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

57 57

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

60 Bone Screws Cortical Bone Screws 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. 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. Manufacturing Everost Cortex Screws are uniquely designed to minimize heat produced during insertion, essentially protecting the patient from developing thermal necrosis. Everost Cortex Screws are more than capable of fulfilling expectations. The minimal damage they afflict to surrounding tissue and bone makes them the preferred choice of Cortex Screws by veterinary surgeons. Bone Plates Features & Benefits: The geometry of the cutting flutes (radius, length and depth) is very important. Here is where you would find variations between a quality screw and poor screw. If the geometry isn t ONE optimal the screw will not be able to efficiently tap the hole during insertion. This will cause excessive heat and thermal necrosis. Everost only offers hex head screws. Some companies offer cruciform and torx head screws; however, Hex historically is the most reliable and universally accepted. All of the Everost screws are AO style and can be used with AO equipment; they are fully compatible. 60

61 Cortical bone screws, HEX drive DESCRIPTION TITANIUM STAINLESS STEEL 1.5mm Cortical Bone Screw, Self-Tapping 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm ,5mm Cortical Bone Screw (Hex) 2.0mm Cortical Bone Screw, Self-Tapping 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Cortical Bone Screw (Hex) *1.5mm and 2.0mm also available with cruciform. 61

62 Cortical bone screws DESCRIPTION TITANIUM STAINLESS STEEL 2.4mm Cortical Bone Screw, Self-Tapping 10mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm mm Cortical Bone Screw, Self-Tapping 6mm mm mm mm mm mm mm mm mm mm mm mm mm mm ONE SCR 34mm mm mm mm mm

63 Cortical bone screws DESCRIPTION TITANIUM STAINLESS STEEL 3.5mm Cortical Bone Screw, Self-Tapping 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 4.0 Cencellous SS Bone Screw 4.0mm Cancellous STAINLESS STEEL bone screws DESCRIPTION FULLY PARTIALLY THREADED THREADED 10mm mm mm mm mm mm EWS 22mm mm mm mm mm DESCRIPTION FULLY PARTIALLY THREADED THREADED 32mm mm mm mm mm mm mm mm mm mm

64 Trauma Instrumentation Bone Plate implant Tray The trauma instrumentation provided by Everost is designed exclusively for the veterinary market. 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 with multiple uses at a price that is right for the market. All instrumentation is manufactured either in our facility in the USA or our partner s facility in Germany and comes with a lifetime warrantee for material defects and workmanship. Surgery Suite Features & Benefits: Lifetime warrantee AO compatible Precise and accurate Superior quality Manufactured in the USA and Germany Radiograph of a Fracture Repair 64

65 TRAUMA INSTRUMENTATION DESCRIPTION ITEM NUMBER Double Drill Guide 1.8/2.4mm Double Drill Guide 2.0/2.7mm Double Drill Guide 2.5/3.5mm Depth Gauge 2.4/4.0mm Depth Gauge 4.5/6.5mm Screwdriver 2.0 Hex w/ Handle, 2.4mm Screws Screwdriver 2.5mm Hex w/ Handle, Screws Screwdriver Shaft 2.5mm Hex, 100mm L, QC Compressional Drill Guide Load/Neutral, 2.0mm Compressional Drill Guide Load/Neutral, 2.7mm Compressional Drill Guide Load/Neutral, 3.5mm Compressional Drill Guide Load/Neutral, 4.5mm Universal Drill Guide, 3.5mm Large Plate Bending Pliers, mm Plates QC Handle - Straight QC Handle - Mini QC T Handle /2.0mm K. Wire Bending Iron /4.0mm Bending Iron, Left /4.0mm Bending Iron, Right Bending Iron, Right Bending Iron, Left Double Drill Guide Everost Screwdrivers Compressional Drill Guide STAINLESS STEEL WASHERS DESCRIPTION ITEM NUMBER Smooth Washer for 1.5mm/2.0mm Screws Smooth Washer for 2.4mm/2.7mm Screws Everost Mini Screwdriver Smooth Washer for 3.5mm/4.0mm Screws Smooth Washer for 4.0mm/4.5mm Screws Spiked Washer for 2.0mm Spiked Washer for 2.7mm Spiked Washer for 3.5mm/4.0mm Screws Spiked Washer for 4.5mm Screws

66 Specialty Situation Plates Our founders are proud to say we have only focused on animal health for the last 17 years. We have introduced implant after implant specifically designed for our patients with invaluable input from our surgeons. In this section you will become familiar with a variety of special situation implants designed specifically for a variety of orthopedic condition in the dog and cat. Like all of our other implants, a high level of attention is given to quality and manufacturing. If you have an idea for a new special situation plate we would encourage you to contact our engineering department. Features & Benefits: Exceptional quality Manufactured with certified 316LVM stainless steel Manufactured to all FDA, ISO and GMP standards Compatible with AO instrumentation Lot tracking on all implants 66 PECIALTY

67 PLATES 67

68 68 PECIALTY

69 STAINLESS STEEL T PLATES, ROUND HOLE DESCRIPTION ITEM NUMBER 2.0mm T Plate, Round Hole 4 Hole, 18mm Hole, 24mm mm T Plate, Round Hole 5 Hole, 32mm Hole, 39mm T-Plate 3.5mm T Plate, Round Hole 6 Hole, 55mm Hole, 77mm Hole, 77mm STAINLESS STEEL HYBRID T PLATES DESCRIPTION ITEM NUMBER 1.5mm Hybrid T Plates 6+2 Hole, 34mm Hybrid T-Plate 2.0mm Hybrid T Plates 4+2 Hole, 35mm Hole, 42mm Hole, 49mm Hole, 63mm mm Hybrid T Plates 5+2 Hole, 52mm Hole, 71mm Acetabular Plate 2.7mm Hybrid T Plates 5+2 Hole,65mm Hole, 85mm Hybrid T-Plates mm Distal Plates Hole, 105mm STAINLESS STEEL CUTTABLE PLATES DESCRIPTION ITEM NUMBER 1.5mm x 20 Hole Cuttable Plate mm x 30 Hole Cuttable Plate mm x 27 Hole Cuttable Plate mm x 25 Hole Cuttable Plate mm Distal Plates Hybrid T-Plates 3.5 T-Plates Round Hole 69

70 STAINLESS STEEL PANTARSAL ARTHRODESIS plates DESCRIPTION ITEM NUMBER 2.0mm/2.7mm Screw Size 135 Left Left Slot Right Right Slot Left Left Slot Right Right Slot mm Pantarsal Arthrodesis Plate 2.7mm/3.5mm Screw Size 135 Left Left Slot Right Right Slot STAINLESS STEEL PARTIAL CARPAL ARTHRODESIS PLATES 2.7mm Pantarsal Arthrodesis Plate DESCRIPTION ITEM NUMBER 1.5mm/2.0mm Screw size /2.4/2.7mm Screw sizes /3.5mm Screw sizes STAINLESS STEEL PANCARPAL ARTHRODESIS PLATES Partial carpal arthrodesis plate DESCRIPTION ITEM NUMBER 1.5/2.0mm Screw Sizes, 53mm /2.0mm Screw Sizes, 61mm mm Screw Sizes, 57mm mm Screw Sizes, 67mm /2.7mm Screw Sizes, 75mm /2.7mm Screw Sizes, 90mm /2.7mm Screw Sizes, 95mm /3.5mm Screw Sizes, 101mm /3.5mm Screw Sizes, 118mm mm Screw Sizes, 141mm mm Screw Sizes, 154mm mm Screw Sizes, 185mm Pancarpal Arthrodesis Plate 70

71 STAINLESS STEEL ACETABULAR PLATES DESCRIPTION ITEM NUMBER 2.0mm 4 Hole, 19mm Hole, 27mm mm 4 Hole, 21mm mm 6 Hole, 33mm Hole, 34mm mm 6 Hole, 42mm Hole,46mm Acetabular Plate STAINLESS STEEL DISTAL FEMUR PLATES DESCRIPTION ITEM NUMBER 2.0mm Right, 50mm Left, 50mm Right, 120mm Left, 120mm mm Right,62mm Left, 62mm mm Right, 69mm Left, 69mm Distal Femur Plate 3.5mm Right, narrow, 135mm Left, narrow, 135mm Right, broad, 135mm Left, broad, 135mm Right, broad, 173mm Left, broad, 173mm

72 Orthopedic Drill Bits Our customers are accustomed to expecting only the best from Everost and that includes our cutting tools. We only offer the highest quality cutting tools made from the latest materials and manufactured on state-of-the-art computer controlled equipment. Orthopedic Drill Bit Orthopedic Drill Bits Everost drill bits come standard with a Titanium Nitrate (TiN) coating and an anti-skid tip. The TiN coating dissipates heat and reduces friction, which in turn reduces the heat generated during cutting. Everost saw blades are very innovative in their design. They have teeth that are precision ground and offset to make cutting very efficient. They also have a surface design that channels cooling fluid right to the blade. The end result is a nicer, faster cut with very little heat generated! Features & Benefits: Made in Germany Ground from bar stock to give the ultimate edge and sharpness Manufactured according to ASTM, ISO and FDA standards TiN coating to reduce heat generation and increase wear characteristics Available in Jacobs shank and AO Quick Connect Antiskid Available in numerous diameters and lengths 72 RILL BITS

73 QUICK CONNECT ANTI-SKID DRILL BITS DESCRIPTION ITEM NUMBER 1.1mm QC Drill Bit, Ti Nitrate coated, mm, 12.5mm flute length 1.5mm QC Drill Bit, Ti Nitrate coated, mm, 18mm flute length 1.8mm QC Drill Bit, Ti Nitrate coated, mm, 32mm flute length 2.0mm QC Drill Bit, Ti Nitrate coated, mm, 21.5mm flute length 2.5mm QC Drill Bit, Ti Nitrate coated, mm, 32mm flute length 2.7mm QC Drill Bit, Ti Nitrate coated, mm, 29mm flute length 3.2mm QC Drill Bit, Ti Nitrate coated, mm, 43mm flute length 3.5mm QC Drill Bit, Ti Nitrate coated, mm, 41.5mm flute length 4.0mm QC Drill Bit, Ti Nitrate coated, mm, 50mm flute length 4.5mm QC Drill Bit, Ti Nitrate coated, mm, 50mm flute length Double Drill Guide Quick Connect Drill Bit JACOB CHUCK CONNECTION ANTI-SKID DRILL BITS DESCRIPTION ITEM NUMBER 1.1mm Jacob s Chuck Drill Bit, 45mm, mm flute length 1.5mm Jacob s Chuck Drill Bit, 70mm, mm flute length 1.8mm Jacob s Chuck Drill Bit, 140mm, mm flute length 2.0mm Jacob s Chuck Drill Bit, 85mm, mm flute length 2.5mm Jacob s Chuck Drill Bit, 95mm, mm flute length 2.7mm Jacob s Chuck Drill Bit, 85mm, mm flute length 3.2mm Jacob s Chuck Drill Bit, 130mm, mm flute length 3.5mm Jacob s Chuck Drill Bit, 95mm, mm flute length 4.0mm Jacob s Chuck Drill Bit, 120mm, mm flute length 4.5mm Jacob s Chuck Drill Bit, 130mm, mm flute length JC Drill Bit 73

74 With over 30 years experience in the introduction of quality implants and systems to the veterinary market, Everost is proud to introduce a comprehensive range of battery driven high and low speed orthopedic drills. Everost Power Drill Everost Power Drill with Attachments Most orthopedic procedures require the use of some type of power equipment to perform the surgery. Historically, there were very few economical options for the veterinary surgeon. The choices were a drill from the hardware store or a very expensive (20K) power drill from a human company. Neither one of these options are ideal. Our power systems are produced from high quality stainless steel with reliable electronics. The power is consistent and the performance is smooth. The attachments allow for quick and effortless assembly. All this quality with a price tag established for the veterinary surgeon. Everost Power Drill with TPLO Attachment Features & Benefits: Multiple attachments available Quick assembly and disassembly 360 degree rotation Produced from high quality materials and electronics; do not submerge OWER Autoclavable up to 130 degrees Celsius (not the battery) TPLO attachment Charging time = 2-3 hours Long lasting battery ( drill holes) Warranty, 2 years on all parts, 1 year on battery Exchange repair program 74

75 Power systems equipment DESCRIPTION ITEM NUMBER EVEROST SILVER SYSTEM Multi-Function Hand Piece Sagittal Saw Attachment TPLO Attachment Triggle Type Jacobs Bone Drill Attachment Cannulated Drill Battery for Multi-Function Power Drill Batttery Charger for Multi-Function Drill Allen Key for Sagittal Saw Attachment Jacobs Key for Multi-Function Drill Multi-Function Hand Piece Ossilating Saw TPLO Saw Jacobs Drill 75

76 Orthopedic Pins & Wires Partially Threaded Intermedullary Pins Smooth Intermedullary Oin The EVEROST range of Steinmann Pins and K-Wire is the highest quality available in the veterinary market. We manufacture our pins and wire to all FDA standards and they carry a 510K for human use. Our pins have a uniquely designed cutting tip that is sharper, harder, cuts easier and produces 30% less heat than the standards pins. All the benefits without any additional cost! Quality shouldn t be compromised when choosing these basic implants. Due to the lack of a regulatory body in the veterinary market, choose you 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. 76 Orthopedic Wire Spool Features & Benefits: Made in Germany Concave milled tip to decrease heat generation Manufactured according to ASTM, ISO and FDA standards Medical grade, certified 316LVM Very tight tolerances on diameters INS WIRES Available in smooth or partially threaded Available in numerous diameters and lengths

77 smooth intermedullary pins, trocar/trocar Description 4.5 (114mm) 9 (229mm) 12 (305mm) 14 (356mm) 1/16 Smooth (1.6mm) /64 Smooth (2.0mm) /32 Smooth (2.4mm) /64 Smooth (2.78mm) /8 Smooth (3.2mm) /64 Smooth (3.57mm) /32 Smooth (3.97mm) /16 Smooth (4.76mm) /4 Smooth (6.35mm) partially threaded intermedullary pins, trocar/trocar Description 4.5 (114mm) 9 (229mm) 12 (305mm) 14 (356mm) 1/16 Partially Threaded (1.6mm) /64 Partially Threaded (2.0mm) /32 Partially Threaded (2.4mm) /64 Partially Threaded (2.78mm) /8 Partially Threaded (3.2mm) /64 Partially Threaded (3.57mm) /32 Partially Threaded (3.97mm) /16 Partially Threaded (4.76mm) /4 Partially Threaded (6.35mm) Kirchner Wire, Smooth, Trocar/Trocar 9 (229mm) DESCRIPTION ITEM NUMBER.035 (.89mm), pack of (1.14mm), pack of (1.37mm), pack of (1.57mm), pack of CERCLAGE WIRE, LOOPED STAINLESS STEEL DESCRIPTION ITEM NUMBER 16 gauge/ , Pack of gauge/ , Pack of gauge/ , Pack of gauge/ , Pack of ORTHOPEDIC WIRE, SPOOLS DESCRIPTION 1 OZ SPOOL 4 OZ SPOOL 36 (.005) gauge wire spool (.006) gauge wire spool (.008) gauge wire spool (.010) gauge wire spool (.012) gauge wire spool (.016) gauge wire spool (.020) gauge wire spool (.025) gauge wire spool (.032) gauge wire spool (.040) gauge wire spool (.048) gauge wire spool *ESF pins also available 77

78 Medial Patella Luxation (MPL) Patella Saw - Closed Patella Saw - Partially Open Medial Patella Luxation (MPL) is a very common condition in veterinary orthopedics. There have been numerous techniques over the years to address this issue surgically. The engineers at Everost continue to work toward new options for the correction of this orthopedic condition. Our founder/ Engineer was the first to offer spacers to be used with TTA and quick release patella saws for wedge recession. We are committed to never being satisfied and always working toward better solutions. Features & Benefits: Quick change blades Multiple blade heights Laser marking to help measure inter-operatively Handle manufactured with aircraft aluminum All blades are high quality stainless steel Lifetime warranty for material defects and workmanship Patella Saw - Open 78 ECHNIQU

79 MPL SPACERS & INSTRUMENTATION DESCRIPTION ITEM NUMBER Patella Lux Spacer 1mm SS Patella Lux Spacer 1mm Ti Patella Lux Spacer 2mm SS Patella Lux Spacer 2mm Ti Patella Lux Spacer 4mm SS Patella Lux Spacer 4mm Ti Patella Lux Spacer 6mm SS Patella Lux Spacer 6mm Ti Patella Lux Spacer 3mm SS Patella Lux Spacer 3mm Ti Patella Lux Spacer 5mm SS Patella Lux Spacer 5mm Ti Patella Luxation Saw, incl 25mm blade mm Patella Saw Blade mm Patella saw blade Hoke Osteotome, 4mm Hoke Osteotome, 6mm Hoke Osteotome, 8mm Hoke Osteotome, 10mm Hoke Osteotome, 12mm Mead Mallet (replaceable facings), 320g Trochlear Groove Rasp, Cottle Rasp, Fomon Rasp & File, Lempert Rongeur, 3x10 bite, Lempert Rongeur, 3x10 bite curved, Liston Bone Cutting Forceps, angled/flat, Liston Bone Cutting Forceps, angled/flat, K-Wire Bender,.054/ Pin Cutter, side, 7/64 pins Jacobs Hand Chuck MPL Spacers Replacement Blade Handle E 79

80 Coxofemoral Luxation Management A common method for the management of coxofemoral luxations is with toggle pins. This technique has been a standard of care for many years. Our engineers were the first to introduce solid toggle rods to be used with both monofilament suture and UHMWPE orthopedic suture, in conjunction with NC State. When the toggle rods were introduced we also provided the essential instrumentation for drilling the tunnels, placing the toggle rod, and retrieving the suture. Today we continue to improve on our original designs and offer new toggle rods that are unique in a few ways, but most importantly the material and material finish. The Everost toggle rods are made from high grade implant titanium with colored ends. The colored ends allow the surgeon to clearly visualize whether or not the toggle has flipped behind the acetabulum. Continued improvement is what we strive for. Features & Benefits: High quality implant grade titanium Colored ends to help visualize the flip Multiple sizes available Burr free hole to protect suture Compatible with monofilament or EverStrong Fiber 80

81 81

82 COxofemoral implants DESCRIPTION ITEM NUMBER 2.0mm Toggle Rod, Titanium mm Toggle Rod, Titanium mm Toggle Rod, Titanium mm Toggle Rod, Titanium mm Toggle Rod, Titanium mm Toggle Rod, Titanium Toggle Rods 40# Monofilament Nylon # Monofilament Nylon #5 EverStrong Fiber #2 EverStrong Fiber Toggle Rods with Titanium Ends EverStrong Fiber 82

83 coxofemoral instrumentation DESCRIPTION ITEM NUMBER 9 Hatt Spoon, 20mm oval cup Hatt Spoon, 10mm oval cup Toggle Rod Insertion Device Universal Aiming Guide, w. 3.2mm Drill Sleeve Monofilament Nylon Puller Universal Aiming Guide 2.5mm Drill Bit, Jacobs mm Drill Bit, Jacobs mm Drill Bit, Jacobs Meyerding Retractor, mm wide, 52mm blade Hatt Spoon Oval Cup Cannulated Drill Bits 83

84 Everost Surgical Our mission at Everost Surgical is to provide the highest quality surgical instruments backed by world-class service and the industry s best warranty, all delivered to you at an economically intelligent price. Everost Surgical instruments are an extension of the surgeon s hand in the operating theatre, and we take that responsibility seriously. Our warranty is validation, as Everost Surgical brand instruments are backed by a 100% satisfaction guarantee. If, at any time, you are not satisfied with one of our instruments, we will replace or refund the instrument at no charge to you and without any quibbling. In addition, Everost Surgical provides free process-oriented repair services on Everost branded instruments. Everost Surgical strives to be a reliable and accepted partner for all of your surgical requirements. We work continuously with our partner surgeons to develop new instrumentation, techniques, and optimize their vision and leadership. Thus, Everost Surgical is much more than just a supplier of quality surgical instruments, but rather a partner dedicated to your success. 84 URGICAL

85 85

86 SCALPEL HANDLES DESCRIPTION ITEM NUMBER MILTEX X REF Scalpel Handle No 3, Graduated Scale Scalpel Handle No Scalpel Handle No Graduated Scale Scalpel Handle HEMOSTATIC FORCEPS DESCRIPTION ITEM NUMBER MILTEX X REF Halstead Mosquito Forceps, Curved 5 125mm Halstead Mosquito Forceps, Straight 5 125mm Crile Artery Forcep, Straight mm Crile Artery Forcep, Curved mm Crile-Rankin Artery Forcep, Straight mm Crile-Rankin Artery Forcep, Curved mm Rochester Pean Artery Forcep, Straight mm Rochester Pean Artery Forcep, Curved mm Rochester Carmalt Forcep, Straight mm Rochester Carmalt Forceps, Curved mm Rochester Carmalt Forceps, Straight 8 205mm Rochester Carmalt Forceps, Curved 8 205mm Hemostatic Forceps 86 TISSUE & DRESSING FORCEPS DESCRIPTION ITEM NUMBER MILTEX X REF Adson Tissue Forceps 1/2 Teeth, mm Adson Dressing Forceps, , 120mm Adson Brown Dissecting Forceps, mm 7x7 Teeth, 120mm Allis Tissue Forceps 3/4 Teeth, mm Adson Brown Dissecting Forceps

87 NEEDLE HOLDERS DESCRIPTION ITEM NUMBER MILTEX X REF Olsen Hegar, Tungsten Carbide tc Jaws mm Olsen Hegar, Tungsten Carbide tc Jaws mm with Scissors Olsen Hegar, Tungsten Carbide tc Jaws mm with Scissors Olsen Hegar, mm w/ Scissors Olsen Hegar, mm w/ Scissors Olsen Hegar, mm Mayo Hegar, 150mm tc 6 Tungsten Carbide Mayo Hegar, 185mm tc 7 Tungsten Carbide Needle Holders TOWEL CLAMPS DESCRIPTION ITEM NUMBER MILTEX X REF Backhaus, mm Backhaus, 5 125mm Backhaus 5 Towel Clamp SURGERY PACKS DESCRIPTION ITEM NUMBER MILTEX X REF General Surgery Pack Feline Spay Pack Canine Spay Pack Starter Eye Pack Advanced Eye Pack n/a Orthopedic Pack Surgery Pack 87

88 88

89 SCISSORS DESCRIPTION PART NUMBER MILTEX X REF Mayo Scissors Straight, mm Mayo Scissors Curved, mm Mayo Blades Straight, mm Mayo Scissors Curved, mm Metzenbaum Scissors Straight, mm Metzenbaum Scissors Curved, mm Metzenbaum Scissors Straight, mm Lahey Metzenbaum Scissors Curved, mm Lahey Operating Scissors Blunt/sharp Straight, mm Operating Scissors Sharp/sharp Straight, mm Lister Bandage Scissors, mm Lister Bandage Scissors, mm Spencer Stitch Scissors, mm Littauer Stitch Scissors, mm Littauer Stitch Scissors, mm Iris Scissors, mm, Curved Iris Scissors, mm, Straight r Mayo Blade, Straight Metzenbaum Scissors, Curved Operating Scissors, Blunt/Sharp, Straight 89

90 90NSTRUMEN

91 Starter Kits Innovation is important, even in how one designs surgical kits! The Everost kits are organized to give the surgeon options on what he/she would like to see on the OR table. We have attempted to make the process of surgical kitting clear and easy. What follows are some recommendations for the surgical kits, but if you would like to customize any of these kits, one of our customer service representatives would be happy to help you. Take advantage of having everything you need for a given procedure in one place, and receive a reduced price while doing so! Features & Benefits: Designed by veterinarians for veterinarians All instruments have a lifetime warrantee for workmanship and material defects All kits are customizable Kits available for multiple specialties Custom etching is available for identification T KITS 91

92 INSTRUMENT KITS DESCRIPTION ITEM NUMBER Kit, Fragment Forceps Kit, Serrated Bone Holding Forceps Kit, Orthopedic Kit, Basic Eye Kit, Female Spay Kit, Advanced Eye Pack TTA Kit, Basic Stainless Steel TTA Kit, Basic Titanium TTA Kit, AdapTTA Stainless Steel Wing Set Kit, AdapTTA Titanium Wing Set Kit, Forkless TTA Stainless Steel Set Kit, Forkless TTA Titanium Plate Set Kit, AdapTTA Stainless Steel Cage Set Kit, AdapTTA Titanium Cage Set Kit, Xorption TTA Cage Set Kit, AdapTTA Basic Stainless Steel Procedure Kit Kit, AdapTTA Complete Stainless Steel Procedure Kit Kit, AdapTTA Basic Titanium Procedure Set Kit, AdapTTA Complete Titanium Procedure Set Kit, Xorption Basic SS TTA Procedure Set Kit, Xorption Complete SS TTA Procedure Set Kit, Xorption Basic Ti TTA Procedure Set DESCRIPTION TTA (CONT) ITEM NUMBER Kit, Xorption Complete Ti TTA Procedure Set Kit, TTA Complete SS Cuttable Kit, Basic Stainless Steel TTA Kit, Complete Forkless TTA, Ti TTA Kit, Complete Forkless SS Kit, Complete Stainless Steel TTA TPLO Kit, Freedom Lock Basic TPLO Kit, Liberty Lock Basic TPLO Kit, TPLO Instrument Set TRAUMA Kit, 2.4mm Basic Plating Kit, 2.7mm/3.5mm Basic Plating Kit, 2.7/3.5mm Advanced Plating Kit, 2.4mm Stainless Steel Screw Set Kit, 2.7mm Stainless Steel Screw Set Kit, 3.5mm Stainless Steel Screw Set Kit, 2.4mm Titanium Screw Set Kit, 2.7mm Titanium Screw Set Kit, 3.5mm Titanium Screw Set Kit, 2.4mm Cortical Self Tapping Kit, 1.5mm/2.0mm Bone Plating Kit, Partially Threaded IM Pin Starter Kit, Smooth IM pin starter NSTRUMEN 92

93 INSTRUMENT KITS (CONT) DESCRIPTION ITEM NUMBER FREEDOMLOCK Kit, 2.0/2.4 FreedomLock PolyAxial Kit, 2.7/3.5 FreedomLock Polyaxial LC Kit, 2.4mm FreedomLock Screws Kit, 2.7mm FreedomLock Screws Kit, 3.5mm FreedomLock Screws LIBERTYLOCK Kit, 2.4mm LibertyLock Screws Kit, 2.7mm LibertyLock Screws Kit, 3.5mm LibertyLock Screws Kit, 3.5mm LibertyLock Screw Set ROTAX Kit, Everost Rotax Implant Starter Kit, Rotax Procedure Kit Kit, Everost Rotax Starter, Complete DESCRIPTION ITEM NUMBER COXOFEMORAL Kit, Coxofemoral Luxation Management System Kit, Patella Luxation 2,4,6mm SS Kit, Patella Luxation 2,4,6mm Ti Kit, Patella Luxation POWER SYSTEMS KITS Kit, Standard Drill, Multi- Function Battery Powered Handpiece Kit, Drill TTA Kit, Drill TPLO Kit, Multi-Function Drill Starter LATERAL SUTURE Kit, Everost Basic Double Swaged On Cruciate Repair Kit, Everost Basic Swaged on Cruciate Repair Kit, Everstrong Medium Swaged on Starter Kit, Everstrong Small Swaged on Fiber Starter Kit, Everstrong Fiber Basic Kit, Bone Anchor Kit, Basic Orthopedic Drill Kit, Orthopedic Drill Kit, Everost Basic Cruciate Repair Kit, Cruciate Repair Complete T KITS Kit, Cruciate Repair Advanced

94 Sterilization Containers Steri Red Box Dental Everost s sterilization container systems are recognized as the most innovative line of containers available to the veterinary market. Our product specific line of sterilization container systems offers central services and operating room managers a simple and reliable system for managing implant and instrument processing. Engineered from tough composite materials offers unparalleled advantages over other container systems. Our container systems are light weight, hold up to harsh chemicals and heat, resists dents and distortion and are made to last a lifetime! Steri Red, Gold Boxes Steri Small Gold Box The Everost design team feel they should put equal amounts of time into the products that hold their innovative implants as they do for the innovative implants themselves. If you are in need of a custom sterilization container please contact one of our engineers. Features & Benefits: Light Weight Withstand harsh chemicals Dent resistant Large variety available Custom manufacturing available 90% of all orders go out the same day 94 TERILIZATI

95 STERILIZATION CONTAINERS DESCRIPTION ITEM NUMBER TTA Instrument Tray TTA Implant Tray Tray, 2.4mm, 2.7mm and 3.5mm Screws Complete TTA Tray mm, 3.5mm Trauma Instrument Tray TPLO Instrument Tray mm, 3.5mm Bone Implant Tray TPLO Implant Tray mm, 2.0mm Implant Tray TPLO Locking Implant & Instrument Tray mm, 2.0mm Trauma Instrument Tray Tray, 1.5mm, 2.0mm, 2.4mm Screws Tray, 2.7mm, 3.5mm Screws Tray, 2.4, 2.7, 3.5 Screws Locking Steri Container Yellow, 310x190x50mm, w filter Steri Container Blue, 310x190x50mm, w filter Steri Container Red, 310x190x50mm, w filter Steri Container Yellow, 310x190x65mm, w filter Steri Container Blue, 310x190x65mm, w filter Steri Container Red, 310x190x65mm, w filter Steri Container Yellow, 300x149x65mm Steri Container Blue 300x149x65mm Steri Container Red 300x149x65mm Steri Container Green 300x149x Steri Container Gray 300x149x Steri Container Yellow, 200x145x60mm Steri Container Blue, 200x145x60mm Steri Container Red, 200x145x60mm Steri Container Yellow, 160x70x60mm Steri Container Blue 160x70x60mm Steri Container Red 160x70x60mm ON Wire Basket w/lid, 274x172x43mm Silicone Mat, 260x180mm Autoclavable TTA Trays Steri Blue Tray Steri Small Blue Tray, Side Steri Wire Basket 95

96 Everost Surgical Instrument Revitalization Program Introducing the EVEROST Surgical Instrument Revitalization Program EVEROST is committed to ensuring quality service throughout the life of every Everost instrument. Everost s commitment to quality does not end after an instrument is purchased, as evidenced by the lifetime dedicated warranty, whereby Everost agrees to sharpen, repair, and fully refurbish any instrument with the Everost brand at no charge for the useful life of the instrument. Everost s Surgical Instrument Revitalization program guarantees that every instrument functions properly and is available when you need it. Surgical instrument performance is necessary to ensure that surgeons are satisfied and patient care is never compromised. That is why the Everost Surgical Instrument Revitalization Program was developed. Skilled craftsman and instrument makers are trained to service any and all instruments and return them to an almost new condition quickly and conveniently. Our technicians are trained using tried and true instrument refurbishment techniques and have the access to parts, combined with the technical expertise to revitalize all makes and models of surgical instruments. Everost technicians only use new factory parts to match the original specifications of your instruments. In addition to servicing Everost brand surgical instruments, the Everost Surgical Instrument Revitalization Program is dedicated to servicing all makes and models of instruments to help you reduce your replacement costs and down time. Primary Program Benefits: Reducing overall expenditures on surgical instrumentation by extending the life of your instruments Improving surgeon precision and performance 96 URGICAL

97 The Everost Surgical Instrument Revitalization Program is fast and easy to use. Identify instruments requiring service. Fill out the transfer documents letting our technicians know what is wrong with your instruments Box them and send them to our National Repair Center located at: Everost National Repair Center, 59 Technology Park Road, Sturbridge, MA Once received, instruments will be inspected, serviced, and returned directly to your practice. Advantages of the Program: Free Service for Everost branded instruments. Additionally, Everost services all other brands of surgical instruments, however, fees apply to non-everost branded surgical instrument repairs. Complete Surgical Restoration. Instruments are inspected, cleaned, polished, repaired, lubricated and packaged. Everost s technicians are highly trained in the art of surgical instrument repair and our pledge is to return instruments to original manufactured specifications. Program Services: Needle Holder Tip Replacement Sharpening Services on all Sharp and Semi-Sharp Instruments Micro, Neuro, and Cardiovascular Instrument Repair Factory Direct Parts Replacement Re-Gold Services Etching Services Custom Modifications Clipper Blade Sharpening and Repair Committed to Service and Education Everost provides free consultation services following inspection. If we see a pattern of misuse or improper care following inspection, we will provide a free consultative write-up with helpful tips designed to educate staff members to help extend the life of your surgical instruments. 97

98 98 LATINUM LUS ROGRAM

99 IDEAS EverCenter Many advances made in veterinary medicine originate in the operating room with you! If the needs aren t communicated the solutions most likely will never surface. Everost provides an idea center (EverCenter) so that you can easily submit your ideas to us. You might simply have an idea of improving an existing product or you might have an idea for something very novel. Either way we are very interested in hearing from you! We will give your idea complete protection and fully evaluate it with our team of engineers. Submit Your Idea To submit your idea to Everost, please request a mutual non-disclosure agreement from our office. Once this documents is signed by both parties, you can be assured your idea is safe! Visit for more details and online documents. The next step will be to schedule a conference call with one of our engineers or simply or fax your idea to our office, attn. Product Development. After our review, we will be sure to follow up with you regarding your idea. Everost is truly the only company that is able to take an idea to reality in a very efficient manner. At Everost, we have the best in engineering and manufacturing capabilities. This allows us to move very quickly from concept-engineered design-prototype-testing-production-quality control-ready for sale. Our founders track record in product creation speaks for itself! 99

100 Everost Educational Excellence E 3 provides world-class veterinary surgical training and education courses. It offers orthopaedic surgeons and veterinarians a full range of educational opportunities, including hands-on workshops and surgeon-to-surgeon programs. The founders of Everost have trained over 15,000 surgeons worldwide. Today s veterinary surgeon has spent years fine tuning their skills and knowledge. Surgical training is a life-long process that started the first day of veterinary school and is followed by extensive surgical education throughout their careers. E 3 was born from 17 years of educational commitment across the globe. The program provides cadaveric training and interactive training on the Everost line of products on a global basis. This excellence program enables surgeons to gain new knowledge, develop new skills that optimize patient outcomes and help patients get back to daily activities as fast as possible. Training Opportunities Cranial Cruciate Ligament Rupture Repair includes: Latest techniques in lateral suture stabilization, Tibial Tuberosity Advancement (TTA), Tibial Plateau Leveling Osteotomy (TPLO), EverLok Plateless TPLO, & MMP Basic & Advanced Fracture Repair Principles & Techniques Minimally Invasive Fracture Repair Techniques MPL Correction & Coxofemoral Luxation Repair Freedom Lock Locking Applications Arthroscopy 100 RAINING

101 Everost Contact Information USA Patterson Veterinary Australia VetQuip, Qld Everost, Inc. 855.EVEROST Everost AU Canada Scil Vet Novations Canada, Inc Europe Everost UK, Ltd United Kingdom NVS

102 Everost Templates & Reference Material Planning Makes Perfect! Excellent care begins as soon as the patient walks in the door. The great veterinarians take the time, prior to surgery, to thoroughly evaluate the patient and precisely plan for the surgery. Many tools are used in the preoperative planning process. They range from templates (acetates) to digital x-ray and implant selection. It is very usful for the surgeon to get into the OR already knowing what to expect. Our goal is to provide as much information to the surgeon as possible, regarding our implants. This section of our catalog contains many of the standard templates used for orthopedic procedures. If there is something specific you need that isn t in this section please contact our office and we will provide it to you. Used together, Surgery Planning, Anatomical Models, Surgical Guides and Patient Designed Implants makes the difference between good surgery and surgery planned to perfection! 102 EFERENCE

103 Table of Contents Everost Bioabsorbable Materials TTA Cases (Sampling) Standard Templates (acetate) mm, 2.7mm, 3.5mm Drill Guides Templates mm, 3.5mm Locking Plug Templates TPLO Pre-Countered/TPLO (Slocum Style) Template mm, 3.5mm Locking Plate Templates mm, 2.4mm Mini Self Compression Plate Templates mm Limited Contact Plates Template mm Broad Limited Contact Plates Template mm Mini Self Compression Plate 2.0mm Thin Template mm Mini Self Compression Plate 2.5mm Thick Template mm Self Compression Plate Straight Narrow Template mm Broad Self Compression Plate Straight Template mm, 3.5mm Limited Contact Plate Templates Canine Cranial 140 Pantarsal Arthrodesis Plate Template Liberty Lock Plate Templates Standard Screws, Locking Screws, Drill Bits and Taps Chart Hybrid T-Plate/3.5mm T-Plate Round Hole Template mm, 2.7mm Distal Plate Templates TTA Plate Templates Partial Carpal Arthrodesis Plate Templates Pantarsal Arthrodesis/Acetabular Plate Templates Supercondylar and Osteotomy Plate Templates Intertarsal Arthrodesis Plate Templates mm Locking Plate Templates TPLO Rotational Chart

104 Material Overview for the Xorption TTA Cage & TTA-One From permanent metal implants to fully-resorbable composites The propreitary bioabsorbable composite used for the Everost Xorption TTA cage and TTA-One contains 30% biophasic calcium phosphate dispersed in a bioabsorbably polymer matrix-base predominately on Poly (L, DL-lactide). This composite formulation has been used in implantable devices for over 7 years and has a proven biocompatibility track record particularly in humans. Material Degradation The graph (below) depicts a typical trend curve for molecular weight vs. time and mass loss vs. time for a semi-cystalline polymer. Also, overlaid in the graph is the projected support curve over time. Up until a critical point, the observed mass loss is relatively low, but increases as the material becomes more friable. Support Molecular Weight Mass Loss TIME EuroIntervention 2014; 9: Poly(lacitdes) exhibit bulk degradation via hydrolysis of the ester group. The rate at which the product degrades is governed by the level of crystallinity in the structure. Because the composite formulation used in the Xorption TTA cage and the TTA-One is amphorous and lacks an ordered crystalline structure, a faster more uniform degradation profile would be expected. Preliminary studies project a 12-15% reduction in molecular weight (determined through inherent viscosity) between 0 and 6 weeks, a 31-32% reduction after 12 weeks and an 88-92% reduction after 48 weeks. Products such as the Everost TTA-Track and the Everost TTA Wing Plate, although semi-crystalline, are processed in such a way that the leverl of crystallimity in the final product is low. As a result, it is expected that they would exhibit a slightly slower degradation rate than the Xorption TTA cage and TTA-One. 104

105 Mechanical Performance The load at failure for the Xorption TTA cage and TTA-One could not be determined due to limitations in the testing equipment. However, it was observed that both products experienced compressive loads greater than 1000N even at 24 weeks agin under accelerated conditions without failure. This loading is comparable to the mean load at failures determined in the study by Balligand et al. Bioabsorption The TTA and TTA-One cages degrade via bulk erosion. During this process, hydrolysis of the ester groups in the polymer chain causes a breakdown of the composit structure. This allows lower molecular weight moieties to be removed from the system via metabolix pathways opening the structure to further breakdown. Some breakdown moieties enter the Krebs cycle and are broken down into CO2 and H20 and expired through the lungs. Other moieties may be excreted by the kidneys in urine or feces. Water Oligomers + Monomers NON DEGRADED SLIGHTLY DEGRADED MEDIUM DEGRADED Metabolism to CO2 and H2O + Renal Excretion Time (weeks, months) Biocompatibility See biocompatibility report from Purac on PURASORB Resorbable polymers. Section 2.2 discusses the polymer degradation and resorption by the body. Section 2.3 discusses biocompatibility of the materials. Section 4 outlines some of the current clinical applications of bioabsorbable materials. 105

106 TTA Cases: Ace Immediate Post-Op Weeks Post Op 10 Weeks Post Op

107 TTA Cases: Allie Immediate Post-Op 6 Weeks Post Op 10 Weeks Post Op 107

108 TTA Cases: Colby Immediate Post-Op Weeks Post Op 10 Weeks Post Op

109 TTA Cases: Ghost Immediate Post-Op 6 Weeks Post Op 10 Weeks Post Op 109

110 TTA Cases: Macy Immediate Post-Op Weeks Post Op 10 Weeks Post Op

111 6mo X-Rays Ghost Gucci Heidi Macy 111

112 /2.4mm Locking Plub 112

113 113

114 114

115 Plate 2.0mm Plate 2.4mm

116

117 Plate 2.0mm Thin Plate 2.5mm Thick 117

118 Plate 3.5mm Straight Narrow

119

120

121 Canine Cranial 140 degrees Pantarsal Arthrodesis Plates /2.4/2.7 Profile above /3.5 Profile above / / /

122 122

123 123

124 Hybrid T-Plates 2.0mm Distal Plates Hybrid T-Plates 3.5 T-Plates Round Hole 2.7mm Distal Plates

125 SS SS SS SS SS SS 125

126 126

127 Right Left 127

128 128

129 129

130 TPLO Rotational Chart 12mm Blade 18mm Blade 24mm Blade 30mm Blade Angle Rotation Angle Rotation Angle Rotation Angle Rotation

131 The Everost Blueprint. Have you experienced a decline in innovation, quality, customer service and support over the last two years? Your Everost personal guarantee... INNOVATION Innovation remains our top priority We will seek out the best biomaterials Free engineering support on any new ideas from YOU Work with residents and surgeons to perform the highest level of research Always look to improve Never say never QUALITY Design and manufacture implants in the USA, Germany and England Strictly follow all FDA, ISO & ASTM standards and guidelines Only use medical grade implant materials Maintain a high level quality control program Lot track all implants Fully and completely investigate any quality concerns SERVICE Knowledgeable and responsive staff No question goes unanswered Prompt call backs 100% accessible Personal visits Your service experience will be as good as your product experience Every customer issue treated with the highest priority The customer always comes first Harry Wotton, the founder/sole design engineer at Securos from is the founder and chief design engineer at Everost. If you would like to compare our products to your current supplier, please call one of our technical specialists for information on our success before sale program. DISTRIBUTED BY EVEROST( ) [email protected] 131

132 Index AdapTTA Cages...13 Step-by-Step AdapTTA Instructions Cages Without for Wings...13 Use AdapTTA Cuttable Cages With Interchangeable Wings...13 AdapTTA TTA Cages W/ Interchangeable Wings...13 AdapTTA Wings...13 AO Style Locking Cortical Bone Screws...60 Cancellous Stainless Steel Bone Screws, 4.0mm...63 Cerclage Wire, Looped, Stainless Steel...77 ContinuOS High Strength Fiber...38, 41 Cortical Bone Screws...61 Cortical Bone Screws Coxofemeral Implants...80 Coxofemeral Instruments...83 DPO Freedom Locking Plates...49 EverLok Instrumentation...30 EverLok Plateless Tplo Implants And Intruments EverLok Titanium Lag Screws...29 Freedom Lock Instrumentation...19, 51 Freedom Lock Titanium Bone Plate, Limited Contact...48 Freedom Lock Titanium Locking Screws , 50 Freedom Lock TPLO , 49 Forkless TTA Plates...7, 13 Handpiece Ossilating Saw...75 Hemostatic Forceps...86 Instrument Kits...90 Jacob Chuck Connection Anti-Skid Drill Bits...73 Kirchner Wire, Smooth, Trocar/ Trocar 9 (229Mm)...77 Lateral Suture Crimping Lateral Suture Instruments and Implants...43, 45 Liberty Lock Frature Implants Liberty Lock Instrumentation

133 Liberty Lock Stainless Steel Screws , 54 Liberty Lock TPLO Plates Limited Contact Dynamic Compression Stainless Steel Bone Plates MPL Saw...78 MPL Spacers...79 Needle Holders...91 Partially Threaded Steinmann Pins, Trocar/Trocar...77 Quick Connect Anti-Skid Drill Bits...73 RotaX Bone Anchors And Posts, Titanium...39 RotaX Instrumentation RotaX Step By Step Scalpel Handles...90 Scissors...89 Smooth Steinmann Pins, Trocar/Trocar...77 Stianless Steel Acetabular Plates...71 Stainless Steel Distal Femur Plates...71 Stainless Steel Hybrid T Plates...69 Stainless Steel Locking Screws, Stardrive...61 Stainless Steel Pancarpal Arthrodesis Plates...70 Stainless Steel Pantarsal Arthrodesis Plates...70 Stainless Steel Partial Carpal Arthrodesis Plates...70 Stainless Steel T Plates, Round Hole...69 Surgery Packs...84 Tissue & Dressing Forceps...86 Towel Clamps...91 TPLO Instrumentation Trauma Instrumentation TTA Instrumentation Xorption TPLO Plates Xorption TTA

134 Everost Order Form Everost, Inc. US Office 59 Technology Park Road Sturbridge, MA Office: 855-EVEROST Fax: Sales Rep: Bill to: Contact Company Name Street Address City State Zip AREAS OF INTEREST q Lateral Suture q TPLO q TTA q Trauma Item # Description QTY. Price 135 Merchandise Subtotal: RDERING NOTES: Shipping: TOTAL INVOICED:

135 Check out Everost on Social Media... Insta MEDIA Facebook facebook.com/pages/everost-inc Twitter twitter.com/everost Instagram instragram.com/everostinc 136

136 For more information, please contact us: Everost Inc. 59 Technology Park Road, Sturbridge, MA T 855.EVEROST( ) F [email protected] EXCLUSIVELY DISTRIBUTED BY Everost has a complete orthopedic offering, please call for details. 7/2014