i-Nailing™ is currently searching for a cooperation , to sell or license US and European Patents for medical instrument (visual fracture reduction guide).
We have all been in long bone fracture cases where reduction was difficult and the surgeon took many C-arm shots and lots of fluoro. “shoot.” “shoot” “shoot.” i-Nailing has a solution. –Tiger
How i-Nailing™ works –Animation Video
i-Nailing™ are an R&D team from Greece that has developed a revolutionary intramedullary guide for use in IM nail surgeries, that rends the achievement of fracture reduction easier, faster and more accurate, without using X-rays ( C-Arm ). It is an innovative product, that has no direct competition.
The purpose of the invention is to find a solution in a problem that the orthopedic community faces in IM nailing surgeries and, more specifically, in the closed reduction of fractures, that is in the first stage of the surgery.
In the techniques that are used, today, in IM nailing, the closed reduction of fractures is one of the most difficult steps of the surgery. Difficult, timely and patient handling is required, along with a constant intraoperative x-ray control, so that a guide wire can be inserted from the central towards the distal part of the fractured bone.
The basic and major problem in the closed reduction of fractures, in IM nailing, is the use of C-Arm, which produces a very large quantity of radiation. Large quantity of adiation may provoke cancer.
The resolution of the above problems is achieved with the use of the intramedullary cannulated guide for fracture reduction that bears an endoscopic camera at its edge. The i-Nailing™ consists of a flexible, break-proof, modular and cannulated shaft, a T-handle with a hole in the upper surface, a camera, that is located at the edge of the guide, bears a lighting source and is connected with a wire or wireless to a monitor, a sealing flange with a slot or spout, an input/output cannula for liquid suction and/or washing of the camera glass.
The intramedullary cannulated guide, in the part that remains outside of the entry point, has a T-handle, which permits the user to handle the intramedullary cannulated guide for fracture reduction. The T-handle part is cannulated from the hole to flange. The camera passes through this canal. Moreover, on the part of the guide that remains outside of the entry point, the washing/suction cannulas and the sealing flange are located. The sealing flange is located at the point where the T-handle is connected with the shaft of the guide, at its transverse axis, so that there are no leaks either during the outflow of the blood or during the inflow of the washing fluid. The T-handle, the flange, the washing and/or suction cannulas, that the guide bears, are elements integrated to the T-handle of the cannulated guide for fracture reduction. The camera may be wired or wireless. The camera shaft, that is the cable, penetrates the canal of the intramedullary cannulated guide for fracture reduction and has such a length as needed in order for the camera, at the edge of its shaft, to reach the edge of the canal of the intramedullary cannulated guide for fracture reduction. After the reduction of the fracture is achieved, the camera is detached from the intramedullary cannulated guide for fracture reduction, by pulling out the cable, together with the camera.
The route of the i-Nailing™ is displayed on the screen. When the guide encounters the fracture area, the camera that is integrated to the guide enables the user to perceive, first of all, the transverse, the displacement, or the upthrust of the bone parts of the bone that suffered the fracture, while it enables him to perceive in real time the direction towards which the fractured bone part (distal bone part) has to be moved, in order to be aligned with the bone part through which the guide has been inserted (central bone part) and for the fracture reduction to be achieved. Thus, the time required and the handlings of the surgeon and/or his assistants are minimized, so that the reduction of the bone parts of the bone that suffered the fracture is achieved and the guide passes through them, without the use of an x-ray machine, without radiation and without shielding measures for the radiation. Subsequently, the guide wire can be inserted and the intramedullary cannulated guide for fracture reduction can be removed. After removing the i-Nailing™, the intramedullary nail is inserted, at its place, over the guide wire. This means, that, after the reduction of the fractured bone parts has been achieved, the surgery can be continued as it was conducted before the invention of the intramedullary cannulated guide for fracture reduction.
The surgeon may achieve the fracture reduction with great accuracy, as he sees the fracture in real time and without the use of C-Arm. He protects himself, the healthcare professional and the patient from radiation. He minimizes the dangers which are likely to occur due to the “blind” method used today, that is traumatizing the patient, pseudoarthrosis and blood loss. The surgery may last much less, as the most timely stage is the fracture reduction.
i-Nailing™ are currently searching for a cooperation , to sell or license US and European Patents for medical instrument (visual fracture reduction guide).
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