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Dear Sir/Madam,

The time pressure of daily clinical routine makes it almost impossible tocomply with the legal requirements of preoperative planning. The futurebelongs to digital imaging and planning needs to meet these requirementsas well. And more. Sustainable scientific research with up-to-date imagesshould be fast and easy, not time-consuming.

This brochure provides you with advance information on mediCAD.Whether daily clinical routine or scientific presentations:The sophisticated product concept and easy handling of mediCAD make itconvenient for you.

Arrange a free and without obligation demonstration of the system –you will be convinced.

We would be pleased to arouse your interestand looking forward to your enquiry.

With best regards,

Hectec GmbH

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Hallux Valgus

Spine

Content

Hip / Biometry..........................4Coxometry / Knee....................5Osteotomy..............................6-7Trauma / Shoulder..................8Foot / Hallux Valgus................9Spine........................................10Manufacturer information.....11Implant manufacturers.........12PACS provider............................13Info material...............................14Reference objects.....................15

Hip

The system isdeveloped fromphysicians for phy-sicians. For youand your patientsthis means:� first planning pro-

gram on the marketworldwide

� known planning me-thods are consi-dered

� modular constructed

� easy to use� ready to use in

more than 20 langu-ages

� all processes aredocumented

� time savings up to75% compared toconventional plan-ning processes

� largest implant database with more than85 internationalimplant manufactur-ers already integra-ted

� data base is expan-ded and updatedwith additional andrenewed implantsystems on amonthly basis

� mediCAD is certifiedas a medical deviceaccording to direc-tive 93/42/EEC ENISO 13485.

On the Americanand Canadian mar-ket mediCAD is dis-tributed under thenames of Orthopae-dic Tools(distributed byAGFA Healthcare)and EndoMap(distributed bySiemens).

Both programs areapproved as medicaldevices according toFDA 510k / HealthCanada CMDCAS.

� Special and extramodules available

� On the market forover 20 years

Made in Germany

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Hip

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Biometry

You want biometric analysis? No problem for mediCAD!Automatic suggestion of ideal joint center position considering bodyheight, weight and initial biomechanical analysis.

Improved force application and regained physiological muscle move-ment based on the biomechanically determined normal range for an-choring the prostheses.

Avoidance of biomechanically unfavorable results by optimized im-plantation geometry.mediCAD provides a unique solution.

mediCAD calculates and displays the rotation centerfor an optimized geometry of the joint that simu-lates the stress situation of a healthy joint.

The mathematically ideal rotation center is in thegreen, the optimum range according to a 12-pointscore.

Hip

The Endoprosthetics module supports your planning of hip implants.It is based on common, formerly manually conducted planning me-thods in hip endoprosthetics using x-rays and prosthesis templates.

It allows you to quickly and accurately:

� select and fit a suitable cup-shaft combination� correct adduction or abduction� preoperatively and postoperatively determine

leg length adjustment and visualize it on theimage

Fast and automatic planning with AutoPlan functionality:The Autoplan function in the hip module allows you to choose fromautomatically suggested cups and shafts. After specific referencepoints have been determinedAutoplan suggests the most suitable implants for the respectivecases, inserts them automatically and lets you modify them accor-ding to personal decision criteria.

Pre-selecting a certain manufacturer allows you to limit the implantrange to desired implants.

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Knee

Plan knee prostheses with the knee-endoprosthetics module. Possiblemalalignment of the axis can bedetected and corrected during plan-ning. This allows you to preopera-tively and postoperatively evaluatethe correction of force applicationon the complete leg.

The life time of the knee prosthesiscan be extended substantially.

Corrections with or without considering the length of the lateralcollateral ligament are possible. Depending on the desired objec-tive, mediCAD corrects malalignment automatically or according tomanually set parameters. It calculates the mechanical axes, weight-bearing line and all relevant angles to be expected postoperatively.

Coxometry

The infant hip:The coxometry module allows you to evaluatehip joints based on clinically relevant values.

As American and European orthopedists use different criteria to eva-luate the hip situation the coxometry module takes these differentapproaches into account.

mediCAD automatically evaluates most criteria using known gradingscales, such as the acetabular head index or the acetabular angle,etc.

Long-term studies can be conducted by saving and/or printing theplanning images based on time series.

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Osteotomy by Dror Paley

The analysis determines type, number, size and localization of theosteotomies.

After the correction all joint-related mechanical load axes and jointtangents have to be within normal range.

Common methods:Open wedge or closed wedge, translation

All pre- and postoperative results are shown.The extended module osteotomy by Dror Paley allows you to calcu-late malalignment angles.

Osteotomy

The osteotomy module lets you plan femoral or tibial rehabilitatingosteotomies with single or multiple osteotomies, with open wedgeor closed wedge technique.

Malalignment of the axis is detected automatically and correctedautomatically or manually.

Suitable osteosynthesis components like nails, plates, screws etc.can be selected conveniently from the data base.

mediCAD makes it easy to compose a complete image in standingposition out of partial images.

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· Analysis of preoperative situation· Determination of CORA/NCORA, single or multiple Osteotomies· Simulation of postoperative results· Automatic calculation of the ideal angles· Determination of the apex and the real deformity angle from

AP and sagittal view· Interactively select and evaluate the correction yourself.

Principle of deformity correction by Dror PaleyDeveloped for mediCAD in cooperation with Prof. Dr. med. J. Pfeiland Prof. Dr. B. Gladbach / Wiesbaden

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This method is in use at www.gelenkzentrum-wiesbaden.de foryears. Mathematic principles according to Prof. Dror Paley,Baltimore, Prof. Dr. med. J. Pfeil and Prof. Dr. med. B. Gladbach

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Trau

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Trauma

The trauma module allows you to cut out and move bone segmentsand place required osteosynthesis products.

Implant templates for plates, screws, nails are included.

mediCAD makes it easy to compose a complete image out of partialimages.

� Simple image editing for the reconstruction of skeleton elements.� Data library for nails, screws and plates.

Shoulder / Elbow / Hand / Finger

Allows planning and determination of size and position of shoulder,elbow, hand and finger implants.

� Simulation of postoperative results possible.

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Foot / Ankle

Allows planning and determination of size and position of foot, ankleand toe implants.

Hallux Valgus

Allows you to analyze the preoperative situation by calculating allrelevant angles automatically. The postoperative result can be si-mulated at any time. All individual dimensioning options as well asa variety of implants are available.

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Spi

neSpine

This module allows you to determine values and measurementsfrom ML or AP images automatically.

Many functions are available, such as:

base /cover platesperpendicular from the vertebralbody’s gravity centerperpendicular (cervical gravityline)Risser gradescoliosis by COBBscoliosis by FergusonNash-Moe rotationinterpedicular distancespinal canal width indexlordosiskyphosiscopy with reference lines

atlantodental distancediameter of the spine canalvertebra linesMcGregor’s linespondylolisthesisintervertebral disk heightintervertebral disk angleinstability by Van Akkerveekensacral anglefunction analysisstability criteria with spondylore-trolysthesisinserting screws

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CE 0483

Manufacturer informationAll product names and company names are trademarks orregistered trademarks of their respective owners.

The information in this manual is subject to change without furthernotice.

Hectec GmbH

Ottostrasse 1684030 LandshutGermany

This company is certified according to 93/42/EEC, annex II and ap-plies a quality management system according to DIN EN ISO13485. The product complies with the essential requirements ofannex I of directive 93/42/EEC and is certified as medical product ofclass 1m according to annex IX of this directive.

Hardware recommendations

mediCAD will run on any up-to-date PC, notebook or netbookwith Windows operating system.Recommended screen resolution 1280x1024. No diagnosticmonitor needed.

Templates :

The templates for implants and accessories by the manufacturersthat you use can certainly be integrated into the system. Currently,there are approx. 450.000 templates from more than 85 manufac-turers available in the system.

Introduction / Training

mediCAD is easy to learn and requires no prior knowledge of pro-grams. The operator is guided intuitively through the program. Allstatements are displayed in plain text on the screen.Training time usually takes approx. 2 hours.

X-ray images are imported in DICOM format via an interface of yourPACS/RIS system. mediCAD communicates with all DICOM inter-faces and is compatible with all PACS systems.

All current image formats can be imported as well.

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Implant manufacturers

mediCAD provides the largest data base for implants worldwide.Currently, the operator can choose from approx. 450.000 templatesfrom over 85 international implant manufacturers. The data base isexpanded and updated with additional and renewed implant sys-tems on a monthly basis.

3MAAP ImplantateAcumedAdler OrthoAequosAesculapAmplitudeArge / K-ImplantArgomedicalArthrexAscension OrthoAtesos MedicalAvantaB&JRBeznoska CZBioMedtrixBiometBioprofileBiotechniBrehmCeraverChiroplantChiroproConsensusCorinDePuyJohnson&JohnsonEncoreESKAExactechFalcon-MedicalFinsburyGlobal

Group LepineImplantcastIntegraIntraplantIO ImplantsISPJMMJRIKMIKönigseeKyonLimaLinkLogimedMartin KLSMathysMaxx OrthoMedactaMedartisMedtronicMeiraMereteMojeNewdealODEV OrthoDevelopmentOmni LifeOrtho DynamicsOrthofixOS OrthopedicServicesPermedicaPrivelop

ProtheosSAMO SpASEM science-et-medecineSERF Dedienne SanteSmith & Nephew /EndoplusStemCUPStratecStrykerSurgivalSymbiosSynthesTantumTecresTornierTraiberWhitesideWright CremascoliOrthoZimmer

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PACS connectivity

mediCAD uses the DICOM standard. Please contact us forcustomizations to other digital systems.

mediCAD Stand-Alone solution withmidiQR (image archive) connectivity

mediCAD Multi-User solution withmediQR (image archive) connectivity

any availablePACS

any availablePACS

PACSconnectivitywith mediQR

PACSconnectivity

with mediQR

Image handlingand transfer

Image handlingand transfer

Image handlingand transfer

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Info

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lFour ways to contact us !

Name :

EMail :

Company / clinic:

Street / No :

Zip code / place :

Country :

Phone / fax :

PACS provider :

Please send me information material on the followingplanning modules :

Hip endoprostheticsKnee endoprostheticsBiometryCoxomeryOstetomy

Osteotomy by Dror PaleySpineFoot / hallux valgus / ankleShoulder / elbow / handTrauma

+49 871 142 3700+49 871 142 3709

www.mediCAD.deinfo@mediCAD.de

Other concerns and requests

Stamp

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Reference object shop

Scaling devices and reference balls - radiology accessories

Calibration ball / reference measure Ø 25 mm

The calibration balls are made from stainless steel and constructedas hollow spheres. This allows for substantial weight saving com-pared to customary balls of solid steel.

The smooth surface of the ball makes it easy to clean.

To achieve most accurate results the ball is placed on bone level. Weoffer special single-use adhesive pads to better attach the ball to thepatient.

Both of our scaling device models offer an easy way to place a sca-ling reference on your x-ray images.

� flexible arm for accurate placement� variable arm length� 25 mm scaling ball integrated� exact placement on bone level� Large base plate to place on even surfaces� functional clamp for images in standing position

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Hectec GmbH, Ottostrasse 16, D-84030 Landshut - Germany,( +49 871/ 142370-0, Fax +49 871/ 142370-9

info@hectec.de www.hectec.de

print number: BRO/2208/10.02.2011/EN - All rights reserved.

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