PINNACLE HIP SOLUTIONS

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1 PINNACLE HIP SOLUTIONS PERFORMANCE INSTRUMENTS This publication is not intended for distribution in the USA. INSTRUMENTATION GUIDE INSTRUMENTS

2 The PINNACLE Hip Performance Instruments Advantage Economic Benefits The PINNACLE Acetabular Cup System allows surgeons to match the appropriate technology combination to each patient. The system s clinical success is demonstrated in a large multi-center study and the national joint registries. 1,2, When coupled with the system flexibility and the PINNACLE Performance Instruments, the PINNACLE Acetabular Cup System can provide multiple solutions for both surgeons and patients. Operative Efficiency The Smart Kitting of the PINNACLE Hip Performance Instruments enables % of PINNACLE Acetabular Shell cases to be completed with only instrument trays for a reduced OR back-table footprint.* These cases are the PINNACLE Grater Head Case , PINNACLE Core Case , and PINNACLE Poly Trial Liner Case shown on pages and. Smart Kitting design that enables % of PINNACLE Acetabular Shell System cases to be completed with only trays of instruments *As compared to PINNACLE Core Kits and QUICKSET Grater instrumentation 2 DePuy Synthes Joint Reconstruction PINNACLE Hip Performance Instruments Instrumentation Guide

3 PINNACLE Hip Performance Instruments, Encouraging Operative Efficiency The PINNACLE Hip Performance Instruments are also compatible with rigid sterile container systems that have the following potential advantages: Case Study 1: St. Rose Dominican Hospital, Sienna Campus in Henderson, NV, US. Results showed a time savings for Central Sterile (CS) personnel of at least minutes per instrument case due to the elimination of blue wrap. Over the course of a year, St. Rose also saved $1,20 in disposable costs (not including other costs such as reprocessing due to wrap puncture or wet sets) and an estimated 2 hours a year of CS labor time. Case Study 2: Lexington Medical Center in Lexington, KY, US. This hospital saved over $20,000 and almost,00 pounds of blue wrap in the first year of implementation of rigid sterile containers systems. In the subsequent year, Lexington Medical Center saved over $,000 and almost,000 pounds of blue wrap. PINNACLE Hip Performance Instruments Instrumentation Guide DePuy Synthes Joint Reconstruction

4 Greatbatch Medical OFFSET HANDLE OPTIONS Greatbatch Offset Impactor Greatbatch Offset Reamer Handle DePuy Synthes Joint Reconstruction PINNACLE Hip Performance Instruments Instrumentation Guide

5 Optional Instruments GREATBATCH OFFSET HANDLE CASE PINNACLE Offset Handle Case PINNACLE Case Lid Offset Reamer Handle* Offset Cup Impactor* Alignment Guide* Offset Impactor Tip (available to order)* CROSSBACK ACETABULAR REAMERS Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer 0 mm* Crossback Acetabular Reamer 1 mm* Crossback Acetabular Reamer 2 mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer 0 mm* Crossback Acetabular Reamer 1 mm* Crossback Acetabular Reamer 2 mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* CROSSBACK ACETABULAR REAMERS Crossback Acetabular Reamer mm* Crossback Acetabular Reamer 0 mm* Crossback Acetabular Reamer 1 mm* Crossback Acetabular Reamer 2 mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer 0 mm* Crossback Acetabular Reamer 1 mm* Crossback Acetabular Reamer 2 mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer mm* Crossback Acetabular Reamer 0 mm* PINNACLE GB Straight Reamer Handle (Optional) *Greatbatch Medical legal manufacturer PINNACLE Hip Performance Instruments Instrumentation Guide DePuy Synthes Joint Reconstruction

6 Extended Length Straight Grater Handle with Gator Connection QUICKSET Grater Instruments Crossback Reamer (optional) Ordering Information found on page PINNACLE GRATER HEAD CASE The PINNACLE Symmetry Gator Reamer Handle *, PINNACLE GB Straight Reamer Handle ** as well as the Symmetry * and Greatbatch Offset Handles all articulate with both the Crossback Acetabular Reamers and QUICKSET Acetabular Grater Heads. 1 PINNACLE System Grater Head Case PINNACLE Grater Head Case PINNACLE Case Lid PINNACLE Symmetry Gator Reamer Handle (x 2)* QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head 0 mm QUICKSET Acetabular Grater Head 1 mm QUICKSET Acetabular Grater Head 2 mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head 0 mm QUICKSET Acetabular Grater Head 1 mm QUICKSET Acetabular Grater Head 2 mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head 0 mm QUICKSET Acetabular Grater Head 1 mm QUICKSET Acetabular Grater Head 2 mm *Symmetry legal manufacturer **Greatbatch Medical legal manufacturer DePuy Synthes Joint Reconstruction PINNACLE Hip Performance Instruments Instrumentation Guide

7 PINNACLE CORE CASE PINNACLE Core Case PINNACLE Case Lid PINNACLE Straight Cup Impactor PINNACLE Version Guide Alternate Bearing Suction Cup Inserter Replacement Suction Cup Tip PINNACLE Cup Impactor Tip mm PINNACLE Cup Impactor Tip 2 mm PINNACLE Cup Impactor Tip 2 mm PINNACLE Poly Impactor Tip mm / PINNACLE Trial Shell / Std Profile /0 PINNACLE Trial Shell / 0 Std Profile PINNACLE System Core Case /2 PINNACLE Trial Shell 1 / 2 Std Profile / PINNACLE Trial Shell / Std Profile / PINNACLE Trial Shell / Std Profile / PINNACLE Trial Shell / Std Profile /0 PINNACLE Trial Shell / 0 Std Profile /2 PINNACLE Trial Shell 1 / 2 Std Profile Tray will accept even OR odd trials PINNACLE Primary Template PINNACLE SYSTEM POLY TRIAL LINER CASE PINNACLE Poly Trial Case PINNACLE Case Lid PINNACLE System Poly Trial Liner Case Each PINNACLE Poly Trial Liner Case will accept 2 liner trials i.e. sets of sizes -2 OD (The final configuration will be market specific) PINNACLE Hip Performance Instruments Instrumentation Guide DePuy Synthes Joint Reconstruction

8 PINNACLE SCREW SET CASE PINNACLE Screw Set Case PINNACLE Case Lid QUICKSET Depth Gauge 0 mm QUICKSET Ratchet Screwdriver Handle Screw Holding Forcep QUICKSET Flex Dr Sft Qck Cple QUICKSET Rgd Dr Sft Qck Cple QUICKSET Tprd Hex Scdr U-Joint QUICKSET Screwdriver Cross Hd QUICKSET Taper Hex Screwdriver Rigid QUICKSET Taper Hex Screwdriver Flex QUICKSET Taper Hex Screwdriver Cardan QUICKSET Drill Guide II. mm NOT AVAILABLE OUTSIDE OF THE US PINNACLE Revision Dome Drill Guide PINNACLE Revision Periph Drill Guide PINNACLE Revision Dome Drill 2 mm PINNACLE Revision Dome Drill 0 mm PINNACLE Revision Dome Drill mm PINNACLE Revision Dome Drill mm PINNACLE Revision Dome Drill 0 mm PINNACLE System Screw Set Case PINNACLE Revision Periph Drill Drill Bit Caddy QUICKSET. mm Diameter Drill Bit 2 mm QUICKSET. mm Diameter Drill Bit 0 mm QUICKSET. mm Diameter Drill Bit mm QUICKSET. mm Diameter Drill Bit 0 mm DePuy Synthes Joint Reconstruction PINNACLE Hip Performance Instruments Instrumentation Guide

9 PINNACLE BANTAM CASE PINNACLE Bantam Case ATTUNE /PINNACLE Case Lid / Trial Shell Std Profile / Trial Shell 0 Std Profile /1 Trial Shell 2 Std Profile / Trial Shell Std Profile / Trial Shell Std Profile 1 1 Tray will accept even OR odd trials Poly Trial Liner ODX22.22ID Neutral Poly Trial Liner 0ODX22.22ID Neutral Poly Trial Liner 2ODX22.22ID Neutral Poly Trial Liner ODX2ID Neutral PINNACLE System Bantam Case Poly Trial Liner ODX2ID Neutral PINNACLE Bantam Cup Impactor Adapt mm + Poly Trial OD mm + Deg Poly Trial OD mm mm Alternate Bearing Insert Trial OD mm mm Alternate Bearing Insert Trial OD mm PINNACLE LARGE GRATER / SHELL TRIAL CASE PINNACLE Large Grater / Shell Trial Case PINNACLE Case Lid QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head 0 mm QUICKSET Acetabular Grater Head 1 mm QUICKSET Acetabular Grater Head 2 mm / PINNACLE Shell Trial / Std Profile / PINNACLE Shell Trial / Std Profile Tray will accept even OR odd trials PINNACLE Shell Trial Std Profile PINNACLE Shell Trial Std Profile PINNACLE Shell Trial 1 Std Profile PINNACLE System Large Grater / Shell Trial Case Crossback Reamers (optional) Ordering Information found on page PINNACLE Hip Performance Instruments Instrumentation Guide DePuy Synthes Joint Reconstruction

10 PINNACLE LARGE POLY TRIAL CASE PINNACLE Large Poly Trial Case ATTUNE/PINNACLE Case Lid PINNACLE Revision Liner Spacer Trial mm PINNACLE Revision Liner Spacer Trial 0 mm PINNACLE Revision Liner Spacer Trial 2 mm PINNACLE Revision Liner Spacer Trial mm PINNACLE Revision Liner Spacer Trial mm PINNACLE Trial Liner Bearing 2 Neutral PINNACLE Trial Liner Bearing 2 + D PINNACLE Trial Liner Bearing 2 Lip PINNACLE Trial Liner Bearing 2 + Neutral PINNACLE System Large Poly Trial Case Please order and mm OD liner trials as required (The configurations pictured is an example only) PINNACLE Trial Liner Bearing 2 Neutral PINNACLE Trial Liner Bearing 2 + D PINNACLE Trial Liner Bearing 2 Lip PINNACLE Trial Liner Bearing 2 + Neutral PINNACLE Trial Liner Bearing Neutral PINNACLE Trial Liner Bearing + D PINNACLE Trial Liner Bearing + Neutral PINNACLE REVISION SHELL TRIAL CASE PINNACLE Revision Shell Trial Case PINNACLE Case Lid PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial 1 Standard Profile PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial Standard Profile PINNACLE System Revision Shell Trial Case PINNACLE Revision Shell Trial Standard Profile PINNACLE Revision Shell Trial 1 Standard Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial 1 Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial Deep Profile PINNACLE Revision Shell Trial 1 Deep Profile DePuy Synthes Joint Reconstruction PINNACLE Hip Performance Instruments Instrumentation Guide

11 PINNACLE REVISION XL GRATER / TRIAL CASE PINNACLE Revision XL Grater / Trial Case ATTUNE/ PINNACLE Case Lid QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head mm QUICKSET Acetabular Grater Head 0 mm PINNACLE Revision Shell Trial Standard PINNACLE Revision Shell Trial Standard PINNACLE Revision Shell Trial Standard PINNACLE Revision Shell Trial Standard 1 PINNACLE System Revision XL Grater / Trial Case Crossback Reamers (optional) Ordering Information found on page Optional PINNACLE Trial Liner Neutral + Id OD PINNACLE Trial Liner + ID OD PINNACLE Trial Liner Neutral + ID OD PINNACLE Trial Liner + ID OD PINNACLE BEARING REMOVAL CASE PINNACLE Bearing Removal Case PINNACLE Case Lid PINNACLE Constrained Liner Extractor Alternate Bearing Suction Cup Inserter PINNACLE Poly Extractor PINNACLE Alternate Bearing Tamp Extractor Replacement Suction Cup PINNACLE System Bearing Removal Case PINNACLE Hip Performance Instruments Instrumentation Guide DePuy Synthes Joint Reconstruction

12 References: 1. National Joint Registry for England and Wales, th Annual Report, 201. Table 2.. Retrieved from: Reports/th_annual_report/NJR%20th%20Annual%20Report%20201%20B.pdf 2. Barrett W, Kindsfater K, Dowd J, and Lesko J.Ten Year THA Survivorship with a Modular Cup: Results of a Large Multi-Center Study. Abstract Submitted, International Congress for Joint Reconstruction meeting, January 1, Australian Orthopaedic Association National Joint Replacement Registry. Annual Report, Adelaide: AOA, 201. Table TY1. Retrieved from: au/annual-reports-201. Data on file, PINNACLE size analysis report Campbell B. Containerizing Orthopaedic instrument sets save labor, money and time. Reprinted from January 1, 200. Aesculap, Inc.. SurgicalProductsMag.com. Going from Blue to Green. April, 20. Retrieved from: The third-party trademarks used herein are trademarks of their respective owners. Johnson & Johnson Medical Limited PO BOX 1, Simpson Parkway, Livingston, West Lothian, EH 0AB, United Kingdom. Incorporated and registered in Scotland under company number SC. DePuy Orthopaedics, Inc. 00 Orthopaedic Drive Warsaw, IN 2 USA Tel: +1 (00) 1 Fax: +1 () 2 1 DePuy International Ltd St Anthony s Road Leeds LS DT England Tel: + (0) Fax: + (0) 22 1 DePuy (Ireland) Loughbeg Ringaskiddy Co. Cork Ireland Tel: Fax: depuysynthes.com Johnson & Johnson Medical Limited All rights reserved. CA#DSEM/JRC/1/01(1) Issued: 02/1

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