AVS ARIA TM Product Overview
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1 AVS ARIA TM Product Overview
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3 Table of Contents Indication 3 Adaptive Sizing 4-5 Wedge Nose Design 6 Graft Volumes 7 Efficient Fixation 8 Lordotic Descriptions 9 Anatomical Descriptions 10 Visualization 11 Indications The Stryker Spine AVS ARIA PEEK Spacers are intervertebral body fusion devices indicated for use with autogenous bone graft in patients with degenerative disc disease (DDD) at one level or two contiguous levels from L2 to S1. DDD is defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies. The DDD patients may also have up to Grade I spondylolisthesis at the involved level(s). These patients should be skeletally mature and have six months of nonoperative therapy. The AVS ARIA PEEK Spacers are intended to be used with supplemental fixation systems that have been cleared for use in the lumbosacral spine. 3
4 Adaptive Sizing The various AVS ARIA sizing options available are designed to enable more precise anatomic height and lordotic restoration in a variety of patient populations. Reference Number 18mm Wide AVS ARIA s Description ( x x Lordosis - Width) Reference Number Description ( x x Lordosis - Width) Lordosis - 0 Lordosis mm x40x x40x x40x x40x x40x x40x x40x x40x x40x x40x x40x x40x mm x45x x45x x45x x45x x45x x45x x45x x45x x45x x45x x45x x45x mm x50x x50x x50x x50x x50x x50x x50x x50x x50x x50x x50x x50x mm x55x x55x x55x x55x x55x x55x x55x x55x x55x x55x x55x x55x mm x60x x60x x60x x60x x60x x60x x60x x60x x60x x60x x60x x60x8-18 4
5 Adaptive Sizing Reference Number 22mm Wide AVS ARIA s Description ( x x Lordosis - Width) Reference Number Description ( x x Lordosis - Width) Lordosis - 0 Lordosis mm x40x x40x x40x x40x x40x x40x x40x x40x x40x x40x x40x x40x mm x45x x45x x45x x45x x45x x45x x45x x45x x45x x45x x45x x45x mm x50x x50x x50x x50x x50x x50x x50x x50x x50x x50x x50x x50x mm x55x x55x x55x x55x x55x x55x x55x x55x x55x x55x x55x x55x mm x60x x60x x60x x60x x60x x60x x60x x60x x60x x60x x60x x60x8-22 5
6 Wedge Nose Design The ergonomically designed, unique wedge nose of the AVS ARIA implant allows for self distraction upon insertion, which is designed to allow the implants to be inserted into small disc spaces. In addition, the ergonomic shape allows for safe navigation around neural tissues. AVS ARIA Wedge Nose s in 18mm Wide s 40mm 45mm 50mm 55mm 60mm 8mm 5.2mm 5.1mm 5.0mm 4.9mm 4.8mm 10mm 7.1mm 7.0mm 6.9mm 6.8mm 6.7mm 12mm 7.3mm 7.0mm 6.9mm 6.8mm 6.7mm 14mm 9.2mm 8.9mm 8.6mm 8.4mm 8.2mm 16mm 11.1mm 10.8mm 10.5mm 10.3mm 10.1mm 18mm 13.4mm 13.1mm 12.4mm 10.8mm 10.6mm Wedge Nose 8mm 6.5mm 6.5mm 6.5mm 6.5mm 6.5mm 10mm 7.7mm 7.7mm 7.6mm 7.6mm 7.6mm 12mm 8.2mm 8.1mm 8.0mm 7.9mm 7.8mm 14mm 10.1mm 10.0mm 9.9mm 9.8mm 9.7mm 16mm 12.0mm 11.9mm 11.8mm 11.7mm 11.6mm 18mm 14.0mm 13.8mm 13.7mm 13.6mm 13.5mm 6 AVS ARIA Wedge Nose s in 22mm Wide s 40mm 45mm 50mm 55mm 60mm 8mm 5.8mm 5.7mm 5.6mm 5.5mm 5.4mm 10mm 7.6mm 7.5mm 7.4mm 7.3mm 7.2mm 12mm 8.1mm 7.8mm 7.6mm 7.4mm 7.2mm 14mm 10.0mm 9.7mm 9.5mm 9.3mm 9.1mm 16mm 12.0mm 11.7mm 11.4mm 11.2mm 11.0mm 18mm 13.9mm 13.6mm 13.3mm 13.0mm 12.9mm 8mm 6.5mm 6.4mm 6.4mm 6.4mm 6.4mm 10mm 7.9mm 7.8mm 7.7mm 7.7mm 7.6mm 12mm 8.3mm 8.2mm 8.0mm 7.9mm 7.8mm 14mm 10.2mm 10.0mm 9.9mm 9.8mm 9.7mm 16mm 12.1mm 11.9mm 11.8mm 11.7mm 11.6mm 18mm 14.0mm 13.8mm 13.7mm 13.6mm 13.5mm
7 Graft Volumes One of the truly distinguishing features of the AVS ARIA implant is the large internal graft chamber. This directly translates into a large internal graft volume, optimized to provide maximum superior/inferior surface area contact between the bone graft and the endplate. While the use of bone graft is optional, large graft volumes may potentially enhance fusion rates. 40mm AVS ARIA Graft Volumes (cc) 45mm 50mm 55mm 60mm 8mm mm mm mm mm mm mm mm mm mm mm mm Note: The graft volumes are the same for 18mm and 22mm wide AVS ARIA implants. 7
8 Efficient Fixation Each isometric serration provides immediate bidirectional fixation to help resist subsidence. Serration Serration Dimensions of Serrations 40mm 0.8mm 0.9mm 45mm 0.9mm 1mm 50mm 1mm 1.1mm 55mm 1.1mm 1.2mm 60mm 1.2mm 1.3mm 8
9 Lordotic Descriptions One of the primary purposes of the AVS ARIA implants is to restore natural sagittal alignment. The lordotic AVS ARIA implants are designed to restore 8 of lordosis. It is important to know the height differences between the anterior and posterior aspects in the lordotic implants. The height differences can be calculated by subtracting the Posterior height from the height. Note that the length and width of any implant does not influence the height difference, and there is no anteriorposterior height difference in implants with 0 of lordosis. Posterior Posterior Differences in s Posterior Difference 8mm 8mm 6mm 2mm 10mm 10mm 8mm 2mm 12mm 12mm 10mm 2mm 14mm 14mm 12mm 2mm 16mm 16mm 14mm 2mm 18mm 18mm 16mm 2mm 9
10 Anatomical Descriptions The anatomical shape of the AVS ARIA implant is designed to provide maximum surface area contact and to promote structural stability, to facilitate placement and match the endplates for optimal engagement. It is important to know the height differences between the medial and lateral aspects in the lordotic and non-lordotic implants. The height differences can be calculated by subtracting the Lateral height from the Medial height. Note that the length of any implant does not influence the height difference. Additionally, the width of any implant does not influence the height difference in implants with 8 of lordosis. Medial Medial Lateral Differences in s Medial Lateral Difference Width 18mm Lateral Lateral 8mm 8mm 7mm 1mm 10mm 10mm 9mm 1mm 12mm 12mm 10mm 2mm 14mm 14mm 12mm 2mm 16mm 16mm 14mm 2mm 18mm 18mm 16mm 2mm Width 22mm 8mm 8mm 7mm 1mm 10mm 10mm 9mm 1mm 12mm 12mm 10mm 2mm 14mm 14mm 12mm 2mm 16mm 16mm 14mm 2mm 18mm 18mm 16mm 2mm Lateral Medial Lateral Medial Lateral Differences in s Medial Lateral Difference 8mm 8mm 7.7mm 0.3mm 10mm 10mm 9mm 1mm 12mm 12mm 10mm 2mm 14mm 14mm 12mm 2mm 16mm 16mm 14mm 2mm 18mm 18mm 16mm 2mm 10
11 Visualization Each AVS ARIA implant has seven tantalum markers strategically embedded in each implant to help surgeons identify the position and orientation of the AVS ARIA implants once inserted. Two markers are positioned above and below the threaded hole of the implant, and one marker is embedded at the tip of the wedge nose. In addition, four markers are positioned centrally, two on the anterior side and on the posterior side of the implant. All seven markers are oriented in the same vertical (superior/inferior) direction. Trailing markers are 3mm from threaded hole end. Central markers are 2mm from anterior-posterior edges on an 18mm wide implant, and are 4mm from edges on a 22mm wide implant. Tantalum Marker Dimensions in s Central Markers Trailing Markers Leading marker is 3mm from tip of nose. Leading Marker 8mm 2.5mm 1mm 4mm 10mm 3mm 1mm 5mm 12mm 4mm 1mm 5mm 14mm 5mm 2.5mm 6mm 16mm 6mm 2.5mm 8mm 18mm 7mm 2.5mm 8mm Tantalum Marker Dimensions in s Central Markers Posterior Central Markers Trailing Markers Leading Marker 8mm 2.5mm 1mm 1mm 4mm 10mm 3mm 1mm 1mm 5mm 12mm 4mm 3mm 1mm 5mm 14mm 5mm 4mm 1mm 6mm 16mm 6mm 5mm 1mm 8mm 18mm 7mm 6mm 1mm 8mm For a Proper Insertion Lateral View A/P View 11
12 US Operations 2 Pearl Court Allendale, New Jersey Phone: Fax: Web: A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: ARIA, AVS, Stryker. All other trademarks are trademarks of their respective owners or holders. Literature Number: PIARIBR10111 SC/GS 01/12 Copyright 2012 Stryker Printed in USA
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