PFN / Recon Nail Instrument Set – Ø9–15mm Reaming & Insertion System

Instruments Set for PFN / Recon Nails – PS079M Proximal Femoral Nail and Reconstruction Nail Instrumentation, SKU PS-OP-3851, is a stainless steel orthopedic instrumentation set configured for proximal femoral nail and reconstruction nail fixation. The set covers entry preparation with the Diamond Pointed Bone Awl and Tissue Protector, canal preparation with an Ø8.0mm fixed reamer, flexible shafts and thirteen reamer heads from Ø9mm through Ø15mm, guide-wire control with 2.0mm threaded guide wires and 2.5mm rods, distal locking with cannulated step drills, protection sleeves, depth gauge and hexagonal screwdrivers, and nail insertion using Long Left, Long Right, Short and PFN/Recon insertion handles. The instrumentation is intended for orthopedic and trauma surgeons performing cephalomedullary fixation of unstable intertrochanteric, peritrochanteric and subtrochanteric femoral fractures, as well as complex femoral shaft fractures requiring simultaneous femoral neck fixation. The system supports operative workflows in trauma hospitals, orthopedic operating rooms and fracture fixation centers where controlled canal preparation, proximal targeting and distal interlocking are required.

Progressive Reaming and Mechanical Instrument Control

The PS079M instrumentation follows the mechanical sequence of establishing the proximal femoral entry portal, maintaining a controlled guide path, enlarging the medullary canal and preparing the nail for insertion. The Diamond Pointed Bone Awl creates the initial entry point while the Tissue Protector shields the surrounding soft tissue during portal preparation. The Ø8.0mm fixed reamer provides the initial canal preparation, after which flexible reamer shafts accept interchangeable heads from Ø9mm to Ø15mm in 0.5mm increments. The flexible shaft allows the reamer assembly to follow the longitudinal curvature of the femoral canal rather than forcing a rigid instrument against the cortical wall. The Reaming Rod and Guide Rod maintain the working trajectory through cannulated instrumentation, while the introducer controls rod passage. During distal locking, the protection sleeves establish the external working corridor, cannulated step drills prepare the selected bolt diameter and the Depth Gauge determines drilling depth for implant selection. The 3.5mm and 4.5mm cannulated hexagonal screwdrivers engage the corresponding locking hardware, while the 10mm spanners and Universal Socket Wrench provide final tightening control. The Extractor-Impactor supports controlled nail manipulation when advancement or extraction forces are required.

PFN and Reconstruction Nail Fixation Workflow

The set is configured for cephalomedullary fixation of proximal femoral fractures and reconstruction nailing of complex femoral injuries. In unstable intertrochanteric and peritrochanteric fractures, the surgeon establishes the proximal femoral entry portal, introduces the guide system, progressively prepares the canal, mounts the selected PFN on the insertion assembly and advances the nail across the fracture into the femoral shaft. For subtrochanteric fractures, the same reaming and nail-delivery sequence supports stabilization across the subtrochanteric region while the proximal targeting assembly guides head-neck fixation. Reconstruction nail workflows extend the system to femoral shaft fractures accompanied by an ipsilateral femoral neck fracture, where proximal reconstruction screws are directed toward the femoral head and neck through the nail. The Long Left and Long Right jigs provide side-specific targeting geometry, while the Short configuration accommodates compatible short-nail workflows. The Trocar and short or long Soft Tissue Separators establish the working corridor for targeting components. After proximal fixation, distal locking is performed through the appropriate protection sleeve and drill system, with the Depth Gauge used to determine locking-bolt length. The Hex Cap completes proximal nail-end closure.

Ø9–15mm Reamers and PFN / Recon Components

The thirteen reamer heads provide a continuous 0.5mm progression from Ø9mm to Ø15mm, allowing progressive enlargement of the femoral canal according to the selected nail diameter and operative preparation sequence. The Ø9mm, Ø9.5mm, Ø10mm, Ø10.5mm, Ø11mm, Ø11.5mm, Ø12mm, Ø12.5mm and Ø13mm heads are carried by the flexible shafts rated for heads through Ø13mm. The Ø13.5mm, Ø14mm, Ø14.5mm and Ø15mm heads use the dedicated larger-range flexible shaft for final canal preparation when a greater reaming diameter is required. The two 507.03 flexible shafts provide working redundancy within the ≤Ø13mm range, while 507.23 covers the Ø13.5–15mm range. The four insertion configurations comprise the Long Left jig, Long Right jig, Short PFN jig and PFN/Recon insertion handle, allowing the targeting assembly to correspond with nail configuration and femoral side. The Nail Holding Bolt secures the implant to the insertion handle during advancement. The 4mm Trocar, Soft Tissue Separators, Medullary Tube and guide-wire sleeves support controlled access and instrument passage. Distal locking hardware preparation is supported by 6mm and 8mm cannulated step drills, 4.5mm, 6mm and 8mm protection sleeves, a 4.5mm drill sleeve and dedicated drivers.

German Stainless Steel, Reprocessing and Procurement Standards

The PS079M set uses German stainless steel construction selected for reusable orthopedic instrumentation subjected to repeated mechanical handling, cleaning and sterilization cycles. The metal surface is suited to routine instrument reprocessing when cleaning, inspection, lubrication where applicable, packaging and sterilization are performed according to the healthcare facility's validated protocol and the instrument manufacturer's instructions. Steam autoclave processing is the standard hospital reprocessing route for compatible reusable stainless steel instruments, with instruments opened, separated where applicable and positioned to permit effective steam contact. The set is supplied with an empty container for organized instrument storage and processing. Peak Surgicals lists the set with CE Mark, ISO 13485 and FDA procurement compliance, supporting documentation requirements for hospitals, orthopedic trauma centers, distributors and international medical procurement departments. ISO 13485 relates to the manufacturer's medical-device quality management system, while CE marking addresses applicable European conformity requirements. FDA procurement suitability supports US purchasing workflows where appropriate regulatory documentation is required. The set carries a 1-year warranty, has an MOQ of one set, supports OEM/custom orders and includes return-and-replacement after-sale service.

How does the Instruments Set for PFN / Recon Nails differ from a PFNA-II instrument set?
The Instruments Set for PFN / Recon Nails is configured for PFN and reconstruction nails using proximal screw fixation rather than a helical blade system. Its reaming architecture provides thirteen interchangeable heads from Ø9mm to Ø15mm in 0.5mm increments. A PFNA-II system uses dedicated instrumentation for preparation and insertion of its helical blade. The PS079M also provides Long Left, Long Right, Short and PFN/Recon insertion configurations. Its targeting geometry is therefore matched to PFN and reconstruction nail workflows. This makes the set particularly suited to facilities supporting both proximal femoral and reconstruction nail procedures.

How should the Ø9–15mm reamer heads be selected during femoral canal preparation?
The reamer sequence begins with the Ø8.0mm fixed reamer and progresses through the available Ø9–15mm heads. The surgeon selects the next diameter according to the operative canal preparation and the intended nail system. Heads from Ø9mm through Ø13mm use the 507.03 flexible shaft. Ø13.5mm through Ø15mm heads use the 507.23 shaft. These increments allow controlled enlargement of the femoral canal rather than jumping directly to a larger diameter. The system is applicable to intertrochanteric, subtrochanteric and reconstruction nail procedures involving the femoral shaft. Final reaming diameter is determined within the implant system's operative technique and the patient's femoral canal.

What do CE, ISO 13485 and FDA procurement compliance mean for this set?
The Instruments Set for PFN / Recon Nails is listed with CE Mark, ISO 13485 and FDA procurement compliance. ISO 13485 relates to the manufacturer's medical-device quality management system. CE marking indicates conformity with applicable European requirements for the marketed device. FDA procurement compliance supports documentation requirements for applicable US healthcare purchasing workflows. Hospitals and distributors can use the listed regulatory information when evaluating orthopedic instrumentation suppliers. Procurement teams should maintain the applicable product and regulatory documentation within their purchasing records.

How do the insertion handle, trocar and soft tissue separators function during surgery?
The insertion handle secures the PFN or reconstruction nail and provides the targeting relationship between the nail and proximal locking instrumentation. Long Left and Long Right configurations provide side-specific targeting geometry for the corresponding femur. The Short jig accommodates compatible short-nail configurations. The Nail Holding Bolt secures the nail to the handle during advancement through the femoral canal. The 4mm Trocar establishes the access path for targeting instrumentation, while the Short and Long Soft Tissue Separators maintain the working corridor. These components keep the insertion and targeting assembly mechanically aligned during nail placement and locking.

Is the Instruments Set for PFN / Recon Nails suitable for hospital reprocessing and procurement?
The set is designed as reusable stainless steel orthopedic instrumentation for institutional reprocessing. Hospital sterile-processing departments can clean, inspect, package and steam-autoclave compatible components using their validated reprocessing protocol and applicable manufacturer instructions. The supplied empty container provides organized storage for the instrumentation set. The listed MOQ is one set, supporting single-set hospital procurement as well as distributor purchasing. OEM and custom-order services are available for procurement programs requiring configuration support. The set carries a 1-year warranty with return-and-replacement after-sale service.