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Dynasty ® Biofoam ® SURGICAL TECHNIQUE - Dynasty® Biofoam® Acetabular Cup System Acetabular Cup System

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Page 1: DynastyBiofoam - osimplantes.com.brosimplantes.com.br/produtos/files/microport/quadril/Dynasty Biofoa… · Chapter 1 The History of the DYNASTY® Acetabular Cup System In 1995, Wright

Dynasty®Biofoam®

SURG

ICAL TECH

NIQ

UE - D

ynasty® Biofoam® Acetabular Cup System

Acetabular Cup System

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DYNASTY® BIOFOAM® Acetabular Cup System

Chapter 1 Design Overview

4 Design Features of the DYNASTY® Acetabular Cup System

Chapter 2 Indications and Warnings

Chapter 3 Preoperative Planning

Chapter 4 Surgical Technique

DYNASTY® Acetabular Cup System

9 Preparation of the Acetabulum

10 Sizing the Acetabulum

11 Inserting the Shell

12 Screw Placement

13 Trial Liner Placement

14 Apical Hole Plug Insertion

14 Liner Placement

16 Prosthetic Extraction

17 X-linked Poly Liner Removal

Chapter 5 Ordering Information

18 Impactors

20 Trial Heads and Liners

21 LINEAGE® / DYNASTY® Screw Instruments

22 Acetabular Reamer Instruments - SPRMKIT1

23 Acetabular Reamer Instruments - PHRMKIT1

24 Trial Shells and Liners

25 Shells

26 Liners

27 Metal Heads

28 Ceramic Heads

Table of Contents

Proper surgical procedures and techniques are the responsibility of the medical professional. The following guidelines are furnished for information purposes only. Each surgeon must evaluate the appropriateness of the procedures based on his or her personal medical training, experience and patient condition. Prior to use of the system, the surgeon should refer to the product package insert for additional warnings, precautions, indications, contraindications and adverse effects.

Package inserts can be found under:Prescribing Information on ortho.microport.com

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DYNASTY® BIOFOAM® Acetabular Cup System

Design Overview

Chapter 1

The History of the DYNASTY® Acetabular Cup System

In 1995, Wright launched the INTERSEAL® Acetabular System. The INTERSEAL® System accepted polyethylene liners and the shells ranged from size 46-72mm. The INTERSEAL® shell contained a 14° rim flare. Shell options were solid, quad, and multi-hole deep profile. Head size options were 28 and 32mm.

In 1998, Wright launched the TRANSCEND®Articulation System as a supplemental system to the INTERSEAL®

System. The TRANSCEND® System accepted ceramic and metal bearing surfaces, however, it was only offered in solid and quad shell options. Sizes ranged from 46-68mm and head sizes included 28, 32, and 36mm options. The TRANSCEND® shell was also a 14° rim flare.

In 2000, Wright launched the LINEAGE® Acetabular Cup System which was a combination of the INTERSEAL® and TRANSCEND® Cup Systems. LINEAGE® rangedfrom 46-68mm shell sizes. Cup options were solid, quad, spiked, HA- coated and multi-hole deep profile.

Bearing surfaces included metal, poly, cross-linked poly, and ceramic. The LINEAGE® System also has a 14° rim flare as well as a hemispherical shell option.

The DYNASTY® Acetabular Cup System is the culmination of the INTERSEAL®, TRANSCEND® and LINEAGE® Cup designs. With A-CLASS® metal and A-CLASS® cross-linked poly bearing surfaces, the DYNASTY® porous-beaded shell sizes range from 46-68mm in 2mm increments and head sizes range from 28-48mm. The DYNASTY® Cup System also includes color-coordinated trial shells and heads, further accentuating the ease of use of this system.

DYNASTY® BIOFOAM® Acetabular Cup System

The DYNASTY® BIOFOAM®Cup System is the next step in the evolution of the extremely successful DYNASTY® Acetabular System. The BIOFOAM® version of the DYNASTY® system combines all of the current features, namely big heads with screw fixation and multiple bearing surfaces.

Design Overview

LINEAGE® Acetabular Cup Systemwith Metal, Poly and Ceramic LinersMetal liners are not available in the U.S., Europe or Canada.

DYNASTY® BIOFOAM® Acetabular System

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DYNASTY® BIOFOAM® Acetabular Cup System

Design Features

DYNASTY® Acetabular Cup System

DYNASTY® Porous-Coated System

DYNASTY® BIOFOAM®System

Shell Sizes 46-68 in 2mm increments

46-76 in 2mm increments

Metal Liner Diameters 32-48 32-56

Head Options Metal & Ceramic Metal & Ceramic

Poly Liner Diameters 28-46 28-54

Bearing Surfaces* Metal/Cross-linked Poly Metal/Cross-linked Poly

Number of Screw Holes 3 3, 7, 8, 10 Depending on Cup Size

Shell Coating Porous Beads Cancellous Titanium

Revision Poly Option 36mm ID from a 52-68mm

36mm ID from a 52-68mm

A-CLASS® Advanced Metal

70-76mm10 Screw Holes

52-62mm7 Screw Holes

64-68mm8 Screw Holes

46-68mm3 Screw Holes

* Metal liners are not available in the U.S., Europe or Canada.

Options for Heads

A-CLASS® Backfilled Metal

BCH® Ceramic Head

BIOLOX® Delta® Ceramic Head

Titanium Sleeveused with Backfilled Metal

& BCH® Ceramic Heads

Super FinishCoCr Metal

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DYNASTY® BIOFOAM® Acetabular Cup System

Chapter 2

Intended UseDYNASTY® BIOFOAM® Hip Systems are intended for use in hip arthroplasty for reduction or relief of pain and/or improved hip function in skeletally mature patients.

Indications for Use

1. Non-inflammatory degenerative joint disease such as osteoarthritis, avascular necrosis, ankylosis, protrusio acetabuli, and painful hip dysplasia;

2. Inflammatory degenerative joint disease such as rheumatoid arthritis;

3. Correction of functional deformity; and,

4. Revision procedures where other treatments or devices have failed

Shells with BIOFOAM® metal foam coating are intended only for uncemented arthroplasty.

DYNASTY® modular shells with porous metal bead coating may be used in either cemented or uncemented arthroplasty.

The size 50 and 54mm alumina ceramic CONSERVE®

Total BCH® Femoral Heads are only intended for patients with giganticism or malunion of the acetabulum and /or revision. ContraindicationsPatients should be warned of these contraindications.

Contraindications include:

1. Overt infection;

2. Distant foci of infections (which may cause hematogenous spread to the implant site);

3. Rapid disease progression as manifested by joint destruction or bone absorption apparent on roentgenogram;

4. Skeletally immature patients (patient is less than 21 years of age at the time of surgery);

5. Cases where there is inadequate neuromuscular status (e.g., prior paralysis, fusion and/or inadequate abductor strength), poor bone stock, poor skin coverage around the joint which would make the procedure unjustifiable;

6. Neuropathic joints;

7. Hepatitis or HIV infection;

8. Neurological or musculoskeletal disease that may adversely affect gait or weightbearing.

Additional Contraindications

Additional contraindications for a metal-on-metal bearing include (Not available in U.S.):

1. Patients with known moderate to severe renal insufficiency;

2. Females of childbearing age are contraindicated due to the unknown effects of elevated levels of metal ions on the fetus.

The potential long-term biological effects of metal wear debris and metal ion production are not known. Questions regarding carcinogenicity have been raised in literature; no studies have conclusive evidence that metal wear debris or metal ions are carcinogenic.

Prior to use of the system, the surgeon should refer to the product package insert for additional warnings, precautions, indications, contraindications and adverse effects. Package inserts are also available by contacting the manufacturer. Contact information can be found on the back of this surgical technique and the package insert is available on the website listed.

Indications and Warnings

Indications

BIOLOX® Delta® Ceramic Head

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DYNASTY® BIOFOAM® Acetabular Cup System

NEVER combine modular or hard bearing components made by different manufacturers.

Metal/metal (not available in U.S.) articulating combinations should only combine bearing components from a single manufacturer to ensure the two components possess compatible manufacturing tolerances.

The cross-linked DYNASTY® A-CLASS® Poly Liners are to be used with ceramic heads or the following metal heads. The MicroPort 18˚ taper metal liners (Not available in U.S., Europe or Canada) are to be used only with the following superfinished MicroPort metal heads:

• LINEAGE®/TRANSCEND® Femoral Head SuperFinished CoCr with the SLT taper

• CONSERVE® BFH® Head with the SLT taper

• CONSERVE® A-CLASS® BFH® Head with the SLT taper

• CONSERVE® Total A-CLASS® Femoral Head with the SLT taper

In the U.S., the DYNASTY® A-CLASS® Poly (UHMWPE) Liners are designed to articulate with the following ceramic femoral heads:

• Alumina Ceramic Femoral Head (Biolox Forte diameters 28-36mm)

• Alumina CONSERVE® Total BCH® Femoral Head (diameter range 38-54mm)

• Alumina Matrix Composite (BIOLOX® Delta) ceramic heads (diameter range 28-40mm)

Acetabular Fixation Screws Perforation of the pelvis with dome fixation screws

or rim screws is to be completely avoided. Care is to be used when determining and selecting the proper length of screws to be used to prevent perforation of the pelvis.

Modular Acetabular Shell/Liner• Fixation screws, when used, should be fully seated to ensure stable fixation of the shell, and avoid interference with the liner component. Before implanting, be certain the selected shell and liner are compatible. Prior to seating the liner component into the shell component, surgical debris must be cleaned from the interior of the shell and the shell must be thoroughly dried.

Debris and fluid may inhibit the liner from locking into the shell component. Failure to properly seat the liner into the shell can lead to disassociation of the liner from the shell.

NOTE: There is currently no clinical evidence supporting the long term use of large diameter femoral heads with cross-linked polyethylene liners.

In order to prevent mismatch of tapers:

• Modular liners from MicroPort Orthopedics must be used only with shell components of the same system from MicroPort Orthopedics.

The CONSERVE® Total Neck Sleeves are only indicated for use with the alumina CONSERVE® Total BCH® Femoral Heads” or the following metal CONSERVE® Total A-CLASS® Femoral Heads. These femoral heads are indicated for mandatory use with these modular neck sleeves. Neck sleeves must only be used with femoral stems and necks having the MicroPort 12/14 SLT Taper.

Device-Specific Warnings and Precautions

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DYNASTY® BIOFOAM® Acetabular Cup System

Metal CONSERVE® Total A-CLASS® Femoral Head Femoral Heads for mandatory use with CONSERVE® Total Neck Sleeves:

38AC360038AC380038AC400038AC420038AC440038AC460038AC480038AC500038AC520038AC540038AC5600

Device-Specific Warnings and Precautions

The size 28mm Long Neck alumina (Biolox Forte) Ceramic Femoral Heads are indicated for use only with titanium alloy femoral stems. All other sizes of the alumina (Biolox Forte) Ceramic Femoral Heads and all sizes of the Alumina Matrix Composite Heads (Biolox Delta Femoral Head) are indicated for use with titanium alloy, cobalt chrome, or MicroPort stainless steel (not available in the U.S. or Canada) femoral stems.

IMPORTANT Prior to use of the system, the surgeon should refer to the product package insert for additional warnings, precautions, indications, contraindications and adverse effects. Instructions for Use package inserts are also available by contacting the manufacturer. Contact information can be found on the back of this surgical technique and the Instructions for Use package insert is available on the website listed.

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DYNASTY® BIOFOAM® Acetabular Cup System

Pre-operative assessment of the appropriate size and position of the acetabular component will provide intra-operative guidance for acetabular reaming.

An A/P x-ray of the pelvis will aid in leg length and offset assessment and management. Leg length discrepancies should be determined pre-operatively and addressed intra-operatively.

Radiographic overlays for the DYNASTY® BIOFOAM® Acetabular Cup System are available in 15% magnification.

CAUTION: Pre-operative templating is intended for estimation purposes only. Final component size and position should be determined intra-operatively.

Preoperative Planning

Chapter 3

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DYNASTY® BIOFOAM® Acetabular Cup System

Chapter 4

Surgical Technique

Preparation of the AcetabulumReam the acetabulum sequentially, starting with the smallest reamer that conforms to the acetabular cavity. Gradually enlarge the acetabulum by reaming articular cartilage until a continuous surface of cancellous bone is exposed.

Item Number3-Hole Shell

Item Number Multi-Hole

ShellCup

Diameter1mm

Press-Fit Ream To:

2mm Press-Fit Ream To:

Group

DBFPGB46 DSBFGB46 46mm 46mm 45mm Group B n

DBFPGB48 DSBFGB48 48mm 48mm 47mm Group B n

DBFPGC50 DSBFGC50 50mm 50mm 49mm Group C n

DBFPGD52 DSBFGD52 52mm 52mm 51mm Group D n

DBFPGE54 DSBFGE54 54mm 54mm 53mm Group E n

DBFPGF56 DSBFGF56 56mm 56mm 55mm Group F n

DBFPGG58 DSBFGG58 58mm 58mm 57mm Group G n

DBFPGG60 DSBFGG60 60mm 60mm 59mm Group G n

DBFPGG62 DSBFGG62 62mm 62mm 61mm Group G n

DBFPGH64 DSBFGH64 64mm 64mm 63mm Group H n

DBFPGH66 DSBFGH66 66mm 66mm 65mm Group H n

DBFPGH68 DSBFGH68 68mm 68mm 67mm Group H n

DSBFGJ70 70mm 70mm 69mm Group J n

DSBFGJ72 72mm 72mm 71mm Group J n

DSBFGJ74 74mm 74mm 73mm Group J n

DSBFGK76 76mm 76mm 75mm Group K n

DYNASTY® BIOFOAM® Cup Reaming Guide

Surgical Technique

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DYNASTY® BIOFOAM® Acetabular Cup System

Sizing the AcetabulumThread the trial shell onto the impactor handle to check the size of the acetabulum. The trial shells are a complete hemisphere and are undersized by 1mm compared to the actual implant. The trials also have three large open windows for visualization. The screw holes on the trial shells mimic the location of the screw holes on the implant.

Item Number Trial Size Group

3300GB46* 46mm Group B n

3300GB48* 48mm Group B n

3300GC50 50mm Group C n

3300GD52 52mm Group D n

3300GE54 54mm Group E n

3300GF56 56mm Group F n

3300GG58 58mm Group G n

3300GG60 60mm Group G n

DSBFGG62 62mm Group G n

DSBFGH64 64mm Group H n

DSBFGH66 66mm Group H n

DSBFGH68 68mm Group H n

DSBFGJ70 70mm Group J n

DSBFGJ72 72mm Group J n

DSBFGJ74 74mm Group J n

DSBFGK76 76mm Group K n

DYNASTY® BIOFOAM® Trial Shell

*Note: May be substituted with Part Number (3301GB46, 3301GB48)

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DYNASTY® BIOFOAM® Acetabular Cup System

10 11

Inserting the ShellThread the appropriate size shell onto the impactor. Laser markings on the rim of the shell corresponding to the location of the screw holes should be positioned between the plane of the anterior superior iliac spine and the anterior inferior iliac spine. Impact the cup into the acetabulum making sure the screw holes are in the appropriate location. Complete seating of the implant can be confirmed through the apical hole and screw holes.

Item Number3-Hole Shell

Item Number Multi-Hole

ShellCup

Diameter Group

DBFPGB46 DSBFGB46 46mm Group B n

DBFPGB48 DSBFGB48 48mm Group B n

DBFPGC50 DSBFGC50 50mm Group C n

DBFPGD52 DSBFGD52 52mm Group D n

DBFPGE54 DSBFGE54 54mm Group E n

DBFPGF56 DSBFGF56 56mm Group F n

DBFPGG58 DSBFGG58 58mm Group G n

DBFPGG60 DSBFGG60 60mm Group G n

DBFPGG62 DSBFGG62 62mm Group G n

DBFPGH64 DSBFGH64 64mm Group H n

DBFPGH66 DSBFGH66 66mm Group H n

DBFPGH68 DSBFGH68 68mm Group H n

DSBFGJ70 70mm Group J n

DSBFGJ72 72mm Group J n

DSBFGJ74 74mm Group J n

DSBFGK76 76mm Group K n

DYNASTY® BIOFOAM® Shell

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DYNASTY® BIOFOAM® Acetabular Cup System

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Screw PlacementDetermine the screw location and select a suitable length drill bit. Drill bits are provided in 3.2 and 4.5mm diameters, in modular and non-modular options. The drill guide is also available 3.2 and 4.5mm diameters with fixed angle and adjustable options.

Position the drill guide into the shell ensuring that it is placed into one of the screw holes.

Insert the drill into the guide and carefully drill through the acetabular cortex.

Use the screw depth gauge to determine the appropriate length screw.

If extremely hard bone is encountered, a series of bone taps are provided to aid in screw insertion. Grasp the screw head with the screw-holding forceps and utilize the hex screwdriver to orient and fixate the screw. Release the screw-holding forceps to allow for the countersinking of the screw head.

Ensure the screw head is completely seated and does not protrude into the shell space, as this may prevent the liner from seating.

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DYNASTY® BIOFOAM® Acetabular Cup System

Trial Liner PlacementTrial liners are available to evaluate the position of the final implant. The trial liners can be used with the final shell implant.

Item Number Trial Diameter Group

3303GB32 32mm ID Group B n

3303GC36 36mm ID Group C n

3303GD38 38mm ID Group D n

3303GE40 40mm ID Group E n

3303GF42 42mm ID Group F n

3303GG44 44mm ID Group G n

3303GH48 48mm ID Group H n

3303GJ52 52mm ID Group J n

3303GK56 56mm ID Group K n

3304GB28 28mm ID Group B n

3304GC32 32mm ID Group C n

3304GD36 36mm ID Group D n

3304GE38 38mm ID Group E n

3304GF40 40mm ID Group F n

3304GG42 42mm ID Group G n

3304GH46 46mm ID Group H n

3304GJ50 50mm ID Group J n

3304GK54 54mm ID Group K n

3304LB28 28mm ID Group B n

3304LC32 32mm ID Group C n

3304LD36 36mm ID Group D n

3304LE38 38mm ID Group E n

3304LF40 40mm ID Group F n

3304LG42 42mm ID Group G n

3304LH46 46mm ID Group H n

3304LJ50 50mm ID Group J n

3304LK54 54mm ID Group K n

DYNASTY® BIOFOAM® CoCr Trial LinerMetal liners are not available in the U.S., Europe or Canada.

DYNASTY® BIOFOAM® Standard Poly Trial Liner

DYNASTY® BIOFOAM® 15o “Lipped” Poly Trial Liner

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DYNASTY® BIOFOAM® Acetabular Cup System

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Apical Hole Plug InsertionDo not insert the apical hole plug until after final trial reduction with the trial liners. After the trial reduction, seal the apical hole with the apical hole plug. The poly rod will break off at the plug once it is tightened into the apical hole. A final tightening of the hole plug should be performed using a 3.5mm hex screwdriver.

NOTE: Apical hole plug is sold separately. Part number 3818-000-200.

Liner Placement Clean out any soft tissue from the inner taper area before impacting and engaging the implant and the liner. Insert the liner by hand ensuring that the face of the liner is parallel with the face of the shell. Ensure the liner is flush with the shell.

To engage the implant liner, assemble the modular trial head impactor to the impactor handle. Tighten the trial head impactor in a clockwise direction until it canno longer be turned. Attach the appropriate femoral head trial corresponding to the liner I.D. Place head trial into the liner and apply a series of firm mallet blows to fully seat and engage the liner.

NOTE: DYNASTY® BIOFOAM® poly liners sit slightly above the surface of the shell. This allows MicroPort Orthopedics to maximize head size in the system.

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DYNASTY® BIOFOAM® Acetabular Cup System

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Item Number Liner Diameter Group A

DLXPLB28 28mm Group B n

DLXPLC32 32mm Group C n

DLXPLD36 36mm Group D n

DLXPLE38 38mm Group E n

DLXPLF40 40mm Group F n

DLXPLG42 42mm Group G n

DLXPLH46 46mm Group H n

DLXPLJ50 50mm Group J n

DLXPLK54 54mm Group K n

DLXPGE36 36mm Group E n

DLXPGF36 36mm Group F n

DLXPGG36 36mm Group G n

DLXPGH36 36mm Group H n

DLXPLE36 36mm Group E n

DLXPLF36 36mm Group F n

DLXPLG36 36mm Group G n

DLXPLH36 36mm Group H n

DYNASTY® BIOFOAM® Standard A-CLASS® Revision Liner

DYNASTY® BIOFOAM® 15o A-CLASS® Poly Liner

DYNASTY® BIOFOAM® 15o A-CLASS® Poly Revision Liner

Item Number Liner Diameter Group

DLCOGB32 32mm Group B n

DLCOGC36 36mm Group C n

DLCOGD38 38mm Group D n

DLCOGE40 40mm Group E n

DLCOGF42 42mm Group F n

DLCOGG44 44mm Group G n

DLCOGH48 48mm Group H n

DLCOGJ52 52mm Group J n

DLCOGK56 56mm Group K n

DLXPGB28 28mm Group B n

DLXPGC32 32mm Group C n

DLXPGD36 36mm Group D n

DLXPGE38 38mm Group E n

DLXPGF40 40mm Group F n

DLXPGG42 42mm Group G n

DLXPGH46 46mm Group H n

DLXPGJ50 50mm Group J n

DLXPGK54 54mm Group K n

DYNASTY® BIOFOAM® CoCr LinerMetal liners are not available in the U.S., Europe or Canada.

DYNASTY® BIOFOAM® Standard A-CLASS® Poly Liner

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DYNASTY® BIOFOAM® Acetabular Cup System

Prosthetic ExtractionIf the removal of the implant is required due to revision or failure of the device, the surgeon should contact the manufacturer using the contact information located on the back cover of this surgical technique to receive instructions for returning the explanted device to the manufacturer for investigation.

To remove a poly liner, utilize the flexible drill bit with an acetabular drill guide and drill a hole slightly off-center from the liner apex.

Using a 3.5mm hex screwdriver, thread a 20mm cancellous screw into the drilled hole.

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DYNASTY® BIOFOAM® Acetabular Cup System

Metal Liner RemovalTo remove a metal liner, thread the appropriate size liner extractor onto the shell impactor handle. Align the four tabs on the extractor with the correspondingfour dimples on the shell face. Apply two mallet blows, and inspect the liner for disengagement. Repeat if necessary until the liner is removed.

Item Number Size Group

33330046 46-48mm Group B n

33330050 50mm Group C n

33330052 52mm Group D n

33330054 54mm Group E n

33330056 56mm Group F n

33330058 58-62mm Group G n

33330064 64-68mm Group H n

33330070 70-74mm Group J n

33330076 76mm Group K n

DYNASTY® BIOFOAM® Liner Extractor

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DYNASTY® BIOFOAM® Acetabular Cup System

Chapter 5

Ordering Information

DNFLKIT1 Impactors

1. Straight Liner Impactor (33330020)2. Shell Impactor (33330010)3. Curved Liner Impactor (33330040)

3

1

2

1 2

3

4

5

2

1. 20° Curved Handle Alignment Guide (33330085)

2. Curved Impactor Cup (2002CUPI)*

3. Screwdriver (33330002)

Instruments

4. Trial Liner Screws (33330001)

5. 20° Straight Handle Alignment Guide (33330080)

*Order separately (2002CUPI)

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DYNASTY® BIOFOAM® Acetabular Cup System

DYNASTY® BIOFOAM® Acetabular Instruments

DNFLKIT1 Trial Heads and Liners

1. Trial Shells (50, 52, 54, 56, 58) (3300GC50 through 3300GG58)

2. Trial Liners for Metal (36, 38, 40, 42, 44) (3303GC36 through 3300GG44)

3. Trial Liners for Poly (32, 36, 38, 40, 42) (3304GC32 through 3304-GG42)

4. Trial Sleeves for PERFECTA® System (S, M, L) (4110TSS3 through 4110TSL3)

1 2 3 8

4

5

7 6

1

1

1

2 3

2 3

5

6

1. Trial Shells (46, 48, 60, 62, 64, 66, 68) (3300GB46 through 3300GH68)

2. Trial Liners for Metal (32, 48) (3300GB32 through 3300GH48)

3. Trial Liners for Poly (28, 46) (3304GB28 and 3304GH46)

5. Trial Sleeves for PROFEMUR® System (S, M, L) (APAOTSS3 through APAOTSL3)

6. Trial Head Impactor (33330015)

7. Trial Heads (28, 32, 36, 38, 40, 42, 44) (41102800 through 41104400)

8. Liner Extractor Tips (50, 52, 54, 56, 58) (33330050 through 33330058)

4. Liner Extractor Tips (46-48, 60-68) (33330046 and 3333-0064)

5. Trial Heads (46, 48) (41104600 and 41104800)

6. 15° Poly Trial Liners (28, 32, 36, 38, 40, 42, 44) (3304LB28 through 3304LH46)

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DYNASTY® BIOFOAM® Acetabular Cup System

DYNASTY® BIOFOAM® Acetabular Instruments (Continued)

DNFLKIT1

1. Trial Shells (70-76mm) (3300GJ70 through 3300-GK76)

2. Liner Extractor Tips (70-76mm) (33330070 and 33330076)

3. Trial Liners for 15° Poly (50-54mm) (3304-LJ50 and 3304-LK54)

4. Trial Liners for Poly (50-54mm) (3304-GJ50 and 3304GK54)

5. Trial Liners for Metal (52-56mm) (3303GJ52 and 3303GK56)

6. Trial Heads (50-56mm) (41105000 through 41105600)

1

5 4 3

6 2

DNFLKIT3Catalog No. Size Group C

3304GE36 36mm ID Group E n

3304GF36 36mm ID Group F n

3304GG36 36mm ID Group G n

3304GH36 36mm ID Group H n

3304LE36 36mm ID Group E n

3304LF36 36mm ID Group F n

3304LG36 36mm ID Group G n

3304LH36 36mm ID Group H n

DYNASTY® Standard Poly Trial Revision Liners

DYNASTY® 15˚ Poly Trial Revision Liners

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2120

LINEAGE® / DYNASTY® Screw Instruments

8400KIT1

1. Hex Head Screwdriver Bit Modular (8400SD02)

2. 6.5 x 15mm Screw Tap Modular (8400ST01)

3. 6.5 x 25mm Screw Tap Modular (8400ST02)

4. 6.5 x 35mm Screw Tap Modular (8400ST03)

5. Flex Drill Bit 3.2 x 15mm (8400FD04)

6. Flex Drill Bit 3.2 x 25mm (8400FD05)

7. Flex Drill Bit 3.2 x 35mm (8400FD06)

8. Flex Drill Bit 4.5 x 45mm (8400FD07)

9. Flex Drill Bit 4.5 x 35mm (8400FD08)

10. Flex Drill Bit 4.5 x 25mm (8400FD09)

11. Flex Drill Bit 4.5 x 15mm (8400FD10)

12. Ball-and-Socket 3.5mm Hex Driver Shaft (8400SD04)

13. Fixed-Angle Drill Guide (8400DG01)

14. Universal Joint 3.5mm Hex Driver Shaft (8400SD03)

15. 3.5mm Hex Driver Shaft (8400SD06)

16. 6.5mm Screw-Holding Forceps (4820SH0000)

17. Flex Drill 3.2 x 25mm (8400FD02)

18. Flex Drill 4.5 x 25mm (8400FD03)

19. Flex Drill/Screw Shaft Modular (8400FD01)*

Item Number Description Length

18080300 6.5 Cancellous Screw 15mm

18080301 6.5 Cancellous Screw 20mm

18080302 6.5 Cancellous Screw 25mm

18080303 6.5 Cancellous Screw 30mm

18080304 6.5 Cancellous Screw 35mm

18080305 6.5 Cancellous Screw 40mm

18080306 6.5 Cancellous Screw 45mm

18080307 6.5 Cancellous Screw 50mm

1808KITL DYNASTY® BIOFOAM® / LINEAGE® Acetabular Screws

10

9 8

7 6

4 5

3 2

1

11 12 13 14 15 16 17 18 19

Adjustable Screw Depth Gauge (8400SG01)

Adjustable Drill Guide (8400DG03)

Ratchet Handle Screwdriver (2002QCRH)

Note: May be substituted with Part Number (8400FD12)

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DYNASTY® BIOFOAM® Acetabular Cup System

22

SuperPATH® Acetabular Reamer Baskets Instrument KitSPRMKIT1

Item Number Description Quantity

SPTHRM40 Hex Acetabular Reamer 40mm 1 ea

SPTHRM41 Hex Acetabular Reamer 41mm 1 ea

SPTHRM42 Hex Acetabular Reamer 42mm 1 ea

SPTHRM43 Hex Acetabular Reamer 43mm 1 ea

SPTHRM44 Hex Acetabular Reamer 44mm 1 ea

SPTHRM45 Hex Acetabular Reamer 45mm 1 ea

SPTHRM46 Hex Acetabular Reamer 46mm 1 ea

SPTHRM47 Hex Acetabular Reamer 47mm 1 ea

SPTHRM48 Hex Acetabular Reamer 48mm 1 ea

SPTHRM49 Hex Acetabular Reamer 49mm 1 ea

SPTHRM50 Hex Acetabular Reamer 50mm 1 ea

SPTHRM51 Hex Acetabular Reamer 51mm 1 ea

SPTHRM52 Hex Acetabular Reamer 52mm 1 ea

SPTHRM53 Hex Acetabular Reamer 53mm 1 ea

SPTHRM54 Hex Acetabular Reamer 54mm 1 ea

SPTHRM55 Hex Acetabular Reamer 55mm 1 ea

SPTHRM56 Hex Acetabular Reamer 56mm 1 ea

SPTHRM57 Hex Acetabular Reamer 57mm 1 ea

SPTHRM58 Hex Acetabular Reamer 58mm 1 ea

SPTHRM59 Hex Acetabular Reamer 59mm 1 ea

SPTHRM60 Hex Acetabular Reamer 60mm 1 ea

SPTHRM61 Hex Acetabular Reamer 61mm 1 ea

SPTHRM62 Hex Acetabular Reamer 62mm 1 ea

SPTHRM63 Hex Acetabular Reamer 63mm 1 ea

SPTHRM64 Hex Acetabular Reamer 64mm 1 ea

SPTHRM65 Hex Acetabular Reamer 65mm 1 ea

SPTHRM66 Hex Acetabular Reamer 66mm 1 ea

SPTHRM67 Hex Acetabular Reamer 67mm 1 ea

SPTHRM68 Hex Acetabular Reamer 68mm 1 ea

20070092 SuperPATH® Hex Reamer Tray 1 ea

20070011 PATH® Reamer Shaft 1 ea

20070048 Reamer Basket Holder 1 ea

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DYNASTY® BIOFOAM® Acetabular Cup System

23

PATH® Acetabular Reamer Baskets Instrument KitPHRMKIT1

Item Number Description Quantity

PATHRM40 Hex Acetabular Reamer 40mm 1 ea

PATHRM41 Hex Acetabular Reamer 41mm 1 ea

PATHRM42 Hex Acetabular Reamer 42mm 1 ea

PATHRM43 Hex Acetabular Reamer 43mm 1 ea

PATHRM44 Hex Acetabular Reamer 44mm 1 ea

PATHRM45 Hex Acetabular Reamer 45mm 1 ea

PATHRM46 Hex Acetabular Reamer 46mm 1 ea

PATHRM47 Hex Acetabular Reamer 47mm 1 ea

PATHRM48 Hex Acetabular Reamer 48mm 1 ea

PATHRM49 Hex Acetabular Reamer 49mm 1 ea

PATHRM50 Hex Acetabular Reamer 50mm 1 ea

PATHRM51 Hex Acetabular Reamer 51mm 1 ea

PATHRM52 Hex Acetabular Reamer 52mm 1 ea

PATHRM53 Hex Acetabular Reamer 53mm 1 ea

PATHRM54 Hex Acetabular Reamer 54mm 1 ea

PATHRM55 Hex Acetabular Reamer 55mm 1 ea

PATHRM56 Hex Acetabular Reamer 56mm 1 ea

PATHRM57 Hex Acetabular Reamer 57mm 1 ea

PATHRM58 Hex Acetabular Reamer 58mm 1 ea

PATHRM59 Hex Acetabular Reamer 59mm 1 ea

PATHRM60 Hex Acetabular Reamer 60mm 1 ea

PATHRM61 Hex Acetabular Reamer 61mm 1 ea

PATHRM62 Hex Acetabular Reamer 62mm 1 ea

PATHRM63 Hex Acetabular Reamer 63mm 1 ea

PATHRM64 Hex Acetabular Reamer 64mm 1 ea

20070072 PATH® Hex Reamer Tray 1 ea

20070011 PATH® Reamer Shaft 1 ea

20070048 Reamer Basket Holder 1 ea

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DYNASTY® BIOFOAM® Acetabular Cup System

24

Catalog No. Size Group C

3300GB46* 46mm OD Group B n

3300GB48* 48mm OD Group B n

3300GC50 50mm OD Group C n

3300GD52 52mm OD Group D n

3300GE54 54mm OD Group E n

3300GF56 56mm OD Group F n

3300GG58 58mm OD Group G n

3300GG60 60mm OD Group G n

3300GG62V1 62mm OD Group G n

3300GH64V1 64mm OD Group H n

3300GH66V1 66mm OD Group H n

3300GH68V1 68mm OD Group H n

3300GJ70 70mm OD Group J n

3300GJ72 72mm OD Group J n

3300GJ74 74mm OD Group J n

3300GK76 76mm OD Group K

3303GB32 32mm ID Group B n

3303GC36 36mm ID Group C n

3303GD38 38mm ID Group D n

3303GE40 40mm ID Group E n

3303GF42 42mm ID Group F n

3303GG44 44mm ID Group G n

3303GH48 48mm ID Group H n

3303GJ52 52mm ID Group J n

3303GK56 56mm ID Group K n

3304GB28 28mm ID Group B n

3304GC32 32mm ID Group C n

3304GD36 36mm ID Group D n

3304GE38 38mm ID Group E n

3304GF40 40mm ID Group F n

3304GG42 42mm ID Group G n

3304GH46 46mm ID Group H n

3304GJ50 50mm ID Group J n

3304GK54 54mm ID Group K n

3304LB28 28mm ID Group B n

3304LC32 32mm ID Group C n

3304LD36 36mm ID Group D n

3304LE38 38mm ID Group E n

3304LF40 40mm ID Group F n

3304LG42 42mm ID Group G n

3304LH46 46mm ID Group H n

3304-LJ50 50mm ID Group J n

3304-LK54 54mm ID Group K n

DYNASTY® BIOFOAM® CoCr Trial Liners

DYNASTY® BIOFOAM® Standard Poly Trial Liners

DYNASTY® BIOFOAM® Acetabular Cup System Trial Shells and Liners

*Note: May be substituted with Part Number (3301GB46, 3301GB48)

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DYNASTY® BIOFOAM® Acetabular Cup System

25

Catalog No. Size Group C

3300GB46* 46mm OD Group B n

3300GB48* 48mm OD Group B n

3300GC50 50mm OD Group C n

3300GD52 52mm OD Group D n

3300GE54 54mm OD Group E n

3300GF56 56mm OD Group F n

3300GG58 58mm OD Group G n

3300GG60 60mm OD Group G n

3300GG62V1 62mm OD Group G n

3300GH64V1 64mm OD Group H n

3300GH66V1 66mm OD Group H n

3300GH68V1 68mm OD Group H n

3300GJ70 70mm OD Group J n

3300GJ72 72mm OD Group J n

3300GJ74 74mm OD Group J n

3300GK76 76mm OD Group K

3303GB32 32mm ID Group B n

3303GC36 36mm ID Group C n

3303GD38 38mm ID Group D n

3303GE40 40mm ID Group E n

3303GF42 42mm ID Group F n

3303GG44 44mm ID Group G n

3303GH48 48mm ID Group H n

3303GJ52 52mm ID Group J n

3303GK56 56mm ID Group K n

3304GB28 28mm ID Group B n

3304GC32 32mm ID Group C n

3304GD36 36mm ID Group D n

3304GE38 38mm ID Group E n

3304GF40 40mm ID Group F n

3304GG42 42mm ID Group G n

3304GH46 46mm ID Group H n

3304GJ50 50mm ID Group J n

3304GK54 54mm ID Group K n

3304LB28 28mm ID Group B n

3304LC32 32mm ID Group C n

3304LD36 36mm ID Group D n

3304LE38 38mm ID Group E n

3304LF40 40mm ID Group F n

3304LG42 42mm ID Group G n

3304LH46 46mm ID Group H n

3304-LJ50 50mm ID Group J n

3304-LK54 54mm ID Group K n

DYNASTY® BIOFOAM® Acetabular Cup System

DNFLKITB

Catalog No. Size Group C

DSPCGB46 46mm Group B n

DSPCGB48 48mm Group B n

DSPCGC50 50mm Group C n

DSPCGD52 52mm Group D n

DSPCGE54 54mm Group E n

DSPCGF56 56mm Group F n

DSPCGG58 58mm Group G n

DSPCGG60 60mm Group G n

DSPCGG62 62mm Group G n

DSPCGH64 64mm Group H n

DSPCGH66 66mm Group H n

DSPCGH68 68mm Group H n

DBFPGB46 46mm Group B n

DBFPGB48 48mm Group B n

DBFPGC50 50mm Group C n

DBFPGD52 52mm Group D n

DBFPGE54 54mm Group E n

DBFPGF56 56mm Group F n

DBFPGG58 58mm Group G n

DBFPGG60 60mm Group G n

DBFPGG62 62mm Group G n

DBFPGH64 64mm Group H n

DBFPGH66 66mm Group H n

DBFPGH68 68mm Group H n

DSBFGB46 46mm Group B n

DSBFGB48 48mm Group B n

DSBFGC50 50mm Group C n

DSBFGD52 52mm Group D n

DSBFGE54 54mm Group E n

DSBFGF56 56mm Group F n

DSBFGG58 58mm Group G n

DSBFGG60 60mm Group G nDSBFGG62 62mm Group G nDSBFGH64 64mm Group H n

DSBFGH66 66mm Group H n

DSBFGH68 68mm Group H n

DSBFGJ70 70mm Group J n

DSBFGJ72 72mm Group J n

DSBFGJ74 74mm Group J n

DSBFGK76 76mm Group K n

DYNASTY® Porous Coated Shells (DNFLKITD)

DYNASTY® BIOFOAM® 3-Hole Shells (DNFLKITP)

DYNASTY® BIOFOAM® Shells (DNFLKITB)

Shells

DNFLKITP

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DYNASTY® BIOFOAM® Acetabular Cup System

DNFLKITC

DNFLKITE

Catalog No. Size Group CDSBFGJ70 70mm Group J n

DSBFGJ72 72mm Group J n

DSBFGJ74 74mm Group J n

DSBFGK76 76mm Group K n

DLCOGJ52 52mm* Group J n

DLCOGK56 56mm* Group K n

DXLPGJ50 50mm Group J n

DXLPGK54 54mm Group K n

DXLPLJ50 50mm Group J n

DXLPLK54 54mm Group K n

Catalog No. Size Group CDLCOGB32 32mm Group B n

DLCOGC36 36mm Group C n

DLCOGD38 38mm Group D n

DLCOGE40 40mm Group E n

DLCOGF42 42mm Group F n

DLCOGG44 44mm Group G n

DLCOGH48 48mm Group H n

DLCOGJ52 52mm Group J n

DLCOGK56 56mm Group K n

Catalog No. Size Group CDLXPGB28 28mm Group B n

DLXPGC32 32mm Group C n

DLXPGD36 36mm Group D n

DLXPGE38 38mm Group E n

DLXPGF40 40mm Group F n

DLXPGG42 42mm Group G n

DLXPGH46 46mm Group H n

DLXPGJ50 50mm Group J n

DLXPGK54 54mm Group K n

Catalog No. Size Group CDLXPLB28 28mm Group B n

DLXPLC32 32mm Group C n

DLXPLD36 36mm Group D n

DLXPLE38 38mm Group E n

DLXPLF40 40mm Group F n

DLXPLG42 42mm Group G n

DLXPLH46 46mm Group H n

DLXPLJ50 50mm Group J n

DLXPLK54 54mm Group K n

Catalog No. Size Group CDLXPGE36 36mm Group E n

DLXPGF36 36mm Group F n

DLXPGG36 36mm Group G n

DLXPGH36 36mm Group H n

Catalog No. Size Group CDLXPLE36 36mm Group E n

DLXPLF36 36mm Group F n

DLXPLG36 36mm Group G n

DLXPLH36 36mm Group H n

DYNASTY® BIOFOAM® Large Sizes 70-76mm (DNFLKITC)

DYNASTY® BIOFOAM® CoCr Liners (DNFLKITE)*

DYNASTY® BIOFOAM® Standard A-CLASS® Poly Liners (DNFLKITF)

DYNASTY® BIOFOAM® 15o A-CLASS® Poly Liners (DNFLKITC)

DYNASTY® BIOFOAM® Standard A-CLASS® Poly Revision Liners (DNFLKITH)

DYNASTY® BIOFOAM® 15o A-CLASS® Poly Revision Liners (DNFLKITH)

DNFLKITG

DNFLKITH

DNFLKITF

Large Size Shells and Liners

*Metal liners are not available in the U.S., Europe or Canada.

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DYNASTY® BIOFOAM® Acetabular Cup System

38AMKITA

Catalog No. Head Diameter

38AM3600 36mm Medium Neck38AM3604 36mm Short Neck38AM3635 36mm Long Neck 38AM3800 38mm Medium Neck38AM3804 38mm Short Neck38AM3835 38mm Long Neck38AM4000 40mm Medium Neck38AM4004 40mm Short Neck38AM4200 42mm Medium Neck 38AM4204 42mm Short Neck38AM4235 42mm Long Neck38AM4400 44mm Medium Neck 38AM4404 44mm Short Neck38AM4435 44mm Long Neck38AM4600 46mm Medium Neck 38AM4604 46mm Short Neck

HeadsCONSERVE® Total A-CLASS® Heads (38AMKITA)

Catalog No. Head Diameter38AM4635 46mm Long Neck 38AM4800 48mm Medium Neck 38AM4804 48mm Short Neck38AM4835 48mm Long Neck38AM5000 50mm Medium Neck 38AM5004 50mm Short Neck38AM5035 50mm Long Neck38AM5200 52mm Medium Neck38AM5204 52mm Short Neck 38AM5235 52mm Long Neck38AM5400 54mm Medium Neck38AM5404 54mm Short Neck 38AM5435 54mm Long Neck38AM5600 56mm Medium Neck38AM5604 56mm Short Neck38AM5635 56mm Long Neck

Catalog No. Head Diameter26000017 28mm Short Neck 26000018 28mm Medium Neck26000019 28mm Long Neck26000020 28mm X-Long Neck26000021 32mm Short Neck 26000022 32mm Medium Neck

Catalog No. Head Diameter38AC3600* 36mm 38AC3800* 38mm38AC4000* 40mm38AC4200* 42mm38AC4400* 44mm 38AC4600* 46mm

Catalog No. Head Diameter

26000023 32mm Long Neck26000024 32mm X-Long Neck26000025 36mm Short Neck 26000026 36mm Medium Neck 26000027 36mm Long Neck

Catalog No. Head Diameter

38AC4800* 48mm38AC5000* 50mm38AC5200* 52mm38AC5400* 54mm 38AC5600* 56mm

TRANSCEND® Super Finish CoCr Heads (SUFIKITA)

DYNASTY® A-CLASS® Backfilled Heads (38ACKITA)

SUFIKITA

38ACKITA

Catalog No. Description38NS0N35 Short (-3.5) Neck Sleeve38NS0000 Medium (0) Neck Sleeve

Catalog No. Description

38NS3500 Long (+3.5) Neck Sleeve38NS0700 X-Long (+7.5) Neck Sleeve

DYNASTY® Titanium Sleeves (38NSKITA)

38NSKITA

*Utilize Titanium Sleeves

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DYNASTY® BIOFOAM® Acetabular Cup System

BIOLOX® Delta® Heads (CERAKITA)

Catalog No. Head DiameterPHA04402 28mm SPHA04404 28mm MPHA04406 28mm LPHA04408 32mm SPHA04410 32mm MPHA04412 32mm L

Catalog No. Head DiameterPHA04414 36mm SPHA04416 36mm MPHA04418 36mm LPHA04420 40mm SPHA04422 40mm MPHA04424 40mm L

DYNASTY® Ceramic Femoral Heads (38CHKITA)

Catalog No. Description26000004 28mm Short Neck26000005 28mm Medium Neck26000006 28mm Long Neck26000007 32mm Short Neck26000008 32mm Medium Neck26000009 32mm Long Neck260000010 36mm Short Neck260000011 36mm Medium Neck260000012 36mm Long Neck

Catalog No. Description38CH3800* 38mm38CH4000* 40mm38CH4200* 42mm38CH4600* 46mm38CH5000* 50mm38CH5400* 54mm

*Utilize Titanium Sleeves38CHKITA

CERAKITA

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™Trademarks and ®Registered marks of MicroPort Orthopedics.©2014 MicroPort Orthopedics. All Rights Reserved. 010660

The CE-Marking of Conformity is applied per catalog numberand appears on the outer package label, if applicable.

MicroPort Orthopedics Inc.5677 Airline RoadArlington, TN USA 38002866.872.0211

MicroPort Orthopedics BVHoogoorddreef 51101 BA AmsterdamThe Netherlands+31 20 545 01 00

ortho.microport.com

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