FOR INTERNAL USE ONLY. Shoulder System. Pocket Reference Guide

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1 FOR INTERNAL USE ONLY Shoulder System Pocket Reference Guide

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3 FOR INTERNAL USE ONLY TITAN TOTAL SHOULDER SYSTEM (TSS)

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5 Titan Total Shoulder System Overview with Main Talking Points TSS Interchangeable bodies, stems, and humeral heads in a wide variety of sizes allow customized fit to individual patient anatomy Multiple length and fixation options of humeral stems address varying bone quality Modularity and convertibility of humeral components provides an easy path to revision without removing a well-fixed stem Product Specs Materials Press-Fit Stems Cemented Stems (including long stems) Humeral Heads Bodies, Primary and Fracture Glenoids Body Screw Titanium with Ti plasma sprayed splines Cobalt-chromium Cobalt-chromium Titanium with Ti plasma spray coating Ultra-high Molecular Weight Polyethylene (UHMWPE), Highly cross-linked Ultra-high Molecular Weight Polyethylene (HXL- UHMWPE) Titanium FOR INTERNAL USE ONLY 2

6 Instrument Dimensions Drills Reference Description Bit Length Diameter DRL Cannulated Center Starter Drill 11.4mm 5mm DRL Cannulated Peg Drill 16.3mm 5.3mm DRL TSS Glenoid Solid Peg Drill 17.9mm 5.3mm DRL C Fin-Lock Central Peg Drill, 15mm, Cannulated 15.2mm 7.4mm DRL C Fin-Lock Central Peg Drill, 18mm, Cannulated 18.3mm 7.4mm DRL S Fin-Lock Central Peg Drill, 15mm, Solid 16.2mm 8.1mm DRL S Fin-Lock Central Peg Drill, 18mm, Solid 19.2mm 8.1mm DRL Fin-Lock Starter Drill 13.9mm 4.9mm DRL Fin-Lock Peripheral Drill 13.7mm 5.3mm 3 FOR INTERNAL USE ONLY Titan Total Shoulder System

7 Implant Dimensions Press-Fit Dimensions (mm), Ti Diameter A Diameter B Diameter C TSS Press Fit Stems Length Drawings are not actual size. Reference Description Length Dia. A Dia. B Dia. C Spine Depth No. of Splinters STEM TSS Press-Fit Stem, Sz mm 11.6mm 6.8mm 4.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 12.4mm 7.6mm 5.3mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 13.7mm 9mm 6.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 14.4mm 9.9mm 7.4mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 15.4mm 10.9mm 8.5mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 16.5mm 12.1mm 9.5mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 17.5mm 13.2mm 10.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 18.5mm 14.2mm 11.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 19.5mm 15.3mm 12.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 20.5mm 16.4mm 13.5mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 21.5mm 17.4mm 14.7mm 1mm 12 Titan Total Shoulder System FOR INTERNAL USE ONLY 4

8 Implant Dimensions Cemented Stem Dimensions (mm), CoCr Diameter A Diameter B Diameter C Length Cemented Stems Drawings are not actual size. Reference Description Length Dia. A Dia. B Dia. C No. of Flutes STEM TSS Cemented Stem, Sz mm 9.6mm 6.1mm 4.6mm 4 STEM TSS Cemented Stem, Sz mm 11.6mm 8.1mm 6.7mm 4 STEM TSS Cemented Stem, Sz mm 13.4mm 9.9mm 8.5mm 4 STEM TSS Cemented Stem, Sz mm 15.4mm 11.9mm 10.6mm 4 STEM TSS Cemented Stem, Sz mm 17.5mm 14mm 12.6mm 4 5 FOR INTERNAL USE ONLY Titan Total Shoulder System

9 Implant Dimensions Cemented Stem Dimensions (mm), CoCr Diameter A Diameter B Diameter C TSS Cemented Long Stems Length Drawings are not actual size. Reference Description Length Dia. A Dia. B Dia. C No. of Flutes STEM TSS Cemented Long Stem, Sz mm 125mm 11.5mm 8mm 6mm 4 STEM TSS Cemented Long Stem, Sz mm 165mm 11.5mm 8mm 6mm 4 STEM TSS Cemented Long Stem, Sz mm 125mm 13.5mm 10mm 8mm 4 STEM TSS Cemented Long Stem, Sz mm 165mm 13.5mm 10mm 8mm 4 STEM TSS Cemented Long Stem, Sz mm 125mm 15.5mm 12mm 10mm 4 STEM TSS Cemented Long Stem, Sz mm 165mm 15.5mm 12mm 10mm 4 Titan Total Shoulder System FOR INTERNAL USE ONLY 6

10 Implant Dimensions Integra vs. Competitor Head Sizing Integra Sizing Competitor Sizing 46.5mm 21 mm 18 mm 15 mm 21mm 18mm 15mm 45.5mm 43.5mm 48mm Spherical Diameter Sizing: / / mm TITAN Base Width Diameter Sizing: / / Base Width Diameters: base width same for each height Spherical Diameters: base width changes with each height Drawings are not actual size. 7 FOR INTERNAL USE ONLY Titan Total Shoulder System

11 Implant Dimensions Humeral Heads Dimensions (mm), CoCr Height TSS Humeral Heads Reference Description Height Width Spherical Dia. Offset (eccentric) Concentric MHH X TSS CoCr Head, x14mm 14mm 38mm 41mm 2.5mm No option MHH X TSS CoCr Head, x15mm 15mm 40mm 43mm 2.5mm No option MHH X TSS CoCr Head, x16mm 16mm 42mm 45mm 4mm C MHH X TSS CoCr Head, x16mm 16mm 44mm 48mm 4mm C MHH X TSS CoCr Head, x19mm 19mm 44mm 45mm 4mm C MHH X TSS CoCr Head, x14mm 14mm 46mm 54mm 4mm C MHH X TSS CoCr Head, x17mm 17mm 46mm 49mm 4mm C MHH X TSS CoCr Head, x20mm 20mm 46mm 47mm 4mm C MHH X TSS CoCr Head, x15mm 15mm 48mm 56mm 4mm C MHH X TSS CoCr Head, x18mm 18mm 48mm 51mm 4mm C MHH X TSS CoCr Head, x21mm 21mm 48mm 49mm 4mm C MHH X TSS CoCr Head, x19mm 19mm 50mm 53mm 4mm C MHH X TSS CoCr Head, x22mm 22mm 50mm 51mm 4mm C MHH X TSS CoCr Head, x20mm 20mm 52mm 55mm 4mm C Titan Total Shoulder System Width FOR INTERNAL USE ONLY Spherical Diameter 0 Drawings are not actual size. 8

12 Implant Dimensions Fracture Body Dimensions (mm), Ti Primary Body Dimensions (mm), Ti Trunnion Offset Max Length Base Diameter Height TSS Bodies, Primary and Fracture Max Width Trunnion Offset Base Diameter Max Length Reference Description Height Max Length Max Width Base Dia. Trunnion Offset BOD STD TSS Primary Proximal Body, STD 35mm 16.9mm 11.6mm 11.6mm 8mm BOD SML TSS Primary Proximal Body, SML 30mm 17.8mm 13.7mm 13.7mm 8mm BOD STD TSS Primary Proximal Body, STD 35mm 18.1mm 13.7mm 13.7mm 8mm BOD LRG TSS Primary Proximal Body, LRG 40mm 18.3mm 13.7mm 13.7mm 8mm BOD STD TSS Primary Proximal Body, STD 35mm 19.2mm 15.4mm 15.4mm 8mm BOD SML TSS Primary Proximal Body, SML 30mm 20.4mm 17.5mm 17.5mm 8mm BOD STD TSS Primary Proximal Body, STD 35mm 20.6mm 17.5mm 17.5mm 8mm BOD LRG TSS Primary Proximal Body, LRG 40mm 20.7mm 17.5mm 17.5mm 8mm BOD SML TSS Fracture Body, SML 30mm 16.7mm 11.6mm 11.6mm 8mm BOD STD TSS Fracture Body, STD 35mm 16.9mm 11.6mm 11.6mm 8mm BOD LRG TSS Fracture Body, LRG 40mm 17.1mm 11.6mm 11.6mm 8mm 9 FOR INTERNAL USE ONLY Titan Total Shoulder System Height Max Width Drawings are not actual size.

13 Pegged Glenoids Implant Dimensions Thickness Height Width Spherical Diameter 0 48mm x 15mm Head: Sphereical Diameter = 56mm Medium Glenoid: Spherical Diameter = 64mm Diametrical Mismatch = 8mm Radial Mismatch = 4mm Drawings are not actual size. TSS Reference Description Height Width Spherical Dia. Peg Length Central Peg Length Peripheral Peg Dia. Thickness GLN P TSS Pegged Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 14mm 6.4mm 5mm 4mm GLN P TSS Pegged Glenoid, Sz. Small 34.3mm 24.9mm 59mm 14mm 6.4mm 5mm 4mm GLN P TSS Pegged Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 15.2mm 6.4mm 5mm 4mm GLN P TSS Pegged Glenoid, Sz. Large 39.4mm 28.9mm 66mm 15.2mm 6.4mm 5mm 4mm Keeled Glenoids Reference Description Height Width Spherical Dia. Keel Length Keel Height Keel Width Thickness GLN K TSS Keeled Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 14mm 22.9mm 4.1mm 4mm GLN K TSS Keeled Glenoid, Sz. Small 34.3mm 24.9mm 59mm 14mm 22.9mm 4.1mm 4mm GLN K TSS Keeled Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 15.2mm 25.4mm 5.1mm 4mm GLN K TSS Keeled Glenoid, Sz. Large 39.4mm 28.9mm 66mm 15.2mm 25.4mm 5.1mm 4mm Titan Total Shoulder System FOR INTERNAL USE ONLY 10

14 Implant Dimensions TSS Fin-Lock Glenoid Spherical Diameter 0 Central Peg Length Height Width Fin-Lock Glenoids Reamer Diameter 0 Reference Description Height Width Spherical Dia. Reamer Dia. Central Peg Length GLN A TSS Fin-Lock Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 62mm 15mm GLN A TSS Fin-Lock Glenoid, Sz. Small 34.3mm 24.9mm 59mm 67mm 15mm GLN A TSS Fin-Lock Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 72mm 18mm GLN A TSS Fin-Lock Glenoid, Sz. Large 39.4mm 28.9mm 66mm 74mm 18mm 11 FOR INTERNAL USE ONLY Titan Total Shoulder System

15 Implant Dimensions Central Peg Dia. Core Central Peg Dia. Fin TSS Fin-Lock Glenoid Peripheral Peg Dia. Thickness Height TSS Width Fin-Lock Glenoids (continued) Central Peg Fin Spacing Peripheral Peg Length Central Peg Dia.Core Central Peg Dia. Fin Central Peg Fin Spacing Peripheral Peg Length Peripheral Peg Dia. Thickness 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm Screws Reference Description Total Length Thread Length Major Dia. Minor Dia. BSW TSS Body Screw 25.4mm 7.6mm 4.72mm 4.69mm Titan Total Shoulder System FOR INTERNAL USE ONLY 12

16 Surgical Technique Steps-at-a-Glance TSS with Non-Cannulated Pegged or Keeled Glenoid 1. Expose Joint 2. Resect Head 3. Expose glenoid 4. Size glenoid 5. Drill central hole 6. Ream glenoid 7. Drill central hole 8. Add center anti-rotation peg 9. Drill peripheral holes 10. Remove bone between peg holes (keeled glenoid only) 11. Punch 12. Trial 13. Cement 14. Implant Glenoid 15. Trial Distal Stem and Proximal Body 16. Osteotomy sizing, Head Trialing 17. Humeral implant assembly 13 FOR INTERNAL USE ONLY Titan Total Shoulder System

17 Surgical Technique Steps-at-a-Glance TSS TSS with Cannulated Keeled or Pegged Glenoid 1. Expose Joint 2. Resect Head 3. Expose glenoid 4. Size glenoid 5. Place guidewire 6. Ream glenoid 7. Drill central hole 8. Add center anti-rotation peg 9. Drill peripheral holes 10. Remove bone between peg holes (Keeled glenoid only) 11. Punch 12. Trial 13. Cement 14. Implant Glenoid 15. Trial Distal Stem and Proximal Body 16. Osteotomy sizing, Head trialing 17. Humeral implant assembly Titan Total Shoulder System FOR INTERNAL USE ONLY 14

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19 FOR INTERNAL USE ONLY REVERSE SHOULDER SYSTEM (RSS)

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21 Reverse Shoulder System Overview with Main Talking Points Anatomically contoured baseplate with 4 variable angle peripheral screws and an independent central screw Two piece platform-based system that allows you to convert from a Hemi, to Total to Reverse and back to a Hemi without removing a well fixed stem, but still allows you to alter the version Multiple glenosphere, humeral poly liner, and body options allow for both appropriate lateralization and soft tissue tensioning combinations, addressing varying patient anatomy Product Specs Materials Reverse Humeral Bodies Liners Glenospheres Glenosphere Baseplate Press Fit Stems Body Screw Cemented Stems Screws Titanium with Asymmatrix Coating Ultra-high Molecular Weight Polyethylene (UHMWPE) Cobalt-chromium Titanium with Asymmatrix Coating Titanium with Ti plasma sprayed splines Cobalt-chromium Titanium RSS FOR INTERNAL USE ONLY 18

22 Instrument Dimensions Drills Reference Description Bit Length Diameter DRL mm Drill Bit for 5.5mm SCW 61mm 2.8mm DRL mm Drill Bit for 4.5mm SCW 61mm 2.5mm DRL Baseplate Boss Drill 10.7mm 8mm DRL Cannulated Drill for 15mm Cent. Peg 15.7mm 12.1mm DRL Cannulated Drill for 25mm Cent. Peg 26.1mm 12.1mm 19 FOR INTERNAL USE ONLY Reverse Shoulder System

23 Body Implant Dimensions 0B Height 142 RSS Bodies 0A Drawings are not actual size. Reference Description Height Diameter A Diameter B BBS SML Reverse Humeral Body - Size SML 30mm 12.1mm 38.7mm BBS STD Reverse Humeral Body - Size STD 35mm 12.1mm 38.7mm BBS LRG Reverse Humeral Body - Size LRG 40mm 12.1mm 38.7mm Body Screw (packaged with body) Reference Description Total Length Shaft Length Major Dia. Minor Dia. BSW Reverse Body Screw 21mm 17mm 4.7mm 3.8mm Reverse Shoulder System FOR INTERNAL USE ONLY 20

24 Liners Implant Dimensions Total Height Wall Thickness Exposed Height Enclosed Depth 0A Liners Drawings are not actual size. Reference Description Height Enclosure Depth Exposed Height Dia. A Wall Thickness Spherical Dia. LNR S Liner, Standard 0 14mm 9.6mm 5.2mm 38.7mm 2.7mm 38mm LNR S Liner, Standard 3 17mm 9.6mm 8.2mm 38.7mm 2.7mm 38mm LNR S Liner, Standard 6 20mm 9.6mm 11.2mm 38.7mm 2.7mm 38mm LNR S Liner, Standard 9 23mm 9.6mm 14.2mm 38.7mm 2.7mm 38mm LNR R Liner, Retentive 0 17mm 12.6mm 8.2mm 38.7mm 1.25mm 38mm LNR R Liner, Retentive 3 20mm 12.6mm 11.2mm 38.7mm 1.25mm 38mm LNR R Liner, Retentive 6 23mm 12.6mm 14.2mm 38.7mm 1.25mm 38mm LNR R Liner, Retentive 9 26mm 12.6mm 17.2mm 38.7mm 1.25mm 38mm 21 FOR INTERNAL USE ONLY Reverse Shoulder System

25 Glenospheres Implant Dimensions Glenospheres Spherical Diameter Height Eccentricity A Glenospheres Baseplates Height Width Spherical Diameter Central Peg Length Drawings are not actual size. RSS Reference Description Spherical Dia. Depth A Height Eccentricity Inferior Lip Length GLS C Glenosphere, Concentric, 2mm 38mm 2mm 16mm No GLS C Glenosphere, Concentric, 5mm 38mm 5mm 19mm No GLS Glenosphere, Eccentric, 2mm 38mm 2mm 16mm 4mm GLS E Glenosphere, Eccentric, 2mm 38mm 5mm 19mm 4mm GLS EL Glenosphere, Eccentric w/lip, 2mm 38mm 2mm 19mm 4mm 3mm Glenosphere Baseplates Reference Description Height Width Thickness Spherical Dia. Central Peg Length Central Peg Dia. GBP Reverse Baseplate, 15mm 27.3mm 22.8mm 2mm 62mm 15mm 12.7mm GBP Reverse Baseplate, 25mm 27.3mm 22.8mm 2mm 62mm 25mm 12.mm Reverse Shoulder System FOR INTERNAL USE ONLY 22

26 Implant Dimensions Press-Fit Dimensions (mm), Ti Diameter A Diameter B Diameter C Press-Fit Stems Length Drawings are not actual size. Reference Description Length Dia. A Dia. B Dia. C Spine Depth No. of Splinters STEM TSS Press-Fit Stem, Sz mm 11.6mm 6.8mm 4.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 12.4mm 7.6mm 5.3mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 13.7mm 9mm 6.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 14.4mm 9.9mm 7.4mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 15.4mm 10.9mm 8.5mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 16.5mm 12.1mm 9.5mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 17.5mm 13.2mm 10.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 18.5mm 14.2mm 11.6mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 19.5mm 15.3mm 12.6mm 1mm 12 STEM TSS Press-FitStem, Sz mm 20.5mm 16.4mm 13.5mm 1mm 12 STEM TSS Press-Fit Stem, Sz mm 21.5mm 17.4mm 14.7mm 1mm FOR INTERNAL USE ONLY Reverse Shoulder System

27 Implant Dimensions Cemented Stem Dimensions (mm), CoCr Diameter A Diameter B Diameter C Cemented Stems Length Drawings are not actual size. RSS Reference Description Length Dia. A Dia. B Dia. C No. of Flutes STEM TSS Cemented Stem, Sz mm 9.6mm 6.1mm 4.6mm 4 STEM TSS Cemented Stem, Sz mm 11.6mm 8.1mm 6.7mm 4 STEM TSS Cemented Stem, Sz mm 13.4mm 9.9mm 8.5mm 4 STEM TSS Cemented Stem, Sz mm 15.4mm 11.9mm 10.6mm 4 STEM TSS Cemented Stem, Sz mm 17.5mm 14mm 12.6mm 4 Reverse Shoulder System FOR INTERNAL USE ONLY 24

28 Implant Dimensions 4.5mm Screw Major Diameter Minor Diameter Locking Screw Cap Height Screws (4.5mm) Length Drawings are not actual size. Reference Description Total Length Major Dia Minor Dia SSC mm Screw; 15mm Length 15mm 4.5mm 2.5mm SSC mm Screw; 20mm Length 20mm 4.5mm 2.5mm SSC mm Screw; 25mm Length 25mm 4.5mm 2.5mm SSC mm Screw; 30mm Length 30mm 4.5mm 2.5mm SSC mm Screw; 35mm Length 35mm 4.5mm 2.5mm SSC mm Screw; 40mm Length 40mm 4.5mm 2.5mm SSC mm Screw; 45mm Length 45mm 4.5mm 2.5mm SSC mm Screw; 50mm Length 50mm 4.5mm 2.5mm SSC mm Screw; 55mm Length 55mm 4.5mm 2.5mm 25 FOR INTERNAL USE ONLY Reverse Shoulder System

29 Implant Dimensions 5.5mm Screw Major Diameter Locking Screw Cap Height RSS Length Minor Diameter Drawings are not actual size. Screws (5.5mm) Reference Description Total Length Major Dia Minor Dia SCW mm Screw; 20mm Length 20mm 5.5mm 2.8mm SCW mm Screw; 25mm Length 25mm 5.5mm 2.8mm SCW mm Screw; 30mm Length 30mm 5.5mm 2.8mm SCW mm Screw; 35mm Length 35mm 5.5mm 2.8mm SCW mm Screw; 40mm Length 40mm 5.5mm 2.8mm Locking Screw Cap Reference Description Height Diameter Locking Screw Cap Packaged with Screws 3mm 6mm Reverse Shoulder System FOR INTERNAL USE ONLY 26

30 Surgical Technique Steps-at-a-Glance Reverse Shoulder System 1. Expose Joint 2. Resect Head 3. Impact humeral canal with stem trials 4. Insert trial stem with reamer guide body 5. Ream proximal humerus 6. Insert Stem/Body trial 7. Expose glenoid 8. Place guidewire 9. Drill starter hole 10. Ream glenoid 11. Drill center hole 12. Drill inferior hole, place peg 13. Insert baseplate 14. Drill and measure center screw hole 15. Insert 5.5mm screw in center hole 16. Drill and measure peripheral screw holes 17. Insert 4.5mm screws 18. Lock inferior and superior peripheral screws 19. Glenosphere trial 20. Use peripheral reamer if necessary 21. Poly liner trial 22. Glenosphere placement 23. Humeral implant assembly 24. Stem/Body implantation 25. Poly Liner insertion 27 FOR INTERNAL USE ONLY Reverse Shoulder System

31 Surgical Technique Steps-at-a-Glance TSS to RSS Conversion 1. Remove humeral head 2. Remove humeral body - Leave well-fixed stem in bone 3. Change version with osteotomy 4. Definitive Stem humeral reaming 5. Definitive Stem RSS body trialing 6. Humeral and glenoid prep per standard procedure RSS Reverse Shoulder System FOR INTERNAL USE ONLY 28

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33 FOR INTERNAL USE ONLY HUMERAL RESURFACING ARTHROPLASTY (HRA)

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35 Humeral Resurfacing Arthroplasty Overview with Main Talking Points Unique 4-fin stem design offers increased rotational and axial stability with minimized toggling. This design, combined with a plasma spray-coated underside, enhances fixation and osseo-integration, eliminating the need for cement. Wide range of height and diameter options to mimic the natural anatomy of the humeral head, helping to provide intra-operative fit and restore native joint mechanics Product Specs Materials Cobalt-Chromium with Titanium plasma spray undercoating HRA Resurfacing with limited articular head surface reaming allows minimal bone removal and provides an open revision path. Humeral Resurfacing Arthroplasty FOR INTERNAL USE ONLY 32

36 Instrument Dimensions Drills Reference Description Bit Length Diameter A (Thickness) Diameter B (Thinnest) CTD Center Drill, Size mm 9mm 7.3mm CTD Center Drill, Size 2 31mm 10.3mm 8.5mm CTD Center Drill, Size mm 11.6mm 9.8mm Broaches Reference Description Broach Depth Broach Width Broach Point Diameter BRH Humoral Broach, Size mm 17.6mm 3.2mm BRH Humoral Broach, Size 2 31mm 20.1mm 3.2mm BRH Humoral Broach, Size mm 22.7mm 3.2mm 33 FOR INTERNAL USE ONLY Humeral Resurfacing Arthroplasty

37 Implant Dimensions Implant Dimensions (mm) 'B' 'C' 'D' 0 'A' HRA Components Drawings are not actual size. Reference Description Diameter Head Height Overall Length Stem Width HRA /16 Titan Implant, Sz mm 16mm 29.7mm 16.8mm HRA /15 Titan Implant, Sz mm 15mm 29.7mm 16.9mm HRA /16 Titan Implant, Sz mm 18mm 29.7mm 16.6mm HRA /16 Titan Implant, Sz mm 17mm 32.3mm 19.3mm HRA /16 Titan Implant, Sz mm 20mm 32.3mm 19.1mm HRA /16 Titan Implant, Sz mm 18mm 34.8mm 21.7mm HRA /16 Titan Implant, Sz mm 21mm 34.8mm 21.5mm HRA /16 Titan Implant, Sz mm 21mm 34.8mm 21.5mm Humeral Resurfacing Arthroplasty FOR INTERNAL USE ONLY 34 HRA

38 Surgical Technique Steps-at-a-Glance Humeral Resurfacing Arthroplasty 1. Expose humeral head 2. Position Centralizer/Sizer 3. Place Steinmann Pin 4. Size humeral head 5. Shape humeral head 6. Drill stem pilot hole 7. Trial 8. Center Drill to size (see chart) 9. Starter Broach 10. Broach to size (see chart) 11. Impact component The Centralizer/Sizer s outer dimensions are the same as the implant s outer dimension. Therefore, the inside of the Centralizer/Sizer will indicate the amount of bone resection performed by the shaper. Good fit shaping will create a rim of bone for implant to seat. Implant STM DRL 1 DRL 2 DRL 3 ST BRH BRH1 BRH2 BRH3 40/ / / / / / / /21 3 NOTE: Size 1, 2 and 3 Adapter Plugs are provided if reshaping is necessary after use of size 1, 2 and 3 Center Drills respectively. 35 FOR INTERNAL USE ONLY Humeral Resurfacing Arthroplasty

39 PROXIMAL HUMERAL FRACTURE PLATE SYSTEM (HFP) FOR INTERNAL USE ONLY

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41 Proximal Humeral Fracture Plate System Overview with Main Talking Points Two plate designs address a wide variety of fracture cases: Low Profile plate reduces soft tissue irritation and is designed to be placed 2cm distal to the rotator cuff attachment to minimize subacromial impingement. Greater Tuberosity plate is placed further proximally on greater tuberosity to allow increased coverage and bone purchase. Product Specs Materials Stainless Steel SS 316L (Plates and Screws) Both plate designs have four precise holes for medial column support and "kickstand screws" to provide stable fixation in the calcar neck, while preventing varus tilt and settling of the humeral head. HFP Scalloped suture holes allow for soft tissue and tuberosity fixation after plate positioning and fixation Proximal Humeral Fracture Plate System FOR INTERNAL USE ONLY 38

42 Instrument Dimensions Drills Reference Description Bit Length Diameter DRL mm Drill Bit 57mm 1.9mm DRL mm Drill Bit 97mm 2.4mm DRL mm Drill Bit 64mm 3.5mm 39 FOR INTERNAL USE ONLY Proximal Humeral Fracture Plate System

43 Implant Dimensions Plates See next page for drawing Reference Description Total Plate Length (A) Distal Shaft Section Length (B) Distal Plate Width (C) Proximal Plate Width (D) Proximal* Plate Thickness Distal* Plate Thickness HFP RS GT Humeral Fracture Plate 4-hole, Right 91mm 47.3mm 13.4mm 24.5mm 5.47mm 3.6mm HFP LS GT Humeral Fracture Plate 4-hole, Left 91mm 47.3mm 13.4mm 24.5mm 5.47mm 3.6mm HFP RS GT Humeral Fracture Plate 7-hole, Right 116mm 71.2mm 13.4mm 24.5mm 5.47mm 3.6mm HFP LS GT Humeral Fracture Plate 7-hole, Left 116mm 71.2mm 13.4mm 24.5mm 5.47mm 3.6mm HFP RS GT Humeral Fracture Plate 10-hole, Right 140mm 95mm 13.4mm 24.5mm 5.47mm 3.6mm HFP LS GT Humeral Fracture Plate 10-hole, Left 140mm 95mm 13.4mm 24.5mm 5.47mm 3.6mm HFP RS LP Humeral Fracture Plate 3-Hole, Right 89mm 22mm 13.4mm 22.3mm 3.3mm 2.9mm HFP LS LP Humeral Fracture Plate 3-Hole, Left 89mm 22mm 13.4mm 22.3mm 3.3mm 2.9mm HFP RS LP Humeral Fracture Plate 6-Hole, Right 112mm 45.9mm 13.4mm 22.3mm 3.3mm 2.9mm HFP LS LP Humeral Fracture Plate 6-Hole, Left 112mm 45.9mm 13.4mm 22.3mm 3.3mm 2.9mm HFP RS LP Humeral Fracture Plate 9-Hole, Right 135mm 69.7mm 13.4mm 22.3mm 3.3mm 2.9mm HFP LS LP Humeral Fracture Plate 9-Hole, Left 135mm 69.7mm 13.4mm 22.3mm 3.3mm 2.9mm HFP *Approximate Plate Thickness Thickness varies slightly across length of plate. Listed thicknesses are taken at the thickest point of each plate section. Proximal Humeral Fracture Plate System FOR INTERNAL USE ONLY 40

44 Implant Dimensions Greater Tuberosity Humeral Fracture Plate Proximal Plate Width (D) Low Profile Humeral Fracture Plate Proximal Thickness Proximal Thickness Distal Shaft Section Length (B) Total Plate Length (A) Distal Thickness Distal Thickness Distal Plate Width (C) Drawings are not actual size. 41 FOR INTERNAL USE ONLY Proximal Humeral Fracture Plate System

45 Implant Dimensions 2.7mm Locking Screw Major Diameter 2.7mm Locking Screws Thread Length Overall Length Minor Diameter Drawings are not actual size. Reference Description Overall Length Thread Length Major Dia Minor Dia PSS-2710LS 2.7mm Locking Screw, 10mm 13.6mm 10mm 2.7mm 1.9mm PSS-2712LS 2.7mm Locking Screw, 12.5mm 16.1mm 12.5mm 2.7mm 1.9mm PSS-2715LS 2.7mm Locking Screw, 15mm 18.6mm 12mm 2.7mm 1.9mm PSS-2717LS 2.7mm Locking Screw, 17.5mm 20.3mm 17.5mm 2.7mm 1.9mm PSS-2720LS 2.7mm Locking Screw, 20mm 23.6mm 20mm 2.7mm 1.9mm PSS-2722LS 2.7mm Locking Screw, 22.5mm 26.1mm 22.5mm 2.7mm 1.9mm PSS-2725LS 2.7mm Locking Screw, 25mm 28.6mm 25mm 2.7mm 1.9mm HFP Proximal Humeral Fracture Plate System FOR INTERNAL USE ONLY 42

46 Implant Dimensions HFP 3.5mm locking screw Major Diameter 3.5mm Locking Screws Thread Length Overall Length Minor Diameter Drawings are not actual size. Reference Description Overall Length Thread Length Major Dia Minor Dia PSS-3515LS 3.5mm Locking Screw, 15mm 17.8mm 15mm 3.5mm 2.4mm PSS-3517LS 3.5mm Locking Screw, 17.5mm 20.2mm 17.5mm 3.5mm 2.4mm PSS-3520LS 3.5mm Locking Screw, 20mm 22.7mm 20mm 3.5mm 2.4mm PSS-3522LS 3.5mm Locking Screw, 22.5mm 25.2mm 22.5mm 3.5mm 2.4mm PSS-3525LS 3.5mm Locking Screw, 25mm 27.7mm 25mm 3.5mm 2.4mm PSS-3527LS 3.5mm Locking Screw, 27.5mm 30.3mm 27.5mm 3.5mm 2.4mm PSS-3530LS 3.5mm Locking Screw, 30mm 32.7mm 30mm 3.5mm 2.4mm PSS-3532LS 3.5mm Locking Screw, 32.5mm 35.3mm 32.5mm 3.5mm 2.4mm PSS-3535LS 3.5mm Locking Screw, 35mm 37.7mm 35mm 3.5mm 2.4mm 43 FOR INTERNAL USE ONLY Proximal Humeral Fracture Plate System

47 Implant Dimensions HFP 3.5mm locking screw Major Diameter 3.5mm Locking Screws Thread Length Overall Length Minor Diameter Drawings are not actual size. Reference Description Overall Length Thread Length Major Dia Minor Dia PSS-3537LS 3.5mm Locking Screw, 37.5mm 40.2mm 37.5mm 3.5mm 2.4mm PSS-3540LS 3.5mm Locking Screw, 40mm 42.7mm 40mm 3.5mm 2.4mm PSS-3545LS 3.5mm Locking Screw, 45mm 47.8mm 45mm 3.5mm 2.4mm PSS-3550LS 3.5mm Locking Screw, 50mm 52.8mm 50mm 3.5mm 2.4mm PSS-3555LS 3.5mm Locking Screw, 55mm 57.7mm 55mm 3.5mm 2.4mm PSS-3560LS 3.5mm Locking Screw, 60mm 62.7mm 60mm 3.5mm 2.4mm PSS-3565LS 3.5mm Locking Screw, 65mm 67.7mm 65mm 3.5mm 2.4mm PSS-3570LS 3.5mm Locking Screw, 70mm 72.7mm 70mm 3.5mm 2.4mm PSS-3575LS 3.5mm Locking Screw, 75mm 77.7mm 75mm 3.5mm 2.4mm HFP Proximal Humeral Fracture Plate System FOR INTERNAL USE ONLY 44

48 Implant Dimensions HFP 3.5mm Compression Screw Major Diameter 3.5mm Compression Screws Thread Length Overall Length Minor Diameter Drawings are not actual size. Reference Description Overall Length Thread Length Major Dia. Minor Dia. PSS-3515CS 3.5mm Compression Screw, 15mm 17.6mm 15mm 3.5mm 2.4mm PSS-3517CS 3.5mm Compression Screw, 17.5mm 20mm 17.5mm 3.5mm 2.4mm PSS-3520CS 3.5mm Compression Screw, 20mm 22.5mm 20mm 3.5mm 2.4mm PSS-3522CS 3.5mm Compression Screw, 22.5mm 25mm 22.5mm 3.5mm 2.4mm PSS-3525CS 3.5mm Compression Screw, 25mm 27.5mm 25mm 3.5mm 2.4mm PSS-3527CS 3.5mm Compression Screw, 27.5mm 30mm 27.5mm 3.5mm 2.4mm PSS-3530CS 3.5mm Compression Screw, 30mm 32.5mm 30mm 3.5mm 2.4mm PSS-3532CS 3.5mm Compression Screw, 32.5mm 35.1mm 32.5mm 3.5mm 2.4mm PSS-3535CS 3.5mm Compression Screw, 35mm 37.5mm 35mm 3.5mm 2.4mm PSS-3537CS 3.5mm Compression Screw, 37.5mm 40mm 37.5mm 3.5mm 2.4mm PSS-3540CS 3.5mm Compression Screw, 40mm 42.5mm 40mm 3.5mm 2.4mm 45 FOR INTERNAL USE ONLY Proximal Humeral Fracture Plate System

49 Implant Dimensions HFP 3.5mm Partially Threaded Screw Major Diameter Shaft Length 3.5mm Partially Threaded Screws Thread Length Overall Length Minor Diameter Drawings are not actual size. Reference Description Total Length Shaft Length Thread Length Major Dia. Minor Dia. PSS-3540PS 3.5mm Partially Threaded Screw, 40mm 42.5mm 40mm 14.5mm 3.5mm 2.4mm PSS-3545PS 3.5mm Partially Threaded Screw, 45mm 47.5mm 45mm 16.3mm 3.5mm 2.4mm PSS-3550PS 3.5mm Partially Threaded Screw, 50mm 52.6mm 50mm 18mm 3.5mm 2.4mm PSS-3555PS 3.5mm Partially Threaded Screw, 55mm 57.5mm 55mm 19.8mm 3.5mm 2.4mm PSS-3560PS 3.5mm Partially Threaded Screw, 60mm 62.5mm 60mm 21.5mm 3.5mm 2.4mm PSS-3565PS 3.5mm Partially Threaded Screw, 65mm 67.5mm 65mm 23.3mm 3.5mm 2.4mm PSS-3570PS 3.5mm Partially Threaded Screw, 70mm 72.5mm 70mm 25mm 3.5mm 2.4mm PSS-3575PS 3.5mm Partially Threaded Screw, 75mm 77.5mm 75mm 26.8mm 3.5mm 2.4mm HFP Proximal Humeral Fracture Plate System FOR INTERNAL USE ONLY 46

50 Surgical Technique Steps-at-a-Glance Low Profile Humeral Fracture Plate 1. Proximal humerus exposure 2. Fracture Reduction and Debridement 3. Position plate 4. Insert PF Pin 5. Drill angled proximal screw hole, determine screw length 6. Insert 3.5mm screw of choice (repeat for all angled holes) 7. Drill most proximal shaft hole, determine screw 8. Insert 3.5mm shaft screw of choice (repeat for all shaft holes) length 47 FOR INTERNAL USE ONLY Proximal Humeral Fracture Plate System

51 Surgical Technique Steps-at-a-Glance Greater Tuberosity Humeral Fracture Plate 1. Proximal humerus exposure 2. Fracture Reduction and Debridement 3. Position plate 4. Insert PF Pin 5. Drill angled proximal screw hole, determine screw length 6. Insert 3.5mm screw of choice (repeat for all angled holes) 7. Suture or drill and insert 2.7mm screws into 2.7mm proximal holes 8. Drill most proximal shaft hole, determine screw length 9. Insert 3.5mm shaft screw of choice (repeat for all shaft holes) HFP Proximal Humeral Fracture Plate System FOR INTERNAL USE ONLY 48

52

53 FOR INTERNAL USE ONLY AVAILABLE RESOURCES

54

55 Available Resources Integra provides several additional resources for gaining product information. Please see below for a list of information sources available to you. Information Sources Integra LifeSciences Website The Integra LifeSciences website contains a wealth of information on all things relating to Integra. The Products page is a portal to basic implant system information, brochure and surgical technique downloads, and requests for further information. You can visit the Integra website at integralife.com from any web browser. Integra App The Integra App provides rapid access to important documentation concerning our products. The easy-to-use interface allows you to navigate through all documents concerning each system at the touch of an icon. Quickly download and browse through brochures, surgical techniques, competitive positioning guides, patient information brochures, and much more. Contact the Integra Marketing Communications team at corporate.marketing@integralife.com for access to the app. VuMedi Channel VuMedi is a video database specifically geared toward doctors and medical industry specialists. Video resources available to view here include surgical procedure walk-throughs, product information and launch videos, live streams of VuMedi events, and many more resources. Integra's channel includes such resources for all of our Extremity Reconstruction product lines. Visit vumedi.com to register for an account, and Search Integra LifeSciences to be directed to the Integra Channel. Integra Literature Store The Integra Literature Store website is your portal to order hard copies of OTT product literature, such as surgical techniques, brochures, sell sheets, X-ray templates, and more. Contact the Marketing Communications team at corporate.marketing@integralife.com to set up your account for literature orders. FOR INTERNAL USE ONLY 52 Resources

56 Notes FOR INTERNAL USE ONLY

57 Notes FOR INTERNAL USE ONLY

58 FOR INTERNAL USE ONLY Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sale in such country or region. n Always refer to the appropriate instructions for use for complete clinical instructions. n Non contractual document. The manufacturer reserves the right, without prior notice, to modify the products in order to improve their quality. n Warning: Applicable laws restrict these products to sale by or on the order of a physician. For more information or to place an order, please contact: United States, Canada, Asia, Pacific, Latin America USA fax n International fax n integralife.com/contact Manufacturer: Ascension Orthopedics, Inc 8700 Cameron Road, Suite 100 Austin, TX n USA Integra and the Integra logo are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the United States and/or other countries. Fin-Lock and Titan are trademarks of Integra LifeSciences Corporation or its subsidiaries Integra LifeSciences Corporation. All rights reserved. Printed in USA EN

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