Surgical Technique

Ankle Spanning, Knee Spanning,

Long Bone and Pelvic
JET-X™ External Fixation System
Ankle Spanning, Knee Spanning, Long Bone and
Pelvic Surgical Technique

Contents
System Features..........................................................................2

Ankle Spanning Surgical Technique

Indications....................................................................................4
Surgical Technique......................................................................4

Knee Spanning Surgical Technique

Indications....................................................................................8
Surgical Technique......................................................................8

Long Bone Surgical Technique

Indications.................................................................................. 12
Surgical Technique.................................................................... 12

Pelvic Surgical Technique

Indications.................................................................................. 16
Surgical Technique.................................................................... 16

Catalog Information................................................................. 18

Sterilization/Resterilization................................................... 36

Nota Bene
The technique description herein is made available to the healthcare professional to
illustrate the author’s suggested treatment for the uncomplicated procedure. In the final
analysis, the preferred treatment is that which addresses the needs of the specific patient.
1
 System features
System features
Indications
Indications
Intended
Intended to to
bebe used
used ononadults
adultsororpediatric
pediatricpatients
patients
as required for fracture fixation (open
as required for fracture fixation (open or closed); or closed);
post-traumatic
post-traumatic joint
joint contracturewhich
contracture whichhas
hasresulted
resultedin
in loss
loss of range
of range of motion;
of motion; fractures
fractures and and disease
disease which
generally may result
which generally may in result
joint contractures or loss of
in joint contractures
range of motion and fractures requiring
or loss of range of motion and fractures requiringdistraction;
pseudoarthrosis of long bones;oflimb
distraction; pseudoarthrosis longlengthening
bones; by
epiphyseal or metaphyseal
limb lengthening distraction;
by epiphyseal correction of
or metaphyseal
bony or soft tissue deformity; correction of segmental Freedom Freedom
distraction; correction of bony or soft tissue Bar-to-Pin Clamp Bar-to-Bar Clamp
bony or soft tissue defects; infected fractures or
deformity; correction of segmental bony or soft
non-unions; joint arthrodesis; and management of
tissue defects; infected fractures or non-unions;
comminuted intra-articular fracture of the distal radius. Freedom Freedom
joint arthrodesis; and management of comminuted Bar-to-Pin Clamp Bar-to-Bar Clamp
intra-articular fracture of the distal radius.
Designed for flexibility in frame
construction
Designed forand ease ofinuse
flexibility frame
•
construction
Freedom Clamps provide and easeto of
the ability angleuse
pins up
Quick Quick
to 50º and also allow linear reduction of fractures
Quick
Bar-to-Pin Clamp Bar-to-Bar Clamp Quick
with true translation of long bone fragment ends. Bar-to-Pin Clamp Bar-to-Bar Clamp
• Freedom Clamps provide the ability to angle pins up
• Quick
to 50ºClamps allow
and also for linear
allow rapid application,
reduction ofstability,
fractures
and single point tightening
with true translation of long bone fragment ends.
• Cartridge clamp allow
• Quick Clamps design forisrapid
positive locking –stability,
application, no
passive release of pins or bars – even when clamps
and single point tightening
are loosened The multiple pin
• Cartridge clamp design is positive locking – no
clamps are designed
• The system includes four hole and six hole multiple
passive release of pins or bars – even when clamps so that half pin
clamps to optimize pin spread spacing is compatible
are loosened
• The four hole and six hole clamps offer several with Rancho cubes for
• The system includes four hole and six hole multiple definitive treatment
attachment posts to maximize construct alternatives
clamps to optimize pin spread
The four hole and six hole clamps offer several attachment
• Various clamps and bar lengths give the surgeon the
• The four hole and six hole clamps offer several posts to maximize construct alternatives
versatility to assemble the necessary frame constructs
attachment posts to maximize construct alternatives
• Self-drilling, self-tapping JET-X™ Half Pins
• Various clamps and bar lengths give the surgeon
• Stainless steel pins
the versatility with TiN*the
to assemble coating to reduce
necessary
friction, which may
frame constructs minimize heat during insertion
• Tapered minor/constant
• Self-drilling, self-tapping major diameter
JET-X™ of half pins
Half Pins
provide radial compression to prevent loosening
• Stainless steel pins with TiN* coating to reduce
• JET-X clamp
friction, components
which may minimize are designed to meet
heat during insertion Freedom Post 30º Post Straight Post
ASTM** MR Conditional requirements***
• Tapered minor/constant major diameter of half pins
provide radial compression to prevent loosening
• JET-X
clamp components are designed to meet Stainless
Stainlesssteel
steelpin
pinwith
withTiNTiN
coating
coating
ASTM** MR Conditional requirements***

*TiN = Stainless Steel Half Pins with a Titanium Nitride coating

**American Society for Testing and Materials
***See IFU for specific MR Conditional information
* TiN = Stainless Steel Half Pins with a Titanium Nitride coating
** American Society for Testing and Materials
*** See2IFU for specific MR Conditional information

1
Ankle Spanning Surgical Technique

3
Indications
Temporary or definitive stabilization of pilon fractures.
Adjunct to internal fixation for treatment of fractures.

JET-X™ External Fixator

Ankle Spanning Surgical Technique

Pin insertion
Make a stab incision at the desired pin site. Dissect
down to bone using a small elevator, being careful to
elevate the periosteum, so that the drill and pin avoid
as much soft tissue as possible. Insert the 3.5mm
Drill Sleeve into the 5mm Tissue Protector and place
the sleeve combination through the stab incision to
bone.

Note Pre-drilling is optional when using the

JET-X Half Pins, which are self-drilling and
self-tapping.

Using the 3.5mm drill, pre-drill the bone, using

the C-arm to assist in pre-drilling. Measure
using the drill and sleeve combination to determine
pin thread length. Remove the drill sleeve and
insert the appropriate 5mm Half Pin attaining
bicortical purchase.

4
Pin placement/
frame construction
The working construct is a delta frame using a
Multiple Pin Clamp.

Calcaneal pin placement

Place a centrally threaded half pin (traction pin)
through the calcaneus in the safe zone from medial
to lateral. Position this pin parallel to the ankle joint
or perpendicular to the mechanical axis of the tibia.
The pin should be positioned in the tuberosity,
posterior to the sagittal axis line to produce a
dorsiflexion moment with distraction. Confirm pin
placement using the C-arm.

Note Construct shown utilizes the Quick Clamp.

Freedom clamps may also be used for
frame construction.

Tibial pin placement

Place the tibial pins in the AP plane. Direct AP or
anteromedial are optimal placements. If treatment
is to progress to ORIF, proximal half pins should
be placed outside the planned area of fixation and
zone of injury.

Use the Multiple Pin Clamp and Tissue Protectors

to insert half pins and ensure proper spacing.
Allow for planned future fixation and avoid zone
of injury.

Select the appropriate posts and snap them into

the Multiple Pin Clamp. Add a Pin to Bar Clamp to
the calcaneal traction pin and attach carbon fiber
bars. Reduce the fracture and tighten all clamps
using the 10mm Ratchet Wrench or AO T-Handle
Connector with 10mm Socket.

Note Construct shown with Freedom Post

attachments. A Straight Post or 30º Angled Post
could be used but would require an additional Bar
to Bar Clamp.

5
Metatarsal pin placement
An additional metatarsal pin can be placed to
incorporate the foot. Place the desired half pin size
(3mm or 4mm) into the base of the first metatarsal
at a slight angle into the anterior medial aspect.
This is done to avoid tethering of the extensor
tendons. Attach the pin to the bar using a Quick or
Freedom Bar to Pin Clamp.

Note Construct shown utilizes the 10.5mm to 4mm

Quick Clamp and 4mm TiN Half Pin.

Optional frame constructs

Construct shown utilizes the Construct shown utilizes the six Construct shown utilizes four
six hole Multiple Pin Clamp with hole Multiple Pin Clamp with 30º 10.5mm Bar to 5mm Pin Clamps
straight posts and the 10.5mm to posts and the 10.5mm to 4mm and the 10.5mm to 4mm Quick
4mm Quick Clamp with a 4mm TiN Quick Clamp with a 4mm TiN pin Clamp with a 4mm TiN pin in the
pin in the first metatarsal in the first metatarsal first metatarsal

6
Knee Spanning Surgical Technique

7
Indications
Temporary stabilization of fractures and severe
soft tissue injuries, such as tibial plateau,
supracondylar femur, extensor mechanism
disruption and knee dislocation.

JET-X™ External Fixator

Knee Spanning Surgical Technique

Pin insertion
Make a stab incision at the desired pin site. Dissect
down to bone using a small elevator, being careful
to elevate the periosteum, so that the drill and pin
avoid as much soft tissue as possible. Insert the
3.5mm Drill Sleeve into the 5mm Tissue Protector
and place the sleeve combination through the stab
incision to bone.

Note Pre-drilling is optional when using the

JET-X Half Pins, which are self-drilling and
self-tapping.

Using the 3.5mm Drill, pre-drill the bone, using

the C-arm to assist in pre-drilling. Measure using
the drill and sleeve combination to determine
pin thread length. Remove the drill sleeve and
insert the appropriate 5mm Half Pin attaining
bicortical purchase.

8
Pin placement/
frame construction
Tibial pins
Place initial half pin just distal to the zone of injury
and distal to planned future fixation. The pin should
be placed AP, just medial to the anterior tibial crest.

The second tibial pin should be inserted distally

at the diaphyseal-metaphyseal junction to obtain
maximum pin spread. Attach Quick or Freedom Bar
to Pin Clamps to each tibial pin.

Choose a bar of appropriate length to end at the

level of patella. Attach this bar to the Bar to Pin
Clamps. This bar is placed approximately two finger
breadths above skin level to allow for swelling of
the soft tissue.

Femoral pins
(Frame option #1)
Insert two half pins straight anterior through the
quadriceps. Use maximum pin spread for construct
stability. Attach Quick or Freedom Bar to Pin
Clamps to each pin.

Choose a bar that is long enough to cross the

proximal end of the tibial bar. Attach this bar to
the Bar to Pin Clamps. This bar should be placed
approximately two finger breadths above skin
level to allow for swelling of the soft tissue.

Connector bars
Attach Quick or Freedom Bar to Bar Clamps to
the tibial and femoral bars. Attach a third bar to
these clamps. Distract the leg and reduce the
fracture. Verify reduction by C-arm and tighten
all clamps.

Note For additional stability, bars can be

double stacked.

9
Optional frame constructs

Construct shown utilizes the six hole Multiple Pin Construct shown utilizes the six hole
Clamp with Straight Posts in the proximal and Multiple Pin Clamp with Freedom Posts
distal portions. in the proximal and distal portions.

10
Long Bone Surgical Technique

11
Indications
Treatment of long bone fractures. First stage
stabilization of fractures that will be treated
definitively with ORIF.

JET-X™ External Fixator

Long Bone Surgical Technique

Pin insertion
Make a stab incision at the desired pin site. Dissect
down to bone using a small elevator, being careful
to elevate the periosteum, so that the drill and pin
avoid as much soft tissue as possible. Insert the
3.5mm Drill Sleeve into the 5mm Tissue Protector
and place the sleeve combination through the stab
incision to bone.

Note Pre-drilling is optional when using JET-X Half

Pins, which are self-drilling and self-tapping.

Using the 3.5mm Drill, pre-drill the bone, using

the C-arm to assist in pre-drilling. Measure
using the drill and sleeve combination to
determine pin thread length. Remove the drill
sleeve and insert the appropriate 5mm Half Pin
attaining bicortical purchase.

12
Pin placement
A simple stable frame is achieved by placing four
pins with maximal spread along the length of the
bone. Correct pin placement should provide for one
pin on either side of the fracture as far from the
fracture line as can be achieved.

Place two additional pins as close as possible

on either side of the fracture.

13
Using Freedom Bar to Pin Clamps, snap the pin
clamps onto the pins. Snap the appropriate length
bar(s) into the bar clamps.

If fracture reduction is satisfactory, the wide

adjustability of the clamps allows for one
connecting bar to be snapped into all four
Freedom Bar to Pin Clamps. Once tightened, the
reduction is maintained.

If reduction is difficult to maintain, the proximal

and distal pin couples can each be connected
with separate short bars. Using both bars as
reduction tools, the fracture can be manipulated
to achieve reduction and stability. Freedom Bar
to Bar Clamps are then attached to each short
bar, and a long bar is then snapped into place to
connect the proximal and distal fracture blocks.

After assembly of the needed frame, tighten the

pin side of the Freedom Bar to Pin Clamps using a
10mm wrench. This will only lock the clamp to the
pin, leaving the ball component free to move to
aid in reduction. Reduce the fracture and tighten
the bar side of the Bar to Pin Clamps and the Bar
to Bar Clamps.

14
Pelvic Surgical Technique

15
Indications
Closed fracture fixation such as unstable open
book pelvic fractures, unstable anterior pelvic
ring with bilateral rami fracture not amenable to
internal fixation.

JET-X™ External Fixator

Pelvic Surgical Technique

Pin insertion
Make a stab incision at the desired pin site. Dissect
down to bone using a small elevator, being careful
to elevate the periosteum, so that the drill and pin
avoid as much soft tissue as possible. Insert the
3.5mm Drill Sleeve into the 5mm Tissue Protector
and place the sleeve combination through the stab
incision to bone.

Note Pre-drilling is optional when using JET-X Half

Pins, which are self-drilling and self-tapping.

Using the 3.5 mm Drill, pre-drill the bone, using the

C-arm to assist in pre-drilling. Measure using the
drill and sleeve combination to determine pin
thread length. Remove the drill sleeve and insert
the appropriate 5mm Half Pin attaining
bicortical purchase.

16
Pin placement/
frame construction
Two half pins should be inserted on each side of the
pelvis. One pin is inserted at each anterior inferior
iliac spine under C-arm guidance directed obliquely
toward the PSIS and/or greater sciatic notch (best
available bone).

A second pin is inserted just cephalad to the

ASIS on each side between the inner and outer
tables. Using Freedom Bar to Pin Clamps, snap
the pin clamps onto the four pins. Snap the
appropriate length bar(s) into the Bar to Pin Clamps
and secure the pin portion of the clamp using a
10mm wrench. Check for soft tissue clearance with
leg flexed to 90°.

Apply a Bar to Bar Clamp by snapping the clamp

onto each bar between fixation pins. Attach one bar
of the appropriate length into the Bar to Bar Clamp
on each side of the pelvis. These two bars should
be connected by a Bar to Bar Clamp, anterior to
the pelvis.

Align the bars depending on need for access to

abdomen or need for sitting. The pelvis is manually
compressed on each iliac wing until adequately
reduced. Once the frame is positioned appropriately,
tighten both sides of the Bar to Bar Clamps.

Using the Bar to Bar Clamps, add an additional cross

bar or double stack as needed. Simply snap the
bars into the cartridge mechanism of the clamp.

Optional frame construct

Construct shown utilizes two bars, one Bar to
Bar Clamp, and two Bar to Pin Clamps.
17
 Catalog Information

JET-X™ Bar – External Fixation Devices

Freedom Clamps – Aluminum,

Titanium and Stainless Steel on
Tightening Bolts
Description
7106-4001 10.5mm Bar to 5mm Pin
7106-4002 10.5mm Bar to 10.5mm Bar
7106-4010 10.5mm Bar to 4mm Pin
7106-2722* 10.5mm Bar to Ring
7106-4019** 10.5mm Bar to 6mm Pin

Quick Clamps – Aluminum and

Stainless Steel on Tightening Bolts

Description
7106-7372 10.5mm Bar to 5mm Pin
7106-7374 10.5mm Bar to 10.5mm Bar
7106-7373 10.5mm Bar to 6mm Pin

4 Hole Pin Clamp

Cat. No. 7106-7375

6 Hole Pin Clamp

Cat. No. 7106-7376

* In addition to other rings, also works with Taylor Spatial Frame™ 2/3, Half and Full Rings
** Option accept both bar to pin and bar to bar

18
JET-X™ Bar – External Fixation Devices

Straight Post
Cat. No. 7106-7379

30º Angled Post

Cat. No. 7106-7381

Freedom Post
Cat. No. 7106-7382

Bar Caps
Cat. No. 7106-2008

Bars
Description
7106-2100 100mm Bar
7106-2150 150mm Bar 100mm Bar
7106-2160 L Bar
7106-2180 V Bar
7106-2200 200mm Bar
7106-2250 250mm Bar
7106-2300 300mm Bar
7106-2350 350mm Bar
7106-2400 400mm Bar
7106-2500 500mm Bar*
L Bar V Bar
7106-2600 600mm Bar*
7106-4006 Add-A-Bar Coupler

*Sterile packaged components

19
 JET-X™ Bar – External Fixation Devices

Freedom Ankle Clamp

Cat. No. 7106-2721

Distractor Clip, Package Quantity 2

Cat. No. 7106-3002

JET-X Bar – Instruments

AO to Hall Adaptor*
Cat. No. 7106-3004

10mm Ratchet Wrench

Cat. No. 7106-7322

Quick Clamp Bar to Pin Drill Guide

Cat. No. 7106-7324

AO T-Handle Connector with

10mm Socket
Cat. No. 7106-7326

*Will work with TRIGEN™ SURESHOT™ Hexdriver

20
JET-X™ Bar – Instruments

5mm/6mm Long Trocar

Cat. No. 7106-7306

5mm/6mm Short Trocar

Cat. No. 7106-7307

5mm/6mm Extra Short Trocar

Cat. No. 7106-7308

Tissue Protector Handle

Cat. No. 7106-7310

5mm/6mm Tissue Protector

for Long Half Pin
Cat. No. 7106-7312

5mm/6mm Tissue Protector

for Short Half Pin
Cat. No. 7106-7313

5mm/6mm Tissue Protector

for Extra Short Half Pin
Cat. No. 7106-7314

Drill for Extra Short 5mm Half Pin

Cat. No. 7106-7317

Drill for Short 5mm Half Pin

Cat. No. 7106-7318

Drill for Long 5mm Half Pin

Cat. No. 7106-7319

Drill for Short 6mm Half Pin

Cat. No. 7106-7320

Drill for Long 6mm Half Pin

Cat. No. 7106-7321

21
Original JET-X™ Bar – Instruments

AO to Trinkle Adaptor
Cat. No. 7106-3005

Add-A-Bar Coupler
Cat. No. 7106-2006

AO T-Handle Connector
with 10mm Socket
Cat. No. 7106-3001

5mm Bar to Pin Guide

Cat. No. 7106-3010

6mm Bar to Pin Drill Guide

Cat. No. 7106-3024

22
JET-X™ Mini – External Fixation Devices

Freedom Clamps
Description Description
7106-2009 6mm Bar to 5mm Pin 7106-4012 6mm Bar to 6mm Pin
7106-4010 10.5mm Bar to 4mm Pin 7106-4019 10.5mm Bar to 6mm Pin
7106-4011 6mm Bar to 4mm Pin

Quick Clamps
Description Description
7106-7371 10.5mm Bar to 4mm Pin 7106-7378 6mm Bar to 6mm Pin
7106-7373 10.5mm Bar to 6mm Pin 7106-7380 6mm Bar to 5mm Pin
7106-7377 6mm Bar to 4mm Pin

Double Pin Clamp with Ball Joint

Cat. No. 7106-2016

Bars
Description Description
7106-5075 6mm x 75mm 7106-5180 6mm V Bar
Mini Bar
7106-5110 6mm x 110mm 7106-5185 6mm x 185mm
7106-5150 6mm x 150mm 7106-5225 6mm x 225mm

Distractor Clip
Cat. No. 7106-3213

AO T-Handle Connector with

8mm Socket
Cat. No. 7106-7305

23
JET-X™ Bar – Sterilization Cases/Trays

Large Clamp Module Tray

Cat. No. 7106-7350

Large Bar Module Tray

Cat. No. 7106-7351

Large Partial Half Pin and Instrument

Module Tray
Cat. No. 7106-7352

Auxillary Instrument Modules

Sterilization Case with Lid
Cat. No. 7106-7354

24
JET-X™ Bar – Sterilization Cases/Trays

Large Unilateral Inner Tray Lid

Cat. No. 7106-7355

Large Unilateral Outer Tray Lid,

Short Tray
Cat. No. 7106-7358

Large Unilateral Outer Tray Lid,

Tall Tray
Cat. No. 7106-7359

Half Pin Module Sterilization Case

with Lid
Cat. No. 7106-7360

25
JET-X™ Bar – Kits

Ankle Spanning Kit –

Multiple Clamp with TiN Half Pin, Sterile*
Kit No. 7106-2701

Ankle Spanning Kit –

Single Clamp with TiN Half Pin, Sterile*
Cat. No. 7106-2702

Travel Traction Kit –

600mm Bar with TiN Traction Pin, Sterile*
Cat. No. 7106-2703

Tibia Kit –
350mm Bar with TiN Half Pin, Sterile*
Cat. No. 7106-2705

Ankle Spanning Kit –

Standard Central Body with TiN Half Pins,
Sterile*
Cat. No. 7105-1701

Sterile Kit for JET-X Mini Bar Distal Radius Kit

Cat. No. 7106-4701

26
Original JET-X™ Mini – Instruments

AO T-Handle Connector with

10mm Socket
Cat. No. 7106-3001

10mm Ratchet
Cat. No. 7106-3003

3.5mm Drill with AO Connector

Cat. No. 7106-3006

Drill for 3mm Short Half Pins

Cat. No. 7106-3203

Drill for 4mm Short Half Pins

Cat. No. 7106-3204

Combination Mini Drill Sleeve/

Tissue Protector
Cat. No. 7106-3205

8mm Ratchet Wrench

Cat. No. 7106-3210

Drill Guide
Cat. No. 7106-3211

4mm Trocar
Cat. No. 7106-3212

Multiple Pin Clamp

Cat. No. 7106-4015

27
 JET-X™ Half Pins – Implants

Titanium Nitride Extra Short Half Pins, Non-Sterile

Thread Shank Thread Shank Thread Shank Thread Shank
Diam Diam Length Length* Diam Diam Length Length*
7106-5304 5mm 5mm 30mm 65mm 7106-5404 5mm 5mm 40mm 65mm
7106-5354 5 5 35 65 7106-5454 5 5 45 65

Titanium Nitride Short Half Pins, Non-Sterile

Thread Shank Thread Shank Thread Shank Thread Shank
Diam Diam Length Length* Diam Diam Length Length*
7106-3108 3mm 4mm 10mm 65mm 7106-5308 5mm 5mm 30mm 110mm
7106-3158 3 4 15 65 7106-5358 5 5 35 110
7106-3208 3 4 20 65 7106-5408 5 5 40 110
7106-3258 3 4 25 65 7106-5458 5 5 45 110
7106-4158 4 4 15 95 7106-5508 5 5 50 110
7106-4208 4 4 20 95 7106-5558 5 5 55 110
7106-4258 4 4 25 95 7106-5608 5 5 60 110
7106-4308 4 4 30 95 7106-5658 5 5 65 110
7106-4358 4 4 35 95 7106-5708 5 5 70 110

Titanium Nitride Long Half Pins, Non-Sterile

Thread Shank Thread Shank Thread Shank Thread Shank
Diam Diam Length Length* Diam Diam Length Length*
7106-5309 5mm 5mm 30mm 160mm 7106-5659 5mm 5mm 65mm 160mm
7106-5359 5 5 35 160 7106-5709 5 5 70 160
7106-5409 5 5 40 160 7106-6409 6 6 40 160
7106-5459 5 5 45 160 7106-6459 6 6 45 160
7106-5509 5 5 50 160 7106-6509 6 6 50 160
7106-5559 5 5 55 160 7106-6559 6 6 55 160
7106-5609 5 5 60 160 7106-6609 6 6 60 160

* Pin length does not include AO Connector or threads. AO Connector length is 23.65mm

28
 JET-X™ Half Pins – Implants

Titanium Nitride Cannulated Half Pin with 1.6mm Guide Wire, Sterile*
Thread Shank Thread Shank
Diam Diam Length Length**
7106-5400 5mm 5mm 40mm 110mm

Titanium Nitride Half Pin with 1.6mm Cannulation, Sterile

Thread Shank Thread Shank
Diam Diam Length Length**
7106-5407S 5mm 5mm 40mm 110mm

Titanium Nitride Short Traction Pin, Sterile

Thread Shank Thread Shank
Diam Diam Length Length**
7106-5504S 7mm 5mm 50mm 223mm

Titanium Nitride Long Traction Pin, Sterile

Thread Shank Thread Shank
Diam Diam Length Length**
7106-5507S 7mm 5mm 50mm 375mm

Titanium Traction Pin, Sterile

Thread Shank Thread Shank
Diam Diam Length Length**
7105-5503 5mm 5mm 50mm 375mm

*Not currently available in the US

**Pin length does not include AO Connector or threads; AO Connector length is 23.65mm

29
JET-X™ BAR – Sets

Combination (Freedom/Quick) Set

Set No. 7106-7452
Description Qty
7106-2721 Freedom Ankle Clamp 1
7106-2722 Freedom Clamp 10.5mm to Ring 2
7106-4001 Freedom Clamp 10.5mm Bar 8
to 5mm Pin
7106-4002 Freedom Clamp 10.5mm Bar 8
to 10.5mm Bar
7106-4019 Freedom Clamp 10.5mm Bar 2
to 6mm Pin
7106-7350 Clamp Module 1
7106-7355 Inner Tray Lid 1
7106-7372 Quick Clamp 10.5mm Bar to 5mm Pin 8
7106-7373 Quick Clamp 10.5mm Bar to 6mm Pin 2
7106-7374 Quick Clamp 10.5mm Bar to 8
10.5mm Bar
7106-7375 4 Hole Pin Clamp 2
7106-7376 6 Hole Pin Clamp 2
7106-7379 Straight Post 2
7106-7381 30º Angled Post 2
7106-7382 Freedom Post 6

Large Bar Set

Set No. 7106-7453
Description Qty
7106-2100 100mm Bar 2
7106-2150 150mm Bar 3
7106-2160 L Bar 2
7106-2180 V Bar 1
7106-2200 200mm Bar 3
7106-2250 250mm Bar 3
7106-2300 300mm Bar 4
7106-2350 350mm Bar 4
7106-2400 400mm Bar 4
7106-5507 TiN 5mm x 50mm Traction Pin 3
7106-7351 Bar Module 1

30
JET-X™ BAR – Sets

Large Instrument Set

Set No. 7106-7454
Description Qty
102907 Wrench, 10mm Flex Head 1
7106-3004 AO to Hall Adapter 1
7106-7306 Trocar, 5mm/6mm Long 1
7106-7307 Trocar, 5mm/6mm Short 1
7106-7308 Trocar, 5mm/6mm Extra Short 1
7106-7310 Tissue Protector Handle 2
7106-7312 5mm/6mm Tissue Protector for 2
Long Half Pin
7106-7313 5mm/6mm Tissue Protector for 2
Short Half Pin
7106-7314 5mm/6mm Tissue Protector for 2
Extra Short Half Pin

7106-7317 Drill for Extra Short 5mm Half Pin 2

7106-7318 Drill for Short 5mm Half Pin 2
7106-7319 Drill for Long 5mm Half Pin 2
7106-7320 Drill for Short 6mm Half Pin 2
7106-7321 Drill for Long 6mm Half Pin 2
7106-7322 10mm Ratchet Wrench 1
7106-7324 Quick Clamp Bar to Pin Drill Guide 1
7106-7326 AO T-Handle Connect with 10mm Socket 1
7106-7352 Large Partial Half Pin Instrument Module 1
7106-7358 Outer Tray 1

31
JET-X™ Half Pins – Sets

Short Half Pin Set

Set No. 7106-7455
Description Qty
7106-5308 TiN 5mm x 30mm 8
7106-5358 TiN 5mm x 35mm 8
7106-5408 TiN 5mm x 40mm 8
7106-5458 TiN 5mm x 45mm 6
7106-5504 TiN 5mm x 50mm Short Traction Pin 2
7106-6409 TiN 6mm x 40mm 4
7106-6509 TiN 6mm x 50mm 4

Long Half Pin Set

Set No. 7106-7456
Description Qty
7106-5309 TiN 5mm x 30mm 8
7106-5359 TiN 5mm x 35mm 8
7106-5409 TiN 5mm x 40mm 6
7106-5459 TiN 5mm x 45mm 6
7106-5504 TiN 5mm x 50mm Short Traction Pin 2
7106-6409 TiN 6mm x 40mm 4
7106-6509 TiN 6mm x 50mm 4

32
JET-X™ Half Pins – Sets
Complete 5mm /6mm Half Pin Add On Set
Set No. 7106-7457
Description Qty
7105-1039 1.6mm x 240mm Wire 1
7106-5304 TiN 5mm x 30mm Extra Short 2
7106-5354 TiN 5mm x 35mm Extra Short 2
7106-5404 TiN 5mm x 40mm Extra Short 2
7106-5407 TiN 5mm x 40mm 1.6mm Cann Half Pin 1
7106-5454 TiN 5mm x 45mm Extra Short 2
7106-5508 TiN 5mm x 50mm Short Half Pin 2
7106-5509 TiN 5mm x 50mm Long Half Pin 2
7106-5558 TiN 5mm x 55mm Short Half Pin 2
7106-5559 TiN 5mm x 55mm Long Half Pin 2
7106-5608 TiN 5mm x 60mm Short Half Pin 2
7106-5609 TiN 5mm x 60mm Long Half Pin 2
7106-5658 TiN 5mm x 65mm Short Half Pin 2
7106-5659 TiN 5mm x 65mm Long Half Pin 2
7106-5708 TiN 5mm x 70mm Short Half Pin 2
7106-5709 TiN 5mm x 70mm Long Half Pin 2
7106-6409 TiN 6mm x 40mm 2
7106-6459 TiN 6mm x 45mm 2
7106-6509 TiN 6mm x 50mm 2
7106-6559 TiN 6mm x 55mm 2
7106-6609 TiN 6mm x 60mm 2
7106-7360 Half Pin Module Sterile Case with Lid 1

Auxiliary Instrument Set

Set No. 7106-7458
Description Qty
7106-3002 Distractor Clip 2
7106-3005 AO to Trinkle Adapter 1
7106-3009 Distraction Instrument 1
7106-3010 5mm Bar To Pin Guide 1
7106-3011 1.6mm Wire Guide 1
7106-3013 3.5mm/1.6mm Cannulated Drill 1
7106-3017 5mm Cannulated Pin Tissue Protector 1
7106-3018 3.5mm Cannulated Pin Drill Sleeve 1
7106-7354 Auxiliary Instrument Case with Lid 1

33
JET-X™ Mini – Sets

Mini Distal Radius Set

Set No. 7106-7459
Description Qty
102915 Box Wrench, SBF 8mm 1
290058 Protective Caps, Red for Threaded 4mm Pin 6
7106-2016 Mini Double Pin Clamp with Ball Joint 2
7106-3152 Half Pin, 3mm x 15mm 2
7106-3202 Half Pin, 3mm x 20mm 2
7106-5225 6mm x 225mm Bar 1
7106-7327 2.0mm Drill 1
7106-7328 Double Pin Drill Sleeve 2
7106-7329 Double Pin Drill Guide 1
7106-7330 Pin Driver 1
7106-7362 Module Tray 1
7163-1186 Mini Connector 1

34
JET-X™ Mini – Sets
Mini Instrument and Clamp Set
Set No. 7106-7462
Description Qty
102915 Box Wrench SBF 1
7106-3004 AO to Hall Adapter 1
7106-3108 TiN Half Pin 3mm x 10mm 4
7106-3158 TiN Half Pin 3mm x 15mm 4
7106-3208 TiN Half Pin 3mm x 20mm 4
7106-3258 TiN Half Pin 3mm x 25mm 4
7106-4010 Freedom Clamp, 10.5mm to 4mm Pin 2
7106-4011 Freedom Clamp, 6mm to 4mm Pin 3
7106-4012 Freedom Clamp, 6mm to 6mm Bar 3
7106-4019 Freedom Clamp, 10.5mm to 6mm Pin 2
7106-4158 TiN Half Pin 4mm x 15mm 4
7106-4208 TiN Half Pin 4mm x 20mm 4
7106-4258 TiN Half Pin 4mm x 25mm 4
7106-4308 TiN Half Pin 4mm x 30mm 4
7106-4358 TiN Half Pin 4mm x 35mm 4
7106-5075 6mm x 75mm Bar 2
7106-5110 6mm x 110mm Bar 2
7106-5180 V-Bar 6mm 1
7106-5185 6mm x 185mm Bar 2
7106-5225 6mm x 225mm Bar 4
7106-7305 AO T-Handle Connector with 8mm Socket 1
7106-7309 Trocar 1
7106-7310 Tissue Protector Handle 2
7106-7311 Tissue Protector 2
7106-7315 Drill for 3mm Half Pin 2
7106-7316 Drill for 4mm Half Pin 2
7106-7322 10mm Ratchet Wrench 1
7106-7323 8mm Ratchet Wrench 1
7106-7325 Quick Clamp Bar to in Drill Guide 1
7106-7361 Tray 1
7106-7371 Quick Clamp 10.5mm to 4mm Pin 2
7106-7373 Quick Clamp 10.5mm to 6mm Pin 2
7106-7377 Quick Clamp 6mm to 4mm Pin 3
7106-7378 Quick Clamp 6mm to 6mm Bar 3

35
 Sterilization/Resterilization
External Fixation Devices and Instruments
Unless specifically labeled sterile, the external fixation devices and instruments are supplied non-sterile
and must be sterilized prior to use. “JET-X™ Bar Kits” (Ankle Spanning Kit, Travel Traction Kit and other kits
listed in this brochure) are supplied sterile and have been sterilized by ethylene oxide gas. All radiation
sterilized components have been exposed to a minimum of 25 kilo Grays of gamma radiation. The method
of sterilization is noted on the package label.
External fixation devices are considered single use devices. The external fixation devices may be steam
sterilized using the following validated cycles and parameters:

Dynamic air removal (prevacuum) steam

• Exposure temperature: 132ºC (270ºF); Minimum exposure time: 4 minutes
OR
• Exposure temperature: 135ºC (275ºC); Minimum exposure time: 3 minutes
• Minimum drying time: Wrapped devices – 15 minutes; containerized devices –30 minutes

For non-US customers

UK steam cycle
• Prevacuum cycle
• Exposure temperature: 134°C (273ºF)
• Exposure time: 3 minutes
• Vacuum drying: 30 minutes
Note The procedure outlined in HTM 2010 should be followed
World Health Organization (WHO) steam cycle
• Exposure temperature: 134ºC (273ºF)
• Exposure time: 18 minutes
• Vacuum drying: 30 minutes

Instruments (reusable devices) may be steam sterilized using the same cycles above and also the following
validated cycles and parameters:

Gravity displacement steam

• Exposure temperature: 132ºC (270ºF)
• Exposure time:
- 15 minutes for wrapped devices
- 30 minutes for containerized devices
• Purge: 1 minute
• Minimum vacuum drying: 30 minutes
Immediate Use Steam Sterilization (IUSS) or Flash Steam
• Exposure temperature: 132ºC (270ºF)
• Exposure time:
- Gravity displacement: 15 minutes
- Dynamic air removal (prevacuum): 4 minutes

36
 Half Pins and Wires
Half pins and wires are considered implants and are therefore single use devices. These devices are sold
both sterile and nonsterile. The sterile devices are often removed from their original packaging and placed
in a containment device for processing. Used implants cannot be reprocessed for use. The validated steam
sterilization cycles and parameters are as follows:

Dynamic air removal (prevacuum) steam

• Exposure temperature: 132°C (270°F); Minimum exposure time: 4 minutes
or
• Exposure temperature: 135ºC (275ºF); Minimum exposure time: 3 minutes
• Minimum drying time: Wrapped devices – 15 minutes; containerized devices –30 minutes

Gravity displacement steam

• Exposure temperature: 132ºC (270ºF)
• Exposure time:
- 15 minutes for wrapped devices
- 30 minutes for containerized devices
• Purge: 1 minute
• Minimum vacuum drying: 30 minutes

37
Smith & Nephew, Inc. www.smith-nephew.com
7135 Goodlett Farms Parkway
Cordova, TN 38016
USA

Telephone: 1-901-396-2121
Information: 1-800-821-5700
Orders/inquiries: 1-800-238-7538

©2012 Smith & Nephew, Inc. All rights reserved.

™Trademark of Smith & Nephew. Reg. US Pat. & TM Off. 7108-0632 REV0.1 09/12