DynaNail® TTC Fusion System - Instructions For Use | MedShape DynaNail® TTC Fusion System - Instructions For Us | Page 4

• • • • • • Pa@ents with significant @bial malalignment (>10 degrees in either sagiZal or coronal plane). Pa@ents with a dysvascular limb. Pa@ents with severe longitudinal deformity. Pa@ents with an insufficient quan@ty or quality of bone to permit fusion of the joints or stabiliza@on of the arthrodesis. Pa@ents with condi@ons that restrict his or her ability or willingness to follow postopera@ve instruc@ons during the healing process. Pa@ents with foreign body sensi@vity, suspected or documented metal allergy or intolerance. Where material sensi@vity is suspected, appropriate tests should be conducted and sensi@vity ruled out prior to implanta@on. 4. WARNINGS The DynaNail TTC Fusion Nail, DynaNail End Cap, and DynaNail Screws are supplied sterile for single use only. DO NOT ATTEMPT TO RESTERILIZE. Resteriliza@on may result in loss of proper mechanical func@on of the device and could result in pa@ent injury. Carefully inspect product packaging and all device components for damage or defects prior to use. Do not use any device if it appears defec@ve, damaged or otherwise compromised. The DynaNail TTC Fusion Nail is intended to facilitate healing but is not designed to support the pa@ent’s body weight in the presence of a delayed union or nonunion of bone. Un@l firm bony union is achieved, the pa@ent should employ adequate external support and restrict physical ac@vi@es that would place stress upon the implant or allow movement at the site and delay healing. Therefore, it is important that immobiliza@on of the site is maintained un@l firm bony union (confirmed by clinical and radiological examina@on) is established. Failure to immobilize the ankle during healing may result in bending and/or breakage of the device and/or failed fusion. Do not modify the implant. Modified devices may not perform as intended and could result in pa@ent injury. The DynaNail TTC Fusion System is not approved for screw aZachment or fixa@on to the posterior elements (pedicles) of the cervical, thoracic or lumbar spine. Use of the implant or system components for these purposes may result in pa@ent injury. Serious postopera@ve complica@ons may occur from use of the implant in a pa@ent who: • • • • Lacks good general physical condi@on. Has severe osteoporosis. Demonstrates physiologic or anatomic anomalies. Has immunological responses, sensi@za@on or hypersensi@vity to foreign materials.