NEW PRODUCTS / PRODUCT NEWS


New Shoulder Restoration System

CONMED Linvatec arthroscopy unit announced July 7, 2009, that it has launched its Linvatec Shoulder Restoration System (Linvatec SRS).

The Linvatec Shoulder Restoration System is a comprehensive system for rotator cuff repair that supports a number of surgical techniques and is designed to facilitate secure reconstruction and provide optimal tissue tensioning. The company notes that this system allows the surgeon to choose from any of the most advanced rotator cuff repair techniques, including single-row, double-row, and transosseous-equivalent fixation.

The Linvatec SRS is composed of several components, including:

The PopLok™ Knotless Suture Anchor. Designed for primary and lateral row fixation, the PopLok™ is an all-PEEK (Polyetheretherkeytone) anchor offered in 3.5-mm and 4.5-mm sizes. The PopLok™ provides for tensioning sutures separately from anchor seating as well as for securing the sutures regardless of bone quality. The PopLok™ is cannulated to channel growth factors to the repair site.

The CrossFT™ Fully Threaded Suture Anchor. Composed of PEEK, the CrossFT™ is offered in 4.5-mm, 5.5-mm, and 6.5-mm sizes with various suture configurations. Incorporating both a fully threaded design and a dual-thread profile, the CrossFT™ provides a radiolucent option with significant fixation strength. The CrossFT™ is also cannulated to channel growth factors to the repair site.

The Super Revo-FT™ and ThRevo-FT™ Fully Threaded Suture Anchors. These 5.0-mm titanium anchors are offered with 2 or 3 sutures, respectively. These anchors offer an option for surgeons who prefer to visualize the anchor after rotator cuff repair while capitalizing on the proven Revo® design. The self-drilling Revo design eliminates a step during the insertion process to save OR time.

CONMED Linvatec has also developed a pilot hole instrumentation system aimed at providing more options for accessing and repairing shoulder pathology in the rotator cuff. The company notes that its patent-pending broaching punch simultaneously enhances fixation and reduces stress fractures to bone. An animated surgical technique video can be found at http://srs.linvatec.com/.

For more information, contact

CONMED Linvatec Customer Service
phone (800) 237-0169
fax (727) 399-5256
e-mail: custserv1@linvatec.com (hours: 7:00 AM - 7:00 PM EST).


Injectable Osteoinductive Bone Graft Substitute

Wright Medical Group, Inc., has announced 510K clearance of PRO-STIM™ Injectable Osteoinductive Bone Graft Substitute. PRO-STIM™ graft is a composite grafting material that is injected through a small needle, hardens, and is replaced by the patient’s new bone over time.

PRO-STIM™ graft provides surgeons with the osteoconductive base material derived from PRO-DENSE® graft (a patent-pending combination of calcium sulfate and calcium phosphate materials), but adds a high volume of osteoinductive demineralized bone matrix to the formulation. In Wright’s pivotal preclinical testing, PRO-STIM™ graft outperformed autograft—long considered the grafting “gold standard”—at 13 weeks.

The FDA clearance will allow Wright’s PRO-STIM™ Osteoinductive Graft to be made available immediately to a limited group of trial centers to validate the preclinical findings in clinical use. Following successful clinical use, a full roll-out in the United States and select international markets by the second half of 2010 is planned.


To learn more, contact

Wright Medical Technology, Inc.
5677 Airline Road
Arlington, TN 38002
phone (800) 238-7117
fax (901) 867-9534
www.wmt.com


Bone-Targeted Enzyme Replacement Therapy

Enobia Pharma announced positive data from a clinical study of ENB-0040, a bone-targeted enzyme replacement therapy, under investigation for the treatment of hypophosphatasia (HPP). After 6 months of treatment with ENB-0040, 4 of 5 severely affected patients showed marked improvements in bone mineralization, correction of skeletal defects, better respiratory function, including weaning from assisted ventilation, and cognitive and motor development.

HPP is a genetic disease characterized primarily by defective bone mineralization and is caused by a deficiency in the enzyme tissue–non-specific alkaline phosphatase (TNSALP). This enzyme plays a key role in regulating skeletal mineralization. There are currently no therapies approved for HPP. Enobia notes that, as an enzyme replacement therapy designed to specifically target TNSALP to the bones, ENB-0040 may help correct the enzyme deficiency and restore bone mineralization.

ENB-0040, an investigational treatment for HPP, is a subcutaneous enzyme replacement therapy of TNSALP fused to a patented bone-targeting peptide. ENB-0040 is designed to directly target TNSALP to the bone in order to correct the enzyme deficiency, which could lead to restoration of normal bone mineralization. ENB-0040, awarded orphan designation in the United States and Europe in 2008 and FDA Fast Track status in 2009, is currently in Phase 2 clinical development.

To learn more, contact

Enobia Pharma Inc.
2901, Rachel Street East, Suite 23
Montreal, QC H1W 4A4 Canada
phone (514) 596-2901
fax (514) 596-2749
www.enobia.com


Ceramic-On-Metal Implant

DePuy Orthopaedics, Inc., announced that the Orthopaedic and Rehabilitation Devices Advisory Committee of the US Food and Drug Administration (FDA) has unanimously recommended approval of the Pinnacle® CoMplete™ Acetabular Hip System, the first ceramic-on-metal hip bearing to be considered for approval in the United States.

The panel’s recommendation was based in part on results from a 2-year controlled, randomized, blinded, prospective, multicenter, non-inferiority clinical study and laboratory testing that compared the safety and effectiveness of the Pinnacle CoMplete System with a commonly used DePuy metal-on-metal implant.

The clinical study showed no significant difference in adverse events, revision rates, or survivorship after 2 years, and patients experienced similar pain relief, improved function, and range of motion. Laboratory testing on the Pinnacle CoMplete System showed >90% reduction in wear compared with the metal-on-metal system under normal gait conditions and >80% reduction in wear under adverse conditions.

Conditions for approval recommended by the panel include refinements to the proposed product labeling and a post-approval study. The Pinnacle CoMplete System is currently an investigational device limited by US law to investigational use only. A DePuy ceramic-on-metal bearing has been marketed in 40 countries outside the United States since 2007.

For more information, contact

DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw, IN 46582
phone (800) 473-3789
fax (574) 371-4865
www.depuy.com


Apple iPhone App

The Apple iPhone App “BoneTestSports09,” developed by Frank Griffin, MD, consists of 50 multiple-choice questions in orthopedic sports medicine. Each question is designed to cover a specific topic, and each answer contains additional information about that topic. The answers are displayed on the screen with an interactive button. Users simply pick whichever answer they think is best by tapping on their choice with a finger. The program will then alert users whether or not the answer is correct and give some additional pertinent information.

This program aims to give the orthopedic surgeon an easy tool for reviewing sports medicine in brief stints, such as between surgical cases or even in clinic. It is meant to cover material that typically has to be memorized and to present the material in a manner that is more likely to be remembered through interaction with an iPhone or iPod Touch.

The “BoneTestSports09” App sells for $7.99 on the “App Store” through iTunes, available on the Apple Web site (www.apple.com). Once the user has downloaded iTunes, an icon should be available on the desktop. From an iPhone or iPod Touch, it is also available by simply clicking on the App Store icon on the home screen and entering the name of the App in the search box. A similar App for pediatric orthopedics, entitled “BoneTestPeds09,”sells for $4.99 on the same site. If there is adequate interest, future releases in other orthopedic subspecialties are planned.

For more information, go to: www.apple.com or www.appsfordoctors.com.


Screw System

US Spine® announced the commercial launch of the Preference 2 Complex Spine System™. The new system is a hook, rod, and pedicle screw system with several implant options allowing multiple correction techniques and comprehensive instrumentation designed specifically to treat complex spinal pathologies. The company notes that the system provides spine surgeons with a specialized solution to correct complex spinal pathologies such as scoliosis, kyphosis, trauma, and tumors.

Advanced correction instrumentation, cobalt chrome rods, lateral-offset connectors, hooks, rod-to-rod connectors, and a low-profile cross-connector are among the many components of the system. All anchoring implants within the system feature the Helical Flange® Closure mechanism, which eliminates head splay and drastically reduces cross-threading.

For more information, contact

US Spine
3600 FAU Boulevard, Suite 101
Boca Raton, FL 33431
phone (561) 36-SPINE
fax (561) 367-9627
www.us-spine.com