PINNACLE
REVISION
CUP SYSTEM
®
A new vision in revision
acetabular reconstruction
DESIGN RATIONALE
FLEXIBILITY. PRECISION. CONFIDENCE.
­­­­­ ePuy Synthes Joint Reconstruction is proud to offer the PINNACLE®
D
Revision Acetabular Cup System to address the need for enhanced
stability and biomechanical optimization while providing immediate and
long-term fixation.
The PINNACLE Revision Acetabular Cup System was designed to deliver
intraoperative flexibility with precision-crafted components to address the
unique challenges of revision acetabular surgery.
The PINNACLE Revision Acetabular Cup
System consists of the Standard Profile,
Deep Profile (DPx) and a Multi-hole shell
that feature:
• A
llowance for mechanical fixation in the
rim or dome
• D
ome screw holes that can angulate up
to 34 degrees designed for intraoperative flexibility and optimal bony
purchase
• T he patented VIP taper that
accommodates multiple bearing options
to address a wide array of patients,
activity levels and demand requirements
• Available sizes ranging from 38 to 80 mm
Designed in consultation with:
William Barrett, MD, Seattle WA
Associate Clinical Professor
University of Washington
Daniel Berry, MD, Rochester MN
Associate Professor of Orthopedics
Mayo Medical Center
Gregory Brick, MD, Boston MA
Assistant Clinical Professor
Harvard Medical School
John Callaghan, MD, Iowa City IA
Professor, Dept of Orthopaedics
University of Iowa
Michael Christie, MD, Nashville TN
Co-director, Southern Joint
Replacement Institute
Charles Engh, MD, Alexandria VA
Clinical Associate Professor University
of Maryland School of Medicine
Thomas Fehring, MD, Charlotte NC
Co-director, Charlotte Hip & Knee
Center Charlotte Orthopedic
William Griffin, MD, Charlotte NC
Co-director, Charlotte Hip & Knee
Center Charlotte Orthopedic
2 DePuy Synthes Joint Reconstruction PINNACLE Revision Cup System Design Rationale
FIXATION: IMMEDIATE
& LONG-TERM
Standard and Deep Profile (DPx) shells feature:
• A full 180-degree hemisphere for rim friction fit designed to enhance
immediate cup stability
• Deep Profile (DPx) shells with variable, progressive lateralization that
increases with shell size to provide proper medial defect fill in a
graduated proportional manner
• Multiple peripheral and dome screw holes for immediate fixation
• Superiorly clustered dome screw holes for precise bone screw
positioning into the best quality host bone
• Peripheral screw holes for fixation while complementing the natural
compressive loading of the acetabulum
GRIPTION® Porous Coating
GRIPTION is specifically engineered to maintain mechanical integrity
under shear, compression, torsion and tension forces.
This advanced, three-dimensional fixation is designed to maximize
initial stability, which leads to long-term biologic fixation.1 GRIPTION
further enhances the solid foundation of DePuy Synthes Joint
Reconstruction POROCOAT® Porous Coating, which has more than
30 years of clinical heritage.
OPTIONS FOR MODULARITY
& BIOMECHANICS:
INTRAOPERATIVE FLEXIBILITY
TO MATCH YOUR PATIENT’S NEED
Neutral ALTRX® ALTRA-LINKED™ Polyethylene Liners
are designed to optimize the range of motion by its wide face chamfer
while keeping the femoral heads center of rotation concentric with the
outer diameter of the shell.
+4 Neutral ALTRX ALTRA-LINKED Polyethylene Liners
are designed to enhance hip stability, by lateralizing the femoral head’s
center of rotation by 4mm.
+4 10 Degree ALTRX ALTRA-LINKED Polyethylene Liners
are designed to re-direct the available range of motion and optimize
positioning to allow the cup, screw holes and GRIPTION Porous Coating
to come into contact with the most optimal surface area of
the acetabulum.
Lipped ALTRX ALTRA-LINKED Polyethylene Liners
are designed to provide a high wall along one side of the liner to increase
the jump distance in the specific area that the head must travel before
dislocation can occur.
4mm of
additional
lateralization
Apex
Peak of Angle
Face (Not Lipped)
Changes Cup
inclination/version
by 10 degrees
dependent on
placement of liner
Apex
Lip to be positioned
superior/posterior
PINNACLE DPX SHELLS
Providing the ability to reproduce the correct center of rotation
The ability to reproduce the center of rotation
is further enhanced with the deep profile cup.
The PINNACLE deep profile shells allow the
surgeon to address soft tissue laxity through a
proportionally variable offset DPx cup.
DPx Cup Size (mm)
Lateralization (mm)
54-58
4
60-66
5
6
68-72 Standard Profile
4 DePuy Synthes Joint Reconstruction PINNACLE Revision Cup System Design Rationale
Deep Profile
ENHANCED STABILITY LINERS
DePuy Synthes Joint Reconstruction
PINNACLE Hip Solutions are designed with
a wide range of acetabular cup options,
biological and mechanical fixation
alternatives and advanced bearing
technologies. The PINNACLE ESC™
Constrained Liner system addresses hip
instability and dislocation through
dislocation resistance and high range of
motion with simple, reproducible insertion
instruments.
Our unique approach to modularity gives
you many ways to bring together
components and materials for optimized
performance. The ESC liner uniquely
addresses these concerns by maximizing
the head size for each shell size, offering
the patient enhanced range of motion,
while maintaining polyethylene thickness
for implant survivability. The large femoral
head coupled with the titanium
constraining ring help to minimize
potential lever out.
Additional features of the ESC Constrained
Liner includes:
• High strength head capture
• Compatible with bi-polar or modular
heads
• +4 Neutral and +4 10° options
• Up to 113° range of motion2
The ESC liner provides
another option with the
PINNACLE Revision cup
system.
• GVF polyethylene for enhanced
mechanical integrity
ARD (anti-rotational device)
tabs for rotational stability.
Chamfered titanium
constraining ring
provides ease of
assembly and
increased stability.
Titanium locking ring securely
holds the ESC liner into the
Pinnacle shell to minimize
potential disassembly.
Ridge to aid
in preventing
constraining
ring slippage.
Progressively larger
ID sizes provide up
to a 113-degree
range of motion.2
GVF polyethylene
for enhanced
mechanical integrity.
Poly slits and a flex groove
for ease of head insertion.
Design Rationale PINNACLE Revision Cup System DePuy Synthes Joint Reconstruction 5
ORDERING INFORMATION
ESC CONSTRAINED LINER
ACETABULAR CUP STYLE
Cat. No.
Outer
Diameter
(mm)
Acetabular Liner
Size Required
(mm)
Dome
Screw Hole
Qty.
Peripheral
Screw Hole
Qty.
38
40
42
44
46
48
50
52
54
56
58
60
62
64
66
68
70
72
5
6
6
6
6
8
10
10
12
12
12
12
12
12
12
12
12
12
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
5
5
5
5
5
9
9
9
9
9
9
9
9
9
8
8
8
8
8
8
8
8
8
8
8
8
8
8
GRIPTION Standard Profile
1217-16-05454
1217-16-056
56
1217-16-058
58
1217-16-060
60
1217-16-062
62 1217-16-06464
1217-16-066
66
1217-16-068
68
1217-16-070
70
1217-16-072
72
1217-16-074
74
1217-16-076
76
1217-16-07878
1217-16-080
80
48
50 52 54 56
58
60 62 64 66 70 72 74
76 GRIPTION Deep Profile DPx
1217-17-054
1217-17-056
1217-17-058
1217-17-060
1217-17-062
1217-17-064
1217-17-066
1217-17-068
1217-17-070
1217-17-072
54 56 58 60 62
64 66 68 70
72
Description
Neutral+4
GRIPTION Multi-hole II
1217-30-03838
1217-30-04040
1217-30-04242
1217-30-04444
1217-30-04646
1217-30-04848
1217-30-05050
1217-30-05252
1217-30-05454
1217-30-05656
1217-30-05858
1217-30-06060
1217-30-06262
1217-30-06464
1217-30-06666
1217-30-06868
1217-30-07070
1217-30-07272
Cat. No.
48 50 52 54 56 58 60 62 64 66 5
5
5
5
5
9
9
9
9
9
8
8
8
8
8
8
8
8
8
8
1218-28-648
1218-28-650
1218-32-652
1218-32-654
1218-32-656
1218-32-658
1218-32-660
1218-32-662
1218-32-664
1218-32-666
1218-32-668
1218-32-670
1218-32-672
1218-36-656
1218-36-658
1218-36-660
1218-40-662
1218-40-664
1218-40-666
1218-40-668
1218-44-670
1218-44-672
1218-44-674
1218-44-676
Cat. No.
Description
10 Degree+4
28ID 48OD
28ID 50OD
32ID 52OD
32ID 54OD
32ID 56OD
32ID 58OD
32ID 60OD
32ID 62OD
32ID 64OD
32ID 66OD
32ID 68OD
32ID 70OD
32ID 72OD
36ID 56OD
36ID 58OD
36ID 60OD
40ID 62OD
40ID 64OD
40ID 66OD
40ID 68OD
44ID 70OD
44ID 72OD
44ID 74OD
44ID 76OD
1218-28-748
1218-28-750
1218-32-752
1218-32-754
1218-36-756
1218-36-758
1218-36-760
1218-40-762
1218-40-764
1218-40-766
1218-40-768
1218-44-770
1218-44-772
1218-44-774
1218-44-776
28ID 48OD
28ID 50OD
32ID 52OD
32ID 54OD
36ID 56OD
36ID 58OD
36ID 60OD
40ID 62OD
40ID 64OD
40ID 66OD
40ID 68OD
44ID 70OD
44ID 72OD
44ID 74OD
44ID 76OD
5.0 MM PERIPHERAL
CORTICAL BONE
SCREW
6.5 MM
CANCELLOUS
DOME SCREW
Cat. No.
Cat. No.
Length (mm)
Length (mm)
1257-25-00025
1217-08-5008
1257-30-00030
1217-15-50015
1257-35-00035
1217-20-50020
1257-40-00040
1217-25-50025
1257-45-00045
1217-30-50030
1257-50-00050
1217-35-50035
1257-55-00055
1217-40-50040
1257-60-00060
1217-45-50045
1257-65-00065
1217-50-50050
6 DePuy Synthes Joint Reconstruction PINNACLE Revision Cup System Design Rationale
1217-55-50055
1217-60-50060
1217-65-50065
1217-70-50070
References
1. Jasty M, et al. “In Vivo Skeletal Responses to Porous-Surfaced Implants Subjected to Small Induced
Motions.” J Bone Joint Surg Am. 1997;79(5):707-714.
2. Data on file at DePuy Orthopaedics, Inc.
WARNING: In the USA, this product has labeling limitations. See package insert for complete information.
CAUTION: USA Law restricts these devices to sale by or on the order of a physician.
Not all products are currently available in all markets.
DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46582
T. +1 (800) 366-8143
www.depuysynthes.com
© DePuy Synthes Joint Reconstruction, a division of DOI 2013. All rights reserved.
0612-03-503 (Rev. 2) 11/13 1M