Hand Fracture System with Small Bone External Fixation System. Product Overview

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Hand Fracture System with Small Bone External Fixation System Product Overview

Acumed Hand Fracture System The Acumed Hand Fracture System is designed to provide both standard and fracture-specific fixation for metacarpal and phalangeal fractures, as well as fixation for fusions and osteotomies. This comprehensive system contains plates for fractures of the metacarpal neck, fractures of the base of the first metacarpal, avulsion fractures, and rotational malunions. Additionally, the system contains standard-shaped, cut-to-length and bend-to-fit plates and hexalobe lag screws for less complicated fractures. Low-profile plates and screws and a rounded-edge plate cutter are designed to minimize soft tissue irritation. Versatile screws, customizable plates, and dedicated instrumentation offer a comprehensive system to streamline the surgical experience.

1.3 mm thickness Plates and Screws The Acumed Hand Fracture System offers plates in 0.8 mm and 1.3 mm thicknesses. Metacarpal Neck Plate, Left and Right Rotational Correction Plate T-Plate Straight Plate Compression Plate Rolando Fracture Hook Plate System Features Avulsion Fracture Plate Offset Plate Curved Medial/Lateral Plate 0.8 mm thickness

Customizable Standard Plates Most plates can be cut to length and bent to fit to better treat a wide variety of fracture patterns. A plate cutter included in the system is designed to create a smooth, rounded edge. 0.8 mm T-Plate 1.3 mm Straight Plate Multiple Choices, Multiple Options Diaphyseal Fractures 0.8 Curved Medial/Lateral Plate Distal Phalangeal Fractures 0.8 Curved Medial/Lateral Plate Comminuted Fractures 0.8 Offset Plate Note: Not all configurations and options are shown

Specialty Plates Avulsion Fracture The 0.8 mm Avulsion Hook Plate is designed for periarticular fractures where the fragment contains a soft tissue insertion. Rolando Fracture The 1.3 mm Rolando Fracture Hook Plate is designed to treat a Y- or T-shaped fracture pattern at the base of the first metacarpal. Metacarpal Neck Fracture The 1.3 mm Metacarpal Neck Plate has three distally pointing converging screws to provide metacarpal head fixation. System Features Rotational Malunion Osteotomy The 1.3 mm Rotational Correction Plate system includes a Rotational Osteotomy Cutting Guide designed to facilitate placement and orientation of the cut for rotational osteotomies of the metacarpals.

Screw Technology 15 Locking Variable Angle Screws Hexalobe MultiScrews allow for variable angle screw insertion up to 15 degrees in any direction, for a total of 30 degrees. Hexalobe Lag Screws These screws are designed to be used as an adjunct to plate fixation or for fractures that can be treated with lag screws alone. Acumed s 1.5 mm and 2.3 mm Hexalobe Lag Screws do not require overdrilling of the near cortex. Versatile Hexalobe MultiScrews The 1.5 mm and 2.3 mm Hexalobe MultiScrews can be used in plates of either 0.8 mm or 1.3 mm thickness. The SaveLock Compression Sleeve allows these screws to function as both locking and nonlocking screws.

Small Bone External Fixation System Small Bone Fixator With a straightforward application, this fixator s modular design enables pins to be placed in multiplanar arrangements, allowing the frame to be built around the fractures. Small Bone Distractor This lightweight, low-profile fixator can be adjusted to the amount of distraction/ compression desired by the surgeon. System Features

Key Instruments SaveLock Compression Sleeve The instrument covers the threads on the head of the Hexalobe MultiScrews while compressing the plate to the bone when inserting the screw. The sleeve is threaded over the screw head only and prevents these threads from engaging the plate when inserting the screw shaft into the bone. Plate Cutter Fracture-specific and standard plates can be bent to fit and cut to length to better treat a wide variety of fracture patterns. A plate cutter included in the system is designed to create a smooth, rounded edge.

Key Instruments Percutaneous Bone Clamp The 1. 1mm/2.0 mm clamp is a doublebarreled drill guide that aids in provisional fixation and drilling. One barrel is used to insert a K-wire across the fracture while the other barrel guides the drill. Rotational Osteotomy Cutting Guide This guide is designed to facilitate placement and orientation of cuts for rotational osteotomies of the metacarpals. System Features Single Pointed Reduction Forceps Sharp end points engage the divots between screw holes on the plate to hold it securely to the bone during plate placement and fracture reduction.

Rolando Fracture Hook Plate First metacarpal base fracture fixation Small Bone Distractor Metacarpal osteotomy and subsequent lengthening Curved Medial/Lateral Plate Proximal phalanx fracture fixation

X-Rays Metacarpal Neck Plate Fifth metacarpal neck fracture fixation Straight Plate Metacarpal phalange fusion T-Plate and Lag Screw Third metacarpal fracture

Exposure Fracture Reduction and Plate Placement Drilling Distal Screw Hole Determining Screw Length 1.3 mm Rolando Fracture Hook Plate* Exposure and Fracture Reduction Plate Placement Proximal Screw Insertion 1.3 mm Metacarpal Neck Plate* Exposure Osteotomy Cut Plate Placement and Rotational Correction 1.3 mm Rotational Correction Plate* *For reference only. For full instructions, see the current Hand Fracture System Surgical Technique.

Screw Insertion Drilling Proximal Holes Proximal Screw Insertion Final Screw Insertion Distal Cluster Screw Preparation Distal Screw Insertion Osteotomy Compression Screw Insertion Proximal Screw Insertion Closure and Postoperative Protocol Closure and Postoperative Protocol Surgical Technique Overview

Product in Portfolio Partial Offering Product Not in Portfolio Product in Development Superior Clavicle Plates Anterior Clavicle Plates Hook Plates Scapula Border Plates Glenoid Plates Acumed DePuy Synthes Stryker Smith & Nephew Shoulder Clavicle/Scapula Acromion Plates Clavicle Screws/Pins Proximal Humeral Nails Proximal Humeral Plates Humerus Midshaft Plates 90/90 Plates Parallel Plates External Fixation Elbow Proximal Ulna Distal Humerus Olecranon Plates Coronoid Plates Proximal Ulna Nails Radial Head Plates Radial Head Replacement, Short Stem Radial Head Replacement, Long Stem arm Radial Head Ulna Plates Anatomic Midshaft Volar Radius Plates

Dorsolateral Midshaft Radius Plates Ulna Nails Upper Extremity Competitor Product Comparison Wrist Midshaft Fore Radius Nails Distal Ulna Plates Ulnar Shortening Plates Distal Radius Distal Ulna Volar Distal Radius Plates Dorsal Distal Radius Plates Radial Styloid Plate Dorsal Rim Plates Dorsal Lunate Plates Volar Lunate Plates Wrist Spanning Plates External Fixation Wrist Fusion Nitinol Staples Hand Phalangeal & Metacarpal Carpal Hand Fracture Plates MCP Fusion Plates External Fixation Specialty Hand Plates Continuous Compression Differential Pitch Screws Headed Headless Partial Thread Full Thread

Acumed Headquarters 5885 NE Cornelius Pass Road Hillsboro, OR 97124 Office: +1.888.627.9957 Office: +1.503.627.9957 Fax: +1.503.520.9618 www.acumed.net HNW40-07-F Effective: 2018/09 2018 Acumed LLC Competitor Data Sources DePuy Synthes website https://www.depuysynthes.com/ Stryker website https://www.stryker.com/us/en/index.html Smith & Nephew website https://www.smith-nephew.com/ All websites accessed on February 1, 2018 These materials contain information about products that may or may not be available in any particular country or may be available under different trademarks in different countries. The products may be approved or cleared by governmental regulatory organizations for sale or use with different indications or restrictions in different countries. Products may not be approved for use in all countries. Nothing contained on these materials should be construed as a promotion or solicitation for any product or for the use of any product in a particular way which is not authorized under the laws and regulations of the country where the reader is located. Specific questions physicians may have about the availability and use of the products described on these materials should be directed to their particular local sales representative. Specific questions patients may have about the use of the products described in these materials or the appropriateness for their own conditions should be directed to their own physician. Acumed and Acutrak 2 are registered trademarks of Acumed LLC