One Surgeon. One Patient.® - Biomet

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MED ISO 13485
One Surgeon. One Patient. ®
©2013 Biomet Orthopedics • Form No. BMET0292.0-ENG • REV011513
Responsible Manufacturer
Biomet France
plateau de lautagne
26903 Valence Cedex 9
France
www.biomet.com
0459

T.E.S.S.
Shoulder System

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T.E.S.S. Shoulder System

SHOULDER SYSTEM
The range of T.E.S.S. shoulder prostheses (modular and monoblock) are
indicated in the following cases:
• Except in special cases, the «anatomic» type is indicated for:
- Centered osteoarthritis of the shoulder
- Humeral head fractures
- Rheumatoid arthritis (with intact rotator cuff)
- Avascular necrosis of the humeral head
• Except in special cases, the «reversed» type is indicated for:
- Offset osteoarthritis of the shoulder
- Massive and non-repairable rotator cuff tears
- Rheumatoid arthritis (with degenerative rotator cuff)
• Revision in cases of:
- Replacement of an «anatomic» prosthesis with
a «reversed» prosthesis
- Conversion of a hemi-arthroplasty into a total arthroplasty
- Increasing the size of the stem (length and/or diameter)
- Replacing a glenoid prosthesis
- Replacing a glenoid insert
- Replacing a competitor’s prosthesis
- In rare cases, removing a «reversed» prosthesis
and replacing it with an «anatomic» prosthesis
• Additional indications for the monoblock range:
- Massive loss of bone matter
- Proximal fracture of the humerus
- Destruction of the bone
- Local bone tumors
- Replacing a modular prosthesis
Biomet has developed the T.E.S.S. in collaboration
with 12 surgeons :
Laurent BEGUIN
Saint-Etienne
Denis BOUTTENS
Berck sur Mer
Charles COHN
Nice
Geert DECLERCQ
Anvers
Jean GRIMBERG
Paris
Dominique HUGUET
Nantes
Eric LESPRIT
Bordeaux
Pierre MASSART
Chambéry
Bruno RIO
Nancy
Jacques TEISSIER
Montpellier
Bruno TOUSSAINT
Annecy
Bruno ZIPOLI
Dax
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T.E.S.S. Shoulder System
A unique set of instrum
Modular
T.E.S.S. Hemi
T.E.S.S. Anatomic
with Full PE glenoid
T.E.S.S. Anatomic
with Metal-back glenoid
Complete
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ents for a complete system
system
Optional
stem
T.E.S.S. Reverse
T.E.S.S. Anatomic
with stem
T.E.S.S. Reverse
with stem
system
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T.E.S.S. Shoulder System
Anatomic
Anatomic
and bone preserving
Anatomical corolla
• The anatomic corolla is made of Cobalt Chrome with
Porous T40 Titanium and Hydroxyapatite coating.
It consists of 6 branches, and a taper to fix the
anatomical heads.
• The corolla is impacted into the centre of the humerus,
with a stem less fixation allowing minimal loss of bone
stock.
• The corolla is implanted by referencing the patients
natural anatomy so it is always positioned at the individual
patients normal offset and inclination.
• Four sizing options.
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Flat surface
Spherical surface
Pegs
Centred
and eccentric
Designed for a
good stability
Anatomical heads
• Available in two versions :
- centred
- eccentric with 5 mm offset
• The head is fixed on the corolla
with a taper.
• In 6 diameters for each version.
Cemented Full PE glenoid
• Made from ArCom polyethylene with an anatomical
shape and following design considerations :
- a flat periphery for improved stability
- a central convex section for bone stock
preservation
- an original keel with 3 pegs for good cement
fixation
• A minimal polyethylene thickness of 3 mm.
• 4 sizing options.
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T.E.S.S. Shoulder System
Glenoid Base Plate
One baseplate for the two options : anatomic
Cementless Metal-back
glenoid baseplate
• The glenoid baseplate is made in
Porous Titanium TA6V Macrobond and
Hydroxyapatite.
• The glenoid baseplate can receive
either an anatomical insert of polyethylene
or a reverse head.
1
2
3
• The posterior surface of the baseplate
includes :
- a flat peripheral surface to maximise
stability
- a central convex section to preserve
the bone stock
- a central keel with a possibility of a compression screw 1 ,
or a extension keel 2 in case of revision or poor bone quality
- primary fixation from anterior and posterior screws and
with 2 optional antero posterior spikes for medio lateral
fixation, which can be replaced with locking screws for
greater fixation 3
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Anatomical version
Flat surface
Spherical surface
Reverse version
12°
Ajustable screws
12°
and reverse
• The locking screws, diameter 4.5 mm
in 7 lengths are manufactured from
TA6V Titanium Alloy.
• The glenoid preparation for both
glenoid implants, cemented and
cementless, is made with the
same instrumentation.
• 4 sizing options.
4 fixation points
• For the anatomical version :
4 sizes of insert in ArCom polyethylene, with 4 fixation
points.
• The anatomical PE insert has a central peg for easy
positioning into the base plate.
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T.E.S.S. Shoulder System
Reversed
Reverse corolla
• Cobalt Chrome with a Porous Titanium T40
and Hydroxyapatite coating.
The PE insert is locked in the reversed corolla
with a RingLoc system.
• The corolla is impacted into the centre of the
humerus. As the prosthesis is stemless there is
no injury to the intramedullary canal.
Reverse head
• Cobalt Chrome, available in 2 diameters :
- Diameter 36 with the glenoid 0 and 1
- Diameter 41 with the glenoid 2 and 3
• Fixed on the baseplate with a central taper.
• Center of rotation lateralized by 3 mm.
• 4 sizing options.
3 mm
Bone
preserving
Lateralisation of the
center of rotation
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Reverse insert
• ArCom polyethylene available in 4
thicknesses : 6, 8, 10 and 12 mm.
- The sizes 0 and 1 are 36 mm in
diameter.
- The size 2 is available in 36 mm
and 41 mm options
- The size 3 is 41 mm in diameter
The stem
• The optional humeral stem can be
used in cases of poor bone quality
or when additional stability is
required 1 .
• Cemented in proximal humeral
fracture cases.
• In Cobalt Chrome, available in
5 lengths and 6 diameters .
• The stems can be implanted with
or without cement.
• The proximal stem has a Titanium
porous coating for bone ingrowth.
• The distal part of the stem is
polished and has 2 anti-rotational
flutes for a better fixation in cement.
• When the corolla is used without
stem, it is advisable to use the
“small stem” 2 .
1
2
ArCom
polyethylene
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