Orbital Reconstruction. Solutions for treating orbital fractures.

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1 Orbital Reconstruction. Solutions for treating orbital fractures. Extensive orbital defects Isolated blow-out fractures Canthal tendon surgery

2 Titanium Orbital Mesh Plates Orbital Floor Mesh Plates Recommended for all types of orbital fractures and reconstruction of the bony orbit. Features Radial design simplifies cutting Malleable material facilitates contouring Three rows of screw holes provide a variety of fixation points to adapt to orbital anatomy Available in 0.2 mm, 0.3 mm and 0.4 mm thicknesses Available for use with 1.0 mm or 1.3 mm titanium screws Universal design for either right or left orbit Manufactured from commercially pure (CP) titanium Available sterile or nonsterile Orbital Mesh Plates 1.0 mm 1.3 mm Color mm Purple mm Teal mm Gold Enlarged view These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. Synthes

3 Titanium Anatomic Orbital Floor Plates Features Microperforation design minimizes tissue ingrowth Three configurations address large or small defects Anatomic design minimizes cutting Universal configuration can be used in left or right orbit Radial reliefs simplify contouring Malleable, 0.3 mm thick material facilitates anatomic adaptation Multiple screw holes provide a variety of fixation points Available for use with 1.0 mm or 1.3 mm titanium screws Manufactured from commercially pure (CP) titanium Available sterile or nonsterile Anatomic Orbital Floor Plate, small Recommended for small isolated orbital floor fractures. Anatomic Orbital Floor Plate, small Anatomic Orbital Floor Plate, medium Recommended for large orbital floor fractures. Anatomic Orbital Floor Plate, medium Anatomic Orbital Floor Plate, large Recommended for orbital floor defects with medial and lateral wall involvement and reconstruction of tumor resections Medial wing clears lacrimal duct M-shaped cutout designates medial wing Anatomic Orbital Floor Plate, large 2 Synthes Orbital Reconstruction

4 Anatomic Orbital Floor Plates 1.0 mm 1.3 mm Small mm Medium mm Large mm Universal Orbital Floor Plates and Medial Wall Plates 1.0 mm Universal mm Medial Wall L mm Medial Wall R mm 1.3 mm Universal mm Medial Wall L mm Medial Wall R mm 1.5 mm Universal mm Medial Wall L mm Medial Wall R mm Universal Orbital Floor Plate Medial Wall Plate These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. Orbital Reconstruction Synthes 3

5 1.3 mm and 1.5 mm Titanium Contourable Mesh Plates Features Plates are easily contoured without kinking to match the irregular craniofacial anatomy Malleable and rigid mesh are available for most craniofacial repair and reconstruction indications Available for use with 1.3 mm or 1.5 mm titanium screws Made from commercially pure (CP) titanium Available in a variety of shapes: rectangular, round and arc Contourable Mesh Plates Malleable, rectangular mm, 38 mm x 45 mm 0.4 mm mm, 100 mm x 100 mm 0.4 mm mm, 38 mm x 45 mm 0.4 mm mm, 100 mm x 100 mm 0.4 mm Rigid, rectangular mm, 38 mm x 45 mm 0.6 mm mm, 100 mm x 100 mm 0.6 mm mm, 200 mm x 200 mm 0.6 mm mm, 38 mm x 45 mm 0.6 mm mm, 100 mm x 100 mm 0.6 mm mm, 200 mm x 200 mm 0.6 mm Rectangle Malleable Mesh Rigid Mesh These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. 4 Synthes Orbital Reconstruction

6 Contourable Mesh Plates continued Malleable, arc mm, small 0.4 mm mm, large 0.4 mm mm, small 0.4 mm mm, large 0.4 mm Rigid, arc mm, small 0.6 mm mm, large 0.6 mm mm, small 0.6 mm mm, large 0.6 mm Arc Malleable, round mm, 30 mm diameter 0.4 mm mm, 70 mm diameter 0.4 mm mm, 100 mm diameter 0.4 mm mm, 30 mm diameter 0.4 mm mm, 70 mm diameter 0.4 mm mm, 100 mm diameter 0.4 mm Rigid, round mm, 30 mm diameter 0.6 mm mm, 70 mm diameter 0.6 mm mm, 100 mm diameter 0.6 mm mm, 30 mm diameter 0.6 mm mm, 70 mm diameter 0.6 mm mm, 100 mm diameter 0.6 mm Round Malleable Mesh Rigid Mesh These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. Orbital Reconstruction Synthes 5

7 SynPOR Titanium Reinforced Fan Plates SynPOR Titanium Reinforced Fan Plates Porous sheet embedded with the Synthes fan-shaped 1.3 mm titanium orbital floor plate. SynPOR Smooth Titanium Reinforced Fan Plates Porous sheet embedded with the Synthes fan-shaped 1.3 mm titanium orbital floor plate. SynPOR Smooth Titanium Reinforced Fan Plates provide a barrier to minimize soft tissue adhesion on the superior surface and a porous surface on the reverse side to support tissue in-growth. Radiographic visibility Increased sheet strength and contour retention Available with titanium mesh partially exposed or completely covered for multiple fixation options Anatomical shape and radial titanium mesh design minimize cutting Polyethylene sheets reduce sharp titanium edges after cutting and facilitate insertion Fixation hole positions allow optimal screw placement Available in two thicknesses: 0.8 mm and 1.5 mm Compatible with 1.3 mm titanium screws Technique tip: For smooth implants, place the smooth side of the implant toward the soft tissue to minimize adhesion and ensure motility of the globe. SynPOR Titanium Reinforced Fan Plate SynPOR Titanium Reinforced Fan Plate, with exposed fixation holes SynPOR Titanium Reinforced Fan Plates, sterile S 0.8 mm thick S with fixation holes, 0.8 mm thick S 1.5 mm thick S with fixation holes, 1.5 mm thick SynPOR Smooth Titanium Reinforced Fan Plates, sterile S 0.8 mm thick S with fixation holes, 0.8 mm thick S 1.5 mm thick S with fixation holes, 1.5 mm thick SynPOR Smooth Titanium Reinforced Fan Plate SynPOR Smooth Titanium Reinforced Fan Plate, with exposed fixation holes 6 Synthes Orbital Reconstruction

8 SynPOR Porous Polyethylene Sheets Features Porous structure supports tissue ingrowth Smooth implants have one barrier surface allowing tissue ingrowth on only one side Nonabsorbable and biocompatible material Semirigid material is strong yet flexible Contourable and easily shaped Implants may be fixated with screws, tacks, wire, or suture SynPOR Porous Polyethylene Sheets, sterile SynPOR porous polyethylene sheets are well-suited for craniofacial reconstruction and augmentation. Open, interconnected pores permeate the material and support fibrovascular tissue ingrowth. SynPOR Sheets Engineered to maintain an open interconnected porosity throughout the implant to support tissue ingrowth. SynPOR Smooth Sheets Implants have a thin layer of solid polyethylene on the superior surface to minimize tissue adhesion and porous polyethylene on the inferior surface to support tissue ingrowth. Synthes 7

9 SynPOR Porous Polyethylene Sheets SynPOR Porous Polyethylene Sheets, sterile S 50 mm x 50 mm 0.45 mm thick S 50 mm x 50 mm 0.8 mm thick S 50 mm x 50 mm 1.5 mm thick S 50 mm x 50 mm 3.0 mm thick SynPOR Smooth Square Sheets, sterile S 50 mm x 50 mm 0.8 mm thick SynPOR Square Sheet SynPOR Smooth Square Sheet SynPOR Orbital Floor Plates, sterile S 24 mm 0.8 mm thick S 30 mm 0.8 mm thick S 35 mm 0.8 mm thick S 24 mm 1.5 mm thick S 30 mm 1.5 mm thick S 35 mm 1.5 mm thick SynPOR Smooth Orbital Floor Plates, sterile S 24 mm 0.8 mm thick S 30 mm 0.8 mm thick S 35 mm 0.8 mm thick SynPOR Orbital Floor Plate SynPOR Fan Plate SynPOR Fan Plates, sterile S 35 mm radius 0.8 mm thick S 35 mm radius 1.5 mm thick SynPOR Smooth Fan Plates, sterile S 35 mm radius 0.8 mm thick 8 Synthes Orbital Reconstruction

10 Resorbable Plates Features Implants are fully resorbable Radiolucent in x-ray, MRI, and CT Scan Eliminates secondary surgery for implant removal Resorbable Orbital Floor Plates, sterile Recommended for orbital floor fractures. Indications Synthes Rapid Resorbable Fixation System is intended for use in fracture repair and reconstructive procedures of the craniofacial skeleton in pediatric and adult populations. In addition, resorbable meshes, sheets, screws and tacks may be used in non-load-bearing applications for maintaining the relative position of, and/or containing, bony fragments, bone grafts, (autograft or allograft), or bone graft substitutes in reconstruction of the craniofacial or mandibular areas. 1.5 mm Resorbable Orbital Floor Plate, sterile Color S 24 mm x 24 mm 0.5 mm Transparent 1.5 mm Rapid Resorbable Orbital Floor Plates with Bending Template S 24 mm x 24 mm S 30 mm x 30 mm S 35 mm x 35 mm 24 mm 24 mm 1.5 mm Rapid Resorbable Orbital Floor Plates, sterile Color S 24 mm x 24 mm 0.5 mm Transparent S 30 mm x 30 mm 0.5 mm Transparent S 35 mm x 35 mm 0.5 mm Transparent Bending Templates for 1.5 mm Resorbable Orbital Floor Plates mm 0.25 mm mm 0.25 mm mm 0.25 mm Synthes 9

11 Titanium Wires Features Manufactured from commercially pure titanium Compatible with titanium bone fixation systems Minimal MRI scatter Four gauges available: 26, 28, 30, and 32 gauge Convenient and easy handling Accommodate a variety of surgical techniques Indications Synthes Titanium Wire and Titanium Wire with barb and needle is indicated for use in soft tissue approximation and/or ligation, for canthoplasty, canthopexy, and/or canthal tendon repair. Titanium Wires, with needle, 500 mm, sterile S 26 Gauge (0.4 mm diameter) S 28 Gauge (0.31 mm diameter) S 30 Gauge (0.25 mm diameter) S 32 Gauge (0.2 mm diameter) Titanium Wire, with barb and needle, 500 mm, sterile S 28 Gauge (0.31 mm diameter) 10 Synthes Orbital Reconstruction

12 Synthes CMF 1302 Wrights Lane East West Chester, PA Telephone: (610) To order: (800) Fax: (610) Synthes (Canada) Ltd Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) To order: (800) Fax: (905) Synthes, Inc. or its affiliates. All rights reserved. SynPOR and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 2/12 J4525-D