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Table of contents

Hip / Biometry ..................................................... 4Coxometry / Knee ............................................... 5Osteotomy ....................................................... 6-7Trauma / Shoulder .............................................. 8Foot / Hallux Valgus. ........................................... 9Spine / Spine 3D............................................... 10

SpineOsteotomy

Hallux Valgus

Knee Hip

Shoulder

Manufacturer information...................................11Implant manufacturers. ..................................... 12PACS providers ................................................ 13Inquiry form....................................................... 14FAI module / Reference objects ....................... 15

3

Planning aid and quality assurance

Dear Madam or Sir,

By law, surgeons must utilize pre-operative planning and archive their work. mediCAD is a medical software package that helps ensure a high level of planning and operational quality. Specialized tools for handling and editing digital images have become indispensable and will remain es-sential for the foreseeable future. They help determine, display, calculate, and document the most effecti-ve alternatives and reveal useful information before surgery.

mediCAD is a high-performance, modular software package that provides such information in a compact, easily understood format. Whether you use mediCAD during daily hospital routines or for scientific purpo-ses, it will help you plan better and ensure quality.

Now is a great time to schedule an on-site demonstration at no charge to you. We are sure you will be impressed by mediCAD‘s highly refined design, user-friendly operation and cutting-edge procedures, designed in collaboration with doctors for doctors.

More than 20.000 surgeons working with mediCAD around the world. We are very pleased if you will take advantage of our offer and discover the benefits ofmodern digital planning.

Best regards,

Hectec GmbH

The system was developed in collaboration with doctors for doctors, giving you and your patients:

• a globally recognized planning program

• access to all current planning methods

• modular design • standard operating procedu-

res • immediate access to 23 lan-

guages • documentation of all steps• time savings of up to 90%

over conventional planning • access to more than 130

international implant manufac-turers with more than 500.000 templates

• mediCAD is certified accor-ding to 93/42/EWC and DIN EN ISO 13485 and approved as a medical product.

• In international markets, me-diCAD is also sold under the names IMPAX Orthopaedic Tools (through AGFA Health-care ), and EndoMap (through Siemens Healtcare).

• Both programs are approved as medical products according to FDA 510k / Health Canada CMDCAS.

• Hectec continuously refines

and develops mediCAD • with custom functions and

special modules.• mediCAD has been used

by medical professionals for more than 20 years

Made in Germany

Information

4

Hip / Biometry

Hip The Hip module helps you plan hip implants. It is based upon (previously manual) planning methods for hip endoprosthetics using radiographic imaging and prosthesis templates.

Use the AutoPlan function for rapid, automated planning:The Hip module contains an AutoPlan function that determines individual reference points and then automatically suggests shafts and cups.

The best-fitting implants are suggested for each individual case and automatically inserted. They can be later modified according to your own decision criteria.

The option to pre-select a particular manufacturer makes it easy to limit choices to preferred implants.

Biometry Looking for a biometric analysis? No problem with mediCAD! It automatically suggests the optimal position of the joint center point while considering body size, weight and initial biometric analysis.

Load distribution is improved and physiological muscle flexing is re-established using the biometrically de-termined standard range for anchoring of prostheses.

Optimized implant geometry avoids biomechanically unfavorable results. mediCAD has unique capabilities for answering these types of questions.

mediCAD calculates and displays the right pivot point for optimized joint geometry, simulating the load-bearing situa-tion of a healthy joint.

The mathematically optimized pivot point lies within the green zone, placing it in the optimal range according to a 12-point score.

The inner corticalis is automatically detected for precise fitting of the implant.

Now you can quickly:

• select and fit suitable cup and shaft combinations • correct an adduction or abduction • determine pre- and post-operative leg-length compensation and

display this on the image • use the FAI module (femoroacetabular impingement), developed in

close collaboration with Dr. Wolfgang Zinser • Plan an intertroch. osteo.

Calculation and implementation of intertrochanteric osteotomies

5

Coxometry / Knee

Coxometry

Knee

Pediatric hips: The Coxometry modu-le allows you to use clinically relevant values to evaluate hip joints.

Since American and European ortho-pedic surgeons use different criteria to evaluate the hip situation, the Coxome-try module modifies the procedure accordingly. mediCAD evaluates most of the criteria using known grading tab-les such as the acetabular head index or the cup angle of inclination.Saving and/or printing of planning images enables creation of follow-up studies.

The Knee module is used to plan knee prostheses. Po-tential axial misalignments can be detected and correc-ted during planning. This enables both pre- and post-operative of load distribution correction on the entire leg. This can significantly extend the useful life of knee prostheses.Depending on the surgeon‘s preference, mediCAD can correct the misalignment automatically or through ma-nual adjustments. It calculates the mechanical axes, weight-bearing line, and all relevant angles that are expected post-op.

6

Osteotomy

Use the Osteotomy module to plan femoral or tibial corrective osteotomies with single or multiple osteoto-mies, using the open wedge or closed wedge technique.

Axial misalignments are found automatically. Corrections are handled automatically or manually.An integrated database makes it easy to select suitable osteosynthesis components such as nails, plates, screws and others.

With mediCAD, merging partial images to create a complete long-leg image is a very simple & intuitive process.

Osteotomy according to Dror PaleyAn analysis determines the type, number, size and localization of the osteotomies.

When correction is complete, all joint-related mechanical weight-bearing axes and joint tangents must lie within the normal range.

Common methods:Open wedge, closed wedge, translation

All pre- and post-operative results are shown. Misalignments can be calculated using the expanded Osteo-tomy module according to Dror Paley.

7

Osteotomy

The process has been used for years at www.gelenkzentrum-wiesbaden.de. The mathematical principles are according to Prof. Dror Paley, Baltimore as well as Prof. Dr. J. Pfeil and Prof. Dr. B. Gladbach.

• Analysis of the pre-operative situation • Determination of CORA/NCORA, single or multiple osteotomies • Simulation of post-operative results. • Automatic calculation of optimal angles.• Determination of the apex and actual angle of deformity from the AP and sagittal views. • Interactively select and evaluate the correction yourself.

Dror Paley‘s principles of deformity correction.

Developed for mediCAD with Prof. Dr. J. Pfeil and Prof. Dr. B. Gladbach of Wiesbaden

8

Trauma / Shoulder / Elbow / Hand / Finger

TraumaBone segments can be isolated and shifted and required osteosynthesis products put into place.Implant templates for plates, screws and nails are included.With mediCAD, merging partial images to create a complete image is a very simple and intuitive process.

Enables determination of the size and position of implants for shoulder, elbow, hand and finger, ensuring optimized planning.

• Very simple and intuitive image processing for reconstructing skeletal elements. • Data library for pins, screws, and plates.

• Post-operative results can be simulated.

Shoulder / Elbow / Hand / Finger

9

Foot / Angle Joint / Hallux Valgus

Foot / Ankle Joint

Hallux Valgus

Enables optimized planning, determination of size and position of implants for feet, ankle joints and toes.

Analysis of the pre-operative situation through automatic calculation of all relevant angles. Post-operative results can be simulated at any time.

Individualized dimensioning options and a variety of implants are accessible.

10

Spine / Spine 3D

SpineUse this module to automatically determine values and measurements on ML or AP views.

A variety of functions are available, including:

This new module opens up a whole new world for planning doctors. Now you can use CT or MRT images to plan in three dimensions.

Spine 3D

With fully automated recognition of all present vertebrae and segments, mediCAD 3D provides you with ac-tive support while performing a wide variety of measurements. Of course, you can always manually reduce automatic results to the desired values and edit suggestions made by the software.

The following functions are available for this purpose: • High-resolution color MIP and MPR images • A variety of visualization options• All-round view of patient and prostheses• Look inside the patient• Show and hide regions of the body• Focus on body zones• 3D measurements

Base/cover plates Plumb of vertebral body center pointPlumb (cervical center line) Risser scale Skoliosis according to COBB Skoliosis according to Ferguson Nash-Moe/rotation Inner pedicle distanceSpinal canal width index Lordosis

Kyphosis Copy with reference linesAtlantodental interspaceDiameter of the vertebral canalVertebral lines McGregor‘s lineSpondylolisthesis Intervertebral disc height Intervertebral disc angle Instability according to Van Akkerveeken

Sacral angleFunctional analysisStability criteria for spondylolisthesisInsert screws

Plumb of vertebral body center pointSkoliosis according to COBB Skoliosis according to Ferguson Inner pedicle distance Spinal canal width indexLordosis Kyphosis Atlantodental interspace Dens plumb Diameter of spinal canal

Spondylolisthesis Intervertebral disc height Intervertebral disc angleInstability according to Van Akkerveeken Sacral angle Pelvic tilt PT Pelvic incidence PIPelvic angulation PA Pelvic lordosis angle Pelvis sacral angle PSA

Sacral slopeC7 plumb line Pelvic thickness CS Pelvic thickness SPT Insert screws

11

Manufacturer information

Manufacturer information

Hardware recommendations

All product and company names are copyrights or protected trademarks of the corresponding compa-nies.Information contained in this brochure may be changed at any time without advance notification.

Hectec GmbHOttostrasse 16 84030 Landshut GERMANY

The quality management system of Hectec is certified according to DIN EN ISO 13485, issued by said site 0483. The product complies with the basic requirements of 93/42/EWC as provided by the quality management system and is approved as a Class I m medical product in accordance with this directive.

mediCAD runs smoothly on any current Windows PC, laptop, or netbook and on selected tablet computers. Recommended display resolution is 1280x1024. A diagnostic monitor is not required.

Templates:

We are happy to integrate your preferred manufacturer‘s implant and accessory templates into the system. Currently the system contains approximately 500.000 templates from more than 130 manu-facturers.

Introduction / Training

mediCAD requires no previous knowledge and is easy to learn. The user is guided intuitively through the program with all instructions displayed in plain language on the interface. Training usually requi-res approximately two hours.

HECTEC is ready to provide skilled training for every module. Both on-site and online training are available.

Radiographs are imported in DICOM® format through an interface on your PACS/RIS system. medi-CAD communicates with all DICOM® interfaces, making it compatible with all PACS systems.

Many common image formats can also be imported.

Training - DICOM®

DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information.

FDA 510(k): K140434

12

Implant manufacturers

3MAAP Implantate AGAcumedAdler OrthoAequosAesculapalloPlusAlphamed FischerAQ ImplantsAmplitudeArgeArge ImplantArgomedicalArthrexAscension OrthoAtesos Medical B&JRBeznoska CZBiometBioprofileBiotechniBrehmC2F ImplantsCeramconceptCeraverChiroplantChiroproCHMConsensus OrthopedicsCopf-BionicCorinDedienne SanteDePuy J+J (DepPuy Synthes)DJO SurgicalEncore MedicalEvolutisExactechFalcon MedicalFH Orthopedics

Global Orthopaedic TechnologyGroupe LepineGruppo BioimpiantiHit MedicaICONACYImplantcastImplanTecIntegraIntraplantIO International Orthopaedics JMJRIK-ImplantKLS Martin GroupKMIKönigseeKYOCERA Medical CorporationLima LtoLinkLogimedMarquard MedizintechnikMathysMatOrthoMaxx HealthMedactaMedartisMEDGALMEDINMedRaSysMedtronicMeiraMereteMicroPortMojeMTMNewdealODEV Ortho Development

OHSTOMNIlife science OrthodynamicsOrthofixOrthoPediatricsOS Orthopedic Services PermedicaPeter BrehmPrivelopProtetim Orvosi Műszergyártó Kft.Protheos S&G ImplantsSanatmetal Kft.SAMO SpASantechSBI Small Bone InovationsSEM science-et-medecineSERFSmith & NephewSpeetecStemcupStratecStrykerSurgivalSymbiosSynimedSynthes (DepPuy Synthes) TantumTecresTornierTraiberUOCWhiteside BiomechanicsWittensteinWright MedicalX.NOVZimmer

mediCAD has the world‘s largest database of implants. Surgeons can select from approximately 500.000 templates and more than 130 international manufacturers. The database is expanded and updated monthly with new and revised implant systems.

• Special validations are available at any time (in conjunction with the prosthesis manufacturer). • We support our customers during planning of complete tumor and modular systems.

13

Providers

mediCAD uses the DICOM® standard Please contact us for special adaptations to other digital systems. Here is a small excerpt from the list of our many cooperation partners with whom we have already comple-ted connections.

AGFA HEALTHCAREALTERISAMETIQARCFORGEARCHIMEDASHVINS by MEDICALCOMMUNICATIONSAYCANBW-PLUSCARESTREAMCERNERCHILIDIGITAL MEDICS DIX-RAYFUJIFILMGE-HEALTHCAREGEMEDINFINITTIQ-WEBXITH-ICOSERVEITZ-MEDICOM

MEDAVISMEDIDOKMEDIGRATIONMED-RAYMERCURYNEXUS | INOVIT | MEDOSOEHM & REHBEINPANSYSPERGAMONPHILIPSPHÖNIX-PACSPLANORG MEDICARESQMEDSECTRASIEMENS HEALTHCARESPIRIT | TIANISYNEDRAVEPRO AGVISUS TTWIROMA AG

DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communica-tions of medical information.

14

Info material

I would like to receive information about the following planning modules:

Miscellaneous issues and questions

Name :

Email :

Company/Hospital:

Street/No.:

Postal code/City:

Country:

Phone/Fax:

PACS providers:

Four ways to contact us ! +49 871 330203-0 www.mediCAD.eu

+49 871 330203-99 info@mediCAD.eu

HipKneeBiometryCoxometry

OsteotomyFAIOsteotomy according to Dror Paley3D Spine

Foot / Hallus Valgus / Ankle jointShoulder / Elbow / HandTrauma

Stamp

15

FAI Module / Reference objects

The new FAI module

Reference objects

Scaling stations and reference balls - accessories for radiology Calibration balls / reference dimension, 25 mm diameter.Calibration balls are made of stainless steel. Our hollow balls are significantly lower in weight than conven-tional solid steel balls.

The balls have a smooth surface that makes them easy to clean. To achieve the most accurate results pos-sible, the balls are placed at the same level as the bone. We offer specially designed disposable adhesive pads to facilitate attachment of the ball to the patient.

Our different scaling aids give you two very simple & intuitive ways to add a scaling object to your radiographs.

• Flexible arm for precise placement • Length of arm is adjustable • Integrated 25-mm scaling ball • Precise placement at bone level • Large base plate for placement on flat surfaces • Practical clamp for long-leg images

► www.hectec.eu/equipment

The new FAI module was developed in close collaboration with Dr. Zinser of St. Vinzenz Hospital in Dinslaken. It provi-des tools for evaluating the hip joint morphology.

The FAI module enables precise measurements for diagno-sing femoroacetabular impingement such as CAM, pincer, mixed or dysplasy.

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Printnumber: BRO/08.10.2014/EN – All rights reserved.

Your mediCAD Partner:

Hectec GmbH, Ottostraße 16 84030 Landshut - Germany,

Phone +49 871 330203-0, Fax +49 871 330203-99info@mediCAD.eu www.mediCAD.eu

More products from Hectec:

mediCAD® mobile allowssurgery planning on yourtablet PC, without regard to time and place.Furthermore, all patient data is always at your disposal.

mediCAD® Spine 3D - Your powerful tool for spine surgery. Planned both in 2D and in 3D.