Every challenge has a solution DePuy Spine, Inc. 325 Paramount Drive Raynham, MA USA Tel: +1 (800) SEAMLESS JUNCTIONAL CONNECTIONS

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1 11:59 PM Page 1 I N D I C A T I O N S When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (occiput - T3), the SUMMIT Occipito-Cervical-Thoracic (OCT) Spinal System and the MOUNTAINEER OCT Spinal System is intended for: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies) Spondylolisthesis Spinal stenosis Fracture/dislocation A LEGACY OF SOLUTIONS Atlanto/axial fracture with instability Occipitocervical dislocation DePuy Spine has been and continues to be a leader in Occipito-Cervico-Thoracic fusion technology to promote rigid fixation. DePuy Spine has collaborated with the surgeon community to drive procedural enhancements through implant and instrument UNPARALLELED FIXATION OPTIONS innovation. These collaborations have resulted in many firsts. DePuy Spine is committed to collaborating with surgeons to continue driving procedural Product 2000 SUMMIT Minipolyaxial s Tumors The Occipital Bone s are limited to occipital fixation only. The use of the Minipolyaxial s is limited to placement in the upper thoracic spine (T1-T3) in treating thoracic conditions only. They are not intended to be placed in the cervical spine. The SONGER Cable System, to be used with the SUMMIT OCT Spinal System and MOUNTAINEER OCT Spinal System, allows for wire/cable attachment to the posterior cervical spine. improvements for better patient outcomes. Year Revision of previous cervical spine surgery The SUMMIT OCT Spinal System and the MOUNTAINEER OCT Spinal System can also be linked to the ISOLA, TiMX, MONARCH, MOSS MIAMI and EXPEDIUM Systems using the Dual Wedding Band and Axial Connectors, and via Dual Diameter Rods. Limited Warranty and Disclaimer: DePuy Spine products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. DePuy Spine offered the first minipolyaxial screw providing surgeons the ability to build a construct according to patient anatomy, not the constraints of the system. WARNING: In the USA, this product has labeling limitations. See package insert for complete information SUMMIT OCT Spinal Fixation System CAUTION: USA Law restricts these devices to sale by or on the order of a physician. DePuy Spine offered the first OC plate utilizing midline fixation. The OC plate also provides flexibility for rod placement through translating and rotating rod connection points SUMMIT SI Spinal Fixation System 2005 MOUNTAINEER OCT Spinal System DePuy Spine is a joint venture with Biedermann Motech GmbH. DEPUY SPINE, the DePuy Spine logo, MOUNTAINEER, EXPEDIUM, SYMPHONY, TOP NOTCH and SUMMIT are all trademarks of DePuy Spine, Inc. TiMX, MONARCH and MOSS MIAMI are registered trademarks of DePuy Spine, Inc. Other Cervical Products: Not all products are currently available in all markets DePuy Spine, Inc. All rights reserved. DePuy Spine accelerated ease of use in challenging occipito-cervical fusions with the introduction of the OC Adjustable Rod. DePuy Spine also provided innovative solutions to space constraints of the cervical spine through the development of the Head-to-Head Cross Connector and beyond To order, call DePuy Spine Customer Service ( ). MOUNTAINEER OCT Upgrades U N PA R A L L E L E D F I X AT I O N O P T I O N S More innovative solutions O P T I M A L C O N T RO L Every challenge has a solution DePuy Spine, Inc. 325 Paramount Drive Raynham, MA USA Tel: +1 (800) CR XX /08 09/08

2 8:13 PM Page 2 With the MOUNTAINEER Spine System, you can design a fusion solution that solves the unique problems you face - from anomalies of patient anatomy to unexpected intraoperative developments without system constraints. The MOUNTAINEER Spine System has been designed to be both simple and versatile, because where you see challenges, we see solutions. Cha lle nge Rigid Fixation Limited space for cross connecting Rigid fixation to the occiput Minimal Access OC Driver Rod contouring and placement Limited accessibility to OC anatomy OC plate utilizes midline keel for maximum fixation. OC plate incorporates translating and rotating rod connections for easier alignment of the rod. Jointed rod allows for full range of angulation in a single plane and the advantage of revisiting head position intraoperatively. Prebent rod requires less contouring than a straight rod to accommodate the OC junction. Multiple drive options for OC bone screws (NEW minimal access driver). U N P A R A L L E L E D F I X AT I O N O P T I O N S Multiple hook sizes Cables and cable connectors attaches to the top of the minipolyaxial screw utilizing a doubletall set screw as a post, eliminating the need to connect to the rod. Hook will allow the placement of the head-to-head cross connector on the rod in a position where a screw or hook head is not present. Effective rod reduction Achieving appropriate screw trajectory while maintaining alignment with the rod Crossing the CT junction (lordosis to kyphosis) Medial/Lateral S olut ion Favored angle screw options (cephalad/caudad and medial/lateral) combined with the polyaxial drag feature simplify rod placement. Multiple rod-to-rod connection options Dual diameter rods 4.35 mm screw Lateral offset connectors Angled Lateral Offset Connector Two styles of reduction devices, including the new TOP NOTCH approximator. TOP NOTCH Approximator

3 8:13 PM Page 2 With the MOUNTAINEER Spine System, you can design a fusion solution that solves the unique problems you face - from anomalies of patient anatomy to unexpected intraoperative developments without system constraints. The MOUNTAINEER Spine System has been designed to be both simple and versatile, because where you see challenges, we see solutions. Cha lle nge Rigid Fixation Limited space for cross connecting Rigid fixation to the occiput Minimal Access OC Driver Rod contouring and placement Limited accessibility to OC anatomy OC plate utilizes midline keel for maximum fixation. OC plate incorporates translating and rotating rod connections for easier alignment of the rod. Jointed rod allows for full range of angulation in a single plane and the advantage of revisiting head position intraoperatively. Prebent rod requires less contouring than a straight rod to accommodate the OC junction. Multiple drive options for OC bone screws (NEW minimal access driver). U N P A R A L L E L E D F I X AT I O N O P T I O N S Multiple hook sizes Cables and cable connectors attaches to the top of the minipolyaxial screw utilizing a doubletall set screw as a post, eliminating the need to connect to the rod. Hook will allow the placement of the head-to-head cross connector on the rod in a position where a screw or hook head is not present. Effective rod reduction Achieving appropriate screw trajectory while maintaining alignment with the rod Crossing the CT junction (lordosis to kyphosis) Medial/Lateral S olut ion Favored angle screw options (cephalad/caudad and medial/lateral) combined with the polyaxial drag feature simplify rod placement. Multiple rod-to-rod connection options Dual diameter rods 4.35 mm screw Lateral offset connectors Angled Lateral Offset Connector Two styles of reduction devices, including the new TOP NOTCH approximator. TOP NOTCH Approximator

4 8:13 PM Page 2 With the MOUNTAINEER Spine System, you can design a fusion solution that solves the unique problems you face - from anomalies of patient anatomy to unexpected intraoperative developments without system constraints. The MOUNTAINEER Spine System has been designed to be both simple and versatile, because where you see challenges, we see solutions. Cha lle nge Rigid Fixation Limited space for cross connecting Rigid fixation to the occiput Minimal Access OC Driver Rod contouring and placement Limited accessibility to OC anatomy OC plate utilizes midline keel for maximum fixation. OC plate incorporates translating and rotating rod connections for easier alignment of the rod. Jointed rod allows for full range of angulation in a single plane and the advantage of revisiting head position intraoperatively. Prebent rod requires less contouring than a straight rod to accommodate the OC junction. Multiple drive options for OC bone screws (NEW minimal access driver). U N P A R A L L E L E D F I X AT I O N O P T I O N S Multiple hook sizes Cables and cable connectors attaches to the top of the minipolyaxial screw utilizing a doubletall set screw as a post, eliminating the need to connect to the rod. Hook will allow the placement of the head-to-head cross connector on the rod in a position where a screw or hook head is not present. Effective rod reduction Achieving appropriate screw trajectory while maintaining alignment with the rod Crossing the CT junction (lordosis to kyphosis) Medial/Lateral S olut ion Favored angle screw options (cephalad/caudad and medial/lateral) combined with the polyaxial drag feature simplify rod placement. Multiple rod-to-rod connection options Dual diameter rods 4.35 mm screw Lateral offset connectors Angled Lateral Offset Connector Two styles of reduction devices, including the new TOP NOTCH approximator. TOP NOTCH Approximator

5 11:59 PM Page 1 I N D I C A T I O N S When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (occiput - T3), the SUMMIT Occipito-Cervical-Thoracic (OCT) Spinal System and the MOUNTAINEER OCT Spinal System is intended for: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies) Spondylolisthesis Spinal stenosis Fracture/dislocation A LEGACY OF SOLUTIONS Atlanto/axial fracture with instability Occipitocervical dislocation DePuy Spine has been and continues to be a leader in Occipito-Cervico-Thoracic fusion technology to promote rigid fixation. DePuy Spine has collaborated with the surgeon community to drive procedural enhancements through implant and instrument UNPARALLELED FIXATION OPTIONS innovation. These collaborations have resulted in many firsts. DePuy Spine is committed to collaborating with surgeons to continue driving procedural Product 2000 SUMMIT Minipolyaxial s Tumors The Occipital Bone s are limited to occipital fixation only. The use of the Minipolyaxial s is limited to placement in the upper thoracic spine (T1-T3) in treating thoracic conditions only. They are not intended to be placed in the cervical spine. The SONGER Cable System, to be used with the SUMMIT OCT Spinal System and MOUNTAINEER OCT Spinal System, allows for wire/cable attachment to the posterior cervical spine. improvements for better patient outcomes. Year Revision of previous cervical spine surgery The SUMMIT OCT Spinal System and the MOUNTAINEER OCT Spinal System can also be linked to the ISOLA, TiMX, MONARCH, MOSS MIAMI and EXPEDIUM Systems using the Dual Wedding Band and Axial Connectors, and via Dual Diameter Rods. Limited Warranty and Disclaimer: DePuy Spine products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. DePuy Spine offered the first minipolyaxial screw providing surgeons the ability to build a construct according to patient anatomy, not the constraints of the system. WARNING: In the USA, this product has labeling limitations. See package insert for complete information SUMMIT OCT Spinal Fixation System CAUTION: USA Law restricts these devices to sale by or on the order of a physician. DePuy Spine offered the first OC plate utilizing midline fixation. The OC plate also provides flexibility for rod placement through translating and rotating rod connection points SUMMIT SI Spinal Fixation System 2005 MOUNTAINEER OCT Spinal System DePuy Spine is a joint venture with Biedermann Motech GmbH. DEPUY SPINE, the DePuy Spine logo, MOUNTAINEER, EXPEDIUM, SYMPHONY, TOP NOTCH and SUMMIT are all trademarks of DePuy Spine, Inc. TiMX, MONARCH and MOSS MIAMI are registered trademarks of DePuy Spine, Inc. Other Cervical Products: Not all products are currently available in all markets DePuy Spine, Inc. All rights reserved. DePuy Spine accelerated ease of use in challenging occipito-cervical fusions with the introduction of the OC Adjustable Rod. DePuy Spine also provided innovative solutions to space constraints of the cervical spine through the development of the Head-to-Head Cross Connector and beyond To order, call DePuy Spine Customer Service ( ). MOUNTAINEER OCT Upgrades U N PA R A L L E L E D F I X AT I O N O P T I O N S More innovative solutions O P T I M A L C O N T RO L Every challenge has a solution DePuy Spine, Inc. 325 Paramount Drive Raynham, MA USA Tel: +1 (800) CR XX /08 09/08

6 11:59 PM Page 1 I N D I C A T I O N S When intended to promote fusion of the cervical spine and occipito-cervico-thoracic junction (occiput - T3), the SUMMIT Occipito-Cervical-Thoracic (OCT) Spinal System and the MOUNTAINEER OCT Spinal System is intended for: DDD (neck pain of discogenic origin with degeneration of the disc as confirmed by patient history and radiographic studies) Spondylolisthesis Spinal stenosis Fracture/dislocation A LEGACY OF SOLUTIONS Atlanto/axial fracture with instability Occipitocervical dislocation DePuy Spine has been and continues to be a leader in Occipito-Cervico-Thoracic fusion technology to promote rigid fixation. DePuy Spine has collaborated with the surgeon community to drive procedural enhancements through implant and instrument UNPARALLELED FIXATION OPTIONS innovation. These collaborations have resulted in many firsts. DePuy Spine is committed to collaborating with surgeons to continue driving procedural Product 2000 SUMMIT Minipolyaxial s Tumors The Occipital Bone s are limited to occipital fixation only. The use of the Minipolyaxial s is limited to placement in the upper thoracic spine (T1-T3) in treating thoracic conditions only. They are not intended to be placed in the cervical spine. The SONGER Cable System, to be used with the SUMMIT OCT Spinal System and MOUNTAINEER OCT Spinal System, allows for wire/cable attachment to the posterior cervical spine. improvements for better patient outcomes. Year Revision of previous cervical spine surgery The SUMMIT OCT Spinal System and the MOUNTAINEER OCT Spinal System can also be linked to the ISOLA, TiMX, MONARCH, MOSS MIAMI and EXPEDIUM Systems using the Dual Wedding Band and Axial Connectors, and via Dual Diameter Rods. Limited Warranty and Disclaimer: DePuy Spine products are sold with a limited warranty to the original purchaser against defects in workmanship and materials. Any other express or implied warranties, including warranties of merchantability or fitness, are hereby disclaimed. DePuy Spine offered the first minipolyaxial screw providing surgeons the ability to build a construct according to patient anatomy, not the constraints of the system. WARNING: In the USA, this product has labeling limitations. See package insert for complete information SUMMIT OCT Spinal Fixation System CAUTION: USA Law restricts these devices to sale by or on the order of a physician. DePuy Spine offered the first OC plate utilizing midline fixation. The OC plate also provides flexibility for rod placement through translating and rotating rod connection points SUMMIT SI Spinal Fixation System 2005 MOUNTAINEER OCT Spinal System DePuy Spine is a joint venture with Biedermann Motech GmbH. DEPUY SPINE, the DePuy Spine logo, MOUNTAINEER, EXPEDIUM, SYMPHONY, TOP NOTCH and SUMMIT are all trademarks of DePuy Spine, Inc. TiMX, MONARCH and MOSS MIAMI are registered trademarks of DePuy Spine, Inc. Other Cervical Products: Not all products are currently available in all markets DePuy Spine, Inc. All rights reserved. DePuy Spine accelerated ease of use in challenging occipito-cervical fusions with the introduction of the OC Adjustable Rod. DePuy Spine also provided innovative solutions to space constraints of the cervical spine through the development of the Head-to-Head Cross Connector and beyond To order, call DePuy Spine Customer Service ( ). MOUNTAINEER OCT Upgrades U N PA R A L L E L E D F I X AT I O N O P T I O N S More innovative solutions O P T I M A L C O N T RO L Every challenge has a solution DePuy Spine, Inc. 325 Paramount Drive Raynham, MA USA Tel: +1 (800) CR XX /08 09/08