Foot Plating System - BioPro, Inc.

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Foot Plating SystemSurgical Technique

Table of ContentsIndications & Contraindications1General Plating Technique11-15System OverviewCommon Plating OptionsTray Overview & OrderingWarningThis surgical technique alone does notprovide sufficient background for thedirect use of the instrument and implantset. Instruction by a surgeon experiencedin handling these instruments is highlyrecommended.For safe and effective use of this implantsystem, the surgeon should be familiar withthis recommended surgical technique forthe device that has been chosen from thesystem.In every case, an accepted surgical practiceshould be followed in postoperative careand the patient should be made aware of thedevices and the allowed activities with theseimplants.2-101617-27

Indications & ContraindicationsIndications for useThe intended use of the BioPro Foot Plating System is to draw two or more aligned bone fragments together to facilitatehealing in an adult patient. It is composed of the following bone plate categories:I. Forefoot System:The BioPro Forefoot Plating System is indicated for use in fixation of small bones and small bone fragments in thefoot (Phalanges and Metatarsals) for stabilization of fractures, joint fusions, osteotomies, nonunions, malunions,reconstruction of small bones, revision surgeries and replantations in an adult patient. The Forefoot System is not forSpinal Use.II. Mid & Hindfoot System:The BioPro Mid & Hindfoot Plating System is indicated for use in fixation of medium/large bones and medium/largebone multi-fragments in the foot (Cuneiform, Cuboid, Navicular, Talus and Calcaneus) for stabilization of fractures, jointfusions, osteotomies, nonunions, malunions, reconstruction of medium/large bones, revision surgeries and replantationsin an adult patient. The Mid & Hindfoot System is not for Spinal Use.Contra-indications for use1. Infection.2. Patient conditions including blood supply limitations, obesity and insufficient quantity or quality of bone.3. Patients with mental or neurologic conditions who are unwilling or incapable of following postoperative careinstructions.4. Foreign body sensitivity. If material sensitivity is suspected, testing is required prior to implanting the device.Page 1

System OverviewThreaded screw holesaccept both locking andnon-locking screwsType II anodized Titanium forimproved strengthA comprehensive plating system merges modern technologywith plating basics. The system includes 45 universal platesas well as indication specific plating families. The platesfeature MVA (multiple variable angle) locking technology thatallows screws to lock into the plate up to 25 degrees.Low profile withchamfered edgesLow profile plates ranging from 1.3 to 1.8mm thicknessfeature chamfered edges to minimize soft tissue irritation,while type II anodization provides superior strength.The intuitive, modular tray design and color-codedinstrumentation allows surgeons to use one tray to implantany plate in the system.2.0mmNon-lockingMVA locking2.8mmNon-lockingMVA lockingT6T8Page 23.0mmNon-lockingMVA lockingT103.5mmNon-lockingMVA lockingStraight lockingT10

T6 2.0mm Universal PlatesThe suggested applications for the Ø2.0mm Straight, T, and Y Plates include fixation in phalanges and metatarsals.T8 2.8mm Universal PlatesThe suggested application for the Ø2.8mm Straight, T, Y, L and Cloverleaf Plates include fracture fixation of the metatarsal bones, lisfranc injuries andmidfoot fusions.T10 3.0-3.5mm Universal PlatesThe suggested applications for the Ø3.0-3.5mm Straight, T, L, Clover, X, and Rectangular plates include fixation in the midfoot and hindfoot.Page 3

MTP Fusion PlatesPre-contoured, low profile plates forfusion of the first MTP joint.The plates feature 10 of dorsiflexionand a contoured distal spoon forconvergent screw placement into thephalanx.NoteThe distal spoon accepts Ø2.8mmscrews while the proximal shaft acceptsØ3.0mm or Ø3.5mm screws.T8 Distal holesT10 Proximal holesStandardRevisionLapidus PlatesThe BioPro Foot Plating System offersboth medial and dorsal plates for thefusion of the first TMT joint.T8 Medial TMT PlateThe medial plate features a contour fora low profile fit on the medial wall of thefirst metatarsal and medial cuneiform.The contour also allows for convergentscrew placement into the cuneiform.Dorsal plates are available in 0 - 4mmsteps in both left and right orientation.T10Page 4 Dorsal TMT Plates

Osteotomy PlatesThe BioPro Foot Plating System offersBase wedge, Evans and Dwyer plates.T8Base wedge plates are available in0, 2, 3, 4, 5, and 6mm wedges.Evans plates are available in left andright orientation with 4, 6, 8, and 10mmwedges.T10 Base Wedge PlatesEvans PlatesDwyer plates are available in 4, 6, 8,and 10mm steps.NoteCotton plates are available uponspecial request.T10T10 Dwyer Plates Medial Column PlatesThe BioPro Foot Plating System offersthree different types of Medial ColumnPlates.Medial 3 Column plates for the fusionof the Talus-Navicular-Cuneiform areavailable in short and long with left andright orientations.T10 Medial 4 Column plates for the fusionof the Talus-Navicular-CuneiformMetatarsal are available in short andlong with left and right orientations.Distal Medial 3 Column plates for thefusion of the Navicular-Cuneiform areavailable in both short and long.T10 Page 5

Calcaneus PlatesThe BioPro Foot Plating System offers ORIF Calcaneus Plates for fractures of the calcaneus.The plates are available in short, medium and long and offer a minimally invasive sinus tarsi approach.ORIF Minimally InvasivePage 6ORIF Standard*(Special Order Only)

Drills and DriversThe BioPro Foot Plating System screws and instruments follow a color coding system that allows for easy identification.The drills and drivers are marked with color rings that coordinate with the anodized screw color.CautionAlways ensure that the color ring on the instrument matches the color of the screw.Drill GuidesThe BioPro Foot Plating System offers three standard drill guide types: locking drill guides, MVA drill guides and doubledrill guides. Each drill guide features color coded dots that will coordinate with the drill and screw color.When inserting a compression non-locking screw, a double drill guide should always be used. Always use a MVA drillguide when drilling at a variable angle.Locking Drill GuideDouble Drill GuideMVA Drill GuidePage 7

Plate Contouring OptionsThe system includes pre-contoured anatomically shapedplates, but in some cases additional contouring may berequired. The plate may be contoured with the bending ironsor the bending pins.Bending PinsCautionReverse bending and over bending can cause reducedfatigue life and should always be avoided. Avoid excessivebending through the locking holes. If the plate is contouredthrough the locking holes, a non-locking screw isrecommended to avoid cross threading of the fixed anglelocking screw.Depth MeasurementThe BioPro Foot Plating System offers various options toevaluate screw length. A standard depth gauge may beused after drilling either independently or through the platehole. If using a locking drill guide, screw length may bemeasured through the locking drill guide window.Depth is identified whereleading laser-markingline meets drill guidelaser-markingsPage 8Bending Irons

CompressionCompression can be achieved when a non-locking screw is inserted and tightened into an oval compression hole . Anon-locking compression screw should be placed in the narrower section of the hole so that the screw may glide fromthe initial position into the final locking position when tightened.CautionNot all plates feature a compression screw hole. Ensure the plate features an oval compression hole before applying thistechnique.Page 9

Modular Tray DesignThe BioPro Foot Plating System tray utilizes amodular design that allows for user customization.The base tray holds three instrument modules, ascrew module and two plate modules.Standard Plate Modules available include: Forefoot Module Midfoot Module Hindfoot Module Midfoot Special Module Medial Column ModulePage 10

General Plating TechniqueStep One: IncisionStep Three: Temporary fixationAn incision is made at the midline of the fusion site.After reduction the plate is placed on the bone. Ensurethat at least one screw hole is on each side of the fusionsite. Drive the included, appropriately sized olive k-wiresinto the k-wire holes for temporary fixation. Fluoroscopy isrecommended to confirm proper plate placement.Step Two: Plate selectionSelect an appropriately sized plate based on the size andtype of indication. Plates are available in various lengthsand styles. Bending irons or bending pins can be used ifthe plate needs to be contoured to the bone surface.CautionReverse bending and over bending may cause reducedfatigue life and should always be avoided. Avoid excessivebending through the locking holes. If the plate is contouredthrough the locking holes, a non-locking screw isrecommended to avoid cross threading of the fixed anglelocking screw.CautionPlease be careful with the plate and avoid scratches andnotches when using the implants. The system offers acomplete range of different plates and sizes so consider theanatomy of the foot and use the appropriate plate solutionsfor larger bones or higher load bearing applications.Page 11

Step Four: Use of locking drill guideOnce the plate is temporarily fixated to the bone, astandard locking drill guide is threaded into one of thethreaded plate holes.Step Five: Drilling pilot holeAfter the locking drill guide is locked in the first threadedplate hole, drill a pilot hole with a color-coded drill bit.NoteThe screw holes in the plate are compatible with the MVAlocking, standard locking and non-locking screws. The nonlocking screws can be used with either the locking holes orcompression slots. The locking screws are only providedfor the locking holes. Depending on surgeon preferenceand indication, a combination of the locking screws and thenon-locking screws can be used in the plate.Step Six: Screw measurementThe appropriate screw length can be determined throughthe measuring windows in the locking drill guide or can bedetermined using the provided color coded depth gauge.(see page 8)Page 12

Step Seven: Screw insertionRemove the desired screw from the screw caddy using thecorresponding torx driver and insert into the pilot hole.CautionFor all screws used throughout the procedure, verify thescrew length using the appropriate gauge on the screwcaddy.Step Eight: Drilling for MVA locking screwIf inserting an MVA locking screw at an angle the cone drillguide must be used. Drill to the desired depth and angle.The cone drill guide allows screws to be inserted up to 12.5 with a total variability of 25 .CautionNever drill a variable hole without the centering MVA drillguide.Step Nine: Screw measurementAfter drilling for an MVA locking screw, determine the screwlength using the provided color coded depth gauge.Page 13

Step Ten: Insertion of the MVA Locking ScrewRemove the desired screw from the screw caddy using thecorresponding torx screwdriver, insert the screw into thepilot hole and drive the screw into the plate.Step Eleven: Drilling for Compression ScrewWhen drilling for a compression screw the double drillguide should be used. The drill guides are color-coded tomatch the corresponding drill bit and screw diameter. Inorder to generate compression, the plate is first fixed onone side of the fusion using locking or non locking screwsthrough a locking hole. Once all screws on one side are inplace, select the appropriate drill bit and the correspondingdouble drill guide for the desired non-locking screw size.Insert the double drill guide into the compression slot at theside of the compression slot that is away from the fusionside. Insert the appropriate drill through the drill guide anddrill to the desired depth. The hole may go through one orboth of the cortices.NoteIf planning to insert a compression screw, always ensureto fixate the side of the plate opposite the compression slotfirst.Step Twelve: Insertion of the Compression ScrewBoneRemove any olive wires, if present, adjacent to thecompression screw slot.Page 14Remove the desired non-locking screw from the screwcaddy using the corresponding torx screwdriver, insert thescrew into the pilot hole and drive the screw into the plate.When inserting the screw, it should glide in the oblong hole,creating compression at the fusion site.

Step Thirteen: Filling all remaining screw holesFill all remaining screw holes as desired. Completely tightenall remaining screws.CautionDuring final tightening of the screws take caution to not overtorque the screws. The torx in the screw could be damaged.Step Fourteen: Wound closure and postoperative careAfter all screws are tightened into the plate all temporaryinstruments are removed from the patient and the woundclosure is completed per surgeon’s preferred method.Page 15

Common Plating OptionsMTP FusionMedial TMT FusionSuggested Plates - Standard MTP Fusion Plate or 2.8mm UniversalPlate with 2.5mm or 3.0mm Headless Compression ScrewSuggested Plates - Medial TMT Plate or 3.0mm/3.5mm Universal Platewith a 2.5mm or 3.0mm Headless Compression ScrewTN (Talo-navicular) FusionLisfranc (Tarsal-metatarsal) FusionSuggested Plates - X-plate (SM, MD, LG)Suggested Plates - 2.8mm Universal PlateBase Opening Wedge OsteotomyMetatarsal FracturesSuggested Plates - Open Wedge Plate (0, 2, 3, 4, 5, 6mm)Suggested Plates - 2.0mm or 2.8mm Universal PlatePage 16

Tray Overview &OrderingItem # 22675Top Level121Plate Module2Bending Instruments - BendingPins, Bending Irons, HohmannRetractors3Plate Module3Bottom Level4564Screw Caddy - 2.0mm MVA Locking and Non-Locking, 2.8mm MVALocking and Non-Locking, 3.0mmMVA Locking and Non-Locking,3.5mm MVA Locking, StraightLocking and Non-Locking5Drilling Instruments - Solid DrillBits, Locking Drill Guides (Tower),MVA Locking Drill Guides (Cone)6General Instruments - DoubleDrill Guides,Torx Drivers, OliveK-wires, Depth Gauges, HandlesNoteTorx Drivers are located under double drillguides and Depth Gauges are locatedunder Handles.Page 17

5161718Forefoot Module - 22676LocationPage 18Screw ColorItem #Description1 20610MTP Fusion Plate, 2.5-3.5mm, LeftQty12 20611MTP Fusion Plate, 2.5-3.5mm, Right13 20628Base Open Wedge Plate, 2.5-2.8mm, 0mm Wedge24 20629Base Open Wedge Plate, 2.5-2.8mm, 2mm Wedge25 20630Base Open Wedge Plate, 2.5-2.8mm, 3mm Wedge26 20631Base Open Wedge Plate, 2.5-2.8mm, 4mm Wedge27 20632Base Open Wedge Plate, 2.5-2.8mm, 5mm Wedge28 20633Base Open Wedge Plate, 2.5-2.8mm, 6mm Wedge29 20605Straight Fracture Plate, 2.0mm, 8 Hole210 20604Straight Fracture Plate, 2.0mm, 6 Hole211 20602Straight Fracture Plate, 2.0mm, 4 Hole212 21207Straight Fracture Plate, 2.0mm, 3 Hole213 20607Y-Shape Fracture Plate, 2.0mm, 6 Hole214 20606Y-Shape Fracture Plate, 2.0mm, 4 Hole215 21203Y-Shape Fracture Plate, 2.0mm, 3 Hole216 20609T-Shape Fracture Plate, 2.0mm, 6 Hole217 20608T-Shape Fracture Plate, 2.0mm, 4 Hole218 21205T-Shape Fracture Plate, 2.0mm, 3 Hole219 20621L-Shape Fracture Plate, 2.5-2.8mm, 4 Hole, Left220 20623L-Shape Fracture Plate, 2.5-2.8mm, 4 Hole, Right221 20620L-Shape Fracture Plate, 2.5-2.8mm, 3 Hole, Left222 20622L-Shape Fracture Plate, 2.5-2.8mm, 3 Hole, Right223 20626Cloverleaf Plate, 2.5-2.8mm, 3 Hole224 20627Cloverleaf Plate, 2.5-2.8mm, 4 Hole225 20618Y-Shape Fracture Plate, 2.5-2.8mm, 3 Hole226 20634Medial TMT-I Fusion Plate, 2.5-2.8mm, 4 Hole227 20619Y-Shape Fracture Plate, 2.5-2.8mm, 4 Hole228 20624T-Shape Fracture Plate, 2.5-2.8mm, 3 Hole229 20625T-Shape Fracture Plate, 2.5-2.8mm, 4 Hole230 20614Straight Fracture Plate, 2.5-2.8mm, 4 Hole231 20615Straight Fracture Plate, 2.5-2.8mm, 5 Hole232 20616Straight Fracture Plate, 2.5-2.8mm, 6 Hole233 20617Straight Fracture Plate, 2.5-2.8mm, 7 Hole2

811813107911231614122117192015456Midfoot Module - 22671LocationScrew ColorItem #DescriptionQty1 20879X-Plate, 3.0-3.5mm, Small22 20880X-Plate, 3.0-3.5mm, Medium23 20881X-Plate, 3.0-3.5mm, Large24 20885Rectangular Plate, 3.0-3.5mm, Small25 20886Rectangular Plate, 3.0-3.5mm, Medium26 20887Rectangular Plate, 3.0-3.5mm, Large27 20874L-Shape Fracture Plate, 3.0-3.5mm, 6 Hole, Right28 20873L-Shape Fracture Plate, 3.0-3.5mm, 4 Hole, Right29 21199L-Shape Fracture Plate, 3.0-3.5mm, 3 Hole, Right210 20878T-Shape Fracture Plate, 3.0-3.5mm, 6 Hole211 20877T-Shape Fracture Plate, 3.0-3.5mm, 4 Hole212 21209T-Shape Fracture Plate, 3.0-3.5mm, 3 Hole213 20870Straight Fusion Plate, 3.0-3.5mm, 6 Hole214 20869Straight Fusion Plate, 3.0-3.5mm, 4 Hole215 20868Straight Fusion Plate, 3.0-3.5mm, 2 Hole216 21201Cloverleaf Plate, 3.0-3.5mm, 3 Hole217 20875Cloverleaf Plate, 3.0-3.5mm, 4 Hole218 20876Cloverleaf Plate, 3.0-3.5mm, 6 Hole219 21197L-Shape Fracture Plate, 3.0-3.5mm, 3 Hole, Left220 20871L-Shape Fracture Plate, 3.0-3.5mm, 4 Hole, Left221 20872L-Shape Fracture Plate, 3.0-3.5mm, 6 Hole, Left2Page 19

5Location32167Midfoot Special Module - 226738910Item #DescriptionQty1 20746Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 0mm Step, Left12 20747Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 1mm Step, Left13 20748Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 2mm Step, Left14 20749Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 3mm Step, Left15 20750Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 4mm Step, Left16 20751Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 0mm Step, Right17 20752Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 1mm Step, Right18 20753Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 2mm Step, Right19 20754Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 3mm Step, Right1 20755Dorsal TMT-1 Fusion Plate, 3.0-3.5mm, 4mm Step, Right110Page 20Screw Color4

158473621251101114139Hindfoot Module - 22672LocationItem #DescriptionQty1Screw Color 20888Evans Plate, 3.0-3.5mm, 4mm Step, Left12 20889Evans Plate, 3.0-3.5mm, 6mm Step, Left13 20890Evans Plate, 3.0-3.5mm, 8mm Step, Left14 20891Evans Plate, 3.0-3.5mm, 10mm Step, Left15 20892Evans Plate, 3.0-3.5mm, 4mm Step, Right16 20893Evans Plate, 3.0-3.5mm, 6mm Step, Right17 20894Evans Plate, 3.0-3.5mm, 8mm Step, Right18 20895Evans Plate, 3.0-3.5mm, 10mm Step, Right19 20896Dwyer Plate, 3.0-3.5mm, 4mm Step110 20897Dwyer Plate, 3.0-3.5mm, 6mm Step1111 20898Dwyer Plate, 3.0-3.5mm, 8mm Step12 20899Dwyer Plate, 3.0-3.5mm, 10mm Step13 20910Orif Calcaneal Plate, 3.0-3.5mm, Short114 20911Orif Calcaneal Plate, 3.0-3.5mm, Medium115 20912Orif Calcaneal Plate, 3.0-3.5mm, Long1Page 21

73486591210Medial Column Module - 22769LocationItem #DescriptionQtyMedial Distal Column Plate, 3.0-3.5mm, Short11 209092 20908Medial Distal Column Plate, 3.0-3.5mm, Long13 20905Medial 3 Column Plate, 3.0-3.5mm, Short, Left14 20904Medial 3 Column Plate, 3.0-3.5mm, Short, Right15 20907Medial 3 Column Plate, 3.0-3.5mm, Long, Left16 20906Medial 3 Column Plate, 3.0-3.5mm, Long, Right17 20901Medial 4 Column Plate, 3.0-3.5mm, Short, Left18 20900Medial 4 Column Plate, 3.0-3.5mm, Short, Right19 20903Medial 4 Column Plate, 3.0-3.5mm, Long, Left1 20902Medial 4 Column Plate, 3.0-3.5mm, Long, Right110Page 22Screw Color

Reserved for2.5mmspecial orderReserved for HBSItem #DescriptionQtyItem #Description20478Cortical Screw, 2.0mm X 8mm220471Cortical Locking Screw, MVA, 2.0mm X 8mmQty320479Cortical Screw, 2.0mm X 10mm220472Cortical Locking Screw, MVA, 2.0mm X 10mm320480Cortical Screw, 2.0mm X 12mm220473Cortical Locking Screw, MVA, 2.0mm X 12mm320481Cortical Screw, 2.0mm X 14mm220474Cortical Locking Screw, MVA, 2.0mm X 14mm320482Cortical Screw, 2.0mm X 16mm220475Cortical Locking Screw, MVA, 2.0mm X 16mm320483Cortical Screw, 2.0mm X 18mm220476Cortical Locking Screw, MVA, 2.0mm X 18mm320484Cortical Screw, 2.0mm X 20mm220477Cortical Locking Screw, MVA, 2.0mm X 20mm3Item #Description20568Cortical Screw, 2.8mm X 8mm220569Cortical Screw, 2.8mm X 10mm2Qty20570Cortical Screw, 2.8mm X 12mm220571Cortical Screw, 2.8mm X 14mm220572Cortical Screw, 2.8mm X 16mm220573Cortical Screw, 2.8mm X 18mm220574Cortical Screw, 2.8mm X 20mm220575Cortical Screw, 2.8mm X 22mm220576Cortical Screw, 2.8mm X 24mm220577Cortical Screw, 2.8mm X 26mm220578Cortical Screw, 2.8mm X 28mm220579Cortical Screw, 2.8mm X 30mm2Item #Description20556Cortical Locking Screw, MVA, 2.8mm X 8mmQty320557Cortical Locking Screw, MVA, 2.8mm X 10mm320558Cortical Locking Screw, MVA, 2.8mm X 12mm320559Cortical Locking Screw, MVA, 2.8mm X 14mm320560Cortical Locking Screw, MVA, 2.8mm X 16mm320561Cortical Locking Screw, MVA, 2.8mm X 18mm320562Cortical Locking Screw, MVA, 2.8mm X 20mm320563Cortical Locking Screw, MVA, 2.8mm X 22mm320564Cortical Locking Screw, MVA, 2.8mm X 24mm320565Cortical Locking Screw, MVA, 2.8mm X 26mm320566Cortical Locking Screw, MVA, 2.8mm X 28mm320567Cortical Locking Screw, MVA, 2.8mm X 30mm3Page 23

Item #DescriptionQtyItem #Description20804Cortical Screw, 3.0mm X 10mm220793Cortical Locking Screw, MVA, 3.0mm X 10mmQty220805Cortical Screw, 3.0mm X 12mm220794Cortical Locking Screw, MVA, 3.0mm X 12mm2220806Cortical Screw, 3.0mm X 14mm220795Cortical Locking Screw, MVA, 3.0mm X 14mm20807Cortical Screw, 3.0mm X 16mm220796Cortical Locking Screw, MVA, 3.0mm X 16mm220808Cortical Screw, 3.0mm X 18mm220797Cortical Locking Screw, MVA, 3.0mm X 18mm220809Cortical Screw, 3.0mm X 20mm220798Cortical Locking Screw, MVA, 3.0mm X 20mm220810Cortical Screw, 3.0mm X 22mm220799Cortical Locking Screw, MVA, 3.0mm X 22mm220811Cortical Screw, 3.0mm X 24mm220800Cortical Locking Screw, MVA, 3.0mm X 24mm220812Cortical Screw, 3.0mm X 26mm220801Cortical Locking Screw, MVA, 3.0mm X 26mm220813Cortical Screw, 3.0mm X 28mm220802Cortical Locking Screw, MVA, 3.0mm X 28mm220814Cortical Screw, 3.0mm X 30mm220803Cortical Locking Screw, MVA, 3.0mm X 30mm2Item #DescriptionQtyItem #Description20852Cortical Locking Screw 3.5mm X 10mm220815Cortical Locking Screw, MVA, 3.5mm X 10mmQty320853Cortical Locking Screw 3.5mm X 12mm220816Cortical Locking Screw, MVA, 3.5mm X 12mm320854Cortical Locking Screw 3.5mm X 14mm220817Cortical Locking Screw, MVA, 3.5mm X 14mm320855Cortical Locking Screw 3.5mm X 16mm220818Cortical Locking Screw, MVA, 3.5mm X 16mm320856Cortical Locking Screw 3.5mm X 18mm220819Cortical Locking Screw, MVA, 3.5mm X 18mm320857Cortical Locking Screw 3.5mm X 20mm220820Cortical Locking Screw, MVA, 3.5mm X 20mm320858Cortical Locking Screw 3.5mm X 22mm220821Cortical Locking Screw, MVA, 3.5mm X 22mm320859Cortical Locking Screw 3.5mm X 24mm220822Cortical Locking Screw, MVA, 3.5mm X 24mm320860Cortical Locking Screw 3.5mm X 26mm220823Cortical Locking Screw, MVA, 3.5mm X 26mm320861Cortical Locking Screw 3.5mm X 28mm220824Cortical Locking Screw, MVA, 3.5mm X 28mm320862Cortical Locking Screw 3.5mm X 30mm220825Cortical Locking Screw, MVA, 3.5mm X 30mm320863Cortical Locking Screw 3.5mm X 35mm221686Cortical Locking Screw, MVA, 3.5mm X 32mm320864Cortical Locking Screw 3.5mm X 40mm2Page 2421687Cortical Locking Screw, MVA, 3.5mm X 34mm321688Cortical Locking Screw, MVA, 3.5mm X 36mm321689Cortical Locking Screw, MVA, 3.5mm X 38mm320827Cortical Locking Screw, MVA, 3.5mm X 40mm3

Item #Description21269Cortical Screw, Low Head, 3.5mm X 10mmQty221270Cortical Screw, Low Head, 3.5mm X 12mm221271Cortical Screw, Low Head, 3.5mm X 14mm221272Cortical Screw, Low Head, 3.5mm X 16mm221273Cortical Screw, Low Head, 3.5mm X 18mm221274Cortical Screw, Low Head, 3.5mm X 20mm221275Cortical Screw, Low Head, 3.5mm X 22mm221276Cortical Screw, Low Head, 3.5mm X 24mm221277Cortical Screw, Low Head, 3.5mm X 26mm221278Cortical Screw, Low Head, 3.5mm X 28mm2221279Cortical Screw, Low Head, 3.5mm X 30mm21280Cortical Screw, Low Head, 3.5mm X 35mm221281Cortical Screw, Low Head, 3.5mm X 40mm221282Cortical Screw, Low Head, 3.5mm X 45mm221283Cortical Screw, Low Head, 3.5mm X 50mm221284Cortical Screw, Low Head, 3.5mm X 55mm2QtyItem #Description206471.5mm x 95mm Drill Bit (Yellow)Qty2226802.0mm x 115mm Drill Bit (Blue)22209242.0mm x 115mm Drill Bit (Red)209252.5mm x 125mm Drill Bit (Orange)2209262.5mm x 150mm Drill Bit (Orange)2Item #Description20636Locking Drill Guide, 2.0mmItem #Description20666K-Wire With Stop- 1.0mm (2mm plates)220940K-Wire With Stop – 1.2mm (2.8mm plates)220638Locking Drill Guide, 2.8mm120941K-Wire With Stop – 1.4mm (3.0/3.5mm plates)220917Locking Drill Guide, 3.0mm120918Locking Drill Guide, 3.5mm1Qty1Page 25

Item #Description20640MVA Drill Guide, 2.0mm120641MVA Drill Guide, 2.5-2.8mm120921MVA Drill Guide, 3.0-3.5mm1QtyItem #Description220664Bending Iron – Left120665Bending Iron – Right1Item #Description20643Double Drill Guide 2.0-2.5mm Screws120922Double Drill Guide 2.8-3.0mm Screws120923Double Drill Guide 3.5-4.0mm Screws1Item #Description20662Holding & Bending Pin – 2.0Qty20663Holding & Bending Pin – 2.5 – 2.8220739Holding & Bending Pin – 3.0/3.5/4.0mm2Page 26QtyQty

Item #DescriptionQtyItem #Description20650Screwdriver Blade – T6220930Screwdriver Handle – MediumQty120651Screwdriver Blade – T8220653Screwdriver Handle – Small120929Screwdriver Blade – T102Item #DescriptionQtyItem #Description20635Depth Gauge 2.0/2.5/2.8 – 40mm120934Hohman Retractor, 8mm121337Depth Gauge 3.0/3.5/4.0mm – 50mm120935Hohman Retractor, 6mm1QtyPage 27

www.bioproimplants.com 1-810-982-7777info@bioproimplants.com2929 Lapeer RoadPort Huron, MI 48060MKT86 02

Dwyer plates are available in 4, 6, 8, and 10mm steps. Note Cotton plates are available upon special request. Osteotomy Plates T8 T10 T10 Base Wedge Plates Evans Plates Dwyer Plates The BioPro Foot Plating System offers three different types of Medial Column Plates. Medial 3 Column plates for the fusion of the Talus .

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PLATING INCONSISTENCIES include variations in plating thickness, degree of oxide contamination in the plating and the type of plating. Proper control of workpiece plating reduces the chance of weak or inconsistent welds and/or electrode sparking or sticking to the workpieces. Electroplating is much preferred over electroless plating.

PLATING INCONSISTENCIES include variations in plating thickness, degree of oxide contami-nation in the plating and the type of plating. Proper control of workpiece plating reduces the chance of weak or inconsistent welds and/or electrode sparking or sticking to the workpieces. Electroplating is much preferred over electroless plating.

M. Pressman, DPM, FACFAS , D. Scot Malay, DPM, MSCE, FACFAS. A Retrospective Cohort Study of the BioPro Hemiarthroplasty Prosthesis. The Journal of Foot & Ankle Surgery 49 (2010) 331-339 2010 79 procedures 86.08% 98.7% 27 Charles G. Kissel, DPM, FACFAS, Zeeshan S. Husain, DPM AACFAS, Paul

Copper plating tank, IF Cadmium plating tank - ventilated Zinc automatic rack plating line Zinc plating tank . . . . . . . Acid cleaning line and exhaust hood Side view of acid hood and tank Tank 7H - acid etch . . . . Caustic cleaning tank with cover . . . Solvent degreaser with cover open viii 52 53 53 54 61 64 68

Plating Structure Sn plating thickness 0.8 µm 0.3 µm IMC thickness 0.4 µm 0.3 µm Ni substrate plating thickness - 0.5 µm Reflow treatment Applied Applied Reduction effect for Coefficient of friction - 20% Sn Coppe r Alloy IM C( u-Sn) Sn Coppe r Alloy IMC(Cu-Sn) Ni Conventional plating structure Ideal structure of low friction .

The plating rack held 16 pieces and could be run in two different configurations. If all the plating locations were shorted together, the rack simulated a traditional plating rack. If each conductor was controlled individually, this represented the Smart Rack technology. Figure 3 shows the width of the plating thickness dis-

The Certificate in Russian Language is six- month programme of 16 Credits. The programme aims at providing beginners with basics of Russian Language. The objective of the programme is to introduce learners to the basics of Russian grammar and phonetics so that they can read, write, listen and speak Russian in an accurate manner. The programme is bilingual (Russian/English) in medium and has .