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T2 Brochure - Stryker

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<strong>T2</strong><br />

IM Nailing System


Introduction<br />

Kiel Plant History<br />

100 years ago, on December 5, 1904,<br />

when Ernst Pohl founded the company<br />

that was eventually to become <strong>Stryker</strong><br />

Trauma GmbH, nobody could<br />

have imagined the extraordinary<br />

developments that would result from<br />

the collaboration between Dr. Ernst<br />

Pohl and Prof. Gerhard Küntscher.<br />

The Küntscher and Pohl team<br />

established the technical and clinical<br />

principles on which the closed<br />

technique of intramedullary nailing<br />

of long tubular bones is based. When<br />

this was first introduced in 1939,<br />

intramedullary nailing was regarded<br />

as a revolutionary method that<br />

challenged the proven and established<br />

procedures of the time. Prominent<br />

opinion leaders in trauma surgery<br />

were scathingly critical. From the<br />

beginning, however, support came<br />

from Prof. Fischer, the Director of<br />

Surgery at Kiel University Hospital,<br />

who was convinced “that Mr.<br />

Küntscher‘s procedures represent a<br />

great advancement” and history has<br />

proved him right.<br />

In the intervening years the technique<br />

of intramedullary nailing has been<br />

developed and refined many times<br />

over. Today it is the method of choice<br />

used by trauma and orthopaedic<br />

surgeons throughout the world<br />

for treating a wide range of long<br />

bone fractures. Whilst many other<br />

manufacturers have subsequently<br />

produced locking nails based on the<br />

principles established by Küntscher<br />

the birthplace of the technique is and<br />

remains Kiel, the place from which<br />

the Küntscher nail began its spread<br />

around the globe. From this place,<br />

many innovative, pioneering products<br />

have been introduced worldwide and<br />

many more will surely follow.<br />

Staff in front of the barracks in the Hospitalstraße 5−7, Kiel (1953)<br />

Main entrance <strong>Stryker</strong> Trauma GmbH (2009)<br />

2<br />

<strong>Stryker</strong> Osteosynthesis is steeped in<br />

this tradition of innovation. Within<br />

the <strong>Stryker</strong> Corporation, it focuses<br />

exclusively on the intramedullary<br />

treatment of fractures of long<br />

bones and develops, manufactures<br />

and distributes intramedullary<br />

locking nails and their associated<br />

instrumentation to the worldwide<br />

market. <strong>Stryker</strong> Osteosynthesis has<br />

created a new generation nailing<br />

system, bringing together all the<br />

capabilities and benefits of seperate<br />

nailing systems to create a single,<br />

integrated surgical resource for<br />

fixation of long bone-fractures.<br />

The <strong>T2</strong> Intramedullary Nailing<br />

System is <strong>Stryker</strong>´s latest and most<br />

comprehensive development of the<br />

original intramedullary nailing<br />

principles presented by Prof. Gerhard<br />

Küntscher in 1940.


Features & Benefits<br />

Material Advantages<br />

All <strong>T2</strong> implants are made of Type II<br />

anodized titanium alloy (Ti6AL4V) for<br />

enhanced biomechanical performance.<br />

Anodization:<br />

Ti 6Al 4V<br />

non anodized<br />

Fatigue Strength*<br />

Wear Rates*<br />

Screw Improvements<br />

<strong>T2</strong> 5mm versus GK 6.28mm (100%)<br />

Ti 6Al 4V Type III<br />

anodized<br />

3<br />

Ti 6Al 4V Type II<br />

anodized<br />

Improved Fatigue Strength* Lower Insertion Torque* Improved Thread/Head Design<br />

Due to the rounded geometry of<br />

the thread and the specialized<br />

manufacturing techniques used,<br />

the <strong>T2</strong> 5mm screws are stronger<br />

than the clinically successful<br />

6.28mm and 4.6mm GK screws.<br />

105% 50%<br />

Cosmetic Treatment Functional Treatment<br />

100% 100% 115%<br />

23,70 mg 3,29 mg 0,05 mg<br />

* test data available on request<br />

** White Paper (B1000033) available on request<br />

For Other Implants For <strong>T2</strong> Implants<br />

<strong>T2</strong> 5mm versus GK 6.28mm (100%)<br />

Shorter srew tip with 3 cutting<br />

flutes for:<br />

• Faster, easier “Start”<br />

• Better grip and less irritation<br />

• Low profile head design to minimize<br />

irritation<br />

• Optimized interference between<br />

screw and nail hole reduces<br />

torsional play significantly**<br />

Transition from the screw thread to<br />

the head is right angled in order to:<br />

• Prevent fracture during insertion<br />

• Increase feel on final tightening


Features & Benefits<br />

Proximal Humeral Nail<br />

Precise Placement<br />

• Multiple End Cap lengths<br />

• Easy implant removal<br />

• Enhanced stability due to interference<br />

with subchondral bone<br />

Versatility<br />

• 6˚ bend<br />

• Lateral entry medial to the<br />

greater tuberosity<br />

• Central insertion at the top of<br />

the humeral head<br />

Dynamic Locking<br />

• Promotes fracture healing by<br />

allowing micromotion<br />

• Reduces risk of nail protrusion<br />

Short Long<br />

4<br />

Stable Fixation<br />

• Four threaded locking holes<br />

• Nylon bushing to prevent<br />

backout.<br />

• Four 5.0mm screws in multiple<br />

planes<br />

Easy Insertion<br />

• Cannulated design<br />

• Reamed or unreamed insertion<br />

over 2.2×800mm Guide Wire


Ordering Information - Implants<br />

<strong>T2</strong> Proximal Humerus Nail (REF 1832-xxxx)<br />

Proximal Locking:<br />

5.0mm Fully Threaded Locking Screws<br />

End Caps<br />

Standard<br />

+2mm<br />

+4mm<br />

short<br />

long<br />

Titanium Diameter Length<br />

REF mm mm<br />

1896-5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

1896-5032S 5.0 32.5<br />

18 9 6 -5035S 5.0 35.0<br />

18 9 6 -5037S 5.0 37.5<br />

18 9 6 -5040S 5.0 40.0<br />

18 9 6 -5042S 5.0 42.5<br />

18 9 6 -5045S 5.0 45.0<br />

18 9 6 -5047S 5.0 47.5<br />

18 9 6 -5050S 5.0 50.0<br />

18 9 6 -5052S 5.0 52.5<br />

18 9 6 -5055S 5.0 55.0<br />

18 9 6 -5057S 5.0 57.5<br />

18 9 6 -5060S 5.0 60.0<br />

Titanium Diameter Length<br />

REF mm mm<br />

1832-0003S 6 Standard<br />

1832-0002S 10 +2<br />

1832-0004S 10 +4<br />

Length REF REF<br />

mm Ø8mm/left Ø8mm/right<br />

150 1025S 1015S<br />

220 (long) 2822S 3822S<br />

240 (long) 2824S 3824S<br />

260 (long) 2826S 3826S<br />

280 (long) 2828S 3828S<br />

300 (long) 2830S 3830S<br />

Example: <strong>T2</strong> Proximal Humerus Nail right Ø8mm×260mm = 1832-3826S<br />

Distal Locking:<br />

4.0mm Fully Threaded Locking Screws<br />

Titanium Diameter Length<br />

REF mm mm<br />

Washer<br />

round<br />

rectangular<br />

small<br />

5<br />

1896-4020S 4.0 20<br />

1896-4022S 4.0 22<br />

1896-4024S 4.0 24<br />

1896-4025S 4.0 25<br />

1896-4026S 4.0 26<br />

1896-4028S 4.0 28<br />

1896-4030S 4.0 30<br />

1896-4032S 4.0 32<br />

1896-4034S 4.0 34<br />

1896-4035S 4.0 35<br />

1896-4036S 4.0 36<br />

1896-4038S 4.0 38<br />

1896-4040S 4.0 40<br />

1896-4045S 4.0 45<br />

1896-4050S 4.0 50<br />

1896-4055S 4.0 55<br />

1896-4060S 4.0 60<br />

Titanium Diameter Dimension<br />

REF mm mm<br />

1832-0007S 17 –<br />

(round)<br />

1832-0008S – 10×18<br />

(rectangular)<br />

1832-0009S – 8×14.7<br />

(small)


Features & Benefits<br />

Humeral Nail<br />

Precise Placement<br />

• Multiple End Cap lengths<br />

• Easy implant removal<br />

Versatility<br />

• Transverse locking<br />

• Oblique locking<br />

• Option of dynamization and<br />

mechanical compression<br />

Antegrade Retrograde<br />

6<br />

Reduced Inventory<br />

• ONE nail for antegrade or<br />

retrograde insertion<br />

• ONE nail for left or right<br />

• 4.0mm screws only<br />

Easy Insertion<br />

• Cannulated design<br />

• Reamed or unreamed insertion<br />

over 2.2×800mm Guide Wire<br />

• 4˚ bend at the nail end for easy<br />

insertion in retrograde approach<br />

Less Pain Potential *<br />

• Up to 6mm of active compression<br />

• Early weight bearing<br />

• Promotes fracture healing of nonunions<br />

* Thomas Mueckley, Oliver Gonschorek,<br />

Volker Buehren “Compression Nailing of<br />

Long Bones” Eur J Trauma 2003; 29:113–28


Ordering Information - Implants<br />

<strong>T2</strong> Humeral Locking Nail (REF 1830-xxxx)<br />

4.0mm Fully Threaded Locking Screws<br />

End Caps<br />

Standard +5mm +10mm<br />

+15mm +20mm +25mm<br />

Titanium Diameter Length<br />

REF mm mm<br />

1896-4020S 4.0 20<br />

1896-4022S 4.0 22<br />

1896-4024S 4.0 24<br />

1896-4025S 4.0 25<br />

1896-4026S 4.0 26<br />

1896-4028S 4.0 28<br />

1896-4030S 4.0 30<br />

1896-4032S 4.0 32<br />

1896-4034S 4.0 34<br />

1896-4035S 4.0 35<br />

1896-4036S 4.0 36<br />

1896-4038S 4.0 38<br />

1896-4040S 4.0 40<br />

1896-4045S 4.0 45<br />

1896-4050S 4.0 50<br />

1896-4055S 4.0 55<br />

1896-4060S 4.0 60<br />

Titanium Diameter Length<br />

REF mm mm<br />

1830-0003S 6.0 Standard<br />

1830-0005S 8.0 +5<br />

1830-0010S 8.0 +10<br />

1830-0015S 8.0 +15<br />

1830-0020S 8.0 +20<br />

1830-0025S 8.0 +25<br />

Length REF REF REF<br />

mm Ø7mm Ø8mm Ø9mm<br />

140 0714S 0814S 0914S<br />

160 0716S 0816S 0916S<br />

180 0718S 0818S 0918S<br />

190 0719S 0819S 0919S<br />

200 0720S 0820S 0920S<br />

210 0721S 0821S 0921S<br />

220 0722S 0822S 0922S<br />

230 0723S 0823S 0923S<br />

240 0724S 0824S 0924S<br />

250 0725S 0825S 0925S<br />

260 0726S 0826S 0926S<br />

270 0727S 0827S 0927S<br />

280 0728S 0828S 0928S<br />

290 0729S 0829S 0929S<br />

300 0730S 0830S 0930S<br />

310 0731S 0831S 0931S<br />

320 0732S 0832S 0932S<br />

Example: <strong>T2</strong> Humeral Nail Ø8mm×260mm = 1830-0826S<br />

4.0mm Partially Threaded Locking Screws<br />

Washer<br />

round<br />

rectangular<br />

Titanium Diameter Length<br />

REF mm mm<br />

1891-4020S 4.0 20<br />

1891-4022S 4.0 22<br />

1891-4024S 4.0 24<br />

1891-4025S 4.0 25<br />

1891-4026S 4.0 26<br />

1891-4028S 4.0 28<br />

1891-4030S 4.0 30<br />

1891-4032S 4.0 32<br />

1891-4034S 4.0 34<br />

1891-4035S 4.0 35<br />

1891-4036S 4.0 36<br />

1891-4038S 4.0 38<br />

1891-4040S 4.0 40<br />

1891-4045S 4.0 45<br />

1891-4050S 4.0 50<br />

1891-4055S 4.0 55<br />

1891-4060S 4.0 60<br />

Titanium Diameter Dimension<br />

REF mm mm<br />

1830-0008S round –<br />

1830-0009S – square<br />

Advanced Compression Screw, Humerus<br />

7<br />

Titanium Diameter<br />

REF mm<br />

1830-0001S 6.0


Features & Benefits<br />

Femoral Nail<br />

Precise Placement<br />

• Multiple End Cap lengths<br />

• Easy implant removal<br />

Less Pain Potential *<br />

• Up to 10mm of active<br />

compression<br />

• Early weight bearing<br />

• Promotes fracture healing of<br />

non-unions<br />

Antegrade Retrograde<br />

8<br />

Reduced Inventory<br />

• ONE nail for antegrade or<br />

retrograde insertion<br />

• ONE nail for left or right<br />

• 5.0mm screws only<br />

Easy Insertion<br />

• Cannulated design<br />

• Reamed or unreamed insertion<br />

over 3×1000mm Guide Wire<br />

• No Guide Wire exchange required<br />

Stable Fixation<br />

• 5.0mm cannulated Condyle Screws<br />

• Polyaxial Washers<br />

• Insertion over K-Wires<br />

• Up to 7mm of mediolateral<br />

interfragmentary compression<br />

• End Cap tightens down on most<br />

distal Locking Screw/Condyle Screw<br />

and provides angular stability<br />

* Thomas Mueckley, Oliver Gonschorek,<br />

Volker Buehren “Compression Nailing of<br />

Long Bones” Eur J Trauma 2003; 29:113–28


Ordering Information - Implants<br />

<strong>T2</strong> Femoral Locking Nail (REF 1825-xxxx)<br />

5.0mm Fully Threaded Locking Screws<br />

End Caps<br />

Standard +5mm +10mm<br />

+15mm +20mm +25mm<br />

Titanium Diameter Length<br />

REF mm mm<br />

1896-5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

1896-5030S 5.0 30.0<br />

1896-5032S 5.0 32.5<br />

1896-5035S 5.0 35.0<br />

1896-5037S 5.0 37.5<br />

1896-5040S 5.0 40.0<br />

1896-5042S 5.0 42.5<br />

1896-5045S 5.0 45.0<br />

1896-5047S 5.0 47.5<br />

1896-5050S 5.0 50.0<br />

1896-5052S 5.0 52.5<br />

1896-5055S 5.0 55.0<br />

1896-5057S 5.0 57.5<br />

1896-5060S 5.0 60.0<br />

1896-5065S 5.0 65.0<br />

1896-5070S 5.0 70.0<br />

1896-5075S 5.0 75.0<br />

1896-5080S 5.0 80.0<br />

1896-5085S 5.0 85.0<br />

1896-5090S 5.0 90.0<br />

1896-5095S 5.0 95.0<br />

1896-5100S 5.0 100.0<br />

1896-5105S 5.0 105.0<br />

1896-5110S 5.0 110.0<br />

1896-5115S 5.0 115.0<br />

1896-5120S 5.0 120.0<br />

Titanium Diameter Length<br />

REF mm mm<br />

1822-0003S 8.0 Standard<br />

1822-0005S 11.5 + 5<br />

1822-0010S 11.5 +10<br />

1822-0015S 11.5 +15<br />

1822-0020S 11.5 +20<br />

1822-0025S 11.5 +25<br />

1822-0030S 11.5 +30<br />

1822-0035S 11.5 +35<br />

Length REF REF REF REF REF REF REF<br />

mm Ø9mm Ø10mm Ø11mm Ø12mm Ø13mm Ø14mm Ø15mm<br />

140 0914S 1014S 1114S 1214S 1314S 1414S 1514S<br />

160 0916S 1016S 1116S 1216S 1316S 1416S 1516S<br />

180 0918S 1018S 1118S 1218S 1318S 1418S 1518S<br />

200 0920S 1020S 1120S 1220S 1320S 1420S 1520S<br />

220 0922S 1022S 1122S 1222S 1322S 1422S 1522S<br />

240 0924S 1024S 1124S 1224S 1324S 1424S 1524S<br />

260 0926S 1026S 1126S 1226S 1326S 1426S 1526S<br />

280 0928S 1028S 1128S 1228S 1326S 1426S 1526S<br />

300 0930S 1030S 1130S 1230S 1330S 1430S 1530S<br />

320 0932S 1032S 1132S 1232S 1332S 1432S 1532S<br />

340 0934S 1034S 1134S 1234S 1334S 1434S 1534S<br />

360 0936S 1036S 1136S 1236S 1336S 1436S 1536S<br />

380 0938S 1038S 1138S 1238S 1338S 1438S 1538S<br />

400 0940S 1040S 1140S 1240S 1340S 1440S 1540S<br />

420 0942S 1042S 1142S 1242S 1342S 1442S 1542S<br />

440 0944S 1044S 1144S 1244S 1344S 1444S 1544S<br />

460 0946S 1046S 1146S 1246S 1346S 1446S 1546S<br />

480 0948S 1048S 1148S 1248S 1348S 1448S 1548S<br />

5.0mm Partially Threaded Locking Screws<br />

5.0mm Condyle Screws<br />

+30mm +35mm<br />

Advanced Compression Screw, Femur Condyle Nut<br />

Titanium Diameter<br />

REF mm<br />

1825-0001S 8.0<br />

Example: <strong>T2</strong> Femoral Nail Ø10mm×260mm = 1825-1026S<br />

9<br />

Titanium Diameter Length<br />

REF mm mm<br />

1891-5025S 5.0 25<br />

1891-5030S 5.0 30<br />

1891-5035S 5.0 35<br />

1891-5040S 5.0 40<br />

1891-5045S 5.0 45<br />

1891-5050S 5.0 50<br />

1891-5055S 5.0 55<br />

1891-5060S 5.0 60<br />

1891-5065S 5.0 65<br />

1891-5070S 5.0 70<br />

1891-5075S 5.0 75<br />

1891-5080S 5.0 80<br />

1891-5085S 5.0 85<br />

1891-5090S 5.0 90<br />

1891-5095S 5.0 95<br />

1891-5100S 5.0 100<br />

1891-5105S 5.0 105<br />

1891-5110S 5.0 110<br />

1891-5115S 5.0 115<br />

1891-5120S 5.0 120<br />

Titanium Diameter Length<br />

REF mm mm<br />

1895-5040S 5.0 40<br />

1895-5045S 5.0 45<br />

1895-5050S 5.0 50<br />

1895-5055S 5.0 55<br />

1895-5060S 5.0 60<br />

1895-5065S 5.0 65<br />

1895-5070S 5.0 70<br />

1895-5075S 5.0 75<br />

1895-5080S 5.0 80<br />

1895-5085S 5.0 85<br />

1895-5090S 5.0 90<br />

1895-5095S 5.0 95<br />

1895-5100S 5.0 100<br />

1895-5105S 5.0 105<br />

1895-5110S 5.0 110<br />

1895-5115S 5.0 115<br />

1895-5120S 5.0 120<br />

Titanium Diameter<br />

REF mm<br />

1895-5001S 5.0


Features & Benefits<br />

Recon / Antegrade Femoral Nail<br />

Enhanced Lag Screw Placement<br />

• 6.5mm cannulated Lag Screws<br />

• Insertion over K-Wires<br />

• Improved thread design of<br />

proven Asnis III Screws<br />

• Lag Screw hole geometry allows<br />

placement in narrow femoral necks<br />

Easy Insertion<br />

• 4˚ lateral bend<br />

• 2m radius<br />

• Lateral entry at the tip of the<br />

greater trochanter<br />

• Cannulated design<br />

• Reamed or unreamed insertion<br />

over 3×1000mm Guide Wire<br />

• No Guide Wire exchange<br />

required<br />

Recon Antegrade<br />

10<br />

Reduced Inventory<br />

• ONE nail for recon or antegrade<br />

femoral application<br />

• 5.0mm screws for all antegrade<br />

femoral applications<br />

Precise Placement<br />

• Multiple End Cap lengths<br />

• Easy implant removal<br />

• Set screw tightens down on<br />

proximal Locking Screw and<br />

provides angular stability<br />

Dynamic Locking<br />

• Promotes fracture healing by<br />

allowing micromotion


Ordering Information - Implants<br />

<strong>T2</strong> Recon Nail (REF left 1846-xxxx / right 1847-xxxx)<br />

5.0mm Fully Threaded Locking Screws<br />

End Caps<br />

Standard +5mm<br />

+10mm +15mm<br />

left right<br />

Titanium Diameter Length<br />

REF mm mm<br />

18 9 6 -5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

18 9 6 -5030S 5.0 30.0<br />

18 9 6 -5032S 5.0 32.5<br />

18 9 6 -5035S 5.0 35.0<br />

18 9 6 -5037S 5.0 37.5<br />

18 9 6 -5040S 5.0 40.0<br />

18 9 6 -5042S 5.0 42.5<br />

18 9 6 -5045S 5.0 45.0<br />

18 9 6 -5047S 5.0 47.5<br />

18 9 6 -5050S 5.0 50.0<br />

18 9 6 -5052S 5.0 52.5<br />

18 9 6 -5055S 5.0 55.0<br />

18 9 6 -5057S 5.0 57.5<br />

18 9 6 -5060S 5.0 60.0<br />

1896-5065S 5.0 65.0<br />

1896-5070S 5.0 70.0<br />

1896-5075S 5.0 75.0<br />

1896-5080S 5.0 80.0<br />

1896-5085S 5.0 85.0<br />

1896-5090S 5.0 90.0<br />

1896-5095S 5.0 95.0<br />

1896-5100S 5.0 100.0<br />

1896-5105S 5.0 105.0<br />

1896-5110S 5.0 110.0<br />

1896-5115S 5.0 115.0<br />

1896-5120S 5.0 120.0<br />

Titanium Diameter Length<br />

REF mm mm<br />

1822-0003S 8.0 Standard<br />

1847-0005S 13.0 + 5mm<br />

1847-0010S 13.0 +10mm<br />

1847-0015S 13.0 +15mm<br />

Length REF REF REF REF<br />

mm Ø9mm Ø11mm Ø13mm Ø15mm<br />

340 0934S 1134S 1334S 1534S<br />

360 0936S 1136S 1336S 1536S<br />

380 0938S 1138S 1338S 1538S<br />

400 0940S 1140S 1340S 1540S<br />

420 0942S 1142S 1342S 1542S<br />

440 0944S 1144S 1344S 1544S<br />

460 0946S 1146S 1346S 1546S<br />

480 0948S 1148S 1348S 1548S<br />

Example: <strong>T2</strong> Recon Nail right Ø9mm×360mm = 1847-0936S<br />

6.5mm Lag Screw<br />

Set Screw<br />

11<br />

Titanium Diameter Length<br />

REF mm mm<br />

1897-6065S 6.5 65<br />

1897-6070S 6.5 70<br />

1897-6075S 6.5 75<br />

1897-6080S 6.5 80<br />

1897-6085S 6.5 85<br />

1897-6090S 6.5 90<br />

1897-6095S 6.5 95<br />

1897-6100S 6.5 100<br />

1897-6105S 6.5 105<br />

1897-6110S 6.5 110<br />

1897-6115S 6.5 115<br />

1897-6120S 6.5 120<br />

1897-6125S 6.5 125<br />

1897-6130S 6.5 130<br />

Titanium Description Length<br />

REF mm<br />

1847-0003S Antegrade 8.0<br />

1847-0001S Retrograde 8.0


Features & Benefits<br />

Supracondylar Nail<br />

Reduced OR Time<br />

• Guided locking of all screws for<br />

170mm and 200mm implants<br />

Stable Fixation<br />

• Three-plane fixation with four<br />

screws within 32mm of the nail end<br />

• Most distal hole is centered at 6mm<br />

to the nail end<br />

• 5.0mm cannulated Condyle Screws<br />

• Insertion over K-Wires<br />

• Polyaxial Washers<br />

• Up to 7mm of mediolateral<br />

interfragmentary compression<br />

• End Cap tightens down on most<br />

distal Locking Screw/Condyle Screw<br />

and provides angular Stability<br />

Short Long<br />

12<br />

Dynamic Locking<br />

• Promotes fracture healing by<br />

allowing micromotion<br />

Easy Insertion<br />

• 4˚ bend<br />

• 2m radius<br />

• Cannulated design<br />

• Reamed or unreamed insertion<br />

over 3×1000mm Guide Wire<br />

• No Guide Wire exchange<br />

required


Ordering Information - Implants<br />

<strong>T2</strong> SCN (REF 1826-xxxx)<br />

short<br />

long<br />

5.0mm Fully Threaded Locking Screws<br />

End Cap<br />

Titanium Diameter Length<br />

REF mm mm<br />

18 9 6 -5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

18 9 6 -5030S 5.0 30.0<br />

18 9 6 -5032S 5.0 32.5<br />

18 9 6 -5035S 5.0 35.0<br />

18 9 6 -5037S 5.0 37.5<br />

18 9 6 -5040S 5.0 40.0<br />

18 9 6 -5042S 5.0 42.5<br />

18 9 6 -5045S 5.0 45.0<br />

18 9 6 -5047S 5.0 47.5<br />

18 9 6 -5050S 5.0 50.0<br />

18 9 6 -5052S 5.0 52.5<br />

18 9 6 -5055S 5.0 55.0<br />

18 9 6 -5057S 5.0 57.5<br />

18 9 6 -5060S 5.0 60.0<br />

1896-5065S 5.0 65.0<br />

1896-5070S 5.0 70.0<br />

1896-5075S 5.0 75.0<br />

1896-5080S 5.0 80.0<br />

1896-5085S 5.0 85.0<br />

1896-5090S 5.0 90.0<br />

1896-5095S 5.0 95.0<br />

1896-5100S 5.0 100.0<br />

1896-5105S 5.0 105.0<br />

1896-5110S 5.0 110.0<br />

1896-5115S 5.0 115.0<br />

1896-5120S 5.0 120.0<br />

Titanium Diameter<br />

REF mm<br />

1826-0003S 8.0<br />

Length REF REF REF REF REF REF<br />

mm Ø9mm Ø10mm Ø11mm Ø12mm Ø13mm Ø14mm<br />

170 (short) 0917S 1017S 1117S 1217S 1317S 1417S<br />

200 (short) 0920S 1020S 1120S 1220S 1320S 1420S<br />

240 (long) 0924S 1024S 1124S 1224S 1324S 1424S<br />

260 (long) 0926S 1026S 1126S 1226S 1326S 1426S<br />

280 (long) 0928S 1028S 1128S 1228S 1328S 1428S<br />

300 (long) 0930S 1030S 1130S 1230S 1330S 1430S<br />

320 (long) 0932S 1032S 1132S 1232S 1332S 1432S<br />

340 (long) 0934S 1034S 1134S 1234S 1334S 1434S<br />

360 (long) 0936S 1036S 1136S 1236S 1336S 1436S<br />

380 (long) 0938S 1038S 1138S 1238S 1338S 1438S<br />

400 (long) 0940S 1040S 1140S 1240S 1340S 1440S<br />

420 (long) 0942S 1042S 1142S 1242S 1342S 1442S<br />

440 (long) 0944S 1044S 1144S 1244S 1344S 1444S<br />

Example: <strong>T2</strong> SCN Nail Ø9mm×420mm = 1826-0942S<br />

5.0mm Condyle Screws<br />

Condyle Nut<br />

13<br />

Titanium Diameter Length<br />

REF mm mm<br />

1895-5040S 5.0 40<br />

1895-5045S 5.0 45<br />

1895-5050S 5.0 50<br />

1895-5055S 5.0 55<br />

1895-5060S 5.0 60<br />

1895-5065S 5.0 65<br />

1895-5070S 5.0 70<br />

1895-5075S 5.0 75<br />

1895-5080S 5.0 80<br />

1895-5085S 5.0 85<br />

1895-5090S 5.0 90<br />

1895-5095S 5.0 95<br />

1895-5100S 5.0 100<br />

1895-5105S 5.0 105<br />

1895-5110S 5.0 110<br />

1895-5115S 5.0 115<br />

1895-5120S 5.0 120<br />

Titanium Diameter<br />

REF mm<br />

1895-5001S 5.0


Features & Benefits<br />

Knee Arthrodesis Nail<br />

Design Rationale<br />

Unique dual curvature:<br />

• Enables anatomical valgus at the knee<br />

• Improves nail insertion<br />

Easy Insertion<br />

• Cannulated design<br />

• Dedicated 885mm Bixcut Reamer Shaft<br />

• Reamed insertion over 3×1250mm Guide<br />

Wire<br />

• No Guide Wire exchange required<br />

14<br />

Reduced Learning Curve<br />

• Uses standard <strong>T2</strong> femur<br />

instrumentation<br />

• 5.0mm screws only<br />

(same as <strong>T2</strong> femur)<br />

• Multiple End Caps provide optimal<br />

length adjustment<br />

(same as <strong>T2</strong> Femur)<br />

Less Pain Potential *<br />

• Up to 10mm of active compression<br />

• Early weight bearing<br />

• Promotes consolidation<br />

* Thomas Mueckley, Oliver Gonschorek, Volker<br />

Buehren “Compression Nailing of Long Bones”<br />

Eur J Trauma 2003; 29:113–28


Ordering Information - Implants<br />

<strong>T2</strong> Arthrodesis Nail (REF 1829-xxxx)<br />

left right<br />

Length REF REF REF REF<br />

mm Ø11.5mm/left Ø11.5mm/right Ø13mm/left Ø13mm/right<br />

540 1104S 1154S 1304S 1354S<br />

580 1108S 1158S 1308S 1358S<br />

620 1112S 1162S 1312S 1362S<br />

640 1116S 1166S 1316S 1366S<br />

700 1120S 1170S 1320S 1370S<br />

740 1124S 1174S 1324S 1374S<br />

780 1128S 1178S 1328S 1378S<br />

Example: <strong>T2</strong> Arthrodesis Nail left Ø13mm×780mm = 1829-1328S<br />

5.0mm Fully Threaded Locking Screws 5.0mm Partially Threaded Locking Screws<br />

End Caps<br />

Standard +5mm +10mm<br />

+15mm +20mm +25mm<br />

+30mm +35mm<br />

Titanium Diameter Length<br />

REF mm mm<br />

18 9 6 -5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

18 9 6 -5030S 5.0 30.0<br />

18 9 6 -5032S 5.0 32.5<br />

18 9 6 -5035S 5.0 35.0<br />

18 9 6 -5037S 5.0 37.5<br />

18 9 6 -5040S 5.0 40.0<br />

18 9 6 -5042S 5.0 42.5<br />

18 9 6 -5045S 5.0 45.0<br />

18 9 6 -5047S 5.0 47.5<br />

18 9 6 -5050S 5.0 50.0<br />

18 9 6 -5052S 5.0 52.5<br />

18 9 6 -5055S 5.0 55.0<br />

18 9 6 -5057S 5.0 57.5<br />

18 9 6 -5060S 5.0 60.0<br />

1896-5065S 5.0 65.0<br />

1896-5070S 5.0 70.0<br />

1896-5075S 5.0 75.0<br />

1896-5080S 5.0 80.0<br />

1896-5085S 5.0 85.0<br />

1896-5090S 5.0 90.0<br />

1896-5095S 5.0 95.0<br />

1896-5100S 5.0 100.0<br />

1896-5105S 5.0 105.0<br />

1896-5110S 5.0 110.0<br />

1896-5115S 5.0 115.0<br />

1896-5120S 5.0 120.0<br />

Titanium Diameter Length<br />

REF mm mm<br />

1822-0003S 8.0 Standard<br />

1822-0005S 11.5 + 5<br />

1822-0010S 11.5 +10<br />

1822-0015S 11.5 +15<br />

1822-0020S 11.5 +20<br />

1822-0025S 11.5 +25<br />

1822-0030S 11.5 +30<br />

1822-0035S 11.5 +35<br />

Compression Screws<br />

15<br />

Titanium Diameter Length<br />

REF mm mm<br />

1891-5025S 5.0 25<br />

1891-5030S 5.0 30<br />

1891-5035S 5.0 35<br />

1891-5040S 5.0 40<br />

1891-5045S 5.0 45<br />

1891-5050S 5.0 50<br />

1891-5055S 5.0 55<br />

1891-5060S 5.0 60<br />

1891-5065S 5.0 65<br />

1891-5070S 5.0 70<br />

1891-5075S 5.0 75<br />

1891-5080S 5.0 80<br />

1891-5085S 5.0 85<br />

1891-5090S 5.0 90<br />

1891-5095S 5.0 95<br />

1891-5100S 5.0 100<br />

1891-5105S 5.0 105<br />

1891-5110S 5.0 110<br />

1891-5115S 5.0 115<br />

1891-5120S 5.0 120<br />

Titanium Diameter Length<br />

REF mm mm<br />

1825-0000S 8.0 Standard<br />

18 2 5 - 0005S 8.0 5<br />

18 2 5 - 0010S 8.0 10<br />

18 2 5 - 0015S 8.0 15


Features & Benefits<br />

Tibial Nail<br />

16<br />

Precise Placement<br />

• Multiple End Cap lengths<br />

• Easy implant removal<br />

Stable Fixation<br />

• Multiplane fixation<br />

• 5.0mm screws for all 9−15mm nails**<br />

Less Pain Potential *<br />

• Up to 7mm of active compression<br />

• Early weight bearing<br />

• Promotes fracture healing of nonunions<br />

Easy Insertion<br />

• 10˚ proximal Herzog bend<br />

• 4˚ distal bend<br />

• Cannulated design<br />

• Reamed or unreamed insertion over<br />

3×800mm Guide Wire<br />

• No Guide Wire exchange required<br />

for all 9−15mm nails<br />

Extremely Distal Locking Holes<br />

• Two-Plane fixation with three<br />

screws within 25mm of the nail end<br />

• Most distal hole is centered at 5mm<br />

from the nail end<br />

• At the time of this printing, the <strong>T2</strong><br />

tibial nail has the longest working<br />

length of any competitive tibial nail<br />

available<br />

* Thomas Mueckley, Oliver Gonschorek, Volker<br />

Buehren “Compression Nailing of Long Bones” Eur<br />

J Trauma 2003; 29:113–28<br />

** 8mm Tibial Nail uses 4.0mm Screws for Distal<br />

Locking


Ordering Information - Implants**<br />

<strong>T2</strong> Standard Tibial Nail (REF 1822-xxxx)<br />

5.0mm Fully Threaded Locking Screws<br />

End Caps<br />

Standard +5mm<br />

+10mm +15mm<br />

Titanium Diameter Length<br />

REF mm mm<br />

18 9 6 -5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

18 9 6 -5030S 5.0 30.0<br />

18 9 6 -5032S 5.0 32.5<br />

18 9 6 -5035S 5.0 35.0<br />

18 9 6 -5037S 5.0 37.5<br />

18 9 6 -5040S 5.0 40.0<br />

18 9 6 -5042S 5.0 42.5<br />

18 9 6 -5045S 5.0 45.0<br />

18 9 6 -5047S 5.0 47.5<br />

18 9 6 -5050S 5.0 50.0<br />

18 9 6 -5052S 5.0 52.5<br />

18 9 6 -5055S 5.0 55.0<br />

18 9 6 -5057S 5.0 57.5<br />

18 9 6 -5060S 5.0 60.0<br />

1896-5065S 5.0 65.0<br />

1896-5070S 5.0 70.0<br />

1896-5075S 5.0 75.0<br />

1896-5080S 5.0 80.0<br />

1896-5085S 5.0 85.0<br />

1896-5090S 5.0 90.0<br />

1896-5095S 5.0 95.0<br />

1896-5100S 5.0 100.0<br />

1896-5105S 5.0 105.0<br />

1896-5110S 5.0 110.0<br />

1896-5115S 5.0 115.0<br />

1896-5120S 5.0 120.0<br />

Titanium Diameter Length<br />

REF mm mm<br />

1822-0003S 8.0 Standard<br />

1822-0005S 11.5 + 5<br />

1822-0010S 11.5 +10<br />

1822-0015S 11.5 +15<br />

Advanced Compression Screw, Tibia<br />

Titanium Diameter<br />

REF mm<br />

1822-0001S 8.0<br />

Length REF REF REF REF REF REF REF<br />

mm Ø9mm Ø10mm Ø11mm Ø12mm Ø13mm Ø14mm Ø15mm<br />

240 0924S 1024S 1124S 1224S 1324S 1424S 1524S<br />

255 0925S 1025S 1125S 1225S 1325S 1425S 1525S<br />

270 0927S 1027S 1127S 1227S 1327S 1427S 1527S<br />

285 0928S 1028S 1128S 1228S 1328S 1428S 1528S<br />

300 0930S 1030S 1130S 1230S 1330S 1430S 1530S<br />

315 0931S 1031S 1131S 1231S 1331S 1431S 1531S<br />

330 0933S 1033S 1133S 1233S 1333S 1433S 1533S<br />

345 0934S 1034S 1134S 1234S 1334S 1434S 1534S<br />

360 0936S 1036S 1136S 1236S 1336S 1436S 1536S<br />

375 0937S 1037S 1137S 1237S 1337S 1437S 1537S<br />

390 0939S 1039S 1139S 1239S 1339S 1439S 1539S<br />

405 0940S 1040S 1140S 1240S 1340S 1440S 1540S<br />

420 0942S 1042S 1142S 1242S 1342S 1442S 1542S<br />

Example: <strong>T2</strong> Tibial Nail Ø10mm×300mm = 1822-1030S<br />

5.0mm Partially Threaded Locking Screws<br />

4.0mm Fully Threaded Locking Screws*<br />

17<br />

Titanium Diameter Length<br />

REF mm mm<br />

1891-5025S 5.0 25<br />

1891-5030S 5.0 30<br />

1891-5035S 5.0 35<br />

1891-5040S 5.0 40<br />

1891-5045S 5.0 45<br />

1891-5050S 5.0 50<br />

1891-5055S 5.0 55<br />

1891-5060S 5.0 60<br />

1891-5065S 5.0 65<br />

1891-5070S 5.0 70<br />

1891-5075S 5.0 75<br />

1891-5080S 5.0 80<br />

1891-5085S 5.0 85<br />

1891-5090S 5.0 90<br />

1891-5095S 5.0 95<br />

1891-5100S 5.0 100<br />

1891-5105S 5.0 105<br />

1891-5110S 5.0 110<br />

1891-5115S 5.0 115<br />

1891-5120S 5.0 120<br />

Titanium Diameter Length<br />

REF mm mm<br />

1896-4020S 4.0 20.0<br />

1896-4025S 4.0 25.0<br />

1896-4030S 4.0 30.0<br />

1896-4035S 4.0 35.0<br />

1896-4040S 4.0 40.0<br />

1896-4045S 4.0 45.0<br />

1896-4050S 4.0 50.0<br />

1896-4055S 4.0 55.0<br />

1896-4060S 4.0 60.0<br />

* For Ø8mm Nail Distal Locking Only<br />

** For detailed Ordering Information please refer to<br />

the dedicated Operative Technique.


Features & Benefits<br />

Ankle Arthrodesis Nail<br />

Easy Insertion<br />

• Cannulated Design<br />

• Unreamed or Reamed Insertion<br />

over 3×1000mm Guide Wire<br />

• No Guide Wire exchange required<br />

Anatomical Fit<br />

• 5° lateral (valgus) bend<br />

• Partially threaded Locking Screw<br />

• Up to 5 mm active compression<br />

Controlled Apposition/<br />

Compression<br />

• L/M Direction<br />

• Partially threaded Locking Screw<br />

• Up to 5mm active compression<br />

• Cannulated Compression Screw for<br />

direct insertion over the Guide Wire<br />

or in “preloaded” manner<br />

Stable Fixation<br />

• M/L direction<br />

• Fixed angle threaded<br />

Aiming Adapter<br />

An additional Aiming Adapter can<br />

be attached to the Targeting Device<br />

to help achieve the appropriate<br />

rotation based on the position of the<br />

PA Calcaneal Screw aligned with the<br />

Anatomic Calcaneal body axis.<br />

18<br />

Proximal Locking Options<br />

• Target device guided<br />

• M/L direction<br />

• Proximal locking configuration<br />

features a round and an oblong hole<br />

to allow for static or dynamic locking<br />

Multiple End Caps<br />

End Caps are available in different<br />

sizes to provide improved fit for every<br />

indication and to lock down on the PA<br />

Calacneus Screw. This creates a fixed<br />

angle between the nail and Locking<br />

Screw.<br />

• Driving end 7.5mm<br />

• End Cap locks P/A Calcaneus<br />

Locking Screw<br />

Anatomical Fit<br />

Distal Locking Screw in P/A direction<br />

with a proximal one in a 10° angle<br />

from postero-medial to anterolateral.<br />

This design dictates the need<br />

for left and right nails but allows<br />

for anatomical fit with internal<br />

compression. This technique is<br />

preferred because of higher union<br />

rates, shorter fusion times, and fewer<br />

complications.<br />

anterior<br />

10°<br />

lateral medial<br />

View from distal


Ordering Information - Implants<br />

<strong>T2</strong> Standard Ankle Arthrodesis Nail<br />

5.0mm Fully Threaded Locking Screws<br />

End Caps<br />

Standard +5mm<br />

+10mm +15mm<br />

Left<br />

REF Diameter Length<br />

mm mm<br />

1818-1015S 10 150<br />

1818-1020S 10 200<br />

1818-1030S 10 300<br />

1818-1115S 11 150<br />

1818-1120S 11 200<br />

1818-1130S 11 300<br />

1818-1215S 12 150<br />

1818-1220S 12 200<br />

1818-1230S 12 300<br />

Titanium Diameter Length<br />

REF mm mm<br />

18 9 6 -5025S 5.0 25.0<br />

1896-5027S 5.0 27.5<br />

18 9 6 -5030S 5.0 30.0<br />

18 9 6 -5032S 5.0 32.5<br />

18 9 6 -5035S 5.0 35.0<br />

18 9 6 -5037S 5.0 37.5<br />

18 9 6 -5040S 5.0 40.0<br />

18 9 6 -5042S 5.0 42.5<br />

18 9 6 -5045S 5.0 45.0<br />

18 9 6 -5047S 5.0 47.5<br />

18 9 6 -5050S 5.0 50.0<br />

18 9 6 -5052S 5.0 52.5<br />

18 9 6 -5055S 5.0 55.0<br />

18 9 6 -5057S 5.0 57.5<br />

18 9 6 -5060S 5.0 60.0<br />

1896-5065S 5.0 65.0<br />

1896-5070S 5.0 70.0<br />

1896-5075S 5.0 75.0<br />

1896-5080S 5.0 80.0<br />

1896-5085S 5.0 85.0<br />

1896-5090S 5.0 90.0<br />

1896-5095S 5.0 95.0<br />

1896-5100S 5.0 100.0<br />

1896-5105S 5.0 105.0<br />

1896-5110S 5.0 110.0<br />

1896-5115S 5.0 115.0<br />

1896-5120S 5.0 120.0<br />

Titanium Diameter Length<br />

REF mm mm<br />

1826-0003S 8.0 4.0<br />

1818-0005S 12.0 + 5<br />

1818-0010S 12.0 +10<br />

1818-0015S 12.0 +15<br />

19<br />

Right<br />

REF Diameter Length<br />

mm mm<br />

1819-1015S 10 150<br />

1819-1020S 10 200<br />

1819-1030S 10 300<br />

1819-1115S 11 150<br />

1819-1120S 11 200<br />

1819-1130S 11 300<br />

1819-1215S 12 150<br />

1819-1220S 12 200<br />

1819-1230S 12 300<br />

5.0mm Partially Threaded Locking Screws<br />

Titanium Diameter Length<br />

REF mm mm<br />

1891-5025S 5.0 25<br />

1891-5030S 5.0 30<br />

1891-5035S 5.0 35<br />

1891-5040S 5.0 40<br />

1891-5045S 5.0 45<br />

1891-5050S 5.0 50<br />

1891-5055S 5.0 55<br />

1891-5060S 5.0 60<br />

1891-5065S 5.0 65<br />

1891-5070S 5.0 70<br />

1891-5075S 5.0 75<br />

1891-5080S 5.0 80<br />

1891-5085S 5.0 85<br />

1891-5090S 5.0 90<br />

1891-5095S 5.0 95<br />

1891-5100S 5.0 100<br />

1891-5105S 5.0 105<br />

1891-5110S 5.0 110<br />

1891-5115S 5.0 115<br />

1891-5120S 5.0 120<br />

Compression Screw (cannulated)<br />

Titanium Diameter Length<br />

REF mm mm<br />

1818-0001S 8.0 14.5


<strong>Stryker</strong> Navigation<br />

Trauma Navigation System<br />

The Trauma Navigation System is<br />

a generic tool box that generally<br />

supports all kind of trauma<br />

surgery applications. The following<br />

applications benefit most from<br />

navigation and are fully supported by<br />

the system:<br />

• Nailing (entry point,<br />

reposition, distal targeting)<br />

• Lag Screw positioning -<br />

Gamma Nail<br />

• Screw placement for Pelvis,<br />

Hip, Femur and Tibia fractures<br />

Key Features Key Benefits<br />

Accurate Fluoroscopy Based Navigation<br />

Smart Navigation Technology<br />

(Active and Wireless)<br />

Widely Compatible Dedicated Trauma<br />

Instruments with Easy Calibration<br />

Clear and Intuitive Software<br />

User Interface<br />

Virtual C-Arm Guidance<br />

Drop In Screw Planning Capability and Distance/<br />

Angle Measurements<br />

Compatible with Other <strong>Stryker</strong> Navigation<br />

Systems (Spine, Knee, Hip, ENT, Neuro)<br />

The generic software, the universal<br />

patient anchoring system and the<br />

universal set of dedicated instruments<br />

cover also many further trauma<br />

applications. Generally all steps<br />

described in the available Navigation<br />

Surgery Technique for the selected<br />

applications apply to further<br />

applications in a similar way.<br />

The dedicated instruments are widely<br />

compatible and represent an open<br />

platform for different implant systems,<br />

although <strong>Stryker</strong> Implant Systems are<br />

best supported.<br />

20<br />

Accurate Implant Positioning,<br />

Significant Reduction of Radiation Exposure<br />

Provides an Unrestrained Field<br />

Simplicity to Surgeon and Staff<br />

Simplicity to Surgeon and Staff<br />

Reduction of Radiation Exposure when Targeting<br />

Field of View<br />

Intra-Operative Intervention Planning and<br />

Documentation


<strong>Stryker</strong> Navigation<br />

System Components<br />

Anchoring System 1<br />

Smart Tools 2<br />

Tool Tracker/ Patient Tracker Point Calibration Device Pointer<br />

Fluoroscopy Tracker (C-Arm Adapter)<br />

System Platform 2<br />

Anchoring Pins<br />

Trauma Instruments 3<br />

Navigated Curved Awl<br />

Localizer Camera<br />

Navigated Guide Sleeves<br />

Navigated Screwdrivers Tool Axis Adapter<br />

1 Selzach Trauma AG Selzach<br />

2 <strong>Stryker</strong> Instruments - Navigation<br />

3 <strong>Stryker</strong> Trauma GmbH Kiel<br />

Insertion Tool<br />

Hoffmann Couplings 3–4/5mm and 5/5mm<br />

21<br />

Universal Tracker Adapter Pin<br />

Nail Target Device Adapters<br />

Laptop Stand<br />

Navigated Lag Screw Sleeve<br />

Gamma and Gamma3<br />

Chuck Axis Adapter for<br />

<strong>Stryker</strong> Powertools


This document is intended solely for the use of healthcare professionals. A surgeon must always rely on his or her own<br />

professional clinical judgment when deciding whether to use a particular product when treating a particular patient.<br />

<strong>Stryker</strong> does not dispense medical advice and recommends that surgeons be trained in the use of any particular product<br />

before using it in surgery. The information presented in this brochure is intended to demonstrate a <strong>Stryker</strong> product.<br />

Always refer to the package insert, product label and/or user instructions including the instructions for Cleaning and<br />

Sterilization (if applicable) before using any <strong>Stryker</strong> products. Products may not be available in all markets. Product<br />

availability is subject to the regulatory or medical practices that govern individual markets. Please contact your <strong>Stryker</strong><br />

representative if you have questions about the availability of <strong>Stryker</strong> products in your area.<br />

<strong>Stryker</strong> Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following<br />

trademarks or service marks: <strong>Stryker</strong>, Bixcut, <strong>T2</strong>, Hoffmanns and Asnis III.<br />

All other trademarks are trademarks of their respective owners or holders.<br />

The products listed above are CE marked.<br />

Literature Number : B1000007<br />

LOT D0809<br />

Copyright © 2009 <strong>Stryker</strong><br />

<strong>Stryker</strong> Trauma GmbH<br />

Prof.-Küntscher-Straße 1−5<br />

D - 24232 Schönkirchen<br />

Germany<br />

www.osteosynthesis.stryker.com

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