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E1 Antioxidant Infused Technology Knees Hips EXTR EMITIES • CEMENT AND ACCESSORIES • PM I ® Technology
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E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

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Page 1: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

E1™ Antioxidant

Infused Technology

Knees • Hips • Extremit ies • Cement and Accessories • PMI® • Technology

Page 2: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

E1™ Antioxidant Infused Technology

Sequentially Crosslinked and Annealed Loaded

Sequentially Crosslinked and Annealed Control

E1™ Material Loaded

E1™ Material Control

-0.1

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

Top

Surface

Center Bottom

Surface

Oxid

ati

on

In

de

x (

Ab

so

rba

nc

e U

nit

s)

Oxidation Profile1,3

After ESC testing

Infused with vitamin E, a natural

antioxidant, E1™ Technology defines a

new class of bearings and overcomes

the limitations of remelted and annealed

polyethylenes by uniting true oxidative

stability, high mechanical strength and

ultra low wear.1,2

Oxidative Stability

Testing has shown that vitamin E prevents

oxidative degradation of the polyethylene

without remelting, allowing the material to

maintain mechanical properties and wear

resistance over time.1

87 percent (posterior

stabilized) wear reduction

over conventional Direct

Compression Molded

polyethylene in the knee1

Mechanical Strength

E1™ material is never remelted

and therefore maintains its strength.1,2

It is also stronger than sequentially

crosslinked and annealed materials after

fatigue testing in an accelerated aging

environment (environmental stress

crack testing).1

Ultra Low Wear

10 Mrad (100 kGy) irradiation results

in high levels of crosslinking for

wear resistance.1

Page 3: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

11

Ultra Low Wear

DCM

UHMWPE

Vo

lum

etr

ic W

ea

r R

ate

(mm

3/M

C)

Volumetric Wear Rates

of Largest Cruciate Retaining (CR)

Tibial Bearing Profile1

Tested at Biomet Biomaterials Laboratory

86% CR wear

reduction

over Direct

Compression

Molded

E1™

Material

0

10

20

30

40

50

43.4

6.1

87% PS wear

reduction

over Direct

Compression

Molded

DCM

UHMWPE

Vo

lum

etr

ic W

ea

r R

ate

(mm

3/M

C)

Volumetric Wear Rates

of Largest Posterior Stabilized (PS)

Tibial Bearing Profile1

Tested at University of Nebraska

E1™

Material

0

5

10

15

20

25

21.33

2.87

CoCr/

ArComXL®

Polyethylene

BIOLOX®

delta/

ArComXL®

Polyethylene

CoCr/

E1™

Material

BIOLOX®

delta/

E1™

Material

Metal-on-

Metal

(Run-in Wear)

0

5

10

15

20

25

30

Vo

lum

etr

ic W

ea

r R

ate

(mm

3/M

C)

Volumetric Wear Rates

of 38mm Acetabular Liners1

5 Million Cycles

38mm Head Size

15.62

3.16

1.71 1.37

27.44

89% large

head wear

reduction over

ArComXL®

Polyethylene

89 percent wear reduction with

large heads when compared to

ArComXL® Polyethylene in the hip1

Page 4: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

2

E1™ Technology and the Vanguard® Complete Knee System

E1™ Tibial Bearings Vanguard® Complete Knee System

• Fiveprimaryarticulations*

(seeadjacentgraphics)

• Patented1:1conformityincoronalplane:**

allowsunlimitedfemoral/tibialsizingoptions

• Patellartendonrelieffacilitatesincreased

rangeofmotion

• Compressivelyloadedtibiallocking

mechanismprovidesprovenresistance

totibialmicromotion4

DCM Unaged1 DCM Aged1 E1™

Material

Unaged1

E1™

Material

Aged1

100kGy

Remelted5

Tensile

Strength (MPa)

Yield

Strength (MPa)

0

10

20

30

40

50

Te

nsile

Str

en

gth

(M

Pa

)

Ultimate Tensile and Yield Strengths

for Multiple Polyethylenes1,5

48.1

20.1

45.8

22.6

46.1

22.8

33.3

19.0

40.8

21.3

*Articulationavailabilitymayvarybyregion.Pleasecontactyour

localBiometRepresentativefordetails.

**U.S.PatentNo.5,330,534

Page 5: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

3

Knee System

Cruciate Retaining

• 3degreesposteriorslope

• 15degreesinternal/externalrotation

Cruciate Retaining Lipped

• Enhancedposteriorlip

• 15degreesinternal/externalrotation

Anterior Stabilized

• Prominent10mmanteriorlip

• 5mmposteriorlip

• 6degreesinternal/externalrotation

Posterior Stabilized

• Novarus/valgusconstraint

• 15degreesinternal/externalrotation

Posterior Stabilized Plus

• 2degreesvarus/valgusconstraint

• +/-2degreesinternal/externalrotation

E1™Tibial

BearingOptions

Page 6: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

4

E1™ Technology and the Taperloc® Microplasty® Hip

E1™ Acetabular Liners RingLoc®+ Modular Acetabular System

• Fivelinerconfigurationsavailablefrom

28–40mminnerdiameters

(seeadjacentgraphics)

• Canbeusedwithlargefemoralheadsfor

optimaljointstabilityandrangeofmotion

• BIOLOX®deltaceramicheadsonE1™

bearingsreducewearby46percentover

cobaltchromeheads1

E1™

Material1100kGy

Remelted5

50kGy

Remelted6

Tensile

Strength (MPa)

Yield

Strength (MPa)

0

10

20

30

40

50

Te

nsile

Str

en

gth

(M

Pa

)

Ultimate Tensile and Yield Strengths

for Multiple Polyethylenes1,5–6

24.2

43

19

33

21

34

Page 7: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

System E1™ Acetabular

Liner Options

Max-Rom™+ Liner

• Maximizesrangeofmotion

• Allowsfora36mmheadina50mmcup

Hi-Wall+ Liner

• Addedlipoffersadditionaljointstability

• Allowsfora36mmheadina50mmcup

10-Degree Liner

• 10degreeangledfaceoffersadditional

jointstability

• Reducestheangleofaverticalliner

+5mm Hi-Wall Liner

• Addedlipoffersadditionaljointstability

• 5mmoffsetforjointrestorationin

revisioncases

+5mm Liner

• Maximizesrangeofmotion

• 5mmoffsetforjointrestorationin

revisioncases

Page 8: E1 Antioxidant Infused Technology - Joint Replacement · Thermally Treated Ultra-High Molecular Weight Polyethylene for Joint Replacements. 171–82, 2004. 6. Greer, K.W. et al. The

BIOLOX®delta is a trademark of CeramTec AG.

All trademarks herein are the property of Biomet, Inc. or its subsidiaries unless

otherwise indicated.

This material is intended for the sole use and benefit of the Biomet sales force and

physicians. It is not to be redistributed, duplicated or disclosed without the express

written consent of Biomet.

For product information, including indications, contraindications, warnings,

precautions and potential adverse effects, see the product-specific package inserts

and Biomet’s website.

References

1. Data on file at Biomet. Bench test results not necessarily indicative

of clinical performance.

2. Kurtz, S. et al. The UHMWPE Handbook: Ultra High Molecular

Weight Polyethylene in Total Joint Replacement. Elsevier Academic

Press. San Diego, CA. 2004.

3. Nabar, S. et al. Comparison of Second Generation Highly Crosslinked

Polyethylenes Under Adverse Aging Conditions. ORS 2008. Poster

No. 1684.

4. Parks, N.L. et al. Modular Tibial Insert Micromotion: A Concern with

Contemporary Knee Implants. Clinical Orthopaedics and Related

Research. 356: 10–15, 1998.

5. Bhambri, S. et al. The Effect of Aging on Mechanical Properties

of Melt-annealed Highly Crosslinked UHMWPE. Crosslinked and

Thermally Treated Ultra-High Molecular Weight Polyethylene for

Joint Replacements. 171–82, 2004.

6. Greer, K.W. et al. The Effect of Raw Material, Irradiation Dose, and

Irradiation Source on Crosslinking of UHMWPE. Crosslinked and

Thermally Treated Ultra-High Molecular Weight Polyethylene for

Joint Replacements. 290–20, 2004.

P.O. Box 587, Warsaw, IN 46581-0587 • 800.348.9500 x 1501

©2008, 2009 Biomet Orthopedics • www.biomet.com

Form No. BOI0314.1 • REV103109

One Surgeon. One Patient.SM

ORTHOPEDICS