A better knee replacement begins with you

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1 A better knee replacement begins with you

2 Why your scans are so important VISIONAIRE Patient Matched Instrumentation is a patient specific product that requires MRI and an X-Ray to make the product. The images are used to create a custom cutting block for knee arthroplasty designed for that specific patient. VISIONAIRE Patient Matched Instrumentation also eliminates multiple steps from surgery and provides patients with a less invasive alternative to total knee replacement. Traditional total knee replacement Invasion of the IM canal with standard operation VISIONAIRE technology With VISIONAIRE instrumentation, invasion of the IM canal is avoided during alignment y y a a a X-Ray R a a a a

3 Benefit to patients Less blood loss during procedure 1 An easier operation could get patients home faster 2 Potentially less pain following the procedure 3 Patient specific alignment may lead to better patient outcomes VISIONAIRE Patient Matched Instrumentation eliminates as many as 22 steps and may shorten surgery time, meaning your patient needs less time under anesthesia 4 The precision of your images is critical to the success of the patient s surgery

4 Benefit to surgeons VISIONAIRE Patient Matched Instrumentation may reduce OR time and set up by eliminating surgical steps from a standard TKA 4 Reduces sterilization due to less instruments required for surgery Eliminates need to violate the intramedullary canal, reducing blood loss and complications from fat emboli 1 Improves alignment and sizing by using computer generated images of the patient s anatomy to determine bone cuts and implant positioning preoperatively

5 Build a reputation of excellence with VISIONAIRE technology In the competitive world of imaging, building a reputation of excellence is key to success. When surgeons, hospitals and patients know they can rely on your images for better outcomes, the benefits are endless.

6 What makes VISIONAIRE Patient Matched Instrumentation different VISIONAIRE Patient Matched Instrumentation uses the patient s own MRI and full leg X-Ray to design cutting blocks specific to that patient. MRI Images are used for measurement and not diagnostic purposes We are not looking for ACL/PCL insertion points or meniscus tears like traditional MRI Only one sequence from sagittal view is required Full DICOM format only (no compression) Intra-acquisitional or general patient motion is not acceptable X-Ray All joint spaces must be visible (hip, knee, ankle) Unilateral X-Rays are preferred, but not required Leg must be in true A/P position Correct letter markers are preferred to be applied to all images Patient identifiers (DOB and patient name) must be present No patient movement between exposures is critical (if doing the multiple exposure X-Ray, instead of single exposure on a scoliosis like film)

7 Benefit to imaging centers Expand your portfolio with the cutting-edge technology of VISIONAIRE Patient Matched Instrumentation Improve Marketability for you and your Imaging Center Become a crucial part of improving patient s lives

8 References 1. Monto RR, Garcia J, Callaghan JJ. Fatal fat embolism following total condylar knee arthroplasty. J Arthroplasty (5): Noble JW, Moore CA, Liu N. The Value of Patient-Matched Instrumentation in Total Knee Arthroplasty. J Arthroplasty in Press, Novak EJ, Silverstein MD, Bozic KJ. The Cost Effectiveness of Computer-Assisted Navigation in Total Knee Arthroplasty. J Bone Joint Surg Am (89): GENESIS II DCF Surgical Technique Smith & Nephew, Inc Goodlett Farms Parkway Cordova, TN USA Telephone: Information: Orders and Inquiries: Trademark of Smith & Nephew. Reg. US Pat. & TM Off Smith & Nephew, Inc. All rights reserved REVA 11/12

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