Sign IM Nail and Interlocking Screw System Technique Manual page 2

Dear SIGN Partner:
SIGN implants are made from stainless steel that satisfies ASTM implant-grade material
specifications acceptable to the U.S. FDA. Our orthopaedic hardware manufacturing operation is
being conducted in accordance with national good manufacturing practices and quality assurance
standards. The SIGN IM Nail is a legally distributed device in the United States.
Features of the SIGN nail
Interlocking can be accomplished without C-arm
Stainless steel-less adherence of biofilm than titanium alloy, easier to remove stainless steel
nail than titanium
Solid-stronger with less bending than hollow nails. Less infection as less area for biofilm to
adhere
Slots-allow for compression and distraction of fracture site to accelerate healing
9º bend in proximal nail
1-1/2º bend in distal end for easier insertion
The SIGN Surgical Database was implemented in August 2003 to record SIGN surgeries. We request
that each SIGN surgery be recorded in the database, photos of pre and post op x-rays are requested to
accompany each report. Follow-up x-rays are appreciated. We will answer your questions or
comments in the comment section.
We value your comments on any aspect of SIGN. It is a team effort. We can be reached by e-mail,
fax, or telephone.
The SIGN technique manual is updated frequently. For updates please visit our website at
post.org and click on manual, username sign and password 03signtech. Please read this manual
several times before your first SIGN surgery. Refer to it for each step in the OR as you do your first
surgeries.
Sincerely,
Lewis G. Zirkle, M.D.
SIGN Founder & President
451 Hills Street, Suite B, Richland, WA 99354 USA
Phone: (509) 371-1107; Fax: (509) 371-1316
E-mail: signcom@sign-post.org
Web site: www.sign-post.org
2
Lewis G. Zirkle, M.D.
President & Founder
www.sign-