Shukla Medical Xtract-All Nail Winquist III MSK1017 Surgical Technique Manual Download Page 3

3

®

FCD-0249 REV 02

Xtract-All

®

 Nail (MSK1017) Winquist III Universal IM Nail Extraction System

Introduction

Warning and Precautions

Intended Use

The Xtract-All

®

 Nail (MKS1017) Winquist III Universal 

IM Nail Extraction System is designed to remove 
virtually any intramedullary nail implant system.

Use together with the Xtract-All

®

 Maxi system 

(S9MAXI) for lateral IM nail screw removal.

Indications for Use

The Xtract-All

®

 Nail system is intended for use by, 

or as directed by, a surgeon in any IM nail removal 
procedure. Includes 17 sizes of threaded extractors 
to connect to the threaded proximal end of IM nails. 
Also includes conical, solid, and hook extractors 
for IM nail removal when nail threads cannot be 
matched, are missing, or have been damaged.

Preoperative

• Clear x-rays and surgical notes may be used to 

identify manufacturer, brand, location, & condition 
of implanted hardware. Use X-Ray Search Engine™ 
for the most updated information on hardware (see 
pg 10 for more).

• The surgeon should be familiar with general 

principles of revision surgery and techniques for 
removal of implants.

• The instruments should be inspected for visible 

wear and tear prior to use. Do not use the product 
if damage is suspected.

• Only validated cleaning and sterilization procedures 

should be used.

Operative

• Proper handling and storage of the instrumentation 

is mandatory. Long-term use of this system may 
produce stresses and cause weakness, which could 
become a focal point for failure.

• The surgeon should be cautious with limb position 

change and/or excessive force exertion while 
extracting implants using the instrumentation 
provided in the tray.

For detailed sterilization instructions, please refer to industry standards ANSI/AAMI ST79:2012 & A1:2012 
and ANSI/AAMI ST8:2001. 

NOTE:

 All Shukla Medical surgical instruments require manual cleaning with a neutral pH cleanser. Open and 

disassemble all instruments, making sure to remove all contamination during cleaning. Instruments must 
be reassembled prior to sterilization. Machine washing is not recommended. Maintenance and care using 
an autoclaveable lubricant on movable parts is required to preserve the life of the instrument. For more 
cleaning, inspection, maintenance, and care tips, contact Shukla Medical directly. 

For detailed cleaning and sterilization instructions, please visit www.ShuklaMedical.com/Sterilization

Cleaning and Sterilization

Summary of Contents for Xtract-All Nail Winquist III MSK1017

Page 1: ...Surgical Technique Guide Because Every Minute Counts Shukla Medical 2018 FCD 0249 REV 02 ...

Page 2: ...nquist III Universal IM Nail Extraction System Contents Extraction Instruments pg 4 Introduction 3 List of Components 4 9 Case 1 5 Case 2 Level 1 6 Case 2 Level 2 7 Surgical Technique 8 10 Methods of Extraction 9 Extractor Compatibility Matrix 11 ...

Page 3: ...struments should be inspected for visible wear and tear prior to use Do not use the product if damage is suspected Only validated cleaning and sterilization procedures should be used Operative Proper handling and storage of the instrumentation is mandatory Long term use of this system may produce stresses and cause weakness which could become a focal point for failure The surgeon should be cautiou...

Page 4: ...re Hex Driver 1 MDS060250 T25 Reverse Capture Hex Driver 1 MDS07 2 Pozidriv 1 MDS08 Cruciform Driver 1 MDS09 Flat Tip Driver 1 MDE19250 1 4 sq Adapter 1 MDA010006 6mm Standard Hex Tip 2 MDA011006 6mm Female Hex Tip 1 MDA010008 8mm Standard Hex Tip 1 Part Number Description Qty HD233 M01 Ratcheting T Handle 1 MHRS0311 Cannulated Ratcheting In Line Handle 1 WIN1 1 4 20 Female Extractor Tip 3 WIN2 M6...

Page 5: ...ail Extraction System MKS1017 Case 1 List of Components Case 1 MKS1017 Case 1 CA133 Case 1 Body CA134 Case 1 Lid MIWE C Frame MMM5 Mallet MIWN C Frame Locking Nut MIWD T Handle MIWC Bone Chisel MIWWA 9 32 11 16 Double Open End Wrench MIWW 1 2 11 16 Double Open End Wrench ...

Page 6: ...Large Hook Adapter WIN26 Small Hook Adapter WIN27 Conical Extractor WIN1 1 4 20 Female Extractor WIN2 M6 x 1mm Male Extractor Tip WIN3 1 4 20 Male Extractor Tip WIN4 1 4 28 Male Extractor Tip WIN5 M8 x 1 25mm Male Extractor Tip WIN6 5 16 18 Male Extractor Tip WIN7 5 16 24 Male Extractor Tip WIN8 M10 x 1 5mm Male Extractor Tip WIN9 3 8 16 Male Extractor Tip WIN10 3 8 24 Male Extractor Tip WIN11 7 1...

Page 7: ...r MDS07 2 Pozidriv MDS060250 T25 Reverse Capture Hex Driver MDS060200 T20 Reverse Capture Hex Driver MDS060150 T15 Reverse Capture Hex Driver MDS060080 T8 Reverse Capture Hex Driver MDS031875 3 16 Reverse Capture Hex Driver MDS031562 5 32 Reverse Capture Hex Driver MDS030050 5 0mm Reverse Capture Hex Driver MDS030040 4 0mm Reverse Capture Hex Driver MDS030035 3 5mm Reverse Capture Hex Driver MDS03...

Page 8: ...re A Prepare Nail for Extraction 1 Remove excess bone around proximal neck of IM nail with Bone Chisel MIWC Fig B 2 Remove threaded cap if present 2 Figure B Figure C Extraction Method Selection The Winquist III system contains several options Option A D Fig C to remove IM nail systems in the event that primary or subsequent methods fail Note Extraction methods are presented in the recommended ord...

Page 9: ...hment Note Once you use the conical extractor threaded extraction tips can no longer be used due to thread deformation Figure F Option C Solid IM Nail Extractor WIN20 WIN23 If the IM nail interior shaft is inaccessible due to bone growth or if the IM nail has no opening use a Solid IM Nail Extractor Fig G 1 Clear excess bone around proximal end of IM nail using the Bone Chisel MIWC 2 Choose an ext...

Page 10: ... MIWW Fig J 3 Connect Extraction C frame MIWE to extractor using a Hex Nut MIWN Fig K Tighten nut fully with the 11 16 Wrench MIWWA applying counter torque with the 1 2 Wrench MIWW Figure M Figure N Figure L Implant Removal Tip Compatibility Matrix The table to the right shows compatibility between a wide range of proprietary implant systems and corresponding Xtract All Spine removal tips This inf...

Page 11: ... Hex True Fix Distal Femoral Prox Humeral True Fix Ankle Fusion 1 4 20 UNC 2A WIN3 3 5mm Hex TrueFlex Tibial 3 8 32 UNEF 2B WIN17 3 5mm Hex 8 0mm Hex 1 4 sq Stryker Howmedica Osteonics T 2 Humeral M6x0 75 6g WIN14 2 5mm Hex Gross Kempf Femoral M10x1 5 6g WIN8 3 5mm Hex 5 0mm Hex IC Nail Femoral Tibial T 2 Tibial M8x1 0 6g WIN16 3 5mm Hex T 2 Femoral Antegrade Retrograde M8x1 0 6g WIN16 3 5mm Hex 6...

Page 12: ...I Universal IM Nail Extraction System Call us at 888 4 SHUKLA 888 474 8552 or visit www ShuklaMedical com Because Every Minute Counts T 888 4 SHUKLA T 888 474 8552 F 727 626 2770 CS ShuklaMedical com Shukla Medical 8300 Sheen Drive St Petersburg FL 33709 www ShuklaMedical com Shukla Medical 2018 FCD 0249 REV 02 ...

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