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Orthopaedic Device Reference™

1ST EDITION

The Association of Bone & Joint Surgeons

All product information published in The Orthopaedic Device Reference has been carefully collated from various sources provided by the respective manufacturers. The Orthopaedic Device Reference has attempted to verify the accuracy of all product information. However should discrepancies arise in regard to any product included in The Orthopaedic Device Reference, the Editorial Staff, the publisher and the Association of Bone and Joint Surgeons disavows any responsibility.

The Association of Bone and Joint Surgeons and the Editorial Staff of The Orthopaedic Device Reference express their appreciation to the orthopaedic manufacturers who have contributed to the financial support of this reference. Those companies are Ace Medical, Biomet, DePuy, Howmedica, Implex, Johnson & Johnson, Smith & Nephew, and Zimmer. _

First Edition

© 1998 by The Association of Bone & Joint Surgeons Editorial Offices:

Post Office Box 5080 • Breckenridge, Colorado 80424

All rights reserved. No part of this book may be reproduced in any form or by any electronic or mechanical means without permission in writing from the publisher.

Published by Breckenridge Publishing Company Post Office Box 713 • Breckenridge, Colorado 80424

Printed in U.S.A.

INTRODUCTION

The Orthopaedic Device Reference™

The tremendous growth of orthopaedic technology over the past many years has created a need for a single comprehensive reference source documenting the currently available implantable and non-implantable orthopaedic devices. Thus, the creation of The Orthopaedic Device Reference.

In this first edition of a reference to be published yearly, the user will find an extensive listing of orthopaedic products catalogued either by specific product type or by manufacturer. Devices are also separated as to whether they are implantable or non-implantable. Further, implantable products are grouped according to their primary indication of use under headings of reconstructive, fracture and spinal implants, while non-implantable items are indexed as to external fixation, bracing and miscellaneous.

It should be pointed out that the information provided on each product is not intended to replicate the more extensive information offered by a manufacturer's catalogue or sales representative, but rather to offer a concise review of the product's general description. Each device description also makes note of any special product features, the availability of various sizes, the product's material composition, a graphic reproduction of the device and any peer reviewed published articles. The reference also provides an indexed listing of all of the participating manufacturers' customer access telephone numbers, e-mail and mailing addresses. Hopefully, this information will aid in providing a more direct access should additional product information be needed.

Lastly, it is hoped that in using The Orthopaedic Device Reference you will find it an invaluable and unique aid in providing the best of patient care.

Robert G. Volz, M.D., Editor

PRODUCT INFORMATION GUIDE

The Orthopaedic Device Reference™

Product Identification. This item identifies the product by indicated use .

. Manufacturer and Distributor. Identifies manufacturer and distributor if different.

Date Available. Identifies when product first available for general use.

Name of Device. Name of device as marketed by manufacturer.

Description. Offers a concise description of design features.

Materials. Identifies the material composition of the device's parts.

General Use. Manufacturer's or FDA's suggested indications of use.

Specific Indications. Identifies any specific indications of usage.

Special Features. Listed are product features which set the product apart from others.

Sizes Available. Space often permits only a summarized listing of sizes. For more detail, reader should refer to manufacturer's catalog.

Instrumentation. Identifies if specific instruments are available or needed.

Special Remarks. If specific remarks are requested by manufacturer or distributor.

References. References must have been peer reviewed, published, and contain information relating to product performance or instruction.

SECTION GUIDE

The Orthopaedic Device Reference™

Pages

Section 1 9-204

catalogs implantable reconstructive prosthetic devices first by anatomical location, i.e. hip, knee, etc., and secondarily, by manufacturer

Secti()11 2 2()f)-2~()

identifies implantable fracture fixation devices first by design, i.e., intramedullary, plates, spinal, etc., and then by manufacturer

Secti()11 iJ •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• 2~1-24()

identifies non-implantable fracture devices by usage and then secondarily, by manufacturer

Secti()11 4 •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••.••••••.••••• 241-2fi2

indexes all devices listed in sections 1,2 and 3, by manufacturer

Section 5 253

lists access to manufacturer's address, telephone, fax and e-mail numbers for all manufacturers whose products are listed in the reference. The intended use of this information is to enable surgeons or their assistants to quickly contact manufacturers concerning their respective products if local access to such information is not available

TABLE OF CONTENTS

The Orthopaedic Device Reference™

SECTION 1 Implantable Reconstructive Prosthetic Devices 9

Hip Biomet 11

DePuy 14

Howmedica 49

Implex 71

Johnson & Johnson 76

Smith & Nephew 93

Zimmer 96

Knee Biomet. 111

DePuy 115

Howmedica 138

Implex 141

Johnson & Johnson 144

Smith & Nephew 167

Zimmer 171

Shoulder Biomet 185

DePuy 192

Smith & Nephew 194

Zimmer 195

Elbow DePuy 196

Howmedica 198

Zimmer 199

Wrists

DePuy 200

Ankle/Foot DePuy 202

SECTION 2

Trauma Devices

SECTION 3

Trauma Devices

SECTION 4

SECTION 5

Implantable Fracture Fixation Devices 205

Ace/DePuy 207

Biomet. 211

Howmedica 212

Smith & Nephew 226

Non-Implantable Fracture Fixation Devices 231

Howmedica 233

Smith & Nephew 239

Manufacturers by Implant 241

Manufacturers Access 253

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IMPLANTABLE RECONSTRUCTIVE

SECTION 1

9

TOTAL HIP

Femoral ,-"".a.a.al"".a

MANUFACTURER AND DISTRIBUTOR •••••••••••••••••••••• BIOMET

Date Released: 1984

NAME OF DEVICE

• Mallory-Head Primary

MATERIALS

• Forged titanium alloy

GENERAL USE

• Non-cemented use

SPECIAL FEATURES

• 3° tapered stem incorporating proximal AlP and lateral finned geometry

• Proximal 1 13 plasma spray porous coating

SIZES AVAILABLE

• 6mm-19mm in Irnm increments

INSTRUMENTATION

• Mallory-Head press-fit instruments

PROSTHESES Components

Date Released: 1984

MANUFACTURER AND DISTRIBUTOR BIOMET

NAME OF DEVICE

• Taperloc Porous Primary

MATERIALS

• Forged titanium alloy

GENERAL USE

• Non-cemented use

SPECIAL FEATURES

• Tapered, flute wedge shaped femoral component

• Proximal 1/2 plasma spray porous coating

• Lateralized offset option available

SIZES AVAILABLE

• 7.Smm-22.Smm in 2.5mm increments

INSTRUMENTATION

• Taperloc instruments

TOTAL flIP

MANUFACTURER AND DISTRIBUTOR BIOMET

Date Released: 1988

NAME OF DEVICE

• Integral Porous Primary

MATERIALS

• Forged titanium alloy

GENERAL USE

• Non-cemented use

SPECIAL FEATURES

• 30 tapered stem with reduced proximal profile options available

• Proximal 113 plasma spray porous coating

SIZES AVAILABLE

• 7mm-19mm in one mm increments

INSTRUMENTATION

• Alliance instruments

PROSTHESIS Components

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1977

NAME OF DEVICE

• AML® Total Hip System

DESCRIPTION

• "Anatomic Medullary Locking" total hip system with Porocoat® porous coating

• A modular femoral stem with Porocoat® porous coating over proximal 1/3" or 5/8" of stem

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIFIC INDICATIONS

• A painful and/or disabled joint resulting from

osteoarthritis, rheumatoid arthritis, traumatic arthritis

• Avascular necrosis of the femoral head

• Failed previous surgery

• Certain cases of ankylosis

SPECIFIC FEATURES

• 20-year clinical survivorship

• Choice of two proximal triangles

• Choice of Porocoat® porous coating

• Lengths (l/3, 5/8)

SIZES AVAILABLE

• Standard triangle: 10.5-19.5

• Modified medial aspect (MMA): 10.5-19.5

• Stem length: 165mm

INSTRUMENTATION

• Excel™ instruments

SPECIAL REMARKS

• FDA approved for cementless use 1983

TOTAL HIP Femoral

MANUFACTURER AND DISTRIBUTOR .......•••..•.••••.•.• DEPuy

Date Released: 1992

NAME OF DEVICE

• Prodigyt'" Total Hip System

DESCRIPTION

• A fully porous coated, parallel sided implant which addresses anatomical concerns and stem stiffness

• Configuration similar to AML

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIFIC INDICATIONS

• A painful and/ or disabled joint resulting from osteoarthritis,

rheumatoid arthritis, traumatic arthritis

• Avascular necrosis or the femoral head

• Failed previous surgery

• Certain cases of ankylosis

SPECIFIC FEATURES

• 10° anteversion

• Redux™ groove (patented stiffness relief area) reduces stem rigidity

• Choice of 3 proximal geometries; (small, large, X-large stature)

• Tapered distal tip to minimize potential for thigh pain

SIZES AVAILABLE

• Small stature: 10.S/19.Smm; 170mm length (shoulder to tip)

• Large stature: 1O.SIl9.Smm; 180mm length (shoulder to tip)

• X-large stature: IS.01l8.0mm; 190mm length (shoulder to tip)

INSTRUMENTATION

• The Excel instruments in conjunction with Prodigy neck segments

• Prodigy Stem impactor

SPECIAL REMARKS

• Marketed since 1992

• FDA cleared for cementless fixation

PROSTHESES Components

MANUFAcTURER AND DISTRIBUTOR DEPuy

Date Released: January, 1995

NAME OF DEVICE

• Replica™ Total Hip System

DESCRIPTION

• A proximal coated straight stem with 10 degrees of anteversion, a gradual anterior build up to distribute torsional and axial stresses with distal flutes and coronal slot to allow for constant stem tip deflection

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIFIC INDICATIONS

• A painful and/ or disabled joint resulting from osteoarthritis,

rheumatoid arthritis, traumatic arthritis

• Avascular necrosis of the femoral head

• Failed previous surgery

• Certain cases of ankylosis

SPECIFIC FEATURES

• 10° of anteversion

• Choice of 3 metaphyseal triangles

• Proxhmal anterior buildup

• Porous coating level meets metaphyseal/ diaphyseal junction

• Distal proud flutes for rotational stability

• Distal coronal slot to reduce stem stiffness

• Tapered distal tip

SIZES AVAILABLE

• Small stature: 1O.5/lB.Omm; l70mm length (shoulder to tip)

• Large stature: 10.5/lB.Omm; lBOmm length (shoulder to tip)

• X-large stature: l5.0/l6.5mm; 190mm length (shoulder to tip)

INSTRUMENTATION

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• Utilizes Excel™ instruments in conjunction with Prodigy neck segments, stem impactor

SPECIAL REMARKS

• General release: January, 1995

• FDA cleared for cementless fixation

TOTAL HIP PROS Femoral Comp

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1990

NAME OF DEVICE

• Solution System® Total Hip System

DESCRIPTION

• Based off the AML® design, the solution system offers 6, 7, 8, 9 & 10 inch length implants to address femoral deficiencies.

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Revision total hip arthroplasty

SPECIFIC INDICATIONS

• Revision total hip arthroplasty

SPECIFIC FEATURES

• Available in 6, 7, 8, 9 & 10 inch lengths to address majority of revision indications

• Relies on distal fixation (AML® design)

SIZES AVAILABLE

• 76 sizes available

• 6" standard, MMA: 10.5/22.5

• 7" 1.5cm calcar: 12.0119.5

• 8" standard, MMA: 10.5/22.5

• 8" bowed standard: 13.5/21.0

• 9" 2.25cm bowed calcar: 13.5119.5

• 10" bowed standard: 13.5/22.5

• Bowed stems offer 15° of anteversion, which is built into the proximal body

INSTRUMENTATION

• Moreland removal instruments available (cemented or cementless)

• Allogrip/Lere® bone mill available for Auto/Allograft indications

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• Excel instruments in conjunction with the solution femoral instruments

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MANUFACTURER AND DISTRIBUTOR ..................•... DEPuy

Date Released: 1986

NAME OF DEVICE

• HPS II® Total Hip System (horizontal platform supported)

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Surgeons who prefer cementless fixation in primary total hip arthroplasty

SPECIFIC INDICATIONS

• A painful and/ or disabled joint resulting from osteoarthritis,

rheumatoid arthritis, traumatic arthritis

• Avascular necrosis of the femoral head

• Failed previous surgery

• Certain cases of ankylosis

SPECIAL FEATURES

• A standard (size 1/6) and short (size 3/6) implant length

• Cobalt chrome alloy material with proximal Porocoat® porous

coating

• Articul/eze™ 12/14 taper

• 20° collar angle to stress cortical arc

• Lateral fin for rotational stability

SIZES AVAILABLE

• 10 sizes available

• Stem lengths: 140/205mm

• Sizes-

1: 155mm 2: 165mm

3: 180mm; 3 sh: 140mm 4: 190mm; 4 sh: 145mm 5: 205mm; 5 sh: 150mm 6: 205mm; 6 sh: 155mm

INSTRUMENTATION

• HPSII instruments, one case only

Femoral

MANUFACTURER AND DISTRIBUTOR .........•............ DEPuy

Date Released: Modular Head, 1996; FIxed Head, 1986

NAME OF DEVICE

• Tri-Lock®/Dual-Lock®

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Uncemented: primary - Trl-Iock

• Cemented: primary - Dual-lock

SPECIAL FEATURES

• .375mm press fit in the porous coated area

• Line to line fit in the area without porous coating

• Standard and lateral offsets with 9mm difference

• Collarless, Articulleze™ taper

SIZES AVAILABLE

• 7 sizes available

• Stem diameters: 7.5-22.5

• Stem lengths: 137-167mm

INSTRUMENTATION

• Broach only system

• Same instruments for cementless and cemented versions

REFERENCES

• Hughes, S.S. and Pellegrini, V.D.: Atrophy of the Proximal Part of the Femur after THA without Cement, IBIS, Vol. 77-A: No.2, pp. 231-239, February, 1995.

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PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1988

NAME OF DEVICE

• Gemini Total Hip System

MATERIALS

• Titanium alloy

GENERAL USE

• Primary cementless/ cemented

SPECIAL FEATURES

• Medial lateral, anterior posterior geometry design optimally fits/fills the proximal femur

• Anatomic neck stem geometry reproduces normal hip biomechanics

• Articuli eze™ taper

SIZES AVAILABLE

• 8 sizes available

INSTRUMENTATION

• Utilizes Excel'P" instruments

• Separate broach system

TOTAL HIP

Femoral '-'''''' ......... I~'''.a .. ''':

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1976

NAME OF DEVICE • I-Beam

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Typically used with hip fracture management

SPECIAL FEATURES

• I-beam design provides for rotational stability

SIZES AVAILABLE

• Head size 411 63mm

• Stem length 165/190mm

• Neck length 24/36mm

INSTRUMENTATION

• One piece broach

• Impactor

• Head sizer

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PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••••••••••••••• DEPuy

Date Released: 1976

NAME OF DEVICE • Austin Moore

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Typically used with hip fracture management

SIZES AVAILABLE

• Head size 38/63mm

• Stem length 124/200mm

• Neck length 21/34mm

INSTRUMENTATION

• One piece broach

• Impactor

• Head sizer

MANUFACTURER AND DISTRIBUTOR •••••••••••••••••••••• DEPuy

Date released: 1976

NAME OF DEVICE • Thompson

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Typically used with hip fracture management

SPECIAL FEATURES

• I-beam design provides for rotational stability

SIZES AVAILABLE

• Head size 38/63mm

• Neck length 26/38mm

INSTRUMENTATION

• One piece broach

• Impactor

• Head sizer

TOTAL HIP

Femoral '-'"'"" ..... .I.II-I'-"J'.I..

MANUFACTURER AND DISTRIBUTOR ..................•••• DEPuy

Date Released: October, 1990

NAME OF DEVICE

• Modular Cathcart

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Typically used with hip fracture management

SPECIAL FEATURES

• Cathcart design mimics femoral component's head anatomy

SIZES AVAILABLE

• 41-60mm

INSTRUMENTATION

• Articuli eze™ trial sleeve

• Trial sleeves

• Trial heads

• Head sizers

HAL PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1987

NAME OF DEVICE

• Self Centering™ Bi - Polar

MATERIALS

• Shell: cobalt chrome alloy

• Poly insert: UHMWPE

GENERAL USE

• Hip fracture management

SPECIAL FEATURES

• Design self-centers to joint reaction force, minimizing articulation with acetabular cartilage

SIZES AVAILABLE

• 22.22Smm

• 28mm

• 32mm

INSTRUMENTATION

• Head sizers

• Trial components (one case)

TOTAL HIP Femoral

MANUFACTURER AND DISTRIBUTOR ................•..... DEPuy

Date Released: 1994

NAME OF DEVICE

• Endurance™ Total Hip System

• Endurance™ Luster Total Hip System

DESCRIPTION

• Broad radius geometry, Charnley flange, tapered geometry and radiused lateral shoulder

MATERIALS

• Forged cobalt chrome alloy

GENERAL USE

• Primary cemented total hip arthroplasty

SPECIFIC FEATURES

• Based on Charnley philosophy

• Proximal lateral flange for compression of cement

• Proximal grit blast surface for enhanced bond strength

• Available in high-polished version -luster

• Available with standard and high offset components

• For each stem size, the standard and high offset stems have a constant leg length

SIZES AVAILABLE

• 10 sizes available ( Sstd. S high offset)

• Range of stem diameters 8-13mm

distal

• Range of stem lengths IOS-13Smm

• Also CDH, revision and calcar

• Replacement stems available

INSTRUMENTATION

• Endurance™ instruments

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MANUFACTURER AND DISTRIBUTOR .......•.......••.••.• DEPuy

Date Released: January, 1990

NAME OF DEVICE

• Response™ Hip System

DESCRIPTION

• Straight fenestrated or solid stem geometry available with or without polyethylene insert

MATERIALS

• Orthochrome® cobalt chrome alloy

GENERAL USE

• Cemented or press-fit

SPECIFIC INDICATIONS

• Cemented or press-fit

SPECIFIC FEATURES

• Modular design, 1350 steml neck angle, collar, fenestrated stem geometry available with optional polyethylene insert

• Roughened micro-textured surface, solid stem geometry

• Cementralizer® stem centralizer available

SIZES AVAILABLE

• 5 stem diameters

10.5, 12.0, 13.5, 15.0, & 16.5mm

INSTRUMENTATION

• Excel™ instruments

TOTAL I-IIP

Femoral '-'''' .

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: February, 1994

NAME OF DEVICE

• StabilityTM Hip System

MATERIALS

• Titanium alloy

GENERAL USE

• Uncemented: primary

SPECIAL FEATURES

• Proximal metaphysical horizontal ridges to

reduce hoop stresses

• Distal coronal slot to reduce stem stiffness

• Distal flutes for rotational stability

• Available porous-coated or HA-coated

SIZES AVAILABLE

• 22 sizes available

• Stem diameters: IO-18mm

• Stem lengths: 145-165mm

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR ..•................... DEPuy

Date Released: 1992

NAME OF DEVICE

• Ultimate-Ctv Hip System

MATERIALS

• Forged cobalt chrome alloy

GENERAL USE

• Cemented: primary

SPECIAL FEATURES

• Lateralized flange, constant offset

SIZES AVAILABLE

• 5 sizes

• Stem diameter: 7 -13mm

• Stem lengths: llO-150mm

Date Released: 1988

MANUFACTURER AND DISTRIBUTOR ..........•.....•.•... DEPuy

NAME OF DEVICE

• The CMLTM Hip System

MATERIALS

• Cast cobalt chrome alloy

GENERAL USE

• Designed for cement application using

• AML® instrumentation

SPECIAL FEATURES

• Modular design

SIZES AVAILABLE

• 5 sizes available

• Stem diameters: 9.0/15.0

• Stem lengths: 120/165mm

INSTRUMENTATION

• ExcelTM instruments

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: October, 1995

NAME OF DEVICE

• Paramount™ Total Hip System

MATERIALS

• Forged cobalt chrome alloy

GENERAL USE

• Cemented: primary

SPECIAL FEATURES

• Biomechanically replicates offset

• 10° of anteversion in all sizes

• Constant stress neck

• Proximal flanged geometry

• Distal rectangular cross-section

SIZES AVAILABLE

• 4 sizes available (rights and lefts)

• Stem lengths: 120/150mm

INSTRUMENTATION

• Excel™ instruments and Prodigy neck segments

TOTAL HIP Femoral

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: December, 1994

NAME OF DEVICE

• Endurance™ Revision Stems

MATERIALS

• Forged cobalt chrome alloy

GENERAL USE

• Primary revision, calcar replacing design

SPECIAL FEATURES

• The flange compresses cement and enhances torsional stability

• Medial collar with 30° orientation minimizes bone resection and controls insertion depth

• Proximal micro-texturing surface enhances bond strength at the cement/metal implant interface

• Oval driver hole controls version upon insertion

SIZES AVAILABLE

• 13 stems available: 2 Calcar stems

7 straight-long stems 4 bowed stems

• Stem diameters: 9.0111.0mm

• Stem lengths: 180/300mm

INSTRUMENTATION

• Moreland instruments

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MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: June, 1995

NAME OF DEVICE

• Stature™ Total Hip System

MATERIALS

• Titanium alloy

GENERAL USE

• Uncemented: primary

SPECIAL FEATURES

• Incremental offsets

• Proximal circumferential Porocoat® porous coating or hydroxyapatite

• Ten degrees anteversion

• 135 degree neck shaft angle

• Impactor hole in line with the stem center to provide efficient transfer of impaction load

• Smooth cylindrical stem

SIZES AVAILABLE

• Sizes 1-9 available

TOTAL HIP

Femoral '-''U'J.aa .... ''U'a.&'

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: January, 1985

NAME OF DEVICE

• Profile™ Hip System

MATERIALS

• Titanium alloy

GENERAL USE

• Uncemented primary total hip arthroplasty

SPECIAL FEATURES

• Anatomic design based off imaged anatomy of the femur

• Press-fit, Porocoat@ porous coated or HA-stems

SIZES AVAILABLE .

• 6 sizes, rights and lefts

• Stem diameters: 11.5-15.5mm

• Stem lengths: 118-140mm

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COMPONENTS

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1991

NAME OF DEVICE

• Duraloc® 100 Series

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• No screw holes

• Used with gas plasma poly sterilization

• Porocoat® porous coating

• Congruent contact between metal shell and liner

• Patented sensor locking ring technology

• Apex hole eliminator available

SIZES AVAILABLE

• 10 sizes available

• Cup diameters: 48/66mm

INSTRUMENTATION

• Graters, trials, impactors Duraloc instrumentation

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1990

NAME OF DEVICE

• Duraloc® 300 Series

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• Incorporates 3 spikes to maximize implant stability and rotational control

• Used with gas plasma poly sterilization

• Porocoat® porous coating

• Congruent contact between metal shell and liner

• Patented sensor locking ring technology

• Apex hole eliminator available

SIZES AVAILABLE

• 14 sizes available

• Cup diameters: 48-74mm

• Size 68-74 offer peripheral rim screws

INSTRUMENTATION

• Graters

• Trials

• Impactors

• Duraloc instrumentation

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: April, 1993

NAME OF DEVICE

• Duraloc® Sector Cup

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• Three screw holes

• Porocoat® porous coating

• Congruent contact between metal shell and liner

• Patented sensor locking ring technology

• Apex hole eliminator

SIZES AVAILABLE

• 10 sizes available

• Cup diameters incrementally sized from 48-66mm

INSTRUMENTATION

• Graters

• Trials

• Impactors

• Duraloc instrumentation

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1990

NAME OF DEVICE

• Duraloc® 1200 Series

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• Incorporates eight to 12 screw holes, depending on size, to maximize implant stability and provide screw position flexibility

• Porocoat® porous coated

• Dome loaded design minimizes liner / shell micromotion

SIZES AVAILABLE

• 14 sizes available

• Cup diameters: 48-74mm

INSTRUMENTATION

• Graters

• Trials

• Impactors

• (Duraloc instrumentation)

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1996

NAME OF DEVICE

• Duraloc® 400 Series

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• Peripheral fins offer additional stability and rotational control

• Used with gas plasma poly sterilization

• Congruent contact between metal shell and liner

• Patented sensor locking ring technology

• Apex hole eliminator

SIZES AVAILABLE

• 10 sizes available

• Cup diameters: 48-66mm

INSTRUMENTATION

• Graters

• Trials

• Impactors

• Duraloc instrumentation

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1992

NAME OF DEVICE

• Solution System® Acetabular Component

MATERIALS

• Titanium alloy

GENERAL USE

• Revision THA

• Protrusio acetabulum

SPECIAL FEATURES

• Peripheral screw holes

• Available in standard and deep profile to help restore biomechanics

• Deep profile cup offers a +4 build up to address offset deficiencies

• Shells can also be used with +4 liners

• Competitive with any Duraloc polyethylene liner, gas plasma sterilized

SIZES AVAILABLE

• 12 sizes available

• Cup diameters: 56-80mm

INSTRUMENTATION

• Graters

• Trials

• Impactors

• Duraloc instrumentation

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MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1996

NAME OF DEVICE

• Duraloc® Bantam Series Cup

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• Addresses small acetabular requirements

• Porocoat® porous coating

• Congruent contact between metal shell and liner

• Patented sensor locking ring technology

SIZES AVAILABLE

• 5 sizes available

• Cup diameters: 38-46mm

INSTRUMENTATION

• Graters

• Trials

• Impactors

• Duraloc instrumentation

ACETABULAR '--"~'U.L.L'"

Uaa .... "'a.'a""'a ~~ ... ,.,<

MANUFACTURER AND DISTRIBUTOR .....................• DEPuy

Date Released: 1990,1992,1996

NAME OF DEVICE

• Duraloc® Polyethylene Liners

DESCRIPTION

• Used in conjunction with Duraloc and Solution System metal sheils, available in neutral, 100 face changing, 200 hooded and +4 lateralized liners

MATERIALS

• UHMWPE - Enduron™/Hylamer%o

GENERAL USE

• Total hip arthroplasty

SPECIFIC INDICATIONS

• A painful and/ or disabled joint resulting from osteoarthritis, rheumatoid arthritis, traumatic arthritis

• Avascular necrosis of the femoral head

• Failed previous surgery

• Certain cases of ankylosis

SIZES AVAILABLE

• Neutral: 22.225, 26, 28, 32mm I.D.; sizes 48/7 4mm

• 100 face changing: 22.225,26,28, 32mm I.D.; sizes 48/7 4mm

• 200 hooded: 28mm I.D.; sizes 48/7 4mm

• +4 liners : 28, 32mm I.D.; sizes 48/74mm

INSTRUMENTATION

• Used with Duraloc instruments

SPECIAL REMARKS

• All Duraloc liners sterilized via gas plasma, virtually eliminating oxidation

"

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MANUFACTURER AND DISTRIBUTOR .•.•.••.••••.......... DEPuy

Date Released: 1988

NAME OF DEVICE

• Focus® All-Poly Cup

MATERIALS

• UHMWPE GUR 415

GENERAL USE

• Indicated for cemented use only

SPECIAL FEATURES

• All cups available with a neutral lip

SIZES AVAILABLE

• 28mm 1.D.: 44/58mm O.D.

• 32mm 1.D.: 44/58mm O.D.

INSTRUMENTATION

• Focus cup impactor

ACETABULAR C

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: 1988

NAME OF DEVICE

• Charnley/Elite/Elite+ All-Poly Cup

MATERIALS

• UHMWPE

GENERAL USE

• Indicated for cemented use only

SPECIAL FEATURES

• Available in a "low profile wall"

• Standard and Ogee configuration

SIZES AVAILABLE

• 40-53mm O.D.

• 22.225,26,28mm I.D.

INSTRUMENTATION

• Charnley introducer

• Pusher

MANUFACTURER AND DISTRIBUTOR ..•................... DEPuy

Date Released: 1995

NAME OF DEVICE

• Endurance™ All-Poly Cup

MATERIALS

• UHMWPE GUR 1050

GENERAL USE

• Indicated for cemented acetabuli

SPECIAL FEATURES

• Offers 3mm PMMA mantle with spacers

• 20° high wall available in all sizes

SIZES AVAILABLE

• 22.225 J.D.: 44/60mm

• 28mm J.D.: 44/60mm

• 32mm J.D.: 44/60mm

INSTRUMENTATION

• Cup introducer

• Version control guide

ACETABULAR C

MANUFACTURER AND DISTRIBUTOR .•••....•..•.•..•.••.• DEPuy

Date Released: 1987

NAME OF DEVICE

• ACS (AML+®, Tri-Lock+®, Profile®, Gemini®, Star®)

MATERIALS

• Titanium alloy

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty.

SPECIAL FEATURES

• AML+® cup: 3 porous coated spikes with rim screws

• Tri-Lock-O: porous coated with rim

screws

• Profile®: 2 spikes with dome screws

• Gemini®: multi-hole cup

• Star Cup®: threaded

SIZES AVAILABLE

• AML+®: 44/70mm

• Gemini®: 48/72mm

• Tri-Lock+®: 46/75mm

• Profile®: 44/70mm

• Star®: 46/70mm

POLYETHYLENE SIZES

• GR 1 44-48mm

• GR 2 50-56mm

• GR 3 58-64mm

• GR 4 66-75mm

COMPONENTS

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: August, 1982

NAME OF DEVICE

• AML®/Tri-Lock® Cup

MATERIALS

• One-piece cobalt chrome alloy cup

GENERAL USE

• Surgeons who prefer cementless fixation in either primary or revision total hip arthroplasty

SPECIAL FEATURES

• AML®: three porous coated spikes

• Tri-lock: porous coated

• Replacement liners available

SIZES AVAILABLE

• AML®: 36-58mm O.D.; 22, 28, 32 I.D.

• Tri-lock; 44-58mm O.D.; 22, 28, 32 J.D.

INSTRUMENTATION • Poly-impactor

TOTAL HIP

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: May, 1987

NAME OF DEVICE • Cementralizer

MATERIALS • PMMA

GENERAL USE

• To center the distal tip of a cemented femoral component within the femoral canal to ensure a uniform cement mantle and avoid varus placement of the stem

SIZES AVAILABLE • 11-19.5mm

-

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~' ~

INSTRUMENTS

MANUFACTURER AND DISTRIBUTOR DEPuy

Date Released: May, 1980

NAME OF DEVICE

• Cement Restrictor

MATERIALS

• UHMWPE

GENERAL USE

• Restrict cement flow

SPECIAL FEATURES

• Seven sizes available ranging from 8-23mm

• The restrictor incorporates and x-ray wire for easy location

SIZES AVAILABLE • 8-23mm

INSTRUMENTATION

• Restrictor inserter handle

• Trial restrictor

TOTAL HIP

Femoral "-,,,,,a,a,a.I.I,,,,a,a,,

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1996

NAME OF DEVICE

• Meridian® ST Femoral Component

DESCRIPTION

• A proximal-canal-filling straight stem with circumferential porous coating and reduced distal stiffness

MATERIALS

• Vitallium® alloy

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Non-cemented applications in primary total hip arthroplasty

SPECIFIC FEATURES

• Anatomic offsets, circumferential porous coating, unique distal split and grooves, polished distal stem, gradual taper and rounded distal tip

SIZES AVAIIABLE

• IS stem sizes, ranging in length from llOmm to 160mm

• 6 different modular head neck lengths

• Femoral head sizes: 26mm, 2Smm, and 32mm diameters

INSTRUMENTATION

• Command® instrument system

SPECIAL REMARKS • V 40™ taper

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PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1996

NAME OF DEVICE

• Definition® PM Femoral Component

DESCRIPTION

• A forged, collared straight stem with an integral Pre-Mantle™ design

MATERIALS

• Vitallium® alloy. PMMA pre-mantle and distal ring centralizer

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Cemented applications

SPECIFIC FEATURES

• Anatomic offsets; integral, patented PMMA pre-mantle; cobra flare; grit blast surfaces; streamlined distal ring centralizer; and, distal grooves

SIZES AVAILABLE

• 7 stem sizes, ranging in length from llOmm to 135mm

• 6 different modular head neck lengths

• Femoral head sizes: 26mm, 28mm, and 32mm diameters

INSTRUMENTATION

• Command® instrument system

SPECIAL REMARKS • V 40™ taper

TOTAL HIP Femoral

MANUFACTURER AND'DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1996

NAME OF DEVICE

• Reliance® CM Femoral Component

DESCRIPTION

• A traditional forged stem with collar for cemented applications

MATERIALS

• Vitallium® alloy and PMMA distal centralizer

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Cemented applications

SPECIFIC FEATURES

• Anatomic offsets, proximal teardrop and distal centralizer

SIZES AVAILABLE

• 5 stem sizes, ranging in length from llOmm to 125mm

• 6 different modular head neck lengths

• Femoral head sizes: 26mm, 28mm and 32mm diameters

INSTRUMENTATION

• Command® instrument system

SPECIAL REMARKS • V40™ taper

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1991

NAME OF DEVICE

• Premise® Hip Stem

DESCRIPTION

• A cost-effective cemented stem-based on the proven fundamental principles of cemented implant designs

MATERIALS

• Vitallium® alloy. PMMA distal centralizers

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Cemented applications

SPECIFIC FEATURES

• Broad collar, AlP teardrop, proximal grit blast surface and distal centralizer option

SIZES AVAILABLE

• 4 stem sizes, ranging in length from 114mm to I30mm

• Distal centralizers IOmm through I8mm

INSTRUMENTATION • Yes

SPECIAL REMARKS • 2° 52' taper

MANUFACTURER AND DISTRIBUTOR HOWMEDICA INC.

DateAvailable: 1994

NAME OF DEVICE

• Premise® Plus Forged Hip Stem

DESCRIPTION

• A traditional cemented design with increased head offsets to restore the natural biomechanics of the hip without creating leg-length discrepancy or limp

MATERIALS

• Forged Vitallium® alloy. PMMA distal centralizers

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Cemented applications

SPECIFIC FEATURES

• Broad collar, increased head offset, AlP teardrop, proximal grit blast surface and distal centralizer option

SIZES AVAILABLE

• 4 stem sizes, ranging in length from 114mm to 130mm

• Distal centralizers lOmm through 18mm

INSTRUMENTATION

• Yes

SPECIAL REMARKS • 2° 52' taper

PROSTHESES Components

MANUFAcTURER AND DISTRIBUTOR .....•••.....• HOWlVIEDICA INC.

Date Available: 1985

NAME OF DEVICE

• Precision Hip Stem

DESCRIPTION

• Modern cemented stem with reproducible distal and proximal stem orientation through PMMA centralizers; proper soft tissue tensioning through anatomic neck offset options; and secure cement fixation through proximal

micro texturing

MATERIALS

• Forged Vitallium® alloy. PMMA distal centralizers

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Cemented applications

SPECIFIC FEATURES

• Head offset options and proximal and distal centralizers

SIZES AVAILABLE

• 8 stem sizes, ranging in length from 115mm to 145mm

• Proximal spacers: 5. Distal centralizers: 8, ranging in size from 10mmto 18mm

INSTRUMENTATION • Yes

SPECIAL REMARKS • 2° 52' taper

TOTAL HIP

Femoral '-JU'.a.a.aII.lU'.a ..

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1994

NAME OF DEVICE

• Precision Strata® Hip Stem

DESCRIPTION

• The original Precision stem design with an integral, pre-formed cement mantle (Pre-Mantle™), which is circumferential and tapered down the proximal stem. Distal centralizer option

MATERIALS

• Forged Vitallium® alloy. PMMA distal centralizers

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Cemented applications

SPECIFIC FEATURES

• Integral, patented, pre-formed cement mantle (Pre-Mantle™). Head offset options. Distal centralizers

SIZES AVAILABLE

• 8 stem sizes, ranging in length from 115mm to I45mm

• 9 distal centralizers, from IOmm to I8mm

INSTRUMENTATION • Yes

SPECIAL REMARKS • 2° 52' taper

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR ......•....... HOWMEDICA INC.

Date Available: 1997

NAME OF DEVICE

• Precision Osteolock™ CL Hip Stem

DESCRIPTION

• A forged TMZF® stem with circumferential plasma spray coating on the proximal third of the stem

• TMZF is an exclusive beta titanium alloy that is 25% more flexible than Ti-6Al-4V, and offers excellent wear properties, abrasion resistance and mechanical strength

MATERIALS

• Forged TMZF® beta titanium alloy

• Titanium distal sleeves

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Press-fit applications

SPECIFIC FEATURES

• Circumferential plasma spray coating and increased head offset options.

SIZES AVAILABLE

• 8 stem sizes, ranging in length from 115mm to 145mm

• 10 distal sleeve options

INSTRUMENTATION • Yes

SPECIAL REMARKS • 2° 52' taper

Femoral

MANUFACTURER AND DISTRIBUTOR ........•.•.•• HOWMEDICA INC.

Date Available: 1991

NAME OF DEVICE

• Precision Osteolock™ HA

DESCRIPTION

• A forged titanium stem with a high-purity hydroxyapatite coating

MATERIALS

• Forged titanium alloy

GENERAL USE

• Primary total hip arthroplasty

SPECIFIC INDICATIONS

• Press-fit applications

SPECIFIC FEATURES

• High-purity hydroxyapatite coating, applied by a proprietary vacuum chamber process utilizing low pressure plasma spray (LPPS) technology

SIZES AVAILABLE

• 8 stem sizes, ranging in length from 115mm to 145mm

• 10 distal sleeve options

. INSTRUMENTATION

• Yes

SPECIAL REMARKS • 2° 52' taper

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: Sentry, 1994; Sentry-S, 1995

NAME OF DEVICE

• Sentry® and Sentry-S® Hip Stems

DESCRIPTION

• Extensively coated hip stems with increased proximal fill. Five distinct proximal geometries

• Each proximal shape offers a choice of at least four distal diameters

MATERIALS

• Vitallium® alloy

GENERAL USE

• Primary and revision total hip arthroplasty

SPECIFIC INDICATIONS

• Sentry® - cemented applications

• Sentry-S® - primary cementless arthroplasty; cemented revision

SPECIFIC FEATURES

• 5 distinct proximal shapes; 4 distal diameters from 11.Omm to 21.5mm

• Straight and bowed designs

• Modular trials

SIZES AVAILABLE

• Stem length range: 160mm to 250mm

INSTRUMENTATION

• Yes

SPECIAL REMARKS • 2° 52' taper

TOTAL I-IIP

Femoral '-Ju'.a.a.a~".a'.a

MANUFACTURER AND DISTRIBUTOR HOWMEDICA INC.

DateAvailable: HNR, 1991; HNR-PC, 1993

NAME OF DEVICE

• HNR and HNR-PC Hip Stems

DESCRIPTION

• One-piece porous coated and non-porous coated stem designs, designed for use when the proximal femur has been compromised

• Each stem size offers at least two proximal body options. Bone/ soft tissue reattachment features. Modular trials

MATERIALS

• Vitallium® alloy

GENERAL USE

• Head/neck replacement surgery

SPECIFIC INDICATIONS

• Head/neck replacement surgery

• HNT- PC - cleared for use with bone cement

SPECIFIC FEATURES

• One piece implants

• Porous and non-porous coated designs

• Various stem sizes/proximal body size combinations

• Bone/ soft tissue reattachment features to accommodate the Dall-Miles cable grip system

• Modular trials

SIZES AVAILABLE

• Various stem sizes/proximal body size combinations

INSTRUMENTATION • Yes

SPECIAL REMARKS • 2° 52' taper

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

NAME OF DEVICE

• Exeter Hip System

DESCRIPTION

• Polished, collarless hip stem designed for long-term fixation stability.

• UHMW polyethylene acetabular components and modular femoral heads

MATERIALS

• Orthinox® high-strength stainless steel. UHMW polyethylene cup and centralizer

GENERAL USE

• Cemented hip arthroplasty

SPECIFIC FEATURES

• Collarless, polished stem allows for durable, long-standing stability of stem, cup and bone cement

SIZES AVAILABLE

• A total of 14 stem components in 3 offset ranges to restore hip biomechanics

• Head components available in 22mm, 26mm, 28mm, and 32mm diameters, with varying neck-length options

• Not all neck lengths available in all head diameters

INSTRUMENTATION

• Yes. Special X-change™ instruments are used for impaction grafting technique

SPECIAL REMARKS

• Exeter System uses a unique head taper. These are not interchangeable with other Howmedica® femoral head components

TOTAL HIP

Femoral '"'''' . .a.u.IJ''''.a ..

MANUFACTURER AND DISTRIBUTOR HOWMEDICA INC.

DateAvailable: 1987

NAME OF DEVICE

• E-Series Hip Stems

DESCRIPTION

• Proximally porous coated or textured right and left stems; anteverted neck; collared and collarless stems

MATERIALS

• Vitallium® alloy. PMMA distal spacers used with cemented stems

GENERAL USE

• Primary hip arthroplasty

SPECIFIC INDICATIONS

• Cemented and non-cemented applications

SPECIFIC FEATURES

• Collared and collarless

• Distal modular PMMA centralizer for use with textured stems

SIZES AVAILABLE

• 25 different stems, ranging in length from 118mm to 145mm

• 4 different modular femoral head/neck lengths

• Femoral head sizes: 22mm, 26mm, 28mm, and 32mm

INSTRUMENTATION • Yes

SPECIAL REMARKS • 2° 52' taper

MANUFACTURER AND DISTRIBUTOR HOWMEDICA INC.

Date Available: 1987

NAME OF DEVICE

• P.c.A.® Acetabular Components

DESCRIPTION

• P.c.A. cluster two-piece outer shell components with porous coating in low profile and deep socket styles

• P.c.A. standard two-piece outer shell components with porous coating in low profile and deep socket styles

• P'C.A. two-piece inserts in neutral and 10° hooded styles in 26mm, 28mm, and 32mm inner diameters

MATERIALS

• Vitallium® alloy shells. UHMWPE inserts

GENERAL USE

• Primary and revision total hip arthroplasty

SPECIFIC INDICATIONS

• Cementless and screw fixation applications

SPECIFIC FEATURES

• Cluster shell is designed for optimal placement of cancellous bone screws

• Standard shell incorporates two fixation pegs to enhance torsional stability

• Inserts are generously thick and fully congruent

SIZES AVAILABLE

• Cluster Shell: 40mm to 73mm O.D.

• Standard Shell: 40mm to 67mm O.D .

.

• Inserts: 40mm to 73mm. Each insert

fits two outer shell sizes

INSTRUMENTATION • Yes

MANUFACTURER AND DISTRIBUTOR HOWMEDICA INC.

Date Available: Solid-Back and Cluster, 1994; Talon™, 1997

NAME OF DEVICE

• Vitalock® Acetabular Cups

DESCRIPTION

Shells are available in three styles:

• Solid-Back, a porous coated Vitallium® alloy shell without screw holes

• Cluster, a porous coated Vitallium® alloy shell with anatomic screw hole placement

• Talon™, a porous coated Vitallium® alloy shell with adjuvant fixation

• System 12® inserts provide ample polyethylene thickness and congruency in all sizes

MATERIALS

• Vitallium® alloy. Standard and Duration® Stabilized UHMWPE

GENERAL USE

• Primary and revision total hip arthroplasty

SPECIFIC INDICATIONS

• Cementless applications in primary total hip arthroplasty

SPECIFIC FEATURES

• Solid-Back, a porous coated Vitallium® alloy shell without screw holes

• Cluster, a porous coated Vitallium® alloy shell with anatomic screw hole placement

• Talon, a porous coated Vitallium® alloy shell with adjuvant fixation

• Unique 12-position snap-lock mechanism

• Duration stabilized polyethylene maximizes resistance to oxidation

SIZES AVAILABLE

• Shells: 40mm to 76mm in 2mm increments

• Inserts: 22.2mm, 26mm, 28mm, and 32mm I.D. sizes

• Neutral, 10° hooded and 15° hooded styles

INSTRUMENTATION

• Yes

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MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

DateAvailable: Osteolock™, 1991; Osteolock™ HA, 1995

NAME OF DEVICE

• Osteolock™ Acetabular Cups

DESCRIPTION

• Shells are available in two styles:

Osteolock, a titanium alloy shell with anatomic placement of screw holes Osteolock HA, a titanium alloy shell with screw holes and hydroxyapatite coating

• System 12® inserts provide ample polyethylene thickness and congruency in all sizes.

MATERIALS

• Titanium alloy. Hydroxyapatite coating.

Standard and Duration® Stabilized UHMWPE

GENERAL USE

• Primary and revision total hip arthroplasty

SPECIFIC INDICATIONS

• Osteolock cup is cleared for cemented use only

SPECIFIC FEATURES

• Osteolock, a plasma-sprayed titanium alloy shell with anatomic placement of screw holes

• Osteolock HA, a titanium alloy shell with screw holes and hydroxyapatite coating

• Unique 12-position snap-lock mechanism

• Duration® Stabilized polyethylene maximizes resistance to oxidation

SIZES AVAILABLE

• Shells: 42mm to 76mm in 2mm increments.

• Inserts: 22.2mm, 26mm, 28mm, and 32mm I.D. sizes

-. Neutral, 10° Hooded and 15° Hooded styles

INSTRUMENTATION

• Yes

TOTAL SEGMENTED Femoral, Tibial &

MANUFACTURER AND DISTRIBUTOR ••.••••••.•••• HOWMEDICA INC.

DateAvailable: 1997

NAME OF DEVICE

• Modular Replacement System

DESCRIPTION

• A simple, comprehensive, modular system for radical bone resections of the proximal femur, distal femur, total femur, proximal tibia and proximal humerus

MATERIALS

• Vitallium® alloy and titanium alloy. UHMWPE

GENERAL USE

• Oncology patients where radical bone resection and replacement may be required

SPECIFIC INDICATIONS

• Cemented use in oncology patients where radical bone resection and replacement may be required

SPECIFIC FEATURES

• Three basic components: articular segments, body segments and stem segments

• Implants are assembled during surgery

SIZES AVAILABLE

• Full range of adult and pediatric sizes

INSTRUMENTATION • Yes

Cable

MANUFACTURER AND DISTRIBUTOR HOWMEDICA INC.

NAME OF DEVICE

• Dall-Miles Cable System

DESCRIPTION

• The Dall-Miles Cable System includes the trochanteric grip for reattachment of the trochanter, the mini-cleat for enhancing vertical cable fixation, the grooved button for use with the Alta® femoral channel plates and the stainless steel system for fracture fixation in the presence of intramedullary implants

MATERIALS

• Vitallium® alloy and stainless steel

GENERAL USE

• A wide variety of cerclage applications, including bone grafting and fracture fixation

SPECIFIC FEATURES

• Superior strength and ease of use

INSTRUMENTATION • Yes

HIP END

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1987

NAME OF DEVICE

• Howmedica® Hip Fracture Stem

DESCRIPTION

• A fenestrated hip fracture stem, based on the highly respected Austin Moore stem design, for press- fit applications

• A manually inserted fenestration plug creates a "solid" stem for cemented applications

MATERIALS

• Vitallium® alloy

GENERAL USE

• Hip fractures

SPECIFIC INDICATIONS

• Press-fit and cemented applications

SPECIFIC FEATURES

• Fenestrated stem (with optional plug) with a broad, rounded collar, radiused surfaces, tapered I-beam geometry, longitudinal flutes and grit blast surface

SIZES AVAILABLE

• 5 stem sizes, ranging in length from 135mm to 190mm. Long stem is 225mm in length

INSTRUMENTATION • Yes

PROSTHESES

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: Early 1950s

NAME OF DEVICE

• Austin Moore Fixed Head Endo

• ER. Thompson Fixed Head Endo

DESCRIPTION

• A variety of hip fracture fixation stems, based on the original Moore and Thompson designs

MATERIALS

• Vitallium® alloy

GENERAL USE

• Hip fracture fixation

SPECIFIC FEATURES

• Austin Moore: Fenestrated and solid curved stems; fenestrated and solid straight stems; fenestrated and solid narrow curved stems; fenestrated and solid narrow straight stems; and, a long straight stem

• ER. Thompson: Regular and modified stems

SIZES AVAILABLE

• A wide variety of sizes ranging from 38mm to 63mm and head diameters 38mm to 63mm

INSTRUMENTATION • Yes

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1987

NAME OF DEVICE

• Centrax® Bipolar System

DESCRIPTION

• A one-piece bipolar design with a polyethylene insert permanently assembled to an outer shell

MATERIALS

• Vitallium® alloy. UHMWPE

GENERAL USE

• Hip fractures

SPECIFIC FEATURES

• Polyethylene locking ring creates a beveled rim and allows for a wide primary range of motion

• Compatible with Howmedica femoral components

SIZES AVAILABLE

• A wide range of sizes, 41mm to 72mm, to fit 22mm, 26mm, 28mm, and 32mm femoral head components

INSTRUMENTATION

• Yes

head

MANUFACTURER AND DISTRIBUTOR •••••••••••••• HOWMEDICA INC.

Date Available: 1991

NAME OF DEVICE

• Unitrax® Unipolar System

DESCRIPTION

• Modular neck adjustment sleeves allow independent sizing of the acetabulum and the femur and revision without stem removal

MATERIALS

• Vitallium® alloy

GENERAL USE

• Hip fractures

SPECIFIC FEATURES

• Modular neck adjustment sleeves allow independent sizing of the acetabulum and the femur and revision without stem removal

• Taper locking provides ease of assembly and metal-to-metal cold-weld security

SIZES AVAILABLE

• 5 neck adjustment sleeves: -4mm, standard, +5mm, +lOmm, and +12mm

• 20 unipolar head components ranging in size from 38mm to 63mm

• Sleeves available for 2° 52' and V40™ tapers

INSTRUMENTATION

• Yes

TOTAL HIP

MANUFACTURER AND DISTRIBUTOR IMPLEX® CORP.

Date Available: 1995

NAME OF DEVICE

• ProxiLock® Series Femoral Hip Sterns *

DESCRIPTION

• Femoral hip sterns for cementless application, available with porous or HA coatings

MATERIALS

• Hydroxyapatite coating on titanium alloy stern or CoCr porous coating on HIP'd CoCr alloy stern

GENERAL USE

• Primary/revision THR

SPECIFIC FEATURES

• Implex® Proxilock® geometry enhances stern torsional and axial stability and proximal load transfer through a locking fit of the proximal most stern in the prepared femur

• Highly finished distal stern uncouples loading from distal stern to femoral diaphysis

• Optimal stern lengths enhance proximal load transfer, create a more flexible stern/femur construct, and ease of insertion

SIZES AVAILABLE

• Distal stern diameters available in 10, 11, 12, 13, 14, 15, 16 and 17mm, with corresponding stern lengths of98, 108, 119, 130, 141, 152 and 163mm

INSTRUMENTATION

• A simple two-step femur preparation technique improves accuracy of canal preparation and allows for proximal/ femoral taper locking

• Color coding and logistics of tray layout increase efficiency in the O.R.

SPECIAL REMARKS

• Implexco ProxiLock® geometry provides an effective mechanical means of sealing the proximal canal from particulate debris

*Patent #5,593,451

Cemented

MANUFACTURER AND DISTRIBUTOR •••••••••••••••• IMPLEX® CORP.

Date Available: 1992

NAME OF DEVICE

• IMPLEX® F Series Cementable Hip Stems

DESCRIPTION

• Cementable femoral stems, collared, with proximal and distal cement spacers

MATERIALS

• Available in HIP'd cast CoCr or forged CoCr

GENERAL USE

• Primary/revision THR

SPECIFIC FEATURES

• Available with fixed or modular femoral heads

• Super finished ion-bombarded CoCr femoral heads increase bearing hardness, wettability and decrease polyethylene wear potential

• Available with zirconia ceramic femoral head option

• Imbrications on proximal 1/3 of stem increase load carrying capacity of the cement, without compromising removability

• Increased head center offset offers the ability to create optimal biomechanics without lengthening the leg excessively

SIZES AVAILABLE

• Stem are sized according to the smallest diaphyseal canal diameter into which they should be cemented

• Fits canal diameters of 10,11,12,13 and 14mm, and above, with corresponding stem lengths of 112, 124, 137, 150 and 163mm

INSTRUMENTATION

• Single set of instrumentation for all cemented procedures

• Simple instrument procedure with fewer instruments

• Color coding and logistics of tray layout increase efficiency in the O.R.

SPECIAL REMARKS

• Cement spacers provide 4mm proximal-medial and 2mm distal cement thickness

REFERENCES

• Steinberg, B. and Harris, WH.: Offset Problem in Total Hip Arthroplasty, Contemporary Orthopaedics, VoL 24: pp. 556-562, May, 1992.

TOTAL HIP

Femoral ,",,,,"''''''''.., ... .1.1

MANUFACTURER AND DISTRIBUTOR IMPLEX@ CORP.

Date Available: 1998

NAME OF DEVICE

• COBREX® Hip Stem

DESCRIPTION

• Cementable femoral hip stem, collared, with proximal and distal cement spacers

MATERIALS

• Forged CoCr

GENERAL USE

• Primary THR

SPECIFIC FEATURES

• Imbricating Cobra flange on proximal portion of stem increases load carrying capacity of the cement

• Reduced neck cross-section increases ROM

• Super finished ion-bombarded head increases bearing wettability and decreases polyethylene wear potential

SIZES AVAILABLE

• Fits canal diameters of 10, 11, 12, 13 and 14mm, and above, with corresponding stem lengths of 119, 130, 141, 152 and 163mm

INSTRUMENTATION

• Simple instrument procedure with fewer instruments

-Color coding and logistics of tray layout increase efficiency in the O.R.

SPECIAL REMARKS

• Proximal and distal cement spacers are available

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••••••••• IMPLEX@ CORP. Date Available: 1992

NAME OF DEVICE • All-Poly Cup

DESCRIPTION

• All-polyethylene cementable cup

MATERIALS

• UHMWPE

GENERAL USE

• Primary THR

SIZES AVAILABLE • Available in 28mm LD., 46-60mm O.D.

INSTRUMENTATION

• Color coding and logistics of tray layout increase efficiency in the O.R.

SPECIAL REMARKS

• Available in 0° and 10° cup face angles

MANUFACTURER AND DISTRIBUTOR •••••••••••••••• IMPLEX@ CORP.

Date Available: 1998

NAME OF DEVICE

• Continuum® Bipolar Head

DESCRIPTION

• Bipolar head, highly polished CoCr outer shell

MATERIALS

• CoCr/UHMWPE

GENERAL USE

• Primary THR

SIZES AVAILABLE

• Available in 22, 26, 28mm LD., 46-70mm O.D.

INSTRUMENTATION

• Color coding and logistics of tray layout increase efficiency in the O.R.

TOTAL HIP Acetabular "'''''.&&~,'

MANUFACTURER AND DISTRIBUTOR IMPLEX® CORP.

Date Available: HA & Porous, 1993; Hedrocel, 1997

NAME OF DEVICE

• IMPLEX® Elliptical Acetabular™ Cups*

DESCRIPTION

• Acetabular components for press-fit application

MATERIALS

• Hedrocel® cellular tantalum with UHMWPE liner**

• Sintered Ti beads on CP Ti shell with UHMWPE liner*

• HA coating on CP Ti shell UHMWPE liner*

SPECIFIC FEATURES

• Hedrocel® cellular tantalum has 80% porosity and flexural characteristics similar to that of bone

• Porous coated (beaded) surface on sintered cup shell provides biologic ingrowth surface for fixation

• Peripheral dovetail annular grooves on HA cup shell

create greater interlock with acetabular bone

• UHMWPE polyethylene liners in Hedrocel® cups are direct compression molded. No calcium stereate is used for any Implex® PE component

• Implants are double foil-vacuum packaged, sterilized via gamma radiation

SIZES AVAILABLE

• Outer diameters 40-70mm

• Inner diameters 22, 26 and 28mm

INSTRUMENTATION

• Color coding and logistics of tray layout increase efficiency in the O.R.

SPECIAL REMARKS

• Pre-assembled insert precludes motion at the shell liner interface. Elliptical geometry provides peripheral interference press-fit without incurring pushout forces which are inherent to oversized spherical cups

REFERENCES

• Bear, B., Bostrom, M., Sculco, T.: Press-Fit Acetabular Cups -An Evaluation Of Initial Torsional Stability, Hospital of Special Surgery, New York City, New York, AAOS Scientific Exhibit, San Francisco, California, 1997.

* Patent #5,443,519; **Patent Pending

PROSTHESES Components

MANUEt\.CfURERAND DISTRIBU1OR ••••••• JOHNSON & JOHNSON ORTIIOPAEDICS Date Released: 1989

NAME OF DEVICE

• P.EC.® Acetabular Cup System

MATERIALS

• Cobalt-chrome alloy

• UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• Porous coated cobalt chrome, modular poly inserts, screw holes for adjunctive fixation

SIZES AVAILABLE

• OD increases by 2 mm from 40 to 70mm

• IDs of 22, 26, 28 and 32mm

INSTRUMENTATION

• Yes

MANuFACfURERAND DISTRIBU1OR ••••••• JOHNSON & JOHNSON ORTIIOPAEDICS

Date Released: 1989

NAME OF DEVICE

• ULTIMA® Polyethylene Acetabular Cup

MATERIALS

• UHMWPE

GENERAL USE • Cemented

SPECIAL FEATURES

• PMMA spacers, circumferential ring with titanium alloy marker for radiographic viewing

SIZES AVAILABLE

• OD increases by 2 mm from 44 to 70mm in 28mm ID, and 48 to 58mm in 32 ID

• 28 ID available in non-captive and augmented versions

• 32mm ID available in non-captive version only

INSTRUMENTATION

• Yes

TOTAL HIP Acetabular

MANuFACIUllERAND DISTRIBUTOR .•.•..• JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1987

NAME OF DEVICE

• ZTT® I Acetabular Cup System

MATERIALS

• Titanium alloy, CP Ti beads, UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• Stepped surface, sintered and porous coated, 6 peripheral screw holes

SIZES AVAILABLE

• OD increases by 2 mm from 48 to 66mm

• IDs of 22.225, 26, 28 and 32mm

INSTRUMENTATION

• Yes

MANuFACIURERAND DISTRIBUTOR .•...•. JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1987

NAME OF DEVICE

• ZTT® II Acetabular Cup System

MATERIALS

• Titanium alloy, CP Ti beads, UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• Stepped surface, sintered and porous coated, 6 peripheral screw holes, 3 dome holes

SIZES AVAILABLE

• OD increases by 2 mm from 48 to 66mm

• IDs of 22.225, 26, 28 and 32mm

INSTRUMENTATION

• Yes

PROSTHESES Components

MANuFACfURERAND DISTRIBUIOR ••••••• JOHNSON & JOHNSON ORTI-IOPAEDICS Date Released: 1982

NAME OF DEVICE

• Arthopor® I Acetabular Cup System

MATERIALS

• Titanium alloy, CP Ti beads, UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• Porous coated, 6 peripheral screw holes

SIZES AVAILABLE

• OD increases by 3 mm from 39 to 75mm

• IDs of 22.225, 26, 28 and 32mm

INSTRUMENTATION

• Yes

MANuFACIURERAND DISTRIBUIDR ••••••• JOHNSON & JOHNSON ORTI-IOPAEDICS Date Released: 1982

NAME OF DEVICE

• Arthopor® II Acetabular Cup System

MATERIALS

• Titanium alloy, CP Ti beads, UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• Porous coated, 6 peripheral screw holes, 6 dome holes

SIZt:S AVAILABLE

• OD increases by 3 mm from 48 to 75mm

• IDs of 22.225, 26, 28 and 32mm

INSTRUMENTATION • Yes

TOTAL HIP Acetabular '"'''' .......... ,."

MANuFACllJRERAND DIS1RIBUTOR ••••••• JOHNSON & JOHNSON ORfHOPAEDIrB

Date Released: 1982

NAME OF DEVICE

• Arthopor® Oblong Cups

MATERIALS

• Titanium alloy, CP Ti beads, UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• 2 styles and a selection of diameters to fill superior defects of 15 or 25mm

SIZES AVAILABLE

• OD increases by 3 mm from 51 to 66mm

• IDs of 22.225, 26, 28 and 32mm

• Available in neutrals, lefts and rights

INSTRUMENTATION

• Yes

Date released: 1982

MANuFACllJRERAND DIS1RIBUTOR .•••.•• JOHNSON & JOHNSON ORfHOPAEDIrB

NAME OF DEVICE

• Supercup Acetabular Cups

MATERIALS

• Titanium alloy, CP Ti beads, UHMWPE

GENERAL USE

• Non-cemented

SPECIAL FEATURES

• Threaded design for secure fixation, peripheral screw holes

SIZES AVAILABLE

• OD increases by 3 mm from 45 to 72mm

• IDs of 22.225, 26, 28 and 32mm

INSTRUMENTATION

• Yes

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PROSTHESES Components

MANuFACfURERAND DIS1RIBUWR ••••... JOHNSON & JOHNSON ORTHOPAEDICS

Date Released: July, 1997

NAME OF DEVICE

• ULTIMA® Unipolar Head and Adapter Sleeve

DESCRIPTION

• Hollow, highly polished head and tapered adapter sleeve with -3mm, +Omm, --Smm and +l.Omm options

MATERIALS

• Cobalt-chrome alloy for both head and sleeve

GENERAL USE

• Hemiarthroplasty

SPECIFIC INDICATIONS

• For use in hemiarthroplasty to the most challenging revision cases

SPECIAL FEATURES

• More lightweight due to a hollow head

• Versatile application

• Adapter sleeves enable component to be used with PFC, ULTIMA and S- ROM stems

SIZES AVAILABLE

• Head sizes: 38mm-58mm in one mm increments;

60mm and 63mm

• Sleeve sizes: 10/12 taper, -3, +0, +5, +10 extension

11/13 taper, +0, +6, +12 extension

TOTAL HIP Femoral

MANuFAcrmffiRAND DIS1RIBUTOR •••.... JOHNSON & JOHNSON ORrnOPAEDICS

Date Released: 1994

NAME OF DEVICE

• PFC® BiPolar Head

DESCRIPTION

• Polyethylene liner within a metal shell component

MATERIM.S

• UHMWPE liner

• Cobalt-chrome alloy shell

GENERAL USE

• Hemiarthroplasty procedures

SPECIFIC INDICATIONS

• Hemiarthroplasty patients with intact and healthy acetabula

SPECIM. FEATURES

• Component stability, mechanical interlock of liner and shell prevents disassociation

• Positive eccentricity, bipolar head is self-centering, assuming valgus position to deliver transmission of load to the acetabulum

SIZES AVAILABLE

• 18 head sizes available from 42mm-60mm in one mm increments

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PROSTHESES Components

MANuFACrmrnRAND DISTRIBlITOR ••••••• JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1995

NAME OF DEVICE

• Austin Moore Prosthesis

DESCRIPTION

• One-piece, hemiarthroplasty stern

MATERIALS

• Cast cobalt-chrome alloy

GENERAL USE

• Hemiarthroplasty procedures

SPECIFIC INDICATIONS

• Low demand hemiarthroplasty patients

SPECIAL FEATURES

• One piece

• Relieves pain

• Restores mobility

• Reduces OR time

SIZES AVAILABLE

• 22 head sizes available

• 3 stern lengths: 127mm, 140mm, 152mm

TOTAL HIP Femoral

MANuFAcruirnRAND DIS1RIBUTOR ..••... JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1990

NAME OF DEVICE

• PFC® Press-Fit Stems

DESCRIPTION

• Circumferentially, proximal porous coated stem

MATERIALS

• Forged titanium alloy

GENERAL USE • Primary

SPECIAL FEATURES

• Ability to address proximal/ distal mismatch

SIZES AVAILABLE

• 21 press-fit proportionally sized implants are available in 11 different proximal stem dimensions

• Each proximal stem size is

also available in 2 differing distal stem diameters (stem diameters increase by one mm from 7-17 mm)

Components

MANuFACrmrnRAND DISTRIBUTOR ••••••• JOHNSON & JOHNSON ORTIIOPAEDICS

Date Released: 1990

NAME OF DEVICE

• P.RC.® Cemented Stems

DESCRIPTION

• A flanged primary cemented stem with proximal and distal centralization

MATERIALS

• Forged cobalt -chrome alloy stem

• PMMA spacers

GENERAL USE • Primary

SPECIAL FEATURES

• Implants are collared or collarless

• Increased offsets are available

• Proximal macro texturing

• Proximal and distal cement centralization

SIZES AVAILABLE

• 10 collared sizes 0-5, 1-4 offset

• 9 collarless sizes 1-5, 1-4 offset

MANuFAGIURERAND DISTRIBUfOR JOHNSON & JOHNSON ORrnOPAEDICS

Date Released: July, 1997

NAME OF DEVICE

• ULTIMA® FX Press Fit

DESCRIPTION

• Grit blasted roughened surface stem, tapered distal tip with proximal ribs on AlP to enhance stability

MATERIALS

• Cobalt-chrome alloy

GENERAL USE

• Fracture and low demand primary

SPECIFIC INDICATIONS

• For use in the fracture/DRG marketplace

SPECIAL FEATURES

• Both cemented and press fit stems use same instruments to allow surgeon to make intra-operative decisions

• Neck shaft angle is 1300

• Neck taper is 10/12

• Small calcar collar to aid in load transfer and subsidence

• Longitudinal ribs on the anterior and posterior surface to aid rotational stability

SIZES AVAILABLE

• Four press fit sizes

• Stem length:

140mm, 150mm, 175mm and 185mm

PROSTHESES Components

MANuFAtrmmRAND DISTRIBUfOR •••••.. JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: July, 1997

NAME OF DEVICE

• ULTIMA® FX Cemented

DESCRIPTION

• Cemented stem with a calcar collar and lateral proximal flare

MATERIALS

• Cobalt-chrome alloy

GENERAL USE

• Fracture and low demand primary total hip arthroplasty

SPECIFIC INDICATIONS

• For use in the fracture/DRG marketplace

SPECIAL FEATURES

• Both cemented and press fit stems use same instruments to allow surgeon to make intra-operative decisions

• Neck shaft angle is 1300

• Neck taper is 10112

SIZES AVAILABLE

• Four cemented sizes

• Stem length from lateral shoulder 130,155,165,175

Date Released: September 1997

Femoral

MANuFAcrmffiRAND DIS1RIBUTOR ••••••• JOHNSON & JOHNSON ORIHOPAEDICS

SPECIAL ~MARKS

• Instrument technique manual, sell sheet, surgical technique

NAME OF DEVICE

• ULTIMA® Calcar Stem

DESCRIPTION

• Cemented, calcar replacement stem

MATERIALS

• Cast cobalt-chrome alloy

GENERAL USE

• Fracture, revision

SPECIFIC INDICATIONS

• Solution to proximal medial bone loss, intertrochanteric fractures, periprosthetic fractures, revisions

with cavitory defects

SPECIAL FEATURES

• Grit-blasted vertical flange for reattachment of the greater trochanter

• Radiused through-hole and slots provide numerous options for cable use

• Ample offset to improve hip stability and patient gait

• Proximal flare and distal flutes increase rotational stability

SIZES AVAILABLE

• 2, 3 and 4, each with 2 body lengths

INSTRUMENTATION

• Calcar supplementary instruments (includes modular trials)

• Smartset™ primary cemented instruments

Components

MANuFACruRERAND DISTRIBUIDR ••••..• JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1996

NAME OF DEVICE

• ULTIMA® Long Stem

DESCRIPTION

• Cemented long stem with a calcar collar and lateral proximal flare

MATERIALS

• Forged cobalt-chrome alloy

GENERAL USE

• Revision

SPECIFIC INDICATIONS

• Revision cases where additional length is required to obtain stability

SPECIAL FEATURES

• Curved to fit anterior bow

• Longer base-neck length and 130 neck shaft angle

• Size 5 has 135 neck shaft angle

SIZES AVAILABLE

• 18 sizes

• Mid lengths:

185/8mm distal, 185/9mm distal 205mm, 220mm, 235mm

Rights and lefts

• Full lengths:

230mm,255mm, 280mm, 300mm Rights and lefts

TOTAL HIP PROS Femoral Comp

MANuFAcruRERAND DIS1RIBUIOR •..•... JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1993

NAME OF DEVICE

• ULTIMA® Cemented Stem

DESCRIPTION

• Cemented stem with a calcar collar and lateral proximal flare

MATERIALS

• Forged cobalt-chrome alloy

GENERAL USE

• Primary

SPECIAL FEATURES

• Lateral flange for cement compression

• Distal centralizer to optimize stem placement

SIZES AVAILABLE

• 10 collared, 9 collarless, with offset options

INSTRUMENTATION

• Uses Smartset™ cemented hip instruments

REFERENCES

• Support literature available

• Sizing chart, surgical technique, x- ray templates

PROSTHESES Components

MANuFACnmERAND DISrnmUIDR ••••••• JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1982

NAME OF DEVICE

• S-ROM® Total Hip System

Long, XL and XXL length stems with either standard or calcar neck

DESCRIPTION

• A modular, cementless fluted stem with proximal cone sleeve

MATERIALS

• Forged titanium alloy stem commercially pure titanium beads

GENERAL USE • Revision

SPECIFIC INDICATIONS

• Long, X-long, and XX-long stems utilized in revision cases

SPECIAL FEATURES

• Stepped proximal sleeve allows optimal

fit and fill of proximal femur, and utilization of the best proximal bone due to version capability of sleeve

• Polished, fluted distal stem provide rotational stability

• Coronal slot reduces bending stiffness and helps prevent distal fixation

SIZES AVAILABLE

• Long:

205, 215, 225, 230mm (straights, lefts, rights)

• X-long:

240, 255, 270, 275mm (lefts, rights)

• XX-long:

300, 315, 325mm (lefts, rights)

INSTRUMENTATION

Uses S-ROM® total hip instrumentation

TOTAL HIP Femoral

MANuFACllJRERAND DIS1RIBUTOR ••••••• JOHNSON & JOHNSON ORTIIOPAEDICS

Date Released: 1983

NAME OF DEVICE

• S-ROM® Total Hip System Standard Length Stems

DESCRIPTION

• A modular, cementless fluted stem with proximal cone sleeve

MATERIALS

• Forged titanium alloy stem

GENERAL USE • Primary

SPECIFIC INDICATIONS

• Small sizes available (l2mm distal diameter) for DDH patients

SPECIAL FEATURES

• Modular stem and sleeve allow for optimal fit and fill for both proximal and distal fits

SIZES AVAILABLE

• 12mm to 24mm distal diameter in 2mm increments

• Stem lengths: 115, 130, 145, 160 and 175

INSTRUMENTATION

Uses S-ROM® total hip instrumentation

Components

MANuFACfURERAND DIS1RIBlITOR •..•••. JOHNSON & JOHNSON ORIHOPAEDICS

Date Released: 1982

NAME OF DEVICE

• Triad™ Hip System

DESCRIPTION

• A unitized, cemented stem

MATERIALS

• Cobalt-chrome alloy head with titanium alloy stem

GENERAL USE

• Primary and revision

SPECIAL FEATURES

• 3 neck heights per size

• Long and X-long lengths in medium and high neck heights

• 26, 28 and 32mm head sizes available

SIZES AVAILABLE

• Distal diameters from 13.0mm to 17.Smm in l.Smm increments

INSTRUMENTATION

• Uses the Triad™ instrument system

SPECIAL REMARKS

• Product is no longer available for sale

TOTAL HIP PRO Femoral

MANUFACTURER AND DISTRIBUTOR •••••••••• SMITH & NEPHEW, INC. Date Released: September 1997

NAME OF DEVICE

• SynergyTM Hip System

DESCRIPTION

• A 3 a tapered stem system featuring porous-coated

• HA-coated and titanium press-fit options

• Primary, cementless hip replacement

MATERIALS

• Titanium (Ti-6AI-4V) substrate, commercially pure Titanium beads, hydroxyapatite

GENERAL USE

• Primary hip replacement

SPECIFIC INDICATIONS

• DOff A and B type femurs, osteoarthritis, under 70 years, and high demand activity

SPECIFIC FEATURES

• Dual offsets in porous and HA stems.

• 3 a taper, medial curve and antirotational flutes provide initial stability

• Polished distal bullet tip reduces end of stem cortical bone contact

• Circulotrapezoidal neck cross-section increases range of motion (ROM)

SIZES AVAILABLE

• 10 sizes increasing in Imm increments (sizes 9-lS)

• Stem lengths in 5mm increments (sizes 130-lS0)

INSTRUMENTATION

• Simple ream and broach instruments housed in only two sterilization trays

SPECIAL REMARKS

• Must u,se 12/14 femoral heads specific to Smith & Nephew

REFERENCES

• Mulliken, D. D., Bourne, R. B., Rorabeck, C. H.; et al.:

A Tapered Titanium Femoral Stem Inserted Without Cement in a Total Hip Arthroplasty; JBJS 7S-A:

pp. 1214-1225, August, 1996.

PROSTHESES Components

MANUFACTURER AND DISTRIBUTOR •••••••••• SMITH & NEPHEW, INC.

NAME OF DEVICE • Spectron@ EF

DESCRIPTION

• Cemented hip system

MATERIALS

• Forged cobalt chrome alloy

GENERAL USE

• Primary and revision

SPECIFIC INDICATIONS

• Cemented applications

SPECIAL FEATURES

• High offset options

• Collared or collarless

SIZES AVAILABLE

• Primary - available in 5 sizes/3 lengths

• Revision - available in 2 sizes/4 lengths

INSTRUMENTATION

• Primary - one instrument tray

• Revision - one instrument tray

SPECIAL REMARKS

• Circulotrapezoidal neck for enlarged range of motion

• Classic cemented design

REFERENCES

• Malchau, H., M.D., Swedish National Registry Results; 99.2% survival at 9 years. Reported AAOS, 1996.

Femoral

MANUFACTURER AND DISTRIBUTOR •••••••••• SMITH & NEPHEW, INC. Date Available: Scheduled for April 1998

SPECIAL FEATURES

• Distal flutes for rotational stability

• Extensive porous coating

• Calcar options for extensive proximal bone loss

• Cemented and cementless stems with common instruments

• Enhanced neck design for optimum range of motion

NAME OF DEVICE

• Echelon™ Revision Hip System

MATERIALS

• Cobalt chrome alloy

GENERAL USE

• Revision hip replacement

SIZES AVAILABLE

• Distal diameters Imm to 20mm

• Standard collar, +15mm calcar, and +30 mm calcar options

• Porous straight and bowed stems available

INSTRUMENTATION

• Simple ream and broach instruments for cemented and cementless implants

Modular

MANUFACTURER AND DISTRIBUTOR •.•.••••.••••••.••••.• ZIMMER

NAME OF DEVICE

• Modular Austin-Moore

DESCRIPTION

• Solid and fenestrated smooth -stemmed endoprosthetic stems

MATERIALS

• Zimaloy (cobalt chrome alloy)

GENERAL USE

• Allows varying femoral head/ neck dimensions

• Can be used with bipolar cup

SIZES AVAILABLE

• Four sizes in small, medium, large and X -large with stem lengths from 145-175 mm

• Each size offers small, medium and long necks

INSTRUMENTATION

• Special instrumentation available

TOTAL HIP

MANUFACTURER AND DISTRIBUTOR •.•.••••••.•..••.••••. ZIMMER

Date available: 1996

NAME OF DEVICE

• VeriSys Hip System

DESCRIPTION

• Collared and collarless cementable stems

MATERIALS

• Zimaloy (cobalt-chrome alloy)

• Proximal and distal centralizers are PMMA

GENERAL USE

• Cementable usage

SPECIAL FEATURES

• Modular Morris-type femoral neck which accepts metal and ceramic heads

• Stem finish includes textured, polished and precoat

SIZES AVAILABLE

• Seven different stem sizes with lengths from 120-150 mm

• Varying diameters of 11 to 17 mm

• Varying head-neck offsets

INSTRUMENTATION

• Special instrumentation available including rasps and reamers

SPECIAL REMARKS

• Also available for non-cemented usage

Cup

MANUFACTURER AND DISTRIBUTOR •••••••••••••••••••••• ZIMMER

NAME OF DEVICE

• ZCA Acetabular Cup

MATERIALS

• UHMWPE with PMMA

GENERAL USE

• Cementable application

SPECIAL FEATURES

• Available with a neutral and 10° inclined face, both with PMMA spacers

SIZES AVAILABLE

• Two I.D. available, 22 and 28 mm

• O.D. vary from 43-61 mm

INSTRUMENTATION

• Specific instruments available

MANUFACTURER AND DISTRIBUTOR •••••••••••••••••••••• ZIMMER

NAME OF DEVICE

• HGP II Porous Modified Shell

MATERIALS

• Commercially pure titanium

GENERAL USE

• Cementless total hip arthroplasty

SPECIAL FEATURES

• Accepts standard and elevated rim UHMWPE liners

SIZES AVAILABLE

• fifteen O.D. sizes varying by 2 mm from 36-70 mm

INSTRUMENTATION

• Special instruments available

TOTAL I-IIP

MANUFACTURER AND DISTRIBUTOR •••••••••••••••••••••• ZIMMER

NAME OF DEVICE

• Proximal one-third modular

DESCRIPTION

• Cementable proximal femoral replacement design

MATERIALS

• Titanium alloy

GENERAL USE

• Proximal femoral bone deficiencies

SPECIFIC INDICATIONS

• Failed total hip arthroplasty with proximal 1/3 femoral bone loss

SIZES AVAILABLE

• Five sizes available with single diameter and stem length of 180 mm

• Fifteen different neck lengths from 75-165 mm

SPECIAL REMARKS

• Use with 6° taper metal or ceramic femoral heads

Stems

MANUFACTURER AND DISTRIBUTOR •.••••.••.••••.•.••••. ZIMMER

NAME OF DEVICE

• Anatomic Hip Prosthesis

DESCRIPTION

• Collared, collarless cementable and non-cementable stems

MATERIALS

• Non-cementable stems are titanium alloy with Ti-Nidium surface hardening

GENERAL USE

• Non-cementable total hip arthroplasty

SPECIAL FEATURES

• Available with collared and collarless stems

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