the most extensive portfolio on the market next generation products - PowerPoint PPT Presentation

Reversed Indications the most extensive portfolio on the market next generation products for anatomic indications on the humeral side www.tornier.com Romain Huon – Intl” Product Manager www.tornier.com 1

Agenda • Aequalis Reversed Range: 10 years of success Story - Aequalis Reversed II - Aequalis Bio RSA - Aequalis Reversed Fx • Why do we need new members in the Aequalis Reversed Family ? • Our new Blockbuster: Aequalis Ascend Flex • Our latest innovation: Aequalis Reversed II Line Extension • Key success factor: Customer segmentation and differentiation • Conclusion • Quiz Romain Huon – Intl” Product Manager www.tornier.com 2

Aequalis Reversed Range Aequalis Reversed Family Aequalis Reversed Aequalis Reversed I Aequalis Reversed II Aequalis Ascend Flex Fx Threaded Post Baseplate &/ or Aequalis BIO RSA Romain Huon – Intl” Product Manager www.tornier.com 3

Aequalis Reversed II Options! You have more intraoperative options than any of our competitors allowing the surgeon to accommodate the patient’s unique anatomy. 128 combinations of Reversed II implants 24 combinations of baseplates and spheres 2 approaches accommodated with the extensive Reversed II instruments + Reverse Fracture and BioRSA Romain Huon – Intl” Product Manager www.tornier.com 4

Aequalis Reversed II GLENOID SPHERES STANDARD ECCENTRIC 10° TILT 2 New Spheres BASEPLATES ø25m ø29m 2 New Baseplates m m L =15mm L = 25mm L =15mm L =25mm POLY INSERTS STANDARD 36/42 COMBO CONSTRAINED ECCENTRIC 3 New Polys Romain Huon – Intl” Product Manager www.tornier.com 5

Smallest Base plate on the market • Feature: 25mm Baseplate • Long and short post • Benefits: • Better fit on smaller glenoids  The smallest Base plate on the Market • Lower positioning of sphere on glenoid • More Overhang = Less notching Romain Huon – Intl” Product Manager www.tornier.com

Long Post Base Plate • Feature: Long Post Baseplate • Benefits: • Implantation in native bone • Revision surgery • BIO-RSA (29mm diam only) Romain Huon – Intl” Product Manager www.tornier.com

Eccentric sphere • Feature: Eccentric (+2mm) sphere option • Benefits: • Less scapular notching • Higher Deltoid tension • Better R.O.M. • Correction of misplaced sphere Eccentric Sphere Remaining inferior Coverage bone that may prevent the eccentric sphere from fully seating Romain Huon – Intl” Product Manager www.tornier.com

Eccentric sphere prevents Notching We have the Prove! Int Orthop. 2012 Aug;36(8):1647-53. doi: 10.1007/s00264-012-1539-0. Epub 2012 Apr 26. The clinical and radiographical results of reverse total shoulder arthroplasty with eccentric glenosphere. Mizuno N, Denard PJ, Raiss P, Walch G. Romain Huon – Intl” Product Manager www.tornier.com

WW usage of the different Sphere types! Romain Huon – Intl” Product Manager www.tornier.com

Lateralized sphere • Feature: Lateralized (10˚ tilted) sphere option Approx. 4mm • Benefits: • Less scapular notching • No shoulder ‘deformity’ • Better R.O.M. • More lateralization  Bio RSA Half Sphere Romain Huon – Intl” Product Manager www.tornier.com

Is lateralization the answer? Romain Huon – Intl” Product Manager www.tornier.com

Yes when it is Boney! Romain Huon – Intl” Product Manager www.tornier.com

BIO RSA Advantages – Elimination of scapular notching – Increased mobility in rotation – Improved shoulder stability – Improved shoulder contour (as displayed) – Ability to keep the center or rotation (COR) inside the scapula thereby respecting the Grammont design – Easier glenoid preparation • Ability to ream with a 29mm reamer and avoid struggling to introduce large (36mm or 42mm) instruments • Improved exposure Romain Huon – Intl” Product Manager www.tornier.com

BIO RSA really works! We have the Prove: Romain Huon – Intl” Product Manager www.tornier.com

BIO RSA is better than conventional Reversed! 81% Grade 0 12% Grade 1 5% Grade 2 2% Grade 3 0% Grade 4 Romain Huon – Intl” Product Manager www.tornier.com

Aequalis Reversed & Aequalis Reversed Bio RSA • Tornier is offering several solutions to eliminate the most common “side effect” of RSA – 25 mm Base Plate – Eccentric Spheres – Lateralized Spheres – Bio RSA • With Bio RSA, Tornier has an unique technique to eliminate most of the challenging aspects of the RSA • The use of the eccentric spheres should be more advertised Romain Huon – Intl” Product Manager www.tornier.com

Aequalis Reversed Fx Low Profile Allows for better positioning of the HA Coated Metaphysis greater tuberosity 36mm and 42mm lateralized or constrain inserts f or 36 and 42 mm glenosphere Polished Neck Reduces risk of suture breakage Monobloc Design Window for Grafting To avoid unscrewing of the two components Bone graft window optimizes tuberosity healing Specific Distal Shape Star-shaped stem provides rotation stabilty Available in size 7, 9, 11, 13 and 15 mm Polished Holes Allow for attachment in muscle transfers Romain Huon – Intl” Product Manager www.tornier.com

Aequalis Reversed Fx REVERSED (AAE) HEMI (AAE) 5 5 4 4 3 3 2 2 1 1 0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 Romain Huon – Intl” Product Manager www.tornier.com

Aequalis Reversed Fx • More predictable results • If necessary immediate mobilization of elderly patients • Best solution for not complaint patients • Even with not healed tuberosities, patients can use their arm properly with almost no pain! • Risk of reoperation is minimized • The Rev Fx stem is also a perfect revision stem! • Strong trend from hemi towards Fx RSA • Tornier is still the only company offering a true Reversed fx Prosthesis Romain Huon – Intl” Product Manager www.tornier.com

Why do we need a new Prosthesis? - After 10 years of experience with RSA, we have one of the most complete Reversed Ranges on the Market - On the Glenoid side we have the most complete Reversed range on the market - With the experience of the last 10 years, we have seen needs for evolution on the humeral side and have launched in June of this year our new Blockbuster: Romain Huon – Intl” Product Manager www.tornier.com 21

Designer Group 7 designers are part of this international group. Dr G. Walch, FR Dr S. Krishnan, USA Dr G. Porcellini, IT Prof D. Molé, FR Prof M. Loew, GR Prof P. Boileau, FR Dr B. Edwards, USA Romain Huon – Intl” Product Manager www.tornier.com

Aequalis Ascend Flex: Where are we?  FCU in November 2012  Launch in June 2013  90 Instruments released since the FCU in OUS/ over 250 WW  850 Implantations in OUS / 3000 WW  Ratio Rev/Anat. 1/1  Over 90% Press-fit Stems  Feedback of the Surgeons: Like the Simplicity of the Instr./Tech. Stem Design Convertibility All in One System Press-fit stem Romain Huon – Intl” Product Manager www.tornier.com 23

Aequalis Ascend Flex: The revolutionary Evolution!  Stem Design  Short and long stems  Curved / Fin-less Design  Female Taper  Anti rotational and anatomic flat surface areas  Stem Finish  PTC uncemented stems  Polished cemented stems  Epiphysal Offsets  Infinite dialability  2 different offset per head or reversed tray  System  Flexible (Intraoperative choice between all the options)  Convertible  INSTRUMENTATION!!!! Romain Huon – Intl” Product Manager www.tornier.com 24

Aequalis Ascend Flex: The revolutionary Evolution!  AA Flex Global Overview Size 1 to 8 Anatomic 12 sizes 24 sizes Reversed 4 sizes (only B Angle) Romain Huon – Intl” Product Manager www.tornier.com 25

Aequalis Ascend Flex: The revolutionary Evolution!  8 AA Flex PTC Stem Sizes 70 mm 66 mm 74 mm 78 mm 82 mm 86 mm 90 mm 94 mm 70 mm 74 mm 66 mm 78 mm 82 mm 86 mm 90 mm 94 mm 132.5° Interesting Facts about the PTC Stems: -The Final PTC stem is 2mm thicker than the compacted Humerus, in Hard bone special care is required and if needed a smaller size stem has to be taken. - In special cases, where no cemented stem is available and the stability of the Press fit is questionable, the PTC stem can be cemented on the distal (not coated) part  Downsize For Reversed by 2 sizes in case of cementing of PTC Stem! configuration only Romain Huon – Intl” Product Manager www.tornier.com 26 angle B is used!

Aequalis Ascend Flex: The revolutionary Evolution!  AA Flex Cemented Stems: 4 short and 4 long sizes Interesting Facts about the Cemented Stems: -The cemented stem is 1,4mm smaller than the compactors - The long 66 to 90mm cemented stems 88 to120mm are designed for specific Reversed 3 Inclination per Only Inclination B per and/or Revision short stem size long stem size Cases Romain Huon – Intl” Product Manager www.tornier.com 27

Aequalis Ascend Flex: The revolutionary Evolution!  AA Flex Trays: High offset and Low offset, infinite dialability Romain Huon – Intl” Product Manager www.tornier.com 28

Aequalis Ascend Flex: The revolutionary Evolution!  AA Flex Inserts: In different heights, angle and configuration Romain Huon – Intl” Product Manager www.tornier.com 29