Orbital Reconstruction. Solutions for treating orbital fractures.

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

Titanium Orbital Mesh Plates Orbital Floor Mesh Plates Recommended for all types of orbital fractures and reconstruction of the bony orbit. Features Radial design simplifies cutting Malleable material facilitates contouring Three rows of screw holes provide a variety of fixation points to adapt to orbital anatomy Available in 0.2 mm, 0.3 mm and 0.4 mm thicknesses Available for use with 1.0 mm or 1.3 mm titanium screws Universal design for either right or left orbit Manufactured from commercially pure (CP) titanium Available sterile or nonsterile Orbital Mesh Plates 1.0 mm 1.3 mm Color 420.302 421.302 0.2 mm Purple 420.303 421.303 0.3 mm Teal 420.304 421.304 0.4 mm Gold Enlarged view These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. Synthes

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

Anatomic Orbital Floor Plates 1.0 mm 1.3 mm Small 420.401 421.048 0.3 mm Medium 420.403 421.043 0.3 mm Large 420.402 421.049 0.3 mm Universal Orbital Floor Plates and Medial Wall Plates 1.0 mm Universal 420.40 0.4 mm Medial Wall L 420.44 0.5 mm Medial Wall R 420.45 0.5 mm 1.3 mm Universal 420.40 0.4 mm Medial Wall L 420.44 0.5 mm Medial Wall R 420.45 0.5 mm 1.5 mm Universal 446.40 0.6 mm Medial Wall L 446.44 0.6 mm Medial Wall R 446.45 0.6 mm Universal Orbital Floor Plate Medial Wall Plate These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. Orbital Reconstruction Synthes 3

1.3 mm and 1.5 mm Titanium Contourable Mesh Plates Features Plates are easily contoured without kinking to match the irregular craniofacial anatomy Malleable and rigid mesh are available for most craniofacial repair and reconstruction indications Available for use with 1.3 mm or 1.5 mm titanium screws Made from commercially pure (CP) titanium Available in a variety of shapes: rectangular, round and arc Contourable Mesh Plates Malleable, rectangular 421.004 1.3 mm, 38 mm x 45 mm 0.4 mm 421.007 1.3 mm, 100 mm x 100 mm 0.4 mm 446.014 1.5 mm, 38 mm x 45 mm 0.4 mm 446.017 1.5 mm, 100 mm x 100 mm 0.4 mm Rigid, rectangular 421.005 1.3 mm, 38 mm x 45 mm 0.6 mm 421.008 1.3 mm, 100 mm x 100 mm 0.6 mm 421.009 1.3 mm, 200 mm x 200 mm 0.6 mm 446.015 1.5 mm, 38 mm x 45 mm 0.6 mm 446.018 1.5 mm, 100 mm x 100 mm 0.6 mm 446.019 1.5 mm, 200 mm x 200 mm 0.6 mm Rectangle Malleable Mesh Rigid Mesh These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. 4 Synthes Orbital Reconstruction

Contourable Mesh Plates continued Malleable, arc 421.011 1.3 mm, small 0.4 mm 421.012 1.3 mm, large 0.4 mm 446.033 1.5 mm, small 0.4 mm 446.034 1.5 mm, large 0.4 mm Rigid, arc 421.013 1.3 mm, small 0.6 mm 421.014 1.3 mm, large 0.6 mm 446.035 1.5 mm, small 0.6 mm 446.036 1.5 mm, large 0.6 mm Arc Malleable, round 421.015 1.3 mm, 30 mm diameter 0.4 mm 421.016 1.3 mm, 70 mm diameter 0.4 mm 421.017 1.3 mm, 100 mm diameter 0.4 mm 446.050 1.5 mm, 30 mm diameter 0.4 mm 446.051 1.5 mm, 70 mm diameter 0.4 mm 446.052 1.5 mm, 100 mm diameter 0.4 mm Rigid, round 421.018 1.3 mm, 30 mm diameter 0.6 mm 421.019 1.3 mm, 70 mm diameter 0.6 mm 421.020 1.3 mm, 100 mm diameter 0.6 mm 446.053 1.5 mm, 30 mm diameter 0.6 mm 446.054 1.5 mm, 70 mm diameter 0.6 mm 446.055 1.5 mm, 100 mm diameter 0.6 mm Round Malleable Mesh Rigid Mesh These implants are available nonsterile or sterile-packed. Add S to product number for sterile product. Orbital Reconstruction Synthes 5

SynPOR Titanium Reinforced Fan Plates SynPOR Titanium Reinforced Fan Plates Porous sheet embedded with the Synthes fan-shaped 1.3 mm titanium orbital floor plate. SynPOR Smooth Titanium Reinforced Fan Plates Porous sheet embedded with the Synthes fan-shaped 1.3 mm titanium orbital floor plate. SynPOR Smooth Titanium Reinforced Fan Plates provide a barrier to minimize soft tissue adhesion on the superior surface and a porous surface on the reverse side to support tissue in-growth. Radiographic visibility Increased sheet strength and contour retention Available with titanium mesh partially exposed or completely covered for multiple fixation options Anatomical shape and radial titanium mesh design minimize cutting Polyethylene sheets reduce sharp titanium edges after cutting and facilitate insertion Fixation hole positions allow optimal screw placement Available in two thicknesses: 0.8 mm and 1.5 mm Compatible with 1.3 mm titanium screws Technique tip: For smooth implants, place the smooth side of the implant toward the soft tissue to minimize adhesion and ensure motility of the globe. SynPOR Titanium Reinforced Fan Plate SynPOR Titanium Reinforced Fan Plate, with exposed fixation holes SynPOR Titanium Reinforced Fan Plates, sterile 08.520.120S 0.8 mm thick 08.520.121S with fixation holes, 0.8 mm thick 08.520.130S 1.5 mm thick 08.520.131S with fixation holes, 1.5 mm thick SynPOR Smooth Titanium Reinforced Fan Plates, sterile 08.520.220S 0.8 mm thick 08.520.221S with fixation holes, 0.8 mm thick 08.520.230S 1.5 mm thick 08.520.231S with fixation holes, 1.5 mm thick SynPOR Smooth Titanium Reinforced Fan Plate SynPOR Smooth Titanium Reinforced Fan Plate, with exposed fixation holes 6 Synthes Orbital Reconstruction

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

SynPOR Porous Polyethylene Sheets SynPOR Porous Polyethylene Sheets, sterile 08.510.110S 50 mm x 50 mm 0.45 mm thick 08.510.120S 50 mm x 50 mm 0.8 mm thick 08.510.130S 50 mm x 50 mm 1.5 mm thick 08.510.140S 50 mm x 50 mm 3.0 mm thick SynPOR Smooth Square Sheets, sterile 08.510.220S 50 mm x 50 mm 0.8 mm thick SynPOR Square Sheet SynPOR Smooth Square Sheet SynPOR Orbital Floor Plates, sterile 08.510.540S 24 mm 0.8 mm thick 08.510.541S 30 mm 0.8 mm thick 08.510.542S 35 mm 0.8 mm thick 08.510.543S 24 mm 1.5 mm thick 08.510.544S 30 mm 1.5 mm thick 08.510.545S 35 mm 1.5 mm thick SynPOR Smooth Orbital Floor Plates, sterile 08.510.640S 24 mm 0.8 mm thick 08.510.641S 30 mm 0.8 mm thick 08.510.642S 35 mm 0.8 mm thick SynPOR Orbital Floor Plate SynPOR Fan Plate SynPOR Fan Plates, sterile 08.510.546S 35 mm radius 0.8 mm thick 08.510.547S 35 mm radius 1.5 mm thick SynPOR Smooth Fan Plates, sterile 08.510.646S 35 mm radius 0.8 mm thick 8 Synthes Orbital Reconstruction

Resorbable Plates Features Implants are fully resorbable Radiolucent in x-ray, MRI, and CT Scan Eliminates secondary surgery for implant removal Resorbable Orbital Floor Plates, sterile Recommended for orbital floor fractures. Indications Synthes Rapid Resorbable Fixation System is intended for use in fracture repair and reconstructive procedures of the craniofacial skeleton in pediatric and adult populations. In addition, resorbable meshes, sheets, screws and tacks may be used in non-load-bearing applications for maintaining the relative position of, and/or containing, bony fragments, bone grafts, (autograft or allograft), or bone graft substitutes in reconstruction of the craniofacial or mandibular areas. 1.5 mm Resorbable Orbital Floor Plate, sterile Color 821.540.01S 24 mm x 24 mm 0.5 mm Transparent 1.5 mm Rapid Resorbable Orbital Floor Plates with Bending Template 851.689.01S 24 mm x 24 mm 851.690.01S 30 mm x 30 mm 851.691.01S 35 mm x 35 mm 24 mm 24 mm 1.5 mm Rapid Resorbable Orbital Floor Plates, sterile Color 851.540.01S 24 mm x 24 mm 0.5 mm Transparent 851.541.01S 30 mm x 30 mm 0.5 mm Transparent 851.542.01S 35 mm x 35 mm 0.5 mm Transparent Bending Templates for 1.5 mm Resorbable Orbital Floor Plates 329.632 24 mm 0.25 mm 329.633 30 mm 0.25 mm 329.634 35 mm 0.25 mm Synthes 9

Titanium Wires Features Manufactured from commercially pure titanium Compatible with titanium bone fixation systems Minimal MRI scatter Four gauges available: 26, 28, 30, and 32 gauge Convenient and easy handling Accommodate a variety of surgical techniques Indications Synthes Titanium Wire and Titanium Wire with barb and needle is indicated for use in soft tissue approximation and/or ligation, for canthoplasty, canthopexy, and/or canthal tendon repair. Titanium Wires, with needle, 500 mm, sterile 493.100.01S 26 Gauge (0.4 mm diameter) 493.101.01S 28 Gauge (0.31 mm diameter) 493.102.01S 30 Gauge (0.25 mm diameter) 493.103.01S 32 Gauge (0.2 mm diameter) Titanium Wire, with barb and needle, 500 mm, sterile 493.104.01S 28 Gauge (0.31 mm diameter) 10 Synthes Orbital Reconstruction

Synthes CMF 1302 Wrights Lane East West Chester, PA 19380 Telephone: (610) 719-5000 To order: (800) 523-0322 Fax: (610) 251-9056 Synthes (Canada) Ltd. 2566 Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) 567-0440 To order: (800) 668-1119 Fax: (905) 567-3185 www.synthes.com 2003 Synthes, Inc. or its affiliates. All rights reserved. SynPOR and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 2/12 J4525-D