With a non sterile standard kit Calling on medical staff Complex traceability Suppliers’ deadline Cleaning Decontamination Bulky storage Prevents an effective solution & a quick response Defective sterilization Damaged instrumentation INCREASED RISKS NON OPTIMIZED surgery URGENT SURGICAL CASES COMPROMISED

Controlled stocks Simplified control Cleaning Decontamination Sterilization An effective solution & a quick response expenses READY-TO-USE FOR SURGERY Optimized handling of URGENT SURGICAL CASES Optimized storage with state-of-the-art implants

Available when needed: The initial A™ kits (initial A™ - Fibula and initial A™- Syndesmosis) come pre-sterilized and ready to use. The combination of sterile implants and single use instrumentation in a single packaging makes initial A™ ideal for use in urgent surgical cases. Safety: The initial A™ kits are fully traceable and have a shelf life of 5 years. its instrumentation and implants are "always new" and have never been opened or used before. innovation Storage: initial A™ kits can be easily stored in the operating room because of its small size. Costs: initial A™ is a cost-effective solution....

Initial A™- Fibula kits Technical features The implants of the Initial A™ are intended for the fixation of fractures, osteotomies and pseudarthroses of the distal fibula, and for syndesmotic repair in adults. • Serious vascular deterioration, bone devitalization. • Pregnancy. • Acute or chronic, local or systemic infections. • Lack of musculo-cutaneous cover, severe vascular deficiency touching the focus. • Insufficient bone quality preventing a good fixation of the implant into the bone. • Muscular deficit, neurological deficiency or behavioural disorders which could submit the osteosynthesis...

Initial A™- Fibula kits Surgical technique Example: surgical technique with a right standard plate, size 2 (KIT-AL2D). 1. Using the template (ANC607), define the suitable plate size, then determine the appropriate kit. 2. Drill using the Ø2.7 mm drill bit. 3. When a lag effect is necessary, use the countersink part of the blue 2-in-1 instrument to widen the first cortex previously drilled. 4. Insert the interfragmentary non-locking Ø3.5 mm light blue cortical screw using the screwdriver part of the 2-in-1 instrument. 5. Hold the plate with two pins inserted through the distal holes. 6. The plate...

Standard plates - Left side RTGLS1 RTGLS2 RTGLS3 iNiTiAL A™ - FiBULA KITS Standard plates - Right side RTDLS3 RTDLS2 RTDLS1 KIT-AL1D Distal fibula kit - Standard - Right - Size 1 KIT-AL1G Distal fibula kit - Standard - Left - Size 1 KIT-AL2D Distal fibula kit - Standard - Right - Size 2 KIT-AL2G Distal fibula kit - Standard - Left - Size 2 KIT-AL3D Distal fibula kit - Standard - Right - Size 3 KIT-AL3G Distal fibula kit - Standard - Left - Size 3 KIT-AL1S Distal fibula kit - Narrow symmetrical - Size 1 KIT-AL2S Distal fibula kit - Narrow symmetrical - Size 2 initial a™ - fibula kit - instrumentation...

initial a™- Syndesmosis kit Surgical technique Example: surgical technique with a right standard plate, size 2 (kit-al2D + kit-ams) Initial A™ - Syndesmosis kit is intended for the syndesmosis repair in adults. Final Result 1. The syndesmodic screw can be inserted in the following holes: • For the standard plates: a. The most distal diaphyseal hole, b. The most distal oblong hole, • For the narrow plates: c. The most distal oblong hole. 2. Drill using the non threaded bent long guide gauge in the holes designed for syndesmotic screws. The drilling length can be directly measured on the guide...

Initial A™ kits - Additional kits References Additional implants Sterile screws LOCKING SCREWS - Ø2.8 mm* Ref. STANDARD CORTICAL SCREWS - Ø3.5 mm* Qty SDT2.8L10-STI Locking screw - Ø2.8 mm - L 10 mm - STERILE 1 SOT3.5L10-ST Locking screw - Ø3.5 mm - L 10 mm - STERILE 2 CT3.5L10-ST Standard cortical screw - Ø3.5 mm - L 10 mm - STERILE 2 SDT2.8L12-STI Locking screw - Ø2.8 mm - L 12 mm - STERILE 1 SOT3.5L12-ST Locking screw - Ø3.5 mm - L 12 mm - STERILE 1 CT3.5L12-ST Standard cortical screw - Ø3.5 mm - L 12 mm - STERILE 1 SDT2.8L14-STI Locking screw - Ø2.8 mm - L 14 mm - STERILE 1 SOT3.5L14-ST Locking...

NEWCLIP TECHNICS PA de la Lande Saint Martin - 45 rue des Garottières 44115 Haute-Goulaine - France Tel: +33 (0)2 28 21 37 12 - Fax: +33 (0)2 40 63 68 37 [email protected] - www.newcliptechnics.com NEWCLIP USA 642 Larkfield Center Santa Rosa CA 95403, USA Phone: + 1 707 230 5078 [email protected] - www.newclipusa.com Brochure EN - Initial A - Ed.4 - 09/2018 - Medical devices: class IIb - CE 0120 SGS UK - US Class: II - Read labeling and instructions before use.