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Sign IM Nail and Interlocking Screw System User Manual

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Technique Manual
of
SIGN IM Nail & Interlocking Screw System
Insertion & Extraction Guide
www.sign-post.org
Revision # TM-2011.07.01
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Sign IM Nail and Interlocking Screw System Specifications

General IconGeneral
BrandSign
ModelIM Nail and Interlocking Screw System
CategoryMedical Equipment
LanguageEnglish

Summary

SIGN STANDARD IM NAILS AND FIN NAILS

Indications, Contraindications, and Warnings

Key indications, contraindications, warnings, and precautions for SIGN nails.

Sterility and Adverse Effects

Information on implant sterility and potential adverse effects.

SIGN INSTRUMENTS AND CARE

Instrument Overview and Maintenance

List, overview, and maintenance of SIGN surgical instruments.

INDICATIONS FOR SIGN NAIL

Fracture Types and Patient Preparation

Fracture types suitable and patient preparation steps.

Surgeon Preparation and Imaging

Surgeon readiness and X-ray requirements for SIGN nail procedures.

Antibiotic Protocol

Antibiotic prophylaxis guidelines before surgery.

OPERATING ROOM EQUIPMENT

General and SIGN Specific Equipment

Required OR items and essential SIGN nail equipment.

Equipment Care Guidelines

Maintenance and care instructions for SIGN equipment.

SIGN INSTRUMENT SET VISUALIZATION

SIGN NAILS SPECIFICATIONS

Nail Lengths and Target Arms

Details on standard, short length nails, and target arms.

TECHNIQUE FOR ALL LOCATIONS

Patient Prep and Fracture Reduction

Pre-operative patient prep, antibiotic prophylaxis, and fracture reduction.

SIGN DISTRACTOR TECHNIQUE

Distractor Setup and Operation Steps

Steps for setting up and operating the SIGN distractor.

OPEN FRACTURE MANAGEMENT

Debridement, Closure, and Reaming

Managing open fractures: debridement, closure, and reaming.

NAIL PREPARATION AND ASSEMBLY

Nail, L-Handle, and Target Arm Assembly

Steps to assemble the nail, L-handle, and target arms.

NAIL INSERTION AND DISTAL INTERLOCK

Initial Nail Insertion

Procedure for inserting the SIGN nail into the bone canal.

Distal Interlock Procedure Details

Achieving distal interlocking with the SIGN nail.

DISTAL INTERLOCK PROCEDURES

Cannula, Drill Guide, and Slot Finder Use

Using tools for hole creation and locating nail slots.

SLOT FINDER TECHNIQUES AND TROUBLESHOOTING

Slot Finder Insertion Issues

Addressing issues with slot finder insertion and operation.

SCREW MEASUREMENT AND INSERTION

Measuring Screw Length and Inserting Screws

Measuring screw length and inserting interlocking screws.

INTERLOCKING TIPS AND ALIGNMENT

Slot Finder Rotation and Alignment Issues

Resolving slot finder rotation and alignment problems.

EXTRACTION AND COMPRESSION

Using the Extractor-Compressor

Procedure for using the extractor-compressor for compression.

PROXIMAL INTERLOCK FIXATION

Second Distal Screw Placement

Placing the second distal interlocking screw for stability.

SIGN NAIL IN THE TIBIA

Tibia Patient Positioning and Fracture Types

Patient positioning and techniques for tibia fractures.

TIBIA SURGICAL APPROACH

Tibia Skin Incision and Bone Entrance

Making skin incision and bone entrance in tibia.

Tibia Reaming and Nail Insertion

Reaming the canal and inserting nail in tibia.

TIBIA INTERLOCKING PROCEDURES

Proximal Tibia Interlock and Screw Insertion

Performing proximal interlocking and inserting screws in tibia.

RETROGRADE APPROACH TO FEMUR

Femur Indications, Position, and Reduction

Indications, patient positioning, and fracture reduction for femur.

Femur Bone Entrance and Incision

Creating bone entrance and making skin incision for femur.

FEMUR REAMING AND NAIL INSERTION

Femur Canal Reaming and Nail Insertion

Process of reaming femur canal and inserting the nail.

FEMUR DISTAL INTERLOCK

Slot Location, Finder Use, and Compression

Slot location, finder use, and post-compression steps for femur.

FEMUR PROXIMAL INTERLOCK

Fracture Site Compression Method

Method to impact and compress the fracture site.

ANTEGRADE APPROACH TO FEMUR

Antegrade Femur Patient Position, Reduction, and Bone Entrance

Positioning, reduction, and bone entrance for antegrade femur nailing.

FEMUR NAIL PREPARATION AND INSERTION

Nail Preparation and Antegrade Insertion

Preparing the nail and inserting it in antegrade femur approach.

FEMUR INTERLOCKING TECHNIQUES

Proximal Interlock Orientation and Distal Interlock Considerations

Orientation of proximal screws and considerations for distal interlocking.

FEMUR FRACTURE COMPRESSION AND INTERLOCKING

Fracture Compression and Proximal Interlocking

Impacting fracture site and performing proximal interlocking.

SIGN TECHNIQUE FOR FIN NAIL

Fin Nail Description and Indications

Overview, specifications, and indications for the SIGN fin nail.

FIN NAIL INSTRUMENTS AND TECHNIQUE

Fin Nail Proximal Interlocking and Reaming

Instruments, proximal interlocking, and reaming for fin nails.

HUMERUS FRACTURE TREATMENT

Humerus Patient Position, Reduction, and Approach

Patient position, reduction, and surgical approach for humerus fractures.

HUMERUS NAIL INSERTION AND INTERLOCKING

Humerus Reaming, Insertion, and Interlocking

Reaming, nail insertion, and interlocking procedures for humerus.

DISTRACTOR INSTRUCTIONS

Clamp Placement, Operation, and Alignment

Steps for clamp placement, distractor operation, and alignment.

REMOVAL OF BROKEN NAIL AND ADDITIONAL NOTES

Broken Nail Removal Tips

Important considerations for removing a broken SIGN nail.

General Notes and Instrument Care

Additional notes on bone grafting, weight bearing, and instrument care.

CHANGES IN INTERLOCKING PROCEDURE

Drill Bit and Slot Finder Evolution

Evolution of drill bits and slot finders for interlocking.

DATA COLLECTION SHEETS

Patient Case Information Entry

Form for entering patient case details into the database.

SURGERY INFORMATION RECORD

Antibiotic Use and Surgery Comments

Recording antibiotic usage and surgery comments.

FRACTURE INFORMATION RECORD

Fracture Details and Stability Recording

Fields for documenting fracture details, stability, and closure.

Previous Implants and Reaming Methods

Data on previous implants and reaming techniques used.

NAIL TYPE AND SCREW QUANTITIES

Nail Type Selection and Screw Usage

Guide for selecting nail type and recording screw quantities.

SHC Components Usage

Checklist for SHC components used during surgery.

X-RAY TRACKING AND UPLOADING

Digital X-Ray File Tracking and Uploading Guidelines

Tracking X-ray files and guidelines for uploading them.

FOLLOW-UP INFORMATION RECORD

Infection, Healing, and Implant Integrity Assessment

Follow-up on infection, healing, implant integrity, and deformities.

Repeat Surgery and Non-Union Management

Documentation of repeat surgeries and non-union treatment.