1201-03
TOOLMED
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1 Pcs
5-7 days
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Product Description
Includes a wide array of threaded adapters and conical bolts designed to fit the internal threads of most major intramedullary nail brands worldwide.
Features a balanced, heavy-duty sliding hammer that provides the necessary axial force to dislodge nails bonded by significant bony ingrowth.
Equipped with specialized "broken nail" extractors and hollow mills to clear bone and retrieve implants even when the standard drive end is damaged.
Includes various sizes of reverse-threaded conical bolts that can "bite" into stripped internal threads, ensuring a secure connection for extraction.
The set is primarily indicated for the elective removal of femoral or tibial nails once clinical and radiographic fracture union has been achieved.
Specifically indicated for cases where the proximal end of the nail causes soft tissue irritation or bursitis, necessitating removal for patient comfort.
Indicated for the urgent extraction of intramedullary hardware in the presence of osteomyelitis, allowing for thorough debridement of the medullary canal.
Contains the specialized "rescue" tools indicated for retrieving nails that have broken under stress or where the internal threads are completely stripped.

| Product name | Intramedullary Nail Removal Set |
| Material | Stainless Steel |
| 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 Intramedullary Nail Removal Set is a comprehensive collection of high-strength orthopedic instruments designed to facilitate the extraction of implanted nails from the medullary canal. This universal system serves as a "rescue" kit for surgeons, providing the necessary mechanical interface to connect to nails whose original instrumentation may no longer be available. The set typically includes a large sliding hammer, various threaded extraction bolts, and conical "screw-in" extractors for stripped hardware. Manufactured from high-grade 17-4PH stainless steel, these tools are built to withstand the high-impact forces and high-torque loads required to break the bond between the bone and the implant, ensuring that even the most difficult hardware removal procedures can be completed successfully.
This instrument set is applied in any surgical procedure where the removal of an existing intramedullary nail is required. Common applications include the removal of nails after fracture healing to alleviate discomfort, as well as the extraction of hardware in cases of delayed union or non-union where a different stabilization method is needed. It is a critical application for the management of hardware-related infections, where the nail must be removed to clear the medullary canal of bacteria. Additionally, the set is applied in complex revision arthroplasty where an old nail occupies the space needed for a new prosthesis. Its universal design makes it an essential application for hospitals that receive trauma patients with implants from multiple different manufacturers.
The primary advantage of the TOOLMED Nail Removal Set is its universal versatility. By providing multiple adapters and conical extractors, the set offers a significant advantage by reducing the need for specific proprietary instruments for every nail brand. The sliding hammer is a major advantage for its ergonomic balance, allowing for the application of high-impact axial force with precision. Another critical advantage is the inclusion of "rescue" tools, such as hollow mills, which allow the surgeon to clear bony overgrowth from the proximal end of the nail, exposing the drive threads. Furthermore, the high-tensile stainless steel construction ensures that the tools do not break or deform under extreme loads, which is a vital advantage during difficult extractions.
Biomechanically, the nail removal set is designed to convert high-impact kinetic energy into controlled axial extraction force. The sliding hammer utilizes a heavy mass moving along a guide rod to deliver a sudden impulse that overcomes the static friction between the nail and the bone. The conical extraction bolts are biomechanically engineered with sharp, reverse-pitch threads that "bite" deeper into the internal diameter of the nail as more torque is applied, ensuring a non-slip connection. This mechanical advantage is essential for preserving the surrounding cortical bone during removal, as it allows the surgeon to apply force exactly along the longitudinal axis of the bone, minimizing the risk of secondary fractures during the extraction process.
The surgical technique begins with the removal of all distal and proximal locking screws using the set's universal drivers. The proximal end of the nail is located, and any bony ingrowth is removed using the provided hollow mills. The surgeon selects an extraction bolt that matches the nail's internal threads or uses a conical extractor if the threads are damaged. Once the bolt is securely tightened into the nail, the sliding hammer is attached to the bolt’s external thread. The hammer is then used in a rhythmic "back-slap" motion to gradually draw the nail out of the medullary canal. Throughout the technique, the surgeon monitors the progress under fluoroscopy to ensure the nail is exiting the canal smoothly without damaging the cortex.
Postoperative care for the instrument set requires a rigorous cleaning and inspection protocol to ensure its readiness for the next high-stress procedure. After extraction, the sliding hammer and all adapters must be disassembled and cleaned with pH-neutral detergents. Particular attention must be paid to the threads of the extraction bolts and the internal lumens of the sliding hammer, which should be cleaned with specialized brushes and ultrasonic processing to remove all biological debris. All components are then sterilized in a steam autoclave at 134°C. For the hospital, it is critical to regularly inspect the extraction bolts for thread wear and the sliding hammer for any signs of metal fatigue. Proper maintenance ensures that this "rescue" set remains reliable for every challenging hardware revision.
The TOOLMED Intramedullary Nail Removal Set is a vital system for any orthopedic department managing trauma and revision cases. By providing a universal, high-strength solution for hardware extraction, this set ensures that surgeons can safely and efficiently remove even the most stubborn or damaged implants, reducing operative time and improving surgical outcomes for the patient.
Our set includes a wide variety of threaded adapters and conical reverse-thread bolts. The conical bolts are designed to "bite" into the internal threads of almost any nail, regardless of the brand, making it a truly universal system.
The set includes specialized conical extraction bolts. You simply screw these into the stripped proximal end of the nail. The reverse threads are designed to tighten as you apply torque, creating a secure connection for extraction.
Yes, we provide several sizes of "hollow mills" (trephines). These are used to ream away any bony overgrowth that has covered the proximal end of the nail, allowing you to access the drive threads.
Absolutely. The set comes with a heavy-duty sliding hammer specifically balanced to provide the high axial force required to extract long femoral nails that have been in place for years.
No, we use 17-4PH stainless steel that has been vacuum heat-treated. This material is specifically chosen for its high tensile strength and impact resistance, ensuring it can handle the stress of difficult extractions without deforming.


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