A device (200) for actuating an intramedullary nail (1) is proposed, which extends in the axial longitudinal direction (L) and comprises a proximal end (202) and a distal end (204), and comprises an actuating shaft (300, 600) which is associated with an actuating element (400, 700), and which comprises at its distal end (304, 604) an engagement section (306, 606) for engaging in, and rotating or retaining, a counterpart complementary thereto, wherein an adapter piece (500, 800) is arranged between the distal end (304, 604) of the actuating shaft (300, 600) and the distal end (204) of the device (200), which adapter piece (500, 800) is connected in a rotatably fixed manner to the engagement section (306, 606) of the actuating shaft (300, 600) at the distal end (304, 604) of the actuating shaft (300, 600), and which comprises, at the distal end (204) of the device (200), an engagement section (506, 806), which is complementary to an engagement section (32, 1032) of the anchor element (24, 1024) of an oppositely arrangeable intramedullary nail (1). Furthermore, the invention relates to an adapter piece (500, 800) and an adapter set, as well as a set for providing a device (200) according to the invention.