screw Installing of the locking screws is to be done through the soft tissue protector 13 We put the steam of the screw driver 11 into the quick coupling handle 26 and lock with the chosen screws SURGICAL TECHNIQUE WITH ANTEROGRADE 10 11 12 13 14 NSERTION The distal locking is to be done with the targeting device assembled to the nail For the lateral locking we place a soft tissue protector
6. 270 NA 34294 70280 NA 34294 70295 NA 34294 70310 NA 14294 80180 NA 14294 80205 NA 14294 80220 NA 14294 80230 NA 14294 80240 NA 14294 80250 NA 14294 80260 NA 14294 80270 NA 14294 80280 NA 14294 80295 NA 14294 80310 NA 34294 80180 NA 34294 80205 NA 34294 80220 NA 34294 80230 NA 34294 80240 NA 34294 80250 NA 34294 80260 NA 34294 80270 NA 34294 80280 NA 34294 80295 NA 34294 80310 NA 14294 90180 NA 14294 90205 NA 14294 90220 NA 14294 90230 NA 14294 90240 NA 14294 90250 NA 14294 90260 NA 14294 90270 NA 14294 90280 NA 14294 90295 NA 14294 90310 NA 34294 90180 NA 34294 90205 NA 34294 90220 NA 34294 90230 NA 34294 90240 NA 34294 90250 NA 34294 90260 NA 34294 90270 NA 34294 90280 NA 34294 90295 NA 34294 90310 LOCKING SCREW END CAP FOR LOCKING Thread diameter 319mm Core diameter 3 2mm less NL Pitch 175mm Hex width 2 5mm Catalogue Number Catalogue Number Catalogue Number 2 20 LS 12200 39020 LS 12200 39022 LS 12200 39024 LS 12200 39026 LS 12200 39028 LS 12200 39030 LS 12200 39032 LS 12200 39034 LS 12200 39035 LS 12200 39036 LS 12200 39038 LS 12200 39040 LS 12200 39042 LS 32200 39020 LS 32200 39022 LS 32200 39024 LS 32200 39026 LS 32200 39028 LS 32200 39030 LS 32200 39032 LS 32200 39034 LS 32200 39035 LS 32200 39036 LS 32200 39038 LS 32200 39040 LS 32200 39042 44 45 46 48 50 52 54 55 56 58 65 LS 12200 39044 LS 12200 39045 LS 12200 39046 L
7. I TT ON NN 15 INS 99000 00008 Wrench 11mm www 16 INS 15000 20250 Kirschner wire 2 x 250 mm ECHICCHEEN T T CNN 17 INS 99010 32190 Spiral drill quick coupling 3 2 x 190 mm 18 INS 99010 45145 Spiral drill 4 5 x 115 mm 19 INS 94290 01500 Screw length gauge EN MAT Medical Advanced Technology IMPLANTS FOR LOCKING HUMERAL NAILING SS T ON 20 INS 94290 01700 Length gauge 0 21 INS 94290 01800 Burr 22 INS 94290 01003 Removal impactor bumper w wrF nmFr 23 INS 99031 10200 Spiral drill cannulated 10 2 2 x 200mm 24 INS 94290 01100 Hammer SS T HN 25 INS 94290 01300 Drill sleeve 6 3 2 mm wrwirwaar aF 26 INS 99000 00012 Quick coupling handle i TERN 27 INS 94290 01200 Pointer EO O S EE a I 28 INS 94290 01000 Removal impactor shaft s MAT Medical Advanced Technology 9 M E E T The Humerus Nail of MAT GmbH amp Co KG due toAO classification A B and C types fit to all 3 subtypes for operation of fractures The correct placing of the nail depending on the direction of the insertion do according to the medical prescriptions and the international literature For choosing the necessary implant with the help of X ray we define the appropriate sizes Knowing the length and diameter of the nail we assemble the prepared implant with the aimer 2 a proximal targeting
8. S 12200 39048 LS 12200 39050 LS 12200 39052 LS 12200 39054 LS 12200 39055 LS 12200 39056 LS 12200 39058 LS 12200 39060 LS 12200 39065 LS 32200 39044 LS 32200 39045 LS 32200 39046 LS 32200 39048 LS 32200 39050 LS 32200 39052 LS 32200 39054 LS 32200 39055 LS 32200 39056 LS 32200 39058 LS 32200 39060 LS 32200 39065 MAT LS 12400 07011 LS 32400 07011 SURGICAL INSTRUMENTS FOR LOCKING HUMERAL NAILING SURGICAL SET or Cat no SET 94290 00000 Cat no TRAY 94290 00000 Tray for humeral nailing instrument set LUSCCHENEN T CEN INS 94290 00105 INS 94290 00100 INS 94290 00503 INS 94290 00500 INS 94290 00400 INS 99000 00009 INS 94290 00103 INS 94290 00104 INS 94290 00700 INS 99150 35106 INS 99150 25150 INS 94290 01600 INS 94290 01400 BH n MAT Fixing screw M8 Proximal targeting arm Ms screw for auxiliary arm and targeting shaft Auxiliary targeting arm Threaded stem cannulated Wrench 17 mm Targeting shaft left retrograde right anterograde Targeting shaft right retrograde left anterograde Reamer 10 mm cannulated Screw driver quick coupling 3 5x106mm Screw driver quick coupling 2 5 X 150 mm Impactor cannulated Soft tissue protector 8 6 mm INS 94290 00600 INS 99000 00008 INS 15000 20250 INS 99010 32190 INS 99010 45145 INS 94290 01500 INS 94290 01700 INS 94290 01800 INS 94290 01003 INS 99031 10200 INS 94290 01100 IN
9. S 94290 01300 INS 99000 00012 INS 94290 01200 INS 94290 01000 murmu Threaded removal shaft Wrench 11mm Kirschner wire 2 x 250mm Spiral drill quick coupling 3 2 X 190mm Spiral drill 4 5 x 145mm Screw length gauge Length gauge Burr Removal impactor bumper Spiral drill cannulated 10 2 2 X 200mm Hammer Drill sleeve 6 3 2 mm Quick coupling handle Pointer Removal impactor shaft IMPLANTS FOR LOCKING HUMERAL NAILING 1 INS 94290 00105 Fixing screw M8 w wrr r 2 INS 94290 00100 Proximal targeting arm 3 INS 94290 00503 Ms screw for auxiliary arm and targeting shaft 5 SS cn mn U 0 4 INS 94290 00500 Auxiliary targeting arm en T CNN 5 INS 94290 00400 Threaded stem cannulated w rrrr rr 6 INS 99000 00009 Wrench 17 mm 7 INS 94290 00103 Targeting shaft left retrograde right anterograde 1 8 INS 94290 00104 Targeting shaft right retrograde left anterograde 1 ECHUCCHNENLT RN RN 9 INS 94290 00700 Reamer 10 mm cannulated ELCHUCCHEEE NN Fase 10 INS 99150 35106 Screw driver quick coupling 3 5 x 106 mm Ej MAT Medical Advanced Technology 7 M E E SURGICAL INSTRUMENTS FOR LOCKING HUMERAL NAILING enc 11 INS 99150 25150 Screw driver quick coupling 2 5 x150mm ww 12 INS 94290 01600 Impactor cannulated TT CNN I 13 INS 94290 01400 Soft tissue protector 8 6 mm a INS 94290 00600 Threaded removal shaft ECHIUCCHEENM
10. The sterilisation of the instruments should be done together with the tray The instructions of the producers should always be considered INTERACTION WITH MEDICINES An interaction of the implants with medicines is not known MAT 9 SYSTEM OF IMPLANTS Material steel or titanium alloy Locking humeral nail cannulated diameter 7 8 g mm cat no from NA 14294 70180 to NA 14294 70310 from NA 34294 70180 to NA 34294 70310 from NA 14294 80180 to NA 14294 80310 from NA 34294 80180 to NA 34294 80310 from NA 14294 90180 to NA 14291 90310 from NA 34294 90180 to NA 34294 90310 Locking screw diameter 3 9 mm cat no from LS 12200 39020 to LS 12200 39065 from LS 32200 39020 to LS 32200 39065 End cap cat no LS 12400 07011 LS 32400 07011 Surgical set for locking humeral nailing cat no SET 94290 00000 BH N MAT steel titanium alloy steel titanium alloy steel titanium alloy steel titanium alloy steel titanium alloy IMPLANTS FOR LOCKING HUMERAL NAILING LOCKING HUMERAL NAIL CANNULATED Catalogue Number 180 205 220 230 240 250 260 270 280 295 310 NA 14294 70180 NA 14294 70205 NA 14294 70220 NA 14294 70230 NA 14294 70240 NA 14294 70250 NA 14294 70260 NA 14294 70270 NA 14294 70280 NA 14294 70295 NA 14294 70310 NA 34294 70180 NA 34294 70205 NA 34294 70220 NA 34294 70230 NA 34294 70240 NA 34294 70250 NA 34294 70260 NA 34294 70
11. arm 5 threaded stem 7 8 right hand or left targeting shaft 1 a fixing screw We check fitting up the punctuality of the borings the anatomically correct position of the nail the stiffness of the links Define the point of insertion Preparing countersink holes with 4 5 x 145 mm spiral drill 18 5 With the burr 21 we expand and fuse the countersink holes With this we prepare the point of inserting the nail SURGICAL TECHNIQUE WITH RETROGRADE INSERTION Weinsert the nail assembled with the targeting arm 2 7 8 1 and with the impactor shaft 28 24 into the medullary canal We check the proper position with X ray If necessary we 8 1 help the inserting with mild beats 24 After reaching the wished position we remove the impactor shaft 28 we carry out first the proximal locking to which we look for the position of the locking borings with bi directional X ray control Using the soft tissue protector 13 and drill sleeve 25 with use of 3 2 x 190 mm spiral drill 17 we prepare a locking boring Keeping the soft tissue protector we define the length of the proper locking screw For this we fix the length EET gauge 19 into the opposite corticalis through the Y locking boring The size shown on the soft tissue protector matches the length of the screw 13 9 Installing the locking screws is to be done through the soft tissue protector 13 We put the stea
12. d be taken into consideration The solidity of the implant is restricted so it is necessary to avoid overloading it by overweight The biomechanical loading of the implant should be minimized as much as possible During the application of the implant the process of recovering is to be controlled By repetitive loading or by protracted bone recovering the implants may be deformed dislocated This needs intervention in time Repeated deformation of the implant should be avoided The implants are only for one time use a re implantation is prohibited The type and the size of the implants should be defined according to the specific case Before operation the user s manual of the implants should be studied carefully APPLIED MATERIALS The applied materials are of best quality specially developed for implants with high solidity made of non magnetic stainless steel and titan alloys Combined use of products of other manufacturers may start damaging processes which the MAT GmbH amp Co KG can t take the responsibility for PROTECTION OF THE PRODUCT PACKAGING PREPARATION FOR USE The implants come clean without any production pollution for packaging Before use circumstances are to be assured where the integrity of the packaging will be preserved The storage should be in a clean dry place avoiding extra temperature and chemicals STERILISATION Before use unpack the implant and sterilize due to the prescriptions Avoid the touch by bare hand
13. he nail We screw the threaded removal shaft 14 into the end of the nail than fix the removal shaft 28 on it We place the hammer 24 and close the shaft with the removal bumper 22 We remove the nail with indulgent use of the hammer SURGICAL TECHNIQUE WITH ANTEROGRADE INSERTION 1 For choosing the necessary implant with the help of X ray we define the appropriate sizes 2 Knowing the length and diameter of the nail we assemble the prepared implant with the aimer 2 a proximal targeting arm 5 threaded steam 7 8 right hand orleft targeting shaft 1 a fixing screw We check fitting up the punctuality of the borings the anatomically correct position of the nail the stiffness of the links 3 Draw aside the muscle fibres then define the point of insertion Open the medullary canal with 2 x 250 mm Kirschnerwire 16 A while keeping the muscle fibres drawn aside using the M correct position of the leader spit 16 we enlarge the insertion point with the reamer 9 to the size of the nail y We remove both the spit 16 and the reamer 9 D We insert the nail assembled with the targeting arm 2 8 7 8 1 and with the impactor shaft 28 and the hammer 24 into the medullary canal In case of the NE right nail position the end of the nail must be in any case 7 ESCENA S 2 under the cartilage surface 7 _ SS We check the proper position with X ray The
14. m of the screw ger driver 2 5 x 150 mm 11 into the quick coupling handle 26 and lock with the chosen screws MAT BH n SURGICAL TECHNIQUE WITH RETROGRADE INSERTION MAT 10 11 12 The distal locking is to be done with the targeting device assembled to the nail For the lateral locking we place a soft tissue protector 13 and a drill sleeve 25 into the hole of the targeting arm 7 8 On the prepared boring with spiral drill 3 2 x 190mm 17 we do a length measuring like by the proximal locking and screw in the necessary locking screws lf the direction of the fracture requires we can do sagittal locking as well In order to do it we have to use the auxiliary targeting arm 4 with a fixing screw 3 Preparing locking the length measuring and locking is the same as previously described After finishing the locking we remove the targeting device 2 7 8 4 with the wrench 6 put an end cup into the nail and close the cut After the operation we check the reconstruction of the function of the shoulder During the recovering process we control several times the process of the recovering We control the position of the implants as needed but at least after 2 days and after 6 and 12 weeks with X ray as well At appropriate stage of the bone regeneration we can remove the medullary nail At first we take out the locking screws then with removing the end cup we open the threaded link at the end of t
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