MEDPOR Oculoplastic Implants ® MEDPOR Spheres MEDPOR Spheres provide surgeons with porous, biocompatible materials for orbital reconstruction following enucleation and evisceration procedures. The interconnecting, omni-directional pore structure of the MEDPOR Biomaterial may allow for vascularization and soft tissue ingrowth. Healthy extra-ocular muscles can be sutured directly to the implant or to an overlying tissue wrap. CAT # 6316 6326 6327 8702 6317 8703 6322 8704 DESCRIPTION Sphere Sphere Sphere Sphere Sphere Sphere Sphere Sphere SIZE 14mm diameter 16mm diameter 18mm diameter 19mm diameter 20mm diameter 21mm diameter 22mm diameter 23mm diameter SPHERES MEDPOR Smooth Surface Tunnel Spheres (SST-EZ) Smooth Surface Tunnel (SST-EZ) Spheres have a smooth, porous anterior surface and suture tunnels to allow easy rectus muscle attachment without the use of an implant wrap. The redesigned suture holes and curved tunnels of the new MEDPOR SST-EZ may allow for easier insertion of ophthalmic needles typically used to attach the extra-ocular muscles to the implant. Both suture arms from one muscle are passed through each tunnel. Each muscle end can be drawn to within 3mm of the implant anterior apex or allowed to hang back at the desired attachment location. CAT # 80008 80010 80012 80014 DESCRIPTION SST-EZ Sphere SST-EZ Sphere SST-EZ Sphere SST-EZ Sphere SIZE 16mm 18mm 20mm 22mm SST-EZ MEDPOR Enophthalmos Shapes The MEDPOR Enophthalmos Wedge mimics the contour of the orbital floor and is designed to provide volume to restore the orbit to its normal shape and size. Enophthalmos wedges are provided in both right and left orientation and in two sizes: regular with 2ml of volume and large with 3ml of volume. CAT # DESCRIPTION A B C 9541 9542 9543 9544 Regular - Left Regular - Right Large - Left Large - Right 22mm 22mm 28mm 28mm 31mm 31mm 40mm 40mm 7mm 7mm 7.5mm 7.5mm B R A B L A C 2 Illustrations are not actual size. Please consult dimensional descriptions. Multi-Purpose Conical Orbital Implants (MCOI) MCOI Implants are conical shaped, with a flat, 6mm diameter anterior surface to provide a slight edge for ease of muscle attachment. Three sizes are available: 16mm, 18mm and 20mm diameter. The conical shape may provide additional volume posteriorly so that each implant has the approximate volume of a 2mm larger diameter spherical implant. 6mm MCOI CAT # DESCRIPTION 7207 Multi-Purpose Conical Orbital Implant (MCOI) Approximately 3ml volume - 16mm diameter Multi-Purpose Conical Orbital Implant (MCOI) Approximately 4.2ml volume - 18mm diameter Multi-Purpose Conical Orbital Implant (MCOI) Approximately 5.6ml volume - 20mm diameter 7208 7209 Orbital Volume Sizer Set The Orbital Volume Sizer Set makes it easy to evaluate post-enucleation orbital volume to select the appropriate size implant. The set contains five (5) sizes of stainless steel spheres with attached handles that are assembled in a convenient sterilizable tray. The set is sold non-sterile. CAT # DESCRIPTION 9805 Sizer Set with tray SIZE 14, 16, 18, 20, 22 mm Illustrations are not actual size. Please consult dimensional descriptions. 3 Ocular Conformers Ocular Conformers are designed to be used after surgery to prevent closure or adhesions during the healing process. Conformers are small, acrylic-cup shaped devices whose inner surfaces are shaped to approximate the curvature of the orbit. MEDPOR Ocular Conformers are supplied sterile in both vented and non-vented styles. NON-VENTED B A VENTED CAT # DESCRIPTION 9547 9548 9549 9778 9779 9780 Non-Vented - Small Non-Vented - Med Non-Vented - Large Vented - Small Vented - Med Vented - Large A B C 22mm 24mm 25mm 22mm 24mm 25mm 19mm 21mm 22mm 19mm 21mm 22mm 4.4mm 5.3mm 5.6mm 4.4mm 5.3mm 5.6mm B A Natural Iris Conformers N E W Natural Iris Conformers are temporary devices used after the enucleation of the eye to maintain the shape of the socket and prevent closure or adhesions during the healing process. This product is for temporary use following enucleation and then should be replaced by a custom impression-fitted ocular prosthesis fabricated by a trained ocularist. The Natural-Iris Conformer is slightly larger than the standard-clear conformers, but not quite as thick as a custom prosthesis. Available in six colors and three sizes: small, medium and large. • • • • 4 Packaged STERILE Steeper anterior curve than current conformers Vaulted posteriorly Inserted post-operatively CAT# DESCRIPTION CAT# DESCRIPTION 89120 89121 89122 89123 89124 89125 89126 89127 89128 Color #1 Small - Blue Color #2 Small - Blue Gray Color #3 Small - Green Hazel Color #4 Small - Brown Hazel Color #5 Small - Medium Brown Color #6 Small - Dark Brown Color #1 Medium - Blue Color #2 Medium - Blue Gray Color #3 Medium - Green Hazel 89129 89130 89131 89132 89133 89134 89135 89136 89137 Color #4 Medium - Brown Hazel Color #5 Medium - Medium Brown Color #6 Medium - Dark Brown Color #1 Large - Blue Color #2 Large - Blue Gray Color #3 Large - Green Hazel Color #4 Large - Brown Hazel Color #5 Large - Medium Brown Color #6 Large - Dark Brown Illustrations are not actual size. Please consult dimensional descriptions. MEDPOR TITAN Implants Strength Meets Flexibility MEDPOR TITAN Sheets are intended for non-weight bearing applications of craniofacial reconstructive/cosmetic surgery and repair of craniofacial trauma. Titanium mesh and MEDPOR Polyethylene Implants have a long history of successful use in trauma repair. When cut, traditional titanium mesh may exhibit many sharp points and edges that can make insertion difficult. Titanium mesh embedded within a thin sheet of high-density polyethylene may minimize sharp edges even when the implant is cut.1 The titanium mesh is radiopaque, making the implant visible on radiographs or CT scans. The titanium mesh used in MEDPOR Biomaterial may allow the surgeon to bend and contour a thin implant material to the desired shape while providing the strength usually associated with a much thicker traditional MEDPOR Implant.2 U.S. Patent #7,655,047 Surgeons may choose from three types of MEDPOR TITAN Sheets: • The MEDPOR TITAN MEDPOR (MTM) Implant is porous, high-density polyethylene with titanium mesh embedded in it, potentially providing the advantages of fibrovascular integration of the patient’s host tissue through the sheet.2 • The MEDPOR TITAN BARRIER (MTB) Implant is a sheet of titanium mesh embedded within a porous polyethylene matrix with a solid, BARRIER surface on one side, potentially allowing for fibrovascular ingrowth only on the porous side of the implant. • The MEDPOR TITAN Double BARRIER (BTB) Implant is titanium mesh embedded within solid, high-density polyethylene that acts as a BARRIER to tissue attachment and may help facilitate implant placement. CAT# DESCRIPTION 81020 81021 81022 81023 81024 81025 81026 81027 81028 81029 MTM MTM MTM MTM BTB BTB MTB MTB MTB MTB A B C 76mm 38mm 38mm 76mm 38mm 76mm 38mm 76mm 38mm 76mm 50mm 50mm 50mm 50mm 50mm 50mm 50mm 50mm 50mm 50mm 0.85mm 0.85mm 1.5mm 1.5mm 0.6mm 0.6mm 1.0mm 1.0mm 1.6mm 1.6mm MEDPOR TITAN Orbital Floor and Wall The MEDPOR TITAN Orbital Floor and Wall (OFW) Implants are designed to fit the orbital floor and medial wall. Anterior and medial titanium plates extending from the MEDPOR TITAN framework allow fixation inside or outside the orbit (or to the orbital rim and/or nasal bone). Available with or without a BARRIER. U.S. Patent #7,655,047 CAT# DESCRIPTION 81030 81031 81032 81033 MTM MTB – Left MTB – Right BTB A B C THICKNESS 41mm 41mm 41mm 41mm 42mm 42mm 42mm 42mm 0.5mm 0.5mm 0.5mm 0.5mm 0.85mm 1.0mm 1.0mm 0.6mm Illustrations are not actual size. Please consult dimensional descriptions. 5 MEDPOR TITAN MAX Orbital Floor and Wall The wider titanium mesh and extensions on the MEDPOR TITAN MAX Orbital Floor and Wall (OFW) Implant provides the surgeon with an alternative to other repair materials for large orbital floor fractures and/or combined fractures of the orbital floor and medial wall. The MEDPOR TITAN MAX OFW offers the same features as the MEDPOR TITAN OFW but with the added benefit of wider titanium mesh and plate extensions. Anterior and medial titanium plates extending from the MEDPOR TITAN framework are designed to allow screw fixation inside or outside the orbit by bending over the orbital rim and/or nasal bone. Screw holes accept Universal Upper-Face 1.2 screws. The titanium mesh embedded in the MEDPOR TITAN Implants is radiopaque, making the implant visible on radiographs or CT scans for post operative evaluation, allowing surgeons to assess the accuracy of implant placement. U.S. Patent #7,655,047 CAT# DESCRIPTION 81034 81035 81036 MTM MTB - Left MTB - Right A B C THICKNESS 41mm 41mm 41mm 42mm 42mm 42mm 1.0mm 1.0mm 1.0mm 0.85mm 1.0mm 1.0mm MEDPOR TITAN FAN • Available in two configurations, with or without a BARRIER MTM – Titanium mesh embedded within porous, high-density polyethylene MTB – Titanium mesh embedded within a porous polyethylene matrix with a solid, barrier surface on one side, potentially allowing for fibrovascular ingrowth only on the porous side of the implant • Combines high-density polyethylene sheets and titanium mesh in a single implant for increased flexibility, shape retention, radiographic visualization and strength1 CAT# DESCRIPTION 81049 81050 MTM MTB A B THICKNESS 40mm 40mm 62mm 62mm 0.85mm 1.0mm MEDPOR BARRIER Implants MEDPOR BARRIER Implants are designed to prevent tissue attachment to the implant surface. The BARRIER is made of non-porous, high-density polyethylene and heat bonded to the porous material without adhesives or additives. The porous side of the implant is designed to provide a scaffold for soft tissue ingrowth in the same manner as a regular MEDPOR Implant. BARRIER Sheets are available in two sizes with either a trumpet shaped or a rectangular barrier. Miniplate, Microplate, and Microplate Single Channel Sheets are also available with a barrier surface. 6 Illustrations are not actual size. Please consult dimensional descriptions. CAT # DESCRIPTION 8305 9305 8312 9312 Orbital Floor Implant Orbital Floor Implant Rectangle Rectangle A B C 38mm 38mm 50mm 50mm 50mm 50mm 76mm 76mm 1mm 1.6mm 1mm 1.6mm MEDPOR Channel Implants Channel Implants are designed for repair of significant orbital floor and wall trauma where the addition of one or more rigid fixation plates offers structural support. After the MEDPOR Implant is cut to the desired shape, a rigid fixation plate is inserted in the channel. The plate may extend out both ends of the implant if desired. The plate allows the surgeon to bend and contour the implant to the desired shape. Once the implant shape and proper position is determined, the end of the plate is fixed to the orbital rim. The Microplate and Miniplate Channel Implants are 2.3mm thick and have multiple parallel channels. The Miniplate and Microplate Channel Implant accepts 1.2mm wide plates and is used when the implant is cantilevered from the orbital rim. Channel Implants are available with or without a BARRIER surface. CAT # 9527 9531 9532 DESCRIPTION BARRIER Microplate Single Channel Sheet BARRIER Miniplate Channel Sheet BARRIER Microplate Channel Sheet A B C 38mm 40mm 40mm 50mm 52mm 52mm 0.85mm 2.3mm 2.3mm MEDPOR Sheets MEDPOR Biomaterial Sheets provide the surgeon with options for craniofacial reconstruction and augmentation. The individually packaged, sterile implants provide “off-the-shelf” availability, and may save time and the expense of harvesting graft material. MEDPOR Sheets are available in a variety of sizes and in thicknesses ranging from 0.25mm to 3.0mm. MEDPOR Micro Thin Sheet CAT # 83020 83022 8438 83029 83030 MEDPOR Ultra Thin Sheets CAT # 7210 7212 7214 7216 MEDPOR Sheets CAT # 6330 6331 8662 9562 A B C 38mm 38mm 30mm 38mm 76mm 50mm 50mm 50mm 50mm 50mm 0.25mm 0.35mm 0.40mm 0.45mm 0.45mm A B C 38mm 50mm 76mm 127mm 50mm 76mm 127mm 178mm 0.85mm 0.85mm 0.85mm 0.85mm A B C 38mm 50mm 76mm 38mm 50mm 76mm 127mm 50mm 1.5mm 1.5mm 1.5mm 3.0mm Illustrations are not actual size. Please consult dimensional descriptions. 7 MEDPOR Complete & 2/3 Orbit Shapes Complete and Inferior 2/3 Orbit Implants are designed to replace non-load bearing, bony structures of the orbital area. Complete and 2/3 Orbits are typically carved with a blade or scissors to fit the patient’s defect and fixed with sutures, wires or craniofacial screws and plates. B B A A Complete Orbit Inferior 2/3 Orbit CAT # DESCRIPTION 9567 9568 9569 9570 Inferior 2/3 Orbit - Left Inferior 2/3 Orbit - Right Complete Orbit – Left Complete Orbit - Right A B 108mm 108mm 93mm 93mm 75mm 75mm 75mm 75mm Orbito-Zygomatic (OZ) The MEDPOR Orbito-Zygomatic (OZ) Implant is designed for reconstruction of the superior and lateral surfaces of the orbital roof. The MEDPOR OZ Implant provides surgeons with a convenient “off-the-shelf” anatomically shaped implant to cover the bony orbital roof and lateral wall removed during cranial procedures. The OZ Implant, available in left and right versions, can be trimmed at the time of surgery to fit the needs of the individual patient. B A CAT # DESCRIPTION 81013 81014 Left Right A 33mm 33mm B C 38mm 38mm 0.8mm 0.8mm C Inferior Medial Orbital Rim Implant (IMORI) The MEDPOR Inferior Medial Orbital Rim Implant (IMORI) is designed to wrap over the inferior orbital rim and extend superiorly and inferiorly medial to the inferior orbital nerve. The implant can be trimmed at the time of surgery to fit the needs of the individual patient. CAT # DESCRIPTION 87003 87004 Inferior Medial Orbital Rim - Left Inferior Medial Orbital Rim - Right A B C 25mm 25mm 26mm 26mm 2.5mm 2.5mm C C L B A 8 Illustrations are not actual size. Please consult dimensional descriptions. R B A Inferior Orbital Rim The MEDPOR Inferior Orbital Rim Implant can provide up to 5mm of anterior projection and is designed to be trimmed to meet the needs of the individual patient. A small flange allows it to rest on the most anterior aspect of the orbital floor. This flange allows for positioning of the implant and a possible area for screw fixation to the skeleton. CAT # DESCRIPTION 9429 9430 Inferior Orbital Rim - Left Inferior Orbital Rim - Right B R A B C 43mm 43mm 18mm 18mm 3.2mm 3.2mm C B L A A Extended Orbital Rim Implants MEDPOR Extended Orbital Rim Implants provide the surgeon with an option for augmenting the inferior rim. These shapes can restore orbital rim anatomy in trauma or other cases requiring orbital rim augmentation. The entire rim shape may be used or a portion of the rim may be cut with a scalpel to provide the necessary augmentation. Meticulous detail in feathering the implant to the surrounding bone may improve the aesthetic result. Two-point screw fixation may be used to achieve initial stable reconstruction. CAT # DESCRIPTION 9539 9540 Orbital Rim - Extended Left Orbital Rim - Extended Right A B C 47mm 47mm 40mm 40mm 6.33mm 6.33mm Orbital Rim Onlay Implants The MEDPOR Orbital Rim Onlay Implants are designed to augment the inferior and lateral orbital rims and increase the anterior rim projection. CAT # DESCRIPTION 81001 81002 Orbital Rim Onlay - Left Orbital Rim Onlay - Right A B C 40mm 40mm 40mm 40mm 8.45mm 8.45mm Illustrations are not actual size. Please consult dimensional descriptions. 9 Midface Contour Implant The MEDPOR Midface Contour Implant is designed to aid in reconstruction or augmentation of the midface. The shell-type design of the implant allows the surgeon to carve portions of the implant most appropriate for each patient. The MEDPOR Midface Contour Implant is packaged with a sterile silicone template. CAT # DESCRIPTION 83007 83008 Midface Contour Implant - Left Midface Contour Implant - Right B A B C 60mm 60mm 40mm 40mm 4mm 4mm C A Midface Rim The MEDPOR Midface Rim is designed to augment areas of bony concavities of the midface, including the inferior orbital rim and malar. The medial area of the implant may be carved as necessary or utilized in its entirety. CAT # DESCRIPTION 83003 83004 Midface Rim - Left Midface Rim - Right B A 10 Illustrations are not actual size. Please consult dimensional descriptions. A B C 47mm 47mm 28mm 28mm 3mm 3mm C Notes Illustrations are not actual size. Please consult dimensional descriptions. 11 Stryker Australia 8 Herbert Street St Leonards NSW 2065 Australia Phone: +61 (2) 9467 1000 Fax: +61 (2) 9467 1010 Stryker New Zealand 515 Mt. Wellington Highway Auckland 1060 New Zealand Phone: +64 (9) 573 1890 Fax: +64 (9) 573 1891 www.stryker.com This document is intended solely for the use of healthcare professionals. 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 in this brochure is intended to demonstrate a Stryker product. Always refer to the package insert, product label and/or user instructions including the instructions for cleaning and sterilization (if applicable) before using any Stryker products. Products may not be available in all markets. Product availability is subject to the regulatory or medical practices that govern individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker products in your area. This document is not for the distribution in the USA. Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: Strykyer, HydroSet. All other trademarks are trademarks of their respective owners or holders. The products listed above are CE marked. Literature Number 9410-400-187-SSP LOT C0214 Copyright © 2014 Stryker Printed in Australia 1275
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