QUANTUM SPINAL. Presenter: John Perala, Product Manager. August 14, 2006

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1 QUANTUM SPINAL ROD SYSTEM Key Features Presenter: John Perala, Product Manager August 14, 2006

2 Fixed Screw Sizes , 25-40mm 7.75, 30-50mm 5.75, 25-40mm , 30-40mm 6.75, 30-50mm

3 Polyaxial Screw Sizes 4.75, 25-50mm 6.75, 30-55mm 5.75, 30-50mm 7.75, 30-55mm

4 Polyaxial Screw Design 1) Screw Head 2) Gimbal Clip 3) Rotating Anvil 4) Screw Shaft

5 Polyaxial Screw Pivoting rod contact - Anvil Gimbal Retaining Clip 20 degrees of angulation rotating 360 degrees

6 Key Instrumentation Screw Inserter Knurled Knob used to tighten screw to instrument. Controls Bosses/Posts. Bosses/Posts Removable Handle

7 Key Instrumentation Screw Inserter Drive Points (4) Must be fully engaged Screw Inserter Bosses/Posts Screw Inserter Bosses/Posts will engage screw head holes

8 Screw Size - Major & Minor Diameters 4.75mm - Major Dia. (.188in/4.75mm); Minor Dia. (.120in/3.00mm) 5.75mm - Major Dia. (.226in/5.75mm); Minor Dia. (.158in/4.00mm) 6.75mm - Major Dia. (.262in/6.65mm); 65 Minor Dia. (.178in/4.50mm) 7.75mm - Major Dia. (.305in/7.75mm); Minor Dia. (.218in/5.50mm) 8.75mm - Major Dia. (.346in/8.75mm); Minor Dia. (.246in/6.25mm) Major = outside thread dimension Minor = inside thread dimension

9 Polyaxial Screw Summary Top Loading Pivoting rod contact - Anvil Low Profile Rod Reduction Instrumentation Rotates 360 degrees Polyaxial Angulation 20 degrees

10 QUANTUM U SPINAL ROD SYSTEM S Locking Cap Design & Sequence of Stages Blocking 10 degree Allows free movement Stopping 45 degree Allows & holds compression & distraction, and rod rotation Locking 100 degree Marks aligned and anvil compressed. Screw/rod fixed CENTRALIZED CAMMING 98 in-lb average locking torque

11 Value Proposition for Cap (Centralized Camming) Consistent Torque Repeatable feel Three distinct stages Visual, tactile, hard stop No variation in torque No tool calibration No cross threading

12 Key Instrumentation Initial Inserter, Final Locker & Stabilizing Tube Final Locker for final locking Stabilizing Tube allowing for counter-torque torque Initial Cap Inserter - has a tapered tip for loading cap and only used for initial iti insertion and provisional i positioning i

13 Key Instrumentation Locking Tube Used for Locking Cap into final locking position (100 degrees) with counter-torque.

14 Key Instrumentation Locking Sequence Locking 100 degree Marks aligned and anvil compressed. Screw/rod fixed Stopping 45 degree pp g g Allows & holds compression & distraction, and rod rotation

15 Locking Cap Summary ¼ Turn Final Locking (100 degree) Flexible, Intermediate Locking Compression & Distraction & Rod Rotation Visual & Tactile confirmation Mechanical Stop 98 in-lb average locking torque

16 Pre-Bent & Straight Rod Sizes 35mm 150mm 35mm 110mm & 120, 150, 200, 400mm

17 Pre-Bent Rod Angulation 5.5 mm diameter

18 QUANTUM - Primary Case Bottom Tray Upper Tray Lower Tray

19 QSRS - Secondary Case Bottom Tray Upper Tray Lower Tray

20 QUANTUM - Implant Case Space Available for either Fixed Screw or Auxiliary Caddies

21 Key Instrumentation Rod Persuader 1) T-Handle 2) Torque Bar 3) Squeeze Handle 4) Shaft 5) Persuader Jaws

22 Key Instrumentation Rod Persuader Sequence Cap engaging Screw Head awaiting provisional locking C h i t l iti Cap shown in a neutral position traveling down Persuader jaws

23 Key Instrumentation Other Rod Reduction Options Rocker Yoke Fork

24 Key Instrumentation Tap & Tap Sleeve

25 Key Instrumentation Swizzle Stick & Screw Adjuster Used for rotating and positioning Screw Head Used for fine adjustment of screw

26 Any Questions?

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