T2 Pocket Reference Cards Stryker Nailing ® Tibial Nails Femoral Nails Humeral Nails Arthrodesis Nails T2 Flexible Nails General Notes The following notes apply to all T2 IM Nails (except T2 Kids) unless separately delineated either below or on the Important Facts page for each nail. Read carefully for tips, pointers, and other facts. 1. All screw hole dimensions reference the center point of the screw. 2. Internal compression screws require a 5.0mm partially threaded screw in the oblong hole. 3. T2 8mm Nails require the use of 4mm fully threaded locking screws (distally) and 5mm (proximally). 4. T2 A/R Humeral nails require ALL 4mm locking screws. 5. T2 nails may ALL require additional reaming for the proximal (driving section) beyond 1 to 1.5mm larger than the nail diameter. 6. T2 GTN - 8, 14 & 15mm nails are special order. T2 Tibia Nail Required Instruments Instruments: • T2 Basic Long Tray • T2 Tibia Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm)a Disposables - Sterile: Qty 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 800 Ball Tip Guide Wireb Bixcut Mod Trinkle Shaft, 448mmc 4.2 x 340 Drill Bit (Proximal Guided)d 4.2 x 130 Drill Bit (Distal Freehand)b Cat No. 1806-0050S 1806-0080S 0227-3000S 1806-4260S 1806-4280S For Internal Compression - Partially threaded screw is required in oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 5.0 x 230 Drill Bit d Cat No. 1806-5000S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. 8mm diameter Tibia nail requires the following: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S for 4mm distal screws • (1) 3 x 800 Smooth Tip Guide Wire – Cat No: 1806-0090S • (1) Teflon Exchange Tube – Cat No: 1806-0073S c. Optional: Bixcut Mod Trinkle Shaft, 510mm - Cat No: 0227-8510S Bixcut with AO shaft, 448mm – Cat No: 0226-3000S 3 x 1000 Ball Tip Guide Wire - Cat No: 1806-0085S d. Optional: If utilizing the short Tissue Protection and Drill Sleeve, the 4.2 x 260mm Drill Bit (1806-4250S) and 5.0 x 180mm Drill Bit (1806-5010S) may be utilized. Impor tant Facts Shaft Diameter: 8, 9, 10, 11, 12, 13, 14, 15mm Driving End 17 24 Driving End Diameter: 11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes Length: 240 to 420mm (15mm increments) Reaming: 1 to 1.5mm larger than the nail diameter 0mm 10 ° A / P slope 34 41 Compression Range 7mm Herzog Bend, 10° image of standard nail Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 5.0mm fully threaded 4.0mm fully threaded for 8mm diameter nail only No Bow Screw Hex Size: 3.5mm End Caps: Fully threaded, Standard, +5, +10, +15, +20, +25, +30, +35mm (Only the fully threaded end cap locks proximal screw hole) Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread Compression Screw: Advanced (8mm metric thread) 50 60mm Distal Bend, 4 ° 25 15 5 0mm T2 Femoral Nail (Antegrade Mode) Required Instruments Instruments: • T2 Basic Long Tray • T2 Femoral Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)a Disposables - Sterile: Qty 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 1000 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mmb 4.2 x 340 Drill Bit (Proximal Guided) 4.2 x 180 Drill Bit (Distal Freehand) Cat No. 1806-0050S 1806-0085S 0227-3000S 1806-4260S 1806-4270S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 5.0 x 230 Drill Bit Cat No. 1806-5000S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm - Cat No. 0226-3000S 8mm diameter T2 Femoral nails requires the following: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S for 4mm distal screws • (1) 3 x 800 Smooth Tip Guide Wire – Cat No: 1806-0090S • (1) Teflon Exchange Tube – Cat No: 1806-0073S Impor tant Facts (Antegrade Mode) Driving End Shaft Diameter: 9, 10, 11, 12, 13, 14, 15mm (8mm diameter require special order) 0mm Driving End Diameter: 11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes 35 45 Length: 140 to 480mm (20mm increments) length 240-480mm for R1.5 Compression range 10mm 60 Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 5.0mm fully threaded R=3.0 or 1.5m Screw Hex Size: 3.5mm End Caps: Standard, +5, +10, +15, +20, +25,+30, +35mm Internal Diameter: Shaft - 5.0mm Driving End - 8mm metric thread Compression Screw: Advanced, Standard +5, +10, +15mm (all sizes are 8mm metric thread) 50 25 0mm T2 Femoral Nail (Retrograde Mode) Required Instruments Instruments: • T2 Basic Long Tray • T2 Femoral Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)a Disposables - Sterile: Qty 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 1000 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mmb 4.2 x 340 Drill Bit (Distal Guided) 4.2 x 230 Drill Bit (Proximal Freehand) Cat No. 1806-0050S 1806-0085S 0227-3000S 1806-4260S 1806-4290S Optional: Condyle Screws Qty 1 1 Description 1.8 x 310 Condyle Screw K-Wire 5.0 x 340 Drill Bit Cat No. 0152-0218S 1806-5020S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 5.0 x 230 Drill Bit Cat No. 1806-5000S Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm – Cat No: 0226-3000S 8mm diameter Femoral nails requires the following: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S for 4mm distal screws • (1) 3 x 800 Smooth Tip Guide Wire – Cat No: 1806-0090S • (1) Teflon Exchange Tube – Cat No: 1806-0073S Impor tant Facts (Retrograde Mode) Shaft Diameter: 9, 10, 11, 12, 13, 14, 15mm (8mm diameter require special order) 0mm 15 25 35 40 Driving End Diameter: 11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes 50 Length: 140 to 480mm (20mm increments) length 240-480mm for R1.5 Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 5.0mm fully threaded1 5.0mm condyle screws R=3.0 or 1.5m Screw Hex Size: 3.5mm for fully and partially threaded 6.3mm for condyle screws and nuts End Caps: Standard, +5, +10, +15, +20, +25,+30, +35mm (All sizes lock screw in most distal hole) Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread 60 45 Compression range 10mm 35 15 Compression Screw: Advanced (8mm metric thread) 0mm Driving End T2 GTN Instruments: • T2 Basic Long Tray • GTN Indication Tray • Bixcut Modular Head Reamer Kit (Diameter 9 to 18mm) Disposables - Sterile: Qty 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 1000 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mm 4.2 x 340 Drill Bit (Proximal Guided) 4.2 x 180 Drill Bit (Distal Freehand)b Cat No. 1806-0050S 1806-0085S 0227-3000S 1806-4260S 1806-4270S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 5.0 x 230 Drill Bit Notes: a. Optional: Bixcut with AO Shaft, 448mm - Cat. No: 0226-3000S b. 8mm diameter T2 GTN Nails can only be locked with 4mm Fully threaded screws at non-driving end Use the Ø3.5 x 180mm Drill (1806-3570S) for freehand locking Cat No. 1806-5000S Important Facts Driving End Type: Left & Right Shaft Diameter: 8, 9, 10, 11, 12, 13, 14, 15mm Driving End Diameter: 11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes Length: 240 to 480mm (20mm increments) 0mm 26.6mm Compression Range 10mm 45mm 55mm 69.5mm Reaming: 1 to 1.5mm larger than the nail diameter Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 5.0mm fully threaded Screw Hex Size: 3.5mm for all End Caps GTN: Standard, +5, +10, +15mm 4° Valgus Bend R=1.5m End Caps T2: Standard, +5, +10, +15mm Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread Canulated Compression Screw: Standard (8mm metric thread) 43mm GTN End-Caps cannot be used with internal compression screw T2 End-Caps used with cannulated compression screw 8mm 0mm T2 Supracondylar Nail (SCN) Required Instruments Instruments: • T2 Basic Long Tray • T2 SCN Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm)a Disposables - Sterile: Qty 1 1 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 1000 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mm 4.2 x 340 Drill Bit (Distal & Proximal Guided) 4.2 x 230 Drill Bit (Proximal Freehand) 1.8 x 310 Condyle Screw K-Wire 5.0 x 340 Drill Bit (For Condyle Screw) Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm - Cat No: 0226-3000S Cat No. 1806-0050S 1806-0085S 0227-3000S 1806-4260S 1806-4290S 0152-0218S 1806-5020S Important Facts 0mm Shaft Diameter: 9, 10, 11, 12, 13, 14mm 15 20 Driving End Diameter: 11.5mm for shaft diameters ≤ 11mm Same as shaft diameter for all other sizes 40 Length: Short Nail – 170 & 200mm Long Nail – 240 to 440mm (20mm increments) Reaming: 1 to 1.5mm larger than the nail diameter R=2m Long Nail Only Short Nail has No Bow Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 5.0mm fully threaded 5.0mm condyle screws Screw Hex Size: 3.5mm for fully threaded 6.3mm for condyle screws and nuts End Caps: Standard (locks most distal screw) Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread 42 (4° A/P bend) 32 21 14 6 0mm Hole reference dimensions are the same for the Long and Short nails. Driving End T2 Recon Nail (Antegrade Mode) Required Instruments Instruments: • T2 Basic Long Tray • T2 Recon Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm)a Disposables - Sterile: Qty 1 1 1 1 1 1 Description 3.2 x 400 Recon K-Wire (Entry) 3 x 1000 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mmb 4.2 x 250 Drill Bit (Proximal Guided First Cortex) 4.2 x 340 Drill Bit (Proximal Guided) 4.2 x 180 Drill Bit (Distal Freehand) Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm – Cat No: 0226-3000S Cat No. 1806-3031S 1806-0085S 0227-3000S 1806-8018S 1806-4260S 1806-4270S Important Facts (Antegrade Mode) Type: Left & Right Driving End Set Screw, Antegrade Shaft Diameter: R2.0: 9, 11, 13, 15 R1.5: 9, 10, 11, 12, 13, 15 Driving End Diameter: 13mm for shaft diameters 9-12mm 15mm for shaft diameters 13 & 15mm Length: R2.0: 280 to 480mm R1.5: 260 to 480mm (20 mm increments) 0mm 70° 44 7° retroversion 75 4° Valgus Bend Reaming: 1.5 to 2.0mm larger than the nail diameter Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 5.0mm fully threaded R= 2.0 or 1.5m Screw Hex Size: 3.5mm for all Set Screw: 8.0mm metric thread (Locks oblique screw) End Caps: Standard, +5, +10, +15mm Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread 40 20 15 0mm T2 Recon Nail (Recon Mode) Required Instruments Instruments: • T2 Basic Long Tray • T2 Recon Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18 mm)a Disposables - Sterile: Qty 2 1 1 1 1 Description 3.2 x 400 Recon K-Wire (Entry & Lag Screws) 3 x 1000 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mmb Solid Step Drill (Lag Screws) 4.2 x 180 Drill Bit (Distal Freehand) Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: Bixcut with AO shaft, 448mm – Cat No: 0226-3000S Cat No. 1806-3031S 1806-0085S 0227-3000S 1806-3026S 1806-4270S Important Facts (Recon Mode) Driving End Type: Left & Right Shaft Diameter: R2.0: 9, 11, 13, 15 R1.5: 9, 10, 11, 12, 13, 15 Driving End Diameter: 13mm for shaft diameters 9-12mm 15mm for shaft diameters 13 & 15mm Length: R2.0: 280 to 480mm R1.5: 260 to 480mm (20 mm increments) Set Screw, Recon 10° Anteversion 0mm 26 125° CCD 10.5 17 75 4° Valgus Bend Reaming: 1.5 to 2.0mm larger than the nail diameter Proximal Screw Size: 6.5mm Lag Screws Distal Screw Size: 5.0mm fully threaded Screw Hex Size: 3.5mm for fully threaded screws 5.0mm for Lag Screws 2.0 or 1.5m Set Screw: 8.0mm metric thread (locks most proximal lag screw) End Caps: Standard, +5, +10, +15mm Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread 40 20 15 0mm T2 Humeral Nail (Antegrade & Retrograde) Required Instruments Instruments: • T2 Basic Short Tray • T2 Humeral Tray • Full Bixcut Kit (diameter 6 to 22mm) Disposables - Sterile: Qty 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 2.5 x 800 Ball Tip Guide Wire Teflon Exchange Tubea 2.2 x 800 Smooth Tip Guide Wire 3.5 x 230 Drill Bit (Proximal & Distal)b Cat No. 1806-0050S 1806-0083S 1806-0073S 1806-0093S 1806-3540S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 4.0 x 180 Drill Bit Notes: a. With T2 PHN / HUM b. Optional: Drill for freehand locking: • (1) 3.5 x 130 Drill Bit – Cat No: 1806-3550S Cat No. 1806-4000S Impor tant Facts Driving End Shaft Diameter: 7, 8, 9mm Driving End Diameter: 8mm for 7mm shaft diameter Same as shaft diameter for all other sizes Length: 140 to 180mm (20mm increments) 190 to 320mm (10mm increments) 0mm 12 23 Compression Range 6mm Reaming: 1 to 1.5mm larger than the nail diameter 30 36 62 Bend, 6° Proximal/Distal Screw Size: 4.0mm fully threaded1 Screw Hex Size: 3.5mm for all 2.5mm for commpression screw only No Bow End Caps: Standard, +5, +10, +15, +20, +25mm (all sizes lock screw in hole closest to driving end) Internal Diameter: Shaft - 2.65mm Driving end - 6mm metric thread Compression Screw: Advanced (6mm metric thread) Bend, 4° 48 28 18 10 0mm T2 Proximal Humeral Nail (PHN) Required Instruments Instruments: • T2 Basic Short Tray • T2 PHN Tray • Full Bixcut Kit Disposables - Sterile: Qty 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 2.5 x 800 Ball Tip Guide Wire Teflon Exchange Tube 2.2 x 800 Smooth Tip Guide Wire 3.5 x 130 Drill Bit (Distal free-hand)b Cat No. 1806-0050S 1806-0083S 1806-0073S 1806-0093S 1806-3550S Optional: Drills for Proximal screws in case of dense bone. Drill Near Cortex Only Qty 1 Description 5.0 x 180 Drill Bit (Proximal) Notes: a. Distal guided drill only for short nail b. Use with long nail only Cat No. 1806-5010S Impor tant Facts Type: Left & Right Driving End Long Nail Short Nail 0mm 10° Shaft Diameter: 8mm 9.5 17 23 Driving End Diameter: 10mm 9° Length: Short Nail: 150mm Long Nail: 220 to 300mm (20mm increments) Bend, 6° 29.5 62 80 Reaming: 1-1.5mm larger than the diameter of nails 95 101 Proximal Screw Size: 5.0mm fully threaded Distal Screw Size: 4.0mm fully threaded Screw Hex Size: 3.5mm for all No Bow Long & Short Nail End Caps: Standard, +2 +4mm (all sizes lock screw in most proximal hole) Internal Diameter: Shaft - 2.65mm Driving end - 6mm metric thread 36 28.5 21 13.5 7.5 0mm T2 Knee Arthrodesis Nail Required Instruments Instruments: • T2 Basic Long Tray • T2 Femoral Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) Disposables - Sterile: Qty 1 2 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 1250 Ball Tip Guide Wireb Bixcut Mod Trinkle Shaft, 885mmb 4.2 x 340 Drill Bit (Proximal) 4.2 x 180 Drill Bit (Distal) Cat No. 1806-0050S 1806-1250S 0227-8885S 1806-4260S 1806-4270S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 5.0 x 230 Drill Bit Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. Optional: For separate reaming of Tibia and Femur use: Tibia: 3 x 800 Ball Tip Guide Wire – Cat No: 1806-0080S Femur: 3 x 1000 Ball Tip Guide Wire – Cat No: 1806-0085S Bixcut Mod Trinkle Shaft, 448mm – Cat No: 0227-3000S Optional: Bixcut with AO shaft, 448mm - Cat No: 0226-3000S Cat No. 1806-5000S Impor tant Facts Driving End Type: Left & Right Shaft Diameter: 10, 11.5, and 13mm 0mm 35 Compression range 10mm 45 Driving End Diameter: Same as shaft diameter 60 Length: 540 to 780mm (40mm increments) Reaming: 1.5 to 2.0mm larger than the diameter of the nail Proximal Screw Size: 5.0mm fully threaded1 Distal Screw Size: 5.0mm fully threaded R=3m Screw Hex Size: 3.5mm for all End Caps: Standard, +5, +10, +15, +20, +25, +30, +35mm (does not lock most proximal screw) 5° Bend (Valgus) Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread Compression Screw: Standard, only 8mm compression screw (Cat. No: 1825-0000S) (all sizes have 8mm metric thread) 75 35 25 0mm Do not use the most proximal hole on the Targeting device. T2 Ankle Arthrodesis Nail Required Instruments Instruments: • T2 Basic Long Tray • T2 Ankle Tray • Bixcut Modular Head Reamer Kit (diameter 9 to 18mm) Disposables - Sterile: Qty 1 1 1 1 1 1 1 Description 3 x 285 K-Wire (Entry) 3 x 800 Ball Tip Guide Wire Bixcut Mod Trinkle Shaft, 448mmc Teflon Exchange Tube 3 x 800 Smooth Tip Guide Wire 4.2 x 340 Drill Bit 4.2 x 250 Drill Bit (Proximal Guided)b Cat No. 1806-0050S 1806-0080S 0227-3000S 1806-0073S 1806-0090S 1806-4260S 1806-8018S For Internal Compression - Partially threaded screw is required for oblong hole. - Overdrill near cortex only with the drill below. Qty 1 Description 5.0 x 230 Drill Bit Notes: a. Optional: Full Bixcut Kit (diameter 6 to 22mm) b. For 300mm nail proximal free hand locking is required Use: 4.2 x 130 Drill Bit – Cat No: 1806-4280S c. Optional: Bixcut with AO Shaft, 448mm – Cat. No: 0226-3000S Cat No. 1806-5000S Important Facts Type: Left & Right 0mm Shaft Diameter: 10, 11, and 12mm 15 20 Driving End Diameter: 12mm for all shaft diameters 40 Length: 150, 200 and 300mm Reaming: 1 to 1.5mm larger than the diameter of the nail Proximal Screw Size: 5.0mm fully threaded No Bow Distal Screw Size: 5.0mm fully threaded1 Internal Compression Range 5mm Screw Hex Size: 3.5mm for all End Caps: Standard, +5, +10, +15mm (All sizes lock screw in most distal hole) 47 5° valgus bend Internal Diameter: Shaft - 5.0mm Driving end - 8mm metric thread Compression Screw: 8mm metric thread, cannulated2 (Cat. No: 1818-0001S) Must be pre-loaded into nail prior to insertion Ball tip Guide wire does not pass through compression screw 19.5 7.5 0 mm Driving End Distal hole is 10° P/M to A/L T2 Kids Flexible Nail Instruments: T2 Kids Basic Nail Tip Outer curve (convex) Materials The T2 Flexible Nail is offered in two materials: Titanium: Ti6Al4V Type II anodized with laser-etched bands for easy nail diameter identification Diameters: Ø2.5; Ø3.0; Ø3.5; Ø4.0mm with length 450mm Ø Nail = 0.4 x ØIM Canal (with some individual adaptations tolerated). It can be bent back with the bending instrument, if required. ø Nail (d) Diameters Diameters: Ø1.5; Ø1.75; Ø2.0; Ø2.25mm with length 300mm Pre-curved shaft portion øNail = øIM canal x 0.4 Tip Stainless Steel: 1.4441 (316LVM) with laser etched bands for easy nail diameter identification Inner Curve Tapered (concave) extremity Curved Nail tip or nail tip curvature Tip = 2.2 øNail R = 4 x Nail ø T2 Kids Optional Instrument Set available separately. Nail end (Driving end) 325 Corporate Drive Mahwah, NJ 07430 t: 201 831 5000 www.stryker.com A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Stryker, T2. All other trademarks are trademarks of their respective owners or holders. T2-BR-1 Rev. 1 06-2014 Copyright © 2014