Distributed by Bone Bank Allografts
Transcription
Distributed by Bone Bank Allografts
Distributed by Bone Bank Allografts Dear Valued Customer: On behalf of Bone Bank Allografts, we appreciate you taking the time to review this customer manual. It was designed to be a strong resource for you. The manual provides background information on our allografts, safety and processing procedures, as well as some of the common surgical indications. This information is provided for reference purposes only and is not intended to prescribe medical care. Bone Bank Allografts is committed to honoring the gracious gift of donation by providing the medical community with safe, high quality surgical solutions. For your convenience, you can also access this information at our website at www.bonebank.com. We greatly appreciate your business and if you ever have any questions, please do not hesitate to contact our sales team or me directly at (800) 397-0088. It is always our great pleasure to assist you. Warmest Regards, Joe M. Mims, President Bone Bank Allografts Bone Bank Allografts 4808 Research Drive San Antonio, TX 78240 (800)397-0088 [email protected] www.bonebank.com An AATB certified tissue bank STERILE HUMAN TISSUE ALLOGRAFTS TABLE OF CONTENTS About Bone Bank Allografts ……...………………................................................................ page 3 Allograft Processing ……...…………………............................................................................ page 5 An Introduction to Allografts ……............................................................................................. page 9 SteriGraft™ Soft Tissue Allografts ……………………………….………….... page 13 Whole Patellar Tendon with Quadricep ……………………….…….…..……. page 13 Hemi Patellar Tendon ………………...…………………………….………… page 13 Pre-Shaped Patellar Tendon 10 mm …...………………………….…….…….. page 13 Achilles Tendon without Bone Block …….………………...…………...…….. page 14 Achilles Tendon with Bone Block …….………………………………...…….. page 14 Pre-Shaped Achilles Tendon 10mm …..………………………………...…….. page 14 Gracilis Tendon …………..……………………………………….….………. page 15 Semitendinosus Tendon ……….……………………………….……….…….. page 15 Semitendinosus - Gracilis Bundle …..……………………….….……….…….. page 15 Tibialis Tendon Anterior ………..……………………….………..…….…….. page 16 Tibialis Tendon Posterior ……………………………….……….……….…….. page 16 Peroneus Longus Tendon …..……….………………………….……….…….. page 16 Fascia Lata …………………………………………………………..….…….. page 17 Pericardium …..……………………………………………………..….…….. page 18 Costal Cartilage ……………………………………………………...….…….. page 18 SteriGraft™ Traditional Bone Allografts …….………………………….…….. page 19 Cancellous Block ………………….…………….…………………………….. page 19 Cancellous Crushed 1 - 4 mm ………………..……….…………...…..….…….. page 19 Cancellous Crushed 4 – 10 mm ……………..……….………….…...……..….. page 20 Cancellous Cubes 5 mm ………………….…..………………….…………….. page 20 Cortical - Cancellous Crushed 1 - 4 mm ……..……………………….….…….. page 21 Cortical - Cancellous Crushed 4 - 10 mm ……...….………………………...….. page 21 Ilium Tricortical Block ……………………………….……………………….. page 22 Ilium Tricortical Strip ….…………………………….……………………….. page 22 Ilium Bicortical Strip ………...…………………….……………....….……….. page 23 Ilium Bicortical Plug ………………………………….…....…………….…….. page 23 Unicortical Dowel …………….………………………………...……….…….. page 24 Cortical - Cancellous Struts ………………………….………………….…….. page 24 Cortical Struts …………………………………..…...…………….……….….. page 24 Rib Section …….……………………………………………...……….……... page 25 Patella Block ………………… …………............................................…….…….. page 25 CONTINUED - See top of next page for traditional & specialty products Page 1 | www.bonebank.com | 1-800-397-0088 STERILE HUMAN TISSUE ALLOGRAFTS SteriGraft™ Traditional Bone Allografts (continued) …..…..….………….... page 26 Cortical Plate …………………………………………………….…….……… page 26 Fibula Shaft …………………..………………....……………...….…….…….. page 27 Tibia Whole …………………………………...………….………....….….….. page 28 Tibia Section …………………………………...………….………..….….….. page 28 Femoral Head ……….….…………….………….……………........…….…….. page 29 Femur Whole ……….….…………….………….……………........…….…….. page 29 Femur Proximal …………………………………………...……………….….. page 29 Femur Distal …………..………………………………………...……….…….. page 30 Femur Shaft Split …....………………………….…………………….….…….. page 30 Femur Section ………..………………………………………………...….….. page 31 Humerus Proximal ……………………………………………….…….….….. page 32 Humerus Distal ………….……………………………………….…….….….. page 32 Humerus Section …………...…….……………………………….…….….….. page 32 SteriFuse™ DBM …………………………………………………………..…….. page 33 SteriGraft™ Precision Specialty Allografts ……………………………..…….. SteriGraft™ Cervical ACF …………………………………...……….……….. SteriGraft™ Cortical Ring Castled and Lordosed 5° ………………….……….. SteriGraft™ PLIF 9 x 23 mm ………………………...……………….……….. SteriGraft™ ALIF Castled and Lordosed 7° and 12° ………………….……….. SteriGraft™ Dense Cancellous Block ……………….……………..…….……... SteriGraft™ Unicortical Dense Cancellous Block …………………………….... SteriGraft™ Lordotic Bone Wedge ……..……...………………………………. SteriSorb™ Osteoconductive Sponge Allografts ..…...…..........................………... SteriFlex™ Wrappable Bone Allografts .....………….………………….....…….. page 34 page 34 page 35 page 36 page 37 page 38 page 39 page 40 page 41 page 42 SteriGraft™ Dental Bone Powder (Mineralized & Demineralized) …...….. page 43 SteriShield™ Protective Amnion Patch ……………………….……….…….. page 44 Ordering Information ……...……..………………………………….………..………. page 45 Copyright 2012, Bone Bank Allografts. All rights reserved. (LB-064 R00.) www.bonebank.com | 1-800-397-0088 | Page 2 ABOUT BONE BANK ALLOGRAFTS ABOUT BONE BANK ALLOGRAFTS Our Mission: Is to enhance the quality of patient care by providing safe, high quality allograft tissues to health care professionals for both transplant and research. The History of Bone Bank Allografts Bone Bank Allografts was founded in 1993 in response to a growing need for allograft tissue in South Texas. Hospitals and surgeons needed a reliable, consistent source of quality allografts for use in neurologic, orthopedic, oral-maxillofacial, and urologic surgeries. Bone Bank Allografts became that source for bone, soft tissues and cartilage. Since 1993, Bone Bank Allografts’ distribution network has grown to cover Texas, the country and the globe, fulfilling surgical needs for allograft tissue in more than 175,000 successful transplantations. Located in San Antonio, Texas, Bone Bank Allografts is dedicated to a just, equitable and fair distribution of cadaveric tissue to surgeons, hospitals, surgicenters and dental offices. Over the years, our customers have come to rely on the superior quality of our tissue products as well as the unmatched service of our well trained, certified Tissue Bank Specialists (CTBS) and our knowledgeable distribution staff. With accreditation from the American Association of Tissue Banks (AATB), registration with the U.S. Food and Drug Administration (FDA) and compliance with the FDA’s Good Tissue Practices, Bone Bank Allografts continues to pursue our mission: To enhance the quality of patient care by providing safe, high quality allograft tissues to health care professionals for transplant and research. Most recently, Bone Bank Allografts has taken the next important step in tissue banking by developing a powerful partnership with Texas Human Biologics (THB) in order to process donated human tissue. Page 3 | www.bonebank.com | 1-800-397-0088 www.bonebank.com | 1-800-397-0088 | Page 4 LB-064 R00 ABOUT BONE BANK ALLOGRAFTS Our Partnership with Texas Human Biologics In 2006, Bone Bank Allografts recognized a significant need for a higher allograft processing standard. In accordance with its mission, BBA constructed a state of the art facility for processing donated human tissue. Located in the Texas Research Park, currently dedicated to the pursuit of biotechnology research and development, Texas Human Biologics emerged in February 2007. THB was designed and built in full compliance with environmental conditions and standards required for the processing of human tissue as set forth by the AATB and FDA. The result of this groundbreaking partnership is the SteriGraft™ line of allograft products. SteriGraft™ products are manufactured using the fully validated, trademarked GraftShield™ method resulting in precision crafted tissues for application in a vast array of surgical procedures. Licenses and Certifications Bone Bank Allografts is accredited by the American Association of Tissue Banks (AATB) and follows procedures for tissue banking based on strict standards. Additionally, Bone Bank Allografts is licensed by and follows regulations set forth by the States of New York, California, Maryland, Oregon, and Florida. Bone Bank Allografts adheres to the federal laws and guidelines of the United States Food and Drug Administration (FDA), Centers for Disease Control (CDC) and United States Public Health Service (USPHS). Copies of related licenses and certifications are available for download from our website at www.bonebank.com. LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 4 PROPRIETARY ALLOGRAFT PROCESSING Overview of the GraftShield™ Process While the options for surgical musculoskeletal repair continue to expand, a growing number of surgeons worldwide choose bone and soft tissue allografts as a safe, effective and convenient surgical option. Allografts bearing the SteriGraft™ label fulfill the discriminating surgeon’s desire to extend extraordinary patient care. Our superior level of allograft processing begins with rigorous Donor Screening and meticulous Donor Recovery Procedures, Certified Laboratory Testing, validated Tissue Cleansing, Sterile Packaging, and a meticulous Quality Assurance & Documentation system that ranks second to none. The GraftShield™ allograft processing system is designed to set an entirely new standard in allograft sterilization. This system offers scientifically validated tissue sterilization (validated to SAL 10-6 in accordance with ISO 11137-2 Method 1) which virtually eliminates the risk of bacterial disease transmission. Donor Screening & Reviews Our donor screening and recovery partners meet or exceed all industry standards set forth by the American Association of Tissue Banks. Following donation consent, our extensive evaluation process includes: • • • A detailed potential donor screening and evaluation process to review medical history as well as any lifestyle or behavioral issues which may disqualify donation. Individuals identified with risk factors for or clinical evidence of relevant communicable diseases and disease agents (RCDADS) such as AIDS, viral Hepatitis, Sepsis, etc., are ruled out as potential donors or are later disqualified if subsequent investigation reveals high risk markers. An on-site review of the potential donor’s relevant medical records to evaluate other rule out conditions. A physical assessment of each donor candidate just prior to tissue recovery to confirm donor identity, evaluate the accuracy of medical and social history collected, and to look for signs/symptoms of other disqualifying conditions or risk factors. Donor Recovery & Processing Extreme care is taken to ensure donor tissues are recovered, processed and packaged appropriately so that the donor gift materializes in the most beneficial way for transplant recipients. We believe the best way to honor donors is to maximize the number of individuals helped through their generous donation. Maximizing the gift while safeguarding the public trust by providing safe, sterile human allograft tissue is the primary goal of our processing efforts. Stringent tissue donor screening, recovery, storage and shipping guidelines are followed to best preserve the allografts for their intended function. Page 5 | www.bonebank.com | 1-800-397-0088 LB-064 R00 PROPRIETARY ALLOGRAFT PROCESSING Certified Laboratory Testing In accordance with FDA and AATB Standards, donor specimens are collected and sent to an independent laboratory certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) to test for the following infectious diseases and antibody or antigen markers listed below: Human Immunodeficiency Virus Type I Ab HIV I Antibody HIV I Nucleic Acid Test Human Immunodeficiency Virus Type II Ab HIV II Antibody Human T-Lymphotrophic Virus Type I HTLV I Antibody Human T-Lymphotrophic Virus Type II HTLV II Antibody Hepatitis B Virus HBc Antibody (total) HBs Antigen Hepatitis C Virus HCV Antibody HCV Nucleic Acid Test Syphilis Rapid Plasma Reagin Test FTA Confirmation All donors are evaluated for hemodilution which could potentially affect test results. Only a licensed physician determines final donor suitability. GraftCleanse™ Tissue Cleansing The GraftShield™ process requires aseptic handling of all tissue throughout processing and is based on a scientifically validated sterilization method which results in a Sterility Assurance Level (SAL) of 10-6 in accordance with ISO 11137-2 Method 1. This validated process is designed to protect the biomechanical PROPRIETARY ALLOGRAFT PROCESSING properties of each allograft while virtually eliminating patient risk. During processing, tissues are treated with the GraftCleanse™ process which includes chemical and physical cleaning procedures that reduce the bone marrow and lipid elements associated with normal human tissue. LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 6 PROPRIETARY ALLOGRAFT PROCESSING Tissue Processing Our proprietary GraftSheild™ processing system was developed to offer the following advantages: ▪ Validated GraftCleanse™ tissue cleansing method ▪ Custom machinery designed exclusively by THB for tissue manufacturing and sterilization between each donor case ▪ Load strength testing ▪ Controlled exposure to freeze/thaw cycles Sterile Packaging The GraftShield™ Advantage • • • • Sterile human allograft tissues Final package sterilization Proprietary cleansing processes Bone Bank Allografts meets the exacting FDA regulations and AATB standards SteriGraft™ bone and soft tissue allografts are packaged with extreme care to preserve the validated sterile nature of the tissue. Packaging steps are cautiously taken to ensure that our allografts arrive to the end user in a manner that promises the highest patient safety and allograft quality. The following details outline our packaging advantages: • • • • • • • • Double Tyvek pouches and easy to read labeling Outer package which provides a durable moisture barrier designed to accommodate both ultra-low and ambient temperature storage Sterile inner pouch designed for easy delivery to the sterile field Terminal sterilization of product in its final packaging Validated three year expiration dating Included product insert which provides details regarding donor screening, testing and tissue processing Transplant record and multiple tissue ID barcode labels for operating room staff SteriGraft™ box allows for convenient stacking and storage Quality Assurance Our donor tracking, documentation, tissue processing, allograft packaging, storage and shipping processes ensure the availability of safe, high quality allografts. A three-level pre-processing review is performed by our highly trained Quality Assurance staff and Medical Director. The following items are carefully reviewed and documented: • • • • Donor qualification Medical/behavioral risk profile Review of consent/authorization to recover tissues for transplantation Review of recovery process/time frames/reconciliation of refrigeration times/recovery site assessment/recovery sequence Page 7 | www.bonebank.com | 1-800-397-0088 LB-064 R00 PROPRIETARY ALLOGRAFT PROCESSING • • • • • • • • • • • • • • Completion of recovery record Receipt/reconciliation of tissue recovered Supplies/materials used in recovery/ lot numbers and expiration dates Blood sample assessment/qualification Infectious disease testing results Procurement microbiology results Information sharing with other agencies who participated in recovery or receipt of recovered tissues Pathology/autopsy results if performed Tissue receipt records o Verification of Shipment parameters o Reconciliation of tissues shipped vs. received Processing records o SOP requirements have been met o Supplies used o Visual product / packaging inspection o Traceability of tissues received o Irradiation sterilization parameters o Residual Moisture results acceptable Completion of Quality Assurance investigations Completion of Production technical review Inventory data entry Final labeling Our Processing Partner Facility Located in the Texas Research Park in San Antonio, Texas Human Biologics (THB) has recently opened its new state-of-the-art human tissue processing center. The facility was designed and built to be in full compliance with environmental condition requirements for handling human tissue. All human tissues are handled in an ultra clean environment. Specialty features include: o Continuous sheet, seam welded cove base flooring o Gasketed, sealed, and washable ceilings o Full sheet glued Fiberglass Reinforced Polyester (FRP), seam sealed walls o Point of passage, magnehelic gauges for continuous monitoring of clean room zone pressures o Fully adjustable High Efficiency Particulate Air (HEPA) filter air handling system o Magnetic door interlocks for facility security and air pressure maintenance o Validated ethylene oxide sterilization of supplies and equipment o Validated steam sterilization of supplies and equipment LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 8 STERILE HUMAN TISSUE ALLOGRAFTS An Introduction to Allografts An allograft is transplantable tissue which comes from a human donor and is placed into a different recipient. This tissue is typically processed and sterilized, then used in grafting surgeries to repair damaged bones or ligaments. Conversely, an autograft is tissue which is harvested from the patient’s own body and then transplanted into another area needing repair. Both allografts and autografts are also contrasted to xenografts which are tissue transplants of animal origin intended for human recipients. The SteriGraft™ line from Bone Bank Allografts features human allografts. The Sterigraft™ line features validated sterile bone and soft tissue allografts for transplantation in a variety of surgical settings. Be assured that we have worked very hard to provide the safest and highest quality allograft tissue available for your upcoming surgery. We should not overlook the circumstances through which these allografts are available for your surgeons and patients. This superior surgical option is available because a donor and donor family made the decision to make a very generous donation. We believe this gracious gift should not be taken for granted. Many allograft recipients show their appreciation for the gift they have received by signing their own donor card, encouraging their family to do the same, and by becoming active in donation groups and causes. Even though one donor can touch the lives of over 100 other people, the need for life saving and life enhancing tissues and organs still exceeds the amount provided by donors. Consider becoming a donor hero! Contact us to find out how your hospital may benefit from becoming a Bone Bank Allografts donor referral partner. Page 9 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE HUMAN TISSUE ALLOGRAFTS Allograft Advantages Over Other Grafting Options Allografts offer a significant advantage over other grafting options. The following information highlights the advantages of allografts over each of the alternate grafting methods: ALTERNATE GRAFTING METHOD: Autograft Autografting is a process in which tissue is harvested from a patient and then transplanted to another area needing repair in the same individual. Allografts offer the following advantages over autografts: • Autografting actually involves two surgical procedures which increases the overall length of the surgery – allograft surgeries are faster • Autografting increases the length of time the patient is under anesthesia, increasing the risk of the surgery • Autografting poses several possible risks associated with the donor site which may result in infection, extended pain, additional scarring and weakness (because a small portion of the patient’s tissue has been permanently removed) • Patients may not have a sufficient amount of tissue available to accomplish the goal of the surgery • Allograft tissues can be pre-shaped specifically for individual surgical applications ALTERNATE GRAFTING METHOD: Xenograft A xenograft is transplantable tissue which comes from an animal and is intended for a human recipient. Allografts offer the following advantages over xenografts: • LB-064 R00 Reduced risk of rejection related to a donor of the same species (allograft) compared to potential immunity issues related to donation from a different species (xenograft) www.bonebank.com | 1-800-397-0088 | Page 10 STERILE HUMAN TISSUE ALLOGRAFTS ALTERNATE GRAFTING METHOD: Synthetic / Metal Many products exist in the market which consist of metal or synthetic materials. When compared to these options, allografts have the following advantages: • Nothing short of natural bone mimics the structural and biological properties of human allograft bone. • Most allografts used in transplantation will eventually be replaced with recipient tissue as it incorporates into the patient's body structures. Allografts, in conjunction with the patient’s native tissue, stimulate the cascade of normal tissue regeneration events, ultimately achieving stable incorporation. Metal and synthetic implants frequently achieve immediate stabilization and begin a cascade of degeneration events which can ultimately lead to implant or anatomical structure instability. • Many bone and connective tissue surgical treatments require implants to possess weight bearing properties – allografts are strong and can be used in weight bearing applications to help reestablish a more natural support. More importantly, the structures implanted will often remodel into the patient's own tissue. While metals and synthetics can accomplish the load bearing characteristics, they usually never achieve full incorporation. When considering all factors, allografts are clearly the superior surgical alternative to surgeons and patients alike. Medical Indications The SteriGraft™ line features a complete selection of traditional bone and connective tissue allografts which can be applied in neurologic, orthopeadic, sports medicine, dental/cranio facial, and urologic surgeries. Products in this line range from cancellous bone to femoral shafts, fibula sections, tricortical blocks, and more. Below is a list of many medical indications which commonly make use of allograft products in their surgeries. Disclaimer: The following information is provided to discuss the medical indications in which allograft tissues may be used. This is provided for very general informational purposes and in no way represents medical advice. We are a medical manufacturing company, not medical practitioners. Please use the information only in the way it is intended. General Orthopaedics • Osteo Defects • Acetabular Repair • Total Joint Revision • Bone Void Filler Page 11 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE HUMAN TISSUE ALLOGRAFTS Medical Indications (continued) Sports Medicine • Osteochondral Defects • Knee Ligament Repairs (ACL, PCL, MCL, and LCL) • Meniscal Transplantation • OC Transplantation • Soft Tissue Reattachment Spine Surgeries • Anterior Cervical Fusion (ACF) • Posterior Cervical Fusion (PCF) • Corpectemy with Fusion • Posterior Lumbar Interbody Fusion (PLIF) • Anterior Lumbar Interbody Fusion (ALIF) Oncology • Tumor Resection Limb Salvage • Matching • Joint Transplant Hand & Wrist Surgeries • Fusions • Carpal Fractures Foot/Ankle Surgery • Metatarsal Osteotomy • Metatarsal Fractures • Fusions • Malleolar Fractures Oral / Maxillofacial Surgery • Dental Implants • Reconstruction • Tumor Resection • Alveolar Ridge Augmentation Urology • Bladder Neck Suspension • Pelvic Floor Recast Copyright 2012, Bone Bank Allografts. All Rights Reserved. LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 12 STERILE SOFT TISSUE ALLOGRAFTS SteriGraft™ – Hemi / Whole Patellar Tendon Product Code 890 891 892 Description Whole Patellar Tendon with Quadricep Whole Patellar Tendon without Quadricep Hemi Patellar Tendon Size & Measurements X x W x Z mm T > 9 mm Y > 23 mm Q > 30 mm X x W x Z mm T > 9 mm Y > 23 mm X mm W > 10 mm Z > 10 mm T > 9 mm Y > 23 mm 892 Hemi patella tendon with quad Source: Tibia, patella and patellar ligament Preservation Method: Frozen Containers must be stored at -40°C or colder Measurement Description: X = inner tendon length. W = tendon width. Z = tibial bone block width. T = tibial bone block thickness. Y = tibial bone block length. Q = quad length (if present). Common Surgical Applications: Reconstruction of knee ligaments SteriGraft™ – Pre-Shaped Patellar Tendon 10 mm Product Code 8922 Description Pre-Shaped Patellar Tendon 10 mm Size & Measurements X mm W > 10 mm DT = 10 - 10.5 mm Y > 23 mm DP = 10 - 10.5 mm Z > 23 mm Source, Preservation Method, Surgical Applications: Same as above Measurement Description: (X) = inner tendon length. (W) = tendon width. (DT) = tibial bone dowel diameter. (Y) = length of the tibial bone dowel. (DP) = patellar bone dowel diameter. (Z) = length of the patellar bone dowel. Page 13 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE SOFT TISSUE ALLOGRAFTS SteriGraft™ – Achilles Tendon with & w/o Bone Block Product Code 809 893 Description Achilles Tendon without Bone Block Achilles Tendon with Bone Block Size & Measurements L > 240 mm See diagram L > 180 mm W > 10 mm Z > 10 mm T > 15 mm Y > 23 mm 893 Achilles Tendon with Bone Block Source: Achilles Tendon Preservation Method: Frozen Containers must be stored at -40°C or colder Measurement Description: (L) = tendon length. (W) = tendon width. (Z) = calcaneal bone block width. (T) = calcaneal bone block thickness. (Y) = calcaneal bone block length. Common Surgical Applications: Reconstruction of rotator cuffs, reconstruction of knee ligaments and Achilles tendon repair SteriGraft™ – Pre-Shaped Achilles Tendon 10 mm Product Code 8933 Description Pre-Shaped Achilles Tendon 10 mm Size & Measurements L > 180 mm W > 10 mm D = 10 – 10.5 mm Y > 23 mm Source: Achilles Tendon Preservation Method: Frozen Containers must be stored at -40°C or colder Measurement Description: (L) = tendon length. (W) = tendon width. (D) = calcaneal bone dowel diameter. (Y) = length of the calcaneal bone dowel. Common Surgical Applications: Reconstruction of rotator cuffs, reconstruction of knee ligaments and Achilles tendon repair LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 14 STERILE SOFT TISSUE ALLOGRAFTS SteriGraft™– Gracilis Tendon Product Code 894 Description Gracilis Tendon Size & Measurements L > 230 mm D > 5 mm Source: Gracilis Tendon Preservation Method: Frozen Containers must be stored at -40°C or colder Measurement Description: W = midpoint width. L = length. D = folded diameter. Common Surgical Applications: Reconstruction of knee, ankle wrist or shoulder ligaments SteriGraft™ – Semitendinosus Tendon Product Code 895 Description Semitendinosus Tendon Size & Measurements L > 230 mm D > 5 mm Source: Semitendinosus Tendon Preservation Method, Measurement Description & Common Surgical Applications: Same as above SteriGraft™ – Semitendinosus - Gracilis Bundle Product Code 8954 Description Semitendinosus Gracilis Bundle Size & Measurements L > 230 mm D > 8 mm (both tendons folded together as a single unit) Page 15 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE SOFT TISSUE ALLOGRAFTS SteriGraft™ – Tibialis Tendon Anterior Product Code 896 Description Tibialis Tendon Anterior Size & Measurements L> 230 mm D > 6 mm Source: Anterior Tibialis Tendon Preservation Method: Frozen Containers must be stored at -40°C or colder Measurement Description: W = midpoint width. L = length. D = folded diameter. Common Surgical Applications: Reconstruction of knee, ankle, wrist or shoulder ligaments SteriGraft™ – Tibialis Tendon Posterior Product Code 897 Description Tibialis Tendon Posterior Size & Measurements L > 230 mm D > 6 mm Source: Posterior Tibialis Tendon Preservation Method, Measurement Description & Common Surgical Applications: Same as above SteriGraft™ – Peroneus Longus Tendon Product Code 995 Description Peroneus Longus Tendon Size & Measurements L > 230 mm D > 6 mm Source: Peroneus Longus Tendon Preservation Method, Measurement Description & Common Surgical Applications: Same as above LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 16 STERILE SOFT TISSUE ALLOGRAFTS SteriGraft™ - Fascia Lata Product Code 701 702 703 704 Description Fascia Lata, 40 x 60 mm Fascia Lata, 50 x 80 mm Fascia Lata, 60 x 100 mm Fascia Lata, 70 x > 150 mm Size & Measurements W = 40 mm L = 60 mm W = 50 mm L = 80 mm W = 60 mm L = 100 mm W = 70 mm L > 150 mm Source: Lateral surface of the thigh Preservation Method: Lyophilized Containers must be stored at ambient temperature Description: Fascia may or may not include the iliotibial bands. The width (W) will be perpendicular to the grain, and the length (L) will be taken along the grain. Common Surgical Applications: Ligament reconstruction, repair of craniotomy and dural defects, eye lid repair, or bladder suspension SteriGraft™ - Fascia Lata - Frozen Product Code 791 792 793 794 Description Fascia Lata, 40 x 60 mm – Frozen Fascia Lata, 50 x 80 mm – Frozen Fascia Lata, 60 x 100 mm - Frozen Fascia Lata, 70 x >150 mm - Frozen Size & Measurements W = 40 mm L = 60 mm W = 50 mm L = 80 mm W = 60 mm L = 100 mm W = 70 mm L > 150 mm Source, Description, Common Surgical Application: Same as above Preservation Method: Frozen Containers must be stored at -40°C or colder Page 17 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE SOFT TISSUE ALLOGRAFTS SteriGraft™ – Pericardium Product Code 720 721 722 723 724 Description Pericardium, 15 x 20 mm Pericardium, 20 x 30 mm Pericardium, 30 x 40 mm Pericardium, 60 x 60 mm Pericardium, 80 x 80 mm Size & Measurements 15 x 20 mm (+/- 0.5 mm) 20 x 30 mm (+/- 0.5 mm) 30 x 40 mm (+/- 0.5 mm) 60 x 60 mm (+/- 5 mm) 80 x 80 mm (+/- 5 mm) Source: Pericardial sac Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Pericardial defect, dura matter repair, and periodontal reconstruction SteriGraft™ - Costal Cartilage - Saline Product Code 280 290 Description Costal Cartilage, 30 - 59 mm FROZEN Costal Cartilage, > 60 mm FROZEN Size & Measurements W > 10 mm L = 30 - 59 mm W > 10 mm L > 60mm Source: Rib Preservation Method: Frozen Containers must be stored at -40°C or colder Common Surgical Applications: Maxillofacial, nasal or ear reconstruction LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 18 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Cancellous Block 30 x 15 x 15 mm Product Code 303 Description Cancellous Block 30 x 15 x 15 mm Size & Measurements L = 30 mm W = 15 mm T = 15 mm Source: Proximal / distal tibia, distal femur, femoral head or humeral head Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion or general orthopaedic reconstruction SteriGraft™ – Cancellous Crushed 1 – 4 mm Product Code 316 309 308 306 307 Description Cancellous Crushed 1 – 4 mm, 5 cc Cancellous Crushed 1 – 4 mm, 10 cc Cancellous Crushed 1 – 4 mm, 15 cc Cancellous Crushed 1 – 4 mm, 30 cc Cancellous Crushed 1 – 4 mm, 60 cc Size & Measurements Vol = 5 cc Vol = 10 cc Vol = 15 cc Vol = 30 cc Vol = 60 cc Source: Proximal and distal ends of long bones, ilium, calcaneus or talus Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Filling of bone defects, prosthetic or bone graft augmentation for spinal fusion, oral and maxillofacial, ankle and foot, or general orthopaedic reconstruction Page 19 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Cancellous Crushed 4 - 10 mm Product Code 317 312 313 310 Description Size & Measurements Cancellous Crushed 4 – 10 mm, 10 cc Cancellous Crushed, 4 – 10 mm, 15 cc Cancellous Crushed, 4 – 10 mm, 30 cc Cancellous Crushed, 4 – 10 mm, 60 cc Vol = 10 cc Vol = 15 cc Vol = 30 cc Vol = 60 cc Source: Proximal and distal ends of long bones, ilium, calcaneus or talus Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Same as above SteriGraft™– Cancellous Cubes 5 mm Product Code 318 315 304 305 Description Cancellous Cubes 5 mm, 10 cc Cancellous Cubes 5 mm, 15 cc Cancellous Cubes 5 mm, 30 cc Cancellous Cubes 5 mm, 60 cc Size & Measurements Vol = 10 cc Vol = 15 cc Vol = 30 cc Vol = 60 cc Source: Proximal and distal ends of long bones, ilium, femur, calcaneus or talus Preservation Method: Lyophilized Containers must be stored at ambient temperature LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 20 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Cortical - Cancellous Crushed 1 - 4 mm Product Code 449 458 464 465 397 398 385 Description Cortical - Cancellous Crushed 1-4 mm, 5 cc Cortical - Cancellous Crushed 1-4 mm, 10 cc Cortical - Cancellous Crushed 1-4 mm, 15 cc Cortical - Cancellous Crushed 1-4 mm, 30 cc Cortical - Cancellous Crushed 1-4 mm, 15 cc, FROZN Cortical - Cancellous Crushed 1-4 mm, 30 cc, FROZN Cortical - Cancellous Crushed 1-4 mm, 60 cc, FROZN Size & Measurements Vol = 5 cc Vol = 10 cc Vol = 15 cc Vol = 30 cc Vol = 15 cc FROZEN Vol = 30 cc FROZEN Vol = 60 cc FROZEN Source: Proximal and distal ends of long bones, ilium, calcaneus or talus Preservation Method: Lyophilized (Except as noted: Frozen item containers must be stored at -40°C or colder) Lyophilized item containers must be stored at ambient temperature Common Surgical Applications: Filling of bone void defects, augments prosthetic or other implants used for spinal fusion, oral and maxillofacial, ankle and foot, or general orthopaedic reconstruction SteriGraft™ – Cortical - Cancellous Crushed 4 - 10 mm Product Code 459 467 468 Description Cortical - Cancellous Crushed 4 – 10 mm, 10 cc Cortical - Cancellous Crushed 4 – 10 mm, 15 cc Cortical - Cancellous Crushed 4 – 10 mm, 30 cc Size & Measurements Vol = 10 cc Vol = 15 cc Vol = 30 cc Source: Same as above Preservation Method: Lyophilized Containers must be stored at ambient temperature and checked for the presence of a seal. Common Surgical Applications: Same as above Page 21 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Ilium Tricortical Block Product Code 103 124 125 126 127 128 114 101 116 115 Description Ilium Tricortical Block, 5 mm Ilium Tricortical Block, 6 mm Ilium Tricortical Block, 7 mm Ilium Tricortical Block, 8 mm Ilium Tricortical Block, 9 mm Ilium Tricortical Block, 10 mm Ilium Tricortical Block, 12 mm Ilium Tricortical Block, 15 mm Ilium Tricortical Block, 18 mm Tricortical Block, 25 mm Size & Measurements W = 5 mm L = 14–30 mm T1 > 10 mm T2 > 7 mm W = 6 mm L = 14–30 mm T1 > 10 mm T2 > 7 mm W = 7 mm L = 14–30 mm T1 > 10 mm T2 > 7 mm W = 8 mm L = 14–30 mm T1 > 10 mm T2 > 7 mm W = 9 mm L = 14–30 mm T1 > 10 mm T2 > 7 mm W = 10 mm L = 14–30 mm T1 > 10 mm T2 > 7 mm W = 12 mm L = 25–30 mm T1 > 10 mm T2 > 7 mm W = 15 mm L = 25–30 mm T1 > 10 mm T2 > 7 mm W = 18 mm L = 25–30 mm T1 > 10 mm T2 > 7 mm W = 25 mm L = 25–30 mm T1 > 15 mm T2 > 15 mm Source: Iliac crest Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion or general orthopaedic reconstruction SteriGraft™ – Ilium Tricortical Strip Product Description Code 118 Ilium Tricortical Strip, 40 mm 121 Ilium Tricortical Strip, 50 mm 123 Ilium Tricortical Strip, 60 mm Size & Measurements W = 40 mm L = 25–30 mm T1 > 10 mm T2 > 7 mm W = 50 mm L = 25–30 mm T1 > 10 mm T2 > 7 mm W = 60 mm L = 25–30 mm T1 > 10 mm T2 > 7 mm LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 22 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Ilium Bicortical Strip Product Code 504 Description Ilium Bicortical Strip, 40 mm 505 Ilium Bicortical Strip, 45 mm 506 Ilium Bicortical Strip, 50 mm 507 Ilium Bicortical Strip, 55 mm 508 Ilium Bicortical Strip, 60 mm Size & Measurements L = 38 - 42 mm W = 19 - 25 mm T1 > 9 mm T2 > 5 mm L = 43 - 47 mm W = 19 - 25 mm T1 > 9 mm T2 > 5 mm L = 48 - 52 mm W = 19 - 25 mm T1 > 9 mm T2 > 5 mm L = 53 - 57 mm W = 19 - 25 mm T1 > 9 mm T2 > 5 mm L = 58 - 62 mm W = 19 - 25 mm T1 > 9 mm T2 > 5 mm Source: Ilium Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spin al fusion/corpectomy or general orthopaedic reconstruction SteriGraft™ – Ilium Bicortical Plug Product Code 111 112 113 Description Ilium Bicortical Plug, 12 mm Ilium Bicortical Plug, 14 mm Ilium Bicortical Plug, 16 mm Size & Measurements D = 12 mm L = 10 - 14 mm D = 14 mm L = 10 - 14 mm D = 16 mm L = 10 - 14 mm Source: Ilium Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion Page 23 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Unicortical Dowel Product Code 201 202 203 204 Description Unicortical Dowel, 12 mm Unicortical Dowel, 14 mm Unicortical Dowel, 16 mm Unicortical Dowel, 18 mm Size & Measurements D = 12 mm L > 25 mm D = 14 mm L > 25 mm D = 16 mm L > 25 mm D = 18 mm L > 25 mm Source: Proximal and distal ends of long bones Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion, ORIF or general orthopaedic reconstruction SteriGraft™ – Strut Product Code 109 404 401 402 Description Cortical - Cancellous Struts, 50 mm (5 / pkg) Cortical - Cancellous Strut > 50 mm (1 / pkg) Cortical Struts, 50 mm (5 / pkg) Cortical Struts, 100 mm (5 / pkg) Size & Measurements L = 49 - 51 mm W = 4 - 6 mm T = 4 - 8 mm Same as above L = 49 - 51 mm W = 4 - 6 mm T = 4 – 8 mm L = 99 - 101 mm W = 4 - 6 mm T = 4 - 8 mm Source: Tibia, femur or ilium Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion, oral and maxillofacial reconstruction or general orthopaedic reconstruction LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 24 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Rib Section Product Code 501 Description Size & Measurements Varies - see diagram Rib Section Source: Rib Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Oral and maxillofacial reconstruction SteriGraft™ – Patella Block Product Code Description 100 Patella Block Size & Measurements W = 18 - 30 mm T1 > 9 mm; T2 > 5 mm L = varies, see diagram Source: Center of the patella Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion, tibial tubercle elevation/osteotomy or general orthopaedic reconstruction Page 25 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Cortical Plate Product Code 440 Description Cortical Plate 10 x 100 mm 441 Cortical Plate 10 x 150 mm 442 Cortical Plate 10 x 200 mm 443 Cortical Plate 20 x 100 mm 444 Cortical Plate 20 x 150 mm 445 Cortical Plate 20 x 200 mm Size & Measurements L = 98 - 102 mm W = 9 - 11 mm T > 3 mm L = 148 - 152 mm W = 9 - 11 mm T > 3 mm L = 198 - 202 mm W = 9 - 11 mm T > 3 mm L = 98 - 102 mm W = 19 - 21 mm T > 3 mm L = 148 - 152 mm W = 19 - 21 mm T > 3 mm L = 198 - 202 mm W = 19 - 21 mm T > 3 mm Source: Femur or tibia Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Hip revision or general orthopaedic reconstruction SteriGraft™ – Cortical Plate – Frozen Product Code 599 Description Cortical Plate 20 x 200 mm - Frozen Size & Measurements L = 198 - 202 mm W = 19 - 21 mm T > 3 mm Preservation Method: Frozen Containers must be stored at -40°C or colder Source & Common Surgical Applications: Same as above LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 26 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Fibula Shaft Product Code 426 432 433 425 434 435 Description Fibula Shaft, 40 mm Fibula Shaft, 60 mm Fibula Shaft, 80 mm Fibula Shaft, 100 mm Fibula Shaft, 120 mm Fibula Shaft, 150 mm Size & Measurements L= 38 - 42 mm D> 10 mm L= 58 - 62 mm D> 10 mm L= 78 - 82 mm D>10 mm L= 98 - 102 mm D> 10 mm L= 118 - 122 mm D> 10 mm L= 148 - 152 mm D> 10 mm Distributed as individual grafts Source: Fibula Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Cervical fusion/corpectomy or general orthopaedic reconstruction SteriGraft™ – Fibula Shaft - Frozen Product Code 496 497 498 495 499 Description Fibula Shaft, 60 mm - Frozen Fibula Shaft, 80 mm – Frozen Fibula Shaft, 100 mm – Frozen Fibula Shaft, 120 mm – Frozen Fibula Shaft, 150 mm - Frozen Size & Measurements L= 58 - 62 mm D> 10 mm L= 78 - 82 mm D>10 mm L= 98 - 102 mm D> 10 mm L= 118 - 122 mm D> 10 mm L= 148 - 152 mm D> 10 mm Source, Common Surgical Applications: Same as above Preservation Method: Frozen Containers must be stored at -40°C or colder Page 27 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Tibia Whole Product Code 490 Description Tibia Whole Size & Measurements Condyle to Condyle Source and Common Surgical Applications: Same as below Preservation Method: Frozen Containers must be stored at -40°C or colder SteriGraft™ – Tibia Section Product Code 406 407 Description Tibia Section, 80 – 100 mm Tibia Section, 101 - 200 mm Size & Measurements L = 80 - 100 mm D = mm (varies) L = 101 - 200 mm D = mm (varies) Source: Tibia Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Spinal fusion or general orthopaedic reconstruction SteriGraft™ – Tibia Section - Frozen Product Code 494 Description Tibia Section, 100 - 200 mm Frozen Size & Measurements L = 100 - 200 mm D = mm (varies) ID = mm (varies) Source and Common Surgical Applications: Same as above Preservation Method: Frozen Containers must be stored at -40°C or colder LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 28 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Femoral Head Product Description Code 692 Femoral Head - Frozen Size & Measurements D > 45 mm Preservation Method: Frozen Containers must be stored at -40°C or colder Common Surgical Applications: Hip revision or general orthopaedic reconstruction SteriGraft™ – Femur Whole Product Code 581 582 591 592 Description Femur Whole Left Frozen Femur Whole Left w/o head - Frozen Femur Whole Right Frozen Femur Whole Right w/o head - Frozen Size & Measurements Condyle to Condyle Condyle to Condyle SteriGraft™ – Femur Proximal Product Code 593 594 Description Femur Proximal Left w/Head Femur Proximal Right w/Head Size & Measurements L > 200 mm (see diagram) L > 200 mm (see diagram) Source: Femur Preservation Method: Frozen Containers must be stored at -40°C or colder Common Surgical Applications: Hip revision Page 29 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Femur Distal Product Code 695 696 Description Size & Measurements L > 200 mm W = mm (varies) W’ = mm (varies) D’ = mm (varies) L > 200 mm W = mm (varies) W’ = mm (varies) D’ = mm (varies) Femur Distal with Shaft Left Femur Distal with Shaft Right Source: Distal Femur Preservation Method: Frozen Containers must be stored at -40°C or colder Common Surgical Applications: General orthopaedic reconstruction SteriGraft™ – Femur Shaft Split Product Code 645 650 Description Femur Shaft Split (2 pcs) Femur Shaft Split (1 pc) Size & Measurements L > 200 mm W = mm (varies) L > 200 mm W = mm (varies) Source: Femur Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Hip revision or general orthopaedic reconstruction SteriGraft™ – Femur Shaft Split - Frozen Product Code 796 Description Femur Shaft Split (1 pc) Size & Measurements L > 200 mm Preservation Method: Frozen Containers must be stored at -40°C or colder LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 30 25 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Femur Section Product Code 604 Description Femur Section, 100 mm Femur Section, 150 mm Femur Section, 200 mm Femur Section, 250 mm 605 606 609 Size & Measurements L = 98 - 102 mm D > 20 mm L = 148 - 152 mm D > 20 mm L = 198 - 202 mm D > 20 mm L = 248 - 252 mm D > 20 mm Source: Femur Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Lumbar fusion, hip revision or general orthopaedic reconstruction SteriGraft™ – Femur Section (Frozen) Product Code 699 697 694 Description Femur Section, 150 mm - Frozen Femur Section, 200 mm - Frozen Femur Section, 250 mm - Frozen Size & Measurements L = 148 - 152 mm D > 20 mm L = 198 - 202 mm D > 20 mm L = 248 - 252 mm D > 20 mm Source & Common Surgical Applications: Same as above Preservation Method: Frozen Containers must be stored at -40°C or colder Page 31 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE TRADITIONAL BONE ALLOGRAFTS SteriGraft™ – Humerus - Frozen Product Code 291 Description Proximal Humerus Right – Frozen 292 Proximal Humerus Left - Frozen 298 Distal Humerus RT/LT - Frozen Size & Measurements L > 160 mm D = mm (varies) D2 = mm (varies) See diagram L > 160 mm D = mm (varies) D2 = mm (varies) See diagram L > 150 mm W’ = mm (varies) W = mm (varies) D’ = mm (varies) Drawing for 291 / 292 Source: Humerus Preservation Method: Frozen Containers must be stored at -40°C or colder Common Surgical Applications: ORIF or total shoulder reconstruction SteriGraft™ – Humerus Section – Frozen Product Code 293 Description Humerus Section Frozen Size & Measurements L > 148 mm; D > 15 mm D2 = mm (varies) Source & Common Surgical Applications: Same as above. Preservation Method: Frozen Containers must be stored at -40°C or colder SteriGraft Product Code 923 ™ – Humerus Section – Freeze Dried Description Humerus Section Size & Measurements L > 148 mm; D > 15 mm D2 = mm (varies) Drawings for 298 Drawing for 293 / 923 Source & Common Surgical Applications: Same as above. Preservation Method: Lyophilized Containers must be stored at ambient temperature LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 32 DEMINERALIZED BONE MATRIX DBM Putty and Crunch Product Code JHG-007P JHG-01P JHG-02P JHG-05P JHG-10P JHG-01C JHG-02C JHG-05C JHG-10C Description / Volume DBM Putty 0.7cc DBM Putty 1.0cc DBM Putty 2.5cc DBM Putty 5.0cc DBM Putty 10.0cc DBM Crunch 1.0cc DBM Crunch 2.5cc DBM Crunch 5.0cc DBM Crunch 10.0cc Now available from Bone Bank Allografts, a DBM Putty and Crunch with the following features: * 100% Human DBM bone void filler * No filler / carrier necessary due to a unique processing method * Both putty and crunch are flowable and formable * Does not wash away easily * Produced under strict c-GMP and ISO 13485 practices * Recovery and screening performed according to AATB and FDA guidelines * Terminally sterilized using validated gamma irradiation * 2 year shelf life Manufactured by Berkley Advanced Biomaterials and distributed by International Biologics Page 33 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ – Cervical ACF 11 x 14 mm Product Code 70505 70506 70507 70508 70509 Description Cervical ACF 5 mm 11 x 14 mm 5° Lordosed Cervical ACF 6 mm 11 x 14 mm 5° Lordosed Cervical ACF 7 mm 11 x 14 mm 5° Lordosed Cervical ACF 8 mm 11 x 14 mm 5° Lordosed Cervical ACF 9 mm 11 x 14 mm 5° Lordosed Size & Measurements H=5 mm W=14 mm L=11 mm H=6 mm W=14 mm L=11 mm H=7 mm W=14 mm L=11 mm H=8 mm W=14 mm L=11 mm H=9 mm W=14 mm L=11 mm * Cervical ACF is also available in parallel version Source: Femur or tibia Preservation Method: Lyophilized Containers must be stored at ambient temperature Description: Constructed of 100% human cortical bone. Computer designed and cut for high precision, tolerances, and consistency. Designed to work with universal inserters. Unique “V groove” surface serration pattern for improved traction. Common Surgical Applications: Cervical spinal fusion LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 34 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ – Cortical Ring Castled and Lordosed 5° Product Code 70005 70006 70007 70008 70009 70010 70011 Description Size & Measurements Cortical Ring Castled and Lordosed 5°, 5 mm Cortical Ring Castled and Lordosed 5°, 6 mm Cortical Ring Castled and Lordosed 5°, 7 mm Cortical Ring Castled and Lordosed 5°, 8 mm Cortical Ring Castled and Lordosed 5°, 9 mm Cortical Ring Castled & Lordosed 5°, 10 mm Cortical Ring Castled & Lordosed 5°, 11 mm H = 5 mm W =13 mm L = 11 mm H = 6 mm W =13 mm L = 11 mm H = 7 mm W = 13 mm L = 11 mm H = 8 mm W = 13 mm L = 11 mm H = 9 mmW = 13 mm L = 11 mm H = 10 mm W = 13 mm L = 11 mm H = 11 mm W = 13 mm L = 11 mm L Source: Radius or ulna Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Cervical spinal fusion SteriGraft™ – Cortical Ring Castled Product Code 71005 71006 71007 71008 71009 71010 71011 Description Size & Measurements Cortical Ring Castled, 5 mm Cortical Ring Castled, 6 mm Cortical Ring Castled, 7 mm Cortical Ring Castled, 8 mm Cortical Ring Castled, 9 mm Cortical Ring Castled, 10 mm Cortical Ring Castled, 11 mm H: 5mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) H: 6mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) H: 7mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) H: 8mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) H: 9mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) H: 10mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) H: 11mm (+0.3/-0.2) W: 13mm (+/-1.0mm) L: 11mm (+/-1.0mm) Page 35 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ – PLIF 9 x 23 mm Product Code 85007 85009 85011 85013 85015 Description PLIF 9 x 23 mm 7 mm height PLIF 9 x 23 mm 9 mm height PLIF 9 x 23 mm 11 mm height PLIF 9 x 23 mm 13 mm height PLIF 9 x 23 mm 15 mm height Size H=7 mm H=9 mm H=11 mm H=13 mm H=15 mm Source: Femur or tibia Preservation Method: Lyophilized Containers must be stored at ambient temperature Description: Constructed of 100% human cortical bone. Computer designed and cut for high precision, tolerances, and consistency. Designed to work with universal inserters. Unique groove surface serration pattern for improved traction. Common Surgical Applications: Posterior lumbar interbody fusion LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 36 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ - ALIF 28 x 28 mm 7º and 12º Lordosed Product Code 80710 Description ALIF 10 mm 28 x 28 mm 7º Lordosed ALIF 12 mm 28 x 28 mm 7º Lordosed ALIF 14 mm 28 x 28 mm 7º Lordosed ALIF 16 mm 28 x 28 mm 7º Lordosed ALIF 18 mm 28 x 28 mm 7º Lordosed ALIF 20 mm 28 x 28 mm 7º Lordosed Size & Measurements H=10mm, L=28 mm W = 28 mm H=12mm, L=28 mm W = 28 mm H=14mm, L=28 mm W = 28 mm H=16mm, L=28 mm W = 28 mm H=18mm, L=28 mm W = 28 mm H=20mm, L=28 mm W = 28 mm ALIF 10 mm 28 x 28 mm 12º Lordosed ALIF 12 mm 28 x 28 mm 12º Lordosed ALIF 14 mm 28 x 28 mm 12º Lordosed ALIF 16 mm 28 x 28 mm 12º Lordosed ALIF 18 mm 28 x 28 mm 12º Lordosed ALIF 20 mm 28 x 28 mm 12º Lordosed H=10mm, L=28 mm W = 28 mm H=12mm, L=28 mm W = 28 mm H=14mm, L=28 mm W = 28 mm H=16mm, L=28 mm W = 28 mm H=18mm, L=28 mm W = 28 mm H=20mm, L=28 mm W = 28 mm 80712 80714 80716 80718 80720 81210 81212 81214 81216 81218 81220 Source: Femur Preservation Method: Lyophilized Containers must be stored at ambient temperature Description: Constructed of 100% human cortical bone. Computer designed and cut for high precision, tolerances, and consistency. Designed to work with universal inserters. Unique “V groove” surface serration pattern for improved traction. Common Surgical Applications: Anterior lumbar interbody fusion Page 37 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ - Dense Cancellous Block 12 x 14 mm Product Code 72205 Description Dense Cancellous Block 12 x 14 mm, 5 mm 72206 Dense Cancellous Block 12 x 14 mm, 6 mm 72207 Dense Cancellous Block 12 x 14 mm, 7 mm 72208 Dense Cancellous Block 12 x 14 mm, 8 mm 72209 Dense Cancellous Block 12 x 14 mm, 9 mm 72210 Dense Cancellous Block 12 x 14 mm, 10 mm 72211 Dense Cancellous Block 12 x 14 mm, 11 mm Size & Measurements H = 5 mm L = 12 mm W = 14 mm H = 6 mm L = 12 mm W = 14 mm H = 7 mm L = 12 mm W = 14 mm H = 8 mm L = 12 mm W = 14 mm H = 9 mm L = 12 mm W = 14 mm H = 10 mm L = 12 mm W = 14 mm H = 11 mm L = 12 mm W = 14 mm Source: Femoral head, patella, distal tibia, talus or calcaneus Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Cervical spinal fusion LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 38 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ - Unicortical Dense Cancellous Block 12 x 14 mm Product Code 71305 71306 71307 71308 71309 71310 71311 Description Unicortical Dense Canc Block 12 x 14 mm, 5 mm Unicortical Dense Canc Block 12 x 14 mm, 6 mm Unicortical Dense Canc Block 12 x 14 mm, 7 mm Unicortical Dense Canc Block 12 x 14 mm, 8 mm Unicortical Dense Canc Block 12 x 14 mm, 9 mm Unicortical Dense Cancs Block 12 x 14 mm, 10 mm Unicortical Dense Canc Block 12 x 14 mm , 11 mm Size & Measurements H=5mm, L=12mm W=14mm H=6mm, L=12mm W = 14 mm H=7mm, L=12mm W=14mm H=8mm, L=12mm W=14mm H=9mm, L=12mm W=14mm H=10mm, L=12mm W=14mm H=11mm, L=12mm W=14mm Source: Femoral head, patella, distal tibia, talus or calcaneus Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Cervical spinal fusion SteriGraft™ - Unicortical Dense Cancellous Block 12x14 Lordosed 5° Product Code 70305 70306 70307 70308 70309 70310 70311 Description Unicortical Dense Canc Blk 12x14 Lordosed 5°, 5 mm Unicortical Dense Canc Blk 12x14 Lordosed 5°, 6 mm Unicortical Dense Canc Blk 12x14 Lordosed 5°, 7 mm Unicortical Dense Canc Blk 12x14 Lordosed 5°, 8 mm Unicortical Dense Canc Blk 12x14 Lordosed 5°, 9 mm Unicortical Dense Canc Blk 12x14 Lordosed 5°, 10 mm Unicortical Dense Canc Blk 12x14 Lordosed 5°, 11 mm Size & Measurements H=5mm, L=12mm W=14mm H=6mm, L=12mm W = 14 mm H=7mm, L=12mm W=14mm H=8mm, L=12mm W=14mm H=9mm, L=12mm W=14mm H=10mm, L=12mm W=14mm H=11mm, L=12mm W=14mm Page 39 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriGraft™ – Unicortical Cancellous Lordotic Bone Wedge Product Code 340 341 Description Unicortical Cancellous Lordotic Bone Wedge (Lg) Unicortical Cancellous Lordotic Bone Wedge (Sm) Size & Measurements H = 12 mm L = 38 mm W = 22 mm (+/-1.0mm) H = 6 mm L = 24 mm W = 14 mm (+/-1.0mm) Source: Ilium, talus, calcaneus, femoral condyles, proximal tibia, or patella Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Foot / Ankle Reconstruction SteriGraft™ – Lordotic Bone Wedge Product Code 330 331 Description Lordotic Bone Wedge (Lg) Lordotic Bone Wedge (Sm) Size & Measurements H = 10 mm L = 50 mm W = 40 mm (+/-0.5 mm) H = 6 mm L = 24 mm W = 14 mm (+/-0.5 mm) Source: Ilium, talus, calcaneus, femoral condyles, proximal tibia, or patella Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Foot / Ankle Reconstruction LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 40 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriSorb™ - Osteoconductive Sponge Allografts Product Code Description Size & Measurements 70808 70810 70812 70814 71800 71801 71802 71805 71810 71815 71830 75810 75815 75830 74810 74815 74818 74830 74840 74805 74801 74850 76810 76812 76814 SteriSorb™ Cube, 8 mm SteriSorb™ Cube, 10 mm SteriSorb™ Cube, 12 mm SteriSorb™ Cube, 14 mm SteriSorb™ Chips .5 cc SteriSorb™ Chips 1 cc SteriSorb™ Chips 2 cc SteriSorb™ Chips 5 cc SteriSorb™ Chips 10 cc SteriSorb™ Chips 15 cc SteriSorb™ Chips 30 cc SteriSorb™ Chips 10 cc SteriSorb™ Chips 15 cc SteriSorb™ Chips 30 cc SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Strip SteriSorb™ Cranial Disc SteriSorb™ Cranial Disc SteriSorb™ Cranial Disc 8 x 8 x 8 mm 10 x 10 x 10 mm 12 x 12 x 12 mm 14 x 14 x 14 mm 1 - 4 mm particles 1 - 4 mm particles 1 - 4 mm particles 1 - 4 mm particles 1 - 4 mm particles 1 - 4 mm particles 1 - 4 mm particles 4 - 10 mm particles 4 - 10 mm particles 4 - 10 mm particles 10 x 20 x 5 mm 15 x 40 x 5 mm 15 x 20 x 5 mm 20 x 30 x 5 mm 25 x 40 x 5 mm 5 x 50 x 5 mm 10 x 50 x 5 mm 20 x 50 x 5 mm 10 x 5 mm 12 x 5 mm 14 x 5 mm Source: Proximal and distal ends of long bones, ilium, calcaneus or talus Preservation Method: Lyophilized - Containers must be stored at room temperature Description: 100% cancellous bone that is compressible, has wicking characteristics, and maintains the biocompatibility of human bone. A new solution for “tight space” bone voids, which assumes characteristics of a sponge by absorbing saline, blood, or bone marrow aspirate. The graft compresses to 1/2 its original size (or less) then expands back to its former size to secure a better fit. This gives the surgeon more flexibility, decreases surgery time, reduces the potential for migration, and eliminates the leaching commonly seen with puttys and gels. Encourages excellent osteoconductivity and supports rapid vascularization of the allograft to incorporate the recipient’s natural bone growth factors and stimulate new bone growth. Such rehydration of bone implants has been discussed in the literature for years (Mulliken, Ann. Surg., 1981), but only recently has technology allowed us to commercially produce such an innovative solution. SteriSorb™ is sterilized with the GraftShield™ process for improved allograft safety. Common Surgical Applications: Spinal fusion and general orthopaedic surgeries; and dental reconstruction. Page 41 | www.bonebank.com | 1-800-397-0088 LB-064 R00 STERILE PRECISION SPECIALTY ALLOGRAFTS SteriFlex™ - Wrappable Bone Allografts Product Code 72825 72835 72850 72875 72810 73825 73835 73850 73875 Description SteriFlex™, 15 x 25 mm SteriFlex™, 15 x 35 mm SteriFlex™, 15 x 50 mm SteriFlex™, 15 x 75 mm SteriFlex™, 15 x 100 mm SteriFlex™, 20 x 25 mm SteriFlex™, 20 x 35 mm SteriFlex™, 20 x 50 mm SteriFlex™, 20 x 75 mm Size & Measurements W = 15 mm L = 25 mm W = 15 mm L = 35 mm W = 15 mm L = 50 mm W = 15 mm L = 75 mm W = 15 mm L = 100 mm W = 20 mm L = 25 mm W = 20 mm L = 35 mm W = 20 mm L = 50 mm W = 20 mm L = 75 mm Source: Femur, tibia, ilium or humerus Preservation Method: Lyophilized Containers must be stored at ambient temperature Description: 100% cortical bone that can be bent, contoured, rolled, trimmed, molded or sewn, making this flexible bone material incredibly versatile in surgical settings. Maintains the structure, stability, and osteoconductivity of human bone and stimulates new bone growth. Rehydration of bone implants for such a desired use has been discussed in the literature for years (Mulliken, Ann. Surg., 1981), but only recently has technology allowed us to commercially produce such an innovative solution. SteriFlex™ is sterilized with the GraftShield™ process for improved allograft safety. Common Surgical Applications: Orthopaedic, neurologic, dental / maxillofacial, trauma and bone augmentation LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 42 STERILE BONE POWDER - DENTAL SteriGraft™ – Mineralized and Demineralized Bone Powder Dental 4M25025 Mineralized Cortical Bone Powder Vol = .25cc 4M25050 Mineralized Cortical Bone Powder Vol = .5cc 4M25100 Mineralized Cortical Bone Powder Vol = 1cc 4M25200 Mineralized Cortical Bone Powder Vol = 2cc 4M25250 Mineralized Cortical Bone Powder Vol = 2.5cc 4M25500 Mineralized Cortical Bone Powder Vol = 5cc 5M25050 Mineralized Cort/Canc Bone Powder Vol = .5cc 5M25100 Mineralized Cort/Canc Bone Powder Vol = 1cc 5M25200 Mineralized Cort/Canc Bone Powder Vol = 2cc 5M25250 Mineralized Cort/Canc Bone Powder Vol = 2.5cc 5M25500 Mineralized Cort/Canc Bone Powder Vol = 5cc 6M25025 Demineralized Cortical Bone Powder Vol = .25cc 6M25050 Demineralized Cortical Bone Powder Vol = .5cc 6M25100 Demineralized Cortical Bone Powder Vol = 1cc 6M25200 Demineralized Cortical Bone Powder Vol = 2cc 6M25250 Demineralized Cortical Bone Powder Vol = 2.5cc 6M25500 Demineralized Cortical Bone Powder Vol = 5cc 7M25025 Demineralized Cort/Canc Bone Powder Vol = .25cc 7M25050 Demineralized Cort/Canc Bone Powder Vol = .5cc 7M25100 Demineralized Cort/Canc Bone Powder Vol = 1cc 7M25200 Demineralized Cort/Canc Bone Powder Vol = 2cc 7M25250 Demineralized Cort/Canc Bone Powder Vol = 2.5cc 7M25500 Demineralized Cort/Canc Bone Powder Vol = 5cc Preservation Method: Lyophilized Containers must be stored at ambient temperature Common Surgical Applications: Bone grafting applications in dental procedures Page 43 | www.bonebank.com | 1-800-397-0088 LB-064 R00 AMNION ALLOGRAFTS SteriShield™ – Protective Amnion Patch Product Code 730 731 732 733 830 831 832 833 834 835 838 839 Description SteriShield™ Single Layer Protective Amnion Patch Size & Measurements 1 x 1 cm SteriShield™ Single Layer Protective Amnion Patch SteriShield™ Single Layer Protective Amnion Patch SteriShield™ Single Layer Protective Amnion Patch SteriShield II™ Double Layer Protective Amnion Patch 2 x 2 cm SteriShield II™ Double Layer Protective Amnion Patch SteriShield II™ Double Layer Protective Amnion Patch SteriShield II™ Double Layer Protective Amnion Patch SteriShield II™ Double Layer Protective Amnion Patch SteriShield II™ Double Layer Protective Amnion Patch SteriShield™ Double Layer Protective Amnion Disc SteriShield™ Double Layer Protective Amnion Disc 2 x 2 cm 4 x 4 cm 4 x 6 cm 1 x 1 cm SteriShield II™ – Dual Layer Protective Amnion Patch is shown above. 2 x 3 cm 4 x 4 cm 4 x 6 cm 4 x 8 cm 10 mm diameter 16 mm diameter Source: Human placental tissues Preservation Method: Desiccated - Containers must be stored at ambient, room temperature Description: SteriShield™ protective amnion patches provide safe, natural protection for both superficial and deep wounds, providing a physical cover for the wound bed, even in surgical sites. Amnion has been shown to be readily accepted in tissue transplantation and does not lead to adverse immune responses. Common Surgical Applications: Spinal fusion and other orthopedic surgeries, tendon / soft tissue procedures, podiatric surgeries, dental surgeries, ophthalmology surgeries, cosmetic surgeries, bariatric procedures, and burns or wound care treatments. LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 44 ORDERING INFORMATION Contacting Us Bone Bank Allografts is committed to meeting your needs for safe, high-quality musculoskeletal tissues for transplantation. Our aim is to meet all product needs and surgery dates with our diverse selection of available grafts. We are proud to be able to provide over 20,000 allografts per year for transplant surgeries within the United States and internationally. Our Certified Tissue Bank Specialists handle the distribution of tissues as well as address any concerns regarding the tissue or the distribution process. A BBA Account Manager can be reached Monday through Friday, between 8:00 a.m. and 5:00 p.m. CST, at (800) 397-0088 or at (210) 696-7616. A staff member is always on call outside regular operating hours to respond to emergency orders and concerns and will generally respond to your call within 15 minutes. In addition, Bone Bank Allografts’ technical staff is available to answer questions, offer suggestions, or discuss custom tissue needs. Our Executive Director and our Director of Quality Assurance are always available to consult with surgeons or hospital personnel regarding allograft usage. Bone Bank Allografts Client Services 4808 Research Drive San Antonio, TX 78240 Main: 210-696-7616 Toll Free: 800-397-0088 Fax: 210-696-7609 Email: [email protected] Page 45 | www.bonebank.com | 1-800-397-0088 LB-064 R00 ORDERING INFORMATION Placing an Order When placing tissue orders, the following information is required: • name of person placing order • hospital name • phone number • purchase order number • specific tissue type and size • case date • procedure to be performed • surgeon name Special Orders Custom grafts may be discussed with the BBA Account Manager at any time. Texas Human Biologics, our expert processing facility, can customize allografts to meet unique surgical needs. Contact your Account Manager to coordinate a specific design to suit your surgeon and patients’ need. Please allow a minimum of 4-6 weeks for custom orders. We may also provide various bone and soft tissue products which are not featured in this catalog. These items may not be readily available in our inventory but upon request, may be produced. Please contact your Account Manager at Bone Bank Allografts to discuss your specific needs. LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 46 ORDERING INFORMATION Delivery Options Local Delivery Services (San Antonio, Texas) Medcare Express Delivery Service (M.E.D.S.) • 911 (45 minutes – 1 hour) • STAT (1-2 hours) • Routine (3-4 hours or by end of business day) Cost: $25 (regardless of service) Fed Ex Delivery Services • • • • • • First Overnight delivered by 8-8:30am (where available) Priority One delivered by 10:30am (by noon or 4:30 pm in remote areas) Standard delivered by 3:30pm (4:30 pm in remote areas) Two Day delivered on the 2nd business day by 4:30 pm Express Saver delivered on the 3rd business day by 4:30 pm to a business (7 pm to residences) Estimated freight costs (as of catalog publication date – call for current rates) are provided below: Delivery Time 8:00 AM 10:30 AM 3:30 or 4:30 PM Two Day (by 4:30) Three Day (by 4:30/7) Varies Fed Ex Service First Overnight Priority One Standard Two Day Express Saver Saturday Delivery Freeze Dried Estimated Shipping Cost* $88.00 $62.00 $52.00 $42.00 $37.00 $25.00 (additional) Frozen Estimated Shipping Cost* $155.00 $95.00 NA NA NA $25.00 (additional) *Shipping estimates are subject to change without notice. Actual shipping charges will apply. Estimates for frozen shipments are based on the amount of dry ice required to ship the package. International Delivery Services - Contact us at 800-397-0088 for a quote of services available and estimated shipping costs. Storage Indications Freeze-dried or air-dried allograft tissues should be stored at room temperature (approximately 20 to 24 degrees Centigrade). Frozen tissue should be stored at -40 degrees Centigrade or below. Short-term frozen storage (six months or less) requires storage at -20 degrees Centigrade. If a frozen graft is thawed, it can be stored up to 24-hours in a 1-6 degrees Centigrade refrigerator. BBA shipping containers have been validated to maintain appropriate storage temperatures. Page 47 | www.bonebank.com | 1-800-397-0088 LB-064 R00 ORDERING INFORMATION Returns / Credit Policy Bone Bank Allografts’ mission is to provide only safe, high quality allograft tissues to health care professionals. In an effort to meet these goals, Bone Bank Allografts will accept returned human allograft tissue for exchange or credit provided the tissue has been consistently maintained, and the following return procedures have been followed. General criteria for returning tissue are as follows: No Frozen return requests will be accepted at any time. No return requests for grafts shipped with a 6-month or shorter expiration will be accepted. No Freeze-dried return requests will be accepted after thirty (30) days from the invoice date. A Return Goods Authorization # must be received from a Bone Bank Allografts Account Manager and clearly indicated on the outside of the package. Human allograft tissue must be in its original, unopened and untampered container. Original labeling must be legible, intact, and not defaced in any manner. Human allograft tissue must be returned using shipping methods, containers and packing materials in accordance with Bone Bank Allografts return procedures. Human allograft tissue must be received in good condition at Bone Bank Allografts. Freeze-Dried Tissue: • Freeze-Dried and Saline preserved human allograft tissue must be stored and maintained at ambient temperatures while at your facility. • Freeze-dried human allograft tissue should be wrapped in bubble packaging or other material that will reduce the risk of breakage, damage or puncture during shipment • Freeze-dried human allograft tissue should be returned for delivery within 5 days from the date you receive return authorization or the return will no longer be accepted. Procedures for Returning Human Allograft Tissue 1. Call your Account Manager at 800-397-0088 to receive a Return Authorization Number (RA#). You will need the serial numbers of the grafts you are returning, the storage information for each graft, and a detailed reason for the return. 2. Clearly write the RA# on the outside of the package. 3. All returns must be addressed to: Bone Bank Allografts Returns 4808 Research Drive San Antonio, TX 78240 4. All returns must be shipped via a courier that offers tracking services. Contact your Account Manager at 800-397-0088 with tracking number(s) for your return shipment. Bone Bank Allografts reserves the right to refuse any return that has not met the conditions and specifications of this policy. Some returns may be subject to further restrictions. All returns are subject to a 20% restocking fee. LB-064 R00 www.bonebank.com | 1-800-397-0088 | Page 48