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Shoulder SystemPocket Reference Guide
FOR INTERNAL USE ONLY
TITAN™ TOTAL SHOULDER SYSTEM (TSS)
FOR INTERNAL USE ONLY
TSS
2FOR INTERNAL USE ONLY
Titan Total Shoulder SystemOverview with Main Talking Points
• Interchangeable bodies, stems, and humeral heads in a wide variety of sizes allow customized fit to individual patient anatomy
• Multiple length and fixation options of humeral stems address varying bone quality
• Modularity and convertibility of humeral components provides an easy path to revision without removing a well-fixed stem
Product Specs
Materials
Press-Fit Stems Titanium with Ti plasma sprayed splines
Cemented Stems (including long stems)
Cobalt-chromium
Humeral Heads Cobalt-chromium
Bodies, Primary and Fracture Titanium with Ti plasma spray coating
Glenoids Ultra-high Molecular Weight Polyethylene (UHMWPE), Highly cross-linked Ultra-high Molecular Weight Polyethylene (HXL-UHMWPE)
Body Screw Titanium
3 Titan Total Shoulder SystemFOR INTERNAL USE ONLY
Drills
Reference Description Bit Length Diameter
DRL-0920-047-001 Cannulated Center Starter Drill 11.4mm 5mm
DRL-0923-047-001 Cannulated Peg Drill 16.3mm 5.3mm
DRL-0922-080-01 TSS Glenoid Solid Peg Drill 17.9mm 5.3mm
DRL-0926-015-C Fin-Lock™ Central Peg Drill, 15mm, Cannulated 15.2mm 7.4mm
DRL-0926-018-C Fin-Lock™ Central Peg Drill, 18mm, Cannulated 18.3mm 7.4mm
DRL-0926-015-S Fin-Lock™ Central Peg Drill, 15mm, Solid 16.2mm 8.1mm
DRL-0926-018-S Fin-Lock™ Central Peg Drill, 18mm, Solid 19.2mm 8.1mm
DRL-0926-001 Fin-Lock™ Starter Drill 13.9mm 4.9mm
DRL-0926-002 Fin-Lock™ Peripheral Drill 13.7mm 5.3mm
Instrument Dimensions
TSS
4Titan Total Shoulder System FOR INTERNAL USE ONLY
Press Fit Stems
Reference Description Length Dia. A Dia. B Dia. CSpine Depth
No. of Splinters
STEM-0920-025-06 TSS Press-Fit Stem, Sz. 06 90.4mm 11.6mm 6.8mm 4.6mm 1mm 12
STEM-0920-025-07 TSS Press-Fit Stem, Sz. 07 90.4mm 12.4mm 7.6mm 5.3mm 1mm 12
STEM-0920-025-08 TSS Press-Fit Stem, Sz. 08 90.4mm 13.7mm 9mm 6.6mm 1mm 12
STEM-0920-025-09 TSS Press-Fit Stem, Sz. 09 90.4mm 14.4mm 9.9mm 7.4mm 1mm 12
STEM-0920-025-10 TSS Press-Fit Stem, Sz. 10 90.4mm 15.4mm 10.9mm 8.5mm 1mm 12
STEM-0920-025-11 TSS Press-Fit Stem, Sz. 11 90.4mm 16.5mm 12.1mm 9.5mm 1mm 12
STEM-0920-025-12 TSS Press-Fit Stem, Sz. 12 90.4mm 17.5mm 13.2mm 10.6mm 1mm 12
STEM-0920-025-13 TSS Press-Fit Stem, Sz. 13 90.4mm 18.5mm 14.2mm 11.6mm 1mm 12
STEM-0920-025-14 TSS Press-Fit Stem, Sz. 14 90.4mm 19.5mm 15.3mm 12.6mm 1mm 12
STEM-0920-025-15 TSS Press-Fit Stem, Sz. 15 90.4mm 20.5mm 16.4mm 13.5mm 1mm 12
STEM-0920-025-16 TSS Press-Fit Stem, Sz. 16 90.4mm 21.5mm 17.4mm 14.7mm 1mm 12
Implant Dimensions
Diameter APress-Fit Dimensions (mm), Ti
Length
Diameter B Diameter C
Drawings are not actual size.
5 Titan Total Shoulder SystemFOR INTERNAL USE ONLY
Cemented Stems
Reference Description Length Dia. A Dia. B Dia. CNo. of Flutes
STEM-0950-025-06 TSS Cemented Stem, Sz. 06 90.4mm 9.6mm 6.1mm 4.6mm 4
STEM-0950-025-08 TSS Cemented Stem, Sz. 08 90.4mm 11.6mm 8.1mm 6.7mm 4
STEM-0950-025-10 TSS Cemented Stem, Sz. 10 90.4mm 13.4mm 9.9mm 8.5mm 4
STEM-0950-025-12 TSS Cemented Stem, Sz. 12 90.4mm 15.4mm 11.9mm 10.6mm 4
STEM-0950-025-14 TSS Cemented Stem, Sz. 14 90.4mm 17.5mm 14mm 12.6mm 4
Implant Dimensions
Diameter A
Length
Cemented Stem Dimensions (mm), CoCr
Diameter B Diameter C
Drawings are not actual size.
TSS
6Titan Total Shoulder System FOR INTERNAL USE ONLY
Cemented Long Stems
Reference Description Length Dia. A Dia. B Dia. CNo. of Flutes
STEM-0950-025-08125 TSS Cemented Long Stem, Sz. 08 - 125mm 125mm 11.5mm 8mm 6mm 4
STEM-0950-025-08165 TSS Cemented Long Stem, Sz. 08 - 165mm 165mm 11.5mm 8mm 6mm 4
STEM-0950-025-10125 TSS Cemented Long Stem, Sz. 10 - 125mm 125mm 13.5mm 10mm 8mm 4
STEM-0950-025-10165 TSS Cemented Long Stem, Sz. 10 - 165mm 165mm 13.5mm 10mm 8mm 4
STEM-0950-025-12125 TSS Cemented Long Stem, Sz. 12 - 125mm 125mm 15.5mm 12mm 10mm 4
STEM-0950-025-12165 TSS Cemented Long Stem, Sz. 12 - 165mm 165mm 15.5mm 12mm 10mm 4
Implant Dimensions
Diameter A
Length
Cemented Stem Dimensions (mm), CoCr
Diameter B Diameter C
Drawings are not actual size.
7 Titan Total Shoulder SystemFOR INTERNAL USE ONLY
Implant Dimensions
Drawings are not actual size.
Integra Sizing Competitor Sizing
Spherical Diameters: base width changes
with each height
48mm
Spherical Diameter Sizing:48-15 / 48-18 / 48-21
43.5mm
45.5mm
46.5mm
21m
m
18m
m
15m
m
Base Width Diameters: base width same for each height
48mm
TITAN Base Width Diameter Sizing:48-15 / 48-18 / 48-21
21 m
m18
mm
15 m
m
Integra vs. Competitor Head Sizing
TSS
8Titan Total Shoulder System FOR INTERNAL USE ONLY
Implant Dimensions
Humeral Heads
Reference Description Height WidthSpherical Dia.
Offset (eccentric) Concentric
MHH-0923-010-3814X TSS CoCr Head, 2.5 38x14mm 14mm 38mm 41mm 2.5mm No option
MHH-0923-010-4015X TSS CoCr Head, 2.5 40x15mm 15mm 40mm 43mm 2.5mm No option
MHH-0923-010-4216X TSS CoCr Head, 2.5 42x16mm 16mm 42mm 45mm 4mm C
MHH-0923-010-4416X TSS CoCr Head, 2.5 44x16mm 16mm 44mm 48mm 4mm C
MHH-0923-010-4419X TSS CoCr Head, 2.5 44x19mm 19mm 44mm 45mm 4mm C
MHH-0923-010-4614X TSS CoCr Head, 2.5 46x14mm 14mm 46mm 54mm 4mm C
MHH-0923-010-4617X TSS CoCr Head, 2.5 46x17mm 17mm 46mm 49mm 4mm C
MHH-0923-010-4620X TSS CoCr Head, 2.5 46x20mm 20mm 46mm 47mm 4mm C
MHH-0923-010-4815X TSS CoCr Head, 2.5 48x15mm 15mm 48mm 56mm 4mm C
MHH-0923-010-4818X TSS CoCr Head, 2.5 48x18mm 18mm 48mm 51mm 4mm C
MHH-0923-010-4821X TSS CoCr Head, 2.5 48x21mm 21mm 48mm 49mm 4mm C
MHH-0923-010-5019X TSS CoCr Head, 2.5 50x19mm 19mm 50mm 53mm 4mm C
MHH-0923-010-5022X TSS CoCr Head, 2.5 50x22mm 22mm 50mm 51mm 4mm C
MHH-0923-010-5220X TSS CoCr Head, 2.5 52x20mm 20mm 52mm 55mm 4mm C
Spherical Diameter 0
Humeral Heads Dimensions (mm), CoCrHeight
Width Drawings are not actual size.
9 Titan Total Shoulder SystemFOR INTERNAL USE ONLY
Implant Dimensions
TSS Bodies, Primary and Fracture
Reference Description HeightMax Length
Max Width Base Dia.
Trunnion Offset
BOD-0923-020-08STD TSS Primary Proximal Body, 2.5 08STD 35mm 16.9mm 11.6mm 11.6mm 8mm
BOD-0923-020-10SML TSS Primary Proximal Body, 2.5 10SML 30mm 17.8mm 13.7mm 13.7mm 8mm
BOD-0923-020-10STD TSS Primary Proximal Body, 2.5 10STD 35mm 18.1mm 13.7mm 13.7mm 8mm
BOD-0923-020-10LRG TSS Primary Proximal Body, 2.5 10LRG 40mm 18.3mm 13.7mm 13.7mm 8mm
BOD-0923-020-12STD TSS Primary Proximal Body, 2.5 12STD 35mm 19.2mm 15.4mm 15.4mm 8mm
BOD-0923-020-14SML TSS Primary Proximal Body, 2.5 14SML 30mm 20.4mm 17.5mm 17.5mm 8mm
BOD-0923-020-14STD TSS Primary Proximal Body, 2.5 14STD 35mm 20.6mm 17.5mm 17.5mm 8mm
BOD-0923-020-14LRG TSS Primary Proximal Body, 2.5 14LRG 40mm 20.7mm 17.5mm 17.5mm 8mm
BOD-0923-021-08SML TSS Fracture Body, 2.5 08SML 30mm 16.7mm 11.6mm 11.6mm 8mm
BOD-0923-021-08STD TSS Fracture Body, 2.5 08STD 35mm 16.9mm 11.6mm 11.6mm 8mm
BOD-0923-021-08LRG TSS Fracture Body, 2.5 08LRG 40mm 17.1mm 11.6mm 11.6mm 8mm
Fracture Body Dimensions (mm), Ti Primary Body Dimensions (mm), Ti
Trunnion Offset
Trunnion Offset
Base DiameterBase Diameter
Hei
ght
Hei
ght
Max LengthMax Length
Max Width
Max Width
Drawings are not actual size.
TSS
10Titan Total Shoulder System FOR INTERNAL USE ONLY
Pegged Glenoids
Reference Description Height WidthSpherical Dia.
Peg Length Central
Peg Length Peripheral Peg Dia. Thickness
GLN-0920-030-00P TSS Pegged Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 14mm 6.4mm 5mm 4mm
GLN-0920-030-01P TSS Pegged Glenoid, Sz. Small 34.3mm 24.9mm 59mm 14mm 6.4mm 5mm 4mm
GLN-0920-030-02P TSS Pegged Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 15.2mm 6.4mm 5mm 4mm
GLN-0920-030-03P TSS Pegged Glenoid, Sz. Large 39.4mm 28.9mm 66mm 15.2mm 6.4mm 5mm 4mm
Keeled Glenoids
Reference Description Height WidthSpherical Dia.
Keel Length
Keel Height
Keel Width Thickness
GLN-0920-030-00K TSS Keeled Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 14mm 22.9mm 4.1mm 4mm
GLN-0920-030-01K TSS Keeled Glenoid, Sz. Small 34.3mm 24.9mm 59mm 14mm 22.9mm 4.1mm 4mm
GLN-0920-030-02K TSS Keeled Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 15.2mm 25.4mm 5.1mm 4mm
GLN-0920-030-03K TSS Keeled Glenoid, Sz. Large 39.4mm 28.9mm 66mm 15.2mm 25.4mm 5.1mm 4mm
Implant Dimensions
Height
Spherical Diameter 0
Thickness48mm x 15mm Head:Sphereical Diameter = 56mm
Medium Glenoid:Spherical Diameter = 64mm
Diametrical Mismatch = 8mmRadial Mismatch = 4mm
Width
Drawings are not actual size.
11 Titan Total Shoulder SystemFOR INTERNAL USE ONLY
Fin-Lock Glenoids Fin-Lock Glenoids (continued)
Reference Description Height Width Spherical Dia. Reamer Dia. Central Peg Length Central Peg Dia.Core Central Peg Dia. Fin Central Peg Fin Spacing Peripheral Peg Length Peripheral Peg Dia. Thickness
GLN-0926-030-00A TSS Fin-Lock Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 62mm 15mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
GLN-0926-030-01A TSS Fin-Lock Glenoid, Sz. Small 34.3mm 24.9mm 59mm 67mm 15mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
GLN-0926-030-02A TSS Fin-Lock Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 72mm 18mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
GLN-0926-030-03A TSS Fin-Lock Glenoid, Sz. Large 39.4mm 28.9mm 66mm 74mm 18mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
Implant DimensionsTSS Fin-Lock Glenoid
Height
Width
Reamer Diameter 0
Spherical Diameter 0
Central Peg Length
TSS
12Titan Total Shoulder System FOR INTERNAL USE ONLY
Fin-Lock Glenoids Fin-Lock Glenoids (continued)
Reference Description Height Width Spherical Dia. Reamer Dia. Central Peg Length Central Peg Dia.Core Central Peg Dia. Fin Central Peg Fin Spacing Peripheral Peg Length Peripheral Peg Dia. Thickness
GLN-0926-030-00A TSS Fin-Lock Glenoid, Sz. X-Small 31.8mm 22.9mm 54mm 62mm 15mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
GLN-0926-030-01A TSS Fin-Lock Glenoid, Sz. Small 34.3mm 24.9mm 59mm 67mm 15mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
GLN-0926-030-02A TSS Fin-Lock Glenoid, Sz. Medium 36.8mm 26.9mm 64mm 72mm 18mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
GLN-0926-030-03A TSS Fin-Lock Glenoid, Sz. Large 39.4mm 28.9mm 66mm 74mm 18mm 5.5mm 9.5mm 1.25mm 6mm 5mm 4mm
Screws
Reference Description Total Length Thread Length Major Dia. Minor Dia.
BSW-0920-021-01 TSS Body Screw 25.4mm 7.6mm 4.72mm 4.69mm
Implant DimensionsTSS Fin-Lock Glenoid
Height
Width
Peripheral Peg LengthCentral Peg Fin Spacing
Peripheral Peg Dia.Central Peg Dia. Core
Central Peg Dia. Fin
Thickness
13 Titan Total Shoulder SystemFOR INTERNAL USE ONLY
Surgical Technique Steps-at-a-Glance
TSS with Non-Cannulated Pegged or Keeled Glenoid
1. Expose Joint
2. Resect Head
3. Expose glenoid
4. Size glenoid
5. Drill central hole
6. Ream glenoid
7. Drill central hole
8. Add center anti-rotation peg
9. Drill peripheral holes
10. Remove bone between peg holes (keeled glenoid only)
11. Punch
12. Trial
13. Cement
14. Implant Glenoid
15. Trial Distal Stem and Proximal Body
16. Osteotomy sizing, Head Trialing
17. Humeral implant assembly
TSS
14Titan Total Shoulder System FOR INTERNAL USE ONLY
Surgical Technique Steps-at-a-Glance
TSS with Cannulated Keeled or Pegged Glenoid
1. Expose Joint
2. Resect Head
3. Expose glenoid
4. Size glenoid
5. Place guidewire
6. Ream glenoid
7. Drill central hole
8. Add center anti-rotation peg
9. Drill peripheral holes
10. Remove bone between peg holes (Keeled glenoid only)
11. Punch
12. Trial
13. Cement
14. Implant Glenoid
15. Trial Distal Stem and Proximal Body
16. Osteotomy sizing, Head trialing
17. Humeral implant assembly
REVERSE SHOULDER SYSTEM(RSS)
FOR INTERNAL USE ONLY
RSS
18FOR INTERNAL USE ONLY
Reverse Shoulder SystemOverview with Main Talking Points
• Anatomically contoured baseplate with 4 variable angle peripheral screws and an independent central screw
• Two piece platform-based system that allows you to convert from a Hemi, to Total to Reverse and back to a Hemi without removing a well fixed stem, but still allows you to alter the version
• Multiple glenosphere, humeral poly liner, and body options allow for both appropriate lateralization and soft tissue tensioning combinations, addressing varying patient anatomy
Product Specs
Materials
Reverse Humeral Bodies Titanium with Asymmatrix Coating
Liners Ultra-high Molecular Weight Polyethylene (UHMWPE)
Glenospheres Cobalt-chromium
Glenosphere Baseplate Titanium with Asymmatrix Coating
Press Fit Stems Titanium with Ti plasma sprayed splines
Body Screw Cemented Stems Cobalt-chromium
Screws Titanium
19 Reverse Shoulder SystemFOR INTERNAL USE ONLY
Instrument Dimensions
Drills
Reference Description Bit Length Diameter
DRL-0960-068-01 2.8mm Drill Bit for 5.5mm SCW 61mm 2.8mm
DRL-0960-061-01 2.5mm Drill Bit for 4.5mm SCW 61mm 2.5mm
DRL-0960-075-01 Baseplate Boss Drill 10.7mm 8mm
DRL-0960-054-15 Cannulated Drill for 15mm Cent. Peg 15.7mm 12.1mm
DRL-0960-054-25 Cannulated Drill for 25mm Cent. Peg 26.1mm 12.1mm
RSS
20Reverse Shoulder System FOR INTERNAL USE ONLY
Implant Dimensions
Bodies
Reference Description Height Diameter A Diameter B
BBS-0960-21SML Reverse Humeral Body - Size SML 30mm 12.1mm 38.7mm
BBS-0960-21STD Reverse Humeral Body - Size STD 35mm 12.1mm 38.7mm
BBS-0960-21LRG Reverse Humeral Body - Size LRG 40mm 12.1mm 38.7mm
Body Screw (packaged with body)
Reference Description Total Length Shaft Length Major Dia. Minor Dia.
BSW-0960-021-01 Reverse Body Screw 21mm 17mm 4.7mm 3.8mm
142˚Height
0A
0B
Body
Drawings are not actual size.
21 Reverse Shoulder SystemFOR INTERNAL USE ONLY
Implant Dimensions
Liners
Reference Description HeightEnclosure Depth
Exposed Height Dia. A Wall Thickness
Spherical Dia.
LNR-0960-00S Liner, Standard 0 14mm 9.6mm 5.2mm 38.7mm 2.7mm 38mm
LNR-0960-03S Liner, Standard 3 17mm 9.6mm 8.2mm 38.7mm 2.7mm 38mm
LNR-0960-06S Liner, Standard 6 20mm 9.6mm 11.2mm 38.7mm 2.7mm 38mm
LNR-0960-09S Liner, Standard 9 23mm 9.6mm 14.2mm 38.7mm 2.7mm 38mm
LNR-0960-00R Liner, Retentive 0 17mm 12.6mm 8.2mm 38.7mm 1.25mm 38mm
LNR-0960-03R Liner, Retentive 3 20mm 12.6mm 11.2mm 38.7mm 1.25mm 38mm
LNR-0960-06R Liner, Retentive 6 23mm 12.6mm 14.2mm 38.7mm 1.25mm 38mm
LNR-0960-09R Liner, Retentive 9 26mm 12.6mm 17.2mm 38.7mm 1.25mm 38mm
Wall ThicknessTotal Height
Exposed Height
Encl
osed
Dep
th 0A
Liners
Drawings are not actual size.
RSS
22Reverse Shoulder System FOR INTERNAL USE ONLY
Implant Dimensions
Glenospheres
Reference DescriptionSpherical Dia. Depth A Height Eccentricity
Inferior Lip Length
GLS-0960-02C Glenosphere, Concentric, 2mm 38mm 2mm 16mm No —
GLS-0960-05C Glenosphere, Concentric, 5mm 38mm 5mm 19mm No —
GLS-0960-02 Glenosphere, Eccentric, 2mm 38mm 2mm 16mm 4mm —
GLS-0960-05E Glenosphere, Eccentric, 2mm 38mm 5mm 19mm 4mm —
GLS-0960-02EL Glenosphere, Eccentric w/Lip, 2mm 38mm 2mm 19mm 4mm 3mm
Glenosphere Baseplates
Reference Description Height Width ThicknessSpherical Dia.
Central Peg Length
Central Peg Dia.
GBP-0960-030-15 Reverse Baseplate, 15mm 27.3mm 22.8mm 2mm 62mm 15mm 12.7mm
GBP-0960-030-25 Reverse Baseplate, 25mm 27.3mm 22.8mm 2mm 62mm 25mm 12.mm
Spherical Diameter
Eccentricity
Height
A
GlenospheresSpherical Diameter
Central Peg LengthWidth
Height
Glenospheres Baseplates
Drawings are not actual size.
23 Reverse Shoulder SystemFOR INTERNAL USE ONLY
Implant Dimensions
Press-Fit Stems
Reference Description Length Dia. A Dia. B Dia. CSpine Depth
No. of Splinters
STEM-0920-025-06 TSS Press-Fit Stem, Sz. 06 90.4mm 11.6mm 6.8mm 4.6mm 1mm 12
STEM-0920-025-07 TSS Press-Fit Stem, Sz. 07 90.4mm 12.4mm 7.6mm 5.3mm 1mm 12
STEM-0920-025-08 TSS Press-Fit Stem, Sz. 08 90.4mm 13.7mm 9mm 6.6mm 1mm 12
STEM-0920-025-09 TSS Press-Fit Stem, Sz. 09 90.4mm 14.4mm 9.9mm 7.4mm 1mm 12
STEM-0920-025-10 TSS Press-Fit Stem, Sz. 10 90.4mm 15.4mm 10.9mm 8.5mm 1mm 12
STEM-0920-025-11 TSS Press-Fit Stem, Sz. 11 90.4mm 16.5mm 12.1mm 9.5mm 1mm 12
STEM-0920-025-12 TSS Press-Fit Stem, Sz. 12 90.4mm 17.5mm 13.2mm 10.6mm 1mm 12
STEM-0920-025-13 TSS Press-Fit Stem, Sz. 13 90.4mm 18.5mm 14.2mm 11.6mm 1mm 12
STEM-0920-025-14 TSS Press-Fit Stem, Sz. 14 90.4mm 19.5mm 15.3mm 12.6mm 1mm 12
STEM-0920-025-15 TSS Press-FitStem, Sz. 15 90.4mm 20.5mm 16.4mm 13.5mm 1mm 12
STEM-0920-025-16 TSS Press-Fit Stem, Sz. 16 90.4mm 21.5mm 17.4mm 14.7mm 1mm 12
Diameter APress-Fit Dimensions (mm), Ti
Length
Diameter B Diameter C
Drawings are not actual size.
RSS
24Reverse Shoulder System FOR INTERNAL USE ONLY
Implant Dimensions
Cemented Stems
Reference Description Length Dia. A Dia. B Dia. C No. of Flutes
STEM-0950-025-06 TSS Cemented Stem, Sz. 06 90.4mm 9.6mm 6.1mm 4.6mm 4
STEM-0950-025-08 TSS Cemented Stem, Sz. 08 90.4mm 11.6mm 8.1mm 6.7mm 4
STEM-0950-025-10 TSS Cemented Stem, Sz. 10 90.4mm 13.4mm 9.9mm 8.5mm 4
STEM-0950-025-12 TSS Cemented Stem, Sz. 12 90.4mm 15.4mm 11.9mm 10.6mm 4
STEM-0950-025-14 TSS Cemented Stem, Sz. 14 90.4mm 17.5mm 14mm 12.6mm 4
Diameter A
Length
Cemented Stem Dimensions (mm), CoCr
Diameter B Diameter C
Drawings are not actual size.
25 Reverse Shoulder SystemFOR INTERNAL USE ONLY
Implant Dimensions
Screws (4.5mm)
Reference Description Total Length Major Dia Minor Dia
SSC-0960-045-15 4.5mm Screw; 15mm Length 15mm 4.5mm 2.5mm
SSC-0960-045-20 4.5mm Screw; 20mm Length 20mm 4.5mm 2.5mm
SSC-0960-045-25 4.5mm Screw; 25mm Length 25mm 4.5mm 2.5mm
SSC-0960-045-30 4.5mm Screw; 30mm Length 30mm 4.5mm 2.5mm
SSC-0960-045-35 4.5mm Screw; 35mm Length 35mm 4.5mm 2.5mm
SSC-0960-045-45 4.5mm Screw; 40mm Length 40mm 4.5mm 2.5mm
SSC-0960-045-45 4.5mm Screw; 45mm Length 45mm 4.5mm 2.5mm
SSC-0960-045-50 4.5mm Screw; 50mm Length 50mm 4.5mm 2.5mm
SSC-0960-045-55 4.5mm Screw; 55mm Length 55mm 4.5mm 2.5mm
Height
Locking Screw Cap
Length
Major Diameter Minor
Diameter
4.5mm Screw
Drawings are not actual size.
RSS
26Reverse Shoulder System FOR INTERNAL USE ONLY
Screws (5.5mm)
Reference Description Total Length Major Dia Minor Dia
SCW-0960-055-20 5.5mm Screw; 20mm Length 20mm 5.5mm 2.8mm
SCW-0960-055-25 5.5mm Screw; 25mm Length 25mm 5.5mm 2.8mm
SCW-0960-055-30 5.5mm Screw; 30mm Length 30mm 5.5mm 2.8mm
SCW-0960-055-35 5.5mm Screw; 35mm Length 35mm 5.5mm 2.8mm
SCW-0960-055-40 5.5mm Screw; 40mm Length 40mm 5.5mm 2.8mm
Locking Screw Cap
Reference Description Height Diameter
Locking Screw Cap Packaged with Screws 3mm 6mm
Implant Dimensions
Height
Locking Screw Cap
Length
Major Diameter
Minor Diameter
5.5mm Screw
Drawings are not actual size.
27 Reverse Shoulder SystemFOR INTERNAL USE ONLY
Reverse Shoulder System
1. Expose Joint
2. Resect Head
3. Impact humeral canal with stem trials
4. Insert trial stem with reamer guide body
5. Ream proximal humerus
6. Insert Stem/Body trial
7. Expose glenoid
8. Place guidewire
9. Drill starter hole
10. Ream glenoid
11. Drill center hole
12. Drill inferior hole, place peg
13. Insert baseplate
14. Drill and measure center screw hole
15. Insert 5.5mm screw in center hole
16. Drill and measure peripheral screw holes
17. Insert 4.5mm screws
18. Lock inferior and superior peripheral screws
19. Glenosphere trial
20. Use peripheral reamer if necessary
21. Poly liner trial
22. Glenosphere placement
23. Humeral implant assembly
24. Stem/Body implantation
25. Poly Liner insertion
Surgical Technique Steps-at-a-Glance
RSS
28Reverse Shoulder System FOR INTERNAL USE ONLY
TSS to RSS Conversion
1. Remove humeral head
2. Remove humeral body - Leave well-fixed stem in bone
3. Change version with osteotomy
4. Definitive Stem humeral reaming
5. Definitive Stem RSS body trialing
6. Humeral and glenoid prep per standard procedure
Surgical Technique Steps-at-a-Glance
HUMERAL RESURFACING ARTHROPLASTY (HRA)
HUMERAL RESURFACING ARTHROPLASTY (HRA)
FOR INTERNAL USE ONLY
32Humeral Resurfacing Arthroplasty
HRA
FOR INTERNAL USE ONLY
Humeral Resurfacing ArthroplastyOverview with Main Talking Points
• Unique 4-fin stem design offers increased rotational and axial stability with minimized toggling. This design, combined with a plasma spray-coated underside, enhances fixation and osseo-integration, eliminating the need for cement.
• Wide range of height and diameter options to mimic the natural anatomy of the humeral head, helping to provide intra-operative fit and restore native joint mechanics
• Resurfacing with limited articular head surface reaming allows minimal bone removal and provides an open revision path.
Product Specs
Materials
Cobalt-Chromium with Titanium plasma spray undercoating
33 Humeral Resurfacing ArthroplastyFOR INTERNAL USE ONLY
Instrument Dimensions
Drills
Reference Description Bit LengthDiameter A(Thickness)
Diameter B(Thinnest)
CTD-900-01 Center Drill, Size 1 27.7mm 9mm 7.3mm
CTD-900-02 Center Drill, Size 2 31mm 10.3mm 8.5mm
CTD-900-03 Center Drill, Size 3 33.5mm 11.6mm 9.8mm
Broaches
Reference Description Broach Depth Broach WidthBroach Point Diameter
BRH-900-01 Humoral Broach, Size 1 27.7mm 17.6mm 3.2mm
BRH-900-02 Humoral Broach, Size 2 31mm 20.1mm 3.2mm
BRH-900-03 Humoral Broach, Size 3 33.6mm 22.7mm 3.2mm
34Humeral Resurfacing Arthroplasty
HRA
FOR INTERNAL USE ONLY
Implant Dimensions
HRA Components
Reference Description Diameter Head Height Overall Length Stem Width
HRA-900-40/16 Titan Implant, Sz. 40-16 40mm 16mm 29.7mm 16.8mm
HRA-900-44/15 Titan Implant, Sz. 44-15 44mm 15mm 29.7mm 16.9mm
HRA-900-40/16 Titan Implant, Sz. 44-18 44mm 18mm 29.7mm 16.6mm
HRA-900-40/16 Titan Implant, Sz. 48-17 48mm 17mm 32.3mm 19.3mm
HRA-900-40/16 Titan Implant, Sz. 48-20 48mm 20mm 32.3mm 19.1mm
HRA-900-40/16 Titan Implant, Sz. 52-18 52mm 18mm 34.8mm 21.7mm
HRA-900-40/16 Titan Implant, Sz. 52-21 62mm 21mm 34.8mm 21.5mm
HRA-900-40/16 Titan Implant, Sz. 56-21 56mm 21mm 34.8mm 21.5mm
'D'
'C''B'
0 'A'
Implant Dimensions (mm)
Drawings are not actual size.
35 Humeral Resurfacing ArthroplastyFOR INTERNAL USE ONLY
Surgical Technique Steps-at-a-Glance
Humeral Resurfacing Arthroplasty
1. Expose humeral head
2. Position Centralizer/Sizer
3. Place Steinmann Pin
4. Size humeral head
5. Shape humeral head
6. Drill stem pilot hole
7. Trial
8. Center Drill to size (see chart)
9. Starter Broach
10. Broach to size (see chart)
11. Impact component
• The Centralizer/Sizer’s outer dimensions are the same as the implant’s outer dimension. There-fore, the inside of the Centralizer/Sizer will indi-cate the amount of bone resection performed by the shaper.
Good fit – shaping will create a rim of bone for implant to seat.
PROXIMAL HUMERAL FRACTURE PLATE SYSTEM (HFP)
Implant STM DRL 1 DRL 2 DRL 3 ST BRH BRH1 BRH2 BRH3
40/16 1 • • •
44/15 1 • • •
44/18 1 • • •
48/17 2 • • • • •
48/20 2 • • • • •
52/18 3 • • • • • • •
52/21 3 • • • • • • •
56/21 3 • • • • • • •
NOTE: Size 1, 2 and 3 Adapter Plugs are provided if reshaping is necessary after use of size 1, 2 and 3 Center Drills respectively.
PROXIMAL HUMERAL FRACTURE PLATE SYSTEM (HFP)
FOR INTERNAL USE ONLY
FOR INTERNAL USE ONLY
38Proximal Humeral Fracture Plate System
HFP
FOR INTERNAL USE ONLY
Proximal Humeral Fracture Plate SystemOverview with Main Talking Points
• Two plate designs address a wide variety of fracture cases: Low Profile plate reduces soft tissue irritation and is designed to be placed 2cm distal to the rotator cuff attachment to minimize subacromial impingement. Greater Tuberosity plate is placed further proximally on greater tuberosity to allow increased coverage and bone purchase.
• Both plate designs have four precise holes for medial column support and "kickstand screws" to provide stable fixation in the calcar neck, while preventing varus tilt and settling of the humeral head.
• Scalloped suture holes allow for soft tissue and tuberosity fixation after plate positioning and fixation
Product Specs
Materials
Stainless Steel SS 316L (Plates and Screws)
39 Proximal Humeral Fracture Plate SystemFOR INTERNAL USE ONLY
Instrument Dimensions
Drills
Reference Description Bit Length Diameter
DRL-501-019 1.9mm Drill Bit 57mm 1.9mm
DRL-501-024 2.4mm Drill Bit 97mm 2.4mm
DRL-501-035 3.5mm Drill Bit 64mm 3.5mm
40Proximal Humeral Fracture Plate System
HFP
FOR INTERNAL USE ONLY
Implant Dimensions
Plates
Reference Description
Total Plate Length (A)
Distal Shaft Section Length (B)
Distal Plate Width (C)
Proximal Plate Width (D)
Proximal* Plate Thickness
Distal* Plate Thickness
HFP-0930-304RS GT Humeral Fracture Plate 4-hole, Right 91mm 47.3mm 13.4mm 24.5mm 5.47mm 3.6mm
HFP-0930-304LS GT Humeral Fracture Plate 4-hole, Left 91mm 47.3mm 13.4mm 24.5mm 5.47mm 3.6mm
HFP-0930-307RS GT Humeral Fracture Plate 7-hole, Right 116mm 71.2mm 13.4mm 24.5mm 5.47mm 3.6mm
HFP-0930-307LS GT Humeral Fracture Plate 7-hole, Left 116mm 71.2mm 13.4mm 24.5mm 5.47mm 3.6mm
HFP-0930-310RS GT Humeral Fracture Plate 10-hole, Right 140mm 95mm 13.4mm 24.5mm 5.47mm 3.6mm
HFP-0930-310LS GT Humeral Fracture Plate 10-hole, Left 140mm 95mm 13.4mm 24.5mm 5.47mm 3.6mm
HFP-0930-103RS LP Humeral Fracture Plate 3-Hole, Right 89mm 22mm 13.4mm 22.3mm 3.3mm 2.9mm
HFP-0930-103LS LP Humeral Fracture Plate 3-Hole, Left 89mm 22mm 13.4mm 22.3mm 3.3mm 2.9mm
HFP-0930-106RS LP Humeral Fracture Plate 6-Hole, Right 112mm 45.9mm 13.4mm 22.3mm 3.3mm 2.9mm
HFP-0930-106LS LP Humeral Fracture Plate 6-Hole, Left 112mm 45.9mm 13.4mm 22.3mm 3.3mm 2.9mm
HFP-0930-109RS LP Humeral Fracture Plate 9-Hole, Right 135mm 69.7mm 13.4mm 22.3mm 3.3mm 2.9mm
HFP-0930-109LS LP Humeral Fracture Plate 9-Hole, Left 135mm 69.7mm 13.4mm 22.3mm 3.3mm 2.9mm
*Approximate Plate Thickness – Thickness varies slightly across length of plate. Listed thicknesses are taken at the thickest point of each plate section.
See next page for drawing
41 Proximal Humeral Fracture Plate SystemFOR INTERNAL USE ONLY
Implant Dimensions
Drawings are not actual size.
Proximal Thickness
Distal Thickness
Proximal Thickness
Distal ThicknessTotal Plate Length (A)
Proximal Plate Width (D)
Distal Shaft Section Length (B)
Distal Plate Width (C)
Greater Tuberosity Humeral Fracture Plate
Low Profile Humeral Fracture Plate
42Proximal Humeral Fracture Plate System
HFP
FOR INTERNAL USE ONLY
Implant Dimensions
2.7mm Locking Screws
Reference DescriptionOverall Length
Thread Length Major Dia Minor Dia
PSS-2710LS 2.7mm Locking Screw, 10mm 13.6mm 10mm 2.7mm 1.9mm
PSS-2712LS 2.7mm Locking Screw, 12.5mm 16.1mm 12.5mm 2.7mm 1.9mm
PSS-2715LS 2.7mm Locking Screw, 15mm 18.6mm 12mm 2.7mm 1.9mm
PSS-2717LS 2.7mm Locking Screw, 17.5mm 20.3mm 17.5mm 2.7mm 1.9mm
PSS-2720LS 2.7mm Locking Screw, 20mm 23.6mm 20mm 2.7mm 1.9mm
PSS-2722LS 2.7mm Locking Screw, 22.5mm 26.1mm 22.5mm 2.7mm 1.9mm
PSS-2725LS 2.7mm Locking Screw, 25mm 28.6mm 25mm 2.7mm 1.9mm
Drawings are not actual size.
2.7mm Locking Screw
Overall Length
Thread Length
Major Diameter
Minor Diameter
43 Proximal Humeral Fracture Plate SystemFOR INTERNAL USE ONLY
3.5mm Locking Screws
Reference DescriptionOverall Length
Thread Length Major Dia Minor Dia
PSS-3515LS 3.5mm Locking Screw, 15mm 17.8mm 15mm 3.5mm 2.4mm
PSS-3517LS 3.5mm Locking Screw, 17.5mm 20.2mm 17.5mm 3.5mm 2.4mm
PSS-3520LS 3.5mm Locking Screw, 20mm 22.7mm 20mm 3.5mm 2.4mm
PSS-3522LS 3.5mm Locking Screw, 22.5mm 25.2mm 22.5mm 3.5mm 2.4mm
PSS-3525LS 3.5mm Locking Screw, 25mm 27.7mm 25mm 3.5mm 2.4mm
PSS-3527LS 3.5mm Locking Screw, 27.5mm 30.3mm 27.5mm 3.5mm 2.4mm
PSS-3530LS 3.5mm Locking Screw, 30mm 32.7mm 30mm 3.5mm 2.4mm
PSS-3532LS 3.5mm Locking Screw, 32.5mm 35.3mm 32.5mm 3.5mm 2.4mm
PSS-3535LS 3.5mm Locking Screw, 35mm 37.7mm 35mm 3.5mm 2.4mm
Implant DimensionsHFP 3.5mm locking screw
Major Diameter
Minor Diameter
Drawings are not actual size.
Thread Length
Overall Length
44Proximal Humeral Fracture Plate System
HFP
FOR INTERNAL USE ONLY
3.5mm Locking Screws
Reference DescriptionOverall Length
Thread Length Major Dia Minor Dia
PSS-3537LS 3.5mm Locking Screw, 37.5mm 40.2mm 37.5mm 3.5mm 2.4mm
PSS-3540LS 3.5mm Locking Screw, 40mm 42.7mm 40mm 3.5mm 2.4mm
PSS-3545LS 3.5mm Locking Screw, 45mm 47.8mm 45mm 3.5mm 2.4mm
PSS-3550LS 3.5mm Locking Screw, 50mm 52.8mm 50mm 3.5mm 2.4mm
PSS-3555LS 3.5mm Locking Screw, 55mm 57.7mm 55mm 3.5mm 2.4mm
PSS-3560LS 3.5mm Locking Screw, 60mm 62.7mm 60mm 3.5mm 2.4mm
PSS-3565LS 3.5mm Locking Screw, 65mm 67.7mm 65mm 3.5mm 2.4mm
PSS-3570LS 3.5mm Locking Screw, 70mm 72.7mm 70mm 3.5mm 2.4mm
PSS-3575LS 3.5mm Locking Screw, 75mm 77.7mm 75mm 3.5mm 2.4mm
Implant DimensionsHFP 3.5mm locking screw
Major Diameter
Minor Diameter
Drawings are not actual size.
Thread Length
Overall Length
45 Proximal Humeral Fracture Plate SystemFOR INTERNAL USE ONLY
3.5mm Compression Screws
Reference DescriptionOverall Length
Thread Length Major Dia. Minor Dia.
PSS-3515CS 3.5mm Compression Screw, 15mm 17.6mm 15mm 3.5mm 2.4mm
PSS-3517CS 3.5mm Compression Screw, 17.5mm 20mm 17.5mm 3.5mm 2.4mm
PSS-3520CS 3.5mm Compression Screw, 20mm 22.5mm 20mm 3.5mm 2.4mm
PSS-3522CS 3.5mm Compression Screw, 22.5mm 25mm 22.5mm 3.5mm 2.4mm
PSS-3525CS 3.5mm Compression Screw, 25mm 27.5mm 25mm 3.5mm 2.4mm
PSS-3527CS 3.5mm Compression Screw, 27.5mm 30mm 27.5mm 3.5mm 2.4mm
PSS-3530CS 3.5mm Compression Screw, 30mm 32.5mm 30mm 3.5mm 2.4mm
PSS-3532CS 3.5mm Compression Screw, 32.5mm 35.1mm 32.5mm 3.5mm 2.4mm
PSS-3535CS 3.5mm Compression Screw, 35mm 37.5mm 35mm 3.5mm 2.4mm
PSS-3537CS 3.5mm Compression Screw, 37.5mm 40mm 37.5mm 3.5mm 2.4mm
PSS-3540CS 3.5mm Compression Screw, 40mm 42.5mm 40mm 3.5mm 2.4mm
Implant DimensionsHFP 3.5mm Compression Screw
Major Diameter
Minor Diameter
Drawings are not actual size.
Thread LengthOverall Length
46Proximal Humeral Fracture Plate System
HFP
FOR INTERNAL USE ONLY
3.5mm Partially Threaded Screws
Reference DescriptionTotal Length
Shaft Length
Thread Length Major Dia. Minor Dia.
PSS-3540PS 3.5mm Partially Threaded Screw, 40mm 42.5mm 40mm 14.5mm 3.5mm 2.4mm
PSS-3545PS 3.5mm Partially Threaded Screw, 45mm 47.5mm 45mm 16.3mm 3.5mm 2.4mm
PSS-3550PS 3.5mm Partially Threaded Screw, 50mm 52.6mm 50mm 18mm 3.5mm 2.4mm
PSS-3555PS 3.5mm Partially Threaded Screw, 55mm 57.5mm 55mm 19.8mm 3.5mm 2.4mm
PSS-3560PS 3.5mm Partially Threaded Screw, 60mm 62.5mm 60mm 21.5mm 3.5mm 2.4mm
PSS-3565PS 3.5mm Partially Threaded Screw, 65mm 67.5mm 65mm 23.3mm 3.5mm 2.4mm
PSS-3570PS 3.5mm Partially Threaded Screw, 70mm 72.5mm 70mm 25mm 3.5mm 2.4mm
PSS-3575PS 3.5mm Partially Threaded Screw, 75mm 77.5mm 75mm 26.8mm 3.5mm 2.4mm
Implant DimensionsHFP 3.5mm Partially Threaded Screw
Major Diameter
Minor Diameter
Drawings are not actual size.Overall LengthThread Length
Shaft Length
47 Proximal Humeral Fracture Plate SystemFOR INTERNAL USE ONLY
Surgical Technique Steps-at-a-Glance
Low Profile Humeral Fracture Plate
1. Proximal humerus exposure
2. Fracture Reduction and Debridement
3. Position plate
4. Insert PF Pin
5. Drill angled proximal screw hole, determine screw length
6. Insert 3.5mm screw of choice (repeat for all angled holes)
7. Drill most proximal shaft hole, determine screw
8. Insert 3.5mm shaft screw of choice (repeat for all shaft holes) length
48Proximal Humeral Fracture Plate System
HFP
FOR INTERNAL USE ONLY
Surgical Technique Steps-at-a-Glance
Greater Tuberosity Humeral Fracture Plate
1. Proximal humerus exposure
2. Fracture Reduction and Debridement
3. Position plate
4. Insert PF Pin
5. Drill angled proximal screw hole, determine screw length
6. Insert 3.5mm screw of choice (repeat for all angled holes)
7. Suture or drill and insert 2.7mm screws into 2.7mm proximal holes
8. Drill most proximal shaft hole, determine screw length
9. Insert 3.5mm shaft screw of choice (repeat for all shaft holes)
AVAILABLE RESOURCES
AVAILABLE RESOURCES
FOR INTERNAL USE ONLY
52
Reso
urce
s
FOR INTERNAL USE ONLY
Available ResourcesIntegra provides several additional resources for gaining product information. Please see below for a list of information sources available to you.
Information Sources
Integra LifeSciences Website
The Integra LifeSciences website contains a wealth of information on all things relating to Integra. The Products page is a portal to basic implant system information, brochure and surgical technique downloads, and requests for further information. You can visit the Integra website at integralife.com from any web browser.
Integra App
The Integra App provides rapid access to important documentation concerning our products. The easy-to-use interface allows you to navigate through all documents concerning each system at the touch of an icon. Quickly download and browse through brochures, surgical techniques, competitive positioning guides, patient information brochures, and much more. Contact the Integra Marketing Communications team at [email protected] for access to the app.
VuMedi Channel
VuMedi is a video database specifically geared toward doctors and medical industry specialists. Video resources available to view here include surgical procedure walk-throughs, product information and launch videos, live streams of VuMedi events, and many more resources. Integra's channel includes such resources for all of our Extremity Reconstruction product lines. Visit vumedi.com to register for an account, and Search Integra LifeSciences to be directed to the Integra Channel.
Integra Literature Store
The Integra Literature Store website is your portal to order hard copies of OTT product literature, such as surgical techniques, brochures, sell sheets, X-ray templates, and more. Contact the Marketing Communications team at [email protected] to set up your account for literature orders.
FOR INTERNAL USE ONLY
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FOR INTERNAL USE ONLYFOR INTERNAL USE ONLY
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USA 800-654-2873 n 888-980-7742 faxInternational +1 609-936-5400 n +1 609-750-4259 faxintegralife.com/contact
United States, Canada, Asia, Pacific, Latin America Ascension Orthopedics, Inc8700 Cameron Road, Suite 100Austin, TX 78754 n USA
Manufacturer:
Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sale in such country or region. n Always refer to the appropriate instructions for use for complete clinical instructions.n Non contractual document. The manufacturer reserves the right, without prior notice, to modify the products in order to improve their quality.n Warning: Applicable laws restrict these products to sale by or on the order of a physician.
For more information or to place an order, please contact:
Integra and the Integra logo are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the United States and/or other countries. Fin-Lock and Titan are trademarks of Integra LifeSciences Corporation or its subsidiaries. ©2016 Integra LifeSciences Corporation. All rights reserved. Printed in USA. 0457180-1-EN
FOR INTERNAL USE ONLY