IMEX catalogue 2008

08Catalog& price list

800-828-4639www.imexvet.com

SALES ORDER FAX REQUEST1001 McKesson Drive

Longview, Texas 75604Phone: (903) 295-2196

Fax: (903) 295-0730Toll Free: 800-828-4639

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Terms and Conditions

Hours:Monday-Friday, 8:00 am to 5:00 pm Central Time. Same-day shipping on orders placed before 3:00 pm. Shipment of emergency orders available after 3:00 pm.

Terms:Visa and MasterCard accepted. Domestic U.S. accounts can establish an open account with Net 30 day terms.

Export orders require prepayment prior to shipment. Visa, MasterCard, and wire transfers are acceptable. All duties and taxes are the responsibility of the recipient.

Freight:Continental U.S. orders exceeding $150.00 will be shipped standard “ground” freight at no charge. Overnight, Two-Day Air, Three-Day Air, etc. are available on request and invoiced as selected by customer.

Returns:Returns must be within 30 days of invoice date for full credit. Items returned after 30 days and up to 60 days are subject to a 20% restocking fee. In order to maintain product integrity, no returns will be accepted after 60 days. Returned items must be in original container and accompanied by invoice or packing list. All returns are subject to quality inspection prior to credit being issued. In order to ensure proper credit, please call prior to return for complete return authorization.

Order Information:To order by telephone, call 800-828-4639 or 903-295-2196. Order by fax at 903-295-0730. To order by mail, please send your order to IMEX™ Veterinary, Inc., 1001 McKesson Drive, Longview, TX 75604. E-mail orders with complete documentation to [email protected].

To expedite an accurate, timely delivery of your order please indicate part numbers and quantities with all orders. We have many versions of similar pins and components, and part numbers eliminate confusion that can occur with descriptive terminology. Exact address information, contact name, phone number, and fax number are necessary. Any additional information (VAT, brokerage, etc.) should be clearly documented with the order. Fax numbers and e-mail addresses will assist in rapid fulfillment of orders.

Part specifications are subject to change should clinical and research data indicate.Prices are subject to change.

Conversions:Charts in this catalog often list inch (fractional) and metric dimensions. In such cases, the dimension that is actually manufactured is listed, and the corresponding converted dimension is referenced as “approximate” or in parenthesis. For example: 1/8” (3.2mm) indicates that the dimension is a true 1/8” and is approximately 3.2mm.

Please Specify Part Numbers When Ordering

ii

SK™ External Skeletal Fixation SystemHistory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Review of SK™ ESF Clamp Design . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Review of SK™ ESF System Mechanics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Frequently Asked Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

Basic Application Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Mini SK™ ESF System Components and Starter Kits, Distraction/Compression Components . . . . . . . . . 10-12

Small SK™ ESF System Components and Starter Kits, Distraction/Compression Components . . . . . . . . 13-16

Large SK™ ESF System Components and Starter Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17-19

SK™ Hybrid External Skeletal FixationSK™ Hybrid ESF Review and FAQs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-21

SK™ Hybrid Rods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22-23

SK™ Universal Hybrid Adapter NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

SK™ Miniature and Small Hybrid ESF Starter Kits NEWNEW

KITKIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-24

Kirschner-Ehmer (KE) External Skeletal FixationHistory and Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Small and Medium KE Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

IMEX™ Circular External Skeletal Fixation SystemHistory and Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

CESF Rings: Full, 5/8 1/3, Stretch, D2, Spinal Arches NEWNEW

RINGRING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28-29

Linear Distraction Motors and Threaded Rods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Bolts, Nuts, Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31-32

Plates, Posts, Half-pin Fixation Bolts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Angular Distraction Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Fixation Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Circular ESF Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Circular ESF Starter Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Miniature Circular ESF Components NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36-39

Miniature Circular ESF Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

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Table of Contents

IMEX™ Account Number

iiiPlease Specify Part Numbers When Ordering

External Skeletal Fixation PinsHistory of ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Miniature INTERFACE™ Fixation Half-pins, Miniature Stick-pins NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

INTERFACE™ Fixation Half-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

INTERFACE™ NP (No Point) Fixation Half-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

CENTERFACE™ Fixation Full-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

CENTERFACE™ NP (No Point) Fixation Full-pins - Standard Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . 45

INTERFACE™ Fixation Half-pins - CANCELLOUS Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

CENTERFACE™ Fixation Full-pins - CANCELLOUS Thread Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

SCAT™ Fixation Half-pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Smooth ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

Radiographic Overlays, Pin Caps, ESF Pin Ordering Guide and IM Pin Gage/Scale NEWNEW . . . . . . . . . . . . 49

Large Animal Transfixation PinningLarge Animal Transfixation Pins, Taps and Drill Bits NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Miscellaneous Pins and RodsInterlocking Nail Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

TPLO Reduction Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Trans-ilial Rods and Nuts NEWNEWSTYLESTYLE

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Drill Bits and SleevesStickTite™ Drill Bits

NEWNEW

SIZESIZE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Standard ESF Drill Bits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

ESF Drill Sleeves NEWNEWSIZESSIZES

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

IM Pins, K-wire, Orthopaedic WireSteinmann Intramedullary Pins: T/T Smooth, T/T Partial Thread . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Steinmann Intramedullary Pin Starter Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

K-wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Orthopaedic (Cerclage) Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Pin and Wire AccessoriesPower Drill Adapter and Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Hand Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Replacement Key for 1/4” Jacobs Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Power Surgery Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Mini Hand Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

IM Pin Organizer Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Cloth Drill Shroud . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

ESF Instrument/Organizer Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

IM Pin Gage/Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

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Joint Stabilization Suture Anchors Introduction to Suture Anchors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Suture Anchors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Suture Anchor Drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Suture Anchor Caddy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Suture Anchor Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Suture Anchor Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Suture Anchor Clinical Case Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58-61

Hip Luxation Introduction to Toggle Pin Method of Coxofemoral Luxation Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Universal Aiming Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Universal Aiming Device Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Toggle Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Polypropylene Suture Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Suture Passer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Hip Luxation Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

Instructions for Toggle Pin Method of Coxofemoral Luxation Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

TPLO Reduction Pins See Miscellaneous Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Spiked Bone Washers Spiked Bone Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Universal Aiming Device Universal Aiming Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

SK™ Range of Motion (ROM™) Hinges and RodsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Small SK™ Range of Motion (ROM™) Hinge NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Small SK™ Hybrid Rods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Large SK™ Range of Motion (ROM™) Hinge NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Large SK™ Range of Motion (ROM™) Hinge Rods NEWNEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

2008 Price List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69-79

(Items listed in order of catalog appearance)

Table of Contents

1Please Specify Part Numbers When Ordering

SK™ External Skeletal Fixation System

The SK™ External Skeletal Fixation System

The History of SK™ ESF Technology

The SK™ ESF System is designed to simplify the application and management of external skeletal fixators. The SK™ ESF clamp supports use of positive thread pins directly through the primary clamp bolt, allows the surgeon to easily add a fixation clamp after the fact as needed, and provides the freedom to utilize a great variety of fixation pin diameters and styles. In addition, the SK™ ESF System supports sleeved pre-drilling and targeting of fixation pins. Traditional KE frames and new KE-like frames typically depend on complex frame geometries, connecting rod augmentation, and/or multiple full-pins to achieve adequate frame strength. In contrast, the SK™ ESF System features dramatically improved connecting rods that make use of simpler frames a clinical reality. The SK™ ESF System dramatically changed standard concepts of veterinary ESF by placing less emphasis on full-pins and frame complexity while promoting biological technique and safe pin corridor philosophy to reduce patient morbidity. By-products of simple frame constructs include: economy of hardware, reduced operative time, and less required instrumentation. The SK™ ESF System is available in three sizes; mini, small, and large.

Review of SK™ ESF Clamp Design

The user-friendly design of the SK™ single clamp allows for pre-drilling as well as placement of positive thread pins through the pin-gripping clamp bolt. This eliminates the difficulty historically associated with the use of positive profile threaded pins. The gripping mechanism of the SK™ ESF clamp allows a variety of different pin sizes and types to be utilized at the surgeon’s discretion. The split nature of the SK™ clamp allows quick and easy addition or removal of a clamp without requiring frame disassembly. Simple wrenches are the only required instrumentation; however, optional drill sleeves are available to simplify pre-drilling.

The aluminum clamp body is comprised of two different parts (B-1 and B-2). Each has a pair of holes, the left one to receive the primary pin-gripping bolt (pb) and the right one to receive the secondary bolt (sb). None of these holes have threads except for the secondary bolt hole in B-1 body part.

After each use, a clamp may be disassembled for proper cleaning. The B-1 and B-2 body parts must not be interchanged when the clamp is reassembled for another use, or it will not work properly. Proper assembly of the clamp is shown in the photo at right.

The large rod-gripping channel (R) is in the center of the clamp.The primary pin-gripping bolt (pb) has a washer with a slot or meniscus (arrow) which enables a wide range of pin diameters to be securely gripped by the clamp. The clamp is tightened by the secondary bolt and by a nut (n) on the primary pin-gripping bolt. Alternative tightening of each bolt will maximize clamp performance.

The secondary bolt should be viewed as a second pair of hands to be utilized to position and hold clamps in place while aiming drill bits, drilling, and placing pins. When one becomes comfortable utilizing the secondary bolt as an assistant it becomes very easy to reduce fractures and apply frames. The secondary bolt converts an empty clamp into both a drill guide and a targeting device. While the mechanical properties of the SK™ ESF System allow minimal use of full-pins, they can be easily targeted without additional expensive instrumentation.

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The SK™ ESF Advantage

Review of SK™ ESF Mechanics

The most powerful way to simplify the ESF method lies in mechanical frame improvements that are not dependent on full-pins or complex frame geometries. In this respect, the SK™ ESF System is designed to be dramatically different from the KE and new KE-like systems that utilize traditional 1/8” and 3/16” connecting rods.

Mechanical testing of KE frames reveals the connecting rod as the “weak link” of sim-ple fixator frames. In retrospect, the choice of KE rods utilized was and still is poorly matched to veterinary pin diameters and patient demands; dictating that veterinary surgeons utilize complex ESF frames. By eliminating the weak link of simple frames, the SK™ ESFSystem provides a simple but powerful alternative to complex frame geometry.

Simple frames, the ability of clamps to effectively grip a wide range of different pin diameters, and the need for minimal instrumentation make the SK™ ESF System the most economical ESF choice. Reduced use of full-pins minimizes pin tracts and related morbidity while simplifying staged disassembly and post-operative care. Most importantly, use of half-pins instead of full-pins encourages and facilitates optimal pin centering and use of safe pin corridors.

Comparative Bending Strength of ESF Rods

KE - Under 50 lbs. SK™ - Under 50 lbs.



1 Axial CompressionThe large SK™ Type l-a frame exceeds the strength of the KE Type l-a, KE Type l-b and the modified Type II KE (one full-pin per fragment and the balance half-pins). The large SK™ Type I-b provides 60% of the axial strength and stiffness of the most complex KE frame (Type lll).

2 Cranio-Caudal BendingThe large SK™ Type l-a frame exceeds all KE frames except the Type lll.

3 Medio-Lateral BendingComparable Type l-a and l-b frames have an approximate fourfold increase in strength when constructed utilizing the large SK™ rods.

Isolated connecting rod testing does not tell the entire story. Actual testing of ESF frame models confirms that frame simplification can be accomplished by incorporating strong connecting rods. Typical ESF frames were constructed of large SK™ components with medium pins as well as medium KE components with medium pins. By comparing frames with equivalent geometries and identical pins, the actual impact of the connecting rod on mechanical performance can be seen (Bronson, D.G., Ross, J.D., Welch, R.D., Proceedings of Veterinary Orthopaedic Society Annual Meeting, 1999). Recently published mechanical testing of currently available veterinary ESF devices confirms the ability of larger diameter connecting rods to allow clinical use of simpler frame geometries (White, D.T., Bronson, D.G., Welch, R.D.: A Mechanical Comparison of Veterinary External Skeletal Fixation Systems. Veterinary Surgery 32:507-514, 2003).

The goal of the SK™ ESF System is not to generate ever-increasing frame stiffness, but to achieve clinically appropriate strength while using simple, patient friendly frames.

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SK™ ESF Q & A

What pin sizes does each SK™ ESF clamp support?

The mini SK™ clamp is designed to grip pin shank diameters of 0.035” (0.9mm) to 2.5mm. With current positive thread pins, the largest pin used is typically the 2.0mm shank INTERFACE™ or CENTERFACE™ pin which features a 2.5mm thread diameter. Miniature INTERFACE™ pins of 0.078” and 0.062” diameters are also popular choices. While the mini SK™ clamp can hold pins as small as 0.035” and is very compact, there will be kittens, toy breeds, and exotics with bones so small they will be unable to wear mechanical frames. Such patients will benefit from acrylic ESF frames constructed using miniature INTERFACE™ pins.

The small SK™ clamp is designed to utilize 2.0mm to 4.0mm pin shanks in positive or negative thread pin designs. This means that 2.0mm shank, small, small-plus, and medium INTERFACE™ half-pins and CENTERFACE™ full-pins in standard thread versions can be utilized directly through the clamp. Medium, positive thread pins in cancellous versions (3/16” thread diameter) will not pass directly through the small SK™ clamp, but the shank can be effectively gripped. Cancellous pins are usually placed as one of the original pins in the frame and the clamp applied to the pin; therefore, use of medium cancellous pins is simple. The small SK™ clamp can grip pins with 4mm shanks; however, as a practical matter, pins that large belong on a larger clamp and rod.

The large SK™ clamp is designed to handle 3.0mm shank, medium, medium-plus, and large ESF pins, both positive and negative thread pin designs. These sizes of INTERFACE™ and CENTERFACE™ fixation pins can be applied directly through the clamp bolt, with the exception of the large cancellous version of positive thread pins - which are usually placed prior to application of clamp and rod. The maximum pin shank that can be held by and passed directly through the large SK™ clamp bolt is 3/16” (4.8mm). Human pins in the range of 3.0mm to 4.5mm can also be utilized.

Are through-and-through (full) pins no longer utilized?

While dependency on full-pins is greatly reduced, they can occasionally be assets in challenging clinical cases, especially when combined with a strategy for staged disassembly. A review of mechanical testing confirms that simplified full-pin frames (only one full-pin per major fragment) are very powerful with the SK™ ESF System. These frames are readily applied to the tibia. In addition, the distal humeral condyle remains a location in which full-pins are frequently used. Due to the anatomy of the radius, full-pins are rarely recommended regardless of the ESF device utilized. Type 1-b frames are a very powerful alternative to multiple full-pin frames, providing potential for increased pin number in short fragments while utilizing safe pin corridors. Sales of full-pins to users of the SK™ ESF System have decreased significantly, while sales of half-pins have increased. This altered use ratio is supported by mechanical testing and practical results. With any ESF device, mechanical demands for stability must be weighed, and the fixation must be customized to the patient based on a fracture patient assessment, so across-the-board frame recommendations are not a reality. Patients with injuries to multiple limbs or other complicating factors will require increased (initial) frame rigidity.

I never utilize large ESF pins - only small and medium. Why should I consider the large SK™ ESF System?

Frame simplification results in reduced surgery time and hardware cost. The medium 1/8” (3.2mm) pin has certainly been the workhorse over a variety of different patient sizes and readily functions with small and large SK™ ESF clamps. While the medium KE device is capable of supporting fracture healing in large and giant breeds, the resulting frames are typically very complex and hardware-intensive. While any device can be pushed to support larger patients, it is easier, quicker, and less expensive to construct a simpler frame of stronger components. This is especially true with fractures of the humerus and femur where Type I-b, Type II, and Type III frames are not possible. Staged disassembly or rod downsizing can address potential concerns about excess frame stability.



Tell me more about the economics of simple SK™ frames.

Full-pins cost more than half-pins and require a clamp on each end. For example, a 6 pin, Type II ESF frame will require 12 clamps and two rods, while an 8 pin, Type I-b frame will require only 8 clamps and two rods. An even larger rod device might function in the same case as a 6 pin, Type I-a frame requiring only 6 clamps and a single rod. The 8 pin, Type 1-b frame will be easy to destabilize to a 4 pin, Type I-a if desired, and the large SK™ Type I-a frame can be easily downsized to a small SK™ rod and clamps if desired. The lack of need for aiming devices, torque wrenches, and rod augmentation further reduces cost of ownership and use.

Why are carbon fiber rods and titanium rods choices with the small SK™ fixator?

The 6.3mm carbon fiber rod is about the strength of the medium KE rod, and the 6.3mm titanium rod is just less than twice the strength of the medium KE rod. Since either rod is much stronger than the small KE rod, the lightweight, radiolucent carbon rod is virtually always used when pin choices are 2.0mm shank, small, or small-plus diameters. When medium pins are selected, less challenging, lighter weight patients may utilize carbon rods. On lower limbs, Type I-b or Type II minimal frames will extend the upper weight range for carbon rods. For larger patients with medium pins, the added strength of titanium rods is advantageous, especially if attempting to simplify frames or in most fractures involving the humerus or femur. At some point, more complex frames need to be built or large SK™ ESF rods should be utilized. Both carbon and titanium rods are in the small SK™ starter kit, but customers usually re-order their ultimate preference. Differences in strength can be utilized as part of a plan for staged disassembly or rod downsizing.

Why are carbon fiber and aluminum rods available for the large SK™ ESF System?

For the most part, aluminum rods are merely a back-up material for large SK™ rods in the unlikely event that carbon material is temporarily unavailable. Due to the 9.5mm diameter, both are much stronger than corresponding medium and even large KE rods and can serve to simplify the ESF method quite well. Down-staging from 9.5mm carbon to 9.5mm aluminum in the large SK™ is not typical and less likely to be beneficial as compared to downsizing to a small SK™ rod.

How are various SK™ rods cut to length?

Carbon fiber rods are not to be cut with bolt cutters or pin cutters; however, they can readily be sawed with a fine-toothed hacksaw blade or an abrasive disc on a Dremel tool. Carbon fiber dust is potentially dangerous, so it is recommended that a damp paper towel be laid over the cutting area to capture any dust. Small SK™ titanium rods can be cut with a large bolt cutter, but tend to develop a significant burr that must be smoothed with a file or sanding material. Large SK™ aluminum rods can be cut with a large bolt cutter or hacksaw.

All SK™ ESF System connecting rods are stocked in length increments of 50mm. The variety of lengths available should greatly reduce the need for cutting rods.

Which rod should be used to construct contoured rod frames?

The mini SK™ 3.2mm (1/8”) stainless steel rod is the same rod as the small KE system and is easy to contour.

The small SK™ 6.3mm titanium external rod is the only rod other than the mini stainless steel rod that can be bent for this purpose. It is quite difficult to bend and is best bent prior to sterilization using a vise and two hand chucks. Plate benders can also be utilized. A different strategy must be used with large IMEX™ SK™ clamps because carbon fiber composite rods cannot be contoured. Readily constructed circular/SK™ hybrid frames, stable double clamps, and other alternatives to rod bending usually result in fixation superior to contoured rod frames.

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SK™ ESF Q & A

What is a simpler and more stable method of forming an adjustable articulation using SK™ components?

A popular technique that has been successful for spanning joints with all sizes of SK™ frames is the utilization of modified single SK™ clamps to form an adjustable articulation that is quite secure. The SK™ single clamp body is comprised of two different parts (see page 1 for SK™ ESF clamp design): a B-1 body part that is placed on the side closest to the pin-gripping portion of the primary bolt with a threaded hole for the secondary bolt, and a B-2 body part that is placed on the opposite side with a smooth hole for the secondary bolt. Modified clamps for transarticular articulations are built with two B-2 body parts, two primary (pin-gripping) bolts, and two nuts. The articulation is built with two of these modified clamps and two short pieces of appropriate size IM pin stock or KE rod. The angle of this articulation is adjustable, and can be used to the surgeon’s advantage when a transarticular fixator is employed in the management of Achilles tendon repairs.

Which size SK™ ESF components should be used on a given patient?

This is the most frequently asked question regarding any ESF device. Bone size should be examined to determine appropriate pin diameter, and pin diameter should be approximately 25% of bone diameter. Pin choice is then considered with the overall clinical demands of the patient, other injuries, and many other factors to determine not only device size, but the overall frame geometry. As previously discussed, undersized devices can be constructed to have great strength, but often become cumbersome and expensive. The better alternative is to increase inherent device strength to maintain a simpler, less expensive frame construct.

For a highly comminuted, unstable fracture in a medium/large dog, large SK™ frame components and medium INTERFACE™ and CENTERFACE™ pins might be used to construct the initial frame. At approximately six weeks after surgery when staged disassembly is appropriate, small SK™ components can be substituted for large SK™ components as one method of reducing the support provided by the frame.



In addition to removing frame elements (i.e. conversion of a Type II or a Type I-b to a Type I-a), carbon fiber composite rods can be substituted for titanium rods as part of the staged disassembly of a small SK™ fixator. If one considers only Type I-a frames, the following very general guidelines can serve as a starting point:

These recommendations are general guidelines only. On radius/ulna fractures, it is often prudent to consider the use of a Type I-b frame when unsure. With tibial fractures, also consider the use of a Type I-b frame or a minimal Type II. With fractures of the humerus/femur, it is best to use larger frame elements when unsure. These more aggressive strategies will increase the potential need for staged disassembly but will support early weight bearing and function.

Is ever-increasing stability necessary?

No, we are not always looking to build the strongest ESF frame, but desire a clinically appropriate fixator that maintains a simple frame geometry that is economical, biologically friendly, and requires minimal instrumentation.

Tell me more about staged disassembly and rod downsizing.

Historically, as veterinary surgeons evolved from using simple KE frames to frames utilizing multiple full-pins, the axial stiffness of the frames increased dramatically. Since this high level of axial stiffness sometimes slowed bone healing, it became popular to convert complex frames to less stiff frames as early stages of healing occurred. This sequential frame disassembly may be done in one step or in several and is termed staged disassembly. The planned reduction of fixator rigidity transfers more of the load-bearing forces across the bone, stimulating callus maturation and the later stages of bone healing. Common examples of converting a complex frame to a simpler, less rigid frame include: conversion of a Type III frame to a Type II frame, conversion of a Type II frame to a less complex Type II frame, or conversion of a Type II frame to a Type I frame. Other examples include conversion of a Type I-b frame to a Type I-a frame or removal of articulations between different components of a bi-planar frame.

If one begins with a simple Type I-a frame, as is frequently possible using the SK™ ESF System, the previously listed options for staged disassembly are not applicable; however, two alternate strategies can be utilized. If reduction in pin number might jeopardize adequate pin bone interfaces; substituting a smaller, more flexible external rod for a larger, stronger one becomes a very attractive option to decrease the stiffness of a Type I frame (e.g. removal of large SK™ clamps and a 9.5mm carbon fiber composite rod and replacing them with small SK™ clamps and a 6.3mm titanium rod). While not truly a disassembly, rod downsizing does achieve the purpose of transferring a greater percentage of the load-bearing forces back to the bone and across the healing callus. A variation of this concept when utilizing the small SK™ device with 6.3mm titanium rods, is to replace the titanium rod with the less rigid carbon fiber composite rod of the same diameter. While not “downsizing” the connecting rod, this method does achieve a similar planned decrease in rigidity and might be useful in dogs when initial construction utilized medium fixation pins.

Since each SK™ clamp is designed to grip a wide range of pin diameters, and there is an overlap zone between the different sizes of fixation pins gripped by the different SK™ clamp sizes, it is frequently possible to construct the initial fixator with the larger clamps and rods and replace these components at about six weeks with those one size smaller. This wide range of pin shank diameters that can effectively be gripped with the SK™ clamp makes utilization of “overlapping pin zones” with the SK™ device particularly beneficial.

Fixation System Rod Size/Type Weight/Size

Mini SK™ 3.2mm stainless steel kittens and small cats, small puppies, miniature breed dogs

Small SK™ 6.3mm carbon fiber large cats, dogs < 20 lbs.

Small SK™ 6.3mm titanium dogs > 20 lbs.

Large SK™ 9.5mm carbon fiber dogs > 50 lbs.

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Diagrams 1 and 2 borrowed with permission from: Toombs, J. P. update on the SK™ External Fixation System: Components, Instrumentation, and Application Techniques. In Proceedings of the 2nd Korean External Skeletal Fixation Course. 2004:22-55.

Not all fixator frames will require staged disassembly. In particular, young patients tend to produce bony callus rapidly and need or benefit less often from staged disassembly. All patients will benefit from early fracture stability which promotes fracture zone debridement, revascularization, and early callus formation. Only after these stages occur will the potential benefits of decreased rigidity become pertinent. With several options for converting more complex frames to less complex frames, or downstaging larger stronger rods to smaller less rigid ones, it is prudent to initially use the stronger choice with a staged exit strategy available. In skeletally mature canine patients, the optimal time period for initiating staged disassembly appears to be at about 6 weeks after surgery.

1. Pin Size versus SK™ Clamp Size

This chart indicates what pins can be utilized using through-the-clamp application methods with the corresponding SK™ ESF clamp.

2. Staged Disassembly Strategies Relative to Size of Pins Used to Build SK™ Fixator

This chart indicates what pins are conducive to staged frame downsizing when utilizing small or large SK™ ESF frames for initial construction. When performing this type of destabilization, pins are already in place when clamps and rods are exchanged. Since positive thread pins do not need to pass through the clamp, the range of pins amenable to this form of staged disassembly is greater than that of initial frame construction.

SK™ ESF Q & A

1 2



Do the basic application steps of the SK™ ESF device differ from the KE device?

No, the basic application steps are the same; however, using SK™ components makes frame construction much easier due to the ability to add or subtract clamps at any time and place multiple pin sizes directly through the pin-gripping bolt. In addition, the secondary bolt is designed to hold the clamp in place during pre-drilling and pin placement thus assuring that pins are accurately placed through the pre-drilled hole.

What is the first step in application of the ESF frame?

After approximate reduction of the fracture, a single pin is placed in the major proximal fragment and a single pin is placed into the major distal fragment. All fixator pins are place through liberal release incisions. A connecting rod is secured to these first two pins using SK™ single clamps. One can pre-place empty clamps onto the rod (faster) or place them one at a time later (less crowded.) Accuracy of reduction is rechecked and adjusted if necessary. Some difficulty in maintaining reduction may occur until additional pins are added to stabilize the environment.

Is there a sequence and technique for placement of subsequent pins?

Typically, the third and fourth pins placed into an ESF frame are the two pins on each side and closest to the fracture. This is not mandatory; however, it is easier to verify accuracy of reduction and insures good pin placement. These pins are placed via liberal release incisions and through pre-drilled holes. Placing the SK™ clamp over the area of soft tissue release, and using the secondary bolt to secure it in perfect alignment for the desired drill hole and pin position, ensures correct targeting and pin placement. Next, the appropriately sized drill sleeve is passed through the primary clamp bolt to protect the soft tissue as the bone is pre-drilled. One must be careful not to crush the thin walled drill sleeve by tightening the primary clamp bolt more than just enough to hold the sleeve in position. Pre-drilling is performed through the drill sleeve while exercising care not to exert undue pressure on the drill bit. Excess pressure results in drill bit flexing and a sudden “push through” of the drill bit into the opposite soft tissues as it breaks through the bone. The drill sleeve is then removed and low speed insertion of the fixator pin is performed. After placement of pins three and four, it is recommended to recheck reduction and alignment before placing additional pins. Repeat this procedure for as many additional pins as desired.

What is the proper way to tighten fixator nuts and bolts?

Tightening torque has the potential to cause loss of fracture reduction or alignment – especially early in frame construction when pin numbers are minimal. Applying minimal torque to the pin bolts early in frame design followed by increases as subsequent pins are placed can minimize this potentially disruptive force. Tightening torque can be neutralized during clamp tightening with use of the “two-wrench technique.” An open-end wrench placed on the flat surfaces of the head of the primary bolt, or on the flats of the clamp body, is used to neutralize torque force while a second wrench is used to tighten the clamp. After complete frame construction and verification of reduction accuracy, apply final torque to all bolts in an alternating fashion.

Basic Application Steps

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Mini SK™ ESF System Components

Mini SK™ Clamp, SINGLE Part No. 300.000

Utilizes 7mm wrenches and 1/8” (3.2mm) diameter stainless steel external rods. Supports use of 0.035”, 0.045”, 0.062”, and 0.078” shank miniature INTERFACE™ pins. In addition, the Mini SK™ ESF clamp also supports through-the-clamp placement of 2.0mm shank INTERFACE™ and CENTERFACE™ pins with 2.5mm threads. Maximum diameter accepted is 2.5mm. (U.S. Patent # 5,921,985)

Mini SK™ Clamp, DOUBLE Part No. 300.999

Used for connecting two 1/8” (3.2mm) external rods. Stability provided by positive interlock between clamps. Two 7mm wrenches required.

Replacement Components

Individual components of the SK™ clamp are available in case of loss or damage.Part No. Description

300.001 Primary Pin-gripping Bolt

300.002 Mini Clamp Body Pair (1 Threaded/1 Smooth)

300.003 4.0mm x 8mm, Hex Bolt

4.30006 4.0mm Hex Nut (7mm wrench flats)

Mini SK™ STAINLESS STEEL Connecting Rods, 1/8” (3.2mm) Diameter

Available in 1” increments from 2” to 6”, this rod is common to the small KE device. However, by using pins smaller than used with the small KE, simple frames can be maintained in most small patients. If patient size dictates pin shanks larger than 2.0mm, consider utilizing the small SK™ ESF System.

7mm Angled Socket Wrench Part Number 4.50004

This easy-to-use wrench has proven very popular and durable.

7mm Combination Wrench Part Number 4.50003

A second wrench is necessary when utilizing double clamps. This wrench can also be applied to the flat surfaces of the primary pin-gripping bolt to counter torque forces as the Mini SK™ single clamp is tightened.

Part No. External Rod Dimensions

24200 1/8” x 2” (3.2mm x 50mm)

24300 1/8” x 3” (3.2mm x 75mm)

24400 1/8” x 4” (3.2mm x 100mm)

24500 1/8” x 5” (3.2mm x 125mm)

24600 1/8” x 6” (3.2mm x 150mm)

Connecting rods shown with clamps.



Quantity Part No. Description

10 300.000 Mini SK™ Single Clamps*

2 300.999 Mini SK™ Double Clamps*

2 24200 1/8” x 2” Stainless Steel Rods






1 34020 Drill Sleeve/ESF for 2.0mm Bit

1 4.50003 7mm Combination Wrench

1 4.50004 7mm Angled Socket Wrench

1 32020 2.0mm StickTite™ Drill Bit

8 15020 INTERFACE™ 2.0mm Pins

4 20020 CENTERFACE™ 2.0mm Pins

6 03062 Miniature INTERFACE™ 0.062” Half-pins

* U.S. Patent # 5,921,985 Complimentary radiographic overlays available with purchase - upon request.

MINI SK™ ESF Starter Kit Part No. 300.SKT

1/8” (3.2mm) STAINLESS STEEL HYBRID Rods - 4mm Thread

The major, smooth portion of this rod supports mini SK™ clamps with its 1/8” (3.2mm) diameter. One end of the rod has 4mm threads so it can be coupled with components of the IMEX™ Miniature Circular ESF System. Hybrid frames utilize circular ESF technology for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. Easily cut to alter overall length. Please see page 20 for introduction to Hybrid External Skeletal Fixation and page 36 for Miniature Circular External Skeletal Fixation components.

Part No. Overall Length307.125 5” (125mm)

Drill Bits

Pre-drilling a pilot hole before fixation pin insertion optimizes the security of threaded pins. Each IMEX™ fixation pin has an optimum drill bit size.Please see page 52 for details and part numbers.

Drill Sleeves

Designed for through-the-clamp pre-drilling with SK™ single clamps, but can be an effective drill sleeve for a variety of applications. Available for use with mini SK™ clamps are 1.5mm and 2.0mm sizes.

Part No. Corresponding Drill Bit SK™ Clamp

34015 1.5mm Mini

34020 2.0mm Mini

NEWNEWSIZESIZE

MINI SK™ ESF Starter Kit with No Point ESF Pins Part No. 300.SKTNP

Similar to the mini SK™ ESF starter kit, with 2.0mm INTERFACE™ and CENTERFACE™ No Point ESF pins substituted. See pages 43 and 45 for No Point ESF pins.

NEWNEW

NEWNEWSIZESIZE

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NEWNEWSIZESIZE Mini SK™ Distraction/Compression Body Part No. 307.999

One end of this unit accepts a right-hand rod, part number 307.090. The opposite end accepts a left-hand rod, part number 307.070L, thus enabling the assembly to function as a distraction or compression device. Uses to date include: femoral/humeral lengthening over nail, type II and type I-b distraction, fracture compression, and a variety of custom frame uses. Body unit is clearly marked for rod type and distraction direction. Stainless steel.

Left-Hand Rod for Mini Distraction Body Part No. 307.070L

Similar in design to 307.090 above, but features left-handed threads to couple with the left-hand end of the mini SK™ distraction body. Overall length of 68mm includes approximately 11mm of left-hand thread. Each rod is marked with a double band to distinguish it from a right-hand rod. Can be cut to length if desired. Stainless steel.

Mini SK™ Distraction/Compression Body and Rods

When assembled with special right-handed and left-handed threaded rods, the Mini SK™ distraction/compression body functions as a linear distraction or compression device compatible with mini SK™ ESF clamps and pins. Uses to date include: femoral/humeral lengthening over a nail, lengthening of tibia or radius/ulna using type I-b or type II frames, fracture compression, and treatment of non-unions. The device also has potential for use with fracture reduction. This unit uses the same 7mm wrenches used with Mini SK™ ESF clamps and is clearly marked to indicate turn direction for compression or distraction. Since potential torsional instability exists, it is recommended that type I-a frames only be utilized in conjunction with an IM nail or rod. Order left-hand and right-hand rods separately. Rods can be cut to length if desired.

Right-Hand Rod for Mini Distraction Body Part No. 307.090

Utilized to couple with the right-hand end of the mini SK™ distraction body. Overall length of 90mm includes approximately 15mm of threads. Smooth rod diameter supports mini SK™ ESF clamps. Rod length can be cut to fit patient anatomy and for adjusting distractor body location. Stainless steel.

NEWNEW

NEWNEW

Double Band indicating left-hand rod

➢

Right-hand rod

➢



Small SK™ Clamp, SINGLE Part No. 400.000

Utilizes 6.3mm diameter external rods and 8mm wrenches. Supports use of 2.0mm, small, small-plus, 3.0mm and medium INTERFACE™ and CENTERFACE™ pins directly through the clamp. Recommended pin shanks are 2.0mm to 1/8” (3.2mm). Maximum diameter accepted is 5/32” (4.0mm). (U.S. Patent # 5,921,985)

Small SK™ Clamp, DOUBLE Part No. 400.999

Used for connecting two 6.3mm external rods. Stability provided by positive interlock between clamps. Two 8mm wrenches required.


Individual components of the SK™ clamp are available in the event of loss or damage.

Part No. Description


400.002 Small Clamp Body Pair (1 Threaded/1 Smooth)

400.003 5mm x 10mm, Hex Bolt

400.004 5mm Hex Nut

Small SK™ ESF System Components

Small SK™ TITANIUM Connecting Rods, 6.3mm Diameter

Available in 50mm length increments from 50mm to 250mm. The titanium rod offers added strength when utilizing simple frames and pushing the upper limits of traditional medium KE patients. In comparison to medium KE stainless steel rods (4.8mm), the small 6.3mm titanium rod is approximately twice as strong.

Part No. Length

405.050 50mm (Approx. 2 inches)

405.100 100mm ( “ 4 inches)

405.150 150mm ( “ 6 inches)

405.200 200mm ( “ 8 inches)

405.250 250mm ( “ 10 inches)

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Small SK™ ESF System Components

Small SK™ CARBON FIBER Connecting Rods, 6.3mm Diameter

Available in 50mm length increments from 50mm to 250mm. Carbon fiber rods feature near radiolucency, enabling traditional view radiographs without interference from overlapping rods. Compared to KE stainless steel rods, the small carbon fiber rod is five times stronger than a small KE rod and nearly as strong as a medium KE rod. Therefore, when utilizing 2.0mm pins or small pins, carbon fiber has more than adequate strength.

8mm Angled Socket Wrench Part No. 408.802

This easy-to-use wrench has proven very popular and durable.

8mm Combination Wrench Part No. 408.801

A second wrench is necessary when utilizing double clamps. This wrench can also be applied to the flat surfaces of the primary pin-gripping bolt to counter torque forces as the SK™ single clamp is tightened.

Drill Sleeves

Designed for through-the-clamp pre-drilling with SK™ single clamps, but can be an effective drill sleeve for a variety of applications. These 2.3mm and 3.1mm versions are available for use with small SK™ clamps.

Part No. Corresponding Drill Bit Alternative Drill Bit SK™ Clamp

34023 2.3mm 2.0mm Small

34031 3.1mm 2.7mm Small or Large

Part No. Length


406.100 100mm ( “ 4 inches)

406.150 150mm ( “ 6 inches)

406.200 200mm ( “ 8 inches)

406.250 250mm ( “ 10 inches)

Drill Bits

Pre-drilling a pilot hole before fixation pin insertion optimizes the security of threaded pins. Each IMEX™ fixation pin has an optimum drill bit size.Please see page 52 for details and part numbers.



6.3mm TITANIUM HYBRID Rods - 6mm Thread

The major, smooth portion of this rod supports small SK™ clamps with its 6.3mm diameter. One end of the rod has 6mm threads so it can be coupled with components of the IMEX™ Circular ESF System. Simple hybrid frames of one ring coupled to a traditional ESF device are possible. Hybrid frames utilize circular ESF technology for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. These rods are available in length increments of 50mm to 250mm overall length. The threaded portion is approximately 25mm in length. Please see page 24 for small SK™ Hybrid External Skeletal Fixation Starter Kit.

Part No. Overall Length407.050 50mm

407.075 75mm

407.100 100mm


407.200 200mm

407.250 250mm

Used with IMEX™ Circular ESF System

6.3mm TITANIUM HYBRID Rods – 5mm Thread

Similar in function and design to 6.3mm titanium hybrid rods with 6mm threads, these hybrid rods are designed to function with the European small bone fixator (SBF) that utilizes 5mm threaded components. Practices using the SBF can now incorporate IMEX™ SK™ technology with their circular ESF devices.


409.100 100mm

409.150 150mm


409.250 250mmUsed with European Small Bone Fixator


10 400.000 Small SK™ Single Clamps*

2 400.999 Small SK™ Double Clamps*

1 405.100 6.3mm x 100mm Titanium Rod




1 406.050 6.3mm x 50mm Carbon Fiber Rod








1 33023 2.3mm ESF Drill Bit




8 15332 Small INTERFACE™ Pins

4 20332 Small CENTERFACE™ Pins

8 15180 Medium INTERFACE™ Pins

4 20180 Medium CENTERFACE™ Pins

* U.S. Patent # 5,921,985 Complimentary radiographic overlays available with purchase - upon request.

SMALL SK™ ESF Starter Kit Part No. 400.SKT

➢

➢

SMALL SK™ ESF Starter Kit with No Point ESF Pins Part No. 400.SKTNP

Identical to the small SK™ ESF starter kit, with No Point ESF pins substituted for traditional trocar-pointed ESF pins. See pages 43 and 45 for No Point ESF pins.

NEWNEW

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Small SK™ Distraction/Compression Body Part No. 407.999

One end of this unit accepts standard, 6.3mm, small SK™ hybrid rods. The opposite end accepts similar rods with left-handed threads thus enabling the device to function as a distraction or compression device. Uses to date include: femoral/humeral lengthening over nail, type II and type I-b distraction, fracture compression, and a variety of custom frame uses. Select the desired length of standard hybrid and left-hand rods as needed. Body unit is clearly marked for rod type and distraction direction. Stainless steel.

Small SK™ Distraction Body Left-Hand Rods

Similar in design to 6.3mm titanium hybrid rods but feature left-handed threads to couple with the distraction body - Part No. 407.999. Select length as dictated by case requirements. Overall length includes approximately 25mm of threads. Each rod is clearly marked with an “L”.

Small SK™ Range of Motion (ROM™) Hinge Part No. 430.000

ROM™ hinges by IMEX™ are lockable, transarticular hinges that also allow ranges of motion in controlled increments. Controlled remobilization of a joint is possible as is rehabilitation of tendon/ligament injuries. The small ROM™ hinge utilizes standard small SK™ hybrid rods as a modular component allowing the surgeon to customize lengths to the anatomy of the patient. See page 66-67 for details.

Small SK™ Distraction/Compression Body and RodsSK™ Range of Motion Hinge

Part No. Overall Length407.050L 50mm

407.100L 100mm

407.150L 150mm

6.3mm TITANIUM HYBRID Rods - 6mm Thread

Used routinely for construction of hybrid ESF frames, these rods are also a modular component of the small SK™ distraction/compression assembly. The rods feature a right-hand 6mm thread and a smooth 6.3mm diameter that accepts small SK™ ESF clamps. Thread length is approximately 25mm. See page 22 for part numbers and length choices.

NEWNEW

“L” indicatingleft-hand rod

➢

Right-hand rod ➢



Large SK™ CARBON FIBER Connecting Rods, 9.5mm Diameter

Available in 50mm length increments from 50mm to 350mm. Tremendous rod strength compared to traditional KE type rods. Carbon fiber rods offer near radiolucency to simplify radiographic imaging and are by far the most popular. The large 9.5mm carbon fiber SK™ rods are nearly three times stronger than large 5/16” KE aluminum rods and approximately 7 times stronger than medium KE stainless steel rods.

Part No. Length


506.100 100mm ( “ 4 inches)

506.150 150mm ( “ 6 inches)

506.200 200mm ( “ 8 inches)

506.250 250mm ( “ 10 inches)

506.300 300mm ( “ 12 inches)

506.350 350mm ( “ 14 inches)

RecommendedChoice

Large SK™ ESF System Components

Large SK™ Clamp, SINGLE Part No. 500.000

Utilizes 9.5mm diameter external rods and 10mm wrenches. Supports use of 3.0mm, medium, medium-plus and large INTERFACE™ and CENTERFACE™ pins directly through the clamp. Recommended pin shanks 1/8” to 5/32” (3.2mm to 4.0mm). Maximum diameter accepted is 3/16” (4.8mm). Most commonly used pin is the medium 1/8” shank pin. (U.S. Patent # 5,921,985)

Large SK™ Clamp, DOUBLE Part No. 500.999

For connecting two 9.5mm external rods. Stability provided by positive interlock between clamps. Two 10mm wrenches required.


Individual components of the SK™ clamp are available in the event of loss or damage.



500.002 Large Clamp Body Pair (1 Threaded/1 Smooth)

2.30007 6mm x 12mm, Hex Bolt

2.30006 6mm Hex Nut

➢

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10mm Angled Socket Wrench Part No. 508.102

This quick- and easy-to-use wrench has proven very popular and durable. Also compatible with the IMEX™ Circular ESF System.

10mm Combination Wrench Part No. 2.50003

A second wrench is necessary when utilizing double clamps. This wrench can also be applied to the flat surfaces of the primary pin-gripping bolt to counter torque forces as the SK™ single clamp is tightened.

9.5mm TITANIUM HYBRID Rods, 6mm Thread

The major, smooth portion of this rod supports large SK™ clamps with its 9.5mm diameter. One end of the rod has 6mm threads for coupling with components of the IMEX™ Circular ESF System. Simple hybrid frames of one ring coupled to a traditional ESF device are possible. Hybrid frames utilize circular ESF technology for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. These hybrid rods can be used with the small Hybrid ESF starter kit and are available in length increments of 50mm to 350mm overall length. The threaded portion is approximately 25mm in length. These rods are NOT the same as large ROM™ hinge rods (8mm threads). Please see page 20 for introduction to SK™ Hybrid External Skeletal Fixation.


507.075 75mm

507.100 100mm

507.150 150mm


507.250 250mm

507.300 300mm

507.350 350mm

Large SK™ ALUMINUM Connecting Rods, 9.5mm Diameter

Available in 50mm length increments from 50mm to 350mm. Tremendous rod strength compared to traditional KE type rods. (9.5mm carbon fiber rods are more popular due to their radiolucency)

Part No. Length


505.100 100mm ( “ 4 inches)

505.150 150mm ( “ 6 inches)

505.200 200mm ( “ 8 inches)

505.250 250mm ( “ 10 inches)

505.300 300mm ( “ 12 inches)

505.350 350mm ( “ 14 inches)

Large SK™ ESF System Components




10 500.000 Large SK™ Single Clamps*

2 500.999 Large SK™ Double Clamps*


2 506.100 9.5mm x 100mm Carbon Fiber Rods












8 15180 Medium INTERFACE™ Pins

4 20180 Medium CENTERFACE™ Pins

8 15532 Large INTERFACE™ Pins

4 20532 Large CENTERFACE™ Pins* U.S. Patent # 5,921,985 Complimentary radiographic overlays available with purchase - upon request.

LARGE SK™ ESF Starter Kit Part No. 500.SKT


34031 3.1mm 2.7mm Small or Large

34039 3.9mm 3.5mm Large

Drill Sleeves

Designed for through-the-clamp pre-drilling with the SK™ single clamps, but can be an effective drill sleeve for a variety of applications. These 3.1mm and 3.9mm versions are available for use with large SK™ clamps.

Drill Bits

Pre-drilling a pilot hole before fixation pin insertion optimizes the security of threaded pins. Each IMEX™ fixation pin has an optimum drill bit size. Please see page 52 for details and part numbers.

Large SK™ Range of Motion (ROM™) Hinge Part No. 530.000

ROM™ hinges by IMEX™ are lockable, transarticular hinges that also allow ranges of motion in controlled increments. Controlled remobilization of a joint is possible as is rehabilitation of tendon/ligament injuries. The large ROM™ hinge utilizes special 8mm threaded titanium rods as a modular component allowing the surgeon to customize lengths to the anatomy of the patient. See page 66-67 for details.

LARGE SK™ ESF Starter Kit with No Point ESF Pins Part No. 500.SKTNP

Identical to the large SK™ ESF starter kit, with No Point ESF pins substituted for traditional trocar-pointed ESF pins. See pages 43 and 45 for No Point ESF pins.

NEWNEW

NEWNEW

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SK™ Hybrid External Skeletal Fixation

Circular fixators typically utilize fine wires placed under tension instead of normal diameter half-pins and full-pins. When loaded, fine wires under tension behave in a non-linear fashion demonstrating low stiffness early, but increasing in stiffness as loading becomes greater. This non-linear stiffness is considered the basis of the Ilizarov method, and some consider it to enhance the fracture healing process.

When components of traditional linear ESF frames and circular ESF frames are combined, the resulting frame is considered a hybrid ESF frame. Something as simple as substituting traditional pins for fine wires in a multi-ring circular ESF frame becomes a hybrid frame by definition. This is commonly done with circular ESF frames applied to the tibia to eliminate the morbidity often associated with fine wires near the stifle.

By utilizing hybrid rods, the IMEX™ SK™ fixator is easily coupled with circular ESF devices to form hybrid frames that consist of a single ring with fine wires coupled to what appears to be a Type I-a or Type I-b ESF frame. These “simple” hybrid frames are relatively inexpensive and straightforward to construct as compared to more complex circular ESF frames or more complex hybrid frames. These hybrid frames are practical alternatives to transarticular ESF frames for stabilization of very small fracture fragments. In addition, hybrid frames can be alternatives to complete circular ESF frames for certain selected growth deformity patients.

Due to customer requests, IMEX™ has developed a Hybrid ESF Starter Kit for construction of hybrid frames using SK™ components with our standard or mini circular ESF equipment. These kits were developed for surgeons with existing SK™ ESF component inventory and experience but not for those with significant inventory of circular ESF components. These kits contain a large variety of components to allow construction of advanced hybrid frames or multiple hybrid frames.

SK™ Hybrid ESF FAQs

What are common situations where hybrid external fixators might be utilized?

Since use of small diameter wires allows capture of small bone fragments, hybrid ESF frames are popular for fixation of fractures with a short juxta-articular bone fragment where standard ESF pins or bone plating might be difficult. In addition, many referral practices are finding hybrid frames very useful for correction of selected growth deformities.

Are small diameter wires always utilized across the ring when hybrid frames are constructed?

No, especially when repairing juxta-articular fractures of the distal humerus or distal femur it is common to use standard full-pins and half-pins. In these locations it is difficult to obtain wire divergency because of the patient anatomy. When wires do not have divergency, less stability is achieved. Attempts to increase wire divergency in these locations results in unacceptable soft-tissue morbidity. Standard threaded pins work well in these locations.


What is the difference between “stopper” or “olive” wires and smooth wires?

Small diameter wires are not threaded and therefore are subject to micromotion. When four or more smooth wires are used with good divergency, stability is adequate. When wire number is reduced or divergency is not adequate, surgeons choose to place stopper wires to reduce micromotion and enhance stability. Stopper wires have a centrally located expanded bead designed for placement against the bone. Most situations where hybrid frames are chosen will benefit from the added security provided by stopper wires.

What size SK™ linear ESF components can be used to construct hybrid frames?

Mini, small, and large SK™ clamps can be utilized to construct hybrid frames. The SK™ ESF System is the most modular fixator available to veterinary surgeons and all sizes were designed to be modular. The small SK™ is the most commonly used hybrid frame due to it’s ability to cover a wide patient range. Several new components are now available to expand the versatility of the mini SK™ hybrid frame. Large SK™ hybrid frames are not often utilized unless one needs ESF pins larger than size medium.

Tell me more about tensioning fixation wires.

Diameter is the key element in determining the stiffness or resistance to bending of a fixation pin. Hybrid (and circular frame) fixation wires are of small diameter, but placing them under tension can enhance their bending characteristics. IMEX™ provides a wire-tensioning device for this purpose. When the distance the wire is spanning is short (small diameter rings) or the patient is small (mini-rings) wire tensioning is not necessary. When ring diameters or patients are large, wires must be tensioned to achieve adequate mechanical stability.

What is the learning curve for hybrid external skeletal fixation?

Assuming one is knowledgeable and experienced with linear external skeletal fixation, the learning curve is relatively short for fracture repair using hybrid frames. The necessary details to master are proper wire placement, wire tensioning, and frame component use. One should be well versed with linear fixators before attempting hybrid ESF. Many consider hybrid ESF a simpler alternative to growth deformity repair than true circular ESF frames. This may be true in cases that do not require post-operative lengthening, but an operative plan must be devised to help make the appropriate frame choice.

What are some other mechanical considerations to consider with hybrid frames?

True circular ESF frames are built with three or four threaded rods spanning the length of the involved bone and supporting the ring in several places. Hybrid frames often mimic a type I-a or type I-b frame and only support the ring at one or two locations. With 35mm, 45mm, or 50mm rings, a single support area may result in a stable frame. When larger rings are used or unstable scenarios are encountered, it is necessary to use struts or additional sidebars to stabilize the ring in two or more locations.

What are the economics of hybrid external fixator frames?

Most hybrid conversations begin with the assumption that the surgeon owns basic SK™ linear external fixation components. Therefore, only a minimum of circular fixation components is necessary as compared to a complete circular external fixation frame. Hybrid frame cost is significantly less than a complete CESF frame. The modular nature of the IMEX™ system allows one to upgrade to a true CESF frame with the same components.

Hybrid SK™ External

Skeletal Fixation System

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Hybrid Connecting RodsMini 1/8” (3.2mm) STAINLESS STEEL HYBRID Rods - 4mm Thread

The major, smooth portion of this rod supports mini SK™ clamps with its 1/8” (3.2mm) diameter. One end of the rod has 4mm threads so it can be coupled with components of the IMEX™ Miniature Circular ESF System. Hybrid frames utilize circular ESF technology for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. Easily cut to alter overall length.

Part No. Overall Length307.125 5” (125mm)

Small 6.3mm TITANIUM HYBRID Rods - 6mm Thread

The major, smooth portion of this rod supports small SK™ clamps with its 6.3mm diameter. One end of the rod has 6mm threads so it can be coupled with components of the IMEX™ Circular ESF System. Simple hybrid frames of one ring coupled to a traditional ESF device are possible. Hybrid frames utilize circular ESF technology for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. These rods are available in length increments of 50mm to 250mm overall length. The threaded portion is approximately 25mm in length.


407.075 75mm

407.100 100mm


407.200 200mm

407.250 250mm

Used with IMEX™ Circular ESF System➢

Small 6.3mm TITANIUM HYBRID Rods – 5mm Thread

Similar in function and design to 6.3mm titanium hybrid rods with 6mm threads, these hybrid rods are designed to function with the European small bone fixator (SBF) that utilizes 5mm threaded components. Practices using the SBF can now incorporate IMEX™ SK™ technology with their circular ESF devices.


409.100 100mm

409.150 150mm


409.250 250mmUsed with European Small Bone Fixator➢


Universal SK™ Hybrid Adapter - Small Part No. 410.000

The small SK™ Universal Hybrid Adapter offers the advantage of using standard small SK™ titanium or carbon fiber rods to create hybrid frames. In addition, it offers up to 65º of adjustment compared to 15º using standard spherical nuts and washers. As with most hybrid CESF frames, support struts or type 1-b frames are recommended.

• Attaches easily to a 50mm, 66mm, 84mm or 118mm ring with two-6mm x 16mm hex bolts and 6mm hex nuts. Third hole can be utilized for additional hardware placement.

• Rod-gripping element provides a secure fi t for 6.3mm rods while allowing for 65º of adjustment. Accepts smooth, standard small SK™ ESF titanium or carbon fi ber rods.

• Rod-gripping bolts are alternately tightened using a lag effect to secure rod.

Large 9.5mm TITANIUM HYBRID Rods - 6mm Thread

The major, smooth portion of this rod supports large SK™ clamps with its 9.5mm diameter. One end of the rod has 6mm threads so it can be coupled with components of the IMEX™ Circular ESF System. Simple hybrid frames of one ring coupled to a traditional ESF device are possible. Hybrid frames utilize circular ESF technology for very small fracture segments without the complexity of a complete circular ESF frame. Additional use of paired spherical nuts and washers will allow post-operative manipulation to fine-tune reduction. These hybrid rods can be used with the small Hybrid ESF Starter Kit and are available in length increments of 50mm to 350mm overall length. The threaded portion is approximately 25mm in length. These rods are NOT the same as large ROM™ hinge rods (8mm threads).


507.075 75mm

507.100 100mm

507.150 150mm


507.250 250mm

507.300 300mm

507.350 350mm

NEWNEW

Mini SK™ Hybrid ESF Starter Kit* Part No. MHYSKT

Qty. Part No. Description

2 307.125 3.2mm x 125mm Hybrid Rod 1 4.13501 35mm x 2.4mm Full Ring 1 4.14501 45mm x 2.4mm Full Ring 1 4.14504 45mm x 2.4mm Stretch Ring 6 4.30001 Cannulated/Slotted Wire Fixation Bolt, 4mm 6 4.30005 Slotted Wire Fixation Washer, 4mm 1 4.70005 One-Hole Post, Mini


16 4.30006 4mm Hex Nut, Stainless 6 4.30008 4mm Flat Washer, Stainless 4 4.70007 4mm Spherical Nut 4 4.70008 4mm Spherical Washer 4 300.003 4mm x 8mm Hex Bolt 6 4.40002 1.0mm x 125mm Stopper Wire

NEWNEW

* Mini SK™ components and instrumentation required for above kit. For complete information on the components listed above, please see page 11 of the linear ESF section and pages 36-39 of the circular ESF section.

Hybrid SK™ External


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Small SK™ components and instrumentation required for above kit. For complete information on the components listed above, please see page 15 of the linear ESF section and pages 28-34 of the circular ESF section.

Small SK™ Hybrid ESF Starter Kit* Part No. HYSKT


2 407.050 Small 6.3mm Titn Hybrid Rods x 50mm 2 407.075 Small 6.3mm Titn Hybrid Rods x 75mm 2 407.100 Small 6.3mm Titn Hybrid Rods x 100mm 2 407.150 Small 6.3mm Titn Hybrid Rods x 150mm 2 407.200 Small 6.3mm Titn Hybrid Rods x 200mm 2 407.250 Small 6.3mm Titn Hybrid Rods x 250mm 1 2.16604 Stretch Ring 66mm x 3.2mm 1 2.18404 Stretch Ring 84mm x 4.7mm 1 2.16601 Full Ring 66mm x 3.2mm 1 2.18401 Full Ring 84mm x 4.7mm 6 2.30007 M6 x 12mm Hex Bolts, SST 2 2.30003 M6 x 40mm Hex Bolts, SST 20 2.30006 M6 Hex Nuts, SST 15 2.30008 M6 Flat Washers 6 2.30004 Cannulated/Slotted Wire Fixation Bolts, 6mm 6 2.30005 Slotted Wire Fixation Washers, 6mm 4 2.30009 Half-pin Fixation Bolts 1 2.70002 Two-Hole Ring/Motor Plates 2 2.70005 One-Hole Posts 2 2.70006 Two-Hole Posts 4 2.70007 Spherical Nuts, 6mm 4 2.70008 Spherical Washers, 6mm 6 2.40001 Fixation Wires 1.6mm x 210mm 6 2.40002 Stopper Fixation Wires 1.6mm x 200mm 1 2.50014 Dyna™ Wire Tensioner 2 2.50003 10mm Combination Wrench 1 508.102 10mm Angled Socket Wrench*



Kirschner-Ehmer (KE) External Skeletal Fixation

In spite of limiting mechanical properties and the necessity for complex frames, the Kirschner-Ehmer fixator has a well-documented history in veterinary orthopaedics. Due to the widespread availability of KE components in many practices, IMEX™ continues to produce this fixator. However, the necessary frame complexity and hardware requirements make the KE device less favorable economically, mechanically, and clinically than the SK™ System by IMEX™. It is highly recommended that SK™ components be given priority for initial inventory or upgrade purposes.

SMALL KE ComponentsUtilizes 1/8” diameter stainless steel external rods and accepts 3/32” and 5/64” fixation pin shanks. Some consider 1/16” pins acceptable if proper patient selection is considered. Clamps, bolts, and nuts are stainless steel. Wrench flats are 1/4”.


24000 Small KE Single Clamp

24999 Small KE Double Clamp

24200 Small KE Rod, 1/8” x 2” (3.2mm x 50mm)





33140 1/4” Small KE Wrench

MEDIUM KE ComponentsUtilizes 3/16” diameter stainless steel external rods and accepts 1/8” and 7/64” shank fixation pins. Clamps, nuts, and bolts are stainless steel. Wrench flats are 5/16”. The medium KE device is considered the workhorse of the KE sizes due to its application to a wide variety of patients; however, application to medium and large patients requires the use of full-pins and complicated frames to achieve consistent patient management with minimum morbidity. Additionally, medium KE rods work well for making articulations with SK™ single clamps in large SK™ ESF frames. Many surgeons include medium KE rods in their large SK™ kit for this purpose.


25000 Medium KE Single Clamp

25999 Medium KE Double Clamp

25006 Medium KE Rod, 3/16” x 6” (4.8mm x 150mm)



33516 5/16” Medium KE Wrench

Kirschner-Ehmer (KE)

External Skeletal Fixation

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IMEX™ Circular External Skeletal Fixation System

Most veterinary surgeons are acquainted with the Ilizarov method of circular external skeletal fixation for limb lengthening and correction of angular limb deformities. While circular external skeletal fixators have been of great interest to the veterinary surgeon, devices available to date have been too expensive or poorly designed. In addition, most circular fixators have been very difficult to manage on an out-patient basis.

The goal of IMEX™ Veterinary, Inc.’s Circular External Skeletal Fixation System is to provide the veterinary surgeon with a functional and affordable circular external skeletal fixator that meets the following criteria:

• Mechanically and Biologically Sound • Affordable and Available • Relatively Easy Application and Adjustment • Minimal Instrumentation Required • Applicable to Fracture Management and Limb Deformities

Most importantly, a system designed for out-patient limb lengthening and correction of growth deformities must be designed to simplify daily out-patient manipulations to the degree required to ensure accurate daily corrections with minimal patient morbidity.

Developed in conjunction with a group of veterinary surgeons, bioengineers, and M.D.s at a leading research center, the IMEX™ Circular ESF System meets the criteria. Daily manipulations are performed around a patented (U.S. Patent # 5,968,043) Zero Tolerance/Zero Motion system that is patient- and owner-friendly. The IMEX™ Circular External Skeletal Fixation System is designed to be compatible with the SK™ ESF System by IMEX™ , thus providing a simple, cost-effective method of hybrid frame construction.

Successful application of the circular ESF method requires training and experience. However, once well-versed with the system, surgeons will realize tremendous biological and mechanical control over many limb deformity and fracture scenarios.

Mechanical attributes and user friendliness have made the IMEX™ Circular ESF System a popular choice among private referral surgeons and academic institutes worldwide.


Circular Fixator Applications

Bone model showing very distal radial fracture repaired using one version of hybrid frame. The short fracture segment can be captured with 2 or 3 fine wires while the balance of the frame uses half-pins to form a Type I-b frame.

Close-up of 6.3mm titanium hybrid rod with 6mm thread being mounted to a single ring. This rod allows construction of hybrid frames with standard small SK™ clamps. Spherical nuts/washers as well as a hybrid adapter can also be used to allow some angular adjustment.

Radiograph of SK™ ring-hybrid frame applied to distal humerus. This case utilized traditional pins off the ring instead of fine wire like the model in picture 1. A single carbon rod was used to triangulate the frame for medial support.

Circular ESF frame applied to radius curvus model showing use of angular hinges and motors to correct valgus, cranial bow and limb shortening. This frame can correct more severe deformities when a typical osteotomy, acute correction, and standard ESF application cannot correct the abnormality.

Gross photo showing use of stretch ring and 5/8” ring to keep ring size minimal while avoiding soft tissue trauma. These ring versions are particularly useful with half-pins to minimize soft tissue trauma at proximal tibia.

Model of circular ESF applied to spine. Spinal arches are coupled with threaded rods. Half-pins can come off rings or threaded rods (by using small SK™ ESF clamps for threaded rods). The strength of standard SK™ ESF rods also allows application of more typical Type I-b frames to the spine.

2

3 4

5 6

1

IMEX

™ Circular External


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Circular Fixation Rings

High-strength, anodized aluminum circular fixation rings are available in full, 5/8, 1/3 arches, stretch, D2, and spinal arches. Utilized to provide frame design simplicity.

Part No. Internal Diameter Thickness

2.15002 50mm 3.2mm

2.16602 66mm 3.2mm

2.18402 84mm 4.7mm

2.11182 118mm 6.3mm

Full RingsBasic building blocks of the IMEX™ Circular ESF System.

5/8 RingsCan be closed with 1/3 arch. Typically used alone to avoid anatomical constraints.


2.15001 50mm 3.2mm

2.16601 66mm 3.2mm

2.18401 84mm 4.7mm

2.11181 118mm 6.3mm

1/3 Ring ArchesCan be utilized alone as a supporting element, or can be utilized to close a 5/8 ring or stretch ring if additional mechanical properties are desired.


2.15003 50mm 3.2mm

2.16603 66mm 3.2mm

2.18403 84mm 4.7mm

2.11183 118mm 6.3mm


Stretch RingsPopular around hock and elbow to allow range of motion without a larger ring diameter being used. Can be closed with a 1/3 ring if desired.


2.15004 50mm 3.2mm

2.16604 66mm 3.2mm

2.18404 84mm 4.7mm

2.11184 118mm 6.3mm

Spinal ArchesA structural element for the IMEX™ Circular ESF System. The large radius of the spinal arch allows temporary or permanent placement of fine wire or hybrid frames along the spine for reduction or repair of spinal injuries. Often used with part number 2.80001 (small SK™ clamps for 6mm threaded rod).


2.80140 140mm 6.3mm

2.80220 220mm 6.3mm

D2 RingsD2 rings feature a dual hole pattern. These rings are useful for a variety of hybrid frames and may be included in some true circular frames. The inner diameter and inside hole pattern are the same as standard full rings. The outer hole pattern features many choices for maximum flexibility and is not compatible with the IMEX™ hybrid adapter. Spacing between hole patterns allows addition of wire fixation bolts, hinges or other hardware at an otherwise unavailable position.


2.15005 50mm 3.2mm

2.16605 66mm 3.2mm

2.18405 84mm 4.7mm

IMEX


Skeletal Fixation SystemNEWNEW

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Part No. Length

2.26600 60mm

2.26800 80mm

2.26100 100mm

2.26150 150mm

2.26255 255mm

Linear Motors and Threaded Rods

Linear Distraction Motor• Provides for simplified frame construction and daily distraction

• Zero Tolerance/Zero Motion design helps ensure owner compliance and patient comfort

• 3mm hex drive recess and 10mm wrench flats

• Stainless bodies and threaded rod with nylon drive bushings

• Capable of being swapped-out in sequence to maintain frame integrity over long distractions

• Thread pitch = 1.0mm (U.S. Patent # 5,968,043)

Part No. Length*

2.25500 50mm

2.25700 70mm

2.25100 100mm

Threaded Rods, 6mmStainless steel with 3mm hex drive recess on both ends, which allows for rapid exchange of rods. Thread pitch = 1.0mm

*(base of body to top of drive bushing)


Bolts, Nuts, Washers

PART NO. DESCRIPTION

2.30002 Spacer, 6mm x 20mm, Stainless Steel

Couples with 40mm hex bolt to provide rapid, accurate assembly of ring blocks.

2.70001 Nylon Zero Tolerance Nut, 6mm

Zero Tolerance/Zero Motion design. Can be utilized to compress or distract rings, rods, and hinges. Perfect when rings are too close to mount a linear motor. Also used for bone transport. Must be used in pairs. Best manipulated with 10mm, double wrench - part number 2.50005. (U.S. Patent # 5,968,043)

2.30007 Hex Bolt, 6mm x 12mm, Stainless Steel

Utilized as fastening element for linear motors, slotted washers, hinges, and other components.10mm wrench flats


Couples with 20mm spacer to provide quick and accurate assembly of minimal length ring blocks. Also used to mount angular hinges above ring.10mm wrench flats

2.30006 Hex Nut, 6mm, Stainless Steel

The basic fastening element of the system. Fits all rods, motors, and bolts.10mm wrench flats

2.30008 Flat Washer, 6mm, Stainless Steel

Provides needed fill or offset during frame construction to maintain wire alignment.

IMEX



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2.30004 Cannulated / Slotted Wire Fixation Bolt

Bolt is both slotted and cannulated, providing two different points to capture and anchor fixation wires to rings. 6mm thread, 10mm wrench flats. Stainless steel.

2.30005 Slotted Wire Fixation Washer

Allows capture of fixation wires to rings (or rods) at locations otherwise occupied by supporting elements. Also utilized for drop-wire technique. Can be pre-placed in several locations for optimal freedom. Stainless steel.

2.30009 Half-pin Fixation Bolt

Anchors traditional half-pins to rings for construction of one style of hybrid frames. Accepts 3.0mm to 4.8mm pins. Smaller pins can be used if extra fill provided. Stainless steel. 6mm thread, 10mm wrench flats. (U.S. Patent # 5,921,985)

2.70007 Spherical Nut, 6mm Thread2.70008 Spherical Washer, 6mm

By placing a pair on each side of a ring, rod angle can be adjusted to fine-tune reduction and assembly. Six pairs will allow a ring or ring block with three rods to be adjusted. Must be used as mating pairs. Stainless steel.

2.70002 Two-Hole Plate

Can be utilized to construct frames with different diameter rings, to mount hinges “outboard” off ring surface, or to elongate partial ring assemblies. Stainless steel.

2.70005 One-Hole Post2.70006 Two-Hole Post

Mounts to ring to support additional wires, half-pins, and other elements. Stainless steel.

2.80001 Small SK™ ESF Clamp for 6mm Threaded Rod

Similar in design to our small SK™ ESF clamp; however, it has a threaded, rod-gripping channel which mounts on 6mm threaded rods. Allows addition of clamp and half-pin anywhere along a threaded rod. (U.S. Patent # 5,921,985)



Angular Distraction Components


2.60001 Angular Hinge Assembly

Used in pairs with angular motors for gradual correction of challenging angular deformities. New cannulated hinge screw allows for easier frame construction and utilizes a 3mm hex driver. Loosen prior to steam sterilization and adjust at surgery. (U.S. Patent # 5,968,043)

2.60002 100 mm Angular Motor2.60003 150 mm Angular Motor

Zero Tolerance/Zero Motion design. Simplifies outpatient management of complicated angular deformities. Loosen hinge screws prior to steam sterilization and adjust at surgery.

(U.S. Patent # 5,968,043)

Fixation Wires


2.40001 Smooth Fixation Wire

1.6mm diameter x 210mm length. The workhorse of circular frame construction. Free-cutting point provides for accurate wire placement. Stainless steel.

2.40002 Fixation Wire with Stopper

1.6mm diameter x 200mm length with stopper. Provides additional stability when patient anatomy does not allow optimal wire placement. Also used for fracture reduction and bone transport. Stainless steel.

IMEX



Angular Distraction Components & Fixation Wires

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Circular ESF Instrumentation


2.50001 3mm Hex Driver - Straight2.50002 3mm Hex Driver - “L”

Used for manual applications of rod changes or motor reduction. Also used for loosening fasteners on angular hinges and motors prior to steam sterilization. The straight driver is commonly mounted on a drill to speed assembling, adjusting and exchanging components.

2.50003 10mm Combination Wrench

The basic wrench of the circular ESF system. Often used in pairs. Also compatible with large SK™ ESF System.

508.102 10mm Angled Open Socket Wrench

Very handy as a second 10mm wrench for certain locations.Also compatible with large SK™ ESF System.

2.50005 10mm Double Wrench

Utilized to span rings and turn paired nylon nuts simultaneously to achieve compression or distraction. Not for use on metal fasteners.

2.50014 Dyna™ Wire Tensioner

Used to apply tension to small diameter fixation wires. Semi-calibrated for four basic ring diameters.

No tension is required on 50mm rings, but the tensioner can be utilized to remove slack from the wire. The first indicator line represents maximum tension to be used on the 66mm ring. Second and third lines represent maximum tension to be applied to 84mm and 118mm rings, respectively. Not for use with miniature 35mm or 45mm rings.


Circular ESF Starter Kits

Starter/Fracture Kit Deluxe Kit Part No. Part No. 2.00001 Part No. 2.00000 - 3 2.15001 50mm x 3.2mm Full Ring 3 3 2.16601 66mm x 3.2mm Full Ring 3 3 2.18401 84mm x 4.75mm Full Ring - 3 2.11181 118mm x 6.3mm Full Ring - 1 2.15002 50mm x 3.2mm 5/8 Ring 1 1 2.16602 66mm x 3.2mm 5/8 Ring 1 1 2.18402 84mm x 4.75mm 5/8 Ring - 1 2.11182 118mm x 6.3mm 5/8 Ring - 2 2.15003 50mm x 3.2mm 1/3 Ring Arch - 2 2.16603 66mm x 3.2mm 1/3 Ring Arch - 2 2.18403 84mm x 4.75mm 1/3 Ring Arch - 2 2.11183 118mm x 6.3mm 1/3 Ring Arch

- 3 2.25500 50mm Linear Motor 3 3 2.25700 70mm Linear Motor - 3 2.25100 100mm Linear Motor

3 3 2.26600 60mm Threaded Rod/Hex 3 3 2.26800 80mm Threaded Rod/Hex 3 3 2.26100 100mm Threaded Rod/Hex 3 3 2.26150 150mm Threaded Rod/Hex

6 6 2.30002 Spacer, 6mm x 20mm 6 6 2.30003 Hex Bolt, 6mm x 40mm, Stainless

24 24 2.30004 Cannulated / Slotted Wire Fixation Bolt 6 6 2.30005 Slotted Wire Fixation Washer 50 50 2.30006 Hex Nut, 6mm, Stainless 24 24 2.30007 Hex Bolt, 6mm x 12mm, Stainless 12 12 2.30008 Flat Washer, 6mm, Stainless - 6 2.30009 Half-pin Fixation Bolt

6 6 2.40001 1.6mm Smooth Fixation Wire, CP Point 6 6 2.40002 1.6mm Stopper Wire, CP Point - 2 2.60001 Angular Hinge Assembly - 1 2.60002 100mm Angular Motor Assembly

2 2 2.50003 10mm Combination Wrench 1 1 2.50002 3mm Hex Driver - “L” 1 1 2.50001 3mm Hex Driver - Straight 1 1 2.50014 Dyna™ Wire Tensioner 1 1 30011 Beige Polypropylene Tray 1 1 30012 Yellow Polypropylene Tray

Quantity Quantity

Part No. Description 2.60003 150mm Angular Motor 2.70001 Nylon Zero Tolerance Nut 2.50005 10mm Double Wrench (for nylon nuts) 2.70002 Two-Hole Plate

Part No. Description 2.26255 255mm Threaded Rod 2.70007 Spherical Nut, 6mm Thread 2.70008 Spherical Washer, 6mm See Page 29 Stretch Rings

Other popular additions to the Circular ESF Starter Kits include:

Description

IMEX



36 1-800-828-4639 • www.imexvet.com

35mm Full RingThe smallest ring in the mini CESF system. These rings are slotted for maximal wire position freedom and can be cut at holes to convert into arches or half-rings.


4.13501 35mm 2.4mm

45mm Full RingIncreased diameter expands patient range and capability of the IMEX™ Miniature CESF System. Can be cut at holes to create arches and half-rings. Wire fixation bolts that are both slotted and cannulated (part number 4.30001) are recommended for use with this ring.


4.14501 45mm 2.4mm

IMEX™ Miniature Circular External Skeletal Fixation System

Due to the increasing popularity of our miniature circular external fixator, IMEX™ has developed several new mini CESF/Hybrid CESF components to expand the capability of these devices. 1mm stopper wires with a trocar point are most often utilized for secure fixation, while 0.035” and 0.045” k-wires are also used as smooth fixation wires. All rings are aluminum and can be cut at holes for conversion into arches or partial rings as desired. Use of a wire tensioner is contraindicated with miniature rings. Mini hybrid rod supports construction of hybrid frames with mini SK™ ESF components, and mini circular ESF kits have been expanded to include these items. Rods and fasteners are stainless steel.

45mm Stretch RingIncreases the capability of the IMEX™ Miniature CESF System while providing additional options for the construction of circular and hybrid ESF frames. Wire fixation bolts that are both slotted and cannulated (part number 4.30001) are recommended for use with this ring.


4.14504 45mm 2.4mm

NEWNEW

NEWNEW


Miniature Circular External Skeletal Fixation System



4.30001 Mini Wire Fixation Bolt - Slotted and Cannulated

Bolt is both slotted and cannulated, providing two different points to capture and anchor fixation wires to rings. Stainless steel with 4mm threads and 7mm wrench flats. Simplifies wire capture on rings with holes. A replacement upgrade from our original cannulated wire fixation bolt and replaces former part number 4.30004. Supports 0.035” to 0.045” k-wires and 1mm stopper wires.

4.30005 Mini Wire Fixation Washer - Slotted

Allows capture of fixation wires and miniature INTERFACE™ pins to rings (or rods) at locations otherwise occupied by supporting elements. Also utilized for drop-wire technique. Can be pre-placed in several locations for optimal freedom. Multiple slots available to simplify capture of 0.035” – 0.045” k-wires and 1mm stopper wires. Stainless steel.

4.30006 Hex Nut, 4mm, Stainless Steel

The basic fastening element of the system. Fits all rods, motors, and bolts. 7mm wrench flats


Multi-purpose fastener. Can be used in conjunction with wire fixation washers.

Threaded Rods, 4mm

4.26050 4mm x 50mm length 4.26075 4mm x 75mm length4.26100 4mm x 100mm length Thread pitch = 0.7mm

Threaded Rods, Bolts, Nuts, Washers

NEWNEW

NEWNEW

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4.30008 Flat Washer, 4mm, Stainless Steel

Provides needed fill or offset during frame construction to maintain wire alignment.

4.40002 Fixation Wire with Stopper

1.0mm diameter x 125mm length with stopper. Provides additional stability when patient anatomy does not allow optimal wire placement. Also used for fracture reduction and bone transport. Stainless Steel.

4.50003 7mm Combination Wrench

The basic wrench of the mini circular ESF system. Often used in pairs. Also compatible with mini SK™ ESF System.

4.50004 7mm Angled Open Socket Wrench

A quick and handy extra wrench that fits many hard-to-reach areas. Also compatible with mini SK™ ESF System.

4.50005 7mm Double Wrench

Utilized to span rings and turn paired nylon nuts simultaneously to achieve compression or distraction. Not for use on metal fasteners.

4.60001 Mini Angular Hinge Assembly

Similar in design to standard size CESF hinge, but designed to function with the Mini CESF system. Most commonly used to construct articulations during construction of simple hybrid ESF frames, but can also be coupled with mini SK™ hybrid rods to create a simple, hinged transarticular external fixator.

4.70001 Nylon Zero Tolerance Nut, 4mm Thread

Zero Tolerance/Zero Motion design. Can be utilized to compressor distract rings, rods, and hinges. Also used for bone transport.Must be used in pairs. Best manipulated with a 7mm double wrench - part number 4.50005.(U.S. Patent # 5,968,043)

IMEX™ Miniature Circular External Skeletal Fixation System


NEWNEW


4.70005 Mini One-Hole Post

Mounts to ring to support additional wires, half-pins, and other fixation elements. Commonly used in many free form circular frames and in hybrid frame applications. Stainless steel.

4.70007 Spherical Nut, 4mm Thread4.70008 Spherical Washer, 4mm

By placing a pair on each side of a ring, rod angle can be adjusted to fine-tune reduction and assembly. Six pairs will allow a ring or ring block with three rods to be adjusted. Must be used as mating pairs. Stainless steel.


Used as a general-purpose fastener with the Mini CESF system. This bolt is also a component of the mini SK™ ESF clamp assembly and may be useful for drop wire technique off rings or off one-hole posts. In addition, this bolt can be used to mount mini angular hinges to rings, but may require flat washers acting as spacers to do so.


4 4.13501 35mm x 2.4mm Full Ring

3 4.14501 45mm x 2.4mm Full Ring

1 4.14504 45mm x 2.4mm Stretch Ring

3 4.26050 4mm x 50mm Threaded Rod



2 4.70005 One-Hole Post, Mini

2 4.60001 Angular Hinge Assembly


18 4.30004 Cannulated/Slotted Wire Fixation Bolt

6 4.30005 Slotted Wire Fixation Washer

50 4.30006 4mm Hex Nut, Stainless

12 4.30008 4mm Flat Washer, Stainless


8 4.40002 1.0mm x 125mm Stopper Wire

4 300.003 4mm x 8mm Hex Bolt

Mini Circular ESF Starter Kit Part No. 4.00001


NEWNEW

Miniature Circular External Skeletal Fixation System

4.50004 7mm Angled Socket Wrench

4.50005 7mm Double Wrench (for nylon nuts)

4.70001 Nylon Zero Tolerance Nut, 4mm

4.70007 Spherical Nuts, 4mm

4.70008 Spherical Washers, 4mm

307.125 3.2mm x 125mm Hybrid Rod

Other popular additions to the Mini Circular ESF Starter Kit includes:

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History of ESF Pins

Veterinary external skeletal fixation developed around the Kirschner-Ehmer ESF clamp and began with the use of smooth fixation pins typically fashioned from trocar pointed Steinmann pins. Veterinary surgeons quickly discovered the necessity of threaded ESF pins and began to utilize partially threaded Steinmann pins as ESF pins. However, these pins often broke at the thread/non-thread junction and they were not considered to have adequate fatigue strength for veterinary patients. Fully threaded IM pins were then tried in an effort to eliminate the stress riser between the threaded and smooth portions of Steinmann pins, but were deemed not to be of adequate bending strength.

Kirschner Medical then provided the veterinary surgeon with the Ellis™ pin (Kirschner Medical, Timonium, MD). The Ellis™ pin was basically a partially threaded IM pin with a very short length of thread. Theoretically, the short thread length would result in the thread/non-thread junction being placed in the medullary cavity and would thus be shielded from cyclic loading and fatigue failure. The resulting application would result in only the far cortex being engaged with threads and the near cortex being engaged by the smooth portion of the pin. Reports of fatigue failure were reduced but not eliminated. The near cortex was potentially stripped as the threaded/non-threaded junction passed through the wall of the bone, and potential for premature pin loosening was considerable.

Veterinary surgeons then began to search human orthopaedic catalogs for strong pins of appropriate diameter to function with the Kirschner-Ehmer clamp used in many veterinary practices. The Turner Hip Pin (Zimmer) and the Centrally Threaded Traction Pin (Synthes) were two human pins that made their way into veterinary literature. A unique feature of these two human threaded pins is the presence of raised (“positive” or “rolled on”) threads. Clinical performance of these pins was considered excellent, and the “positive thread” design was considered responsible for good fatigue performance combined with adequate bending strength. These pins also provided threaded engagement for both bone cortices. Drilling of a pilot hole for placement of an ESF pin (pre-drilling) then became recognized as highly beneficial in veterinary patients.

The reported performance of these human pins (two cortex, positive thread ESF pins) led to their popularity in veterinary referral centers, but limited size availability and the high cost of human implants restricted widespread use of these pins in veterinary patients. IMEX™ Veterinary, Inc. was founded to produce these pins in a variety of sizes appropriate to existing veterinary fixation devices. The resulting INTERFACE™ fixation half-pins and CENTERFACE™ fixation full-pins became available; sized for the small, medium, and large KE clamps at a cost only slightly more than that of single cortex, negative threaded pins. To complement the full versatility of SK™ ESF clamps, INTERFACE™ and CENTERFACE™ pins of intermediate sizes (2.0mm, small-plus, 3.0mm and medium-plus) are available as well. IMEX™ offers more pin diameters, lengths, and thread choices than any other veterinary orthopaedic company.

Due to the popularity of these threaded pins, IMEX™ now has a selection of more than sixty ESF pins available to the veterinary surgeon, and remains the world leader in veterinary ESF pin technology. Due to the long history of the KE clamp, the terms “small, medium, and large” typically refer to pin shanks of 3/32”, 1/8” and 5/32” respectively.

IMEX™ INTERFACE™ and CENTERFACE™ fixation pins do not feature the thread profile of a bone screw but are designed with the unique environmental and mechanical differences between a bone screw and ESF pin being taken into design consideration. This design stresses long-term performance of the pin-bone interface over acute performance.

All IMEX™ ESF pins are produced from the highest quality, human implant grade 316LVM material.


Part Recommended Shank Thread Thread Total Pins/Pack No. Drill Bit Size* Diameter Diameter Length Length

03035 – 0.035” (0.9mm) 0.044” 0.5” (12mm) 3” (75mm) 6

03045 1.0mm or 1.1mm 0.045” (1.2mm) 0.055” 0.5” (12mm) 3” (75mm) 6

03062 1.5mm 0.062” (1.6mm) 0.073” 0.5” (12mm) 3” (75mm) 6

03078 1.5mm 5/64” (2.0mm) 0.090” 0.6” (15mm) 3” (75mm) 6

03094 2.0mm 3/32” (2.4mm) 0.115” 0.7” (17mm) 3” (75mm) 1

Miniature IMEX™ INTERFACE™ Fixation Half-pins These small pins are K-wire size versions of our popular INTERFACE™ fixation half-pins.

Most commonly used with acrylic frame fixators on toy breeds, avian patients, and small exotic pets, these pins have trocar points on both the smooth and threaded ends. The central area of the pin shank is factory-roughened to enhance the interface between the acrylic frame and pin. This central area is not a thread, and attempts to use this implant as a full-pin are contraindicated. Nomenclature is based on the smooth shank diameter.

* Drill bit recommendations are based on availability of drill bits in these sizes. Referenced drill bits are standard sizes available from human orthopaedic companies. A K-wire or drill bit one size smaller than the pin’s shank size can also be utilized for pre-drilling.

** 03062 and 03078 are popular with the Mini SK™ and Acrylic / Epoxy ESF frames.

*** 03094 has the same shank as the small INTERFACE™ fixation half-pin but has a smaller thread profile. This pin is less frequently used with long bone fractures but finds more routine use with acrylic and pin ESF frames applied to mandibular fractures.

**

**

***

NEWNEW

Part Recommended Shank Thread Thread Total Pins/Pack No. Drill Bit Size* Diameter Diameter Length Length

06035 – 0.035” (0.9mm) 0.044” 0.5” (12mm) 3” (75mm) 6

06045 1.0mm or 1.1mm 0.045” (1.2mm) 0.055” 0.5” (12mm) 3” (75mm) 6

06062 1.5mm 0.062” (1.6mm) 0.073” 0.5” (12mm) 3” (75mm) 6

06078 1.5mm 5/64” (2.0mm) 0.090” 0.6” (15mm) 3” (75mm) 6

Miniature IMEX™ Stick-pinsOver the years, many customers have used IMEX™ miniature INTERFACE™ fixation half-pins for a variety of non-external fixation purposes when a k-wire sized implant with a short threaded portion is what the surgeon really desires. Such applications are often in small dogs, cats, avian, and exotic patients and include: tibial crest translocations, capital physeal fractures and avulsion fractures of the greater trochanter. These applications often involve bending the pin over as in tension band applications. When miniature INTERFACE™ pins are bent acutely at their roughened shaft area they may break. Stick-pins are nearly identical to miniature INTERFACE™ pins but do not include the roughened shaft that enhances grip to acrylic and epoxies, and are not prone to failure when bent acutely at the smooth portion of the pin.

External Skeletal Fixation Pins

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INTERFACE™ Fixation Half-pinsStandard (cortical) Thread Profile

INTERFACE™ fixation half-pins are end-threaded with positive thread profiles. The threaded end has a trocar point. Pre-drilling is recommended for optimum placement. Small, medium, and large are based on the KE standard of 3/32”, 1/8”, and 5/32” shanks respectively. Standard thread profile pins can be utilized at all locations and are the most popular and versatile version. Standard length versions are most popular, but extended length versions are useful when additional thread length is needed to span areas of larger bone diameter. IMEX™ INTERFACE™ fixation pins do not feature the thread profile of a bone screw, but are designed with the unique environmental and mechani-cal differences between a bone screw and ESF pin being taken into design consideration.

Part Shank Recommended Thread Thread Overall No. Diameter Drill Bit Size Diameter Length Length

2.0 MILLIMETER SHANK

15020 2.0mm 2.0mm 2.5mm 20mm 95mm

SMALL

15332 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 1” (25mm) 4” (100mm)

1533L* 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 1-1/4” (31mm) 6” (150mm)

SMALL-PLUS

15764 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1-1/8” (28mm) 4-1/4” (110mm)

1576L* 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 2” (50mm) 6” (150mm)


15030 3.0mm 3.0mm 3.5mm 30mm 110mm

MEDIUM

15180 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-1/4” (31mm) 4-1/2” (115mm)

1518L* 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 2” (50mm) 6” (150mm)

MEDIUM-PLUS

15964 9/64” (3.5mm) 3.5mm 4.3mm 1-3/8” (35mm) 5-1/4” (130mm)

1596L* 9/64” (3.5mm) 3.5mm 4.3mm 2-1/8” (54mm) 7” (175mm)

LARGE

15532 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 1-1/2” (38mm) 6” (150mm)

1553L* 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 2-1/4” (57mm) 8” (200mm)

* L = Extended Length

15020 (2.0mm shank) is the largest pin recommended for the MINI SK™ ESF Clamp. 15020 (2.0mm shank) and 15030 (3.0mm shank) are particularly advantageous with European fixator systems that utilize 2.0mm and 3.0mm fixation pins.





15020NP 2.0mm 2.0mm 2.5mm 20mm 95mm

SMALL

15332NP 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 1” (25mm) 4” (100mm)

1533LNP* 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 1-1/4” (31mm) 6” (150mm)

SMALL-PLUS

15764NP 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1-1/8” (28mm) 4-1/4” (110mm)

1576LNP* 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 2” (50mm) 6” (150mm)

MEDIUM

15180NP 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-1/4” (31mm) 4-1/2” (115mm)

1518LNP* 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 2” (50mm) 6” (150mm)

MEDIUM-PLUS

15964NP 9/64” (3.5mm) 3.5mm 4.3mm 1-3/8” (35mm) 5-1/4” (130mm)

1596LNP* 9/64” (3.5mm) 3.5mm 4.3mm 2-1/8” (54mm) 7” (175mm)

LARGE

15532NP 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 1-1/2” (38mm) 6” (150mm)

1553LNP* 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 2-1/4” (57mm) 8” (200mm)


15020NP (2.0mm shank) is the largest pin recommended for the Mini SK™ ESF clamp, and is particularly advantageous with European fixator systems that utilize 2.0mm fixation pins.

INTERFACE™ NP (No Point) Fixation Half-pinsStandard (cortical) Thread Profile

INTERFACE™ NP fixation half-pins lack the trocar point found on standard INTERFACE™ pins. Pre-drilling is required for pin placement. As with application of any ESF pin, attention should be given to proper pin alignmentwith the pre-drilled hole. Use of the SK™ ESF clamp’s secondary bolt will keep the clamp and drill hole oriented. In addition, liberal soft tissue release and retraction will simplify pin placement by allowing visualization. Absence of a trocar reduces opportunity for morbidity created by a trocar point remaining in soft tissue. This trocar-free pin is also safer for the operating surgeon. The lack of a trocar point makes this pin less expensive than trocar pointed INTERFACE™ pins. Lengths, diameters, and recommended drill bits are common with standard INTERFACE™ pins. IMEX™ pin and drill charts can be used for trocar and no point (NP) versions.

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20020 2.0mm 2.0mm 2.5mm 15mm 95mm

SMALL

20332 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 3/4” (19mm) 4” (100mm)

2033L* 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 1” (25mm) 6” (150mm)

SMALL-PLUS

20764 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1” (25mm) 4-1/2” (115mm)

2076L* 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1-3/8” (35mm) 6-1/2” (165mm)


20030 3.0mm 3.0mm 3.5mm 28mm 120mm

MEDIUM

20180 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-1/4” (30mm) 5” (125mm)

2018L* 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-3/4” (45mm) 7” (175mm)

MEDIUM-PLUS

20964 9/64” (3.5mm) 3.5mm 4.3mm 1-3/8” (35mm) 5-1/2” (140mm)

2096L* 9/64” (3.5mm) 3.5mm 4.3mm 2” (50mm) 7-1/2” (190mm)

LARGE

20532 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 1-1/2” (38mm) 6” (150mm)

2053L* 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 2-1/4” (57mm) 8” (200mm)


CENTERFACE™ Fixation Full-pins Standard (cortical) Thread Profile

IMEX™ CENTERFACE™ fixation full-pins are centrally-threaded with a positive thread profile. One end is trocar-pointed. The small, medium, and large sizes were developed to be compatible with the KE clamp and to maximize the shank diameter of threaded pins utilized with the KE clamp. The standard thread profile can be used at all locations and is the most popular, versatile thread version. Standard length versions are the most popular, but limited numbers of extended length versions should be available for special circumstances. IMEX™ CENTERFACE™ fixation pins do not feature the thread profile of a bone screw, but are designed with the unique environmental and mechanical differences between a bone screw and ESF pin being taken into design consideration.

20020 (2.0mm shank) is the largest pin recommended for the Mini SK™ ESF clamp. 20020 (2.0mm shank) and 20030 (3.0mm shank) are particularly advantageous with European fixator systems that utilize 2.0mm and 3.0mm fixation pins.





20020NP 2.0mm 2.0mm 2.5mm 15mm 95mm

SMALL

20332NP 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 3/4” (19mm) 4” (100mm)

2033LNP* 3/32” (2.4mm) 2.3mm 1/8” (3.2mm) 1” (25mm) 6” (150mm)

SMALL-PLUS

20764NP 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1” (25mm) 4-1/2” (115mm)

2076LNP* 7/64” (2.8mm) 2.7mm 9/64” (3.5mm) 1-3/8” (35mm) 6-1/2” (165mm)

MEDIUM

20180NP 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-1/4” (30mm) 5” (125mm)

2018LNP* 1/8” (3.2mm) 3.1mm 5/32” (4.0mm) 1-3/4” (45mm) 7” (175mm)

MEDIUM-PLUS

20964NP 9/64” (3.5mm) 3.5mm 4.3mm 1-3/8” (35mm) 5-1/2” (140mm)

2096LNP* 9/64” (3.5mm) 3.5mm 4.3mm 2” (50mm) 7-1/2” (190mm)

LARGE

20532NP 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 1-1/2” (38mm) 6” (150mm)

2053LNP* 5/32” (4.0mm) 3.9mm 3/16” (4.8mm) 2-1/4” (57mm) 8” (200mm)


CENTERFACE™ NP (No Point) Fixation Full-pins Standard (cortical) Thread Profile

CENTERFACE™ NP fixation full-pins lack the trocar point found on standard CENTERFACE™ pins. Pre-drillingis required for pin placement. Lack of a trocar point makes this pin less expensive than trocar pointed CENTERFACE™ pins, and potential for injury to the surgeon or patient during pin placement is reduced. Lengths, diameters, and recommended drill bits are common with standard CENTERFACE™ pins. IMEX™ pin and drill charts can be used for trocar and no point (NP) versions. When pre-drilling, this should be the centrally threaded pin of choice.

20020NP (2.0mm shank) is the largest pin recommended for the MINI SK™ ESF clamp. 20020NP (2.0mm shank) is particularly advantageous with European fixator systems that utilize 2.0mm fixation pins.

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INTERFACE™ Fixation Half-pinsCancellous Thread Profile

IMEX™ INTERFACE™ fixation half-pins with cancellous thread profile feature a deep thread with larger pitch than standard thread INTERFACE™ fixation pins. These pins have proven particularly effective in soft metaphyseal bone application where adequate bone stock is present to support the increased thread diameters. Acceptable locations include the proximal tibia, the distal femur, and the proximal humerus ONLY. Pre-drilling is very important. These pins are contraindicated in diaphyseal bone, in the radius or ulna, and in the hard bone of the humeral condyle.

NOTE: 16316 and 1631L have larger shanks than corresponding large KE standard thread profile pins. Rarely is more than one cancellous pin used per long-bone fracture.


SMALL

16332 3/32” (2.4mm) 2.3mm 9/64” (3.5mm) 1-1/8” (28mm) 4-1/2” (115mm)

1633L* 3/32” (2.4mm) 2.3mm 9/64” (3.5mm) 1-1/4” (31mm) 6” (150mm)

MEDIUM

16180 1/8” (3.2mm) 3.1mm 3/16” (4.8mm) 1-3/8” (35mm) 5” (125mm)

1618L* 1/8” (3.2mm) 3.1mm 3/16” (4.8mm) 2” (50mm) 6” (150mm)

LARGE

16316 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2” (50mm) 6” (150mm)

1631L* 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2-1/4” (57mm) 8” (200mm)




CENTERFACE™ Fixation Full-pins Cancellous Thread Profile

IMEX™ CENTERFACE™ fixation full-pins with cancellous thread profile feature a deep thread with larger thread pitch than standard thread CENTERFACE™ fixation full-pins. These pins have proven particularly effective in metaphyseal bone application where adequate bone stock is present to support the increased thread diameters. Acceptable locations include the proximal tibia and the distal femur ONLY. Pre-drilling is very important. These pins are contraindicated in diaphyseal bone, in the radius or ulna, and in the hard bone of the humeral condyle.


SMALL

21332 3/32” (2.4mm) 2.3mm 9/64” (3.5mm) 3/4” (20mm) 4” (100mm)

2133L* 3/32” (2.4mm) 2.3mm 9/64” (3.5mm) 1” (25mm) 6” (150mm)

MEDIUM

21180 1/8” (3.2mm) 3.1mm 3/16” (4.8mm) 1-1/4” (32mm) 5-1/2” (140mm)

2118L* 1/8” (3.2mm) 3.1mm 3/16” (4.8mm) 1-3/4” (45mm) 7” (175mm)

LARGE

21316 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2” (50mm) 6” (150mm)

2131L* 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2-1/2” (63mm) 8” (200mm)


NOTE: 21316 and 2131L have larger shanks than corresponding large KE standard thread profile pins. Rarely is more than one cancellous pin used per long-bone fracture.

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SCAT™ Fixation Half-pins(Single Cortex Negative Thread)

These pins are similar in design to the Ellis™ pin (Kirschner Medical) and were originally designed for use with the corresponding small and medium KE clamps. With the advent of modern ESF systems and the availability of inexpensive INTERFACE™ and CENTERFACE™ fixation pins, use of these pins is rapidly declining.

Surgeons performing TPLO surgery may find SCAT™ pins useful for temporary attachment of the alignment jig during the procedure, or may prefer a 3/32” or 1/8” Trocar/Trocar Partial Thread IM Pin.

Part No. Name Diameter Thread Length Overall Length

24222 Small SCAT™ Pin 3/32” (2.4mm) 1/2” (12mm) 4-1/2” (114mm)

25222 Medium SCAT™ Pin 1/8” (3.2mm) 1/2” (12mm) 5” (125mm)

Smooth Fixation Pins

These pins are similar to a single trocar smooth intramedullary pin and have typically been called half-pins, but are used as half-pins and full-pins. With the availability of modern ESF systems and economical INTERFACE™ and CENTERFACE™ fixation pins, use of these pins is rapidly declining. If a fixator needs to be in place for an extremely short period of time (e.g. Type I-a transarticular fixator for protection of a reduced elbow luxation), these pins may provide sufficient short-term stability; otherwise, threaded ESF pins should be used.

Part No. Name Diameter Overall Length

24111 Small Smooth Fixation Pin 3/32” (2.4mm) 4-1/2” (114mm)

25111 Medium Smooth Fixation Pin 1/8” (3.2mm) 5” (125mm)



NEWNEW

NEWNEW

NEWNEW


INTERFACE™ Radiographic Part No. ESF Pin Overlay 15LAYDurable, transparent radiographic ESF pin overlays feature actual size images of standard thread INTERFACE™ half-pins. When placed directly on the view box, they are utilized in choosing proper pin diameters and determining if standard or extended length pins will be required at given pin locations. Recommended drill bit diameters and part numbers are included. Keep a set at your view box for easy reference.

CENTERFACE™ Radiographic Part No. ESF Pin Overlay 20LAYDurable, transparent radiographic ESF pin overlays feature actual size images of standard thread CENTERFACE™ full-pins. When placed directly on the view box, they are utilized in choosing proper pin diameters and determining if standard or extended length pins will be required at given pin locations. Recommended drill bit diameters and part numbers are included. Keep a set at your view box for easy reference.

Pin CapsAutoclavable pin caps for protecting IM pin and ESF pin points during autoclave and storage. Also covers cut ends of external fixation pins, protecting owners and patients during bandage changes.

ESF Pin Ordering Guide COMPLIMENTARYIncludes all IMEX™ external fixation pins drawn to scale, references part numbers and recommended drill bits. Utilize this chart to identify unknown pins and assist in inventory management. Can be used during surgery to reference appropriate drill bits. Call today for your complimentary guide.

IM Pin Gage / Scale Part No. 30009Stainless steel ruler calibrated in inches and centimeters with holes for sizing K-wires, ESF pins and IM pins from 0.035” to 1/4”. Also sizes drill bits. In conjunction with our ESF Pin Ordering Guide, it is effective in identifying unknown pins, simplifying reordering and managing inventory.

INTERFACE™ ESF PIN OVERLAY PART NUMBER SHAFT DIAMETER THREAD DIAMETER THREAD LENGTH OVERALL LENGTH

2.0

MM

SMAL

LSM

ALL

PLUS

MED

IUM

MED

IUM

PLUS

LARG

E3.

0M

M

* Standard KE sizes Add NP to part numbers (except 15030) to order No Point Pins

RECOMMENDED DRILL BIT

15030 3.0mm 3.0mm 3.5mm 30mm 110mm

* 1518L 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 2" (50mm) 6" (150mm)

* 15180 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 1-1/4" (31mm) 4-1/2" (115mm)

1576L 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 2" (50mm) 6" (150mm)

15764 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 1-1/8" (28 mm) 4-1/4" (110mm)

* 1533L 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 1-1/4" (31mm) 6" (150mm)

15964 9/64" (3.5mm) 3.5mm 4.3mm 1-3/8" (35mm) 5-1/4" (130mm)

1596L 9/64" (3.5mm) 3.5mm 4.3mm 2-1/8" (54mm) 7" (175mm)

* 15532 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 1-1/2" (38mm) 6" (150mm)

* 1553L 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 2-1/4" (57mm) 8" (200mm)

150202.0mm shaft diameter

* 15332 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 1" (25mm) 4" (100mm)

15020 2.0mm 2.0mm 2.5mm 20mm 95mm

15764 and 1576L2.8mm shaft diameter






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cm0Magnification = 100%

cm

CENTERFACE™ ESF PIN OVERLAY PART NUMBER SHAFT DIAMETER THREAD DIAMETER THREAD LENGTH OVERALL LENGTH

2.0

MM

SMAL

LSM

ALL

PLUS

MED

IUM

MED

IUM

PLUS

LARG

E3.

0M

M

* Standard KE sizes Add NP to part numbers (except 20030) to order No Point Pins

RECOMMENDED DRILL BIT

20030 3.0mm 3.0mm 3.5mm 28mm 120mm

* 2018L 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 1-3/4" (45mm) 7" (175mm)

* 20180 1/8" (3.2mm) 3.1mm 5/32" (4.0mm) 1-1/4" (30mm) 5" (125mm)

2076L 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 1-3/8" (35mm) 6-1/2" (165mm)

20764 7/64" (2.8mm) 2.7mm 9/64" (3.5mm) 1" (25 mm) 4-1/2" (115mm)

* 2033L 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 1" (25mm) 6" (150mm)

20964 9/64" (3.5mm) 3.5mm 4.3mm 1-3/8" (35mm) 5-1/2" (140mm)

2096L 9/64" (3.5mm) 3.5mm 4.3mm 2" (50mm) 7-1/2" (190mm)

* 20532 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 1-1/2" (38mm) 6" (150mm)

* 2053L 5/32" (4.0mm) 3.9mm 3/16" (4.8mm) 2-1/4" (57mm) 8" (200mm)


* 20332 3/32" (2.4mm) 2.3mm 1/8" (3.2mm) 3/4" (19mm) 4" (100mm)

20020 2.0mm 2.0mm 2.5mm 15mm 95mm







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190Magnification = 100%

No PointTrocar Point

ESF Pin Overlays, Caps, Gage & Guide

Part No. Diameter Accepted Pin Sizes

CAPBLACK 2.0mm 5/64” (2.0mm)

CAPWHITE 3/32” (2.4mm) 3/32” and 7/64”

CAPBLUE 1/8” (3.2mm) 1/8” and 9/64”

CAPGRAY 5/32” (4.0mm) 5/32” and 3/16”

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Large Animal Transfixation Pinning

These pins along with related drill bits and taps are designed for lower limb application in large animal patients. Typically, fiberglass casting is used to incorporate the pins and hoof. New for 2008, large animal trasfixation pins feature three chuck flats on the blunt end for securing the pin in a Jacobs chuck. Pins are of CENTERFACE™ fixation full-pin design but are commonly utilized with transfixation casting. Pre-drilling and tapping are required. Please see page 52 for drill bits.

Part Shank Required Thread Thread Overall No. Diameter Drill Bit Size Diameter Length Length 21140 1/4” (6.3mm) 6.2mm 5/16” (8mm) 2-1/2” (64mm) 8” (200mm)

Required Tap for pin 21140 - Part No. 2114T

2131LA 3/16” (4.8mm) 4.7mm 1/4” (6.3mm) 2-1/2” (64mm) 8” (200mm)

Required Tap for pin 2131LA - Part No. 2131T

IMEX™ StickTite™ 6.2mm Drill Bit

These premium drill bits feature a special point geometry designed to engage the periosteum and prevent drill bits from “walking” or skidding at the beginning of the drilling process. This point geometry is especially beneficial when hole placement is critical and with freehand drilling applications. Compared to other drill bits, StickTite™ bits are much easier to start and drill accurately when not drilling perpendicular to the bone.

Part No. Diameter Length32062 6.2mm 180mm

NEWNEWSIZESIZE

NEWNEWSTYLESTYLE

Large Animal Transfixation Pinning


Part No. Diameter / Length

57132 Trans-ilial Nut, 3.2mm * (Requires 7mm Wrench)

57140 Trans-ilial Nut, 4.0mm * (Requires 7mm Wrench)

57147 Trans-ilial Nut, 4.7mm **(Requires 8mm Wrench)

Part No. Diameter / Length

57032 Trans-ilial Rod, 3.2mm x 125mm



Interlocking Nail Pins are designed to give surgeons the ability to combine the IMEX™ SK™ ESF device with the interlocking nail system by Innovative Animal Products. Utilizing these locking pins through the nail provides a significant increase in stability that can be especially useful in mechanically challenging fracture scenarios. In addition, locking pins allow for easy destabilization of the nail. The smaller, smooth portion is cut to length as determined by bone diameter. The larger diameter is gripped by the SK™ ESF clamp with the short, threaded area engaging the cis cortex. Three sizes are available:

Part No. Bolt/Pin Diameter Nail Diameter SK™ Size

132025 2.0mm Bolt/2.5mm Pin 4.0mm or 4.7mm nails Mini SK™ or Small SK™

132732 2.7mm Bolt/3.2mm Pin 6.0mm nails Small SK™ or Large SK™

133540 3.5mm Bolt/4.0mm Pin 8.0mm nails Small SK™ or Large SK™

Interlocking Nail Pins

TPLO Reduction Pins

These pins are designed for use as temporary osteotomy reduction pins during application of TPLO plates. Pins feature a long threaded length and a single trocar point with two diameters available. Stainless steel.

Part No. Diameter Threaded Length Overall Length

29016 1.6mm 45mm 130mm

29020 2.0mm 65mm 155mm

Miscellaneous Pins and Rods

Miscellaneo

us Pins

Fully-threaded rods designed to provide additional stability during the repair of unilateral or bilateral sacro-iliac luxations and sacral fractures. Often used in addition to lag screws and can be combined with other implants. Available in 3.2mm, 4.0mm, and 4.7mm diameters with a single trocar point. Paired nuts can be applied to each end to provide secure, locked fixation. A short length of non-threaded area is available to eliminate thread damage when applying a Jacobs chuck. Stainless steel.

Trans-ilial Rods and Nuts

Trans-ilial Rods Trans-ilial Nuts

* See page 10 for 7mm wrench / ** See page 14 for 8mm wrench

NEWNEWSTYLESTYLE

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Drill Bits and Drill Sleeves

IMEX™ StickTite™ Drill Bits

These premium drill bits feature a special point geometry designed to engage the periosteum and prevent drill bits from “walking” or skidding at the beginning of the drilling process. StickTite™ point geometry is especially beneficial when hole placement is critical and with freehand drilling applications. Compared to other drill bits, StickTite™ bits are much easier to start and drill accurately when not drilling perpendicular to the bone.

In order to support ESF pin pre-drilling through drill sleeves and with double rod drilling techniques, IMEX™ drill bits are considerably longer than standard bone plating drill bits. Surgeons must be aware of this length and avoid side pressures resulting in drill bit flexion and bowing– especially when not using drill sleeves. StickTite™ drill bits are designed to drill with minimal forward pressure and if forced into the opposite bone wall, they will engage rapidly with potential for damage to the bit. The sharp cutting geometry will also attempt to cut or grab when hitting screws or pins – resulting in damaged drill bits. If cutting into a pin or screw is likely, it is recommended that standard ESF drill bits be used. All IMEX™ drill bits can be cut shorter if the additional length is not desired.

*Extra length StickTite™ drill bits are commonly used with interlocking nail systems. Used with care, these drill bits tend to drill accurately through the drill sleeve and the targeting jig of the interlocking nail system.

Standard ESF Drill Bits

ESF drill bits are made of hardened stainless steel in diameters appropriate for pre-drilling of standard KE size INTERFACE™ and CENTERFACE™ ESF pins, large cancellous ESF pins, and IMEX™ 6.3mm shank large animal transfixation pins.

Part No. Description Recommended ESF Pins 33023 2.3mm x 5” Small 3/32” pin shanks 33031 3.1mm x 6” Medium 1/8” pin shanks 33039 3.9mm x 6.25” Large 5/32” pin shanks 33047 4.7mm x 6.75” Large Cancellous and 4.8mm shank, large animal transfixation pins 33062 6.2mm x 7” 6.3mm shank, large animal transfixation pins

Part No. Diameter Length32020 2.0mm 120mm32020L * 2.0mm 175mm32023 2.3mm 125mm32025 2.5mm 135mm32025L * 2.5mm 175mm32027 2.7mm 140mm32027L * 2.7mm 175mm32031 3.1mm 150mm32032 3.2mm 155mm32035 3.5mm 160mm32035L * 3.5mm 175mm32039 3.9mm 165mm32062 6.2mm 180mm

Drill Sleeves

Designed for through-the-clamp pre-drilling with SK™ single clamps, but can be an effective drill sleeve for a variety of applications.


34015 1.5mm 1.1mm Mini 34020 2.0mm 1.6mm Mini 34023 2.3mm 2.0mm Small 34031 3.1mm 2.7mm Small or Large 34039 3.9mm 3.5mm Large

Drill Bits andDrill Sleeves

NEWNEWSIZESIZE

NEWNEWSIZESIZE

NEWNEWSIZESIZE


Steinmann Intramedullary Pins

Trocar/Trocar Smooth pins feature a trocar point on each end of a smooth pin.

Trocar/Trocar Partial Thread pins feature a trocar point on both ends. One end includes approximately one inch of threaded length.

T/T Smooth T/T Partial Thread Diameter Approximate Part No. Part No. x Length Metric

10116 11116 1/16” x 9” 1.6mm x 228mm

10564 11564 5/64” x 9” 2.0mm x 228mm

10332 11332 3/32” x 9” 2.4mm x 228mm

10764 11764 7/64” x 9” 2.8mm x 228mm

10180 11180 1/8” x 9” 3.2mm x 228mm

* 1018L - 1/8” x 12” 3.2mm x 305mm

10964 11964 9/64” x 9” 3.5mm x 228mm

10532 11532 5/32” x 9” 4.0mm x 228mm

* 1053L - 5/32” x 12” 4.0mm x 305mm

1031S - 3/16” x 9” 4.8mm x 228mm

10316 11316 3/16” x 12” 4.8mm x 305mm

1014S - 1/4” x 9” 6.3mm x 228mm

10140 11140 1/4” x 12” 6.3mm x 305mm

Steinmann Intramedullary Pin Starter KitsPin kits contain an assortment of standard size K-wires and IM pins in an autoclavable cloth bag with labeled pockets for the various sizes. Available in smooth and partial thread.

Smooth IM Pin Starter Kit with IM Pin Bag Part No. 10SKT

6 each K-wires: .035” x 6” | .045” x 6” | .062” x 6”

2 each Trocar/Trocar Smooth IM Pins: 1/16” x 9” | 5/64” x 9” | 3/32” x 9” 7/64” x 9” | 1/8” x 9” | 9/64” x 9” | 5/32” x 9” | 3/16” x 12” | 1/4” x 12”

1 each Cloth IM Pin Bag, Autoclavable

Partial Thread IM Pin Starter Kit with IM Pin Bag Part No. 11SKT

6 each K-wires: .035” x 6” | .045” x 6” | .062” x 6”

2 each Trocar/Trocar Partial Thread IM Pins: 1/16” x 9” | 5/64” x 9” | 3/32” x 9” 7/64” x 9” | 1/8” x 9” | 9/64” x 9” | 5/32” x 9” | 3/16” x 12” | 1/4” x 12”

1 each Cloth IM Pin Bag, Autoclavable

* 1018L and 1053L “long” versions are commonly utilized as an IM pin with the added length used for tie-in with external skeletal fixators.

Inquire about our ability to produce custom diameter and length intramedullary pins and k-wire.

IM Pins, K-W

ireOrthopaedic W

ire

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Free Roll

Part No. Diameter Approximate Length

05016 16 gage/.048” (1.2mm) 10 meters

05018 18 gage/.040” (1.0mm) 10 meters

05020 20 gage/.032” (0.8mm) 10 meters

05022 22 gage/.025” (0.6mm) 10 meters

Autoclavable Spool

Part No. Diameter Approximate Length

04016 16 gage/.048” (1.2mm) 3 meters

04018 18 gage/.040” (1.0mm) 4 1/4 meters

04020 20 gage/.032” (0.8mm) 6 1/2 meters

04022 22 gage/.025” (0.6mm) 10 meters

K-WireTrocar points on each end of a small diameter smooth pin. Six wires per package: 6” or 9” lengths.

K-Wire and Orthopaedic Wire

Part No. (per 6) Diameter x Length Approximate Metric

00035 0.035” x 6” 0.9mm x 150mm

00045 0.045” x 6” 1.2mm x 150mm

00062 0.062” x 6” 1.6mm x 150mm

01035 0.035” x 9” 0.9mm x 228mm

01045 0.045” x 9” 1.2mm x 228mm

01054 0.054” x 9” 1.4mm x 228mm

01062 0.062” x 9” 1.6mm x 228mm

Orthopaedic (Cerclage) WireRolled orthopaedic wire for cerclage application. Available on non-wicking, plastic, autoclavable spools or “free” rolled without autoclavable spools. “Free” rolls can provide a better value and lay flat in surgery packs. Wire on autoclavable spools can be easier to identify and handle.


Pin and Wire Accessories

Power Drill Adapter and Key Part No. 30001Cannulated, stainless power drill adapter and key. Remove the factory chuck on most hardware store type 3/8” drills and replace with this adapter that can be removed for steam sterilization. 1/4” Jacobs chuck will chuck 0 to 1/4” pins.

Hand Chuck with Key and Extension Tube Part No. 30002Cannulated, stainless Jacobs chuck on anodized handle. Will chuck from 0 to 1/4” diameter. Extension provides hand protection when placing long pins. Stainless key included.

Stainless Steel Replacement Key for 1/4” Jacobs Chuck Part No. 30003Fits standard 1/4” Jacobs chuck on hand chuck (30002), power drill adapter (30001), and surgery drill (30004).

Power Surgery Drill with Power Drill Adapter and Key Part No. 30004

Power drill adapter (30001) has been fitted to a true variable speed cordless drill. This 0-600 rpm Makita® reversible drill includes power drill adapter, stainless chuck key, charger and case. A nice, compact, quality drill.

Power Surgery Drill ONLY Part No. 30004ASame drill as above without drill extension, Jacobs chuck, or key. Ready to accept standard chuck or extension.

Mini Hand Chuck Part No. 30008Similar to the Kirschner pin vise, this hand-held pin driver is very useful for K-wires and very small IM pins. Provides fingertip precision and control when placing K-wires from 0.028” to 5/64”. Keyless.

Pin and Wire

Accessories

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IM Pin Organizer Bag Part No. 30005

Autoclavable cloth bag with labeled pockets for the various sizes of IM pins and K-wires. Double reinforced bottom fold. Included with purchase of IM pin starter kits.

Cloth Drill Shroud Part No. 30006

Autoclavable. Utilized with power drill adapter to provide a sterile field when using a non-sterile drill. Fits IMEX™ surgery drills and a variety of smaller hardware store-type drills. Not suitable for larger drills with expanded handles.

External Fixator / Instrument Organizer Bag Part No. 30007

An autoclavable cloth organizer bag for many ESF components and instruments, regardless of size. Many customers segregate fixation pins and small components by size into marked syringe cases to place into this bag.

IM Pin Gage / Scale Part No. 30009

Stainless steel ruler calibrated in inches and centimeters, with holes for sizing K-wires, ESF pins and IM pins from 0.035” to 1/4”. Also sizes drill bits.


Suture Anchors

Often termed tissue anchors or bone anchors, these implants are practical alternatives to bone tunnels, screw-washer combinations, and other methods of attaching soft tissue to bone. Anchors are easy to use in locations where bone tunnels are not readily placed and represent a smaller profile than screw/washer combinations. Developed in conjunction with several referral surgical facilities, the anchors and related suture materials should be considered temporary fixation devices that allow tissue to heal to its original location, protect primary soft tissue repairs during the early phases of healing, or facilitate the formation of fibrous tissue to assist in maintaining joint stability. IMEX™ suture anchors are threaded implants designed to maximize implant/bone interface by being screwed into bone. Pre-drilling is required; however, the anchors are self-tapping.

Recommended drill bit diameters are 2.7mm for the 4.0mm anchor and 3.5mm for the 4.7mm anchors. Smaller drill bits can be utilized in soft, juvenile bone locations if desired. In very dense bone, slightly larger drill bits might be considered. The use of StickTite™ drill bits enhances accuracy of drill hole locations. The suture anchor’s square drive-head with cross-hole is approximately 2.0mm in height.

Recommended Part No. Diameter Length Hole Dimension Drill Bit

60-40-06 4.0mm 6mm 1.1mm 2.7mm

60-40-10 4.0mm 10mm 1.1mm 2.7mm

60-47-06 4.7mm 6mm 1.3mm 3.5mm

60-47-10 4.7mm 10mm 1.3mm 3.5mm

Suture Anchors

Suture anchors are screwed into bone to act as insertion points for sutures used in reconstruction of ligaments, joint capsules and tendons.

For size reference only, 4.0mm anchors will hold most brands of 60# nylon leader, and 4.7mm anchors will hold most brands of 80# nylon leader. Many other suture types and sizes are frequently used depending on the surgeon’s preference.

Suture Anchor Drivers

A unique, tapered driver designed to simplify handling and application of the anchor.


61-40-DR Small 4.0mm Driver

61-47-DR Large 4.7mm Driver

Suture Anchor Caddy Part No. 61-CA-DD

Anchor caddy is labeled with anchor dimensions and part numbers to simplify inventory management. Caddy design simplifies anchor retrieval directly into self-retaining anchor driver. Autoclavable.

Joint Stabilization

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Suture Anchor Taps

Occasionally used to facilitate anchor application in VERY dense bone.


61-40-TP Small 4.0mm Tap

61-47-TP Large 4.7mm Tap

Suture Anchor Starter Kit Part No. 60-00-00


3 60-40-06 Anchor 4.0mm x 6mm

3 60-40-10 Anchor 4.0mm x 10mm

3 60-47-06 Anchor 4.7mm x 6mm

3 60-47-10 Anchor 4.7mm x 10mm

1 61-40-DR Small Driver (4.0mm)

1 61-47-DR Large Driver (4.7mm)

1 61-CA-DD Anchor Caddy



Suture Anchors

Suture Anchor Clinical Case Examples

Reconstruction of Collateral Ligaments

Collateral ligament injuries are common in small animal patients. Traumatic injuries can result in tears of the ligaments, avulsions of ligament origins/insertions, or loss of ligaments from shearing injuries. Torn collateral ligaments are often sutured for primary reconstruction; however, due to the slow healing and remodeling of collateral ligament tears, it is common to utilize sutures and anchors to support a primary repair. Placing a suture anchor at origin and insertion of the collateral ligament and spanning the two anchors with a relatively strong strand of suture material is a typical method of supporting primary ligament repair. Collateral ligament avulsions are repaired by placing a single suture anchor at the avulsion site and then reattaching the ligament to the bone via the anchor. Some surgeons will elect to include a second anchor and suture loop to create a prosthetic ligament to protect the avulsion site during the early healing phase (similar to protection of a primary repair.) Injuries, such as shearing injuries, resulting in actual loss of the collateral ligament, carry a more guarded prognosis. However, suture anchors can be utilized to facilitate placement of prosthetic ligaments that serve to maintain joint stability during the formation of functional fibrous tissue, which helps maintain joint stability over time.

Courtesy of Derek Fox, DVM


Joint Stabilization

Stabilization of Shoulder Subluxation and Luxation

Primary, traumatic luxation of the shoulder joint is not common in small animal practice, but can occur. Congenital and developmental shoulder subluxation and luxation occur in small-breed dogs, and chronic shoulder instability occurs in large-breed, athletic dogs. Surgical stabilization for these cases can include joint capsule imbrication and prosthetic suture placement to provide reduction and strength for supporting tissue healing and strengthening of the rotator cuff. Suture anchors can be utilized for attaching these periarticular sutures. Anchors can also be used for reattaching avulsed joint capsules or glenumeral ligaments to bone.

Joint Capsule Reattachment

With traumatic joint luxations, the joint capsule is always torn to some degree, and re-establishing its integrity and function is a primary goal of treatment. In some cases, the damage to the joint capsule is in the form of avulsion from the bone. In these cases, reattachment of the joint capsule to the bone increases the mechanical stability of the repair and may lead to more rapid return to function. Use of anchors in this fashion greatly facilitates re-attachment of the avulsed joint capsule by allowing the exact number of anchor points to be utilized. In comparison to more mechanically demanding scenarios, relatively small suture materials can be utilized for joint capsule reattachment. The photo to the right shows a reduced elbow luxation with avulsed joint capsule. Three suture anchors have been pre-placed into the ulna and will be used to re-position the joint capsule.

Capsulorrhaphy for Hip Luxation

A number of methods for maintenance of surgical reduction of hip luxations are currently popular and include: the toggle pin method, ilio-femoral sutures to limit external rotation of the hip, and caudo-distal transposition of the greater trochanter. Each of these methods depends on the joint capsule and associated muscles for acute and long-term maintenance of joint stability. If the joint capsule is severely traumatized and not conducive to primary repair, some surgeons will elect to perform a capsulorrhaphy or dorsal augmentation of the joint capsule. This is accomplished by placing sutures from the dorsal acetabular rim to the proximal femur. These sutures are utilized to augment or mimic the strength of the dorsal aspect of the joint capsule with the hope that this added strength will assist in maintaining joint integrity while healing of the compromised joint capsule occurs. Ilio-femoral sutures can be a part of this dorsal augmentation, or can be utilized alone. The purpose of the ilio-femoral suture is to limit external rotation of the hip and thus decrease likelihood of repeat luxation. With any of the just mentioned surgical methods for stabilization of hip luxations, it is important to remember that the use of sutures and anchors must be considered temporary solutions until the joint capsule and periarticular soft tissue can heal. As such, patients with poor hip conformation are not good candidates for these methods of repair and should be considered for salvage procedures, such as FHNE or THR.


Courtesy of James Cook, DVM

Courtesy of Bob Radasch, DVM

Anchors

Courtesy of Steve Petersen, DVM

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Tendon and Ligament Reattachment

Other tendon and ligament injuries, such as the origin of the gastrocnemius, long digital extensor tendon of origin, and gluteal tendons of insertion may provide ideal indications for the use of suture anchors. In these cases, anchors are used in a fashion similar to treatment of collateral ligament injuries. Treatment of calcanean, patellar, and triceps tendon injuries may be successfully treated using suture anchors in very select cases. However, their use is not generally recommended for these structures due to the very dense bone at the attachment sites, the anatomical considerations unique to these sites, and the availability of other techniques which may be more appropriate for these problems.

Anchor-Orthopaedic Wire-Polymethylmathacrylate-Acetabular Fracture Repair

Articular fractures should be anatomically reduced and rigidly fixed. With acetabular fracture repair, it is often difficult to contour available bone plates to maintain accurate, anatomic alignment as screws are tightened into the plate. In other words, if the plate is nearly contoured, initial screw application will appear accurate; however, as additional screws are placed and tightened, any error in plate contour will result in translation of the bone and loss of reduction. To overcome the difficulty of plate contouring, special acetabular plates have been developed. In addition, reconstruction plates have been utilized in larger canine patients. Recent reports (Lewis, et al: Veterinary Surgery. 1997 May-Jun; (3):223-34) have outlined an alternate procedure for repair of acetabular fractures in small animal patients. Specifically, bone screws or similar devices are placed along the dorsal acetabular rim and are connected with orthopaedic wire. The fracture is held in reduction while PMMA is applied over the implant/wire composite frame. The PMMA conforms to the surface of the bone and strength is achieved because the composite structure is held in place by the threaded implants. Anchors may be beneficial when used for this technique, as they provide excellent bone purchase while allowing for easy retention of the orthopaedic wire in the eyelet. It is important to note that to date, this method has been used in relatively small patients.

Stabilization of Cranial Cruciate Deficient StiflesA few recommendations are provided regarding use of suture anchors for stabilization of cranial cruciate deficiency. Many questions are being asked about the appropriateness of this use, and several general guidelines and concerns can be outlined. Surgeons who assisted in development and testing of these suture anchors were referral orthopaedic surgeons utilizing tibial plateau leveling osteotomy (TPLO) as their treatment of choice for cranial cruciate tears. However, in selected patients, suture anchors have been utilized instead of the fabella for extracapsular reconstructions. Use of suture anchors enhances more isometric placement of sutures than using the fabella; however, in large active patients, it must be stressed that combinations of techniques should be utilized. For example, a fabellar suture in addition to an anchor suture could be utilized along with capsular imbrication and/or fascia latae transfer. Remembering that all prosthetic suture/ligament applications will likely fail (this includes current fabellar-tibial suture loops), it must be hoped that peri-articular fibrosis will maintain joint stability after such failure. Perhaps the use of multiple techniques creates a situation in which multiple failures must occur over time before there is only fibrosis and fascial transfer to maintain long-term stability. More and more customers are incorporating additional use of suture

Courtesy of Dave Crouch, DVM


Courtesy of Derek Fox, DVM


Joint Stabilization

anchors as a portion of their CCL repair in challenging patients. Do not purchase suture anchors as the sole method of extracapsular repair of cruciate disease; however, selected adjunct use of these anchors may simplify and enhance cruciate repairs.

Summary

Many customers want specific recommendations regarding suture material type and size. Due to the widespread variations in patient size, underlying pathology, and presence or absence of infection, specific recommendations cannot be made. However, feedback to date indicates that about 50% of cases have utilized monofilament sutures, while the other 50% have utilized braided materials. In human surgery, there are dozens of suture anchors available, and many are pre-loaded with braided suture material. Large diameter, monofilament nylon fishing line has been popularized in veterinary medicine and may be appropriate in demanding situations such as repair of CCL deficient stifles in large, active patients. However, this stiff line is not conducive to acute bends at anchors and is difficult to handle. Current 4.7mm anchors will support use of most brands of 80 pound monofilament nylon leader and #2 -#4 braided materials. Number 5 braided materials may be difficult to utilize if the material of choice tends to fray significantly when cut. Popular monofilament materials also include Prolene and Ethilon in sizes “0” and “2.” Consider the difference between a closed tear of carpal collateral ligament that undergoes primary repair and prosthetic ligament support compared to a deep shearing injury loss of the same ligament in a similar patient. The shearing injury is less stable, but being open and contaminated may lead one to utilize monofilament material for repair. Size of material selected is dependent on patient size. Braided material tends to have better handling and tying characteristics, is more conducive to sudden direction change, and is generally stronger than monofilament material. However, in veterinary medicine, both have been associated with fistulous tracts. Use of higher quality braided material and improved aseptic techniques seem to be leading to increased use of braided suture material in veterinary surgery. Newer monofilament, non-absorbable sutures show promise as well.

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Part No. Drill Diameter

50023 2.3mm/2.0mm

50025 2.5mm

50031 3.1mm

50035 3.5mm/3.2mm

Part No. Drill Diameter

50039 3.9mm

50045 4.5mm

50016D 1.6mm x 2 holes

The Toggle Pin Method of Coxofemoral Luxation Repair

Introduction

There are a number of currently popular surgical methods for maintaining reduction of coxofemoral luxations that include: the toggle pin method, ilio-femoral sutures to limit external rotation of the hip, and caudo-distal transposition of the greater trochanter. Each of these methods depends on the joint capsule and associated muscles for acute, and especially for long-term maintenance, of joint stability. If the joint capsule is severely traumatized and not conducive to primary repair, some surgeons elect to perform a capsulorrhaphy or dorsal suture augmentation of the joint capsule. With any of the just mentioned surgical methods for stabilization of hip luxations, it is important to remember that the use of sutures and anchors must be considered temporary solutions until the joint capsule and periarticular soft tissue can heal. As such, patients with poor hip conformation are not good candidates for these methods of repair and should be considered for salvage procedures, such as FHNE or THR.

The toggle pin method of maintenance of coxofemoral luxations has been around many years. Commercially available toggle pins, IMEX™ Polypropylene Suture Buttons, and the IMEX™ Universal Aiming Device have simplified the method and increased its popularity. This method places a strand (or multiple strands) of suture material in a location that mimics the normal origin and insertion of the round ligament of the femoral head, which is torn when the hip is traumatically luxated. This anatomic positioning of suture material is relatively straightforward and visually demarcated in the hip, and perhaps is partially responsible for the logic and popularity of the method. Different suture materials and sizes are used based on the surgeon’s preference. IMEX™ customers use both monofilament and braided suture materials. Braided material is popular with customers who desire strength and knot security and tends to bend acutely around anchors or toggles better than monofilament suture material. Typical sizes include #2 and #5. Prolene®, Ethilon® and monofilaments are popular with customers who desire a relatively inert material, and common examples include monofilament fishing leader in 40 lb., 60 lb., and 80 lb. tests.

Universal Aiming Device Part No. 50000

A high quality, adjustable aiming device for pre-drilling and pin placement. While commonly used for coxofemoral luxation repair with the toggle pin method, this instrument can also be used for many other applications including: lag screw repair of condylar fractures, placement of calcaneo-tibial screws for repair of Achilles tendons, and lag screw fixation of femoral neck fractures. A variety of screw-in-place drill guides are available to support many drill bit diameters. One single hole drill guide of your choice is included with the purchase of the IMEX™ Universal Aiming Device.

Drill Guides for Universal Aiming Device

Screw-in-place drill guides can be easily interchanged, and seven drill guide diameters are available. All drill guides can be purchased independently as needed.

PN# 50016D

PN# 50045


Joint Stabilization

The Toggle Pin Method of Coxofemoral Luxation Repair

Polypropylene Suture Buttons Part No. 55100S

These two-hole suture buttons are used at the lateral femur to simplify suture tie-off when performing the toggle pin method of coxofemoral reduction. Approximately 6.5mm x 14mm. The 2.0mm hole diameter can accommodate virtually all large suture materials. Pre-packaged sterile.

Toggle Pins

Two diameters are available for repair of coxofemoral luxations. The cross-hole sizes are compatible with most commonly used sizes of monofilament suture material. Depending on the size of suture used, the required drill bit may be approximately the same size as the toggle pin or up to 1-2 millimeters larger (to allow for large suture.) The blunt end of a suture passer can be used to assist with final passage of the toggle pin through the acetabular wall. Stainless steel.

Part No. Diameter Length Cross Hole

55032 3.2mm 14mm 1.1mm

55040 4.0mm 18mm 1.9mm

Suture Passer Part No. 55000

Similar to a large sewing needle with an eye, this suture passer is designed to be a very economical method of pulling suture down the femoral neck. The passer diameter is 3.2mm. With suture included, it is often necessary to utilize a 3.5mm or larger pilot hole. This instrument is most useful when utilizing soft-pliable suture material, while stiffer monofilament materials are usually pushed through the femoral hole by hand. The blunt end is also utilized to “pop” the toggle pin through the acetabular component.


1 50000 Universal Aiming Device, Complete

1 50035 Universal Aiming Device Drill Guide 3.5mm

1 55000 Suture Passer 3.2mm

3 55100S Polypropylene Suture Buttons


1 32035 StickTite™ Drill Bit 3.5mm

1 32039 StickTite™ Drill Bit 3.9mm

6 55032 Toggle Pins 3.2mm

HIP LUXATION Starter Kit Part No. 55SKT

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Surgical Procedure

Figure 1: This method of repair is best accomplished through a craniolateral approach to the hip with caudal retraction of the femur to allow for complete visualization, exploration, and appropriate debridement of the acetabulum. After debridement of impinging tissue, clot, and remaining round ligament in the acetabulum, a hole is drilled completely through the medial wall of the acetabulum centered in the acetabular fossa. Use of an A/O type, hand-held drill sleeve will simplify drilling while protecting the femoral head. The diameter of the hole must be large enough for the toggle pin and suture combination chosen. A 3.2mm toggle pin will require at minimum a 3.5mm hole. However, a 4.0mm hole or larger is often needed if using heavy monofilament line. For the 4.0mm toggle pin, a 4.5mm or 5.5mm drill bit is recommended. The toggle pin-suture combination should be easily inserted through the acetabular drill hole. If difficulty is encountered, the acetabular hole should be enlarged with a larger drill bit.

Figure 2: The aiming device is used to drill a femoral tunnel for the suture. The aiming device is placed so the tunnel is drilled from the subtrochanteric area of the lateral femur to the fovea capitis of the femoral head. It is helpful to have a surgical assistant at this time. The 3.5mm drill bit is the most common drill bit utilized and also the minimum hole diameter used with the suture passer. When drilling of the femoral tunnel is nearly complete, it is advisable to remove the aiming device and complete the drill hole by hand. This eliminates potential damage to the drill bit.

Figure 3: The suture used for repair is passed once through the hole in the toggle pin creating a simple loop. The toggle pin is held at one end using large needle holders, Kelly forceps, or a similar instrument. The suture is pulled tight along the sides of the toggle pin so each strand seats within the toggle pin grooves. The toggle pin is then visually started into the acetabular drill hole and inserted as far as the instrument will allow. The instrument is removed, and the blunt end of the IMEX™ suture passer is used to push the toggle pin completely through the acetabular drill hole. (If this step seems to require excess force, it is likely that the acetabular drill hole is not large enough to accommodate the diameter of the toggle pin-suture combination used.)

Figure 4a: The ends of the suture are spread and tensioned to pull the toggle pin tight against the medial wall of the acetabulum. The toggle pin is tested for secure seating within the pelvic canal. The suture is then pushed or pulled through the femoral canal to exit the lateral femur. The suture is tensioned while the femoral head is reduced into the acetabulum.

Figure 4b: Appropriate reduction is verified and the ends of the suture are tied over another toggle pin or a suture button as shown in figure 4b. Alternatively, another small bone tunnel can be drilled in the lateral aspect of the femur to allow one of the suture strands to be passed through and then tied to the opposite strand. The hip should be appropriately reduced and firmly seated; however, do not over-tighten the suture by placing excess tension on it. This will adversely effect hip joint range of motion and will cause the suture to fail prematurely.

Figure 1

Figure 3

Figure 2

Figure 4a

Figure 4b


Spiked Bone Washers

Most commonly used for re-attaching avulsed soft tissue to bone. The 6.0mm spiked bone washers function with 2.0mm and 2.7mm bone screws. The 11mm spiked bone washers function best with 3.5mm, 4.0mm cancellous, or 4.5mm bone screws and will function with some brands of 2.7mm bone screws. Implant quality Stainless steel.

Universal Aiming Device Part No. 50000

A high quality, adjustable aiming device for pre-drilling and pin placement.While commonly used for coxofemoral luxation repair with the toggle pin method, this instrument can also be used for many other applicationsincluding: lag screw repair of condylar fractures, placement of calcaneo-tibialscrews for repair of Achilles tendons, and lag screw fixation of femoralneck fractures. Please see page 62 for interchangeable drill guides.

Spiked Bone Washers and Universal Aiming Device

Part No. Diameter Recommended Bone Screws

56006 6.0mm 2.0mm, 2.7mm

56011 11.0mm 3.5mm, 4.0mm, 4.5mm

6mm Spiked Bone Washer

11mm Spiked Bone Washer

Joint Stabilization

66 1-800-828-4639 • www.imexvet.com

SK™ Range of Motion (ROM™) Hinge

A recent development in transarticular external fixation (TESF) is the release of two sizes of a range of motion (ROM™) hinge. These hinges combine an adjustable joint angle into a lockable TESF hinge that can allow a variable range of motion as selected by the surgeon. Previous versions of this device have been utilized in research projects and have made their way into clinical use. Each size ROM™ hinge features a multi-toothed locking nut that allows the surgeon to lock-in any desired starting position or “normal standing angle.” The opposite end of the ROM™ hinge body features a central flat that determines the locked position, and two adjacent arcs that allow for a variable degree of motion to be dialed in as desired. The ability to progressively increase the allotted range of motion during the healing period is unique to the IMEX™ ROM™ hinge and can be utilized or ignored depending on patient management requirements.

ROM™ hinges are modular by design and the hinge rods are easily interchanged to accommodate different limb length and patient anatomy. To change rods, loosen the corresponding nut or nuts and unscrew the rod from its mating hinge pin. This can usually be done by hand, but a pair of pliers can be used if needed. Since the hinge pin is held in position by the rod, it must be positioned before screwing in the replacement rod. Rod insertion into the hinge pin can be achieved from one direction only; therefore, it is necessary to seat the hinge pin properly to ensure correct rod insertion.


Small SK™ Range of Motion (ROM™) Hinge

The small ROM™ hinge utilizes standard 6.3mm SK™ titanium hybrid rods as the external bars that support small SK™ clamps. As purchased, the small SK™ ROM hinge comes assembled with one-75mm hybrid rod and one-100mm hybrid rod and is approximately 18cm overall length. Other lengths of hybrid rods can be exchanged to create a custom length ROM hinge. Small ROM™ hinge nuts utilize two 10mm wrenches.

NEWNEW

HINGE PINSLOCKING NUT

HEX NUT

HEX NUT

NYLON NUT

HYBRID ROD

HYBRID ROD

HINGE BODY

SK™ Range of Motion (ROM™) Hinge (Exploded View)


Large 9.5mm TITANIUM ROM™ HINGE Rods, 8mm Thread

The major, smooth portion of this rod supports large SK™ clamps with its 9.5mm diameter. One end of the rod has 8mm threads, which mate in the large ROM™ hinge pin. These rods are NOT the same as large SK™ hybrid rods (6mm threads). The larger thread diameter affords more strength and fatigue life compared to large SK™ hybrid rods. Available in four lengths to provide the surgeon a modular opportunity to construct a large ROM™ hinge with each rod being of appropriate length for the clinical case.


530.100 100mm

530.150 150mm

530.200 200mm


Large SK™ Range of Motion (ROM™) Hinge

The large ROM™ hinge uses special titanium hinge rods with 8mm threads and a 9.5mm rod diameter that accepts large SK™ ESF clamps. As purchased, the large SK™ ROM hinge comes assembled with one-100mm hinge rod and one-150mm hinge rod and is approximately 26cm long. Other lengths of large ROM™ hinge rods can be exchanged to create a custom length ROM hinge. Large ROM™ hinges utilize one-13mm and 15mm wrench.

NEWNEW

NEWNEW

Small 6.3mm TITANIUM HYBRID Rods, 6mm Thread

Small SK™ titanium hybrid rods are commonly utilized to construct hybrid ESF frames but are also a modular assembly element of the small SK™ ROM hinge. Length increments from 50mm to 250mm are available allowing custom modification of small ROM™ hinges. See page 22 for part numbers and length choices.

Joint Stabilization

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THIS PAGE INTENTIONALLY LEFT BLANK.


2008 Price List

SK™ EXTERNAL SKELETAL FIXATION SYSTEM (Pages 10-19)

MINI SK™300.SKT SK™ Mini Starter Kit ......................................................................... 380.00300.SKTNP SK™ Mini No Point ESF Pin Starter Kit............................................... 375.00300.000 SK™ Mini ExFix SINGLE Clamp Complete ............................................ 14.20 300.999 SK™ Mini ExFix DOUBLE Clamp Complete .......................................... 15.95300.001 SK™ Mini ExFix Pin-gripping Clamp Bolt ................................................ 7.95300.002 SK™ Mini ExFix Clamp Body Pair .......................................................... 6.75300.003 SK™ Mini Hex Bolt 4mm x 8mm ............................................................ 1.254.30006 Hex Nut 4mm (7mm wrench) ................................................................. 1.00

24200 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 2” (50mm) .................... 2.6024300 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 3” (75mm) .................... 2.8024400 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 4” (100mm) .................. 2.9024500 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 5” (125mm) .................. 2.9524600 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 6” (150mm) .................. 3.05

4.50003 7mm Combination Wrench ................................................................... 12.704.50004 7mm Angled Socket Wrench ................................................................ 14.80

34015 Drill Sleeve/ESF for 1.5mm Bit ............................................................. 16.0034020 Drill Sleeve/ESF for 2.0mm Bit ............................................................. 16.00

307.125 1/8” (3.2mm) Mini Hybrid Rod 4mm Thread x 5” (125mm) ....................... 7.05

307.999 SK™ Mini Distraction / Compression Body ........................................... 31.00307.070L 1/8” (3.2mm) Stainless Steel Left-Handed Rod, 70mm............................ 8.10307.090 1/8” (3.2mm) Stainless Steel Right-Handed Rod, 90mm ......................... 7.90

SMALL SK™400.SKT SK™ Small Starter Kit ....................................................................... 580.00400.SKTNP SK™ Small No Point ESF Pin Starter Kit ............................................ 575.00400.000 SK™ Small ExFix SINGLE Clamp Complete .......................................... 16.00400.999 SK™ Small ExFix DOUBLE Clamp Complete ........................................ 17.50400.001 SK™ Small ExFix Pin-gripping Clamp Bolt .............................................. 8.95400.002 SK™ Small ExFix Clamp Body Pair ........................................................ 7.75400.003 SK™ Small Hex Bolt M5x10mm ............................................................. 1.50400.004 SK™ Small Hex Nut 5mm (8mm wrench) ............................................... 1.00

405.050 SK™ Small Titanium Rod 6.3mm x 50mm .............................................. 4.50405.100 SK™ Small Titanium Rod 6.3mm x 100mm ............................................ 6.95405.150 SK™ Small Titanium Rod 6.3mm x 150mm ............................................ 9.15405.200 SK™ Small Titanium Rod 6.3mm x 200mm .......................................... 11.75405.250 SK™ Small Titanium Rod 6.3mm x 250mm .......................................... 14.70

406.050 SK™ Small Carbon Fiber Rod 6.3mm x 50mm ....................................... 3.95406.100 SK™ Small Carbon Fiber Rod 6.3mm x 100mm ..................................... 6.95406.150 SK™ Small Carbon Fiber Rod 6.3mm x 150mm ..................................... 9.65406.200 SK™ Small Carbon Fiber Rod 6.3mm x 200mm ................................... 12.10406.250 SK™ Small Carbon Fiber Rod 6.3mm x 250mm ................................... 15.20

408.801 SK™ Small 8mm Combination Wrench ................................................. 14.40408.802 SK™ Small 8mm Angled Socket Wrench .............................................. 15.40

Pricing Effective January 1, 2008 • Prices Subject to Change

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2008 Price List

SK™ EXTERNAL SKELETAL FIXATION SYSTEM (cont.) (Pages 10-19)


407.050 6.3mm Titanium Hybrid Rod 6mm Thread x 50mm ................................. 9.50407.075 6.3mm Titanium Hybrid Rod 6mm Thread x 75mm ............................... 10.65407.100 6.3mm Titanium Hybrid Rod 6mm Thread x 100mm ............................. 11.85407.150 6.3mm Titanium Hybrid Rod 6mm Thread x 150mm ............................. 12.95407.200 6.3mm Titanium Hybrid Rod 6mm Thread x 200mm ............................. 17.50407.250 6.3mm Titanium Hybrid Rod 6mm Thread x 250mm ............................. 18.90

409.050 6.3mm Titanium Hybrid Rod 5mm Thread x 50mm ............................... 11.45409.100 6.3mm Titanium Hybrid Rod 5mm Thread x 100mm ...... ...... 12.95409.150 6.3mm Titanium Hybrid Rod 5mm Thread x 150mm ...... ...... 13.65409.200 6.3mm Titanium Hybrid Rod 5mm Thread x 200mm ............................. 18.40409.250 6.3mm Titanium Hybrid Rod 5mm Thread x 250mm ............................. 19.50

430.000 SK™ Small Range of Motion (ROM™) Hinge ...................................... 240.00

407.999 SK™ Small Distraction / Compression Body ......................................... 44.50407.050L 6.3mm Titanium Left-Handed Rod, 6mm Thread x 50mm ..................... 10.25407.100L 6.3mm Titanium Left-Handed Rod, 6mm Thread x 100mm ................... 12.40407.150L 6.3mm Titanium Left-Handed Rod, 6mm Thread x 150mm ................... 13.80

LARGE SK™500.SKT SK™ Large Starter Kit ....................................................................... 645.00500.SKTNP SK™ Large No Point ESF Pin Starter Kit ............................................ 640.00500.000 SK™ Large ExFix SINGLE Clamp Complete ......................................... 18.50500.999 SK™ Large ExFix DOUBLE Clamp Complete ........................................ 19.00500.001 SK™ Large ExFix Pin-gripping Clamp Bolt ........................................... 10.05500.002 SK™ Large ExFix Clamp Body Pair ........................................................ 8.102.30006 Hex Nut 6mm (10mm wrench)................................................................ 1.002.30007 Hex Bolt 6mm x 12mm .......................................................................... 2.00

506.050 SK™ Large Carbon Fiber Rod 9.5mm x 50mm ....................................... 4.95506.100 SK™ Large Carbon Fiber Rod 9.5mm x 100mm ..................................... 5.85506.150 SK™ Large Carbon Fiber Rod 9.5mm x 150mm ..................................... 6.95506.200 SK™ Large Carbon Fiber Rod 9.5mm x 200mm ..................................... 8.20506.250 SK™ Large Carbon Fiber Rod 9.5mm x 250mm ..................................... 9.35506.300 SK™ Large Carbon Fiber Rod 9.5mm x 300mm ................................... 11.25506.350 SK™ Large Carbon Fiber Rod 9.5mm x 350mm ................................... 12.30

505.050 SK™ Large Aluminum Rod 9.5mm x 50mm ............................................ 4.90505.100 SK™ Large Aluminum Rod 9.5mm x 100mm .......................................... 5.80505.150 SK™ Large Aluminum Rod 9.5mm x 150mm .......................................... 6.90505.200 SK™ Large Aluminum Rod 9.5mm x 200mm .......................................... 8.15505.250 SK™ Large Aluminum Rod 9.5mm x 250mm .......................................... 9.30505.300 SK™ Large Aluminum Rod 9.5mm x 300mm ........................................ 11.20505.350 SK™ Large Aluminum Rod 9.5mm x 350mm ........................................ 12.25

Used with European Small

Bone Fixator


2008 Price List


507.050 9.5mm Titanium Hybrid Rod 6mm Thread x 50mm ............................... 18.20507.075 9.5mm Titanium Hybrid Rod 6mm Thread x 75mm ............................... 19.75507.100 9.5mm Titanium Hybrid Rod 6mm Thread x 100mm ............................. 19.95507.150 9.5mm Titanium Hybrid Rod 6mm Thread x 150mm ............................. 20.95507.200 9.5mm Titanium Hybrid Rod 6mm Thread x 200mm ............................. 23.25507.250 9.5mm Titanium Hybrid Rod 6mm Thread x 250mm ............................. 25.95507.300 9.5mm Titanium Hybrid Rod 6mm Thread x 300mm ............................. 30.25507.350 9.5mm Titanium Hybrid Rod 6mm Thread x 350mm ............................. 37.95

508.102 10mm Angled Socket Wrench .............................................................. 17.502.50003 10mm Combination Wrench ................................................................. 14.50


530.000 SK™ Large Range of Motion (ROM™) Hinge ...................................... 270.00

IMEX™ SK™ HYBRID EXTERNAL SKELETAL FIXATION (Page 22-24)

MHYSKT SK™ Mini Hybrid ESF Starter Kit ........................................................ 269.00HYSKT SK™ Small Hybrid ESF Starter Kit ...................................................... 990.00410.000 SK™ Universal Hybrid Adapter ............................................................. 53.00

KIRSCHNER-EHMER (KE) EXTERNAL SKELETAL FIXATION (Pages 25)

SMALL KE24000 KE Small ExFix SINGLE Clamp Complete ............................................. 14.0024999 KE Small ExFix DOUBLE Clamp Complete............................................ 19.75

24200 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 2” (50mm) .................... 2.6024300 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 3” (75mm) .................... 2.8024400 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 4” (100mm) .................. 2.9024500 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 5” (125mm) .................. 2.9524600 SK™ Mini / KE Small Stainless Steel Rod 1/8” x 6” (150mm) .................. 3.05

33140 KE Small Wrench 1/4” ......................................................................... 16.75

MEDIUM KE25000 KE Medium ExFix SINGLE Clamp Complete ......................................... 16.2525999 KE Medium ExFix DOUBLE Clamp Complete ........................................ 21.50

25006 KE Medium Stainless Steel Rod 3/16” x 6” ............................................. 3.7025008 KE Medium Stainless Steel Rod 3/16” x 8” ............................................. 3.9025010 KE Medium Stainless Steel Rod 3/16” x 10” ........................................... 3.95

33516 KE Medium Wrench 5/16” .................................................................... 16.50

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2008 Price List

CIRCULAR EXTERNAL SKELETAL FIXATION (Pages 28-35)

2.00000 IMEX™ Circular Fixation Deluxe Starter Kit ....................................... 2070.002.00001 IMEX™ Circular Starter/Fracture Kit ................................................. 1270.00

2.15001 50mm x 3.2mm Full Ring ..................................................................... 28.752.16601 66mm x 3.2mm Full Ring ..................................................................... 30.752.18401 84mm x 4.7mm Full Ring ..................................................................... 38.752.11181 118mm x 6.3mm Full Ring ................................................................... 49.50

2.15002 50mm x 3.2mm 5/8 Ring ..................................................................... 29.752.16602 66mm x 3.2mm 5/8 Ring ..................................................................... 31.752.18402 84mm x 4.7mm 5/8 Ring ..................................................................... 39.752.11182 118mm x 6.3mm 5/8 Ring ................................................................... 49.75

2.15003 50mm x 3.2mm 1/3 Arch ..................................................................... 18.502.16603 66mm x 3.2mm 1/3 Arch ..................................................................... 19.502.18403 84mm x 4.7mm 1/3 Arch ..................................................................... 20.502.11183 118mm x 6.3mm 1/3 Arch ................................................................... 28.75

2.15004 50mm x 3.2mm Stretch Ring ............................................................... 49.752.16604 66mm x 3.2mm Stretch Ring ............................................................... 52.752.18404 84mm x 4.7mm Stretch Ring ............................................................... 55.752.11184 118mm x 6.3mm Stretch Ring ............................................................. 58.75

2.15005 50mm x 3.2mm D2 Ring ...................................................................... 49.502.16605 66mm x 3.2mm D2 Ring ...................................................................... 52.502.18405 84mm x 4.7mm D2 Ring ...................................................................... 55.50

2.80140 140mm x 6.3mm Spinal Arch ............................................................... 48.502.80220 220mm x 6.3mm Spinal Arch ............................................................... 54.50

2.25500 Linear Motor 50mm ........................................................................... 24.752.25700 Linear Motor 70mm ............................................................................. 26.752.25100 Linear Motor 100mm ........................................................................... 28.75

2.26600 Threaded Rod/Hex 6mm x 60mm .......................................................... 7.602.26800 Threaded Rod/Hex 6mm x 80mm .......................................................... 7.952.26100 Threaded Rod/Hex 6mm x 100mm ........................................................ 8.202.26150 Threaded Rod/Hex 6mm x 150mm ........................................................ 8.652.26255 Threaded Rod/Hex 6mm x 255mm ...................................................... 11.90

2.30002 20mm Spacer ..................................................................................... 4.502.30003 6mm x 40mm Hex Bolt .......................................................................... 3.002.30004 Cannulated / Slotted Wire Fixation Bolt 6mm .......................................... 9.202.30005 Slotted Wire Fixation Washer 6mm ......................................................... 4.902.30006 Hex Nut 6mm Stainless Steel ................................................................. 1.002.30007 6mm x 12mm Hex Bolt Stainless Steel ................................................... 2.002.30008 6mm Flat Washer ..................................................................................1.002.30009 Half-pin Fixation Bolt ........................................................................... 11.10


2008 Price List


2.70001 Nylon Zero Tolerance Nut ....................................................................... 4.802.70002 Two-Hole Ring/Motor Plate .................................................................... 9.702.70005 One-Hole Post .................................................................................... 16.752.70006 Two-Hole Post ..................................................................................... 17.752.70007 6mm Spherical Nut ................................................................................ 5.952.70008 6mm Spherical Washer .......................................................................... 4.55

2.60001 Angular Hinge Assembly (6mm) ............................................................ 25.252.60002 Angular Motor Assembly 100mm ......................................................... 87.002.60003 Angular Motor Assembly 150mm ......................................................... 88.50

2.40001 1.6mm x 210mm Fixation Wire ............................................................... 9.002.40002 1.6mm x 200mm Stopper Fixation Wire ................................................ 15.50

2.50001 3mm SST Hex Driver, Straight .............................................................. 15.202.50002 3mm SST Hex Driver, “L” ..................................................................... 16.152.50005 10mm Double Wrench for Nylon Nuts .................................................. 58.00508.102 10mm Angled Socket Wrench .............................................................. 17.502.50003 10mm Combination Wrench ................................................................. 14.502.50014 Dyna™ Wire Tensioner ....................................................................... 232.00

2.80001 Small SK™ Clamp for 6mm Threaded Rod ........................................... 18.00

MINIATURE CIRCULAR EXTERNAL SKELETAL FIXATION SYSTEM (Page 36-39)

4.00001 IMEX™ Miniature Circular Fixation Starter Kit ...................................... 558.00

4.13501 35mm x 2.4mm Full Ring, Mini ............................................................. 19.954.14501 45mm x 2.4mm Full Ring, Mini ............................................................. 23.704.14504 45mm x 2.4mm Stretch Ring, Mini ....................................................... 26.70

4.26050 Threaded Rod 4mm x 50mm ................................................................. 3.954.26075 Threaded Rod 4mm x 75mm ................................................................. 4.104.26100 Threaded Rod 4mm x 100mm ............................................................... 4.50

4.30001 4mm Slotted/Cannulated Wire Fixation Bolt (6) ..................................... 33.004.30005 4mm Slotted Wire Fixation Washer (6) .................................................. 39.004.30006 4mm Hex Nut Stainless ......................................................................... 1.004.30008 4mm Flat Washer Stainless .................................................................... 0.504.60001 Angular Hinge Assembly, Mini .............................................................. 22.004.70001 4mm Nylon Zero Tolerance Nut (7mm Wrench) ....................................... 4.504.70005 One-Hole Post, Mini ............................................................................ 13.754.70007 4mm Spherical Nut ............................................................................... 4.504.70008 4mm Spherical Washer .......................................................................... 3.20300.003 Hex Bolt 4mm x 8mm, SST ................................................................... 1.25

4.50003 7mm Combination Wrench ................................................................... 12.704.50004 7mm Angled Socket Wrench ................................................................ 14.804.50005 7mm Double Wrench for Zero Tolerance nuts ....................................... 52.00

4.40002 1mm x 125mm Stopper Wire, Trocar Point ............................................. 9.65

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Miniature EXTERNAL SKELETAL FIXATION PINS (Page 41)

03035 0.035” Shank Miniature INTERFACE™ Half-pin (6) ............................... 24.0003045 0.045” Shank Miniature INTERFACE™ Half-pin (6) ............................... 24.0003062 0.062” Shank Miniature INTERFACE™ Half-pin (6) ............................... 24.0003078 5/64” Shank Miniature INTERFACE™ Half-pin (6) ............................... 24.0003094 3/32” Shank Miniature INTERFACE™ Half-pin (1) ................................. 5.95

Miniature Stick-PINS (Page 41)

06035 0.035” Shank Miniature Stick-pin (6) ................................................... 24.0006045 0.045” Shank Miniature Stick-pin (6) ................................................... 24.0006062 0.062” Shank Miniature Stick-pin (6) ................................................... 24.0006078 5/64” Shank Miniature Stick-pin (6) ................................................... 24.00

EXTERNAL SKELETAL FIXATION PINS (Pages 42-49)

15LAY INTERFACE™ Radiographic ESF Overlay ............................................... 8.5020LAY CENTERFACE™ Radiographic ESF Overlay ............................................ 8.50

CAPBLACK Pin Cap, Black - 2.0mm (~50) ................................................................ 7.50 CAPWHITE Pin Cap, White - 3/32” (~50) .................................................................. 7.50CAPBLUE Pin Cap, Blue - 1/8” (~50) .................................................................... 7.50CAPGRAY Pin Cap, Gray - 5/32” (~50) .................................................................. 7.50

15020 INTERFACE™ Half-pin 2.0mm shank ..................................................... 7.9515332 INTERFACE™ Small 3/32” shank x 4” .................................................... 8.201533L INTERFACE™ Small Extended Length .................................................... 8.4515764 INTERFACE™ Small-Plus 7/64” shank x 4.25” ........................................ 8.601576L INTERFACE™ Small-Plus Extended Length ............................................ 9.5015030 INTERFACE™ Half-pin 3.0mm shank ..................................................... 8.2015180 INTERFACE™ Medium 1/8” shank x 4.5” ............................................... 8.551518L INTERFACE™ Medium Extended Length ................................................ 9.5015964 INTERFACE™ Medium-Plus 9/64” shank x 5.25” .................................... 9.151596L INTERFACE™ Medium-Plus Extended Length ...................................... 10.9515532 INTERFACE™ Large 5/32” shank x 6” .................................................. 10.901553L INTERFACE™ Large Extended Length.................................................. 11.95

15020NP INTERFACE™ NP (No Point) Half-pin 2.0mm shank ................................ 7.6015332NP INTERFACE™ NP (No Point) Small 3/32” shank x 4” ............................... 7.901533LNP INTERFACE™ NP (No Point) Small Extended Length .............................. 8.1015764NP INTERFACE™ NP (No Point) Small-Plus 7/64” shank x 4.25” .................. 8.151576LNP INTERFACE™ NP (No Point) Small-Plus Extended Length ....................... 9.0015180NP INTERFACE™ NP (No Point) Medium 1/8” shank x 4.5” .......................... 8.101518LNP INTERFACE™ NP (No Point) Medium Extended Length ........................... 9.3015964NP INTERFACE™ NP (No Point) Medium-Plus 9/64” shank x 5.25” .............. 8.801596LNP INTERFACE™ NP (No Point) Medium-Plus Extended Length ................. 10.7015532NP INTERFACE™ NP (No Point) Large 5/32” shank x 6” ............................ 10.501553LNP INTERFACE™ NP (No Point) Large Extended Length ............................ 11.70


2008 Price List


20020 CENTERFACE™ Full-pin 2.0mm shank ................................................... 8.5520332 CENTERFACE™ Small 3/32” shank x 4”................................................. 8.952033L CENTERFACE™ Small Extended Length ................................................ 9.9520764 CENTERFACE™ Small-Plus 7/64” x 4.5” .............................................. 10.702076L CENTERFACE™ Small-Plus Extended Length ....................................... 11.1520030 CENTERFACE™ Full-pin 3.0mm Shank .................................................. 9.8520180 CENTERFACE™ Medium 1/8” shank x 5” ............................................. 10.602018L CENTERFACE™ Medium Extended Length .......................................... 11.1520964 CENTERFACE™ Medium-Plus 9/64” x 5.5” .......................................... 11.802096L CENTERFACE™ Medium-Plus Extended Length ................................... 12.1020532 CENTERFACE™ Large 5/32” shank x 6” .............................................. 12.502053L CENTERFACE™ Large Extended Length .............................................. 14.95

20020NP CENTERFACE™ NP (No Point) Full-pin 2.0mm shank ............................. 8.1520332NP CENTERFACE™ NP (No Point) Small 3/32” shank x 4” ........................... 8.202033LNP CENTERFACE™ NP (No Point) Small Extended Length ........................... 9.6020764NP CENTERFACE™ NP (No Point) Small-Plus 7/64” x 4.5” ........................ 10.052076LNP CENTERFACE™ NP (No Point) Small-Plus Extended Length ................. 10.8520180NP CENTERFACE™ NP (No Point) Medium 1/8” shank x 5” ......................... 9.952018LNP CENTERFACE™ NP (No Point) Medium Extended Length ..................... 10.5520964NP CENTERFACE™ NP (No Point) Medium-Plus 9/64” x 5.5” ..................... 10.702096LNP CENTERFACE™ NP (No Point) Medium-Plus Extended Length ............. 11.7520532NP CENTERFACE™ NP (No Point) Large 5/32” shank x 6” ......................... 12.102053LNP CENTERFACE™ NP (No Point) Large Extended Length ........................ 14.35

16332 INTERFACE™ CANCELLOUS Small 3.32” x 4.5” .................................... 8.951633L INTERFACE™ CANCELLOUS Small Extended Length ........................... 10.8516180 INTERFACE™ CANCELLOUS Medium 1/8” x 5” ................................... 11.151618L INTERFACE™ CANCELLOUS Medium Extended Length ....................... 13.6516316 INTERFACE™ CANCELLOUS Large 3/16” x 6” ..................................... 14.401631L INTERFACE™ CANCELLOUS Large Extended Length .......................... 16.10

21332 CENTERFACE™ CANCELLOUS Small 3/32” x 4” ................................. 11.102133L CENTERFACE™ CANCELLOUS Small Extended Length ....................... 12.1021180 CENTERFACE™ CANCELLOUS Medium 1/8” x 5.5” ............................. 12.602118L CENTERFACE™ CANCELLOUS Medium Extended Length ................... 13.6021316 CENTERFACE™ CANCELLOUS Large 3/16” x 6” ................................. 16.102131L CENTERFACE™ CANCELLOUS Large Extended Length ....................... 20.90

24222 SCAT™ Half-pin Small 3/32” Single Cortex ............................................ 4.9525222 SCAT™ Half-pin Medium 1/8” Single Cortex ........................................... 5.75

24111 Smooth pin 3/32” x 4.5” ........................................................................ 4.1525111 Smooth pin 1/8” x 5” ............................................................................ 4.65

LARGE ANIMAL TRANSFIXATION PINS (Page 50)

2131LA L.A. Transfix Pin/Central Threads 3/16” shank ...................................... 19.752131T Tap for L.A. Transfix. Pin (#2131LA) ...................................................... 57.0021140 L.A. Transfixation Pin/Central Threads 6.3mm Shank ............................ 25.902114T Tap for L.A. Transfix. Pin (#21140) ........................................................ 62.00

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INTERLOCKING NAIL PINS (Page 51)

132025 Interlocking Nail Pin 2.0mm/2.5mm ........................................................ 9.50132732 Interlocking Nail Pin 2.7mm/3.2mm ........................................................ 9.50133540 Interlocking Nail Pin 3.5mm/4.0mm ........................................................ 9.50

TPLO REDUCTION PINS (Page 51)

29016 TPLO Reduction Pin 1.6mm x 130mm ................................................... 5.9529020 TPLO Reduction Pin 2.0mm x 155mm ................................................... 6.10

TRANS-ILIAL RODS AND NUTS (Page 51)

57032 Trans-ilial Rod 3.2mm x 125mm ........................................................... 12.3057040 Trans-ilial Rod 4.0mm x 155mm ........................................................... 13.3057047 Trans-ilial Rod 4.7mm x 175mm ........................................................... 14.10

57132 Trans-ilial Nut 3.2mm ............................................................................ 9.2557140 Trans-ilial Nut 4.0mm ............................................................................ 9.2557147 Trans-ilial Nut 4.7mm ............................................................................ 9.25



DRILL BITS AND DRILL SLEEVES (Page 52)

32020 StickTite™ Drill Bit 2.0mm x 120mm .................................................... 31.7532023 StickTite™ Drill Bit 2.3mm x 125mm .................................................... 31.7532025 StickTite™ Drill Bit 2.5mm x 135mm .................................................... 31.7532027 StickTite™ Drill Bit 2.7mm x 140mm .................................................... 31.7532031 StickTite™ Drill Bit 3.1mm x 150mm .................................................... 31.7532032 StickTite™ Drill Bit 3.2mm x 155mm .................................................... 31.7532035 StickTite™ Drill Bit 3.5mm x 160mm .................................................... 31.7532039 StickTite™ Drill Bit 3.9mm x 165mm .................................................... 31.7532062 StickTite™ Drill Bit 6.2mm x 180mm .................................................... 45.50

32020L StickTite™ Drill Bit, Extended Length 2.0mm x 175mm ....................... 36.2532025L StickTite™ Drill Bit, Extended Length 2.5mm x 175mm ........................ 36.2532027L StickTite™ Drill Bit, Extended Length 2.7mm x 175mm ........................ 36.2532035L StickTite™ Drill Bit, Extended Length 3.5mm x 175mm ........................ 36.25 33023 Drill Bit 2.3mm x 5” ............................................................................. 19.5033031 Drill Bit 3.1mm x 6” ............................................................................. 19.5033039 Drill Bit 3.9mm x 6.25” ........................................................................ 20.5033047 Drill Bit 4.7mm x 6.75” ........................................................................ 22.0033062 Drill Bit 6.2mm x 7” ............................................................................. 36.50

34015 Drill Sleeve/ESF for 1.5mm Bit ............................................................. 16.0034020 Drill Sleeve/ESF for 2.0mm Bit ............................................................. 16.0034023 Drill Sleeve/ESF for 2.3mm Bit ............................................................. 21.0034031 Drill Sleeve/ESF for 3.1mm Bit ............................................................. 21.0034039 Drill Sleeve/ESF for 3.9mm Bit ............................................................. 24.00


2008 Price List


IM PINS, K-WIRE, ORTHOPAEDIC WIRE (Pages 53-54)

10SKT Smooth IM Pin Starter Kit .................................................................. 159.0010116 IM Pin 1/16” x 9” Trocar/Trocar Smooth ............................................... 3.7010564 IM Pin 5/64” x 9” Trocar/Trocar Smooth ............................................... 3.9010332 IM Pin 3/32” x 9” Trocar/Trocar Smooth ............................................... 4.1010764 IM Pin 7/64” x 9” Trocar/Trocar Smooth ............................................... 4.1010180 IM Pin 1/8” x 9” Trocar/Trocar Smooth ............................................... 4.451018L IM Pin 1/8” x 12” Trocar/Trocar Smooth ............................................... 5.1510964 IM Pin 9/64” x 9” Trocar/Trocar Smooth ............................................... 4.5510532 IM Pin 5/32” x 9” Trocar/Trocar Smooth ............................................... 4.951053L IM Pin 5/32” x 12” Trocar/Trocar Smooth ............................................... 6.101031S IM Pin 3/16” x 9” Trocar/Trocar Smooth ............................................... 6.3010316 IM Pin 3/16” x 12” Trocar/Trocar Smooth ............................................... 7.251014S IM Pin 1/4” x 9” Trocar/Trocar Smooth ............................................... 8.9510140 IM Pin 1/4” x 12” Trocar/Trocar Smooth ............................................. 10.35

11SKT Partial Thread IM Pin Starter Kit ......................................................... 186.0011116 IM Pin 1/16” x 9” Trocar/Trocar Partial Thread ...................................... 4.9511564 IM Pin 5/64” x 9” Trocar/Trocar Partial Thread ...................................... 5.1511332 IM Pin 3/32” x 9” Trocar/Trocar Partial Thread ...................................... 5.5511764 IM Pin 7/64” x 9” Trocar/Trocar Partial Thread ...................................... 5.8011180 IM Pin 1/8” x 9” Trocar/Trocar Partial Thread ...................................... 5.9511964 IM Pin 9/64” x 9” Trocar/Trocar Partial Thread ...................................... 6.3011532 IM Pin 5/32” x 9” Trocar/Trocar Partial Thread ...................................... 6.7511316 IM Pin 3/16” x 12” Trocar/Trocar Partial Thread ...................................... 8.8011140 IM Pin 1/4” x 12” Trocar/Trocar Partial Thread .................................... 11.90

00035 K-wire 0.035” x 6” (6 per pkg).............................................................. 16.7500045 K-wire 0.045” x 6” (6 per pkg).............................................................. 16.7500062 K-wire 0.062” x 6” (6 per pkg).............................................................. 16.75

01035 K-wire 0.035” x 9” (6 per pkg).............................................................. 17.5001045 K-wire 0.045” x 9” (6 per pkg).............................................................. 17.5001054 K-wire 0.054” x 9” (6 per pkg).............................................................. 17.5001062 K-wire 0.062” x 9” (6 per pkg).............................................................. 17.50

04016 Orthopaedic Wire, 16 gage (1oz. spool) ............................................... 11.9504018 Orthopaedic Wire, 18 gage (1oz. spool) ............................................... 11.9504020 Orthopaedic Wire, 20 gage (1oz. spool) ............................................... 11.9504022 Orthopaedic Wire, 22 gage (1oz. spool) ............................................... 11.95

05016 Orthopaedic Wire, 16 gage (10 meters) ................................................ 17.5005018 Orthopaedic Wire, 18 gage (10 meters) ................................................ 16.0005020 Orthopaedic Wire, 20 gage (10 meters) ................................................ 13.7505022 Orthopaedic Wire, 22 gage (10 meters) ................................................ 11.95

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PIN AND WIRE ACCESSORIES (Pages 55-56)

30001 Power Drill Adapter with Chuck & Key ................................................ 153.0030002 Hand Chuck with Key & Extension ..................................................... 150.5030003 Chuck Key Only .................................................................................. 13.6530004 Power Surgery Drill with Adapter & Key .............................................. 267.0030004A Power Surgery Drill Only ................................................................... 123.0030005 I.M. Pin Organizer Bag ......................................................................... 23.5030006 Cloth Drill Shroud ................................................................................ 18.5030007 External Fixator Instrument Organizer Bag ............................................ 34.7530008 Mini Hand Chuck ............................................................................... 154.0030009 IM Pin Gage/Scale ............................................................................... 21.25

SUTURE ANCHORS (Pages 57-58)

60-00-00 Suture Anchor Starter Kit ................................................................... 515.00

60-40-06 Suture Anchor 4.0mm x 6mm .............................................................. 16.7560-40-10 Suture Anchor 4.0mm x 10mm ............................................................ 16.7560-47-06 Suture Anchor 4.7mm x 6mm .............................................................. 16.7560-47-10 Suture Anchor 4.7mm x 10mm ............................................................ 16.7561-40-DR Suture Anchor Small 4.0mm Driver ....................................................... 90.0061-40-TP Suture Anchor Tap 4.0mm ................................................................... 31.0061-47-DR Suture Anchor Large 4.7mm Driver ...................................................... 90.0061-47-TP Suture Anchor Tap 4.7mm ................................................................... 31.0061-CA-DD Suture Anchor Caddy .......................................................................... 96.00

HIP LUXATION (Pages 62-63)

55SKT Hip Luxation Starter Kit...................................................................... 467.00

50000 Universal Aiming Device (Single Hole Drill Guide Included) ................... 297.0050023 Universal Aiming Device Drill Guide 2.3mm .......................................... 23.0050025 Universal Aiming Device Drill Guide 2.5mm ........................................... 23.0050031 Universal Aiming Device Drill Guide 3.1mm ........................................... 23.0050035 Universal Aiming Device Drill Guide 3.5mm ........................................... 23.0050039 Universal Aiming Device Drill Guide 3.9mm .......................................... 23.0050045 Universal Aiming Device Drill Guide 4.5mm .......................................... 23.0050016D Universal Aiming Device Drill Guide 1.6mm/2 Hole ............................... 39.00

55000 Suture Passer for Toggle System ......................................................... 17.2055032 Toggle Pin 3.2mm x 14mm .................................................................. 11.2555040 Toggle Pin 4.0mm x 18mm .................................................................. 11.25

55100S Polypropylene Suture Button, Sterile ...................................................... 7.20


2008 Price List


SPIKED BONE WASHERS (Page 65)

56006 Spiked Bone Washer 6mm................................................................... 22.0056011 Spiked Bone Washer 11mm ................................................................. 22.00

UNIVERSAL AIMING DEVICE (Page 65)

50000 Universal Aiming Device (Single Hole Drill Guide Included) ................... 297.00

SK™ RANGE OF MOTION (ROM™) HINGE (Page 66-67)

430.000 SK™ Small Range of Motion (ROM™) Hinge ...................................... 240.00407.050 6.3mm Titanium Hybrid Rod, 6mm Thread x 50mm ................................ 9.50407.075 6.3mm Titanium Hybrid Rod, 6mm Thread x 75mm .............................. 10.65407.100 6.3mm Titanium Hybrid Rod, 6mm Thread x 100mm ............................ 11.85407.150 6.3mm Titanium Hybrid Rod, 6mm Thread x 150mm ............................ 12.95407.200 6.3mm Titanium Hybrid Rod, 6mm Thread x 200mm ............................ 17.50407.250 6.3mm Titanium Hybrid Rod, 6mm Thread x 250mm ............................ 18.90

530.000 SK™ Large Range of Motion (ROM™) Hinge ...................................... 270.00530.075 9.5mm SK™ ROM™ Hinge Large Rod, 8mm Thread x 75mm ............... 21.00530.100 9.5mm SK™ ROM™ Hinge Large Rod, 8mm Thread x 100mm ............. 22.00530.150 9.5mm SK™ ROM™ Hinge Large Rod, 8mm Thread x 150mm ............. 27.00530.200 9.5mm SK™ ROM™ Hinge Large Rod, 8mm Thread x 200mm ............. 31.00

IMEX catalogue 2008

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Transcript of IMEX catalogue 2008