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E1™ Antioxidant
Infused Technology
Knees • Hips • Extremit ies • Cement and Accessories • PMI® • Technology
E1™ Antioxidant Infused Technology
Sequentially Crosslinked and Annealed Loaded
Sequentially Crosslinked and Annealed Control
E1™ Material Loaded
E1™ Material Control
-0.1
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
Top
Surface
Center Bottom
Surface
Oxid
ati
on
In
de
x (
Ab
so
rba
nc
e U
nit
s)
Oxidation Profile1,3
After ESC testing
Infused with vitamin E, a natural
antioxidant, E1™ Technology defines a
new class of bearings and overcomes
the limitations of remelted and annealed
polyethylenes by uniting true oxidative
stability, high mechanical strength and
ultra low wear.1,2
Oxidative Stability
Testing has shown that vitamin E prevents
oxidative degradation of the polyethylene
without remelting, allowing the material to
maintain mechanical properties and wear
resistance over time.1
87 percent (posterior
stabilized) wear reduction
over conventional Direct
Compression Molded
polyethylene in the knee1
Mechanical Strength
E1™ material is never remelted
and therefore maintains its strength.1,2
It is also stronger than sequentially
crosslinked and annealed materials after
fatigue testing in an accelerated aging
environment (environmental stress
crack testing).1
Ultra Low Wear
10 Mrad (100 kGy) irradiation results
in high levels of crosslinking for
wear resistance.1
11
Ultra Low Wear
DCM
UHMWPE
Vo
lum
etr
ic W
ea
r R
ate
(mm
3/M
C)
Volumetric Wear Rates
of Largest Cruciate Retaining (CR)
Tibial Bearing Profile1
Tested at Biomet Biomaterials Laboratory
86% CR wear
reduction
over Direct
Compression
Molded
E1™
Material
0
10
20
30
40
50
43.4
6.1
87% PS wear
reduction
over Direct
Compression
Molded
DCM
UHMWPE
Vo
lum
etr
ic W
ea
r R
ate
(mm
3/M
C)
Volumetric Wear Rates
of Largest Posterior Stabilized (PS)
Tibial Bearing Profile1
Tested at University of Nebraska
E1™
Material
0
5
10
15
20
25
21.33
2.87
CoCr/
ArComXL®
Polyethylene
BIOLOX®
delta/
ArComXL®
Polyethylene
CoCr/
E1™
Material
BIOLOX®
delta/
E1™
Material
Metal-on-
Metal
(Run-in Wear)
0
5
10
15
20
25
30
Vo
lum
etr
ic W
ea
r R
ate
(mm
3/M
C)
Volumetric Wear Rates
of 38mm Acetabular Liners1
5 Million Cycles
38mm Head Size
15.62
3.16
1.71 1.37
27.44
89% large
head wear
reduction over
ArComXL®
Polyethylene
89 percent wear reduction with
large heads when compared to
ArComXL® Polyethylene in the hip1
2
E1™ Technology and the Vanguard® Complete Knee System
E1™ Tibial Bearings Vanguard® Complete Knee System
• Fiveprimaryarticulations*
(seeadjacentgraphics)
• Patented1:1conformityincoronalplane:**
allowsunlimitedfemoral/tibialsizingoptions
• Patellartendonrelieffacilitatesincreased
rangeofmotion
• Compressivelyloadedtibiallocking
mechanismprovidesprovenresistance
totibialmicromotion4
DCM Unaged1 DCM Aged1 E1™
Material
Unaged1
E1™
Material
Aged1
100kGy
Remelted5
Tensile
Strength (MPa)
Yield
Strength (MPa)
0
10
20
30
40
50
Te
nsile
Str
en
gth
(M
Pa
)
Ultimate Tensile and Yield Strengths
for Multiple Polyethylenes1,5
48.1
20.1
45.8
22.6
46.1
22.8
33.3
19.0
40.8
21.3
*Articulationavailabilitymayvarybyregion.Pleasecontactyour
localBiometRepresentativefordetails.
**U.S.PatentNo.5,330,534
3
Knee System
Cruciate Retaining
• 3degreesposteriorslope
• 15degreesinternal/externalrotation
Cruciate Retaining Lipped
• Enhancedposteriorlip
• 15degreesinternal/externalrotation
Anterior Stabilized
• Prominent10mmanteriorlip
• 5mmposteriorlip
• 6degreesinternal/externalrotation
Posterior Stabilized
• Novarus/valgusconstraint
• 15degreesinternal/externalrotation
Posterior Stabilized Plus
• 2degreesvarus/valgusconstraint
• +/-2degreesinternal/externalrotation
E1™Tibial
BearingOptions
4
E1™ Technology and the Taperloc® Microplasty® Hip
E1™ Acetabular Liners RingLoc®+ Modular Acetabular System
• Fivelinerconfigurationsavailablefrom
28–40mminnerdiameters
(seeadjacentgraphics)
• Canbeusedwithlargefemoralheadsfor
optimaljointstabilityandrangeofmotion
• BIOLOX®deltaceramicheadsonE1™
bearingsreducewearby46percentover
cobaltchromeheads1
E1™
Material1100kGy
Remelted5
50kGy
Remelted6
Tensile
Strength (MPa)
Yield
Strength (MPa)
0
10
20
30
40
50
Te
nsile
Str
en
gth
(M
Pa
)
Ultimate Tensile and Yield Strengths
for Multiple Polyethylenes1,5–6
24.2
43
19
33
21
34
System E1™ Acetabular
Liner Options
Max-Rom™+ Liner
• Maximizesrangeofmotion
• Allowsfora36mmheadina50mmcup
Hi-Wall+ Liner
• Addedlipoffersadditionaljointstability
• Allowsfora36mmheadina50mmcup
10-Degree Liner
• 10degreeangledfaceoffersadditional
jointstability
• Reducestheangleofaverticalliner
+5mm Hi-Wall Liner
• Addedlipoffersadditionaljointstability
• 5mmoffsetforjointrestorationin
revisioncases
+5mm Liner
• Maximizesrangeofmotion
• 5mmoffsetforjointrestorationin
revisioncases
BIOLOX®delta is a trademark of CeramTec AG.
All trademarks herein are the property of Biomet, Inc. or its subsidiaries unless
otherwise indicated.
This material is intended for the sole use and benefit of the Biomet sales force and
physicians. It is not to be redistributed, duplicated or disclosed without the express
written consent of Biomet.
For product information, including indications, contraindications, warnings,
precautions and potential adverse effects, see the product-specific package inserts
and Biomet’s website.
References
1. Data on file at Biomet. Bench test results not necessarily indicative
of clinical performance.
2. Kurtz, S. et al. The UHMWPE Handbook: Ultra High Molecular
Weight Polyethylene in Total Joint Replacement. Elsevier Academic
Press. San Diego, CA. 2004.
3. Nabar, S. et al. Comparison of Second Generation Highly Crosslinked
Polyethylenes Under Adverse Aging Conditions. ORS 2008. Poster
No. 1684.
4. Parks, N.L. et al. Modular Tibial Insert Micromotion: A Concern with
Contemporary Knee Implants. Clinical Orthopaedics and Related
Research. 356: 10–15, 1998.
5. Bhambri, S. et al. The Effect of Aging on Mechanical Properties
of Melt-annealed Highly Crosslinked UHMWPE. Crosslinked and
Thermally Treated Ultra-High Molecular Weight Polyethylene for
Joint Replacements. 171–82, 2004.
6. Greer, K.W. et al. The Effect of Raw Material, Irradiation Dose, and
Irradiation Source on Crosslinking of UHMWPE. Crosslinked and
Thermally Treated Ultra-High Molecular Weight Polyethylene for
Joint Replacements. 290–20, 2004.
P.O. Box 587, Warsaw, IN 46581-0587 • 800.348.9500 x 1501
©2008, 2009 Biomet Orthopedics • www.biomet.com
Form No. BOI0314.1 • REV103109
One Surgeon. One Patient.SM
ORTHOPEDICS