POSTERIOR SPINE TRUSS SYSTEM

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1 POSTERIOR SPINE TRUSS SYSTEM

2 ORDERING & SHIPPING

3 ALL FIELDS ARE REQUIRED ORDER FORM PLEASE PRINT LEGIBLY

4 RECEIVING YOUR PSTS TRAYS & IMPLANTS All implant bins and trays have a warehouse number on them

5 RECEIVING YOUR PSTS TRAYS & IMPLANTS Implants are arranged in logical order to streamline identification 6MM 8MM 10MM 12MM 14MM XL XL (4ea) (4ea) 22L x 9W x 0º 26L x 9W x 0º (4ea) 22L x 9W x 0º (4ea) 22L x 9W x 6º 26L x 9W x 0º 26L x 9W x 6º (4ea) (4ea) 22L x 9W x 0º 22L x 9W x 6º 26L x 9W x 0º 26L x 9W x 6º (4ea) 22L x 9W x 0º (4ea) 22L x 9W x 6º 26L x 9W x 0º 26L x 9W x 6º (2ea) (2ea) (2ea) (2ea) 22L x 9W x 0º 22L x 9W x 6º 26L x 9W x 0º 26L x 9W x 6º (2ea) 6H x 30L x 12W x 0º (2ea) 6H x 34L x 12W x 0º (2ea) 8H x 30L x 12W x 0º (2ea) 8H x 34L x 12W x 0º (2ea) 10H x 30L x 12W x 0º (2ea) 10H x 34L x 12W x 0º (2ea) 12H x 30L x 12W x 0º (2ea) 12H x 34L x 12W x 0º (2ea) 14H x 30L x 12W x 0º (2ea) 14H x 34L x 12W x 0º

6 PACKAGING Posterior STS Interbody Fusion Devices are provided sterile and are clearly labeled as such in an unopened sterile package provided by 4WEB. The contents are considered sterile unless the package is damaged, opened, or the expiration date on the device label has passed. The integrity of the packaging should be checked to ensure that the sterility of the contents is not compromised. Implants supplied sterilized from 4WEB must not be re-sterilized. Posterior STS ancillary instrumentation is provided non-sterile and is supplied in a tray that is used for steam sterilization prior to use in the operating room. In the case of instrument restock, individual items will be sent in a plastic bag, labeled for that device. Storage conditions must maintain the integrity of the implants, associated ancillary instruments and their respective packaging. The condition of all implants and instruments must be checked before use. Damaged products should not be used and should be returned to 4WEB.

7 SYSTEM OVERVIEW

8 THE 4WEB DIFFERENCE

9 INDICATIONS FOR USE The PLIF, TLIF and OLIF STS (Spine Truss System) are indicated for use in skeletally mature patients with Degenerative Disc Disease (DDD) at one or two contiguous levels from L2-S1. DDD is defined as discogenic back pain with degeneration of the disc confirmed by patient history and radiographic studies. Patients should have received 6 months of non-operative treatment prior to treatment with the devices. The device must be used with supplemental fixation and must be used with autograft bone. These DDD patients may also have up to Grade I spondylolisthesis or retrolisthesis at the involved level(s).

10 POSTERIOR LUMBAR - SPINE IMPLANTS COMMERCIALLY AVAILABLE TODAY STRAIGHT IMPLANTS 22 & 26MM LENGTHS 0º AND 6º LORDOSIS NOTE: THERE IS NO 6MM TALL 6 º LORDOSIS IMPLANT 8-14MM HEIGHTS IN EVEN SIZES 9MM WIDTH XL STRAIGHT IMPLANTS 30 & 34MM LENGTHS 0º LORDOSIS 8-14MM HEIGHTS IN EVEN SIZES 12MM WIDTH COMING IN Q CURVED IMPLANTS 27 & 32MM LENGTHS 0º AND 6º LORDOSIS 6-14MM HEIGHTS IN EVEN SIZES 10MM WIDTH

11 PSTS DISCECTOMY TRAY PSTS STRAIGHT 9MM OSTEOTOME 2. PSTS ANGLED CONE RING CURETTE (SIZE 2) 3. PSTS STRAIGHT CONE RING CURETTE (SIZE 2) 4. PSTS SINGLE-SIDED 8MM STRAIGHT RASP 5. PSTS DOWN PUSHING CURETTE 6. PSTS STRAIGHT CURETTE (SIZE 2) 7. PSTS REVERSED ANGLED CURETTE (SIZE 2) 8. PSTS ANGLED CURETTE (SIZE 2) 9. PSTS DOUBLE-SIDED ANGLED 8MM RASP LEVEL 1 LOW-PROFILE TRAY ENHANCES STERILITY EFFICIENCY, REDUCES WEIGHT, AND PROVIDES GREATER ACCESS TO THE INSTRUMENTS

12 PSTS DISCECTOMY TRAY SIZE 2 STRAIGHT CURETTE PSTS SIZE 2 STRAIGHT CONE RING CURETTE PSTS MM 5MM 5.85MM INSIDE 7.75MM 7.85MM OUTSIDE

13 PSTS DISCECTOMY TRAY PSTS STRAIGHT QC HANDLE (CAN SUB T-HANDLE QC) 2. PSTS-SM D - PSTS-SM D DISTRACTORS 3. PSTS PSTS ROTATING SHAVERS (6-16MM) 4. PSTS LATERAL RIGHT ANGLE CURETTE (SIZE 2) 5. PSTS LATERAL LEFT ANGLE CURETTE (SIZE 2) 6. PSTS T-HANDLE QC (CAN SUB STRAIGHT QC HANDLE) LEVEL 2 LOW-PROFILE TRAY ENHANCES STERILITY EFFICIENCY, REDUCES WEIGHT, AND PROVIDES GREATER ACCESS TO THE INSTRUMENTS

14 PSTS DISCECTOMY TRAY 12MM ROTATING SHAVER PSTS MM DUAL CUTTING EDGE 26MM PADDLE HEAD NOTE: THE SHAVERS IN THIS SYSTEM ARE DESIGNED TO MIMIC THE CONVEXITY OF THE 26MM STRAIGHT CAGES. THEREFORE, A 12MM SHAVER HAS THE SAME PEAK HEIGHT AND CONVEXITY AS A 12MM STRAIGHT 26MM IMPLANT. 4MM WIDTH

15 PSTS DISCECTOMY TRAY 12MM DISTRACTOR PSTS-SM D 26MM 22MM 12MM 34MM 30MM NOTE: THE DISTRACTORS IN THIS SYSTEM ARE INTENDED TO MEASURE THE DISC SPACE. THEY ARE NOT A REPRESENTATION OF THE IMPLANT DUE TO THE CONVEX DESIGN OF THE CAGE. 3.6MM WIDTH

16 PSTS DISCECTOMY TRAY DISTRACTORS ROTATING SHAVERS 6MM 16MM 6MM 14MM NOTE: THE 15 AND 16MM SHAVERS ARE IN PRODUCTION AND WILL BE AVAILABLE SHORTLY

17 PSTS DISCECTOMY TRAY PSTS MM STRAIGHT PITUITARY 2. PSTS MM UP PITUITARY 3. PSTS MM DOWN PITUITARY 4. PSTS MM 40º FWD KERRISON 5. PSTS MM 40º FWD KERRISON 6. PSTS MM STRAIGHT PITUITARY 7. PSTS MM UP PITUITARY 8. PSTS MM DOWN PITUITARY LEVEL 3

18 PSTS DISCECTOMY TRAY 2MM STRAIGHT PITUITARY PSTS MM STRAIGHT PITUITARY PSTS MM WIDTH 13MM 4MM WIDTH 14MM 10MM 10MM 6.75MM 6.75MM

19 PSTS IMPLANT MANIPULATION TRAY PSTS MM 90º SCOVILLE RETRACTOR 2. PSTS STRAIGHT INSERTER 3. PSTS STRAIGHT INSERTER (LASER MARK SAYS TSTS CURVED. THERE ARE NO CURVED AT THIS TIME) 4. PSTS STRAIGHT QC HANDLE (CAN SUB T-HANDLE QC) 5. PSTS STRAIGHT QC HANDLE (CAN SUB T-HANDLE QC) 6. PSTS STRAIGHT TAMP 7. PSTS QC INSERTER 8. PSTS MM BAYONET SCOVILLE RETRACTOR 9. PSTS SLOTTED MALLET 10. PSTS SLAP HAMMER (WORKS ONLY W/ QC HANDLES) LEVEL 1 LOW-PROFILE TRAY ENHANCES STERILITY EFFICIENCY, REDUCES WEIGHT, AND PROVIDES GREATER ACCESS TO THE INSTRUMENTS

20 PSTS IMPLANT MANIPULATION TRAY STRAIGHT INSERTER PSTS ROTATING KNOB 9.5 INCH SHAFT FENESTRATIONS FOR CLEANING IMPACTION U-JOINT DETERS FORCES TO THE DISTAL THREADS WHEN USING MALLET PRONGS FOR INSERT-AND-ROTATE STRENGTH

21 PSTS IMPLANT MANIPULATION TRAY STRAIGHT INSERTER PSTS *ENLARGED TO SHOW DETAIL FENESTRATIONS ON THE SHAFT IDENTIFY THE LATERAL ORIENTATION OF THE IMPLANT WHEN ATTACHED THE 4WEB LOGO AND PART NUMBER PSTS (OPPOSITE OF LOGO) IDENTIFY THE CEPHALAD AND CAUDAD ORIENTATION OF THE THE IMPLANT *ENLARGED TO SHOW DETAIL

22 PSTS IMPLANT MANIPULATION TRAY STEERABLE CURVED INSERTER TSTS ROTATION MARKERS AT 0º, 20º, AND 40º ORIENTATION IMAGE ON INSERTER HEAD ZERO-PROFILE HEAD ATTACHMENT

23 PSTS IMPLANT MANIPULATION TRAY STEERABLE CURVED INSERTER TSTS

24 PSTS IMPLANT MANIPULATION TRAY QUICK CONNECT INSERTER PSTS STRAIGHT TAMP PSTS MM WIDTH NOT INTENDED FOR INSERT-AND-ROTATE TECHNIQUES 2.25MM 3MM

25 PSTS IMPLANT MANIPULATION TRAY LEVEL 2 1. PSTS-SM S - PSTS-SM S STRAIGHT SIZERS (6-16MM) 2. TSTS-SM S - TSTS-SM S CURVED SIZERS (NOT YET AVAILABLE)

26 PSTS IMPLANT MANIPULATION TRAY 26MM 12MM STRAIGHT SIZER PSTS-SM S 22MM 14MM 9MM 34MM 30MM 12MM NOTE: THE STRAIGHT SIZER IS A 1-TO-1 MATCH TO THE 26L X 9W X 0º IMPLANTS. SEE PAGES FOR SYSTEM IMPLANT MEASUREMENTS. NOTE: LORDOTIC SIZERS WILL BE AVAILABLE SOON.

27 PSTS DISCECTOMY TRAY STRAIGHT SIZERS 6MM 16MM

28 PSTS STRAIGHT IMPLANTS 22MM

29 PSTS STRAIGHT IMPLANTS 12MM Posterior Height (mm) Heigth at Center (mm) Anterior Height (mm) PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM MM 22MM Posterior Height (mm) Heigth at Center (mm) Anterior Height (mm) PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM MM 12.7MM 12MM

30 PSTS STRAIGHT IMPLANTS 26MM

31 PSTS STRAIGHT IMPLANTS 12MM Posterior Height (mm) Heigth at Center (mm) Anterior Height (mm) 14MM PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM MM Posterior Height (mm) Heigth at Center (mm) Anterior Height (mm) PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM PSTS-SM MM 13MM 12MM

32 PSTS STRAIGHT XL IMPLANTS 30MM 34MM

33 PSTS STRAIGHT XL IMPLANTS 12MM 14.5MM Posterior Height (mm) Heigth at Center (mm) Anterior Height (mm) OSTS-MD OSTS-MD OSTS-MD OSTS-MD OSTS-MD OSTS-MD MM 34MM Posterior Height (mm) Heigth at Center (mm) Anterior Height (mm) OSTS-MD OSTS-MD OSTS-MD OSTS-MD OSTS-MD OSTS-MD MM 14.5MM

34 IMPLANT FUNCTION THROUGH STRUCTURAL DESIGN

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