S2™ IM Nailing System

S2IM Nailing System

OverviewSystem HighlightsAntegradeRetrogradeFemur A/RTibiaFemur CompressionTibia CompressionNote:The S2 System also includes a Tibial Nail Tx, with a proximal lockingconfiguration and distal nail design different to the other S2 Nails.This publication sets forth important information about the S2 Nailing Systemthat might not necessarily be applicable to the S2 Tibial Nail Tx. For detailedinformation please refer to the S2 Tibial Nail Tx -Operative Technique(Ref. No: B1000017).2

OverviewImplant Design Features• Material: 316LVM Stainless Steel• Two approaches: Antegrade and Retrograde for the S2 Femoral Nail A/R*• Only one Nail for Left and Right Side• Extreme proximal and distal hole positions for extended indications• Various locking options:Static, Dynamic, Apposition/Compression (for Compression Nails)• All nails are cannulated• Non-slotted nail with fluted profileTorsional stabilityOptimal bending stiffness• Unique Screw Design:Improved fatigue strength,Lower insertion torque• Only one Locking Screw Diameter:5mm for all Femoral and Tibial Nails 9−14mm**• Distal Nail Design for Guided Locking Technique:2 longitudinal grooves (one on each side of the nail) between the 2 M/LLocking Holes to allow easy locking without the need for fluoroscopicguidanceInstrument Design Features• Innovative instrumentsOnly one Target Device to be used for all Femoral and Tibial Nails• Distal Targeting DeviceAccurate Distal Guided Locking for each S2 Nail• Instruments and Trays are numbered and color coded for sequencedsurgical technique• Promotes minimally invasive surgery by allowing for smaller incisionsOperative Technique• Distal Guided Locking with a unique Distal Targeting DeviceDoes not require an additional hole to be drilled• No guide wire exchange needed for all Femoral and Tibial Nails 9−14mm• Reamed or unreamed insertion option* The S2 Femur Nail Compression and all S2 Tibial Nails are indicated only for antegrade use.** The 8mm Tibial Nails must be locked distally with 4mm Screws.3

Features & BenefitsImplant Design FeaturesS2 Femur A/R0mm 19 35 Radius R3000mm50°Femur Antegrade TargetingTarget TemplateS2 Tibia0mm 19355010° Herzog BendFemur Retrograde/Tibia TargetingS2 Femur Compression0mm 35 45 55Radius R3000mmTarget TemplateS2 Tibia Compression0mm 19354550Femur/Tibia Compression Targeting10° Herzog Bend4

Features & Benefits3020100mm6025155 0mm4° Distal BendAntegradeOblique ScrewRetrogradeCondyle Screw30100mm60 25 15 50mm4° Distal BendS2 FemurCompression ScrewS2 TibiaCompression Screw5

Features & BenefitsScrew ImprovementsImproved Fatigue Strength* Lower Insertion Torque* Improved Thread/Head Design105% 50%S2 5mm versus GK 6.28mm (100%)S2 5mm versus GK 6.28mm (100%)Due to the rounded geometry of the threadand the specialised manufacturing techniquesused, the S2 5mm screws are stronger thanthe clinically successful 6.28mm and 4.6mmGK screws.* test data available on requestShorter Screw tip with 3 cutting flutes for:• Faster, Easier “Start”• Maximum “Grip” & Minimal IrritationTransition from the screw thread to the head isright angled in order to:• Prevent fracture during insertion• Increase “feeling” on final tighteningApposition/CompressionBeforeAfter6

Features & BenefitsNail ImprovementsBending Rigidity in Sagittal Plane - Nm/mm*Dynamic strength (Median Fatigue Limit)**201816+72%1412+31%1086420G/K S2ø11mm Femur* test data available on requestG/K-Slotted S2ø11mm TibiaG/K S2ø10mm Tibia**tested with distal Tibia set up acc. LattaG/K-Slotted S2ø11mm TibiaWorking LengthG/K FemurReferenceS2 Femur A/R+ 15mmG/K TibiaReferenceS2 Tibia+ 30mm7

Operative TechniqueHighlights1Opening2Reduction3Nail Insertion4Distal Guided Locking4Proximal Guided Locking8

InstrumentsDistal Targeting DeviceDistal Targeting Instruments9

Ordering Information - InstrumentsREF DescriptionStandard Instruments Femur/Tibia1806-2012 Rigid Reamer Ø121806-0050 K-Wire 3×285mm1806-0110 Universal Rod1806-0040 Awl, curved1806-0125 Reduction Spoon1806-0130 Wrench 8/101806-0096 Guide Wire Handle Chuck1806-0095 Guide Wire Handle1806-0020 Guide Wire Ruler1806-8011 X-Ray Ruler Femur AR1806-8013 X-Ray Ruler Tibia1806-0150 Strike Plate1806-8005 S2 Nail Holding Screw (2 of each)1806-0170 Slotted Hammer1806-0400 Socket Wrench, Universal Joint 10mm1806-8003 Sleeve Fixation Screw1806-8016 Target Template1806-8017 Target Template, compression1806-8000 S2 Target Device (3 components*)1806-8001 S2 Nail Adapter*1806-8002 S2 Targeting Adapter*1806-1007 Fixation Screw*1806-0185 Tissue Protection Sleeve, long1806-0315 Trocar, long1806-0215 Drill Sleeve, long702 429 Teardrop Handle, AO Coupling1806-0227 Screwdriver Shaft, AO long1806-0292 Screwdriver Shaft, 3,5×85mm1806-0325 Screw Gauge, long1806-4260 Drill Ø4.2×340mm1806-4270 Drill Ø4.2×180mm1806-0480 Screw Gauge Freehand1806-8018 Drill Ø4.2×250mm1806-8022 S2 Dedicated Instrument Tray10

Ordering Information - InstrumentsREF DescriptionOptional Instruments Femur/Tibia1806-0045 Awl, straight703 165 Protection Sleeve retrograde18068012 X-Ray Ruler Fe Compression18068014 X-Ray Ruler Tibia Comp1806-0135 Insertion Wrench 10mm1806-0255 Screwdriver Condylescrew (2 of each)1806-0257 Revision Screwdriver Bit, Condyle Screw1806-0041 Awl, Curved, 90°Handle1806-0350 Extraction Rod, conical1806-0232 Screwdriver, long1806-5000 Drill Ø5.0×230mm1806-3550 Drill Ø3.5×130mm0152-0218 K-Wire Ø1.8×310mm1806-5020 Drill Ø5.0×340mm1806-0085S Guide Wire, Ball Tip, 3×1000mm, Sterile1806-0080S Guide Wire, Ball Tip, 3×800mm, Sterile1806-0090S Guide Wire, Smooth Tip 3×800mm, Sterile1806-0073 Teflon Tube, (outside of U.S. for 8mm Tibia)1806-0073S Teflon Tube, sterile ( U.S. for 8mm Tibia)X-Ray Templates1806-8006 X-Ray Template, Femur, A/R1806-8007 X-Ray Template, Femur, Compression1806-8008 X-Ray Template, Tibia1806-8009 X-Ray Template, Tibia, Compression11

Ordering Information - ImplantsREF Diameter LengthmmmmS2 FEMORAL NAIL A/R1732-0926S1732-0928S1732-0930S1732-0932S1732-0934S1732-0936S1732-0938S1732-0940S1732-0942S1732-0944S1732-0946S1732-0948S1732-1026S1732-1028S1732-1030S1732-1032S1732-1034S1732-1036S1732-1038S1732-1040S1732-1042S1732-1044S1732-1046S1732-1048S1732-1126S1732-1128S1732-1130S1732-1132S1732-1134S1732-1136S1732-1138S1732-1140S1732-1142S1732-1144S1732-1146S1732-1148S1732-1226S1732-1228S1732-1230S1732-1232S1732-1234S1732-1236S1732-1238S1732-1240S1732-1242S1732-1244S1732-1246S1732-1248S1732-1326S1732-1328S1732-1330S1732-1332S1732-1334S1732-1336S1732-1338S1732-1340S1732-1342S1732-1344S1732-1346S1732-1348S1732-1426S1732-1428S1732-1430S1732-1432S1732-1434S1732-1436S1732-1438S1732-1440S1732-1442S1732-1444S1732-1446S1732-1448S9.09.09.09.09.09.09.09.09.09.09.09.010.010.010.010.010.010.010.010.010.010.010.010.011.011.011.011.011.011.011.011.011.011.011.011.012.012.012.012.012.012.012.012.012.012.012.012.013.013.013.013.013.013.013.013.013.013.013.013.014.014.014.014.014.014.014.014.014.014.014.014.0260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480S2 FEMORAL NAIL COMPRESSION1735-0926S1735-0928S1735-0930S1735-0932S1735-0934S1735-0936S1735-0938S1735-0940S1735-0942S1735-0944S1735-0946S1735-0948S1735-1026S1735-1028S1735-1030S1735-1032S1735-1034S1735-1036S1735-1038S1735-1040S1735-1042S1735-1044S1735-1046S1735-1148S1735-1126S1735-1128S1735-1130S1735-1132S1735-1134S1735-1136S1735-1138S1735-1140S1735-1142S1735-1144S1735-1146S1735-1148S1735-1226S1735-1228S1735-1230S1735-1232S1735-1234S1735-1236S1735-1238S1735-1240S1735-1242S1735-1244S1735-1246S1735-1248S1735-1326S1735-1328S1735-1330S1735-1332S1735-1334S1735-1336S1735-1338S1735-1340S1735-1342S1735-1344S1735-1346S1735-1348S1735-1426S1735-1428S1735-1430S1735-1432S1735-1434S1735-1436S1735-1438S1735-1440S1735-1442S1735-1444S1735-1446S1735-1448S9.09.09.09.09.09.09.09.09.09.09.09.010.010.010.010.010.010.010.010.010.010.010.010.011.011.011.011.011.011.011.011.011.011.011.011.012.012.012.012.012.012.012.012.012.012.012.012.013.013.013.013.013.013.013.013.013.013.013.013.014.014.014.014.014.014.014.014.014.014.014.014.0260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480260280300320340360380400420440460480REF Diameter Lengthmmmm12

Implants are packaged sterile.Note:Check with local representativeregarding availability of sizes and nailtypes.Ordering Information - ImplantsS2 TIBIAL NAIL1722-0824S1722-0825S1722-0827S1722-0828S1722-0830S1722-0831S1722-0833S1722-0834S1722-0836S1722-0837S1722-0839S1722-0840S1722-0842S1722-0924S1722-0925S1722-0927S1722-0928S1722-0930S1722-0931S1722-0933S1722-0934S1722-0936S1722-0937S1722-0939S1722-0940S1722-0942S1722-1024S1722-1025S1722-1027S1722-1028S1722-1030S1722-1031S1722-1033S1722-1034S1722-1036S1722-1037S1722-1039S1722-1040S1722-1042S1722-1124S1722-1125S1722-1127S1722-1128S1722-1130S1722-1131S1722-1133S1722-1134S1722-1136S1722-1137S1722-1139S1722-1140S1722-1142S1722-1224S1722-1225S1722-1227S1722-1228S1722-1230S1722-1231S1722-1233S1722-1234S1722-1236S1722-1237S1722-1239S1722-1240S1722-1242S8.08.08.08.08.08.08.08.08.08.08.08.08.09.09.09.09.09.09.09.09.09.09.09.09.09.010.010.010.010.010.010.010.010.010.010.010.010.010.011.011.011.011.011.011.011.011.011.011.011.011.011.012.012.012.012.012.012.012.012.012.012.012.012.012.0240255270285300315330345360375390405420240255270285300315330345360375390405420240255270285300315330345360375390405420240255270285300315330345360375390405420240255270285300315330345360375390405420REF Diameter LengthmmmmREF Diameter Lengthmmmm1722-1324S1722-1325S1722-1327S1722-1328S1722-1330S1722-1331S1722-1333S1722-1334S1722-1336S1722-1337S1722-1339S1722-1340S1722-1342S1722-1424S1722-1425S1722-1427S1722-1428S1722-1430S1722-1431S1722-1433S1722-1434S1722-1436S1722-1437S1722-1439S1722-1440S1722-1442S13.013.013.013.013.013.013.013.013.013.013.013.013.014.014.014.014.014.014.014.014.014.014.014.014.014.024025527028530031533034536037539040542024025527028530031533034536037539040542013

Ordering Information - ImplantsImplants are packaged sterile.Note:Check with local representativeregarding availability of sizes and nailtypes.REF Diameter LengthmmmmS2 Tibial Nail Compression1725-0824S1725-0825S1725-0827S1725-0828S1725-0830S1725-0831S1725-0833S1725-0834S1725-0836S1725-0837S1725-0839S1725-0840S1725-0842S1725-0924S1725-0925S1725-0927S1725-0928S1725-0930S1725-0931S1725-0933S1725-0934S1725-0936S1725-0937S1725-0939S1725-0940S1725-0942S1725-1024S1725-1025S1725-1027S1725-1028S1725-1030S1725-1031S1725-1033S1725-1034S1725-1036S1725-1037S1725-1039S1725-1040S1725-1042S1725-1124S1725-1125S1725-1127S1725-1128S1725-1130S1725-1131S1725-1133S1725-1134S1725-1136S1725-1137S1725-1139S1725-1140S1725-1142S1725-1224S1725-1225S1725-1227S1725-1228S1725-1230S1725-1231S1725-1233S1725-1234S1725-1236S1725-1237S1725-1239S1725-1240S1725-1242S8.08.08.08.08.08.08.08.08.08.08.08.08.09.09.09.09.09.09.09.09.09.09.09.09.09.010.010.010.010.010.010.010.010.010.010.010.010.010.011.011.011.011.011.011.011.011.011.011.011.011.011.012.012.012.012.012.012.012.012.012.012.012.012.012.024025527028530031533034536037539040542024025527028530031533034536037539040542024025527028530031533034536037539040542024025527028530031533034536037539040542024025527028530031533034536037539040542013.013.013.013.013.013.013.013.013.013.013.013.013.014.014.014.014.014.014.014.014.014.014.014.014.014.0240255270285300315330345360375390405420240255270285300315330345360375390405420REF Diameter Lengthmmmm1725-1324S1725-1325S1725-1327S1725-1328S1725-1330S1725-1331S1725-1333S1725-1334S1725-1336S1725-1337S1725-1339S1725-1340S1725-1342S1725-1424S1725-1425S1725-1427S1725-1428S1725-1430S1725-1431S1725-1433S1725-1434S1725-1436S1725-1437S1725-1439S1725-1440S1725-1442S14

Ordering Information - Implants5mm Fully Threaded Locking ScrewsREF Diameter Lengthmmmm1796-5025S1796-5030S1796-5035S1796-5040S1796-5045S1796-5050S1796-5055S1796-5060S1796-5065S1796-5070S1796-5075S1796-5080S1796-5085S1796-5090S1796-5095S1796-5100S1796-5105S1796-5110S1796-5115S1796-5120S5.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.02530354045505560657075808590951001051101151205mm Partially Threaded Locking ScrewsREF Diameter Lengthmmmm1791-5025S1791-5030S1791-5035S1791-5040S1791-5045S1791-5050S1791-5055S1791-5060S1791-5065S1791-5070S1791-5075S1791-5080S1791-5085S1791-5090S1791-5095S1791-5100S1791-5105S1791-5110S1791-5115S1791-5120S5.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.0253035404550556065707580859095100105110115120End CapsREF Diameter Lengthmmmm1722-0003S1722-0005S1722-0010S1722-0015S8.011.511.511.50+5+10+154mm Fully Threaded Locking Screws*REF Diameter Lengthmmmm1796-4025S1796-4030S1796-4035S1796-4040S1796-4045S1796-4050S1796-4055S1796-4060S4.04.04.04.04.04.04.04.02530354045505560Condyle ScrewsREF Diameter Lengthmmmm1795-5040S1795-5045S1795-5050S1795-5055S1795-5060S1795-5065S1795-5070S1795-5075S1795-5080S1795-5085S1795-5090S1795-5095S1795-5100S1795-5105S1795-5110S1795-5115S1795-5120S5.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.05.0404550556065707580859095100105110115120Compression ScrewREF Diameter Lengthmmmm1722-0001SSet Screw - ProximalREF Diameter Lengthmmmm1722-0002S 8.0Nut for Condyle ScrewsREF Diameter Lengthmmmm1795-5001S 17.0Note:Outside of the U.S., Locking Screws maybe ordered non-sterile without the “S” atthe end of the correspondingCat. Number.* Only for distal locking of the 8mm Tibia Nails.15

Joint ReplacementsTraumaSpineMicro ImplantsOrthobiologicsInstrumentsInterventional PainNavigationEndoscopyCommunicationsPatient Handling EquipmentEMS EquipmentProf.-Küntscher-Strasse 1-5D-24232 SchönkirchenGermanywww.trauma.stryker.comThe information presented in this brochure is intended to demonstrate a Stryker product. Always refer to the packageinsert, product label and/or user instructions before using any Stryker product. Products may not be available in allmarkets. Product availability is subject to the regulatory or medical practices that govern individual markets. Pleasecontact your Stryker representative if you have questions about the availability of Stryker products in your area.Products referenced with designation are trademarks of Stryker.Products referenced with ® designation are registered trademarks of Stryker.REF. NO B1000018LOT B2204Copyright © 2004 StrykerPrinted in Germany