Tibia After Resection Tibia After Pulsatile Saline Lavage Same Tibia After CarboJet All the benefits and performance of the traditional CarboJet system without any of the instrument tray reprocessing costs. • Removes lipids and other fluids from the bone bed, for improved cement penetration and bond 1 2 3 • Facilitates Tourniquetless TKA, shown to reduce post-op pain and opioid use 4 • Increases Cement Interface Strength 3 • Reduces Opportunity for Micro-Emboli 5 The “Gold Standard” tool for optimization of the bone bed in cemented arthroplasty just got easier and more cost efficient! • Optimized for the ASC / outpatient facility to maximize efficiency and convenience • The fully disposable handset kit eliminates all instrument cleaning and sterilization requirements • With sterilization costs alone estimated at more than $50 per tray 6 and with additional costs for handling, turnover time and tray storage, real savings are achieved 1. Meneghim (2019) The Effect of Tourniquet Use and Sterile CO2 Bone Preparation on Cement Penetration in Primary TK 2. Goldstein (2007) Improvement of cement mantle thickness with pressurized CO2. ISTA. 3. Stanley (2010) Bone-cement interface strength using two preparation techniques. Hand Surg. 4. Meneghini (2018) Tourniquetless TKA...Decreases Pain & Opioid Consumption in Women. J Arthroplasty. 5. Lassiter (2010) Intraoperative embolic events with use of pulsatile saline versus CO2 lavage. ORS 6. Goldberg (2019) Logistical and economic advantages of sterile-packed, single-use instruments for total knee arthroplasty. J Arthroplasty. Kit comes sterile packed and is available with an included clip-on splash shield.

Splash Shield available with Handpiece Set or as separate item (also attaches to the standard CarboJet® reusable 40° nozzle). Quality Care. Clinically Proven. For more information: Website www.kinamed.com 820 Flynn Road, Camarillo, CA 93012-8701 Part Number Various reusable pressure regulator options are available: Caution: Federal law restricts this device to sale by or on the order of a physician. Prior to use of a Kinamed device, please review the instructions for use and surgical technique for a complete listing of indications, contraindications, warnings, precautions, and directions for...