Inventory Control Form Titanium Cannulated Humeral Nail-EX System

Patient Information: SYNTHES (USA) SYNTHES (Canada) Ltd. To Order: (800) 523-0322 To Order: (800) 668-1119

Date:

Hospital:

Surgeon:

Procedure:

Implants

7 mm Titanium Cannulated Proximal 11 mm Titanium Cannulated Humeral Humeral Nail-EX, Sterile Nail-EX, Sterile

LENGTH LENGTH LENGTH 04.001.210S 150 mm 04.001.618S 190 mm 04.001.632S 260 mm 04.001.620S 200 mm 04.001.634S 270 mm 04.001.622S 210 mm 04.001.636S 280 mm 9 mm Titanium Cannulated Proximal 04.001.624S 220 mm 04.001.638S 290 mm Humeral Nail-EX, Sterile 04.001.626S 230 mm 04.001.640S 300 mm 04.001.628S 240 mm 04.001.642S 310 mm LENGTH 04.001.410S 150 mm 04.001.630S 250 mm 04.001.644S 320 mm

Titanium End Cap with T25 StarDrive for 11 mm Titanium Cannulated Proximal Titanium Humeral Nail-EX Spiral Blade◊ Humeral Nail-EX, Sterile

LENGTH 04.001.000 0 mm extension 04.001.610S 150 mm 04.001.001 5 mm extension 04.001.002 10 mm extension 04.001.003 15 mm extension 7 mm Titanium Cannulated Humeral Nail-EX, Sterile

LENGTH LENGTH Titanium Spiral Blade for Titanium 04.001.218S 190 mm 04.001.232S 260 mm Humeral Nails◊ 04.001.220S 200 mm 04.001.234S 270 mm LENGTH LENGTH 04.001.222S 210 mm 04.001.236S 280 mm 462.634 34 mm 462.646 46 mm 04.001.224S 220 mm 04.001.238S 290 mm 462.636 36 mm 462.648 48 mm 04.001.226S 230 mm 04.001.240S 300 mm 462.638 38 mm 462.650 50 mm 04.001.228S 240 mm 04.001.242S 310 mm 462.640 40 mm 462.652 52 mm 04.001.230S 250 mm 04.001.244S 320 mm 462.642 42 mm 462.654 54 mm 462.644 44 mm 9 mm Titanium Cannulated Humeral Nail-EX, Sterile

LENGTH LENGTH 04.001.418S 190 mm 04.001.432S 260 mm 04.001.420S 200 mm 04.001.434S 270 mm 04.001.422S 210 mm 04.001.436S 280 mm 04.001.424S 220 mm 04.001.438S 290 mm 04.001.426S 230 mm 04.001.440S 300 mm 04.001.428S 240 mm 04.001.442S 310 mm 04.001.430S 250 mm 04.001.444S 320 mm

Synthes is a trademark of Synthes, Inc. or its affiliates. J5294-F 10/12 ◊ These implants and instruments are available nonsterile or sterile-packed. Add S to catalog number to order sterile product. Inventory Control Form Titanium Cannulated Humeral Nail-EX System

Implants (cont’d) Instruments

4.0 mm Titanium Locking Screw Drill Bits T25 StarDrive recess for IM Nails◊ LENGTH LENGTH 04.005.408 18 mm 04.005.430 40 mm 03.010.060◊ 3.2 mm Three-Fluted Drill Bit, quick coupling, 04.005.410 20 mm 04.005.432 42 mm 330 mm/100 mm Calibration 04.005.412 22 mm 04.005.434 44 mm 04.005.414 24 mm 04.005.436 46 mm 04.005.416 26 mm 04.005.438 48 mm 03.010.089◊ 4.5 mm Cannulated Drill Bit, Jacobs chuck with 04.005.418 28 mm 04.005.440 50 mm 135 mm stop, 165 mm 04.005.420 30 mm 04.005.442 52 mm 04.005.422 32 mm 04.005.444 54 mm ◊ 04.005.424 34 mm 04.005.446 56 mm 03.010.100 3.2 mm Three-Fluted Drill Bit, quick coupling, needle point, 145 mm for Radiolucent Drive 04.005.426 36 mm 04.005.448 58 mm 04.005.428 38 mm 04.005.450 60 mm

03.010.103◊ 3.2 mm Three-Fluted Drill Bit, quick coupling, needle point, 145 mm

310.44◊ 4.5 mm Drill Bit, quick coupling, 145 mm

360.05◊ 10.0 mm Cannulated Drill Bit, large quick coupling, 190 mm

Guide Wire

03.010.025 2.0 mm Guide Wire, 240 mm

Kirschner Wire

292.26 2.5 mm Kirschner Wire with Trocar Point, 285 mm