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Published: Jan, 2016 | Pages:
360 | Publisher: WinterGreen Research
Industry: Pharmaceuticals & Healthcare | Report Format: Electronic (PDF)
Orthopedic surgical implants help replace deteriorated joints. This deterioration could be due to various causes like disease, aging, injury or osteoarthritis. This is especially common in geriatric populace. Orthopedic surgical implants relieve pain, restore movement and offer stability to the patients. Hip and knee replacements are the most common orthopedic implants. Reconstructive surgery of the joints is performed to modify the affected area in order to implant one or more manufactured components. It could involve the usage of bone cement. Main reconstructive surgeries involve joints. Global market for hip and knee orthopedic surgical implants was valued at USD 17 billion in 2015. It is projected to grow to USD 33 billion by 2022. Demand will be driven by growing geriatric population across the world. Over 324,000 people underwent total hip replacement surgery in 2015, in the U.S. itself. This has been possible due to technological advancements over a period of time. Computer-assisted total hip replacement, a recent development, has revolutionized the total hip replacement surgery procedure. However, reduced reimbursements by insurance companies are adversely affecting market growth. This is forcing cost-cuts across the supply chain. Manufacturers of orthopedic implants provide medical instruments that are used by orthopedic surgeons while performing surgeries. The choice of implant by a surgeon depends on his/her expertise with a particular implant, the diagnosed condition, and the fitment of the chosen implant with the patient. Often, surgeons pick devices that have the highest success rate. Interdisciplinary dialogue amongst the various stakeholders is a key driver of growth for the global hip and knee orthopedic surgical implants market. Collaborations and system partnerships lead to intensive exchange of information. This results in continuous improvements in patient care. Vendors aim to actively contribute to betterment of procurement, application and logistic processes in the medical space. The medical community aims to perform more efficient joint implant surgeries in healthcare establishments. Factors aiding the decision of the most suitable implant model include type of ailment, level of activity of the patient, and the quality of bone. A wide variety of artificial hip replacement implants are currently available. There exists little differentiation in the various products on offer. Most models are technologically superior. Zimmer is the leading manufacturer of implants in the global market. Zimmer Kinectiv Technology enables a more accurate fit of the implant to the hip joint.
KNEE AND HIP ORTHOPEDIC IMPLANT MARKET EXECUTIVE SUMMARY 27 Knee and Hip Orthopedic Implant Market Driving Forces 27 Knee and Hip Surgical Robot Market Shares 31 Knee and Hip Surgical Implant Forecasts 33 1.KNEE AND HIP ORTHOPEDIC IMPLANTS MARKET DESCRIPTION AND MARKET DYNAMICS 34 1.1 Challenges In The Field Of Healthcare 34 1.1.1 Clinical Limited Financial Resources 35 1.1.2 Clinical Economic Efficiency 35 1.1.3 Reducing Fixed Costs Homogeneous Supplier Structure Optimizing Processes 37 1.2 Orthopedic Reconstructive Implants 38 1.3 Continuing Education 38 1.3.1 Implant Industry Characterized by Frequent Patent Litigation 39 1.3.2 Primary Customers 40 1.4 Knee Orthopaedic Reconstructive Implants 41 1.4.1 Knee Replacement 42 1.5 Hip Implants 44 1.5.1 Hip Replacement 44 2. KNEE AND HIP ORTHOPEDIC IMPLANT MARKET SHARES AND MARKET FORECASTS 49 2.1 Knee and Hip Orthopedic Implant Market Driving Forces 49 2.2 Knee and Hip Surgical Robot Market Shares 53 2.2.1 Products 56 2.2.2 Orthopedic Implant Surgical Companies 56 2.2.3 Zimmer Persona® Knee: The Personalized Knee System 57 2.2.4 Zimmer Persona Knee - The Personalized Knee System 59 2.2.5 Biomet Vanguard SSK 360 Revision System is the best-selling Biomet knee revision implant. 62 2.2.6 Zimmer Biomet Oxford Partial Knee 62 2.2.7 Stryker Accolade II 62 2.2.8 Johnson and Johnson / DePuy Surgical Orthopedic Implants Segments 64 2.2.9 Johnson and Johnson / DePuy Hip 65 2.2.10 Smith & Nephew Surgical Orthopedic Implants Segments 66 2.2.11 Exactech Surgical Orthopedic Implants Segments 67 2.2.12 Exactech 68 2.2.13 Mathys Surgical Orthopedic Implants Segments, 70 2.2.14 DJO 71 2.2.15 ConforMIS 72 2.2.16 Aesculap Bicontact® Universal Hip System 73 2.2.17 Wright Medical Technology 73 2.2.18 Wright Medical Technology 74 2.2.19 Total Hip Replacement 75 2.2.20 Total Hip Replacement Leaching Metal Debris Causes A Condition Called Metallosis 75 2.2.21 Total Knee Replacement 76 2.2.22 Other Surgical Orthopedic Implant Segments 77 2.3 Knee and Hip Surgical Implant Forecasts 78 2.3.1 Knee Implants Market Forecasts 82 2.3.2 Hip Implant Market Forecasts 84 2.3.3 Knee and Hip Surgical Implant Unit Analysis 86 2.4 Knee and Hip Orthopedic Surgical Procedure Analysis 89 2.5 Knee and Hip Surgical Robot Regional Analysis 90 2.5.1 Orthopedic Implant Regional Positioning 91 2.5.2 Zimmer Americas 92 2.5.3 Zimmer Europe 92 2.5.4 Charité Europe 93 2.5.5 European Reconstructive Implant And Trauma Product Markets 94 2.5.6 Asia Pacific Market For Reconstructive Implant And Trauma Products 94 2.5.7 Asia Pacific. 95 2.5.8 Zimmer Local Distribution Facilities 96 3. KNEE AND HIP SURGICAL ROBOT PRODUCTS 97 3.1 Zimmer Holdings / Biomet Hip 97 3.1.1 Zimmer Fitmore® Hip Stem 99 3.1.2 Zimmer Continuum® Acetabular system 99 3.1.3 Zimmer Facing Lawsuits over Durom Acetabular Component 105 3.1.4 Zimmer Holdings / Biomet Knee 106 3.1.5 Zimmer / Biomet Knee and Hip 112 3.1.6 Biomet Knee reconstructive products 113 3.1.7 Biomet Oxford Partial Knee 115 3.2 Smith & Nephew 115 3.2.1 Smith & Nephew Orthopaedic Product Line 115 3.2.2 Smith & Nephew Hip 119 3.2.3 Smith & Nephew Recall of Metal Liner Component Of Its Modular R3 124 3.2.4 Smith & Nephew Redapt Hip Implant 124 3.2.5 Smith & Nephew Knee 126 3.2.6 Smith & Nephew Knee Implant Systems 127 3.2.7 Smith & Nephew LEGION HK Hinge Knee Replacement 128 3.3 Johnson and Johnson / DePuy Hip 129 3.3.1 DePuy’s ASR XL Acetabular Total Hip Replacement System Recalled 132 3.3.2 DePuy ATTUNE® Knee System 133 3.3.3 DePuy GLIDERIGHT™ Articulation Knee Implant 138 3.3.4 DePuy AOX™ Polyethylene 139 3.3.5 DePuy ORTHOVISC® Knee Injections 139 3.4 Stryker 140 3.4.1 Stryker Triathlon Total Knee Implants 146 3.4.2 Stryker MAKOplasty ® Robotic Arm Hip Replacement Solution 148 3.4.3 Stryker MAKOplasty® Surgical Robotic Total Hip Arthroplasty 150 3.4.4 Stryker MAKO Surgical Knee Replacements 158 3.4.5 Stryker’s Mako Total Knee Application Receives FDA Clearance 159 3.4.6 Stryker Knee and Hip Surgical Robot Products Benefits 161 3.4.7 Stryker / Mako 163 3.4.8 Stryker® Knee Replacement System 167 3.5 Microport Profemur™ Z Hip Stem System 168 3.5.1 MicroPort Evolution Knee 170 3.5.2 MicroPort Orthopedics Knee Replacement 170 3.5.3 MicroPort Orthopedic Devices 174 3.6 Corin 180 3.7 DJO Hip 183 3.7.1 DJO Revelation Hip System 184 3.7.2 DJO Revelation microMAX Hip 184 3.7.3 DJO Linear Hip System 185 3.7.4 DOJ LMR Hip 185 3.7.5 DJO 3DKnee™ System 186 3.7.6 DJO 3DKnee System 187 3.7.7 DJO FMP Acetabular System 190 3.7.8 DJO RSP Monoblock 190 3.7.9 DJO Reverse Shoulder Prosthesis (RSP) 191 3.7.10 DJO Turon Modular Shoulder System 191 3.7.11 DJO e-plus 192 3.8 Exactech 192 3.8.1 Exactech Knee 193 3.9 ConforMIS 197 3.9.1 ConforMIS iTotal CR Mimics Natural Shape Of The Knee 199 3.9.2 ConforMIS in Development of the iTotal Hip 201 3.10 Medacta 203 3.11 B. Braun / Aesculap AG 204 3.11.1 Aesculap Hip Arthroplasty Low Abrasion Ceramic Articulation And Bioactive Surface Coatings 205 3.11.2 Aesculap Bicontact® Universal Hip System 205 3.11.3 Aesculap Knee Arthroplasty 209 3.12 Waldemar LINK GmbH & Co. 211 3.12.1 LINK® Hip Prostheses 212 3.13 Mathys AG 217 3.13.1 Mathys Stem 221 3.13.2 Mathys Cup 222 3.13.3 Mathys Hip Head 224 3.13.4 Mathys Knee Portfolio 225 3.13.5 Mathys Shoulder Portfolio 227 3.14 Wright Medical Technology 228 4. KNEE AND HIP SURGICAL RESEARCH, TECHNOLOGY, AND REGULATION 229 4.1 Cemented / Cement-Free Implants 229 4.1.1 Cement-Free Anchorage 229 4.1.2 Cemented Anchorage 229 4.2 Well Described Problem For Hip Replacements 231 4.2.1 Allergy Considerations 233 4.2.2 Smith-Nephew VERILAST◊ Technology for Knees 233 4.2.3 Smith & Nephew VERILAST Technology May Last Up To 30 Years Of Wear 234 4.3 Hip Implant Failure 235 4.3.1 Epidemic Of Failures Of Hip Implant Devices 235 4.3.2 Implants Involved In These Lawsuits 236 4.4 Regulation 236 4.4.1 U.S. Food and Drug Administration 237 U.S. Food and Drug Administration Regulatory 238 4.4.2 FDA’s Premarket Clearance and Approval Requirements 238 4.4.3 510(k) Clearance Pathway 239 4.4.4 Premarket Approval Pathway 240 4.4.5 Clinical Trials 240 4.4.6 Pervasive and Continuing FDA Regulation 241 5. KNEE AND HIP SURGICAL COMPANY DESCRIPTIONS 243 5.1 B Braun / Aesculap 243 5.1.1 B. Braun Products 244 5.1.2 B.Braun 246 5.1.3 Braun / Aesculap Revenue 248 5.1.4 Aesculap Hip Arthroplasty 249 5.1.5 Aesculap Knee Arthroplasty 249 5.2 ConforMIS 249 5.2.1 ConforMIS Fully Paid Up, Worldwide License Agreement with Wright Medical Group, 250 5.2.2 ConforMIS iTotal PS Knee Replacement Product Systems Voluntary Recall 251 5.2.3 ConforMIS Makes The Implant Fit The Patient 251 5.2.4 ConforMIS Revenue Third Quarter 2015 252 5.2.5 ConforMIS Third Quarter 2015 Financial Results 252 5.3 DJO 255 5.3.1 DJO Trademarks, Service Marks And Brand Names 256 5.3.2 DJO Linear® Hip System 257 5.3.3 DJO TaperFill™ Hip System 257 5.3.4 DJO Revelation® microMAX™ Hip 259 5.3.5 DJO Knee 259 5.3.6 DJO e+™ 260 5.3.7 DJO Movation™ and S.U.R.E. System™ 260 5.3.8 DJO Surgical 261 5.3.9 DJO purchases the Biomet Cobalt™ HV Bone Cement and Optivac© Cement Mixing from Zimmer Biomet 262 5.3.10 DJO Advanced Technologies 262 5.3.11 DJO Revenue 263 5.3.12 DJO Sales by Business Segment 264 5.4 Exactech 265 5.5 Johnson and Johnson / Depuy 270 5.5.1 Depuy Synthes Trauma Launches New Biologic Implant 271 5.5.2 DePuy Synthes Companies of Johnson & Johnson 273 5.5.3 J&J DePuy Synthes 273 5.5.4 DePuy Synthes ASR Hips Failed Solutions In The Specialties Of Joint Reconstruction, Trauma 274 5.5.5 Johnson and Johnson / DePuy Synthes 274 5.1.1 Google Collaborating With Johnson & Johnson To Develop Surgical Robots 275 5.1.2 DePuy 276 5.1.3 Johnson & Johnson 276 5.1.4 Johnson & Johnson / Ethicon 276 5.5.6 Johnson & Johnson Business 278 5.5.7 Johnson & Johnson Geographic Areas 279 5.6 Corin 280 5.6.1 Corin Hip Components 280 5.6.2 Corin Knee Components 282 5.7 Mathys 283 5.8 Medacta 284 5.8.1 Medacta Business 285 5.9 MicroPort Scientific Corporation 285 5.9.1 MicroPort Orthopedic Devices 287 5.9.2 MicroPort acquires OrthoRecon Business from Wright Medical Technologies 287 5.9.3 Microport Hip Systems 287 5.10 Shenzhen Advanced Institute Spinal Surgical Robot 288 5.11 Smith & Nephew 289 5.11.1 Smith & Nephew Revenue 290 5.11.2 Smith & Nephew 2015 Q3 Highlights 295 5.12 Stryker Corporation 297 5.12.1 Stryker Revenue 297 5.12.2 Stryker Results Of Operations 300 5.12.3 Stryker Segment Orthopaedics 303 5.12.4 Stryker Business Segment Operations 303 5.12.5 Stryker Revenue 304 5.12.6 Stryker Hip Recall: $1.4 Billion Settlement 305 5.12.7 Stryker Regional Revenue Segment 305 5.12.8 Stryker Robots 306 5.12.9 Stryker / MAKO Surgical 311 5.12.10 Stryker / Mako 312 5.12.11 MAKO Surgical RIO Robotic Arm 321 5.12.12 Stryker Endoscopy 322 5.12.13 Mako Surgical Business 323 5.12.14 Mako Products 324 5.12.15 Mako Surgical Strategy 327 5.12.16 Mako Surgical Revenue 330 5.13 THINK Surgical 330 5.13.1 THINK Surgical TPLAN™ 3D Planning Workstation 331 5.13.2 THINK Surgical TCAT™ Computer Assisted Tool 333 5.13.3 Think Surgical 335 5.13.4 Think Surgical Robodoc 336 5.14 Waldemar LINK GmbH & Co. 337 5.14.1 Waldemar Link GmbH und Co. KG 338 5.15 Wright Medical Technology 339 5.15.1 Wright Revenue 339 5.15.2 Wright Medical Group NV Revenue 340 5.15.3 Wright Medical Group N.V. Revenue for 2015 Third Quarter 341 5.15.4 Wright / Tornier 346 5.16 Zimmer Biomet 346 5.16.1 Zimmer Biomet Sales by Product Category 352 5.16.2 Zimmer Biomet 353 5.16.3 Zimmer Metal-on-Metal Hip Recall
List of Tables and Figures Figure ES-1 Knee and Hip Orthopedic Implant Market Driving Forces 27 Figure ES-2 Knee and Hip Orthopedic Implant Market Aspects 28 Table ES-3 Knee and Hip Orthopedic Implant Market Challenges 29 Table ES-4 Innovative Knee and Hip Orthopedic Implant Features 30 Figure ES-6 Orthopedic Implants Market Forecasts, Dollars, Worldwide, 2016-2022 33 Table 1-1 Clinical Economic Efficiency 36 Figure 1-2 Knee Replacement Operation Resurfaces The Damaged Knee Joint With Metal And Plastic Implants To Restore Movement 42 Table 1-3 Hip Implant Surgeon Implant Decision Process Metrics 45 Table 1-4 Hip Implant Surgery Challenges 46 Table 1-5 Hip Implant Surgery Difficulties 46 Figure 1-6 Orthopedic Hip Implant Instrumentation 47 Figure 2-1 Knee and Hip Orthopedic Implant Market Driving Forces 49 Figure 2-2 Knee and Hip Orthopedic Implant Market Aspects 50 Table 2-3 Knee and Hip Orthopedic Implant Market Challenges 51 Table 2-4 Innovative Knee and Hip Orthopedic Implant Features 52 Figure 2-5 Hip and Knee Surgical Orthopedic Implants Market Shares, Shipments, Dollars, Worldwide 2015 54 Table 2-6 Hip and Knee Surgical Orthopedic Implants Markets and Systems Shares, Dollars, Worldwide, 2015 55 Figure 2-7 Zimmer Biomet Knee 58 Figure 2-8 Zimmer Persona Knee 59 Table 2-9 Zimmer Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 61 Table 2-10 Stryker Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 63 Table 2-11 Johnson and Johnson DePuy Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 64 Figure 2-12 Johnson and Johnson / Depuy Hip Implants 65 Table 2-13 Smith & Nephew Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 66 Table 2-14 Exactech Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 67 Figure 2-15 Exactech Knee Implant Images 69 Table 2-16 Mathys Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 70 Table 2-17 DJO Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 71 Figure 2-18 DJO Hip Implant 72 Table 2-19 ConforMIS Surgical Orthopedic Implants Segments, Dollars, Worldwide, 2015 73 Table 2-20 Wright Medical Technology Persona Knee features 74 Table 2-21 Total Knee Replacement Leading Causes Of Dissatisfaction 76 Table 2-22 Other Surgical Orthopedic Implant Segments, Dollars, Worldwide, 2015 77 Figure 2-23 Orthopedic Implants Market Forecasts, Dollars, Worldwide, 2016-2022 78 Table 2-24 Total Orthopedic Surgical Implant Market Segment Forecasts Dollars, Worldwide, 2016-2022 79 Table 2-25 Surgical Orthopedic Implant Market Segments, Units and Dollars, Worldwide, 2015 80 Table 2-26 Hip, Knee and Other Orthopedic Surgical Implant Market Segment Forecasts, Dollars, Worldwide, 2016-2022 81 Figure 2-27 Knee Implants Market Forecasts, Dollars, Worldwide, 2016-2022 82 Table 2-28 Knee Orthopedic Surgical Implant Market Segment Forecasts, Units, Dollars, and Dollars per Unit, United States and Worldwide,2016-2022 83 Figure 2-29 Hip Implants Market Forecasts, Dollars, Worldwide, 2016-2022 84 Table 2-30 Hip Orthopedic Surgical Implant Market Segment Forecasts, Dollars, Units, Dollars per Unit, United States and Worldwide, 2016-2022 85 Table 2-31 Surgical Orthopedic Implant Knee and Hip Market Segments, Units and Dollars, Worldwide, 2015 86 Figure 2-32 Other Implants Market Forecasts, Dollars, Worldwide, 2016-2022 87 Table 2-33 Surgical Orthopedic Implant Market Segments, Units and Dollars, Worldwide, 2015 88 Table 2-34 Hip, Knee, and Other Orthopedic Surgical Implant Market Segment Forecasts, Units, United States and Worldwide, 2016-2022 89 Figure 2-35 Orthopedic Surgical Implant Regional Market Segments, Dollars, Worldwide, 2015 90 Table 2-36 Orthopedic Surgical Robot Regional Market Segments, Dollars, 2015 91 Figure 3-1 Zimmer Holdings / Biomet Hip 97 Table 3-2 Zimmer Significant Hip Brands 98 Figure 3-3 Zimmer Continuum™ Acetabular System 101 Figure 3-4 Zimmer Continuum™ Acetabular Orthopedic Implant Hip System 102 Figure 3-5 Zimmer Continuum™ Acetabular System Meets Individual Patient Needs 102 Table 3-6 Zimmer Continuum™ Acetabular System Features 103 Table 3-7 Zimmer Trabecular Metal Material Characteristics 104 Table 3-8 Zimmer Significant Knee Brands: 106 Figure 3-9 Zimmer Holdings / Biomet Knee 107 Table 3-10 Zimmer Personalized Total Knee Arthroplasty System Functions 108 Figure 3-11 Zimmer Holdings / Biomet Knee Components 110 Figure 3-12 Zimmer Holdings / Biomet Implantable Knee Component Unlock and Pull 111 Table 3-13 Biomet Key Products Description 112 Table 3-14 Biomet Knee Reconstructive Key Products 114 Figure 3-15 Smith & Nephew Product Line 116 Table 3-16 Smith & Nephew REFLECTION™ Ceramic Acetabular Hip Features 119 Figure 3-17 Smith & Nephew REFLECTION™ Ceramic Acetabular Hip System 120 Figure 3-18 Smith-nephew Reflection Ceramic Acetabular Hip System Optimized Neck 121 Figure 3-19 Smith & Nephew Hip Implant 122 Figure 3-20 Smith & Nephew Hip Implant CLose-up 123 Smith & Nephew Redapt Hip Implant 124 Figure 3-22 Smith & Nephew Journey BCS Knee Implant 126 Figure 3-23 Smith & Nephew Legion TKS Total Knee System 127 Figure 3-24 Johnson and Johnson / Depuy Hip Implants 129 Table 3-25 Johnson & Johnson DePuy ASR & Pinnacle Hip Replacement Orthopedics Features 130 Figure 3-26 DePuy ATTUNE® Knee Implant System Works With Knee Muscles And Ligaments 134 Figure 3-27 DePuy ATTUNE Knee 135 Figure 3-28 DePuy ATTUNE Knee Side View 136 Figure 3-29 Innovative Technology of the DePuy ATTUNE Knee 138 Figure 3-30 Anika Therapeutics Hyaluronic Acid Knee Injections 140 Figure 3-31 Stryker Implant Products 141 Table 3-32 Stryker Mobile Bearing Hip System Stability and Longevity Features 144 Table 3-33 Stryker Mobile Bearing Hip System Advanced Fixation Features 145 Table 3-34 Stryker ADM X3 and WDM X3 Hip System 145 Figure 3-35 Stryker Triathlon Total Knee 146 Figure 3-36 Stryker Mako Advanced RIO® Robotic Arm 147 Figure 3-37 Stryker MAKOplasty ® Robotic Arm Solution 148 Figure 3-38 Stryker MAKOplasty Hip Arthroplasty 149 Figure 3-39 Stryker MAKOplasty Hip Arthroplasty 150 Table 3-40 Stryker MAKOplasty® Surgical Robotic Total Hip Arthroplasty Features 151 Figure 3-41 Stryker Hip Joint Kinematics 152 Figure 3-42 Stryker RIO Robotic Arm Interactive Orthopedic System 153 Figure 3-43 Stryker MAKOplasty 154 Figure 3-44 Stryker Mako RESTORIS Hip System Components 157 Table 3-45 Stryker Mako Diverse Family of RESTORIS® Hip Implant Systems 158 Figure 3-46 MAKO Surgical Maker Of Robots To Assist In Knee Replacements 159 Figure 3-47 Stryker Mako Robotic Stations for Surgery Planning and Bone Cutting 161 Figure 3-48 Stryker Knee and Hip Surgical Robot For Bone Cutting 162 Figure 3-49 Stryker Knee Surgical Robot Precision Cutter Decreases Need For Bone Resurfacing 163 Figure 3-50 Stryker Mako Surgical Preoperative and Post Operative Knee Surgery Images 165 Table 3-51 Stryker Mako Surgical Robot Knee Arthroplasty Benefits 166 Figure 3-52 Microport Profemur™ Z Hip Stem System 169 Figure 3-53 MicroPort Orthopedics Knee Replacement 170 Table 3-54 MicroPort Implant Medical Conditions Treated: 171 Table 3-55 MicroPort Medical Solutions: 173 Figure 3-56 MicroPort Hips and Knees 174 Figure 3-57 MicroPort Knees 176 Figure 3-58 MicroPort Evolution™ Medial-Pivot Knee System 178 Table 3-59 MicroPort e MP Knee System Flexion Stability Features 179 Figure 3-60 Corin Hip Product Line 180 Figure 3-61 Corin Product Line 181 Table 3-62 Early Intervention and Primary Hip Implants 182 Figure 3-63 DJO Hip Implant 183 Figure 3-64 DJO Revelation® Lateral Flare® Total Hip 184 Figure 3-65 DJO Revelation microMAX Hip 184 Figure 3-66 DJO Linear Hip System 185 Figure 3-67 DOJ LMR Hip 186 Figure 3-68 DJO 3DKnee™ System 187 Figure 3-69 DJO 3DKnee™ System 188 Table 3-70 DJO EMPOWR 3D Knee™ System: Key design Features 189 Figure 3-71 DJO Foundation Knee System 190 Figure 3-72 Exactech Knee Implant Images 193 Figure 3-73 Exactech Knee Implant 194 Figure 3-74 Exactech Knee System 194 Figure 3-75 ConforMIS iTotal Customized Knee Replacement 197 Figure 3-76 ConforMIS iTotal CR Mimics Natural Shape Of The Knee 199 Table 3-77 ConforMIS iFit Technology Platform Key Elements 202 Source: WinterGreen Research, Inc. 202 Figure 3-78 ConforMIS iTotal Hip 203 Figure 3-79 B. Braun / Aesculap Bicontact® System Implant Components 206 Figure 3-80 B. Braun / Aesculap Implant System Components 207 Figure 3-81 Aesculap Knee Arthroplasty Components 210 Table 3-82 Link Target Product Markets 212 Figure 3-83 LINK Prosthesis Standard Stems 213 Figure 3-84 Link Primary Instrumentation 215 Figure 3-85 Link Cementless And Cemented Hip Stems And Hip Cups For Revision Surgery 215 Figure 3-86 Link Prosthesis Heads 216 Figure 3-87 Mathys AG Primary Hip Modules 217 Figure 3-88 Mathys AG Primary Hip Monobloc and Bipolar / Hemi Modules 218 Figure 3-89 Mathys AG Primary Cemented and Uncemented Hip Modules 219 Figure 3-90 Mathys AG Primary Hip Revision Modules 220 Table 3-91 Mathys AG Hip Implant Stems That Are Anchored Cement-Free 221 Figure 3-92 Mathys AG Hip Implant Stems 222 Figure 3-93 Mathys Modular Cups Can Be Implanted With Cement-Free Or Cemented Anchorage 223 Figure 3-94 Mathys Ceramic Hip Heads 224 Figure 3-95 Mathys Knee Portfolio 225 Figure 3-96 Mathys Uni Knee and Revision Knee 226 Figure 3-97 Mathys Shoulder Portfolio 227 Figure 4-1 Smith & Nephew Hip Stem For Cement-Free (Left) And Cemented (Right) Anchorage 230 Figure 4-2 Smith & Nephew Metal Content of Implants 232 Table 4-3 U.S. Food and Drug Administration Regulatory Governance Of Activities 238 Table 4-4 Continuing FDA Regulation 241 Table 5-1 B. Braun Products 244 Table 5-2 B. Braun Product Descriptions 245 Figure 5-3 DJO Hip, Knee, Upper Extremity, and Cement Solutions 255 Figure 5-4 DJO Linear® Hip System 257 Figure 5-5 DJO TaperFill™ Hip System 258 Figure 5-6 DJO Empowr 3D Knee™ 259 Figure 5-7 DJO e+™ 260 Figure 5-8 Movation™ and S.U.R.E. System™ 261 Figure 5-9 DJO Provides ArmorCoat Implant Protection For Maximum Performance 262 Figure 5-10 Johnson and Johnson / Depuy Hip Implants 270 Figure 5-11 Depuy Synthes Biologic Implant 271 Table 5-12 Johnson and Johnson Family of Companies Comprises: 275 Table 5-13 Johnson & Johnson Business 279 Figure 5-14 Corin Orthopaedic Hip Implant 281 Figure 5-15 Corin Knee Components 282 Figure 5-16 Mathys Worldwide Presence 283 Table 5-17 MicroPort® Advanced Technology Product Segments Addressed 286 Table 5-18 Microport Hip Systems 287 Figure 5-19 Smith & Nephew Laser Surgical Instrument 289 Figure 5-20 Stryker Joint Implants 307 Figure 5-21 Stryker Patient Specific Pre-Operative Planning 308 Figure 5-22 Stryker Patient Specific Pre-Operative Planning 309 Table 5-23 Stryker Better Fit Orthopedics 309
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