LITe LIF Less invasive posterior lumbar interbody fusion procedure

LITe LIF Less invasive posterior lumbar interbody fusion procedure

LITe LIF Access LITe Midline Retractor Fixation Xia CT Interbody Tritanium PL Cage Instruments LITe Decompression 2.0 Power CD3 and RemB Navigation Stryker NAV3i Platform with SpineMap 3D Software Fusion BIO 4 Viable Bone Matrix

Access LITe Midline Retractor A uniquely shaped retractor blade allows the LITe Midline Retractor to sit directly on top of the facet capsules, for a less invasive midline incision With dual ports containing bright LED lights, the lighting system is designed to enhance your view The retractor blades are radiolucent and excellent for procedures under fluoroscopy Both the wide and the narrow blades have teeth designed to enhance retraction during less invasive midline procedures The pivoting mechanism allows you to increase exposure without enlarging the incision To accommodate your multilevel procedures, the dual blade holder can hold two blades per side

Fixation Xia 4.5 Cortical Trajectory Less invasive Xia CT implants and instruments give you the ability to accomplish a less invasive posterior lumbar interbody fusion procedure, LITe LIF, by allowing you to place screws in a cortical trajectory Screw insertion points LITe LIF approach Screw insertion points Decompression, fixation and fusion can be accomplished through a smaller midline incision than used in a traditional open posterior procedure More muscle sparing than a traditional open posterior procedure Exposure Exposure Exposure and closure times may be more efficient due to a smaller incision Offered in both cannulated and non-cannulated screw configurations Medial to lateral Features and benefits The Xia CT fixation system features innovative components Screw insertion points Traditional approach Screw insertion points The modular taps of Xia CT provide you with a low profile post for distraction, without the need for in situ assembly The low profile screw head (12.1 mm) allows for direct visualization and optimized screw placement in a LITe LIF procedure Exposure Exposure Universal Distractor has multiple adapter options, letting you choose from a variety of distraction methodologies Lateral to medial Modular taps Universal Distractor Low profile screw heads

Interbody Tritanium PL Cage Stryker s Tritanium PL Cage is a hollow, rectangular implant that consists of a unique configuration of both solid and porous structures, which are simultaneously built using 3D Additive Manufacturing and Stryker s proprietary Tritanium In-Growth Technology Created to allow imaging: large central graft and lateral windows allow visualization on CT and X-ray images Developed to minimize subsidence: the optimized cage geometry, maximized surface area and material modulus all play a part in reducing this risk Engineered for stability: precisely angled teeth are designed to provide bi-directional fixation Tritanium In-growth Technology The Tritanium PL Cage is manufactured using Stryker s proprietary Tritanium In-Growth Technology. Tritanium is a highly porous titanium alloy material designed for bone in-growth and biological fixation 1 Designed to mimic cancellous bone, Tritanium has a precise and randomized pore structure Tritanium has been engineered to have a mean porosity of 60%, for a fully interconnected pore structure 1 mm Tritanium Cancellous bone

Instruments LITe Decompression 2.0 The LITe Decompression System offers a comprehensive set of instruments optimized for use in less invasive procedures. Bayoneted working shafts, non-reflective coating and minimized profiles all contribute to the impressive functionality of these instruments, allowing you to work effectively with greater precision and control. Power CD3 and RemB We can offer you powered screw insertion options in both corded and cordless styles. Designed to work with the complete line of percutaneous and open fixation options, these flexible instruments represent our continued dedication to producing surgical instruments that are highly reliable and easy to use. Together with our comprehensive range of implants, we have designed our powered screw insertion system to reduce the repetitive stress and fatigue you can experience when inserting screws manually.

Navigation SpineMap 3D Software with SpineMask Tracker The Stryker NAV3i Platform is our next-generation of platform solutions. Designed with you in mind, rigorous testing and usability engineering have been applied to ensure you can confidently rely on our navigation technology. From its sleek design and powerful computing capabilities to the enhanced visualization provided by its monitors, the Stryker NAV3i Platform easily integrates into your operating room to deliver the ultimate surgical navigation experience. Fusion BIO 4 viable bone matrix BIO 4 not only provides the osteoconductive, osteoinductive and osteogenic properties of bone, but also includes the periosteum and preserves the endogenous signals (growth factors) to support angiogenesis thanks to the presence of periosteum. BIO 4 is the next generation of viable bone matrix, providing you with a safe alternative to bone autograft. Fold Difference 6 5 4 3 2 1 0 Viable Bone Allograft Control BIO 4 VEGF bfgf PDGF-BB Figure 1. BIO 4 contains the angiogenic signals vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bfgf), and platelet derived growth factor (PDGF-BB) in greater concentrations than a similar bone allograft formulation lacking periosteum. Figure 2. In comparison to other bone graft materials, BIO4 and autograft are the only ones to contain all four characteristics supporting bone formation. 2 5 Synthetic ceramics Cancellous bone (allograft) Osteoconductive = SCAFFOLD Osteoinductive = SIGNALS (growth factors) Demineralized bone BMPs Osteogenic = VIABLE CELLS Angiogenic = SIGNALS (growth factors) Platelet-derived growth factor (+TCP) 6 Allogeneic morphogenetic proteins 7 Cell bone allografts 8 10 Autograft BIO 4 Osiris report Data on file.

References 1. Tritanium technology claim support memo PROJ 43909 2. Osiris Report Data on File 3. Roberts TT, Rosenbaum AJ. Bone grafts, bone substitutes and orthobiologics 2012;8(4):114 24 4. Stevenson S, Emery SE, Goldberg VM. Factors affecting bone graft incorporation. Clin Orthop Relat Res 1996;(324):66 74 5. Dimitriou R, Tsiridis E, Giannoudis PV. Current concepts of molecular aspects of bone healing. Injury 2005;36(12):1392 404 6. Augment Bone Graft Package Insert - LBS114-00 2/201 7. OsteoAMP Regulatory Information 46-21000 8. Osteocel Plus Nuvasive brochure 9. Trinity Evolution TE-1005 PL-US - Orthofix 10. Cellentra package insert A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery. The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: BIO4, CD3, LITe, RemB, SpineMap, SpineMask, Stryker, Stryker NAV3i, Tritanium, Xia. All other trademarks are trademarks of their respective owners or holders. TLX45-BR-1_12424 Stryker Spine 2 Pearl Court Allendale NJ 07401-1677 USA Phone: 201-749-8000 www.stryker.com