cementing better outcomes - smith-nephew.com cement... · the challenge orthopaedic surgeons are...
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Cementing better outcomes
The challengeOrthopaedic surgeons are demanding a simpler and superior bone cement solution for implant placement procedures. Surgeons need a bone cement portfolio with the necessary versatile options to handle a variety of cases, and a reliable consistency of bone cement and mixing options leading to an increasingly easy application and even cement bonding to implant and bone.
The solutionRALLY™ Bone CementPerfect implant placement takes precision and care. RALLY Bone Cement and Accessories is a di erse ort olio o one cement and accessory o tions desi ned to offer eace o mind or the long road ahead. When you need a simple, comprehensive solution in the operating room, RALLY Bone Cement delivers industry-leading components engineered for easier administration and smoother cases. The portfolio includes the comprehensive femoral preparation kit, the cement restrictor, the VORTEX™ Vacuum Mixing System and a variety of specialty nozzles.
The following products work together or independently to make faster, easier surgery a reality.
Bone ement offers s r eons more e i ility and con dence in the o eratin room
Options for each surgeon’s needs• High viscosity• Medium viscosity• With Gentamicin• Without Gentamicin
- All-in-One Sytem
Reliability: Long-lasting properties• RALLY HV shows statistically higher compressive and bending strengths compared to Palacos• Long fatigue life and low porosity, even with hand-mixing2
Visibility: Long-lasting appearance• Spearmint green color from pigments for visibility• Barium sulphate for radiopacity
Consistency: Long-lasting ease of use• Easy-to-mix, whether hand or vacuum mixing• mooth consistency rom initial mi in to nal im lantation• Unique All-in-One vacuum mixing device
- 70g of cement components pre-loaded in a mixing and dispensing device
Compressive Strength MPa
Shear StrengthMPa
Flexural StrengthMPa
Flexural ModulusMPa
Com
pres
sive
Str
engt
h (M
Pa)
AB B
B120
100
80
60
40
20
0
RALLY HV
Bars that do not share the same letter are statistically different.
Palacos R RALLY MV Simplex P
Shea
r Str
engt
h (M
Pa)
50
40
30
20
10
0RALLY HV Palacos R RALLY MV Simplex P
here are no statistical differences et een these res lts.
Flex
ural
Str
engt
h (M
Pa)
80
70
60
50
40
30
20
10
0RALLY HV Palacos R RALLY MV Simplex P
AB
AA
Bars that do not share the same letter are statistically different.
Flex
ural
Mod
ulus
(MPa
) 3000
2500
2000
1500
1000
500
0
RALLY HV Palacos R RALLY MV Simplex P
AB B A,B
Bars that do not share the same letter are statistically different.
Mechanical properties2
75.0
73.0
71.0
69.0
67.0
65.0
63.0
Tem
pera
ture
(°F)
Time (min)
10 2 43 5 6 7 8 9 10 1211 13 14 15 16 17 18 19 20
Mixing Phase
Dough Phase
Working Phase
Setting Phase
Time (min)
10 2 43 5 6 7 8 9 10 1211 13 14 15 16 17 18 19 20
75.0
73.0
71.0
69.0
67.0
65.0
63.0
Tem
pera
ture
(°F)
Mixing Phase
Dough Phase
Working Phase
Setting Phase
Time (min)
10 2 43 5 6 7 8 9 10 1211 13 14 15 16 17 18 19 20
77.0
75.0
73.0
71.0
69.0
67.0
65.0
63.0
Tem
pera
ture
(°F)
Mixing Phase
Dough Phase
Working Phase
Setting Phase
Time (min)
10 2 43 5 6 7 8 9 10 1211 13 14 15 16 17 18 19 20
Tem
pera
ture
(°F)
77.0
75.0
73.0
71.0
69.0
67.0
65.0
63.0
Mixing Phase
Dough Phase
Working Phase
Setting Phase
Setting time (min)
10 2 43 5 6 7 8 9 10 1211 13 14 15 16 17 18 19 20
75.0
73.0
71.0
69.0
67.0
65.0
63.0
Tem
pera
ture
(°F)
Mixing Phase
Dough Phase
Working Phase
Setting Phase
Setting time (min)
10 2 43 5 6 7 8 9 10 1211 13 14 15 16 17 18 19 20
75.0
73.0
71.0
69.0
67.0
65.0
63.0
Tem
pera
ture
(°F)
Mixing Phase
Dough Phase
Working Phase
Setting Phase
RALLY HV Bone Cement
RALLY MV Bone Cement
RALLY HV AB All-in-One System
Above All-in-One Systems were not mixed under vacuum.
Above bone cements were hand mixed.
RALLY HV AB Bone Cement
RALLY MV AB Bone Cement
RALLY MV AB All-in-One System
Time vs temperature characteristics1
POWERPULSE Lavage System minimizes both contaminated waste and disposal costs.
Prep-IM Kit sets the standard in femoral preparation kits.
Case preparationPrep-IM™ Total Hip Preparation KitThe Prep-IM Kit sets the standard in femoral preparation kits. It comes complete with the necessary tools and implants to clean the osteotomized femur and plug the intramedullary canal.
Includes the following:• 2 BUCK Cement Restrictors• 1 Femoral Canal Brush• 1 BUCK Disposable Inserter• 1 Femoral Canal Suction Absorber• 2 CONCISE™ Cement Sculps• 1 Medium Femoral Pressurizer
POWERPULSE™ Lavage Systemith a aria le s eed tri er or reater control the system tili es e i le s ray stems and ract re
resistant suction tips designed to reduce intraoperative breakage. The unique design of the special suction canal allows debris to easily pass through the system without clogging. The reusable handpiece and power hose minimize both contaminated waste and disposal costs. The lavage system utilizes nitrogen or compressed-air sources which eliminate the need for battery packs or special pumps.
BUCK Cement Restrictor
BUCK Cement RestrictorThe BUCK Cement Restrictor plugs the intramedullary canal and provides complete cement support of the femoral prosthesis. Both 18.5 and 25mm are part of the Prep-IM™ Kit, but 13, 30 and 35mm are available individually for more options.
he ac m i er sa es time and effort in the .
Cement, cement mixing and delivery RALLY™
and are o timi ed or oint re lacement s r ery y offerin hat is needed in a cement relia ility visibility, and consistency. Both viscosities of RALLY possess strong mechanical properties, a spearmint green color for easy visibility, and smooth, doughy consistencies for easy clean-up. RALLY HV and MV have a long working time, but short setting time to reducing surgical idle time at the end of the surgery1. For convenience, RALLY MV and RALLY HV are both available in gentamicin antibiotic versions.
VERSABOND™VERSABOND cement is optimized for use in shoulder, hip and knee surgery. It can be vacuum-mixed or hand-mixed, injected or hand-packed for more intraoperative options. VERSABOND cement allows for less implant migration and has less porosity than other cements, thereby minimizing the chance of possible fatigue fractures.5
Furthermore, VERSABOND is conveniently available in both antibiotic (gentamicin) and non-antibiotic versions.
VORTEX™ Vacuum Mixerith three re ol tions er cran the reassem led mi er sa es time and effort in the . he
mixer’s angled base delivers a consistent cement mix every time, and its large volume cylinder allows up to 120 grams o cement to e mi ed at one time. n enclosed charcoal lter is desi ned to red ce the amo nt o monomer mes released into the room.
Sterile, disposable mixer components mean faster, easier use. Mixing directly in the syringe eliminates the need for cement transfer. Plus the transparent top enables viewing the cement while it is being mixed. If a second batch is needed, the VORTEX mixer has a Re-Use Kit allowing the disposable inner components to easily be replaced with new components without opening a whole new mixer.
VORTEX Vacuum Bowlor nees the ni e ac m Bo l nctions as e ciently as the mi er. t incl des a s at la
and the same time-saving, energy-reducing crank that turns out three revolutions for every one turn of the handle. That means less work, less air bubbles and the ability to mix high viscosity cements.
RALLY All-in-OneIn one unique device, the RALLY All-in-One provides a completely contained cementing solution. The device houses 70 grams of antibiotic RALLY HV or RALLY MV cement components for a completely isolated cementing procedure. Once the monomer is released into the powder chamber, the cement is easily mixed under vacuum, if necessary, and dispensed without ever exposing the cement to open air.
he ll in ne de ice sim li es the cementin rocess ith e er cementin com onents and e er mo in parts. RALLY All-in-One is ideal for total joint replacements typically using just less than two boxes of cement in a syringe application.
VORTEX NozzlesA Standard Breakaway Nozzle is included with the RALLY All-in-One device and the VORTEX Vacuum Mixing System, but for other needs, a variety of specialty nozzles are available including a Long Tapered Nozzle for radial im action ra tin a lon and e i le e ision o le or re ision hi s r ery an n led o le to deli er cement to the tibia during total knee arthroplasty and an Umbrella Interfacer to clean and pressurize the femoral canal.
RALLY and VORTEX Gunshe and ns offer steady ress ri ed deli ery o cement.
PressurizersOne Medium Femoral Pressurizer is included in the Prep-IM™ Total Hip Preparation Kit that has been designed to
ro ide etter emoral canal llin and reduction of voids in the cement mantle.3,4
Cat. No. Description
7127-1560 RALLY™ HV Bone Cement, 40 grams
7127-1570 RALLY HV AB Bone Cement, 40 grams
7127-1580 RALLY MV Bone Cement, 40 grams
7127-1590 RALLY MV AB Bone Cement, 40 grams
7127-1340 VERSABOND™ Bone Cement, 40 grams
7127-1440 VERSABOND AB Bone Cement, 40 grams
Cat. No. Description
7127-1600 RALLY HV AB All-in-One System, 70 grams
7127-1605 RALLY HV All-in-One System, 70 grams
7127-1680 RALLY MV AB All-in-One System, 70 grams
7127-1685 RALLY MV All-in-One System, 70 grams
7127-0070 VORTEX™ Vacuum Mixing System
7127-0071 VORTEX Re-use Kit
7127-0068 VORTEX Vacuum Mixing Bowl
210098 Mixing Bowl w/ Spatula
7127-0020 MIXOR™ Vacuum Mixing System w/ Syringe
7127-0069 VORTEX Vacuum Mixing Sample
7127-0090 MIXOR System w/ Syringe Sample
Cat. No. Description
7127-0080 VORTEX Standard Breakaway Nozzle
7127-0081 VORTEX Long Tapered Nozzle
7127-0082 VORTEX Angled Nozzle
7127-0084 VORTEX Revision Nozzle
7127-0085 VORTEX Umbrella Nozzle
7127-0072 VORTEX Nozzle Adaptor
Cat. No. Description
7127-1610 RALLY All-in-One Cement Gun
7127-2001 VORTEX Cement Gun
7127-0042 MIXOR Foot Pump Only
7127-0041 MIXOR Vacuum Hose Only
7127-0060 MIXOR Stryker Foot Pump Adapter
Bone Cement
Mixer and Dispensing Components Mixing Systems
Nozzles
Mixing and Dispensing Accessories
Catalog informationCement Mixers and Accessories
Cat. No. Description
91-4535 BUCK Cement Restrictor, 13mm
12-9418 BUCK Cement Restrictor, 18.5mm
12-9419 BUCK Cement Restrictor, 25mm
7127-9420 BUCK Cement Restrictor, 30mm
7127-9421 BUCK Cement Restrictor, 35mm
7127-9422BUCK Cement Restrictor w/ Disposable Inserter, 18.5mm
7127-9423BUCK Cement Restrictor w/ Disposable Inserter, 25mm
7127-9424BUCK Cement Restrictor w/ Disposable Inserter, 30mm
11-2428 BUCK Cement Restrictor Inserter
11-0028 Vent Opening Tool
Cat. No. Description
7127-7000 Handpiece w/ Zimmer Coupling
7127-7001 Powerhose w/ Zimmer Coupling
7127-7004 Hip/Knee Disposable Unit w/ Suction
7127-7005 Hip/Knee Disposable Unit w/o Suction
Cat. No. Description
12-1010 Prep-IM Enhance Total Hip Kit
Includes:
12-9418 BUCK Cement Restrictor, 18.5mm
12-9419 BUCK Cement Restrictor, 25mm
11-2428 BUCK Disposable Inserter
11-0003 Femoral Canal Brush, 19mm
11-0037 Femoral Canal Suction Absorber, Std
7127-0027 Medium Femoral Pressurizer
11-1000 CONCISE™ Cement Sculps
Cement Accessories BUCK Cement Restrictors
Pulse Lavage POWERPULSE™ Lavage System
Prep-IM™ Enhance Total Hip Kit
References1. nternal testin on le at mith e he . 2. e mith e he 3. Lee C. Bone Preparation: The importance of establishing the best bone-cement interface. The Well-Cement Total Hip Arthroplasty: Theory and Practice. edited by Breusch and Malchau. Springer. 2005. 4. lroy arris . he ffect o im ro ed cementin techni es on component loosening in total hip replacement. JBJS 1990; 72-B. 5. e . mith e he .
DisclaimerPlease see the Instructions for Use for each product for a complete list of indications, warnings, precautions and other important medical information.
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