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Ascension® pyroCarbon Lunate

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Cyclic<br />

Wear test<br />

Against<br />

Bone<br />

penetration rate<br />

(nanometer/cycle)<br />

0.2<br />

<strong>pyroCarbon</strong><br />

elastic<br />

Modulus<br />

(Gpa)<br />

23<br />

Cortical Bone<br />

4.3<br />

CoCr Alloy<br />

29.4<br />

<strong>pyroCarbon</strong><br />

30.4<br />

Titanium<br />

105<br />

Titanium<br />

34.7<br />

Zirconia<br />

Wear testing shows<br />

that PyroCarbon-on-bone<br />

articulation wear is<br />

significantly less than<br />

that of medical grade<br />

metals and ceramics.<br />

210<br />

Zirconia<br />

The elastic modulus<br />

of PyroCarbon closely<br />

matches that of cortical<br />

bone.<br />

design<br />

interpositional<br />

➤ maintains mobility<br />

➤ preserves the scaphoid<br />

and triquetrum<br />

➤ bone-friendly material<br />

➤ open pathway for revision<br />

system overview<br />

Design Description<br />

The Ascension ® PyroCarbon<br />

<strong>Lunate</strong> is an anatomically<br />

designed lunate replacement<br />

with essentially the same<br />

shape as the native lunate<br />

bone. The <strong>Lunate</strong> implant<br />

acts as an articulating<br />

spacer to maintain the relationship of adjacent carpal<br />

bones after excision and to maintain mobility of the wrist.<br />

The articular concavity that captures the capitate is more<br />

exaggerated to enhance stability. The <strong>Lunate</strong> implant has<br />

two holes which allow fixation of the implant by tendon or<br />

suture to the adjacent scaphoid and triquetrum bones to<br />

provide temporary postoperative stability while a capsular<br />

fibrosis system forms around the implant providing additional<br />

stability. The Ascension PyroCarbon <strong>Lunate</strong> is constructed<br />

of a high strength On-X ® PyroCarbon layer deposited on a<br />

graphite substrate. The graphite is impregnated with tungsten<br />

making the <strong>Lunate</strong> radiopaque. The implant is available in<br />

5 sizes for use in left or right applications.<br />

Indications<br />

Ascension ®<br />

At Ascension Orthopedics,<br />

we are dedicated to transforming<br />

the surgical experience.<br />

PyroCarbon <strong>Lunate</strong><br />

Implants<br />

Catalog number<br />

LUN-710-01<br />

LUN-710-02<br />

LUN-710-03<br />

LUN-710-04<br />

LUN-710-05<br />

Instrumentation<br />

Catalog number<br />

INS-710-00<br />

Set includes:<br />

Radiopaque Trials<br />

Sizing Guides<br />

Additional solutions<br />

for the hand:<br />

Ascension ®<br />

MCP/PIP<br />

PyroCarbon<br />

Total Joints<br />

Ascension ®<br />

MCP/PIP<br />

Pre-flexed<br />

Silicone Joints<br />

Ascension ®<br />

PyroCarbon<br />

CMC<br />

Arthroplasty<br />

First Choice ®<br />

DRUJ: Partial<br />

& Modular<br />

Ulnar Head<br />

description<br />

Size 01 <strong>Lunate</strong><br />

Size 02 <strong>Lunate</strong><br />

Size 03 <strong>Lunate</strong><br />

Size 04 <strong>Lunate</strong><br />

Size 05 <strong>Lunate</strong><br />

description<br />

Instrument Set<br />

Ascension ®<br />

PyroCarbon <strong>Lunate</strong><br />

tendon stabilization<br />

surgical technique<br />

Transforming Extremities <br />

Histological examination<br />

after 7 mos. of articulation<br />

with PyroCarbon PHS<br />

showed a layer of healthy<br />

fibrous pseudocartilage.<br />

Sample had no evidence<br />

of particulate synovitis. 2<br />

The PyroCarbon <strong>Lunate</strong> may be considered for use<br />

in the following situations:<br />

• Presence of avascular necrosis – Kienböck’s disease<br />

• Localized osteoarthritic changes of the radiolunate<br />

fossa or capitellar head<br />

• Long-standing lunate dislocations<br />

Contraindications<br />

• Acute or chronic infection<br />

• Radial scaphoid arthritis<br />

• Gross carpal instability<br />

Ascension Orthopedics, Inc.<br />

8700 Cameron Road<br />

Austin, Texas 78754<br />

512.836.5001 Ph<br />

877.370.5001 TFP<br />

512.836.6933 Fax<br />

888.508.8081 TFF<br />

customerservice@ascensionortho.com<br />

www.ascensionortho.com<br />

Caution: U.S. federal law restricts this device<br />

to sale by or on the order of a physician.<br />

LC-04-717-003 rev A<br />

©2009

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