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Joint Reconstruction 2016: The Year in Products and Services

Posted in Research to Reality | Nov 2016 | Comments (0)

Tags: research and developmentorthopaedic device testingdesign & developmentproduct launches


“To thrive in the healthcare environment of tomorrow, orthopaedic device companies will need to operate within a greater portion of the supply chain, assisting upstream and downstream customers in finding operational value. This will require companies to forge stronger relationships, focus on internal efficiencies and launch services, not just devices.” –Bill Tribe, Ph.D., Partner, A.T. Kearney’s Health Practice

As industry observers, we’ve noted the numerous services launched by device companies throughout the year—not just implants and instruments, but new ways to support delivery of care in joint recon. How are you integrating these 2016 introductions?

Focus: Healthcare Delivery Support

All of the top five companies debuted initiatives to help providers address myriad components of an episode of care.

DePuy Synthes introduced an exclusive strategic alliance with Value Stream Partners to facilitate customers’ implementation of bundled payment programs for hips and knees. (This builds on DePuy’s U.S. ADVANTAGE Outpatient Solutions Program offering implants and an outpatient-centric suite of education, training and support services.)

Medtronic Orthopedic Solutions has launched to support total joint replacement episodes of care, addressing the CMS Comprehensive Care for Joint Replacement bundled payment initiative. The model includes the launch of the value-based total knee arthroplasty system acquired with Medtronic’s purchase of Responsive Orthopedics.

Aspects of the model include coordination of patient management and care teams across pre-op, acute and post-acute settings to reduce costs and improve efficiencies; remote patient monitoring tools; the FDA-cleared, U.S.-manufactured total knee implant plus the use of the Aquamantys system for bleeding control.

Medtronic Orthopedic Solutions revenue will be reported as part of Medtronic’s spine sales.

Smith & Nephew (SNN) introduced its eCap/Episode of Care Assurance Program, an initiative designed to mitigate risk associated with readmissions. eCAP pairs all SNN primary total hip and knee reconstructive systems with PICO negative pressure wound therapy and ACTICOAT antimicrobial barrier dressing. If a patient is readmitted within 90 days post-op for a surgical site infection or for implant revision due to product failure, SNN will pay a hospital’s unreimbursed costs for the readmission up to the purchase prices of the implant, PICO and ACTICOAT.

Stryker Performance Solutions offered two initiatives: JointCOACH, a digital patient engagement and education platform, and Episode Performance Manager, a digital tool to translate raw claims data provided by Medicare into dynamic reports to compare performance of hospitals participating in CJR.

In the U.S., Zimmer Biomet beta-launched Signature Solutions, a suite of clinical services and technologies to assist hospitals and medical practices with the transition to value-based healthcare models. Broad release is slated for 2017.

Focus: Surgical Assistance in Hip and Knee

These tools support surgeons throughout procedure planning and execution. In essence, they are also supporting healthcare delivery as they are intended to make procedures reproducible and more precise.

Brainlab introduced Auto-Knee, a new feature of TraumaCad 2.5 that supports pre-op planning of knee arthroplasty by automatically registering anatomical landmarks.

Exactech announced the successful first U.S. revision knee procedure using the ExactechGPS Guided Personalized Surgery system.

OrthAlign launched the OrthAlign Plus navigation device for total hip arthroplasty, for use with the direct anterior approach.

SmithNephew web1

      Smith & Nephew  NAVIO robotics-assisted surgical system


OrthoGrid introduced new HipGrid Drone accessories to address C-arm distortion and magnification issues during surgical planning for total hip arthroplasty.

Smith & Nephew announced the first surgical case of its NAVIO robotics-assisted surgical system in a total knee replacement procedure, using the JOURNEY II BCS knee. 


Focus: Shoulder and Ankle

Exactech web  Integra web2

Exactech Vantage Total Ankle and Integra
                               Cadence Total Ankle


Exactech and Integra both introduced products for the high-growth extremities recon subsegment, during 2016. Exactech announced the first surgery using the Vantage Total Ankle; full U.S. market launch is slated for 2017. Integra completed initial procedures with the Cadence Total Ankle in Europe and the U.S. (The device is available in Canada under special access conditions.)

In shoulders, Integra launched the Fin-Lock Glenoid for the Titan Modular Shoulder System to address glenoid component loosening and failure in total shoulder arthroplasty, while Exactech added a revision shoulder to its extremities lineup and announced first total shoulder procedures with ExactechGPS.

Maxx web1

Maxx Orthopedics PCK revision knee


Other device introductions supporting Joint Reconstruction in 2016 included:

ConforMIS: full commercial launch of iTotal PS customized posterior stabilized total knee

Maxx Orthopedics: PCK revision knee, comprising Freedom Stemmed Tibial components with PCK femoral components and constrained liners

   Zimmer web2

          Zimmer Biomet      
   Vanguard Individualized
        Design total knee


Smith & Nephew: REDAPT Revision Acetabular Fully Porous Cup with CONCELOC technology, its 1st 3D-printed titanium hip implant

Zimmer Biomet: the Arcos One-Piece Revision Hip system; Echo Bi-Metric Microplasty Stem; G7 Dual Mobility Construct; enhancements to OSS Orthopedic Salvage joint reconstruction prostheses; OsseoTi Tibial Sleeves; Persona Medial Congruent Bearings and the Vanguard Individualized Design total knee construct, offering two individual polyethylene bearings with different articulations to support a patient-specific fit



Sources: Company web sites, press releases; images courtesy of manufacturers


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