Contents - Merete Foot Family

Transcription

1 Merete Foot Family

2 Contents - Merete Foot Family MetaFix I MetaFix BLP MetaCun DuoMetaCun MetaFix OpenWedge Page Page Page 6 Page 7 Page 8 MetaFix Ludloff MetaFix MTP Page 0 Page ToeMobile DuoThread Scarf Merete Cannulated PCS TwistCut - Snap-Off Merete Cannulated HCS Page Page 6 Page 7 Page 8 Page - MetaToe - EndoSorb TwistCut - EndoSorb Page Page

3 MetaFix LS Locking Screws Locking Screw System for all Merete Foot Plates Ø.0 mm Ø. mm MetaFix LS can be used with all Merete foot plates. The heads of MetaFix LS locking screws have a conical thread and lock up unidirectionally into the threaded holes of the plate without cold welding. The MetaFix LS locking screws can be screwed flush into the plate with little effort and if desired, effort may be increased to sink the screws further into the plate. Depending on indication and bone stock of the patient, a Ø.0 mm or Ø. mm screw may be chosen. The screws are available in Ø.0 mm or Ø. mm with a length of - mm and may be used with any Merete locking plate, thus reducing storage and replacement costs. Screw Recommendation for Merete Locking Plates: Plate MetaFix LS Ø.0 mm MetaFix LS Ø. mm MetaFix I x x MetaFix BLP x x MetaCun x DuoMetaCun x MetaFix OpenWedge x x MetaFix Ludloff x x MetaFix MTP x x MetaFix LS Screws Length MetaFix LS Ø.0 mm MetaFix LS Ø. mm mm FH00 FH0 mm FH00 FH0 6 mm FH006 FH06 8 mm FH008 FH08 0 mm FH000 FH00 mm FH00 FH0 mm FH00 FH0 6 mm FH006 FH06 8 mm FH008 FH08 0 mm FH000 FH00 mm FH00 FH0 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

4 MetaFix I Proven Success for Hallux-Valgus Repair Developed in collaboration with Dr. med. Diedrich W. Haesen, Klinic Fleetinsel Hamburg, Germany I. V-Type II. Closing Wedge II. Opening Wedge III. Juvara IV. Crescentic V. Lapidus VI. Fusion GZ Closing Base Wedge Osteotomy Opening Base Wedge Osteotomy Modified Proximal Chevron Osteotomy Crescentic Base Osteotomy Lapidus/TMT-Fusion st MTP-Fusion Benefits For moderate and severe deformities Inherent stability provides post-op control of elevation/depressionshortening/ elongation-pronation/supination Minimizes post-op edema Early functional therapy improves ROM Immediate weight bearing only with physicians permission MetaFix I Plates Size left right 6 mm FH006 FH006 8 mm FH008 FH008 0 mm FH000 FH000 mm FH00 FH00 6 mm FH006 FH006 Instruments on page Additional Features MetaFix I Plate offers crossed proximal screw configuration Can be combined with MetaFix LS locking screws Ø.0 mm and Ø. mm Simple surgical technique Multiple lengths left and right Two k-wire holes allow temporary fixation of the plate to the bone Plates and screws made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6)

5 MetaFix BLP Bunion Locking Plate Developed in collaboration with Dr. James K. DeOrio, M.D., Duke University Medical Center, North Carolina Proximal Chevron Osteotomy (V-Type) Closing Base Wedge Osteotomy Opening Base Wedge Osteotomy Crescentic Base Osteotomy Lapidus/TMT-Fusion st MTP-Fusion Benefits For moderate and severe deformities Inherent stability provides post-op control of elevation/depression- shortening/ elongation-pronation/supination Minimizes post-op edema due to locking stability Early functional therapy improves ROM Immediate weight bearing only with physicians permission in a post op-sandal MetaFix BLP Plates Size left right mm FH00 FH00 mm FH00 FH00 7 mm FH007 FH007 Additional Features The MetaFix BLP plate offers crossed proximal and distal screw configurations Can be combined with MetaFix LS locking screws Ø.0 mm and Ø. mm Simple surgical technique Multiple lengths left and right Two k-wire holes allow temporary fixation of the plate to the bone Plates and screws made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) Instruments on page Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

6 MetaCun Locking Plate System for Fusion of the Tarsal Bones Developed in collaboration with Dr. med. J. Walpert, Klinik Fleetinsel Hamburg The Merete MetaCun Fusion Plate can be combined with MetaFix LS locking screws Ø. mm and MetaFix instruments. Fusion of the Lisfranc joint Talo-Navicular-Fusion Naviculo-Cuneiforme-Fusion (Calcaneo-Cuboid-Fusion) Benefits Fusion plate in four sizes (,,, 7) Can be combined with Ø. mm MetaFix LS locking screws Two k-wire holes allow temporary fixation of the plate and the osteotomy with crossing k-wires Main area of loading is.7 mm thick reducing micromovements in the osteotomy Additional Features Plates and screws made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) High stability and weight-bearing capacity due to shape of the plate Easy to use instruments Early weight bearing post-op due to locking plate technique MetaCun Plates Size FH00 FH00 FH00 7 FH007 Instruments on page 6

7 DuoMetaCun Locking Plate System for Fusion of the Tarsal Bones Developed in collaboration with Dr. med. J. Walpert, Klinik Fleetinsel Hamburg The Merete MetaCun Fusion Plate can be combined with MetaFix LS locking screws Ø. mm and MetaFix instruments. Fusion of the Lisfranc joint Talo-Navicular-Fusion Naviculo-Cuneiforme-Fusion (Calcaneo-Cuboid-Fusion) Benefits Fusion plate in four sizes Can be combined with Ø. mm MetaFix LS locking screws Two k-wire holes allow temporary fixation of the plate and the osteotomy with crossing k-wires Main area of loading is.7 mm thick reducing micromovements in the osteotomy Additional Features Plates and screws made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) High stability and weight-bearing capacity due to shape of the plate Easy to use instruments Early weight bearing post-op due to locking plate system mm / mm DuoMetaCun Plates Size S S M FH060 FH060 FH070 S / M M FH070 Instruments on page Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com 7

8 MetaFix OpenWedge Locking Plate with Wedge Opening Wedge Osteotomy Various Base Osteotomies (with plate size 0) Benefits Low Profile, only.mm May use either.0mm or.mm MetaFix LS locking screws K-wire holes allow temporary fixation of the plate and the osteotomy Operated using the proven MetaFix Instruments Available in different size blocks (0,, und 6 mm) for left and right foot Slotted trapezoid shaped block to allow for bony ingrowth or the use of bone substitutes inbetween the osteotomy Additional Features Plates and screws made of titanium alloy (TiAl6V ELI, ISO 8-, ASTM F6) High stabillity and load capacity due to anatomical shape of the platte Early weight bearing post-op due to locking plate technique MetaFix OpenWedge Plates Size left right 0 FH000 FH000 FH00 FH00 FH00 FH00 6 FH006 FH006 Instruments on page 8

9 MetaFix Instruments for MetaFix I, MetaFix BLP, MetaCun & OpenWedge Plates MetaFix I, MetaFix BLP & MetaCun Instruments Drill bit Ø.0mm, L: 0 mm, AO-Connector small FH000 Drill bit Ø.mm, L: 0 mm, AO-Connector small FH000 Bending instrument I, Ferrozell FH00 Bending instrument II FH00 Drill guide for Ø.0 mm drill FH00 6 Drill guide for Ø. mm drill FH K-wires Ø. mm, L: 0 mm, trokar tip CK0* 7 8 K-wires Ø. mm, L: 70 mm, trokar tip CK007* 8 0 Screwdriver hex. mm, L: 7 mm, Ferrozell Depth gauge 0-0 mm FH00 AC00007 *Packaging unit 0 pcs. MetaFix I, MetaFix BLP, MetaCun & OpenWedge Plates are operated with the same locking screws and the same instruments. 0 Sterilizing Case: nd level MetaFix I & MetaFix BLP Sterilizing Case Sterilizing case with instruments only: Case with instruments and implants 0 MetaFix Plates ( Plates each size, left and right side) BLP Plates ( Plates each size, left and right side) MetaFix LS Locking Screws Ø.0 mm ( screws each length) MetaFix LS Locking Screws Ø. mm ( screws each length) FH000 FH00 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

10 MetaFix Ludloff For Hallux Valgus Repair with Ludloff- or Crescentic Osteotomies Developed in collaboration with Steven K. Neufeld, M.D., Orthopedic Foot and Ankle Center of Washington The Merete Ludloff Plates can be combined with MetaFix LS locking screws Ø.0 / Ø. mm as well as Merete Cannulated PCS screws Ø.0 mm. Ludloff Osteotomy Crescentic Osteotomy Benefits Anatomically shaped low profile plate in three lengths ( mm, mm, 8 mm) for the left and right foot Patented plate design with holes for locking and non-locking screw fixation Proximal k-wire hole for temporary plate fixation Lag screw in the proximal plate hole serves as a temporary turning point and therefore as temporary stabilization while sawing Compression of the osteotomy by Merete Cannulated PCS Ø.0 mm compression screws Additional Features Proximal and distal locking screws MetaFix LS Ø.0 mm or Ø. mm provide rigid fixation of the osteotomy The combination of plate, locking screws and compression screws results in a rigid and stable fixation and allows earlier weight bearing and mobilization compared to conventional screw fixation Plates and screws are made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) 0

11 MetaFix Ludloff Instruments & Ordering Information mm MetaFix Ludloff Plates Instruments Size left right Screws Length mm FH0 FH0 mm FH0 FH0 8 mm FH08 FH08 MetaFix LS Ø.0 mm MetaFix LS Ø. mm Merete Cannulated PCS Ø.0 mm mm FH00 FH0 FH0 mm FH00 FH0 FH0 6 mm FH006 FH06 FH06 8 mm FH008 FH08 FH08 0 mm FH000 FH00 FH Drill bit Ø.0 mm, L: 0 mm, AO-Connector small Drill bit Ø. mm, L: 0 mm, AO-Connector small Drill bit Ø.0 mm cannulated for Ø.0 mm k-wire, L: 0mm, AO-Connector small Drill guide for Ø.0 mm drill Drill guide for Ø. mm drill Double drill guide for k-wire.0 mm and cannulated drill.0 mm K-wires Ø.0 mm; L: 0 mm, trocar tip K-wires Ø. mm; L: 70 mm, trocar tip Start screw Screwdriver hex. mm cannulated for k-wire. mm Depth gauge 0-0mm Length gauge 0-0mm for k-wire Ø.mm L=0mm Bending pliers FH000 FH000 FH00 FH00 FH006 AC000 CK00* CK007* CK000 AI AC00007 AC0 FH00 *Packaging unit 0 pcs. mm FH00 FH0 FH0 mm FH00 FH0 FH0 6 mm FH006 FH06 FH06 8 mm FH008 FH08 FH08 0 mm FH000 FH00 FH00 mm FH00 FH0 FH0 Sterilizing Case Case with instruments and implants: MetaFix Ludloff Plates ( plates each size, left and right) Merete Cannulated PCS Ø.0 mm ( screws each length) MetaFix LS Locking Screws Ø.0 mm ( screws each length) MetaFix LS Locking Screws Ø. mm ( screws each length) FH000 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

12 MetaFix MTP For First MTP Joint Arthrodesis Developed in collaboration with Steven K. Neufeld, M.D., Orthopedic Foot and Ankle Center of Washington The MetaFix MTP Plate can be combined with MetaFix LS locking screws Ø.0 mm / Ø. mm and Merete Cannulated PCS screws Ø.0 mm. The MetaFix MTP System is a bone plate and screw system for the st Metatarsophalangeal (MTP) joint arthrodesis. The combination of anatomically designed plates with both locking and non locking screw capability provides a strong and stable construct. The system is made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6). Fusion of the st Metatarsophalangeal-Joint (MTP) Hallux Rigidus Arthrosis Revision after failed Keller Procedure Revision after failed arthroplasty MetaFix MTP Plates Size left right mm FH0 FH0 mm FH0 FH0 Benefits plate lengths ( and mm) left and right The plate can be secured with MetaFix LS locking screws in Ø.0 mm / Ø. mm and MetaFix Cannulated PCS screws in Ø.0 mm Anatomically formed Low Profile plate with of dorsiflexion and valgus Proximal and distal k-wire holes for temporary plate fixation Additional Merete Cannulated HCS Ø.0 mm and Ø. mm headless compression screws for interfragmentary fixation included in tray Additional Features Concave and convex reamers Ø, 8, 0, and mm for optimal preparation of the joint surfaces Proven and reliable instrument set Screws Length MetaFix LS Ø.0 mm MetaFix LS Ø. mm Merete Cannulated PCS Ø.0 mm mm FH00 FH0 FH0 mm FH00 FH0 FH0 6 mm FH006 FH06 FH06 8 mm FH008 FH08 FH08 0 mm FH000 FH00 FH00 mm FH00 FH0 FH0 mm FH00 FH0 FH0 6 mm FH006 FH06 FH06

13 MetaFix MTP Instruments & Ordering Information Screws Instruments Length Merete Cannulated HCS Ø.0 mm Merete Cannulated HCS Ø. mm 0 mm CB000 CB000 mm CB00 CB00 mm CB00 CB00 6 mm CB006 CB006 8 mm CB008 CB008 0 mm CB000 CB000 mm CB00 CB00 6 K-wires Ø.0, L: 70 mm, trocar tip K-wires Ø.0, L: 0 mm, trocar tip K-wires Ø., L: 0 mm trocar tip Depth gauge 0-0 mm Length gauge 0-0 mm for k-wire Ø. mm, L: 0 mm Double drill guide f. Ø.0 mm k-wire / Ø.0 mm drill CK0007* CK00* CK0* AC00007 AC0 AC Drill bits Ø.0 mm cannulated, AO-Connector small Drill bits Ø.7 mm cannulated, AO-Connector small Countersink Ø.0 / Ø. mm cannulated, AO-Connector small Bending pliers Cup reamer Ø FH00 FH07 FH0 FH00 FH00 mm - CB00 mm CB00-6 mm - CB Double drill guide f. Ø. mm k-wire / Ø.7 mm drill Screwdriver hex. mm, cannulated f. Ø. mm k-wire AC07 AI 0 Cup reamer Ø 8 Cup reamer Ø 0 FH008 FH000 8 mm - CB008 0 mm CB000 CB000 Sterilizing Case Complete set of instruments and implants: 8 MetaFix MTP Plates ( plates each size, right and left) MetaFix LS locking screws Ø.0 mm ( screws each length) 6 MetaFix LS locking screws Ø. mm ( screws each length) Merete Cannulated PCS Ø.0 mm ( screws each length) 8 Merete Cannulated HCS Ø.0 mm ( screws each length) Merete Cannulated HCS Ø. mm ( screws each length) FH000 0 Screwdriver hex. mm, cannulated f. Ø. mm k-wire, AO-Connector small Drill bit Ø.0 mm, L: 0 mm, AO-Connector small Drill bit Ø. mm, L: 0 mm, AO-Connector small Drill guide Ø.0 mm Drill guide Ø. mm AI FH000 FH000 FH00 FH006 Cup reamer Ø Cone reamer Ø Cone reamer Ø 8 Cone reamer Ø 0 Cone reamer Ø FH00 FH0 FH08 FH00 FH0 *Packaging unit 0 pcs. Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

14 ToeMobile Anatomical Great Toe System Metatarsal Implant Phalangeal Implant Developed in collaboration with Dr. med. Diedrich W. Haesen, Clinic Fleetinsel Hamburg, Germany The Merete ToeMobile Anatomical Great Toe Resurfacing System is a three-piece prosthesis which replaces the metatarsophalangeal joint by complete functional preservation of the joint and maintenance of the sesamoid complex. The prosthesis consists of an anatomically shaped metatarsal implant made of CoCr, which glides on a polyethylene inlay that is assembled onto a conically shaped phalangeal titanium component. Replacement of the metatarso-phalangeal joint Complete functional preservation of the joint and maintenance of the sesamoid complex Intended for cementless use Painful degenerative metatarsophalangeal joint change Hallux rigidus up to stage Hallux valgus and hallux rigidus Arthrofibrosis after joint preserving surgery Metatarsal Implant sizes (-, 0,, ) Material: cobalt-chrome alloy (CoCr) (ISO 8-, ASTM F77) Phalangeal Implant Phalangeal-Implant in sizes (0,, ) PE-Inlay in sizes, each in heights (.0,. und 7.0 mm) Phalangeal-Implant made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) Material of the Phalangeal-Inlay: UHMWPE Patient Requirements Good neurovascular status Intact skin condition Good bone stock Sufficient function of the flexors Cooperative patient

15 ToeMobile Instruments & Ordering Information ToeMobile Phalangeal Implants ToeMobile Instruments ToeMobile Phalangeal Size 0. FM000 Implant impactor Metatarsal FM000 ToeMobile Phalangeal Size 0. ToeMobile Phalangeal Size 0. ToeMobile Phalangeal Size. ToeMobile Phalangeal Size. FM00 FM00 FM00 FM0 Implant impactor Phalangeal Trial implant impactor Saw jig, Size - Saw jig, Size 0 Saw jig, Size Saw jig, Size FM0006 FM000 FM0 FM000 FM00 FM00 ToeMobile Phalangeal Size. ToeMobile Phalangeal Size. ToeMobile Phalangeal Size. FM0 FM00 FM0 Trial-Metatarsal, Size - Trial-Metatarsal, Size 0 Trial-Metatarsal, Size Trial-Metatarsal, Size FM0 FM000 FM00 FM00 ToeMobile Phalangeal Size. FM0 ToeMobile Metatarsal Implants ToeMobile Metatarsal Size: - FM00 ToeMobile Metatarsal Size: 0 FM0000 ToeMobile Metatarsal Size: FM Trial-Phalangeal, Size 0 Trial-Phalangeal, Size Trial-Phalangeal, Size Reamer, Size 0 Reamer, Size Reamer, Size Starter Metatarsal Template-Set, Size - Metatarsal Template-Set, Size 0 Metatarsal Template-Set, Size Metatarsal Template-Set, Size FM0 FM0 FM0 FM00 FM0 FM0 FM FM0 FM000 FM00 FM00 ToeMobile Metatarsal Size: FM000 0 Drill bit, Ø.0 mm, length 0 mm FH000 ToeMobile Sterilizing Case K-wires Ø.6 mm; length 0 mm K-wires Ø.6 mm; length 80 mm Screw driver, cannulated CK60 CK66 FM000 Mallet IT00 Complete set with instruments (without implants) FM80000 Drill guide, Ø.0 mm FH00 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

16 DuoThread Scarf Small Bone Fixation - Cannulated Bone Screws, Titanium, Ø.0 mm The DuoThread Scarf Bone Screw made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) is a fully or partially threaded cannulated fixation screw with a threaded head. Compression is accomplished by varying thread pitches on the screw head and shaft. The screw with a diameter of.0 mm is available in the lengths 0 mm to mm. Small bone fracture fixation - fixation and stabilization of bones of the foot in case of osteotomy or fusion such as Scarf-Osteotomy Chevron-Austin Osteotomy Akin-Osteotomy Closing Wedge Osteotomy MPG-Arthrodesis as well as the fixation of almost all common osteotomies of the first metatarsal. DuoThread Scarf Screws Length long thread short thread 0 mm CB00 - mm CB0 CB06 mm CB0 CB06 6 mm CB06 CB066 8 mm CB08 CB068 0 mm CB00 CB060 mm CB0 CB06 DuoThread Scarf Instruments Length long thread short thread mm CB0 CB06 6 mm CB06 CB066 8 mm CB08 CB068 0 mm CB00 CB060 mm CB0 CB06 mm CB0 - K-wires Ø.0 mm, L: 70 mm, trokar tip Drill bit, Ø.0 mm, cannulated Counter sink, Ø.0 mm, cannulated Screwdriver hex.0, cannulated Ruler Complete sterilizing case with instruments and 8 screws ( screws each length, short and long thread) CK0007* CB006 CB00 CB00 CB000 *Packaging unit 0 pcs. DuoThread Scarf Sterilizing Case CB000 6

17 Merete Cannulated PCS Plate Compression Screw, Ø.0 mm, cannulated Ø.0 mm Hex. mm K-wire Ø.0 mm Fracture fixation, reconstruction of various bones Osteotomy in foot or hand Fixation of small bone fragments in foot or ankle Compression screw for MetaFix System Details Self drilling, self tapping Cannulated K-Wire: Ø.0 mm Material: Titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6) Sizes Lengths: - 0 mm Ø.0 mm, hex. mm Available in the Forefoot Screw Tray combined with Merete Cannulated HCS Headless Compression Screws.0 mm,. mm and TwistCut TM -Snap-Off.0 mm, incl. instruments (p. ) Merete Cannulated PCS Ø.0 mm Length mm FH0 mm FH0 6 mm FH06 8 mm FH08 0 mm FH00 mm FH0 mm FH0 6 mm FH06 8 mm FH08 0 mm FH00 mm FH0 mm FH0 6 mm FH06 8 mm FH08 0 mm FH00 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com 7

18 TwistCut Snap-Off Snap-Off Screw, Self Drilling & Self Tapping, Ø.0 mm NEW: With longer shaft length and smaller diameter, fits into a standard k-wire driver. Shaft length. mm Shaft Ø. mm The self-drilling and self-tapping TwistCut TM Snap-Off Bone Screw is made of titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6). The shaft separates from the screw when the head meets cortical bone. The screw is.0 mm in diameter and mm to mm in length. Small-Bone Fracture Fixation Weil-Osteotomy Mono-Cortical Fixation Osteotomies and fracture fixation in foot and hand TwistCut TM Snap-Off, Ø.0 mm Length mm CB00 mm CB00 mm CB00 mm CB00 mm CB00 TwistCut Features Snap-Off screw for small bone fracture fixation or Weil Osteotomy Self-drilling and self-tapping Shaft fits in standard k-wire driver lengths (,,, and mm) Screwdriver to tighten or remove the screw Sterilizing Case Case with 0 TwistCut - Snap-Off screws ( screws of lengths - mm) and screwdriver CB0000 Also available in the Forefoot Screw Tray combined with Merete Cannulated HCS Headless Compression Screws.0 mm,. mm and Merete Cannulated PCS Compression Screws Ø.0 mm, incl. instruments (p.) 8

19 Forefoot Screw Tray Merete Cannulated HCS.0 mm &. mm, Merete Cannulated PCS.0 mm, TwistCut TM Snap-Off.0 mm 8 page 7 page page page 8 Merete Cannulated HCS Headless Compression Screws.0 mm &. mm, for fracture fixation in foot and ankle Merete Cannulated HCS Length Merete Cannulated HCS Ø.0 mm Merete Cannulated HCS Ø. mm mm CB00 - mm CB00-6 mm CB006-8 mm CB008-0 mm CB000 CB000 mm CB00 CB00 mm CB00 CB00 6 mm CB006 CB006 8 mm CB008 CB008 0 mm CB000 CB000 mm CB00 CB00 mm - CB00 mm CB00-6 mm - CB006 8 mm - CB008 0 mm CB000 CB000 mm - CB00 mm - CB00 6 mm - CB006 8 mm - CB008 0 mm - CB000 mm - CB00 60 mm - CB0060 Instruments Sterilizing Case Double drill guide for k-wire Ø.0 mm and cannulated drill bit Ø.0 mm Double drill guide for k-wire Ø. mm and cannulated drill bit Ø.7 mm Screwdriver hex. mm, cannulated for k-wire Ø. mm, with AO-Connector small Countersink Ø.0/Ø. mm cannulated for Ø. mm k-wire, with AO-Connector small Drill bit Ø.0 mm, cannulated for k-wire Ø.0 mm, with AO-Connector small Drill bit Ø.7 mm, cannulated for k-wire Ø. mm, with AO-Connector small Handle with AO-Connector Bone clamp Screwdriver hex. mm, cannulated for k-wire Ø.0 mm and Ø. mm Screwdriver for TwistCut Snap-Off Screw Ø.0 mm K-wire Ø.0 mm, L: 0 mm, trocar tip K-wire Ø. mm, L: 0 mm, trocar tip Case with Implantats and Instruments AC000 AC07 AI FH0 FH00 FH07 FP0 CB000 AI CB00 CK00* CK0* Length gauge 0-0 mm for k-wire Ø. mm L: 0 mm AC0 *Packaging unit 0 pcs. FH000 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

20 Merete Cannulated HCS Ø 6. mm, for Fracture Fixation in Foot and Ankle Ø 6. mm Merete Cannulated HCS (Headless Compression Screws) are self drilling/self tapping, dual pitched screws with a threaded head which can be countersunk into the bone. The screws are available in diameters.0 mm*,. mm* and 6. mm in various lenghts. The screws are made of Titanium alloy (Ti6AlV ELI, ISO 8-, ASTM F6). Merete Cannulated HCS Length * Catalogue page. Merete Cannulated HCS Ø 6. mm 0 mm CB0600 mm CB060 0 mm CB0600 mm CB mm CB mm CB mm CB mm CB mm CB mm CB mm CB0600 mm CB mm CB mm CB060 0 mm CB060 mm CB06 0 mm CB060 fracture fixation and reconstruction of various bones Osteotomies in foot (as Hallux Valgus treatment) or hand Arthodesis in hand, foot or ankle surgery* Fixation of bone fragments in long bones or small bone fractures Details Self-drilling and self-tapping Cannulated Material: titanium alloy (TiAl6V ELI, ISO 8-, ASTM F6) Sizes of compression screw Ø 6. mm Lengths 0-0 mm (in mm increments) Cannulated for k-wire Ø.0 mm Hex. mm 0

21 Merete Cannulated HCS Ø 6. mm, Ordering Information Implants and instruments in one sterilizing case Tray Tray Instruments Double drill guide for k-wire Ø.0 mm and cannulated drill bit Ø.0 mm FH000 Countersink Ø 6. mm cannulated for Ø. mm k-wire, with / connector FH006 Screwdriver hex. mm, cannulated for k-wire Ø.0 mm, with / connector FH0 T-Handle with / connector Drill bit Ø.0 mm, cannulated for k-wire Ø.0 mm FH000 FH00 6 Depth gauge for k-wire Ø.0 mm, L: 0 mm FH00 7 K-wire Ø.0 mm, L: 0 mm, with threaded tip CK06* 8 K-wire Ø.0 mm, L: 0 mm, with trocar tip CK00* Screwdriver hex. mm, cannulated for k-wire Ø.0 mm FH0 *Packaging unit 0 pcs Sterilizing Case Complete sterilizing case with Instruments and Merete Cannulated HCS Ø 6. mm ( Screws of each length) FH000 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

22 MetaToe - EndoSorb Bioabsorbable Implant for Hammertoe Correction pre-surgery post-surgery Developed in collaboration with Dr. med. J. Walpert, Clinic Fleetinsel Hamburg, Germany proximal The bioabsorbable implant MetaToe - EndoSorb is used for fixing fractures and osteotomies of small, low duty tubular bones. The implant is made of PLGA (poly lactic-co-glycolic acid). PLGA degrades and resorbs in vivo by hydrolysis to lactic and glycolic acids. distal MetaToe - EndoSorb Implantats sterile mm - MetaToe - EndoSorb implant, Ø.7 mm FP00 Proximal-Interphalangeal-(PIP)-Arthrodesis Material PLGA (poly lactic-co-glycolic acid) Size Ø.7 mm, Length: mm Requirements Good neurovascular status Intact skin condition Good bone stock Time of Resorption Up to months Instruments Handle with AO-Coupling Socket wrench with AO-Connector One step drill bit Tap Ø. mm with AO-Connector Drill bit Ø.0 mm K-wires Ø. mm, L: 70 mm Sterilizing Case Case with instruments (without Implants) FP00 FP000 FP00 FP00 FP0008 CK007* *Packaging unit 0 pcs. FP00

23 TwistCut - EndoSorb Bioabsorbable Snap-off-Screw Developed in collaboration with Dr. med. J. Walpert, Clinic Fleetinsel Hamburg, Germany The bioabsorbable implant TwistCut - EndoSorb is used for fixing fractures and osteotomies of small, low duty tubular bones. The implant is made of PLGA [Poly(L-Laktid-Co-Glykolid)]. PLGA degrades and resorbs in vivo by hydrolysis to lactic and glycolic acids. Hallux-Valgus Correction Correction and fractures of the metatarsal Stabilization of Small-Bone Osteotomies Material PLGA (poly lactic-co-glycolic acid) Size Ø. mm, Lengths: mm & 8 mm Requirements Good neurovascular status Intact skin condition Good bone stock Time of Resorption Up to months TwistCut - EndoSorb Screw sterile 8 mm - TwistCut TM - EndoSorb Implant, Ø. mm FP08 Instruments ProToe /TwistCut TM -EndoSorb Handle with AO Coupling Depth gauge 0-0 mm Drill bit Ø.0 mm, length mm with AO-Connector Tap Ø. mm mit with AO-Connector Socket wrench for ProToe Endosorb with AO-Connector Reamer Ø 6 mm, length 70 mm, with AO-Connector Socket wrench for TwistCut Endosorb with AO-Connector Small socket wrench for TwistCut Endosorb, AO-Connector FP00 AC00007 FP0008 FP00 FP000 FP00 FP007 FP00 Sterilizing Case MetaToe & TwistCut - Endosorb case with instruments (without Implants) FP00 Merete Medical, Inc. Purchase Street Rye, New York 080 USA Phone: () 67 Fax: () 67 Mail: service@merete-medical.com

24 FS Rev. 060 (US) All rights reserved. Content subject to change. Merete Medical, Inc. Phone: 67 Fax: 67