vision: creating equality of fracture care throughout the world

Vision:

Creating Equality of Fracture Care

Throughout the World

Miami talk version 1


Impetus

To be effective, teaching mustbe combined with implants

•Femur Fracture-3 years in traction


The Need for SIGN Nail

80% of Severe Fractures Occur in Developing

Countries


Mission

Enable orthopaedic treatment to the poor

around the world by providing:

Ongoing education and communications

Continuous supply of implants that can be used with their equipment


Steps to Supplying Implants Include:

• Design instruments and implants that can be used in developing countries

• Manufacture these instruments and implants

• Test these instruments and implants

• Obtain FDA clearance for use in the US as a certificate of quality


C-Arm$150,000

Slot Finder$50

Biggest Challenge:

Obtaining interlock without a C-arm


Design

Technology had to be incorporated in the instruments and implants.


Manufacture

The instruments and implants had to be manufactured with skill and precision.


Result-SIGN Nail

•Implants are designed for developing world operating room conditions, anatomy and fracture types•High quality, FDA Cleared•Consistent supply•Database to track results•Use Database to evaluate treatments and determine best methods for each region

Demand for SIGN is on the increase throughout the developing world


Protocol

Watch one, do one, teach one.


Evaluation

140+ hospitals have reportedmore than 15,000 cases


Follow-up ease: Patient contact information

Revision-SIGN Database


Develop your own reports


Clinical results

Full weight bearing at 3 months


First Designed as Tibia Nail


Retrograde-Approaching a Floating Knee


Antegrade Approach to Femur


Humerus

Case 1


Ankle Arthrodesis-Antegrade


Ankle Arthrodesis-Retrograde


Fin Nail-Stable Interlock

Fig 8Cross section of fins seated in bony canal


Fin Nail Retrograde Femur


Fin Nail Antegrade


Fin Nail-Humerus


140+ SIGN Programs

Current SIGN programs in established countries

Established Countries with new programs 2006

New countries with new programs in 2006

Anticipated new countries and programs in 2007


Disaster Relief-First Responders

Pakistan


3,000 Surgeons


28,000+ Happy Patients

Return home within weeksReduced burden on hospitalSurgeons gain confidenceRaising the standard hospital wide


Education

• Onsite visits

• Database

• Regional conferences

• Annual SIGN conference

• Internet blog


Education- National Conferences


Education—Annual SIGN Conference


Progressive Innovation

Existing SIGN System

Extractor Compressor


Progressive Innovations-Curved Slot Finder

Remove Target Arm First


GSW in Iraqi Civilian


Progressive Innovation-Bone Transport


Thank You

Current SIGN programs in established countries

Established Countries with new programs 2006

New countries with new programs in 2006

Anticipated new countries and programs in 2007

vision: creating equality of fracture care throughout the world

Documents

new programs

sign nail80

sign nail original design

anticipated new countries

resultsign nailimplants

fin nail antegrade quicker

design instruments

manufacturethe instruments