AlloMend AlloSkin TM AlloWrap DS. AlloSkin TM AC AlloSkin TM RT AlloSkin TM REGENERATIVE WOUND CARE JOINT OPERATIONS LLC

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1 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 1 AlloMend AlloSkin TM AlloWrap DS AlloSkin TM AC AlloSkin TM RT AlloSkin TM JOINT OPERATIONS LLC Suite 20, Anchor Business Centre, Frankland Road, Blagrove, Swindon, Wiltshire SN5 8YZ TELEPHONE: FAX: service@jointoperations.co.uk JODS/AS/ /v1

2 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 2 DECEMBER 2015 ALLOGRAFT AlloMend AlloSkin TM AlloWrap DS AlloSkin TM AC AlloSkin TM RT AlloSkin TM

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4 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 4 About Joint Operations Today, more than ever, a surgical procedure is a highly collaborative exercise between surgeons, clinical teams, hospital administration and industry partners. Joint Operations has been founded to excel in one particular area, linking clinical teams working in UK/Irish hospitals with a network of progressive and innovative manufacturers that are advancing the standard of care within several specific areas of surgery; Regenerative Medicine, Joint Preservation and Extremities. As the name suggests, this partnership is the heart of Joint Operations. On one side we are immensely proud to represent our suppliers in the UK and the Republic of Ireland. Each of these partners have developed unique technologies to help help surgeons across the Orthopaedic, Plastics and Reconstruction, General Surgery and Wound Care sectors, overcoming unsolved challenges within our chosen specialities. On the other side, our experienced sales, marketing and office teams work with every department to ensure availability of these technologies and support them in giving their patients the very best clinical outcomes. About AlloSource AlloSource is a non-profit organisation founded in 1994 to honour and respect the gift of human tissue donation by responsibly developing, processing and distributing life-saving and life-enhancing allografts for our communities. We offer more than 200 types of precise bone, skin, softtissue and custom-machined allografts for use in an array of life-saving and life-enhancing medical procedures. As the world s leader in fresh cartilage tissue used for joint repair and skin allografts to heal severe burns, AlloSource has grown into one of the largest tissue networks in the US with more than 400 employees. The world s largest processor of cellular bone allografts and deliver unparalleled expertise and customer service to the growing network of surgeons, partners and the country s most reputable Organ Procurement Organisations. As one of the leading innovators in maximising tissue donation with the goal of offering optimal solutions for healthcare providers and their patients, AlloSource is recognised by the medical community for its ability to process and provide high quality tissue.

5 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 5 Split Thickness Burn Care DELIVERING POWERFUL TREATMENT SOLUTIONS FOR BURN MANAGEMENT AlloSource has helped save the lives of thousands of patients suffering from traumatic burns and helped restore mobility to countless others. A recognised global leader in the processing and distribution of skin allografts for burn management and wounds resulting from burn injuries, AlloSource has become one of the largest suppliers of skin allografts used for these applications. All AlloSource grafts are human not animal/synthetically derived grafts Standard sizes up 300 cm 2 Offering a large variety of sizes Excellent availability and return options Non-Meshed (1:1 and 2:1 meshed grafts available also available) Cryopreserved skin allografts produced using a controlled-rate freezing process and cryoprotectants Cryopreserved allografts packed in peel pouches for easy handling AlloGraft Skin provides the following benefit when used as a temporary dressing on burns: * Pain management Infection control, protecting the wound bed from exposure Fluid maintenance, decreasing water and electrolyte loss Acceleration of granulation to support wound closure Conservation of autograft skin CODE: PRODUCT DESCRIPTION / SIZE Prices available on request AlloGraft Split Thickness - Non-meshed 150cm - 174cm 2 TELEPHONE: AlloGraft Split Thickness - Non-meshed 300cm 2 We also have meshed and other sizes available - Please call to discuss specific requirements Note - Sizes can vary * Clarke, RAF. Wound Repair: Overview and General Considerations. The Molecular and Cellular Biology of Wound Repair, Claark, RAF ed. Plenum, New York, pp * Data on file, versus published competitive product specification BURNS & PLASTICS

6 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 6 AlloSkin RT (Room Temperature) Alloskin RT (room temperature) meshed human dermal graft is a sterile skin graft for acute and chronic wound therapy. Skin allografts may mechanically protect the wound and provide biologic factors native to human skin, which may help stimulate the wound healing process. Our process uses e-beam irradiation to yield a pliable graft with broad clinical applications and room temperature storage, eliminating the need for costly cryo freezers. Extensive serological and microbiological testing increases safety of skin allografts. Benefits An easy to use room temperature graft eliminating clinical time Efficacious for use on difficult wounds AlloGraft Skin provides the following benefit when used as a temporary dressing on burns: * Decrease in patient pain Reduction in number of recurrent wound infections Decreases amount of fluid and protein loss and decreases bacterial burden ** Cost effective alternative to other biologically derived skin substitutes ** Robust enough to suture or staple without tearing ** Indications AlloSkin RT can be used homologously on any skin defect and is appropriate for use in traumatic and chronic wounds, including those where substructures like bone, ligament, nerve or muscle are exposed. CODE: PRODUCT DESCRIPTION / SIZE Prices available on request :1 Meshed, 5cm x 5cm (25 cm 2 ) :1 Meshed, 8cm x 10cm (80 cm 2 ) TELEPHONE: * Clarke, RAF. Wound Repair: Overview and General Considerations. The Molecular and Cellular Biology of Wound Repair, Claark, RAF ed. Plenum, New York, pp ** Rosales MA, Bruntz M, Armstrong DG. Gamma-irradiated human skin allograft: a potential treatment modality for lower extremity ulcers. Int Wound J 2004;1: WOUND CARE

7 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 7 AlloSkin AC ACELLULAR DERMAL MATRIX AlloSkin AC is a meshed dermis-only human skin allograft that has been decellularised while preserving the natural biologic components and structure of the dermal matrix to provide a natural healing environment for wounds. AlloSkin AC is a sterile tissue product, designed for a single application and ideal for acute and chronic wound therapy in the inpatient or outpatient setting. Benefits The graft provides a favourable microenvironment for bio-ingrowth to begin revascularisation and cellular repopulation. Single application often sufficient Ready-to-use off the shelf Pliable and stretchable for contouring to wound topography and maintenance of wound bed contact Robust enough to suture or staple ** Meshed (1:1) encouraging fluid drainage from the wound An easy to use room temperature graft eliminating preparation time Efficacious for use on difficult wounds AlloGraft Skin provides the following benefit when used as a temporary dressing on burns:* Decrease in patient pain Reduction in number of recurrent wound infections Decreases amount of fluid and protein loss and decreases bacterial burden Cost effective alternative to other biologically derived skin substitutes Robust enough to suture or staple without tearing Indications AlloSkin AC can be used on any skin defect and is appropriate for use in traumatic and chronic wounds, including those where substructures like bone, ligament, nerve or muscle are exposed. CODE: PRODUCT DESCRIPTION / SIZE Prices available on request AlloSkin AC 5cm x 5cm <1.0mm (T) (25cm 2 ) AlloSkin AC 5cm x 8cm <1.0mm (T) (40cm 2 ) TELEPHONE: * Clarke, RAF. Wound Repair: Overview and General Considerations. The Molecular and Cellular Biology of Wound Repair, Claark, RAF ed. Plenum, New York, pp ** Rosales MA, Bruntz M, Armstrong DG. Gamma-irradiated human skin allograft: a potential treatment modality for lower extremity ulcers. Int Wound J 2004;1: WOUND CARE

8 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 8 AlloSkin AlloSkin is a meshed human allograft skin for acute and chronic wound therapy. Comprised of cadaveric epidermis and dermis, skin allografts may mechanically protect the wound and provide biologic factors native to human skin, which may help to stimulate the wound healing process. Acute and Chronic Wounds Clinical success in burn care has led clinicians to use AlloGraft Skin to cover non-burn wounds both in acute and chronic wound applications. Can be used to cover exposed substructures such as bone, tendon, muscle or nerve * Commonly used on complex wounds such as lower extremity and foot ulcers caused by diabetes, arterial and venous disease, and acute wounds such as burns and dehisced surgical wounds * Benefits Scientific literature supports the fact that human allograft skin may assist in the wound healing response in the stalled wound by: * Stimulating wound infilling with granulation tissue - Acting as a barrier to bacterial invasion and triggering the immune response to reduce bioburden - Decreasing water, electrolyte and protein loss - Preventing desiccation of substructures - Stimulating neovascularisation * - Diminishing pain Pliable, stretchable and easy to handle Rapid thaw time in normal saline - readily available Long shelf life - AlloSkin is cryopreserved and has a five year storage life Can be used immediately at the clinician s discretion Less expensive than other biologically derived grafts, making advanced wound treatment accessible to more patients Indications Appropriate for wounds of any etiology * See full AlloSkin brochure for full list of references. CODE: PRODUCT DESCRIPTION / SIZE Prices available on request cm x 5cm (25cm 2 ) 1:1 TELEPHONE: cm x 10cm (80cm 2 ) 1: cm x 15cm (120cm 2 ) 1: cm x 5cm (25cm 2 ) 2: cm x 10cm (80cm 2 ) 2: cm x 15cm (120cm 2 ) 2:1 SOFT TISSUE REPAIR AND RECONSTRUCTION

9 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 9 AlloMend ACELLULAR DERMAL MATRIX FOR SOFT TISSUE REPAIR AND RECONSTRUCTION AlloMend offers a flexible and reliable graft that exceeds the tensile strength of the leading acellular matrix for more assurance in surgical repair of soft tissue.* Benefits Flexible, pliable human dermis - optimal handling characteristics enable precision placement Available in a variety of thicknesses and sizes wide range of surgical applications Terminally sterilised to a Sterility Assurance Level (SAL) of 10-6, with e-beam technology - minimises infection risk, while avoiding damaging tissue Two-year shelf life in room-temperature conditions no special handling or storage required Dual layer packaging - inner sterile pouch enables placement in sterile OR field Prehydrated - immediately ready to use, no need to wait for product to rehydrate AlloMend ADM exceeds the tensile strength of leading acellular dermal matrices for more assurance in surgical repair of integumental tissue All AlloSource grafts are human, not animal/synthetically derived grafts Indications For demanding applications such as ventral hernia repair, breast reconstruction, abdominal wall reconstruction, tendon augmentation and rotator cuff repair. Medium Thick Extra-Thick See overleaf for full product range * Data on file, versus published competitive product specification Prices available on request TELEPHONE: SOFT TISSUE REPAIR AND RECONSTRUCTION

10 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 10 AlloMend ACELLULAR DERMAL MATRIX FOR SOFT TISSUE REPAIR AND RECONSTRUCTION CODE: PRODUCT DESCRIPTION / SIZE Prices available on request AlloMend 4 x 16cm (64cm 2 ) mm (T) TELEPHONE: AlloMend 4 x 12cm (48cm 2 ) mm (T) AlloMend 4 x 14cm (56cm 2 ) mm (T) AlloMend 6 x 12cm (72cm 2 ) mm (T) AlloMend 6 x 14cm (84cm 2 ) mm (T) AlloMend 6 x 16cm (96cm 2 ) mm (T) AlloMend 8 x 12cm (96cm 3 ) mm (T) AlloMend 4 x 16cm (64cm 2 ) mm (XT) Medium AlloMend 4 x 12cm (48cm 2 ) mm (XT) AlloMend 4 x 4cm (56cm 2 ) mm (XT) AlloMend 6 x 12cm (72cm 2 ) mm (XT) AlloMend 6 x 14cm (84cm 2 ) mm (XT) AlloMend 6 x 16cm (96cm 2 ) mm (XT) AlloMend 8 x 12cm (96cm 2 ) mm (XT) Thick AlloMend 4 x 16cm (64cm 2 ) mm (XT) AlloMend 8 x 16cm (128cm 2 ) mm (XT) (M) Medium - ( mm) (T) Thick - ( mm) (XT) Extra Thick - ( mm) Extra-Thick We also provide a range of smaller sizes up 48cm 2 including medium thickness - please ask for details. SOFT TISSUE REPAIR AND RECONSTRUCTION

11 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 11 AlloWrap DS Double Sided (DS) Amnion Tissue AlloWrap DS is a human amniotic membrane designed to provide a biologic barrier following surgical repair. Amnion has shown to be immune privileged,*** anti-inflammatory and anti-fibrotic.** The double-sided membrane features two layers of amniotic tissue orientated with the epithelial layers facing outwards, eliminating application orientation restrictions. AllWrap Features Packaged moist Non-expansive tissue Stable, thin, strong membrane barrier Pliable tissue that conforms and settles within the surrounding tissues Easy to handle and position into place with or without suturing Benefits Tissue remains in surgical site greater than eight weeks * Double-sided epithelial layer allows for maximum tissue barrier opportunities as an onlay and/or in wrapping tissue applications Two-year shelf life Room temperature storage CODE: PRODUCT DESCRIPTION / SIZE Prices available on request Sizes (layered double-sided epithelial) AlloWrap DS 2cm x 2cm TELEPHONE: AlloWrap DS 2cm x 4cm AlloWrap DS 4cm x 4cm AlloWrap DS 4cm x 8cm *** (Immune privileged) Mamede Amniotic membrane: from structure and functions to clinical applications. May 18, Cell & Tissue Research. ** Mamede Amniotic membrane: from structure and functions to clinical applications. May 18, Cell & Tissue Research. * (Eight weeks) Samaniego, Adrian, B.Sc., AlloSource, Centennial, CO: Human amniotic tissue as an anti-adhesion, anti-fibrotic barrier in an ovine spinal laminectomy model. S U RG ICA L BA RRIER

12 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 12 Allograft - Order Process AlloMend, AlloWrap DS, AlloSkin TM AlloSkin RT, AlloWrap DS, AlloSkin AC Thank you for considering Joint Operations to supply you with an AlloSource Allograft. Process 1. Please contact your supplies/procurement department to raise an order number. 2. Once you have your order number please - service@jointoperations.co.uk or alternatively call your order through to When calling please ensure you have the correct product codes to hand. 4. Alternatively fill out the order form (attached) ensuring you have your order number. Please do not hesitate to call your local representative should you need and advice on which product to select.

13 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 13 VAT exemption on Human Tissue Joint Operations are the UK distributor for AlloSource AlloSkin, AlloSkin RT, AlloSkin AC, AlloMend and AlloWrap for use in Orthopaedic surgery. AlloSource was established in 1994 and is the only US tissue processor and distributor founded by the Federally mandated Organ Procurement Organisations (OPOs). The commitment of these OPOs to AlloSource demonstrates their confidence in the quality of AlloSource s tissue and the company s strong commitment to donors, surgeons and recipients. Until now these products have been subject to an additional VAT charge at its standard rate, currently at 20%, which is irrecoverable by the hospital. However, we are pleased to inform you that as from now, any of our products that are 100% derived from human tissue will now be VAT exempt, as these products qualify under Item 8, Group 7, Schedule 9, of the VAT act 1994.

14 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 14 Allograft Returns Policy IMPORTANT: If the freezer box is opened, the hospital will be charged in full. AlloSkin (Cryopreserved tissue) Joint Operations support a returns policy for AlloSkin. Our priority is to honour the gift of donation and ensure that any AlloSkin product is put to best use. In order to do this we need your help in ensuring the following: The freezer box has not been opened, thus ensuring the graft has been kept in its original frozen state. Cryopreserved tissue must remain at or below -40 o C. Please return to Joint Operations within 24hrs of delivery. Due to the nature of transporting AlloSkin return carriage charges will apply along with a restocking fee of 10%. Our returns policy is designed to ensure that no AlloSkin graft is ever lost. Thank you in advance for your support.

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16 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 16 Contacts For further information and support on ordering please contact: Rob Lyon Business Manager - Regenerative Woundcare Telephone: +44 (0) rob@jointoperations.co.uk For more information on Allografts follow AlloSource on For Education on tissue transplantation and honouring tissue donors:

17 Allosource-Woundcare-no prices_allosource Price List 15/12/ :54 Page 17 Customer Order Form Joint Ops Rep: Date: Key Contact: Hospital: Address: Postcode Phone/Fax: Cat Code Description Qty Price Total Price Special requirements Total Price JOINT OPERATIONS Suite 20 Anchor Business Centre Frankland Road, Blagrove Swindon, Wiltshire SN5 8YZ T: F: E: JODS/AS/ /v1