ExtenTrac Elite. Advanced Back Technologies, Inc. An International Manufacturing Company. Advanced Back Technologies, Inc. Freedom.

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1 Advanced Back Technologies, Inc. An International Manufacturing Company Advanced Back Technologies, Inc., (ABT, Inc.), manufacturer of the ExtenTrac Elite, is dedicated to providing state-of-the-art therapeutic devices for back and neck pain consistent with incorporation of its proprietary M3D spinal positioning technology. ExtenTrac Elite ExtenTrac Elite is manufactured in a facility whose Management System is certified as being in conformity with ISO The ExtenTrac Elite has FDA 510(k) Clearance and is protected under United States and international patents with patents pending. Advanced Back Technologies, Inc. Contact us today at (877) or [email protected] or visit us online at Freedom & Flexibility in Patient 89 Cabot Court Suite F Hauppauge, New York Copyright 2009 Care

2 21st Century Technology for Patient Care... The ExtenTrac Elite with M3D Technology PRODUCT FEATURES Financing Options Advanced Back Technologies, Inc. provides assistance through third party equipment leasing companies that best suit each individual s needs. Every prospective client is handled with the utmost respect and focused on to completely achieve their financing goals. Axial Patient Treatment Positioning Automated Repositional Lumbar Support Automated Repositional Leg Support 3 Distinct Treatment Options Lumbar Support For Power Decompression Leg Support For Power Decompression Vertical/Gravity Mediated Treatment Prone and Supine Positioning Patented M3D Spinal Positioning System enables decompression and therapeutic procedures from multiple directions and angles Power Tilting and Elevating Lumbar/Pelvic Support for Direct Positioning of Spine and Pelvis Split Table Design Allowing Friction-Free Decompression Leg Bar with Control Switches for Patient Positioning and Mobilization Procedures Power Adjustable Overhead Exercise Control Bar with Patient Control Switches 15 Color Flat Panel LCD Computer Display Freedom to Select Automated or Manually Driven Cycles Implementation of Evidence-Based 'Hands-On' Therapy Procedures Including Flexion-Distraction Coupled with Decompression Several Suggested Insurance Billing Reimbursement Codes 2 EXTENTRAC is a registered trademark licensed by Advanced Back Technologies, Inc. 15

3 Technical Specifications Design & Inception Created By Need 5 x 8 floor space minimum Platform Height Dimensions: (floor to top of thoracic cushion) Height Retracted (Lift function) 78 inches Height Extended (Lift function) 88 inches Width (Rectangular base) 29.5 inches Length (Rectangular base) 46 inches Patient Platform Dimensions: (Leg bar to top of patient rotation frame) Length Retracted (Lift function) 79 inches Length Extended (Manual Length Adjustment) 89 inches Length Extended (Power Length Distraction Range) 88 inches Leg Assembly Y-Axis Distraction Range (powered) Frictionless Release Range Z-Axis Extension Table Weight Maximum Patient Load Capacity Electrical Specification- Volts 110/ /240 Amps 15.0/7.5 Freq. 50/60 Hz Phase Single 9 inches 9 inches 31/2 inches 1100 lbs. 350 lbs. Upholstery Naugahyde-Neochrome II/Spirit Millennium ICD-9-CPT Codes 14 Based on the variety of modalities and therapeutic procedures that the ExtenTrac Elite is capable of performing, several ICD-9-CPT codes have been suggested* as potentially applicable, including: Manual Therapy Therapeutic Activities Mechanical Traction** Therapeutic Exercise...when above specified therapeutic procedures involving direct patient contact are employed. * Nothing herein should be deemed to constitute or imply advice on proper billing practice for any provider of services. Every practitioner is advised to consult with his own legal, billing, accounting, and tax advisors with regard to the acquisition, use and billing for services of ExtenTrac Elite. ** Gravitational/positional traction procedures only. In 1983, Dr. David Cuccia was challenged by a patient whose back condition had not improved with traction, medical pain management or physical therapy over a four-year period. Despite Dr. Cuccia s best efforts, utilizing extensive conventional treatment, no improvement was seen. In a last effort to help this patient, he manually placed the patient in extension, simultaneously with vertical gravity positioning. He observed an immediate reduction in both pain and antalgia, and a new therapeutic technique was born. After several additional treatments, for the first time, the patient was pain-free without sciatica or antalgia. Continued clinical success utilizing this manual protocol created a need to produce a device capable of duplicating the original manually applied procedure - and thus, the first Extentrac was built in Today s Extentrac Elite, has greater capability than its predecessor. With advanced features that provide almost unlimited treatment versatility, it is the direct result of extensive cooperation between Dr. Cuccia, skilled health care practitioners, experienced medical industry design engineers, and most importantly... patients. In 1997, Dr. Cuccia founded Advanced Back Technologies, Inc., a medical device manufacturing company, in order to satisfy the need for this versatile device. 3

4 Therapeutic Versatility The ExtenTrac Elite, with patented M3D Technology, offers effective relief of pain from herniated and bulging discs, degenerated disc disease, peripheral radiation (sciatica) and facet problems. At the heart of the ExtenTrac Elite is the M3D System, with its articulating leg and lumbar assemblies. These position and move the spine 3 dimensionally into specific degrees of flexion, extension, and lateral flexion prior to and during the application of decompression. ExtenTrac Elite has a treatment history of successful patient care extending over twenty years, with no reported adverse patient reactions. Health Care Professionals worldwide, utilizing the ExtenTrac Elite in both Hospitals and Private Clinics, have unanimously confirmed excellence in clinical results. ExtenTrac Elite enables the application of fully automated or manually applied treatment cycles. ExtenTrac Elite offers supine or prone patient positioning a prerequisite for many evidence-based protocols and decompression techniques. ExtenTrac Elite s patented leg control bar, with integrated control switches, permit the implementation of a wide range of effective and proven evidence-based treatment protocols and other therapeutic procedures. These treatment protocols include effective flexion-distraction, coupled with decompression. Post-ExtenTrac Elite Intervention Multi-level reductions in size of disc herniations Pre-ExtenTrac Elite Intervention Patient presenting sciatica and now asymptomatic Multi-level disc herniations ExtenTrac Elite s rotating patient platform is designed with both the doctor and patient in mind. Its elevated platform reduces practitioner back fatigue while facilitating easy hands-on therapeutic procedures. Physical hands-on access to the patient s spine during therapeutic procedures help in the assessment of the degree of tissue stretch, Professional Testimonials Post-ExtenTrac Elite Intervention Clinicians are constantly searching for and attempting to develop methodologies for safe and successful alleviation of pain in treating specific low back conditions. Therefore, I would like to address one condition...disc pathology. The ExtenTrac allows the professional to empower the patient to become an active partner in this therapy. By using the ExtenTrac and instituting a medically approved regimen in conjunction with modalities and correct exercises, patients are able to obtain measure improvement. Lloyd R. Stein, Physical Therapist I had chronic back pain since I was in medical school. I reached the conclusion to have spinal surgery after consultation with an orthopedic surgeon because the pain began radiating toward my toes which was affecting my normal life style. I did not want to have back surgery, not because of the fear of surgery, but because of the fear of losing my flexibility. After five treatments on ExtenTrac Elite, I feel fine and can move my back in any direction without pain. I can bend over and tie my shoes. I can now sleep on my back and either side without having any pain. Bo Suh, M.D. I like being able to apply my skills, rather than just being a technician. To apply treatments very specifically...to fine tune decompression to the disc in question...to apply what I feel the patient needs. Freedom to laterally position the patient and decompress in the supine or prone position makes all the difference in the world! Hands-on or computerized treatment however you need it. Palpate, under long axis decompression, feel and view the pounds of force being applied, to feel the interspinous space being opened and decompressed to go as far as I need to go. Dr. Michael D Arenzio, Chiropractor My wife had an MRI done last week of the lumbar spine. Last night I did some careful repeated measurements of her L3/4 disc herniation, as seen on mid-saggital sections, compared to her last MRI done 1 year ago, prior to getting treated on the ExtenTrac. As far as I can tell, being as objective as possible, the size diminished from 6mm to 4 mm. That s a significant reduction. Dr. Scott Siegel, Chiropractor 4 13

5 rac Elite Intervention Pre-ExtenTrac Elite Intervention The ExtenTrac Elite in Asia. 0.3mm 0.7mm 0.2mm 0.3mm 0.2mm 0.4mm 0.3mm 0.3mm 12 ExtenTrac Elite is rapidly becoming integrated into Hospitals, professional practices of spine care professionals worldwide. Continued design innovation has lead to many US and International Patents and Patents Pending. intervertebral joint separation, localization of specific disc level isolation, and mobilization/range of motion procedures. Power decompression early-on in treatment may be contraindicated with patients presenting paroxysms of spasm and pain. ExtenTrac Elite s vertical rotating platform enables the application of graduated and gentle gravitational protocols utilizing the natural body weight of the patient as the force of decompression. When combined with flexion, extension, and lateral flexion, this synergy of positions offers improved treatment outcome then when individual procedures are separately applied. Hands-on therapeutic procedures may also be implemented during gravitational and power decompression protocols. 5

6 Freedom and Flexibility in Patient Treatment Patient Testimonials Administration of treatment can be vertical or horizontal, in the prone or supine position, while incorporating flexion, lateral flexion, extension, circumduction, rotation (cervical unit), and axial positions. Unique to the ExtenTrac Elite is its contoured Lumbo-Pelvic Support. It allows power tilting and elevation to increase or decrease the degree of lumbo-pelvic tilt, promotion of correct lumbar lordotic curvature, and isolation of desired vertebral-disc level. Post-ExtenTrac Elite Intervention As an athlete, I have subjected my body to rigorous training activities in order to stay on top of my game. Throughout my career, with the style of play that I emphasize, I have put a lot of strain on my lower back area. Over the years, I have tried numerous types of treatments from chiropractic, physical therapy, myofascial therapy, acupuncture and other decompression tables in order to keep my body in peak physical condition. Even though I felt relief for short periods of time with the other apparatuses, including traction and new decompression tables, I have felt the most sustained relief using the ExtenTrac Elite. It has given me the ability to put my body back into proper alignment so that I can continue to condition at a high level of training necessary to sustain maximum performance of my sport. Steve Webb, NHL Player Thank you for referring me for ExtenTrac treatments. You were absolutely correct in your belief that I had reached a point in treatment which required traction and extension of my spine in order to alleviate the extreme damage to my lower back (discs and sciatica problem). I am pleased to report my remarkable recovery. Using ExtenTrac to treat my injury has resulted in my ability to stand erect and to no longer experience pain in my right hamstring area. Stanley Rochelle, New York Post-ExtenTrac Elite Intervention Normal posterior disc space at L4-L5 with normal lumbar lordosis Pre-ExtenTrac Elite Intervention Patient presented severe lower back pain, spasm with antalgia and now asymptomatic. Abnormal widening of posterior disc space at L4-L5 with straightening in the normal lumbar lordosis After I was diagnosed with a lumbar disc herniation, I began a comprehensive treatment and rehabilitation program. Included in my rehabilitation program was the use of ExtenTrac three days a week. I quickly became accustomed to the operation of the patient control unit. With the guidelines of the clinical protocol and the feedback from my own body, I was able to customize the treatments with every use. I feel ExtenTrac, combined with medical treatments and strengthening exercises helped me return to competition. Rich Pilon, NHL Player 6 11

7 Cervical Option* Automated or manual administered cycles are pre-programmed or quickly customizable with easy to use automated control buttons. Multi-Directional Disc Decompression, axial or linear decompression, manual hands-on therapeutic procedures, joint mobilization, active and passive range of motion, patient exercise, and soft tissue mobilization may all be implemented utilizing the Extentrac Elite. Patient set up time is 2-3 minutes, while treatment time averages 15 to 30 minutes for clinical effectiveness. Pre-ExtenTrac Elite Intervention Extentrac Elite's optional Cervical Therapeutic Device is offered as a factory installed add-on or may be later incorporated into your existing model. It utilizes the same patented M3D technology as found in the ExtenTrac Elite low back model. It delivers decompression in extension, flexion, and lateral flexion. Operational Control is through separate touchscreen control. * Projected availability June Extentrac Elite's unique head-neck interface assembly is easily adjustable to accommodate a wide range of neck sizes, provide maximum patient comfort and assured cervical gripping. Its patent pending M3D technology insures effective cervical decompression and mobilization protocols. Full automated treatment cycles are customizable or the clinician may select pre-programmed treatment protocols. 10 7

8 Key Features Performance The Competition Cannot Touch In the Supine or Prone Position Patient Hand Control Bar with Control Switches for Supervised Patient Participation in Decompression and Lumbar Radius Changes. Fully Adjustable Contoured Underarm Supports. Auxiliary Patient Hand Gripping Bar and Cushioned Hand Support Two Separate Decompression Systems Leg or Lumbar Mediated. Lumbar Assembly for Automated Lumbar Mediated Decompression Leg Assembly for Automated or Manual Control of Mobilization and Decompression At the Heart of the M3D System is Its Lumbar and Leg Assemblies Which Enable the Application of Precise Therapeutic Decompression and Evidence Based Protocols from Multiple Angles and Directions in Flexion, Extension, Lateral Flexion, and Axial Positions. Power Adjustable Overhead Exercise Bar with Patient Control Switches for Supervised Patient Participation in Decompression, Therapeutic Protocols and Exercise. Head/Thoratic Back Support Cushion Accepts Cervical M3D Decompression Unit Numerous Belting and Decompression Harnesses, Including Ankle Cuffs Split Table Design with Friction-Free or Locked Lumbar Support Cushion. Fully rotatable patient treatment platform for easy patient positioning from vertical to horizontal. Preset and Custom Automated Treatment Cycles. Designed to Accommodate Software Upgrades, Insuring Unit is Never Obsolete. Direct Measurement and Display of Decompression Force in Pounds. Ease of Operation Mouse Point and Click Control, Practitioner Leg Control Bar with Control Switches and 15 Color Monitor. Fully Automated Decompression Cycles or Manually Applied - Power Assisted 8 Practitioner leg control bar with control switches. 9