Biodynamics medical technology is the centre of excellence in the area of endoprosthetics and is specialised in joint implants and instruments.

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2 3 Biodynamics medical technology is the centre of excellence in the area of endoprosthetics and is specialised in joint implants and instruments. CUSTOMER ORIENTATION AS A MATTER OF PRINCIPLE We stand for medical devices based on the latest medical and technical developments. Extensive investments in high-tech facilities in the past years have enabled us to work with innovative procedures today. High-quality materials guarantee the quality our customers expect from us. We have also applied our comprehensive knowledge in the field of endoprosthetics to develop our own OEM product range: Customer-oriented implant systems and instruments for a dependable supply of standard products. Many of our customers complement their range of products with these systems. They rely on market-ready products which ensure an optimal combination of state-of-the-art medical standards with costeffectiveness and flexibility. Over many decades of use, the implants have been shown to be safe. All components are supplied in sterile packaging and labelled - in your individual packaging design, if desired. Combined with the surgical instruments, which are synchronised exactly with the implants, we provide a complete package. For more than 75 years, quality, costeffectiveness and reliability have formed the cornerstone of our continued success.

4 Expersus Hip Stem Expersus Hip Stem 5 EXPERSUS HIP STEM The Expersus Hip Stem for a cementless or cemental anchoring in the femur PRODUCT DESCRIPTION cemented treatment The OHST OEM Expersus Hip Stem is an artificial hip stem for cementless or cemented fixation inside the femur. In the cemented version the Expersus Hip Stem is made of CoCrMo wrought alloy (ISO 5832-12) and comes with a 12/14 cone. It has a smooth, fully polished surface and can thus be combined with both metal and ceramic femoral heads. In order to cater for the various femoral anatomies of the patients, the hip stem comes in 9 sizes with a standard 125 and standard 135 variant. The body of the stem has a triple tapered shape to ensure both self-clamping as well as the necessary rotational stability. cementless treatment In the cementless version the Expersus Hip Stem is made of titanium alloy Ti6Al4V (ISO 5832-3) and comes with a 12/14 cone. The stem can be combined with both metal and ceramic femoral heads. Apart from the polished neck area, the cementless Expersus Hip Stem has an all-round titanium plasma spray and hydroxyapatite coating. The coating accelerates growth of the bone onto the implant, thereby promoting stable and long-term fixation. In order to cater for the various femoral anatomies of the patients, the femoral stem comes in 9 sizes with a standard -125 and standard -135 variant. The body of the stem has a triple tapered shape to ensure both self-clamping as well as the necessary rotational stability. Both for the cemented and the cementless versions there is thus a wide range of possibilities for reconstruction of the natural geometry of the joint taking into account the biomechanical parameters centre of rotation, leg length and CCD angle. Both implant variants of the Expersus Hip Stem (cemented and cementless) can be inserted with the same instrument set.

6 Expersus Hip Stem Expersus Hip Stem 7 EXPERSUS HIP STEM CoCrMo, ISO 5832-12 TiAl6V4, ISO 5832-3 with TPS- and HA-coating COCRMO, ISO 5832-12 The cobalt-chr ome-molybdenum alloy belongs to the group of cobaltchrome alloys and has been used in hip replacement surgeries since the 1950s. It is based on the provisions of the international ISO standard 5832-12 for implant materials and therefore fully meets the strict requirements that are The cemented Expersus Hip Step is made of a CoCrMo wrought alloy which TIAL6V4, ISO 5832-3 WITH TPS- AND HA-COATING The cementless Expersus Hip Stem is made of TiAl6V4 wrought alloy in accordance with ISO 5832-3. The high fatigue strength and elasticity make this alloy particularly suitable for the manufacture of hip endoprostheses. The special requirements applicable to the manufacture of a hip implant, including resistance to corrosion, tissue compatibility and elasticity are met to a high degree by the TiAl6V4 titanium alloy. particularly high degree of hardness. This alloy is thus ideal both for use as a supporting and also tribological component, i. e. as a sliding partner. Cobalt-chrome-molybdenum alloys are characterised by their excellent wear properties and high robustness. In addition, the cemented Expersus Hip Stem manufactured from a cobaltchrome-molybdenum alloy is resistant to corrosion and leaching in case of contact with blood or other bodily the material prevents damage of the recipient tissue. The mechanical strength of the CoCrMo wrought alloy ensures a permanent transmission of force between the implant and bodily tissues. The TPS- and HA-coating of the Expersus Hip Stem increases the surface area. This coating is an innovative thin-layer technology made of bioactive calcium phosphate. It guarantees an absolutely even, complete covering of structured surfaces even when thin layers are applied. In addition, the microporous capacity. The bioactive titanium plasma spray and hydroxyapatite coating accelerates the integration process and promotes the growth of the bone cells.

8 Expersus Hip Stem Expersus Hip Stem 9 Expersus Hip Stem cemented and cementless Expersus Hip Stem STD 125, CoCr Mo, ISO 5832-12 Expersus Hip Stem STD 135, CoCrMo, ISO 5832-12 Expersus Hip Stem STD 125, Ti6Al4 V, ISO 5832-3, TPS- and HA-coating Expe rsus Hip Stem STD 135, Ti6Al4 V, ISO 5832-3, TPS- and HA-coating Art.-no. Art.-no. Art.-no. Art.-no. 2 367-1326 2 367-1317 2 367-1409 2 367-1400 3 367-1327 3 367-1318 3 367-1410 3 367-1401 4 367-1328 4 367-1319 4 367-1411 4 367-1402 5 367-1329 5 367-1320 5 367-1412 5 367-1403 6 367-1330 6 367-1321 6 367-1413 6 367-1404 7 367-1331 7 367-1322 7 367-1414 7 367-1405 8 367-1332 8 367-1323 8 367-1415 8 367-1406 9 367-1333 9 367-1324 9 367-1416 9 367-1407 10 367-1334 10 367-1325 10 367-1417 10 367-1408 WE RECOMMEND The cementless Expersus Hip Stem in combination with the Primaro Cup, an XL-PE 75 Inlay and the ELEC ceramic femoral head.

10 Expersus Hip Stem Expersus Hip Stem 11 EXPERSUS STEM INSTRUMENT SET A well-designed instrument set to ensure successful implantation INSTRUMENT DESCRIPTION All implant versions of the Expersus Hip Stem can be inserted with the same instrument set and the same surgical technique. For the modular rasps there are two trial cones available with the purpose of intraoperative trial reduction the pre-operatively selected implant size and version. Compared to all cemented Expersus Hip Stems, the rasps are oversized by 1 mm by means of an equal all-round cement coating. BASIC INSTRUMENT SET In addition to a modern, ergonomically shaped silicone handle system which meets all cleaning and sterilisation requirements, the basic instrument set also comes with a guided impactor for more control and more precise handling as well as a stem reducer with a modular striking weight which enables intraoperative reduction. MONOLITE TRAYS Both the basic instrument set and the rasp instrument set can be supplied in our Monolite trays. The instrument trays are cast in one piece from high-quality stainless steel. Their high thermal and chemical resilience and the use of the transport covers as lids make transport and sterilisation particularly easy. The system is characterised by its light weight and can be stacked as desired. The optimal positioning of the holding elements in the hole matrix ensures a procedure. In the trays, a shaded layout facilitates the arrangement of the instruments. RASP INSTRUMENT SET The precision-ground rasps made of premium-grade, hardened stainless steels contained in the rasp instrument set allow the surgeon to prepare a highly accurate contour. The rasps are CNC-ground and subsequently plasmapolished. This makes the instruments particularly durable and facilitates easy reprocessing.

12 Expersus Hip Stem Expersus Hip Stem 13 Stem impactor Art. no. 271-301 Spher e ø 8 mm; L: 300 mm Extractor rod M8 Art. no. 367-1251 Art.-Nr. 367-1493 Basic Instrument Set for Expersus Hip Stem Hammer Art. no. 506-072 L: 250 mm; weight: 1100 g Modular striking weight Art. no. 506-2107 Opening Broach, hewn Art. no. 367-271 Stem setting instrument, guided Art. no. 367-284 Rasp handle straight Art. no. 271-321 L: 235 mm Guide rod Art. no. 506-015 ø 8 mm, L: 120 mm RASP HANDLES Art. no. 271-329 Rasp Handle right Art. no. 271-328 Rasp Handle left Box chisel small Art. no. 506-091 6 mm x 20 mm Stem - Repositioner Art. no. 506-073 As an alternative to the straight rasp version Tray Basic Instrument Set (empty) Art. no. 367-285 Tray Lid Art. no. 452-013

14 Expersus Hip Stem Expersus Hip Stem 15 Seating instrument for cement plug Art. no. 506-100 Art.-Nr. 367-1492 Rasp Instrument Set Expersus Hip Stem Head impactor handle Art. no. 506-060 L: 165 mm, thr ead: M8 Head impactor head unit, thread M8 Rasp for Expersus Hip Stem Head impactor head unit, thread M8 Art. no. ø 28/32 mm 506-062 ø 36 mm 506-1212 Rasp for Expersus Hip Stem Trial head, cone 12/14 Art. no. 2 367-1380 3 367-1381 4 367-1382 5 367-1383 6 367-1384 7 367-1385 8 367-1386 9 367-1387 10 367-1388 Trial head, cone 12/14 Tray Rasp Instrument Set Expersus (empty) Art.-Nr. 367-1491 Tray Lid Art.-Nr. 452-013 Expersus trial cone Expersus trial cone Variant Art. no. 125 367-1437 135 367-1389 Colour Art. no. ø 28 mm S POM grey 512-280 ø 32 mm S POM grey 512-320 ø 36 mm S POM grey 512-361 ø 28 mm M POM green 512-281 ø 32 mm M POM green 512-321 ø 36 mm M POM green 512-362 ø 28 mm L POM blue 512-282 ø 32 mm L POM blue 512-322 ø 36 mm L POM blue 512-363 ø 28 mm XL POM dark-orange 512-283 ø 32 mm XL POM dark-orange 512-323 ø 36 mm XL POM dark-orange 512-364

E- mail info@biodynamicsmedical.com URL www.biodynamicsmedical.com Disclaimer This product brochure is intended exclusively for specialists in medical technology. It is not meant as information for medical lay persons. The explanations about the products contained in the brochure are general explanations and do not constitute medical advice. The product information was created and compiled by medical experts and technically qualified employees of Biodynamics to the best of their knowledge. Liability or guarantee for the timeliness, accuracy and completeness of the information provided in this brochure is not assumed. Any liability for material or immaterial damages caused by the use of this information is excluded. 500003670005, Rev. 2013-10