A new era starts today. Welcome to Everost!

Transcription

1 A new era starts today. Welcome to Everost!

2 NNOVATION The year was 1997 and the vision was to, well, to survive and make a difference. The first invention was an external fixation system, targeting device, better ESF pins, and better outcomes. Off we went. Then we got into the habit of obsessing over every orthopedic procedure. The question was never how can we improve the product or procedure it was when! During 2001 the groundbreaking Crimping/Tensioning system was introduced for cranial cruciate stabilization. This revolutionized how lateral suture procedures were done and dramatically improved surgical outcomes. Shortly thereafter, there was the break off bone anchors, then a new low profile TPLO plate, evolutionary designs for TTA followed by the first forkless TTA plate and the first cuttable TTA cage, advancement in coxofemoral luxation, hip resurfacing, fracture fixation and synthetic CCL replacement systems. Eight patents, several pending, many innovations and a lot of hard work and dedication, we have moved on. We are now beginning again, with Everost. Focused on next generation materials, products, and, of course, re-obsessing over every orthopedic procedure. It is our promise, to you, that we will work hard to ensure our innovative designs and bioabsorbable materials will provide better surgical outcomes. Advancing science, safety and innovation. Welcome to Everost!

3 4 Advanced Bioresorbable Implants Our offering is always expanding. If you do not see what you are looking for, please call one of our sales specialists at 855-EVEROST ( ) Tibial Tuberosity Advancement (TTA) Tibial Plateau Leveling Osteotomy (TPLO) Lateral Stabilization Freedom Lock Fracture Implants 52 Stainless Steel Locking Implants 56 Internal Fixation, Standard Implants 66 Specialty Situation Plates 72 Drill Bits 75 Power Systems 76 Pins & Wires 78 Medial Patella Luxation (MPL) 80 Coxofemeral Luxation Management 84 Everost Surgical Instruments 90 Starter Kits 94 Sterilization Containers 96 Everost Revitalization Program 98 Platinum Program 100 Everost Educational Excellence Program 102 Reference Materials TABLE OF Materials Overview Index Order Form

4 Advanced Bioresorbable Implants EVEROST pushes the frontiers of veterinary orthopaedic innovation in implant design, instrumentation and support services. Our designing team has over 29 years experience designing products exclusively for veterinary orthopaedics. We have worked with hundreds of veterinary surgeons to develop products and services that are either termed revolutionary or evolutionary. Revolutionary products are products that offer new solutions to known conditions or injuries. Evolutionary products offer better solutions for known conditions or injuries. Over the last two decades we have designed products in all areas of trauma, canine cruciate repair, coxofemoral luxation, arthrodesis, ligament repair, total joints and artificial ligament reconstruction. Using the latest in biomaterial research and innovation, Everost offers implants for a variety of indications that have the mechanical properties necessary for the body to heal in a more natural way. These advanced biomaterials are tailored to biodegrade at a rate that suits the surgical repair. Through proprietary processes we can change just about any property of the material, most importantly the strength and degradation time. Everost incorporates all GMP standards in our processes of production, inspection and packaging. NNOVATIO 4

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6 Tibial Tuberosity Advancement (TTA) Xorption TTA Cages The XORPTION line of cages, used in Tibial Tuberosity Advancements, are manufactured using the highest grade of proven bioabsorbable polymers. The innovative design provides adequate mechanical properties for safe and effective bone healing. With the novel quik clip the surgeon is no longer constrained to a specific wing size. The Xorption Cages allows the surgeon to pick the correct wing size for the patient and attach the wing onto the desired cage size. Features & Benefits: Made from proven high quality bioabsorbable polymers MMP Wedge Engineered to provide adequate mechanical properties for safe bone healing Bioabsorption profile mimics that of natural bone healing No tissue reaction and easy to remove if necessary Proprietary compounding of bioabsorbable materials and osteo-conductive materials provides faster bone growth 9mm Xorption Cages Great scaffold for tissue growth Radiolucent, therefore, better postoperative imaging Available in 6mm, 9mm, and 12mm sizes* ORPTION Interchangeable wings *Other sizes available Q

7 XORPTION TTA DESCRIPTION PART NUMBER 6mm x 22mm AdapTTA Cage mm x 25mm AdapTTA Cage mm x 28mm AdapTTA Cage mm x 22mm AdapTTA CAge w/ 11mm SS wing mm x 22mm AdapTTA CAge w/ 11mm Ti wing mm x 25mm AdapTTA CAge w/ 13mm SS wing mm x 25mm AdapTTA CAge w/ 13mm Ti wing mm x 28mm AdapTTA CAge w/ 17mm SS wing mm x 28mm AdapTTA CAge w/ 17mm Ti wing Xorption TTA Cage FORKLESS TTA PLATES DESCRIPTION TITANIUM STAINLESS STEEL 3-2 Hole Plate Hole Plate Hole Plate Hole Plate Hole Plate Hole Plate Hole Plate Adaptta Forkless Plate MPL SPACERS DESCRIPTION TITANIUM STAINLESS STEEL 1mm mm mm mm mm mm MPL Spacers ADAPTTA TTA WINGS DESCRIPTION TITANIUM STAINLESS STEEL 9mm mm mm mm mm mm mm XORPTION MMP WEDGES BONE PUTTY DESCRIPTION Adaptta Wings PART NUMBER DESCRIPTION ABSORBABLE Xorption 6mm MMP Wedge Xorption 9mm MMP Wedge Xorption 12mm MMP Wedge EverGraft Injectable Putty, CC (Bone Powder and cancellous chips) 7

8 Tibial Plateau Leveling Osteotomy (TPLO) Xorption TPLO Plate, Right Xorption TPLO Plate, Front Tibial Plateau Leveling Osteotomy (TPLO) is one of the greatest advancements for the surgical repair of cruciate deficient stifles. The challenge over the years has been the development of optimal fixation methods. The engineers at Everost introduced the very first low profile TPLO plate that allowed for adequate fixation, as well as, easy closure. Many companies have continued to offer their own style of TPLO plates for the last decade. We challenged ourselves to think more advanced and not settle for designing just another plate. We are proud to introduce the Xorption TPLO Plates! Not only is the geometric design unique and novel but the plate is produced with the very latest bioabsorbable composites. Everost is pioneering bioabsorbable materials in many areas of veterinary orthopaedics. These TPLO plates have the strength necessary to allow for natural healing but will bioabsorb into the body over time. Time will tell the everlasting effects of such technology and we are pleased to introduce it to the animal health community. Xorption TPLO Plate, Side Features & Benefits: Innovative geometry for better fixation Poly axial locking ORPTION Biocomposite much stronger than cortical bone Promotes bone growth as it bioabsorbs Biological healing Radiolucent 8

9 xorption tplo plates DESCRIPTION PART NUMBER 3.5mm Left TPLO Plate 3.5mm Right TPLO Plate 3.5mm Left Broad TPLO Plate 3.5mm Right Broad TPLO Plate Xorption TPLO Xorption Tplo With Bioglass *Available Q

10 Tibial Tuberosity Advancement (TTA) The Everost line of Tibial Tuberosity Advancement (TTA) implants and instrumentation is unlike anything else on the market today. The engineers at Everost have been designing and redesigning TTA implants for over 10 years. We introduced the cuttable TTA cage, the forkless plate and the MPL spacers, to mention a few. Everost, focusing on advancing science, safety and innovation, has introduced the next generation of implants. The Xorption and Adaptta line of implants raises the bar on how implants are designed. This line of implants is both evolutionary and revolutionary! By having a choice of stainless steel, titanium and composites you are able to make sound decisions as to what is best for the patient and the client s financial situation. Our goal is to be the best at what matters most! 10 VOLUTION

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12 AdapTTA Adaptta Cage The AdapTTA line of cages, used in Tibial Tuberosity Advancements, are manufactured using the highest grade of proven biocompatible metals. The innovative design provides adequate mechanical properties for safe and effective bone healing. With the novel quik clip the surgeon is no longer constrained to a specific wing size. The AdapTTA Cages allows the surgeon to pick the correct wing size for the patient and attach the wing onto the desired cage size. Features & Benefits: Interchangeable wings choice made in surgery! 350 of wing freedom Adaptta Wings & Cage Available in biocomposites, titanium and stainless steel Limited contact/less implant material Available in all sizes Proprietary surface finish Available with or without wings attached Lot tracking on implant Adaptta Cage 12 DAPTTA

13 ADAPTTA TTA CUTTABLE CAGES with interchangeable wings DESCRIPTION TITANIUM STAINLESS STEEL 3mm x 17mm with 9mm wing mm x 17mm with 9mm wing mm x 20mm with 11mm wing mm x 20mm with 11mm wing mm x 23mm with 13mm wing mm x 23mm with 15mm wing mm x 26mm with 17mm wing mm x 26mm with 25mm wing Adaptta Wings & Cage ADAPTTA TTA CAGES DESCRIPTION TITANIUM STAINLESS STEEL 3mm x 17mm mm x 17mm mm x 20mm mm x 20mm mm x 23mm mm x 23mm mm x 26mm mm x 26mm Adaptta Cage ADAPTTA TTA WINGS DESCRIPTION TITANIUM STAINLESS STEEL 9mm mm mm mm mm mm mm Adaptta Wings FORKLESS TTA PLATES DESCRIPTION TITANIUM STAINLESS STEEL 3-2 Hole Plate Hole Plate Hole Plate Hole Plate Hole Plate Hole Plate Hole Plate Adaptta Forkless Plate *Screws located on pages 62 & 63 13

14 TTA Instrumentation Autoclavable TTA Trays Everost Depth Gauge Having best-in-class implants means you have to have best-in-class instrumentation to install the implants! Everost spends as much time designing our instrumentation as we do designing the implants. It is our goal to design and manufacture instrumentation that allows the surgeons to install our implants easily and effectively. It is equally as important that our instrumentation lasts a lifetime! All of the Everost instrumentation comes with a lifetime guarantee for material defects and workmanship. We hope you appreciate the little things we do with our instrumentation, including; laser etching to give the tool more uses, the gauges to perform measurements in the OR, aesthetics and ergonomics and overall workmanship. Features & Benefits: Precise and accurate Manufactured using the highest quality metals Lifetime warranty for material defects and workmanship Multiple uses Manufactured by Everost Everost Depth Gauge Double Drill Guide NSTRUMEN 14

15 TTA INSTRUMENTATION DESCRIPTION ITEM NUMBER TTA Wing Applicator TTA T-Handle w/spacers Depth Gauge 2.4mm-4.0mm Screws Screwdriver, 2.0mm Hex w/handle Screwdriver, 2.5mm Hex w/handle Screwdriver Shaft, 2.5mm Hex QC TTA Cage Cutter Bone Reduction Forceps Double Drill Guide, 2.0/2.7mm Double Drill Guide, 2.5/3.5mm mm TTA Cage Spacer mm TTA Cage Spacer mm TTA Cage Spacer mm TTA Cage Spacer mm TTA Cage Spacer mm TTA Cage Spacer mm TTA Cage Spacer mm TTA Cage Spacer TTA Handle Double Drill Guide Hex Driver TTA Spacer TS Cage Cutter

16 Tibial Plateau Leveling Osteotomy (TPLO) Tibial Plateau Leveling Osteotomy (TPLO) is one of the greatest advancements for the surgical repair of cruciate deficient stifles, pioneered by the late Dr. Slocum. The founders of Everost have been designing TPLO implants for more than 10 years and hold U.S. patents in the area. With all the TPLO plates available today we challenged our engineers with the task of designing a NEW range of implants that are strong enough to allow for effective bone healing, but aren t too stiff to cause stress shielding. With today s materials, engineers have become complacent in their designs because many times we don t have to worry about the mechanical strength of the implant (when using 316LVM or Titanium), we just have to worry about the design and fit. We are proud to introduce the Freedom Lock and Liberty Lock TPLO plates. These implants are the very first locking implants that provide fixed angle options with poly axial freedom. Not everyone wants the freedom of sending screws at different angles and would prefer the holes to be at fixed angles. We have designed the Freedom Lock and Liberty Lock plates to have the best of both worlds. If one prefers to used them as fixed angle they would simply do so. If you would like to change the angle by 15 degrees in any direction the drill guide is put in at the desired angle. This technology is truly a break through. Freedom Lock is made from Titanium and Liberty Lock is made from Stainless Steel. 16MPLANTS

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18 FreedomLock Polyaxial TPLO Plates Freedom Lock Titanium TPLO Plate Freedom Lock TPLO Plate, Right Freedom Lock TPLO Plate, Left - Side View Between the founder of Everost was tasked by a group of surgeons to design and develop a new TPLO plate. At the time the sole supplier of TPLO plates was struggling with quality issues. The technique was a very favorable one and the surgical community simply wanted a well designed, dependable implant and our engineers came to the rescue. We were the only company at the time that was able to mass produce a high quality implants. Since than, we have continued to innovate in the area of TPLO. We are now proud to introduce the Freedom Lock TPLO plates. These plates are the first to offer fixed angle locking with the freedom to change the angel if desired. The unique locking mechanism is set at a fixed angle but the angle can be changed by 15 degrees if desired allow for ideal screw placement. The shape of the plate is novel, as well. The cranial nose on the distal part of the plate allows for desirable bone purchase in the center of the tibia. It also offer s an additional angle to apply compression. The Freedom Lock implants are made from a unique Ti-6Al-4V alloy with a proprietary surface treatment that allows it to out perform the standard titanium implants. This combination of the unique Ti Alloy and the proprietary surface finish has been recognized as providing greater strength, biocompatibility and enhanced stiffness. The surface treatment also increases fatigue strength and improves surface characteristics. Features and Benefits: Fixed angle with the ability to change the angle Innovative geometry to allow for ideal screw placements and compression Manufactured using the highest grade of Titanium alloys 18 REEDOM Proprietary surface finish to maximize mechanical properties and surfacecharacteristics Not all screw holes need to be filled Both locking and non-locking screws can be used Manufactured in Germany

19 FREEDOMLOCK TPLO DESCRIPTION TITANIUM 2.7MM Locking TPLO Plate, Right Locking TPLO Plate, Left MM Locking TPLO Plate, Left Locking TPLO Plate, Right Freedom Lock TPLO Plate, Left 3.5MM BROAD Locking TPLO Plate, Left Broad Locking TPLO Plate, Right Broad FREEDOMLOCK INSTRUMENTATION DESCRIPTION ITEM NUMBER 2.4mm Locking Drill Guide mm Locking Drill Guide mm Locking Drill Guide Screwdriver w/ Handle T Screwdriver w/ Handle T mm X 100mm Drill Bit TiN Coated (2.4mm screws) Locking Holes, Freedom Lock 1.9mm Drill Bit QC TIN Coated (2.7mm screws) 2.7mm Freedom Lock Drill Bit QC TIN Coated (3.5mm screws) 2.7mm Locking Plug mm Locking Plug Titanium Freedom Lock Screw LOCK 19

20 Freedom Locking Screws Locking Holes, Freedom Lock The novel feature of the Freedom Lock Screws lies in the head. The head has a tapered geometry; double helix threads and the threads have interrupts. The interrupts of the thread allows the screw head to enter into the plate threads at different times, therefore, allowing for 15 degrees of freedom in the locking angle. The Freedom Lock screws are manufactured from the highest quality Titanium alloys to ensure the ultimate success. The screws undergo the same surface treatment as the plates. Features and Benefits: Locking Screw for Freedom Lock Novel locking threads that allow up to 15 degrees of freedom Tapered head profile Double helix Efficient cutting Proprietary surface finish Star Drive 20 REEDOM

21 FREEDOMLOCK titanium LOCKING SCREWS DESCRIPTION ITEM NUMBER 2.4MM LOCKING SCREWS, STAR DRIVE 8mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm MM LOCKING SCREWS, STAR DRIVE 8mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm DESCRIPTION ITEM NUMBER 3.5MM LOCKING SCREWS, STAR DRIVE 8mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Freedom Locking Screw LOCK 21

22 LibertyLock Stainless Steel TPLO Plates & Screws Locking Drill guide The Engineers at Everost take great pride in their ability to design innovative, unique implants based on surgeon input. Historically, we would offer a single design and work towards educating our customers of the benefits of that design. This time around we realized the need to offer multiple innovative designs that appeal to all users. We are proud to introduce our Liberty Lock line of stainless steel TPLO plates. These innovative designs are made from the highest grade, medical 316LVM stainless steel. The Liberty Lock implants are Polyaxial and use standard AO-style locking screws manufactured by Everost. All of these plates also have bending zones that allow for more accurate bending without putting stress on the metal. Features & Benefits: Innovative Polyaxial locking Precise bending zones Available in broad Liberty Lock Screws Lot tracking, laser marked on all implants Proprietary surface finish 22 Manufactured to all FDA, ISO and GMP standards IBERTY OCK TPLO

23 LIBERTYLOCK TPLO PLATES DESCRIPTION STAINLESS STEEL 2.4MM Right LibertyLock TPLO Plate Left LibertyLock TPLO Plate MM Right LibertyLock TPLO Plate Left LibertyLock TPLO Plate Liberty Lock TPLO Plate 3.5MM Right LibertyLock TPLO Plate Left LibertyLock TPLO Plate MM BROAD Right Liberty Lock TPLO Plate Left Liberty Lock TPLO Plate LIBERTYLOCK INSTRUMENTATION Liberty Lock TPLO Plate DESCRIPTION ITEM NUMBER 2.4mm LibertyLock Drill Guide mm/2.7mm Liberty Locking Drill Guide 3.5mm Liberty Lock Screw Drill Guide Liberty Lock Drill Guide 1.8mm Drill Bit QC mm Drill Bit QC mm Drill Bit QC Screwdriver T8 for 2.4mm & mm Screws Screwdriver T15 for 3.5mm Screws

24 Liberty Locking Stainless Steel Screws This line of stainless steel screws are 100% compatible with AO locking implants. Everost began manufacturing these screws to help our customers have better financial control over implant costs. High quality implants don t always have to come at high prices. We manufacture all of these screws in our facility and strictly follow all FDA, ISO and GMP standards. Features & Benefits: Compatible with all AO instruments and implants Manufactured with certified 316LVM stainless steel Available in 2.0, 2.4, 2.7 and 3.5mm sizes Economically priced Manufactured to all FDA, ISO and GMP standards Star drive insertion Made in USA Liberty Lock Screw & Plate 24 IBERTY OCK SCRE

25 stainless steel locking screws, STAR DRIVE DESCRIPTION ITEM NUMBER 2.4mm Locking Screws, Star Drive 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Locking Screws, Star Drive 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm WS DESCRIPTION ITEM NUMBER 3.5 mm Locking Screws, Star Drive T15 10mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Liberty Lock Screws 25

26 Basic TPLO Instrumentation The Everost offering of TPLO instrumentation is of the highest quality. Every instrument we manufacture comes with a life time warrantee against material defects and workmanship. If a problem arises we will take care of it, no questions asked. Our offering of TPLO instrumentation is continually growing as the procedure continues to evolve. If you don t see the item you are looking for please take the time to contact your Everost product specialists. Each instrument has been manufactured using ASTM as a benchmark for quality standards. The design of each instrument included material choice, balance, precision and the highest quality workmanship. Our goal is to provide the best instrument at a price that is right for the market. Features & Benefits: TPLO Saw Attachment Comprehensive offering of TPLO instrumentation Manufactured to all ISO and ASTM standards in very modern facilities Life time warrantees TPLO Jig Custom manufacturing available 90% of all orders go out the same day NSTRUMEN 26

27 Basic TPLO INSTRUMENTATION DESCRIPTION ITEM NUMBER Standard Slocum Style TPLO Jig Small Standard Slocum Style TPLO Jig Large Bone Scribe TPLO Blade, 15mm TPLO Blade, 18mm TPLO Blade, 20mm TPLO Blade, 24mm TPLO Blade, 27mm TPLO Blade, 30mm /64 (2.0mm) x 5 (125mm) Trocar/Trocar PT /32 (2.4mm) x 12 (305mm) Trocar/Trocar PT /8 x 4.5 TPLO Positioning Pin, PT Rotation Gauge 2.0mm Compressional Drill Guide Load/Neutral 2.7mm Compressional Drill Guide Load/Neutral 3.5mm Compressional Drill Guide Load/Neutral Drill Guide Bending Iron, Right Bending Iron, Left Screwdriver, 1.5mm Hex Screwdriver, 2.0 Hex, w. handle for mm screws Screwdriver, 2.5mm Hex for Screws mm Drill Bit JC mm Drill Bit JC mm Drill TS Bit JC TPLO Rotation Gauge

28 EverLok Plateless TPLO Fixation WOW! Is normally the reaction when a surgeon looks at this extremely innovative solution to TPLO fixation. EverLok is a great example of the passion our engineers have for advancing veterinary orthopaedics. It s the first of its kind and offers many benefits to the patient, client and surgeon. EverLok delivers over 200N of uniform compression across the cut line. This creates an extremely stable fixation when combining the compressional forces with the resulting friction on the surfaces. The locking mechanism between the two implants used ensures long term fixation while allowing for primary bone healing. Technology like this will make surgeries less invasive, allow for faster healing and have less complications. The solution doesn t always have to be the obvious one! Advantages of the EverLok Plateless TPLO Fixation Device: Zero profile, no plate Uniform compression medial lateral (>200N) EverLok Stable fixation Versatile applications Reinforced bone bridge Precise instrumentation The new way of fixation! 28 VERLOK

29 EverLok Plateless TPLO IMPLANTS & INSTRUMENTS DESCRIPTION ITEM NUMBER EverLok Titanium Posts - 4.6mm Titanium Posts (GOLD) 60ª 4.6mm x 14mm EverLok 4.6 post 60ª 4.6mm x 16mm ª 4.6mm x 18mm EverLok Titanium Posts - 6.6mm Titanium Posts (GREEN) 60ª 6.6mm x 16mm ª 6.6mm x 18mm ª 6.6mm x 20mm EverLok 6.6 post 60ª 6.6mm x 35mm EverLok Titanium LAG Screws LENGTH 3.0MM LAG SCREW, 4.0MM LAG SCREW, TAPERED TAPERED 20mm EverLok Lag Screw 22mm mm mm mm mm mm mm mm mm mm EverLok Implant Guide X-POST SIZE X-POST DRILL LAG SCREW SIZE LAG SCREW DRILL REAMER CLEARING TOOL 4.6mm 2.0mm 3.0mm 2.0mm 4.6mm 4.6mm 6.6mm 3.4mm 4.0mm 3.0mm 6.6mm 6.6mm 29

30 EverLok Instrumentation DESCRIPTION ITEM NUMBER Guidewire 0.9mm (.035in) x 152mm (6in) Guidewire 1.6mm (.062in) x 152mm (6in) Alignment Guide Depth Gauge for Guidewire Cannulated Drill Bit 2.0mm Cannulated Drill Bit 3.0mm Cannulated Drill Bit 3.4mm mm Reamer mm Reamer QC Handle, Straight Screw driver Shaft, 2.0mm Hex Screw driver Shaft, 3.0mm Hex Clearing Tool Clearing Tool Tapered Drill Guide Tapered Drill Guide Polyaxial Drill Guide Polyaxial Drill Guide Implant Caddy X-Ray Template Cannulated Drill Bits Tapered Drill Guide Hex Driver 30

31 EFERENCE GUIDE EverLok Quick Reference Guide b Cut Place Guide Wire Chamfer Post Hole Chamfer Post Hole (B) 4 5 5b 6 Chamfered Hole Insert X-Post XPost Fully Seated Chamfer Hole for leg guide Chamfered XPost Hole Place Guide for Drilling Place Lag Screw Insert Lag Screw Fully Repeat steps 1-10 for 4.6mm EverLok

32 Lateral Stabilization Surgical stabilization of a cranial cruciate ligament rupture using extracapsular suture techiniques was first described by DeAngelis and Lau decades ago. When our engineers first started looking at the technique in 1997 the best solution available was using fishing line and tying knots. It was clear to us, at the time, there had to be a better way. Over the years that followed, our engineers developed the crimp clamp system and upgraded the suture materials from fishing line to a certified monofilament. However, we didn t stop there. We continued to design better and more ergonomic crimping tools, precise tensioning devices and introduced high strength fibers to the procedure. Our designs became the standard of care. The founder of Everost is the inventor of the current day crimpers. View our website for patent information. 32 TABILIZAT

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34 RotaX Stifle Retractor Today, we are re-inventing again! We are extremely excited to introduce the Rotax System. This system is a crimpless, knotless system that allows for very precise, incremental tension of the lateral suture. A key component to the system is the ContinuOS high strength fiber. ContinuOS is a one piece, loop of fiber that has strength and other mechanical characteristics that far exceed the current fibers. With the Rotax System, one is able to provide the very best in care, using the latest advancements and saving on all the expensive instrumentation. Rotax Anchors and Posts Constant improvement coupled with new ideas creates success! Features & Benefits: Crimpless/knotless lateral suture fixation ContinuOS loop fiber 60% more strength than non-looped suture Precise tension control Rotax Bone Model No stress risers RotaX post allows for suture movement Versatile applications No expensive instrumentation Rotax Anchor #2 34 OTAX

35 RotaX Step-by-Step Instructions for Use Step 1: Drill femoral and tibial holes Step 1a: Drill the femoral hole in the caudolateral cortex of the lateral femoral condyle, at the level of the distal pole of the lateral fabella. Step 1b: Drill the tibial post hole at the Gerdy s tubercle (Area where the iliotibial band and the fascia lata go into the tibia). Step 2: Seat femoral post to desired height. It is recommended to seat to the bone surface if soft tissue doesn t hinder it. Step 3: Seat tibial post to desired height. It is recommended to seat to the bone surface if soft tissue doesn t hinder it. 35

36 RotaX Step-by-Step Instructions for Use (cont) Step 4: Install the tibial anchor and check its height with the height gauge. Step 4b: Advance the anchor until the height gauge slightly swings free over the top of the anchor Step 5: Use the leader on the ContinuOS loop to feed the loop through the Rotax anchor. Step 6: Pull the loop back toward the Femur and pull the opposite end of the loop to get the end to hook on the anchor. Step 7: Pull the opposite end tight to make sure the loop is secure around the anchor Step 8: Wrap the ContinuOS loop around the tibial post and pull taught. 36

37 RotaX Step-by-Step Instructions for Use (cont) Step 9: Loop the free end of the ContinuOS loop over the Femoral post. Step 10: Tighten the tibial anchor to the desired loop tension. Be sure to check cranial drawer as you begin to tighten. DO NOT OVER TIGHTEN. Step 11: Cut off the leader used to pull the suture through the tibial anchor. NOTES 37

38 ContinuOS ContinuOS Loop Ultra high molecular weight polyethylene (UHMWPE) fiber was introduced to the orthopaedic market years ago. It is a braided suture prepared from fibers of UHMW, long chain linear polyethylene. These sutures have excellent strength, high flex strength, great abrasion resistance, good handling characteristics and elicit a minimal inflammatory reaction in tissue. Everost is the first to introduce the ContinuOS loop fiber, which is constructed from the UHMWPE fibers and made into a continuous loop via a proprietary process. These loops are stronger than the single strand fibers. The ContinuOS loops have many applications and are very versatile. EverStrong with Cruciate Needle EverStrong Features & Benefits: High strength composite fiber Soft feel and resists abrasion Very little elongation Very biocompatible Pre sterile #5 = 300 lbs pull strength #2 = 180 lbs pull strength ContinuOS Pull Strength 38 TABILIZATIO

39 TITANIUM ROTAX BONE ANCHORS & POSTS DESCRIPTION ITEM NUMBER #2 FIBER ROTAX ANCHORS 2.4mm x 12mm, #2 Fiber mm x 14mm, #2 Fiber mm x 16mm, #2 Fiber mm x 18mm, #2 Fiber mm x 20mm, #2 Fiber RotaX #2 2.7mm x 12mm, #2 Fiber mm x 14mm, #2 Fiber mm x 16mm, #2 Fiber mm x 18mm, #2 Fiber mm x 20mm, #2 Fiber mm x 18mmm #2 Fiber mm x 20mm, #2 Fiber mm x 22mm, #2 Fiber mm x 24mm, #2 Fiber #5 FIBER ROTAX ANCHORS 3.5mm x 18mm, #5 Fiber mm x 20mm, #5 Fiber mm x 22mm, #5 Fiber mm x 24mm, #5 Fiber RotaX #5 ROTAX POSTS TITANIUM DESCRIPTION ITEM NUMBER 2.4mm x 12mm Rotax Anchor Post, Ti mm x 14mm Rotax Anchor Post, Ti mm x 16mm Rotax Anchor Post, Ti mm x 18mm Rotax Anchor Post, Ti mm x 20mm Rotax Anchor Post, Ti mm x 12mm Rotax Anchor Post, Ti mm x 14mm Rotax Anchor Post, Ti mm x 16mm Rotax Anchor Post, Ti mm x 18mm Rotax Anchor Post, Ti N 2.7mm x 20mm Rotax Anchor Post, Ti mm x 18mm Rotax Anchor Post, Ti mm x 20mm Rotax Anchor Post, Ti mm x 22mm Rotax Anchor Post, Ti mm x 24mm Rotax Anchor Post, Ti RotaX 39

40 RotaX Cruciate Instruments Every innovative implant needs innovative instrumentation. For nearly 20 years we have been introducing new,innovative implants to the veterinary market. In almost every case, we also introduced novel instrumentation so the surgeon could concentrate on the surgery not how to install the implants. RotaX Isometric Tool RotaX Height Gauge The new RotaX instrumentation, the depth gauge and the drill guide, provides some key checks during surgery. The depth gauge tells the surgeon when to begin tensioning the ContinuOS suture while the drill guide depicts the distance between RotaX anchors so that the right ContinuOS fiber selection is made. Features & Benefits: Provides interoperative measurements Choose right location for each patient Lifetime warrantee Precise, high-quality instruments Isometric assessment determined on patient RotaX Aiming Guide Diagram 40 TABILIZATIO

41 CONTINUOS HIGH STRENGTH FIBER DESCRIPTION ITEM NUMBER #2 FIBER #2 High Strength Orthopaedic 1.25 Loop #2 High Strength Orthopaedic 1.5 Loop #2 High Strength Orthopaedic 1.75 Loop #2 High Strength Orthopaedic 2.0 Loop #2 High Strength Orthopaedic 2.5 Loop #2 High Strength Orthopaedic 3.0 Loop #2 High Strength Orthopaedic 36 Loop #2 High Strength Orthopaedic w/ Sm Needle #2 High Strength Orthopaedic w/med Needle ContinuOS #5 FIBER #5 High Strength Orthopaedic 1.25 Loop #5 High Strength Orthopaedic 1.5 Loop #5 High Strength Orthopaedic 1.75 Loop #5 High Strength Orthopaedic 2.0 Loop #5 High Strength Orthopaedic 2.5 Loop #5 High Strength Orthopaedic 3.0 Loop #5 High Strength Orthopaedic 3.5 Loop #5 High Strength Orthopaedic 3.75 Loop #5 High Strength Orthopaedic 4.0 Loop #5 High Strength Orthopaedic 4.5 Loop #5 High Strength Orthopaedic 5.0 Loop #5 High Strength Orthopaedic w/ Med Needle #5 High Strength Orthopaedic w/ Lg Needle ROTAX INSTRUMENTATION DESCRIPTION ITEM NUMBER Rotax Aiming Guide Hex Screwdriver, with Handle mm Drill Bit, JC mm Drill Bit, JC mm Drill Bit, JC N Rotax Heigh Gauge, 6.4mm Rotax Height Gauge, 7.5mm Isometric Assessment Device

42 Diamond Crimping System Diamond Crimper Closeup The engineers at Everost were the first to introduce a crimping system for the treatment of cranial cruciate ruptures in dogs in the year Over the years that followed, they continued to improve upon what seemed to be perfect. First was the single action crimping device followed by the double action crimping device, and than new tip geometry. The one thing that remained constant over all changes to the system was the precise, error free crimping tool. This remains the same with the latest Everost crimping system. Diamond Crimper The Everost system is calibrated to deliver the perfect crimp every time. It isn t dependent on hand strength or surgeon skill. The only requirement is that the tool s jaws close all the way. Once the jaws close, the perfect crimp is delivered. The Everost Diamond Crimper delivers more holding power than any of the crimpers before it! Features & Benefits: Effortless perfect crimp every time Incremental, verifiable tension control Greater holding power than any other crimper Everost Tentsioning Device Premium instrumentation with lifetime guarantees Highest grade medical materials No need for assistance during surgery Proven and tested Everost engineers are the original designers 42

43 LATERAL SUTURE CRIMPING, INSTRUMENTS & MONOFILAMENT SUTURES DESCRIPTION ITEM NUMBER DESCRIPTION ITEM NUMBER MONOFILAMENT NYLON SUTURE, 100 YARD SPOOL 20# Monofilament # Monofilament # Monofilament # Monofilament # Monofilament # Monofilament CRUCIATE NEEDLE ATTACHED TO 40# MONO (sterile, box of 6) Mini Needle Swaged-On Small Needle Swaged-On Medium Needle Swaged-On CRUCIATE NEEDLE ATTACHED TO 80# MONO (sterile, box of 6) Small Needle Swaged-On Medium Needle Swaged-On Large Needle Swaged-On CRUCIATE NEEDLE ATTACHED TO 100# MONO (sterile, box of 6) Medium Needle Swaged-On CRUCIATE NEEDLE, TAPER POINT (non-sterile, bag of 6) Cruciate Needles, Mini Cruciate Needles, Small Cruciate Needles, Medium Cruciate Needles, Large Cruciate Needles, Variety Pack (2 ea.) CRUCIATE NEEDLE ATTACHED TO 2 (two) 40# MONO (sterile, box of 6) Mini Needle Swaged-On Small Needle Double Swaged-On Medium Needle Double Swaged-On CRUCIATE NEEDLE ATTACHED TO 2 (two) 80# MONO (sterile, box of 6) Small Needle Double Swaged-On Medium Needle Double Swaged-On Large Needle Double Swaged-On CRUCIATE NEEDLE ATTACHED TO 2 (two) 100# MONO (sterile, box of 6) Medium Needle Swaged-On CRUCIATE/STRAIGHT NEEDLE ATTACHED 40# MONO (sterile, box of 6) Small Cruciate/Straight Needles Med. Cruciate/Straight Needle CRUCIATE/STRAIGHT NEEDLE ATTACHED 80# MONO (sterile, box of 6) Small Cruciate/Straight Needles Med. Cruciate/Straight Needle Large Cruciate/Straight Needle INSTRUMENTS Diamond Crimping Device Tensioning Device

44 44 ATERAL

45 LATERAL SUTURE INSTRUMENTS & IMPLANTS DESCRIPTION ITEM NUMBER 6mm Hohmann Retractor, long, flat handle 8mm Hohmann Retractor, long, flat handle SENN Retractor, 6.25 long, prong sharp Hohmann Retractor Senn Retractor 7 Stifle Retractor Wallace Knee Retractor, 5.5 long Cruciate Needle Driver 7, TC Inserts Meniscus Grasping Forceps, 1 x 2 teeth EverStrong Crimp Tubes, QTY Stifle Retractor EverStrong, #5, box of EverStrong, #2, box of #5 EverStrong w/sm Cruciate Needle #5 EverStrong w/md Cruciate Needle, Each #5 EverStrong w/lg Cruciate Needle, Each #2 EverStrong w/sm Cruciate Needle, Each #2 EverStrong w/md Cruciate Needle, Each Wallace Knee Retractor #2 EverStrong w/lg Cruciate Needle mm Break off Bone Anchor, SS mm Break off Bone Anchor, SS mm Break off Bone Anchor, SS mm Break off Bone Anchor, TI mm Break off Bone Anchor, TI Need Driver 4.5mm Break off Bone Anchor, TI Meniscus Grasper 45

46 FreedomLock Fracture Implants The engineers at Everost have been working on locking systems for many years. Our founder was the first to offer a polyaxial system to the veterinary market. Freedom Lock is the latest in locking technology and is an innovative mechanism that allows for 15 of freedom with screw placement. Unlike other systems, the screws do not cut their threads (leaving small chips of metal floating around), but instead have a unique thread profile on the screw head that allows the screw to enter the plate threads at different angles. This locking technology is being used on all the Everost locking implants including limited contact plates, TPLO plates, and a variety of specialty plates. The Freedom Lock implants are made from a unique Ti-6Al-4V alloy with a proprietary surface treatment that allows it to outperform the standard titanium implants. This combination of the unique Ti Alloy and the proprietary surface finish has been recognized as providing greater strength, biocompatibility and enhanced stiffness. The surface treatment also increases fatigue strength and improves surface characteristics. Features and Benefits: Innovative design/polyaxial (15 degrees) MIPO-friendly Doesn t cut threads Stiffness equivalents to SS limited contact plates Increased fatigue strength Improved surface finish Anti-galling Produced according to all FDA, ASTM, ISO & GMP standards 46 REEDOM

47 LOCK 47

48 FREEDOMLOCK titanium bone PLATE, limited contact DESCRIPTION LENGTH(MM) ITEM NUMBER 2.4MM LOCKING PLATES 4 Hole Hole Hole Hole Hole Hole Hole Hole Hole MM LOCKING PLATES 4 Hole Hole Hole Hole Hole Hole Hole Hole Hole Hole MM LOCKING PLATES 4 Hole Hole Hole Hole Hole Hole Hole Hole Hole Hole Hole mm Locking Plate 2.7mm Locking Plate 3.5mm Locking Plate 48 REEDOM

49 FREEDOMLOCK TPLO DESCRIPTION TITANIUM 2.7MM Locking TPLO Plate, Right Locking TPLO Plate, Left MM Locking TPLO Plate, Left Locking TPLO Plate, Right Freedom Lock TPLO Plate, Left/Right 3.5MM BROAD Locking TPLO Plate, Left Broad Locking TPLO Plate, Right Broad DPO FREEDOMLOCK PLATES DESCRIPTION ITEM NUMBER 3.5MM DPO FREEDOM LOCKING TITANIUM PLATE, RIGHT Limited Contact Plate 15 degrees degrees degrees degrees degrees MM DPO FREEDOM LOCKING TITANIUM PLATE, LEFT 15 degrees degrees degrees Freedom Locking DPO Plate 30 degrees degrees Freedom Lock TPLO Plate, Broad LOCK 49

50 FREEDOMLOCK titanium LOCKING SCREWS DESCRIPTION ITEM NUMBER MM LOCKING SCREWS, STAR DRIVE 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm MM LOCKING SCREWS, STAR DRIVE 8mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm MM LOCKING SCREWS, STAR DRIVE 8mm mm mm mm mm mm mm mm mm mm DESCRIPTION Freedom Lock Screw ITEM NUMBER 3.5MM LOCKING SCREWS, STAR DRIVE (CONT) 28mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm

51 FREEDOMLOCK INSTRUMENTATION DESCRIPTION ITEM NUMBER FreedomLock Screwdriver, with handle, T10, for 2.4mm screws FreedomLock Screwdriver, with handle, T20, for 2.7/3.5mm screws FreedomLock QC shaft, T10, for use with 2.4mm screws Star Driver FreedomLock QC shaft, T20, for use with 2.7/3.5mm screws 2.4mm FreedomLock Polyaxial Locking drill guide Freedom Lock Drill bit 2.7mm FreedomLock Polyaxial Locking drill guide 3.5mm FreedomLock Polyaxial Locking drill guide 1.5mm Drill Bit, QC, TiN coated, for use with 2.4mm screws 1.9mm Drill Bit, QC, TiN coated, for use with 2.7mm screws Freedom Lock with Drill Guide 2.7mm Drill Bit, QC, TiN coated, for use with 3.5mm screws 2.4mm FreedomLock Screw Plug mm/3.5mm FreedomLock Screw Plug

52 Stainless Steel Locking Trauma Liberty Lock Buttress Plate The Stainless Taruma implants have the same locking mechanism as indicated in the Liberty Lock TPLO plates. The plates are very unique in that they can be contoured in all planes yet have rigidity close to limited contact plates. Between each screw location is bending zones to control where the bend occurs so not to damage the locking holes. The screw holes allow for 10 degrees of angulation in all directions. All Stainless Steel Locking implants are made from medical grade 316LVM stainless steel and manufactured to ASTM and ISO standards. The plates accept the Liberty Lock screws which are 100% compatible with the AO locking screws and plates. Features & Benefits: Compatible with all AO instruments and implants Manufactured with certified 316LVM stainless steel Available in 2.4, 2.7 and 3.5 mm sizes Locking trauma plate with Liberty Lock screws EVOLOX hole Manufactured to all FDA, ISO and GMP standards Multi-plane contouring RACTURE Bending zone helps control bending location MPLANTS 52

53 STAINLESS STEEL LOCKING TRAUMA implants DESCRIPTION ITEM NUMBER 2.4mm Locking Bone Plate, Stainless Steel 2.4mm x 4 Hole Locking Bone Plate, SS, 27mm mm x 5 Hole Locking Bone Plate, SS, 32mm mm x 6 Hole Locking Bone Plate, SS, 37mm mm x 7 Hole Locking Bone Plate, SS, 42mm mm x 8 Hole Locking Bone Plate, SS, 47mm mm x 9 Hole Locking Bone Plate, SS, 52mm mm x 10 Hole Locking Bone Plate, SS, 57mm mm x 12 Hole Locking Bone Plate, SS, 67mm mm x 14 Hole Locking Bone Plate, SS, 77mm mm x 16 Hole Locking Bone Plate, SS, 87mm mm Locking Bone Plate, Stainless Steel 2.7mm x 4 Hole Locking Bone Plate, SS, 32mm mm x 5 Hole Locking Bone Plate, SS, 40mm mm x 6 Hole Locking Bone Plate, SS, 48mm mm x 7 Hole Locking Bone Plate, SS, 56mm mm x 8 Hole Locking Bone Plate, SS, 64mm mm x 9 Hole Locking Bone Plate, SS, 72mm mm x 10 Hole Locking Bone Plate, SS, 80mm mm x 12 Hole Locking Bone Plate, SS, 96mm mm x 14 Hole Locking Bone Plate, SS, 112mm mm x 16 Hole Locking Bone Plate, SS, 128mm mm Locking Bone Plate, Stainless Steel 3.5mm x 4 Hole Locking Bone Plate, SS, 45mm mm x 5 Hole Locking Bone Plate, SS, 57mm mm x 6 Hole Locking Bone Plate, SS, 69mm mm x 7 Hole Locking Bone Plate, SS, 81mm mm x 8 Hole Locking Bone Plate, SS, 93mm mm x 9 Hole Locking Bone Plate, SS, 105mm mm x 10 Hole Locking Bone Plate, SS, 117mm mm x 12 Hole Locking Bone Plate, SS, 141mm mm x 14 Hole Locking Bone Plate, SS, 165mm mm x 16 Hole Locking Bone Plate, SS, 189mm mm x 18 Hole Locking Bone Plate, SS, 213mm mm x 20 Hole Locking Bone Plate, SS, 237mm mm 2.7mm 3.5mm *Low contact polyaxial also available. 53

54 stainless steel libertylock screws, STAR DRIVE DESCRIPTION ITEM NUMBER mm Locking Screws, Star Drive 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Locking Screws, Star Drive 6mm mm mm mm mm mm mm mm mm IBERTY OCK 24mm mm mm mm mm mm mm mm mm Stainless Steel Locking Screws, Star Drive DESCRIPTION ITEM NUMBER 3.5 mm Locking Screws, Star Drive 10mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm

55 LibertyLock INSTRUMENTATION Drill Guide DESCRIPTION ITEM NUMBER 2.7mm Locking Drill Guide mm Locking Drill Guide mm Drill Bit, QC mm Drill Bit, QC mm Drill Bit, QC T8 Screwdriver T15 Screwdriver T15 Driver Locking Drill Guide 55

56 Internal Fixation Fracture treatment for animals started to take shape in the early 1940 s. Since then, it has been a slow evolving product range for the animal market. For much of that time patient specific sizes and contours simply didn t exist and veterinary surgeons were forced to use inadequate implants from the human side. The engineers at Everost were some of the first to concentrate on designing and manufacturing veterinary specific trauma implants. These implants fulfill the mechanical requirements and fit the patient. Quality shouldn t be compromised when choosing these basic implants. Due to the lack of a regulatory body in the veterinary market, choose your supplier carefully. The Everost implants are made from the same implant quality 316LVM and Titanium that is used for the production of human implants. Our manufacturing facilities are all FDA and/or ISO registered which have very thorough quality systems. We strictly follow all FDA, ASTM and ISO specifications when producing our implants. 56MPLANTS

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58 Bone Plates Specialty Plates The Everost line of veterinary implants are manufactured to all ASTM, ISO and FDA requirements. The materials used in the production of these implants are 316LVM, Ti6Al4V or pure Titanium. All the material meets or exceeds the composition, microstructure, mechanical properties and full metallurgical requirements of the appropriate ASTM standard. Round Hole Locking Plate Bone Plates Our modern manufacturing methods and facilities contribute to the high quality reputations that Everost enjoys. Our quality system is very well documented and strictly follows all ISO standards. Features & Benefits: Limited contact self-compression plates can provide 1.5mm of compression Controlled contouring due to limited contact features Proprietary surface finish Compression screws can change their orientation in a plate under loading so anatomical contouring is essential for precise fracture reduction. Limit the marking of the implants during bending to ensure mechanical properties aren t altered. ONE The use of compressional drill guides is highly recommended. 58

59 limited contact dynamic compression, stainless steel bone plates DESCRIPTION ITEM NUMBER 2.0mm Limited Contact Bone Plates 4 Holes, 22mm Holes, 27mm Holes, 32mm Holes, 37mm Holes, 42mm Holes, 47mm Hole Cuttable, 150mm mm Limited Contact Bone Plates 4 Holes, 38mm Holes, 46mm Holes, 54mm Holes, 62mm Holes, 70mm Holes, 78mm Hole Cuttable, 150mm mm Limited Contact Bone Plates 2 Holes, 26mm Holes, 35mm Holes, 44mm Holes, 53mm Holes, 62mm Holes, 71mm Holes, 80mm Holes, 89mm Holes, 98mm Holes, 107mm Holes, 116mm Holes, 134mm mm Limited Contact Bone Plates 4 Holes, 56mm Holes, 69mm Holes, 82mm Holes, 95mm Holes, 108mm Holes, 121mm Holes, 134mm Holes, 147mm Holes, 160mm Holes, 186mm Holes, 212mm Holes, 238mm mm, 6 Holes WIDTH: 5.3mm THICKNESS: 1.2mm 2.4mm WIDTH: 6.5mm THICKNESS: 2.0mm 2.7mm, 9 Holes WIDTH: 7.5mm THICKNESS: 2.5mm 3.5mm, 9 Holes WIDTH: 11mm THICKNESS: 3.3mm *Dynamic compression plates also available. 59