PINNACLE® REVISION CUP SYSTEM

PINNACLE
REVISION
CUP SYSTEM
®
This publication is not intended for distribution in the USA.
DESIGN RATIONALE
FLEXIBILITY. PRECISION. CONFIDENCE.
DePuy Synthes Joint Reconstruction is proud to offer the PINNACLE Revision
Acetabular Cup System to address the need for enhanced stability and biomechanical
optimisation while providing immediate and long-term fixation.
The PINNACLE Revision Acetabular Cup System was designed to deliver intraoperative
flexibility to address the unique challenges of revision acetabular surgery.
DESIGNED IN CONSULTATION WITH:
William Barrett, MD Seattle WA
Michael Christie, MD Nashville TN
Daniel Berry, MD Rochester MN
Charles Engh, MD Alexandria VA
Gregory Brick, MD Boston MA
Thomas Fehring, MD Charlotte NC
John Callaghan, MD Iowa City IA
William Griffin, MD Charlotte NC
The PINNACLE Revision Acetabular Cup System consists of the Standard
Profile, Deep Profile (DPx) and a Multi-hole shell that feature:
• Allowance for mechanical fixation in the rim or dome
• Dome screw holes that can angulate up to 34 degrees designed for
intraoperative flexibility and optimal bony purchase
• The patented VIP taper that accommodates multiple bearing options
to address a wide array of patients, activity levels and demand
requirements
• Available sizes ranging from 38 to 80 mm
• GRIPTION® Porous Coating
1
DePuy Synthes Joint Reconstruction
PINNACLE Revision Cup System
Design Rationale
FIXATION: IMMEDIATE AND LONG-TERM
Standard and Deep Profile (DPx) shells feature:
• A full 180-degree hemisphere for rim friction fit designed to
enhance immediate cup stability
• Deep Profile (DPx) shells with variable, progressive lateralisation that
increases with shell size to provide proper graduated proportional
medial defect fill
• Multiple peripheral and dome screw holes for immediate fixation
• Superiorly clustered dome screw holes to aid bone screw positioning
into the best quality host bone
• Peripheral screw holes for additional fixation while complementing
the natural compressive loading of the acetabulum
GRIPTION Porous Coating
GRIPTION technology is a cementless coating specifically engineered
to maintain a clinically advantageous 64% surface volume porosity
and an average 220-micron pore structure.1,2,3 This makes allowance
for good tissue growth and vascularisation onto and around an
implant.
Combined macrotexture and microtexture topographies can provide
a favourable mechanical loading environment for bone reconstitution
and enable greater cell adhesion and proliferation.5 GRIPTION
coating provides a 1.2 coefficient of friction which is a substantial
improvement over plasma spray coating and contemporary tantalum
cementless interface.2,4 This offers potentially improved stability and
“scratch fit” upon implantation.
PINNACLE Revision Cup System
Design Rationale
DePuy Synthes
2
OPTIONS FOR MODULARITY & BIOMECHANICS:
INTRAOPERATIVE FLEXIBILITY TO MATCH YOUR PATIENT’S NEED
Neutral ALTRX® ALTRA-LINKED™ Polyethylene Liners
are designed to optimise the range of motion by having a wide face
chamfer while keeping the femoral head’s centre of rotation concentric
with the outer diameter of the shell.
+4 Neutral ALTRX ALTRA-LINKED Polyethylene Liners
are designed to enhance hip stability, by lateralising the femoral head’s
centre of rotation by 4 mm.
+4 10 Degree ALTRX ALTRA-LINKED Polyethylene Liners
are designed to re-direct the available range of motion and optimise
positioning to allow the cup, screw holes and GRIPTION Porous Coating
to come into contact with the most optimal surface area of
the acetabulum.
4 mm of
additional
lateralisation
Apex
Changes Cup
inclination/version
by 10 degrees
dependent on
placement of liner
Apex
Lipped ALTRX ALTRA-LINKED Polyethylene Liners
are designed to provide a high wall along one side of the liner to
increase the jump distance in the specific area that the head must
travel before dislocation can occur.
Peak of Angle
Face (Not Lipped)
Lip to be
positioned
superior/
posterior
PINNACLE DPx SHELLS
Providing the ability to reproduce the correct centre of rotation
The ability to reproduce the centre of rotation is further
enhanced with the deep profile cup. The PINNACLE deep
profile shells allow the surgeon to address soft tissue laxity
through a proportionally variable offset DPx cup.
DPx Cup Size (mm)
Lateralisation (mm)
54-58
4
60-66
5
68-72
6
Standard Profile
3
DePuy Synthes Joint Reconstruction
PINNACLE Revision Cup System
Design Rationale
Deep Profile
ENHANCED STABILITY LINERS
PINNACLE Hip Solutions are designed with a wide range of acetabular cup options, biological and
mechanical fixation alternatives and advanced bearing technologies.
The PINNACLE ESC™ Constrained Liner system helps to address hip instability and dislocation
through a high range of motion.
Features of the ESC Constrained Liner includes:
•
•
•
•
•
High strength head capture
Compatible with bi-polar or modular heads
+4 Neutral and +4 10° options
GVF polyethylene for enhanced mechanical integrity
Simple insertion instrumentation
ARD (anti-rotational device)
tabs for rotational stability.
Chamfered titanium
constraining ring
provides ease of
assembly and increased
stability.
Titanium locking ring securely
holds the ESC liner into the
Pinnacle shell to minimise
potential disassembly.
Ridge to aid
in preventing
constraining
ring slippage.
Progressively larger
ID and head sizes
to help promote
increased range of
motion.
GVF polyethylene.
Poly slits and a flex groove for ease
of head insertion.
PINNACLE Revision Cup System
Design Rationale
DePuy Synthes
4
ORDERING INFORMATION
Acetabular Cup Style
ESc Constrained Liner
Cat No.
Cat No.
Description
Neutral+4
1218-28-648
1218-28-650
1218-32-652
1218-32-654
1218-32-656
1218-32-658
1218-32-660
1218-32-662
1218-32-664
1218-32-666
1218-32-668
1218-32-670
1218-32-672
1218-36-656
1218-36-658
1218-36-660
1218-40-662
1218-40-664
1218-40-666
1218-40-668
1218-44-670
1218-44-672
1218-44-674
1218-44-676
28ID 48OD
28ID 50OD
32ID 52OD
32ID 54OD
32ID 56OD
32ID 58OD
32ID 60OD
32ID 62OD
32ID 64OD
32ID 66OD
32ID 68OD
32ID 70OD
32ID 72OD
36ID 56OD
36ID 58OD
36ID 60OD
40ID 62OD
40ID 64OD
40ID 66OD
40ID 68OD
44ID 70OD
44ID 72OD
44ID 74OD
44ID 76OD
Outer
Acetabular Liner
Dome
Peripheral
Diameter
Size Required
Screw Hole
Screw Hole
(mm) (mm) Qty.Qty.
GRIPTION Multi-hole II
1217-30-03838
38
5
0
1217-30-04040
40
6
0
1217-30-04242
42
6
0
1217-30-04444
44
6
0
1217-30-04646
46
6
0
1217-30-04848
48
8
0
1217-30-050
5050100
1217-30-052
5252100
1217-30-054
5454120
1217-30-056
5656120
1217-30-058
5858120
1217-30-060
6060120
1217-30-062
6262120
1217-30-064
6464120
1217-30-066
6666120
1217-30-068
6868120
1217-30-070
7070120
1217-30-072
7272120
GRIPTION Standard Profile
1217-16-05454
48
5
8
1217-16-056
5650 58
1217-16-058
5852 58
1217-16-060
6054 58
1217-16-062
62 56
5
8
1217-16-06464
58
9
8
1217-16-066
6660 98
1217-16-068
6862 98
1217-16-070
7064 98
1217-16-072
7266 98
1217-16-074
7470 98
1217-16-076
7672 98
1217-16-07878
74
9
8
1217-16-080
8076 98
GRIPTION Deep Profile DPx
1217-17-054
54 48 5
8
1217-17-056
56 50 5
8
1217-17-058
58 52 5
8
1217-17-060
60 54 5
8
1217-17-062
6256 58
1217-17-064
64 58 9
8
1217-17-066
66 60 9
8
1217-17-068
68 62 9
8
1217-17-070
7064 98
1217-17-072
7266 98
5
Cat No.
Description
10 Degree +4
1218-28-748
1218-28-750
1218-32-752
1218-32-754
1218-36-756
1218-36-758
1218-36-760
1218-40-762
1218-40-764
1218-40-766
1218-40-768
1218-44-770
1218-44-772
1218-44-774
1218-44-776
28ID 48OD
28ID 50OD
32ID 52OD
32ID 54OD
36ID 56OD
36ID 58OD
36ID 60OD
40ID 62OD
40ID 64OD
40ID 66OD
40ID 68OD
44ID 70OD
44ID 72OD
44ID 74OD
44ID 76OD
5.0 mm
6.5 mm
Peripheral Cortical Cancellous Dome
Bone Screw
Screw
Cat No.
Length (mm)
Neutral+4
1257-25-00025
1257-30-00030
1257-35-00035
1257-40-00040
1257-45-00045
1257-50-00050
1257-55-00055
1257-60-00060
1257-65-00065
DePuy Synthes Joint Reconstruction PINNACLE Revision Cup System Design Rationale
Cat No.
Length (mm)
Neutral+4
1217-08-5008
1217-15-50015
1217-20-50020
1217-25-50025
1217-30-50030
1217-35-50035
1217-40-50040
1217-45-50045
1217-50-50050
1217-55-50055
1217-60-50060
1217-65-50065
1217-70-50070
References
1. Bobyn JD, Pilliar RM, Cameron HU, Weatherly GC. The optimum pore size for the fixation of porous surfaced
metal implants by the ingrowth of bone. Clin Orthop 1980;150:263-270.
2. DePuy Internal Test Report: WR070146; 2007.
3. DePuy Internal Test Report: WR070125; 2007.
4. Published literature: No.97-7255-098-00 1003-M20 .5ML, Zimmer Inc, 2010 and Zimmer Holdings, Inc. Trabecular Metal Technology.
Website accessed Jan 23rd 2014 at URL http://www.zimmer.com/en-US/hcp/hip/our-science/tm-technology.jspx.
5. Karageorgiou V, et al. Porosity of 3D biomaterial scaffolds and osteogenesis. Biomaterials 2005;26:5474-91
DePuy Orthopaedics EMEA is a trading division of DePuy International Limited.
Registered Office: St. Anthony’s Road, Leeds LS11 8DT, England
Registered in England No. 3319712
DePuy Orthopaedics, Inc.
700 Orthopaedic Drive
Warsaw,
Indiana 46582
USA
Tel: +1 (800) 366 8143
Fax: +1 (574) 267 7196
DePuy International Ltd
St Anthony’s Road
Leeds LS11 8DT
England
Tel: +44 (0)113 387 7800
Fax: +44 (0)113 387 7890
depuysynthes.com
©DePuy International Ltd. and DePuy Orthopaedics, Inc. 2014.
All rights reserved.
CA#DPEM/ORT/0214/0001 Issued: 04/14
0086