Anatomical Shoulder System

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1 Anatomical Shoulder System Adjustable. Convertible. Compatible.

2 Anatomical Shoulder System by Zimmer This unique system is like an individually produced prosthesis specifically designed for each patient. The modularity and design of the Anatomical Shoulder System allows accurate and reproducible reconstruction of the glenohumeral joint thus restoring improved kinematics of the limb. In order to reconstruct the proximal humerus anatomically it is necessary to reproduce the size and orientation of the humeral head accurately. The humeral head prosthesis is adjusted to this anatomical position on the humeral stem prosthesis and then firmly locked. With the removable head option, the stem is situated below the resection line for unobstructed glenoid access. Infinitely variable setting of the humeral head Inclination angle Cervicodiaphyseal angle The anatomical inclination angle of the humerus varies between 120 and 140. With the Anatomical Shoulder prosthesis the angle can be infinitely adjusted between 113 and / +30 Inclination Retroversion

3 This unique system is like an individually produced prosthesis specifically designed for each patient. Cemented Shoulder Prosthesis Removable Head Press-Fit (Uncemented) Shoulder Prosthesis Retroversion The anatomical retroversion of the humeral head is between +60 and -20. p C S Offset The center of the head is normally posterior and medial from the center of With the Anatomical Shoulder the diaphysis (humeral axis). prosthesis the retroversion can be infinitely adjusted between -30 to +30. m S=diaphysis (humeral axis) C=center of the head 2-7mm The extent of the medial and posterior offset varies from individual to individual and as a function of the size p=posterior offset (0-8mm) m=medial offset of the humerus. For the Anatomical Shoulder (2-12mm) prosthesis, the infinitely variable eccentricity, which takes account of the Offset offset, is from 2mm (Ø 40mm) to 7mm (Ø 52mm).

4 Anatomical Shoulder Implant Scope Product Number Description Cemented Stems Cemented Humeral Stem 7mm x 100mm w/removable Head Cemented Humeral Stem 9mm x 110mm w/removable Head Cemented Humeral Stem 12mm x 110mm w/removable Head Cemented Humeral Stem 14mm x 110mm w/removable Head Revision Cemented Stems Cemented Humeral Stem 7mm x 200mm w/removable Head Cemented Humeral Stem 9mm x 210mm w/removable Head Cemented Humeral Stem 12mm x 210mm w/removable Head Cemented Humeral Stem 14mm x 210mm w/removable Head Press-Fit Stems Press-Fit Humeral Stem 7mm x 100mm w/removable Head Press-Fit Humeral Stem 9mm x 110mm w/removable Head Press-Fit Humeral Stem 10.5mm x 110mm w/removable Head Press-Fit Humeral Stem 12mm x 110mm w/removable Head Press-Fit Humeral Stem 14mm x 110mm w/removable Head Humeral Head Implants Anatomical Shoulder Removable Head D40 H Anatomical Shoulder Removable Head D42 H Anatomical Shoulder Removable Head D44 H Anatomical Shoulder Removable Head D46 H Anatomical Shoulder Removable Head D48 H Anatomical Shoulder Removable Head D50 H Anatomical Shoulder Removable Head D52 H Anatomical Shoulder Removable Head D48 H Anatomical Shoulder Removable Head D50 H Anatomical Shoulder Removable Head D52 H Anatomical Shoulder Ball Taper Glenoid Implants: Pegged Glenoids Anatomical Shoulder Pegged Glenoid Small Anatomical Shoulder Pegged Glenoid Medium Anatomical Shoulder Pegged Glenoid Large Glenoid Implants: Keeled Glenoids Anatomical Shoulder Keeled Glenoid Small Anatomical Shoulder Keeled Glenoid Medium Anatomical Shoulder Keeled Glenoid Large Anatomical Shoulder Instrument Scope Product Number Description ANSH500 Case 1, Tray 1 (Primary Case) Tray (Empty) Rasp Tray Insert Rasp Handle Inserter/Extractor Screw for Rasps (5) Rasp Extractor Tool Rasp Humeral Stem 7mm

5 Rasp Humeral Stem 9mm Rasp Humeral Stem 10.5mm Rasp Humeral Stem 12mm Rasp Humeral Stem 14mm Humeral Reamer 7mm Humeral Reamer 9mm Humeral Reamer 10.5mm Humeral Reamer 12mm Humeral Reamer 14mm ANSH500 Case 1, Tray 2 (Primary Case) Tray (Empty) 5331 Hex Wrench, 5mm Tower Baseplate Holder for Oval Ball Taper Tower Column (2) Tower Top Plate Humeral Stem Setting Instrument Tower Allen Screw 5mm x 26mm Tower Allen Screw 5mm x 38.5mm Tower Poly Insert Tower Threaded Rod Holder for Oval Taper, Fracture Right Holder for Oval Taper, Fracture Left ANSH600 Case 2 (Primary Case) Tray (Empty) Screw for Humeral Head Trial Prosthesis (2) Humeral Head Trial Prosthesis 40mm x 14mm Humeral Head Trial Prosthesis 42mm x 15mm Humeral Head Trial Prosthesis 44mm x 16mm Humeral Head Trial Prosthesis 46mm x 16mm Humeral Head Trial Prosthesis 48mm x 17mm Humeral Head Trial Prosthesis 48mm x 20mm Humeral Head Trial Prosthesis 50mm x 18mm Humeral Head Trial Prosthesis 50mm x 21mm Humeral Head Trial Prosthesis 52mm x 19mm Humeral Head Trial Prosthesis 52mm x 23mm Humeral Head Impactor Torque Wrench Torque Wrench Nut 4.5mm Hex Screwdriver 2.5mm Anatomical Trial Ball Taper (2) Angle Gauge Resection Guide Kirschner Wire 2.0 x 60mm (2) Anatomical Impactor Anatomical Introduction Rod Anatomical Charging Device for Impactor

6 ANSH0100 Case 3 (Pegged Glenoid Case) Tray (Empty) Flexible Drill Shaft Rigid Shaft Glenoid Trial Prosthesis, Small, Pegged Glenoid Trial Prosthesis, Medium, Pegged Glenoid Trial Prosthesis, Large, Pegged Glenoid Drill Guide Kirschner Wire (3) Glenoid Milling Cutter Cannulated Handle Left Glenoid Drill Guide Right Glenoid Drill Guide Glenoid Reamer, Small Glenoid Reamer, Medium Glenoid Reamer, Large Sclerotic Reamer Glenoid Milling Cutter Handle Glenoid Impactor Holding Forceps Humeral Cut Protector, Size Humeral Cut Protector, Size Humeral Cut Protector, Size Glenoid Countersink Glenoid Centering Peg (3) Glenoid Drill (2) Pegged Glenoid Cementing Instrument ANSH700 Case 4, Tray 1 (Revision Case) Tray (Empty) Humeral Trial Prosthesis 7mm Humeral Trial Prosthesis 9mm Humeral Trial Prosthesis 10.5mm Humeral Trial Prosthesis 12mm Humeral Trial Prosthesis 14mm Locking Screw for Sleeve (2) Floating Disc for Adjustment Gauge Centering Peg for Adjustment Gauge (2) Adjustment Gauge Long Spring Adjustment Gauge Long Column Adjustment Gauge Base Plate Adjustment Gauge Bushing Holder Adjustment Gauge Floating Disc Holder Sleeve for Adjustment Gauge, Sleeve for Adjustment Gauge, Sleeve for Adjustment Gauge, Sleeve for Adjustment Gauge, Sleeve for Adjustment Gauge, 14 ANSH700 Case 4, Tray 2 (Revision Case) Tray (Empty) 5331 Hex Wrench, 5mm Split Chuck Chisel Humeral Provisional Extractor Humeral Head Extractor Anatomical Slide Hammer Weight Anatomical Thread Cutting Guide Anatomical Milling Cutter RH Anatomical Milling Cutter Anatomical Drilling Guide, Revision Anatomical Screw Anatomical Adaptor Anatomical Drill Humeral Stem Setting Instrument Tightening Screw X-Pin (2) Distance Disc Extension Rod ANSH0101 Keeled Glenoid Case Keeled Glenoid Handle for Cement Setting Small & Medium Keeled Glenoid Rasp Large Keeled Glenoid Rasp Large Keeled Glenoid Cement Setting Instrument Small & Medium Keeled Glenoid Cement Setting Instrument Large Keeled Glenoid Trial Medium Keeled Glenoid Trial Small Keeled Glenoid Trial Large Keeled Glenoid Drill Guide Small & Medium Keeled Glenoid Drill Guide Small Grey Lid Keeled Glenoid Tray (Empty) Additional Instruments Alignment Rod Straight Rasp Handle Inserter/Extractor D Glenoid Drill Guide Replacement Screws for Glenoid Drill Guide (2) Contact your Zimmer representative or visit us at +H /$100714R4G10K Rev E02 1ML Printed in USA 2005, 2008, 2010 Zimmer, Inc.

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