English
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1200-17
TOOLMED
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1 Pcs
5-7 days
Product Description
The T-handle inserters are designed to provide maximum grip and torque, allowing the surgeon to rotate and advance the elastic nail with high tactile feedback.
Includes a range of cannulated and solid awls specifically sized to create the optimal entry portal for various nail diameters (1.5mm to 4.0mm).
Features a heavy-duty nail cutter capable of producing clean, flat cuts on titanium nails, minimizing soft tissue irritation at the insertion site.
Equipped with specialized reduction "F-tools" and joysticks that allow for percutaneous manipulation of bone fragments without extensive open surgery.
The set is primarily indicated for the stabilization of diaphyseal fractures in children (ages 5–14), where the preservation of the growth plate (epiphysis) is critical.
Indicated for displaced fractures of the radius and ulna in both pediatric and adolescent patients, providing the specialized small-diameter tools required for narrow canals.
Equipped with the necessary entry awls and inserters indicated for humeral nailing where a minimally invasive, flexible approach is preferred over rigid nailing or plating.
Indicated for use in adult patients with exceptionally narrow medullary canals or in specific reconstructive procedures where flexible titanium nails are required for internal support.
| Product name | Elastic Nail Instrument Set |
| Material | TA3 |
| Diameter | / |
| Length | / |
| Application | / |
| Certificate | CE Certificate |
| Brand | TOOLMED |
| MOQ | 1 Pcs |
| OEM | Avaliable |
| Package | PE Inner Bag+Carton |
| Payment Method | T/T，Bank transfer, Western Union |
| Delivery Time | 5-7 days |
| Shipping | DHL EMS UPS TNT FEDEX |
The Elastic Nail Instrument Set is a specialized collection of surgical tools designed for the implementation of the Elastic Stable Intramedullary Nailing (ESIN) technique. This set is essential for treating long bone fractures in children and adolescents, where flexible titanium nails are used to provide internal stability without damaging the growth plates. The set includes tools for every stage of the procedure, including opening the bone cortex with specialized awls, contouring the nails to match the bone’s anatomy, and advancing the nails through the medullary canal with dedicated inserters. Manufactured from high-grade, biocompatible stainless steel, the set ensures that surgeons can perform minimally invasive fixations with high precision and clinical safety.
This instrument set is primarily applied in pediatric orthopedics for the fixation of femoral, tibial, and humeral shaft fractures. It is also extensively applied in the treatment of forearm fractures (radius and ulna) in both children and smaller adults. The set’s "minimally invasive" nature makes it the primary application for fractures that require stabilization while avoiding large open incisions. Furthermore, the set is applied in the removal of elastic nails once the bone has healed, providing the specialized extractors and pliers needed to engage the nail ends. Its versatile range of tools makes it a standard requirement for any surgical facility that manages pediatric trauma or specializes in flexible intramedullary fixation.
The primary advantage of the TOOLMED Elastic Nail Instrument Set is its ergonomic efficiency and the specialized "burr-free" cutting system. The cutters are designed to shear titanium cleanly, which is critical for preventing irritation of the overlying soft tissues and making future removal easier. The T-handle inserters provide a significant advantage by offering superior rotational control, allowing the surgeon to navigate the nail tip across the fracture site with ease. Additionally, the modular tray design ensures that all tools are organized by diameter and function, reducing surgical preparation time. The high-quality stainless steel construction ensures that the tools maintain their sharpness and mechanical integrity over long-term use in busy trauma centers.
Biomechanically, the instrument set facilitates the "three-point fixation" principle that is central to the success of elastic nailing. The tools allow the surgeon to precisely contour the titanium nails into a bowed shape; when two nails are inserted from opposite sides, they create a balanced internal spring-like force that resists bending, rotation, and axial displacement. The set’s awls and inserters are biomechanically designed to ensure the entry point is placed at the correct angle to maximize this internal tension. By enabling the precise placement and tensioning of these flexible implants, the instrument set ensures a stable yet dynamic environment that promotes rapid secondary bone healing through callus formation.
The surgical technique begins with selecting two nails of equal diameter (usually 40% of the narrowest part of the canal). The set’s awl is used to create an entry portal in the metaphysis, avoiding the growth plate. The nails are pre-curved using the set’s contouring tools. Using the T-handle inserter, the first nail is advanced to the fracture site, followed by the second nail from the opposite side. Once the fracture is reduced using the "F-tool," both nails are driven across the fracture into the opposite metaphysis. The set’s heavy-duty cutter is then used to trim the excess nail length, leaving a small portion outside the cortex for later removal. Finally, the set’s impactor is used to seat the nail ends flush against the bone.
Postoperative care for the instrument set involves a rigorous cleaning and sterilization process to maintain the fine tolerances of the moving parts, such as the cutters and inserter chucks. After each procedure, the instruments must be disassembled and cleaned of biological debris using neutral-pH detergents. The cutters should be inspected for edge wear, and the inserter mechanisms should be lubricated with medical-grade oil if necessary. Sterilization is performed in a steam autoclave at 134°C. Proper care ensures the longevity of the set and prevents complications during future surgeries, such as jammed inserters or dull cutting blades, thereby ensuring consistent performance for every pediatric patient.
The TOOLMED Elastic Nail Instrument Set is a vital component in modern pediatric fracture management. By providing the precision tools necessary for stable, minimally invasive fixation, this set allows surgeons to achieve excellent clinical outcomes while minimizing surgical trauma, ultimately leading to faster recovery and reduced hospitalization for young patients.
Our heavy-duty nail cutter is designed to cleanly shear titanium elastic nails up to 4.0mm in diameter without requiring excessive force or damaging the tool's blades.
Yes, the set includes a specialized F-Tool (also known as a reduction joystick) which is essential for percutaneously manipulating the bone fragments to achieve anatomical alignment before nail insertion.
While optimized for Titanium Elastic Nails (TEN), the instruments are fully compatible with stainless steel flexible nails of equivalent diameters, provided the surgeon accounts for the higher stiffness of steel during contouring.
The TOOLMED inserters feature a high-friction chuck mechanism. Ensure the nail is wiped clean of any blood or fatty tissue before tightening the inserter handle to ensure a secure, non-slip grip.
Yes, the set is equipped with specialized extraction pliers and a sliding hammer attachment designed to securely grip the cut end of the nail for easy removal once the fracture has healed.
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