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NeoGen Femoral Nail SystemProduct Catalog & Surgical Technique
Surgical Technique
PREFACE
INDICATIONS
PATIENT PREPARATION
ENTRY PORTAL
FEMORAL ANTEGRADE SURGICAL TECHNIQUE FOR STANDARD FEMORAL OR RECON LOCKING MODES
FRACTURE REDUCTION
CANAL PREPARATION
NAIL SELECTION
DRILL GUIDE ASSEMBLY
INTERLOCKING FOR FEMORAL MODE
RECON MODE
INTERLOCKING FOR RECON MODE
DISTAL LOCKING
OPTION-Estimating locking screw length using the Screw Depth Gauge
CLOSURE
INSTRUMENTS & IMPLANTS
1
1
2
3
4
6
7
8
9
10
12
13
16
23
23
24
Content
NeoGen Femoral Nail System 2
Patient is placed supine with unaffected limb extended below the affected limb and trunk.
The affected limb is adducted. Flex the affected hip 15°. Apply traction through a skeletal pin
or the foot with the fracture table foot holder. Adjust the affected limb for length and rotation
by comparison with the unaffected limb. Rotation is further checked by rotating the arm to
align the femoral neck anteversion and then making the appropriate correction by foot, usually
in 0-15° of external rotation. Decubitus position may also be used with the fracture table, in
this situation because of the change of position of the femoral head, the leg is usually
internally rotated 10-15°. This is best checked by visualizing the femoral anteversion
proximally and matching it with correct rotation at the knee (Figure 1).
Make a small 2-3 cm incision, 2 cm proximal to the proximal tip of the greater trochanter.
Angle this incision posteriorly at its proximal end. Carry the incision through the fascia.
Palpate the greater trochanter (Figure 2).
The femoral nails are designed to accommodate a standard femoral locking mode or the
Recon locking mode in the same leg. Utilizing the same NeoGen instruments, simplify the
surgical approach by allowing placement of the nail through the tip of the greater trochanter.
The proximal section of the implant is 13 mm. Screw placement for the reconstruction mode is
at the standard 130°. The nail has a 5° anteversion and an anterior bow to match the femur.
PREFACE
INDICATIONS
1
Figure 1
Figure 2
PATIENT PREPARATION
The indications for intramedullary locking nail include:
Traumatic fractures
Pathological fractures
Re-fractures
Non-unions
Reconstructive surgery
Surgical Technique
43
Figure 3
Figure 4
Surgical Technique
Place the Entry Tool with Honeycomb Insert through the incision to bone. Adjust to align
the Entry Tool with the axial line of the femoral shaft in the A/P and lateral image views. This
may require placing pressure on the Entry Tool to align the Tip Threaded Guide Wire (251110)
with the axial line of the femur. Insert the Guide Wire when the axial line and drill alignment is
acceptable. The position will usually located on the tip of greater trochanter.
A second 3.2 mm Tip Threaded Guide Wire can be used to further define the correct entry
portal. In this way, the position in the trochanter is maintained should the first pilot drill be
removed or repositioned. The Guide Wire will snap fit into the Power. Once proper placement
of the Guide Wire has been established, the “honeycomb” insert should be removed (Figure 4).
Assemble the Entry Tool with Honeycomb Insert (251100). The Entry Tool can be set for
the appropriate limb by pulling back on the suction port and allowing it to snap back into
place with the R (right) or L (left) showing in the circular window in the handle. This allows
blood flow to quickly exit the tool. Attach suction to the Entry Tool to assist in blood
evacuation and minimize aerosolisation of blood to operative team (Figure 3).
ENTRY PORTAL FEMORAL ANTEGRADE SURGICAL TECHNIQUE FOR STANDARD FEMORAL OR RECON LOCKING MODES
NeoGen Femoral Nail System
6
Snap the T-Handle (030070) onto the Reducer (251150) (Figure 7). Place the Reducer
through the Entry Tool and 14 mm Channel Reamer to reduce the fracture (Figure 8). Once the
Reducer is in the medullary canal and has captured the distal fragment, the Ball-Tipped Guide
Rod (251160) is inserted through it with the use of the Gripper into the distal femur in the
region of the old postulus scar (Figure 9). The Gripper (251170) is useful in holding onto the
Guide Rod during insertion and can be used to steer the Guide Rod Tip to the center of the
canal (Figure 9 insert).
Tighten the Entry Reamer Connector (251140) onto the 14 mm Channel Reamer
(251120) and insert the 12.5 mm Entry Reamer (251130) until it “clicks” into the assembly
(Figure 5). Attach the 12.5 mm Entry Reamer to power to ream the proximal section of the
femur through the Entry Tool. Adjust the Entry Reamer assembly over the Guide Wire and
ream until the Entry Reamer Connector stops at the Entry Tool. This reamer assembly
enlarges the proximal femur 1.0 mm over the diameter of the head of the nail to 14 mm.
Remove the 12.5 mm Entry Reamer and Guide Wire, keeping the Entry Tool and 14 mm
Channel Reamer in place (Figure 6).
FRACTURE REDUCTION
5
Figure 7
Figure 8
Figure 9
Figure 5
Figure 6
2
1
3
Surgical TechniqueNeoGen Femoral Nail System
87
Determine nail diameter from image intensifier or templating. Never insert a nail that has
a larger diameter than the last reamer used. Position the tip of the guide rod at the desired
level of the tip of the nail considering fracture patterns and locking screw positioning. Measure
the nail length by positioning the open end of the Nail Depth Gauge (251180) over the exposed end of the guide rod pushing the end down to the level of bone through the 14 mm Channel
Reamer. Confirm the position on the image intensifier. The tip of the Nail Depth Gauge should
line up slightly below the tip of the Entry Tool for correct placement. Read the nail length from
the calibrations exposed at the other end of the Ruler. Leave the guide rod in place for
placement of the nail. Exchange of the ball-tipped guide rod is not necessary (Figure 11).
Canal preparation is dependent on surgical decision. If reaming is planned, use
progressive reamers through the Entry Tool. Unreamed nails are selected based on
preoperative planning, but should be of sufficient size to provide translational fill of the
intramedullary canal in the mid-diaphysis. Once the Guide Rod is in place, remove the
Reducer but leave the 14 mm Channel Reamer in place. Proceed to sequentially ream the
femoral shaft 0.5 to 1.0 mm or more above the chosen nail diameter through the 14 mm
Channel Reamer. For more curved femoral shafts, 0.5 to 1.0 mm of over reaming may be
beneficial.
NOTE: For reamers larger than 12.5 mm, the Channel Reamer must be removed before
reaming (Figure 10).
CANAL PREPARATION NAIL SELECTION
Figure 10 Figure 11
Surgical Technique
Proximal End Color
Pink
Darkgolden
Nail type
Left
Right
NeoGen Femoral Nail System
109
Figure 12
Figure 14
Figure 15
Figure 13
Surgical Technique
5.0 mm screws are to be used with 11 mm,12 mm FAN Implants.
4.5 mm screws are to be used with 9 mm,10 mm FAN Implants.
Proximal Screw: To place screws at a 50° angle from the greater to lesser trochanter, the
following options are available (Figure 14):
A. PREDRILLING TECHNIQUE — Make a stab incision at the entry hole and push the
Outer Drill Sleeve (251260) through the Drill Guide hole until it is touching the lateral cortex. Introduce the Inner Drill Sleeve (251270) through the Outer Drill Sleeve. Attach the 4.0 Drill Bit (251290) to power. Drill to, but not through the opposite cortex and measure for proper length. The length measurements are taken from the calibrations off the drill in relation to the
end of the Inner Drill Sleeve (Figure 15).
FEMORAL MODE
Insert the Quick Bolt (251230) into the Drill Guide (251190) and use the Guide Bolt Wrench (251220) to secure the bolt to the nail. Then screw the Guick Bolt(251230) onto the top of the Drill Guide. This assembly is used to drive the nail into the medullary canal (Figure
12). Insert the Skin Protector (251250) in the incision parallel to the Entry Reamer Tool. Remove the Entry Reamer Tool and 14 mm Channel Reamer. The Skin Protector will assist in
maintaining control of the surrounding tissues and provide continued access to the bone.
Advance the nail over the guide rod and carefully past the fracture. Remove the guide rod
after the nail is inserted and before inserting the locking screws (Figure 13).
DRILL GUIDE ASSEMBLY INTERLOCKING FOR FEMORAL MODE
NeoGen Femoral Nail System
1211
The appropriate length 5.0 mm screw is selected and attached to the Screwdriver for locking screws (251350). The Drill and Inner Drill Sleeve are removed and the screw is inserted through the Outer Drill Sleeve. Rotate the Screwdriver Handle and place screw in bone. It is recommended
that final tightening of the 5.0 mm screw should always be under manual control using the
Screwdriver for locking screws(Figure 16).
B. SCREW LENGTH GAUGE— Predrill through both cortices. The surgeon should check that
the Outer Drill Sleeve is positioned so that it is touching the bone. The Screw Depth Gauge (251340) cover is then unscrewed and removed. The hooked end is inserted down the Screw Guide and through the bone. It is then drawn back so that the hook engages the outer surface of the far
cortex. The correct length of screw can now be read at the top of the Outer Drill Sleeve (Figure
17). The appropriate length 5.0 mm screw is selected and attached to the Screwdriver. It is
recommended that final tightening of the 5.0 mm screw should always be under manual control
using the Screwdriver for locking screw (Figure 18).
NOTE: Once screw is seated, the Connect Rod (251360) in the canulate T-Handle turned counterclockwise and the
Screwdriver for locking screws releases the screw to remove
the T-Handle (Figure 19).
Figure 17Figure 18
Figure 16
Figure 19
Figure 20Figure 21
Surgical Technique
6.4 mm screws are to be used with our 10 mm, 11 mm and 12 mm FAN and Trochanteric
Implants for placing screws into the femoral head.
Insert the Guide Bolt (251210) into the Drill Guide (251190) and use the Guide Bolt Wrench (251220) to secure the bolt to the nail. Connect the Proximal Aiming bar (Femoral) (256100) to the Drill Guide. The guide is keyed so that it will only fit one way.
Tighten the Proximal Guide Bolt (251200) by hand. Use the end of the Guide Bolt Wrench (251220) to finish tightening the Proximal Aiming bar (Femoral) (256100) in place. Check the alignment of the Aiming bar to the screw holes by passing the Trocar (251430) through the Outer Drill Sleeve up into the holes of the nail. Screw the Impactor onto the top of the Drill
Guide (Figure 20). This assembly is used to drive the nail into the medullary canal. Insert the
Skin Protector (251250) in the incision parallel to the Entry Reamer Tool. Remove the Entry
Reamer Tool and Channel Reamer. The Skin Protector will assist in maintaining control of the
surrounding tissues and provide continued access to the bone. Advance the nail over the guide
rod and carefully past the fracture. Remove the guide rod after the nail is inserted and before
inserting the locking screws (Figure 21).
RECON MODE
NeoGen Femoral Nail System
1413
6.4 MM SCREW PLACEMENT TECHNIQUE-Make an incision at the entry holes of the
proximal screw sleeves, and then connect the two puncture wounds for approximately a 3 cm
incision that will accommodate the insertion of both screws (Figure 24). Insert the Inner Drill
Sleeve (251270) into the Outer Drill Sleeve (251260) and push to bone. Insert the 4.0 Drill Bit
(251290) into the Inner Drill Sleeve and connect to power. Drill into the femoral neck and head
to the desired depth and position (Figure 25). Remove the Inner Sleeve and drill the femoral neck
with the 6.4 Drill Bit (251320) to slightly less than the depth desired. Check the alignment in A/P and 15° lateral views again before removing the 6.4 mm drill. Use the 6.4 mm Tap (251330) through the Outer Drill Sleeve to prepare the bone for screw insertion. Measure the depth for the
screw length from the calibrations on the drill or tap with respect to the Outer Drill Sleeve
(Figure 26).
Proximal Screws: Two aspects of screw placement into the femoral head must be noted
before drilling into the femoral head: (1) Alignment of the anteversion; and (2) Depth of nail
insertion. To begin, rotate the C-Arm proximally until a true line of the hip is visualized, this
gives the correct axis of alignment for anteversion. Rotate the handle of the Proximal Aiming
bar (Femoral) (256100) until it bisects the femoral head in the lateral view (Figure 22). This
should assist in setting the correct anteversion position of the screws. Mark this position with
a skin marker on the leg parallel to the driving handle. Next, rotate the C-Arm into an A/P
view using the calibrated notches on the proximal attachment of the nail, which is visualized
radiographically, to determine from preoperative planning what depth of nail insertion will be
required to allow both screws to be centered in the head. As a rule, the inferior screw is
placed first, though in situations where the neck is large enough, the proximal screw can be
placed, again, approximately 4-5 mm from the superior cortical margin of the femoral neck.
These screws are angled at 130° in relation to the shaft. If both screws will not seat within the
femoral head, it is probable that too much varus positioning of the proximal fragment has
occurred, or the proximal nail entry portal is too lateral (Figure 23).
INTERLOCKING FOR RECON MODE
Figure 22
Figure 23
Figure 26
Figure 24 Figure 25
Surgical TechniqueNeoGen Femoral Nail System
1615
There may be some bending of the nail, due to the pressure and weight of the soft tissues
and the bone. Medio-lateral bending of the nail will not affect the targeting significantly, since
this is the plane of screw insertion, but any bending antero-posteriorly will result in failure of
the locking. The stabilizing system is therefore designed to correct antero-posterior alignment
between the guide bar and the nail. The Distal Outrigger provides the mounting point for a
Positioning Rod (251390) which is inserted down to the nail through the anterior femoral cortex, and the U-shaped Stabilizing Spacer correct the distance and lock the Stabilizing Rod
to the outrigger.
The stages of distal locking therefore are as follows:
Stabilize the Distal Aiming bar (Femoral) in the appropriate position to correct for any
bending of the nail.
Make the incision(s) for distal locking, insert the Drill Sleeve down to the bone, and
complete the procedure.
DISTAL LOCKING
Surgical Technique
Attach the appropriate length 6.4 mm screw to the Screwdriver for locking screws
(251350). Tighten the proximal screws when the traction is released to maximize
compression at the fracture site (Figure 28). Once an acceptable position is obtained, detach
the Screwdriver for locking screw from the screws by wrenching counterclockwise the
Connecting Rod (251360), proximal locking is complete (Figure 29).
Figure 28
Figure 29
Figure 27
NeoGen Femoral Nail System
1817 Surgical Technique
An Inner Drill Sleeve (251270) is inserted through the hole in the outrigger down to the
skin anteriorly, and by palpation is centred over the middle of the femur. The point of contact
with the skin is noted. A 15 mm incision is made at this point, down to the deep fascia. The
muscle is then split longitudinally down to the bone.
The Trocar (251430) is inserted into the Inner Drill Sleeve, and the two pushed together
down to the bone. The Inner Drill Sleeve is centered over the middle of the femoral shaft, by
palpation, using gentle pressure on the Aining bar in the frontal plane .
The Trocar is withdrawn, the 4.0 DRILL BIT is inserted down to the bone, using gentle
pressure to keep the point in contact with the cortex. The anterior cortex only is then drilled.
Remove the 4.0 Drill bit. The Positioning Rod (251390) is inserted through the hole in the
Distal Targeter, and the hole in the anterior femoral cortex, down to the nail (Figure 32),
contact being confirmed by tapping its tip on to the nail.
Figure 32
Stabilization of the Distal Aiming bar(Femoral)
The Distal Aiming bar (Femoral) (256110) is attached to the Proximal Aiming bar (Femoral) (256100) and the Distal Guide Bolt (251420) tighten firmly by hand (Figure 30). There have two holes for Guide Bolt to fit in the Proximal Aiming bar (Femoral). Make sure to
use the correct one that will promise the curvature of the Aiming bar structure match the
curvature of the femur or the nail.
Figure 30
The Targeter (Femoral) (256130) is now attached on the anterior side of the Distal Aiming bar, at the middle of the two distal locking holes. The Distal Guide Bolt (251420) is
tightened firmly by hand (Figure 31).
Figure 31
NeoGen Femoral Nail System
2019 Surgical Technique
Distal Locking
Outer drill sleeve are now inserted through each of the holes in the Targeter (Femoral) (Figure
34). A single 4-5 cm incision is made over the points of contact with the skin, down through the
deep fascia. The incision is deepened by blunt dissection, splitting the ilio-tibial tract
longitudinally, down to the bone, taking care to keep the incision in line with the fibres of the
ilio-tibial band.
The more proximal Outer drill slleve is now inserted down to the bone, with the aid of the
Trocar (Figure 35).
Figure 34
Figure 35
The E Block (Femoral) (256150) is now attached so that: the upper fork, marked the Number
corresponding with the nail size, fits into the groove in the shaft of the Stabilizing rod. The two
other forks grip the screw guide and the Targeter (Femoral) (Figure 33).
The handle of the Stabilizing rod is now held so that its tip is in contact with the nail. The
surgeon maintains this contact throughout. If the handle is pushed too hard, it is sometimes
possible to push the tip of the stabilizing rod past the nail. This must be avoided, since it will result
in the drill bit passing posterior to the nail. Gentle contact is all that is required.
Figure 33
NeoGen Femoral Nail System
2221 Surgical Technique
Figure 37
A locking screw of correct length is now inserted into the second Outer drill sleeve, rotated
through the bone with the Screwdriver for locking screws (Fig.38).
Now that Screw Guide alignment is maintained by this Replacement Rod, the surgeon may
release the handle of the stabilizing rod.
The distal Outer drill sleeve with the Inner Drill Sleeve inserted is now advanced down to the
bone, and the second locking hole drilled (Figure 37). The appropriate screw length can be read
from the mark on the Drill bit, which related with the top of the Outer drill sleeve.
The Replacement Rod is removed from the first screw guide, and the surgeon again maintains
the position of the Stabilizing rod by gripping its T-handle. The same technique is followed for
insertion of the remaining locking screw. A check is now carried out with the Image Intensifier or
by X-ray to confirm that both screws have passed through the nail and that reduction has been
maintained. The Stabilizing rod, Outer drill sleeve and Targeter are removed.
Figure 38
An Inner drill sleeve is inserted into the outer drill sleeve, the 4.0 Drill Bit is attached
to the Inner drill sleeve (Figure 36-A).
The surgeon now grips the T-handle of the Stabilizing Rod, to keep its tip against the
nail, and MAINTAINS THIS POSITION THROUGHOUT THE DRILLING
PROCEDURE. The first locking hole is now drilled as for proximal locking, and the Inner
drill sleeve is removed.
The Replacement Rod (251400) is now inserted into the Outer Drill Sleeve (Figure
36-B), so that it passes through the nail, and engages the far cortex. This Replacement rod
has now stabilized the position of the Aiming bar. Do not drill the second hole until the
angled Replacement rod is in position.
Figure 36-A
Figure 36-B
NeoGen Femoral Nail System
2423 Surgical Technique
Product Code
251100251110251120251130251140251150030070251160251170050011050085050090050095050100251230251240050105050110050115050120050125050130050135050140251180251190251200
Product Code
251420251210251220251360251370251250251260251270251280251290251300251310251320251330251340251350251380251390251400251410251430251440256100256110256130256150
10737230
Product DescriptionEntry ToolTip Threaded Guide Wire14mm Channel Reamer12.5mm Entry ReamerAdaptorReducerT-Handle with Quick Coupling Ball Tip Guide RodGripperFlexible Reamer ShaftFlexible Reamer,(Φ8.5)Reamer Head,(Φ9.0)Reamer Head,(Φ9.5)Reamer Head,(Φ10.0)Quick Bolt Hammer Reamer Head,(Φ10.5)Reamer Head,(Φ11.0)Reamer Head,(Φ11.5)Reamer Head,(Φ12.0)Reamer Head,(Φ12.5)Reamer Head,(Φ13.0)Reamer Head,(Φ13.5)Reamer Head,(Φ14.0)Nail Depth GaugeDrill GuideProximal Guide Bolt
Product Description Distal Guide BoltGuide BoltGuide Bolt WrenchConnecting RodExtractorSkin ProtectorOuter Drill Sleeve Inner Drill Sleeve Small Drill Sleeve 4.0 Drill Bit5.0 Tapping4.5 Tapping6.4 Drill Bit6.4 TappingScrew Depth GaugeScrewDriver for locking screwsPositioning Rod DrillStabling RodReplacement RodHandle with Quick Coupling TrocarThread Pin SleeveProximal Aiming bar(Femoral)Distal Aiming bar(Femoral)Targeter(Femoral)E Block(Femoral)2.0 Threaded Pin
Quantity131111111111111111111111112
Quantity221211222111111211111111112
INSTRUMENTS
Figure 39
OPTION-Estimating locking screw length using the Screw Depth Gauge
If there is any doubt about the correct length of locking screw, either in respect of the
measurement recorded following drilling, or because the surgeon omitted this step, the Screw
Depth Gauge (251340) may be used as follows: the surgeon should first check that the screw guide
is positioned so that it is touching the bone. The Screw depth gauge cover is then unscrewed and
removed.
The hooked end is inserted down the Outer drill sleeve and through the bone. It is then drawn
back so that the hook engages the outer surface of the distal cortex. The correct length of screw
can now be read at the top of the Outer drill sleeve. This Screw depth gauge is only suitable for use
with NeoGen nails, since its accuracy depends on a fixed length of Outer drill sleeve.
CLOSURE
On completion of the procedure, unscrewed the Quick bolt and the Proximal Aiming bar
(Femoral) is removed, wounds are irrigated and closed in a standard fashion (Figure 39).
NeoGen Femoral Nail System
2625 Surgical Technique
NeoGen Locking ScrewΦ5
Product Code33101232331012343310123433101238331012403310124233101244331022323310223433102234331022383310224033102242331022443310323233103234331032343310323833103240331032423310324433104232331042343310423433104238331042403310424233104244
Product Code33101132331011343310113433101138331011403310114233101144331021323310213433102134331021383310214033102142331021443310313233103134331031343310313833103140331031423310314433104132331041343310413433104138331041403310414233104144
RemarkCM
RegularRegularRegularRegularRegular
CMCM
RegularRegularRegularRegularRegular
CMCM
RegularRegularRegularRegularRegular
CMCM
RegularRegularRegularRegularRegular
CM
RemarkCM
RegularRegularRegularRegularRegular
CMCM
RegularRegularRegularRegularRegular
CMCM
RegularRegularRegularRegularRegular
CMCM
RegularRegularRegularRegularRegular
CM
IMPLANTS
NeoGen Femoral NailsAngle: 130° Proximal Radian: 5°
Product Code
33112070
33112075
33112080
33112085
33112090
33112091
33112092
33112093
33112094
Products Description
NeoGen Locking Screws,5X70mm
NeoGen Locking Screws,5X75mm
NeoGen Locking Screws,5X80mm
NeoGen Locking Screws,5X85mm
NeoGen Locking Screws,5X90mm
NeoGen Locking Screws,5X95mm
NeoGen Locking Screws,5X100mm
NeoGen Locking Screws,5X105mm
NeoGen Locking Screws,5X110mm
Remark
Regular
Regular
Regular
Regular
CM
CM
CM
CM
CM
Product Code
33112025
33112030
33112035
33112040
33112045
33112050
33112055
33112060
33112065
Products Description
NeoGen Locking Screws,5X25mm
NeoGen Locking Screws,5X30mm
NeoGen Locking Screws,5X35mm
NeoGen Locking Screws,5X40mm
NeoGen Locking Screws,5X45mm
NeoGen Locking Screws,5X50mm
NeoGen Locking Screws,5X55mm
NeoGen Locking Screws,5X60mm
NeoGen Locking Screws,5X65mm
Remark
CM
Regular
Regular
Regular
Regular
Regular
Regular
Regular
Regular
NeoGen Locking ScrewΦ4.5Product Code
33111060
33111065
33111070
33111075
33111080
33111085
33111090
Product Code
33111025
33111030
33111035
33111040
33111045
33111050
33111055
Products Description
NeoGen Locking Screws,4.5X25mm
NeoGen Locking Screws,4.5X30mm
NeoGen Locking Screws,4.5X35mm
NeoGen Locking Screws,4.5X40mm
NeoGen Locking Screws,4.5X45mm
NeoGen Locking Screws,4.5X50mm
NeoGen Locking Screws,4.5X55mm
Products Description
NeoGen Locking Screws,4.5X60mm
NeoGen Locking Screws,4.5X65mm
NeoGen Locking Screws,4.5X70mm
NeoGen Locking Screws,4.5X75mm
NeoGen Locking Screws,4.5X80mm
NeoGen Locking Screws,4.5X85mm
NeoGen Locking Screws,4.5X90mm
Remark
CM
Regular
Regular
Regular
Regular
Regular
Regular
Remark
Regular
Regular
Regular
Regular
CM
CM
CM
NeoGen Caps (Femoral)Product Code
33110010
33110015
Product Code
33110000
33110005
Products Description
NeoGen Nails Cap,¢13
NeoGen Naisl Cap,¢13,+5
Products Description
NeoGen Nails Cap,¢13,+10
NeoGen Nails Cap,¢13,+15
Note: The Femoral nail could be used as Reconstruction nails with the RECON screws.
Remark
Regular
Regular
Remark
Regular
Regular
Products DescriptionNeoGen Femoral Nails,9X320mm,RightNeoGen Femoral Nails,9X340mm,RightNeoGen Femoral Nails,9X360mm,RightNeoGen Femoral Nails,9X380mm,RightNeoGen Femoral Nails,9X400mm,RightNeoGen Femoral Nails,9X420mm,RightNeoGen Femoral Nails,9X440mm,RightNeoGen Femoral Nails,10X320mm,RightNeoGen Femoral Nails,10X340mm,RightNeoGen Femoral Nails,10X360mm,RightNeoGen Femoral Nails,10X380mm,RightNeoGen Femoral Nails,10X400mm,RightNeoGen Femoral Nails,10X420mm,RightNeoGen Femoral Nails,10X440mm,RightNeoGen Femoral Nails,11X320mm,RightNeoGen Femoral Nails,11X340mm,RightNeoGen Femoral Nails,11X360mm,RightNeoGen Femoral Nails,11X380mm,RightNeoGen Femoral Nails,11X400mm,RightNeoGen Femoral Nails,11X420mm,RightNeoGen Femoral Nails,11X440mm,RightNeoGen Femoral Nails,12X320mm,RightNeoGen Femoral Nails,12X340mm,RightNeoGen Femoral Nails,12X360mm,RightNeoGen Femoral Nails,12X380mm,RightNeoGen Femoral Nails,12X400mm,RightNeoGen Femoral Nails,12X420mm,RightNeoGen Femoral Nails,12X440mm,Right
Products DescriptionNeoGen Femoral Nails,9X320mm,LeftNeoGen Femoral Nails,9X340mm,LeftNeoGen Femoral Nails,9X360mm,LeftNeoGen Femoral Nails,9X380mm,LeftNeoGen Femoral Nails,9X400mm,LeftNeoGen Femoral Nails,9X420mm,LeftNeoGen Femoral Nails,9X440mm,Left
NeoGen Femoral Nails,10X320mm,LeftNeoGen Femoral Nails,10X340mm,LeftNeoGen Femoral Nails,10X360mm,LeftNeoGen Femoral Nails,10X380mm,LeftNeoGen Femoral Nails,10X400mm,LeftNeoGen Femoral Nails,10X420mm,LeftNeoGen Femoral Nails,10X440mm,LeftNeoGen Femoral Nails,11X320mm,LeftNeoGen Femoral Nails,11X340mm,LeftNeoGen Femoral Nails,11X360mm,LeftNeoGen Femoral Nails,11X380mm,LeftNeoGen Femoral Nails,11X400mm,LeftNeoGen Femoral Nails,11X420mm,LeftNeoGen Femoral Nails,11X440mm,LeftNeoGen Femoral Nails,12X320mm,LeftNeoGen Femoral Nails,12X340mm,LeftNeoGen Femoral Nails,12X360mm,LeftNeoGen Femoral Nails,12X380mm,LeftNeoGen Femoral Nails,12X400mm,LeftNeoGen Femoral Nails,12X420mm,LeftNeoGen Femoral Nails,12X440mm,Left
NeoGen RECON ScrewΦ6.4Product Code
33113092
33113093
33113094
33113095
33113096
33113097
Product Code
33113065
33113070
33113075
33113080
33113085
33113090
33113091
Products Description
NeoGen RECON Screws,6.4X65mm
NeoGen RECON Screws,6.4X70mm
NeoGen RECON Screws,6.4X75mm
NeoGen RECON Screws,6.4X80mm
NeoGen RECON Screws,6.4X85mm
NeoGen RECON Screws,6.4X90mm
NeoGen RECON Screws,6.4X95mm
Products Description
NeoGen RECON Screws,6.4X100mm
NeoGen RECON Screws,6.4X105mm
NeoGen RECON Screws,6.4X110mm
NeoGen RECON Screws,6.4X115mm
NeoGen RECON Screws,6.4X120mm
NeoGen RECON Screws,6.4X125mm
Remark
CM
Regular
Regular
Regular
Regular
Regular
Regular
Remark
Regular
Regular
Regular
CM
CM
CM
RECON Screws
6.4 RECONScrews
6.4 RECON Screws
6.4 RECON Screws
6.4 RECON Screws
Proximal Locking Screws
5.0 Locking Screw
5.0 Locking Screw
5.0 Locking Screw
5.0 Locking Screw
Distal Locking Screws
4.5 Locking Screw
4.5 Locking Screw
5.0 Locking Screw
5.0 Locking Screw
Nails Type
Neogen Femoral Nails, ¢9mm
Neogen Femoral Nails, ¢10mm
Neogen Femoral Nails, ¢11mm
Neogen Femoral Nails, ¢12mm
Screw Selection
NeoGen Femoral Nail System
*CM: Customer Made
27 28Surgical Technique
251110 Tip Threaded Guide Wire 251120 14mm Channel Reamer 251130 12.5mm Entry Reamer
251150 Reducer 251160 Ball Tip Guide Rod 251170 Gripper
251100 Entry Tool-1 251100 Entry Tool-2 251100 Entry Tool
030070 T-Handle with Quick Coupling 050090 Flexible Reamer,(Φ9.0)
INSTRUMENTS
050140 Flexible Reamer,(Φ14.0)
251270Inner Drill Sleeve 251280Small Drill Sleeve 251290 4.0 Drill Bit
251180 Nail Depth Gauge 251190 Drill Guide 251200 Proximal Guide Bolt
251210 Guide Bolt
251240 Hammer 251250 Skin Protector
251220 Guide Bolt Wrench 251230 Guick Bolt
251260 Outer Drill Sleeve
NeoGen Femoral Nail System
3029 Surgical Technique
256110 Distal Aiming bar(Femoral)
251320 6.4 Drill Bit261130 Distal Aiming bar(Femoral)
256130 Targeter(Femoral) 256150 E Block(Femoral)
251350 ScrewDriver for locking screws
251380 Positioning Rod Drill
251430 Trocar 251440 Thread Pin Sleeve 256100 Proximal Aiming bar(Femoral)
251390 Positioning Rod 251400 Replacement Rod
251360 Connecting Rod 251370 Extractor
251310 4.5 Tapping 251340 Screw Depth Gauge251300 5.0 Tapping
NeoGen Femoral Nail System
31
NOTE
NeoGen Femoral Nail System