medpor - Stryker MedEd

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