Foot And Ankle Biologic Solutions 1

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2013-02-24

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Forefoot

Midfoot

Rearfoot

Ankle

Foot & Ankle

Bone Graft Substitutes
Soft Tissue Repair

Vitoss
Vitoss is the #1 selling Synthetic Bone Graft for one
good reason... IT WORKS.1
Human clinical data supports its efficacy2—over 425,000
implantations worldwide.3
Vitoss BA has a unique porosity, bioactivity, and
chemistry. Literature shows that bioactive glass stimulates
osteoblastic activity and facilitates bone formation in
in-vitro and animal models.4-6 Upon implantation, the
ionic constituents (Si+, Na+, Ca2+) of bioactive glass are
released into the surrounding environment and react with
the bodily fluids.7-10 This reaction produces the deposition
of a thin layer of physiologic calcium phosphate at its
surface, favorable for osteoblast attachment.11 This is
commonly referred to as an osteostimulatory effect.4-6, 9, 12-14
In a direct comparison animal study, glass demonstrated
accelerated healing when bioactive glass was added to an
osteoconductive scaffold.15

HydroSet
HydroSet is a calcium phosphate cement that converts to
hydroxyapatite, the principle mineral component of bone.
It is injectable, sculptable and fast setting.
HydroSet can be drilled and tapped to accommodate
the placement of provisional hardware during the surgical
procedure.
Specifically formulated to set in a wet field environment,
HydroSet exhibits outstanding wet-field characteristics.16

MemoDerm
MemoDerm is a sterile acellular dermal matrix derived from
human allograft skin tissue, specifically designed to play a key
role in the revascularization and repopulation of cells.
The unique processing method removes the epidermal layer
and dermal cells, minimizing the potential for an immunogenic
response.

TissueMend
By combining physical properties of strength and thickness
with biologic properties that encourage cell and blood vessel
penetration, the TissueMend collagen matrix is designed to
handle the vigorous demands of tendon repair.
Over time, normal tissue remodeling occurs where TissueMend
is incorporated into the native tissue and ultimately replaced by
natural, healthy, native cells and tissue.

PriMatrix
PriMatrix is an acellular collagen matrix that provides an
environment to support cell repopulation and revascularization
during the wound healing process.
PriMatrix uses a proprietary process designed to remove
cellular components and potentially infectious agents from
raw material, while preserving the biological properties and
structure of native collagen.
PriMatrix can be cut into strips to efficiently fill deep or
tunneled wounds.

Vitoss BA features a combination of porosity, structure, bioactivity
and chemistry. As a calcium phosphate that is up is to 90% porous17,
Vitoss’s interconnected porosity allows for 3-D regeneration of bone,
as opposed to creeping substitution. The increased porosity has been
shown to lead to higher fusion rates in an animal study.18
Literature shows that bioactive glass stimulates osteoblastic activity
and facilitates bone formation in in-vitro and animal models.4-6 Upon
implantation, the ionic constituents (Si+, Na+, Ca2+) of bioactive
glass are released into the surrounding environment and react with
the bodily fluids.7-10 This reaction produces the deposition of a
thin layer of physiologic calcium phosphate at its surface, favorable
for osteoblast attachment.11 This is commonly referred to as an
osteostimulatory effect.4-6, 9, 12-14 In a direct comparison animal study,
glass demonstrated accelerated healing when bioactive glass was
added to an osteoconductive scaffold.15
Chemistry affects the rate of resorption. Bone grafts should resorb as
new bone forms in a physiologic time frame. Vitoss is composed of
β-TCP and is stable at physiologic pH. It resorbs during the natural
remodeling process of bone.

Vitoss Products
Foam Pack

Morsels

Foam Strip

Canisters

Vitoss Foam Pack is a versatile material that is
stable in a fluid environment, can soak and hold
bone marrow, and is compression-resistant.

Vitoss Foam Strip is a compression-resistant, preformed strip that is flexible when wet, can soak
and hold bone marrow, and is easily customized
for various grafting applications.

4 | Bone and Tissue

Vitoss Morsels are an economical way to provide a
quality synthetic product to your patients for large
volume grafting applications. Vitoss Morsels offer
a cost comparative option to allograft chips.

Vitoss Canisters offer the handling and delivery
of Vitoss Morsels with the use of bone marrow
aspirate or blood. It is a closed system designed
to minimize handling and exposure to potential
contaminants.

HydroSet

Injectable HA Bone Substitute
HydroSet is a self-setting calcium phosphate cement
indicated to fill bony voids or gaps of the skeletal
system—extremities, craniofacial, spine, and pelvis.
HydroSet is indicated only for bony voids or gaps that
are not intrinsic to the stability of the bony structure.

Porosity

HydroSet cured in situ provides an open void/gap
filler than can augment provisional hardware—
K-Wires, plates, screws—to help support bone
fragments during the surgical procedure. The
cured cement acts only as a temporary support
media and is not intended to provide structural
support during the healing process.

Bone

Vitoss

Other Scaffolds

Materials with interconnected porosity will allow for 3-D regeneration
of bone as opposed to creeping substitution. Vitoss is a highly porous
calcium-phosphate (up to 90% porous).17 Additionally, increased porosity
has been shown to lead to higher fusion rates in an animal model.18

Not All Scaffolds are Created Equal

Vitoss

• HydroSet is chemically formulated to set in a
wet field environment,16 eliminating the need
to meticulously dry the operative site prior
to implantation.
• The composition of hydroxyapitite closely
matches that of bone mineral, thus imparting
osteoconductive properties.20
• HydroSet can be drilled and tapped to
accommodate the placement of provisional
hardware during the surgical procedure.

Competitive
Graft

3 Weeks

6 Weeks

12 Weeks

24 Weeks

HydroSet can be easily implanted via simple
injection or manual application techniques for a
variety of applications. It is specifically designed
to set quickly once implanted under normal
physiological conditions. HydroSet does not
release any heat as it sets, preventing potential
thermal injury.

52 Weeks

Comparison of Vitoss to competitive graft in a canine metaphyseal study
in order to radiologically compare healing at 3, 6, 12, 24, and 52 weeks.
A 10mm x 22mm drill defect was created in the canine proximal
humerus and filled with 2cc of bone graft.19

Iliac Crest (PSIS, ASIS)

Imbibe is a system of disposable bone
marrow aspiration devices. The Imbibe
bone marrow aspiration needles
provide a minimally invasive way to
harvest bone marrow. The needles
come with both bullet-tip and sharptrocar stylets, which are color coded.
Bone marrow aspirate harvested using
Imbibe bone marrow aspirate syringes
can then be used to rehydrate Vitoss.

Product Specifications
Chemical Composition

Powder: Dicalcium phosphate dihydrate, Tetracalcium
phosphate and Tri-sodium citrate
Liquid: Sodium phosphate, Polyvinylpyrrolidone and water
Packaging Contains: Bowl of powder, Liquid-filled syringe,
Delivery syringe, Cannula and spatula.
Shelf Life: 1 year Sterilization: Ethelyne oxide and
Gamma irradiation

Calcaneus

Stryker Foot & Ankle | 5

The TissueMend Soft Tissue Repair Matrix is an acellular, collagen
membrane used to repair and reinforce soft tissues where weakness exists.
A unique collagen composition and structure makes TissueMend an
excellent biologically inspired scaffold for tissue remodeling. Non-artifical
cross-linking helps to provide a medium for normal cellular growth and
maturity, allowing for the development of new, healthy tissue.
When implanted, TissueMend provides an environment where host cells
and supporting vasculature can take up residence and mature. Over time,
normal tissue remodeling occurs where TissueMend is incorporated into the
native tissue and ultimately replaced by native collagen fibers.

Host fibroblasts have
migrated into and populated
TissueMend beginning the
remodeling process.

Note the lack of foreign body
reaction to TissueMend.
Inflammatory cells are absent
and the implant has not been
encapsulated.
Three month rat intramuscular
biocompatibility evaluation

As a direct result of its technologically advanced production process,
the TissueMend Soft Tissue Repair Matrix has demonstrated a lack of
inflammation and foreign body reaction when implanted into native tissue.21
• Composed of 99% pure, non-denatured collagen
• Available as a rectangular patch with dimensions of
3cm x 3cm, 5cm x 6cm, or 6cm x 10cm
• As a result of its thickness, external forces are distributed
over a greater surface area
• Can be easily cut and trimmed both before and after
graft hydration
• Hydrates in seconds
• Non-crosslinked
• Rich in Type III Collagen
• Potential for reduced scarring22

6 | Bone and Tissue

®
MemoDerm Acellular Dermal Matrix is derived from
human allograft skin tissue that is terminally sterilized.
The unique processing method removes the epidermal and
dermal cells, minimizing the potential for an immunogenic
response. The resulting acellular dermal matrix has the
natural histomorphology preserved.

PriMatrix
Dermal Repair Matrix

™

MemoDerm is specifically designed to play a key role in the
revascularization and repopulation of cells. The proprietary
gamma irradiation sterilization process does not damage the
matrix. The cellular elements, typically considered
immunogenic, are absent.
• Proprietary Gamma Precision Dose Sterilization process
provides a Sterility Assurance Level (SAL) of 10-6
• Excellent Tensile Strength
• Excellent Suture Retention Strength
• Indicated for the repair or replacement of damaged or
inadequate integumental tissue. Note - meshed MemoDerm
is to be used for wound care only (burns, ulcers)

Providing an Environment to Manage Wound Healing

PriMatrix
Non-Meshed

PriMatrix is an acellular collagen matrix derived from fetal bovine
dermis. This biologic matrix helps provide an environment to
support the cell repopulation and revascularization process
essential to wound healing. In addition to non-denatured Type I
collagen, PriMatrix is rich in Type III collagen, which is active in
developing and healing tissues. The product delivers this unique
fetal collagen composition and architecture into the wound bed.

Meshed

The RegenKit THT is designed to be used for the safe and
rapid preparation of autologous platelet-rich plasma (A-PRP)
from a small sample of blood at the patient’s point of care.
After the simple 4-step preparation, the A-PRP can be applied
to an orthopedic surgical site, as deemed necessary by clinical
use requirements.
Features and Potential Benefits
• Simplicity
• Low blood volume required
• Optimum platelet recovery23
• Consistent isolation of
platelet concentrate
and plasma23
• Leukocytes at
physiological levels23
• Erythrocyte depletion23

PriMatrix uses a proprietary process designed to remove cellular
components and potentially infectious agents from raw material,
while preserving the biological properties and structure of
native collagen.
PriMatrix is offered in a variety of sizes and configurations; large
and small pieces may be applied. PriMatrix can be cut into strips
to efficiently fill deep or tunneled wounds. All configurations
of PriMatrix may be used in conjunction with vacuum-assisted
wound healing systems.
• Available in both fenestrated and non-fenestrated versions
• Three-year shelf life
• Biocompatible and cell-friendly with no artificial
chemical crosslinking
• Terminally sterilized

Stryker Foot & Ankle | 7

Joint Replacements

DESCRIPTION .................... PART NUMBER

Vitoss
Foam pack - Also available in Vitoss BA2X** / BA*
1.2cc............................**2102-2101

*2102-1601, 2102-1401
2.5cc............................**2102-2102

*2102-1602, 2102-1402
5cc...............................**2102-2105

*2102-1605, 2102-1405
10cc.............................**2102-2110

*2102-1610, 2102-1410
Foam Strip - Also available in Vitoss BA*
25 x 100 x 4mm - 10cc. *2102-1500
25 x 100 x 4mm - 10cc.. 2102-1100
25 x 100 x 8mm - 20cc. *2102-1520
25 x 100 x 8mm - 20cc.. 2102-1120
25 x 240 x 4mm - 24cc.. 2102-1101
25 x 50 x 4mm - 5cc...... *2102-1505
25 x 50 x 4mm - 5cc....... 2102-1105
25 x 50 x 8mm - 10cc.... *2102-1510
25 x 50 x 8mm - 10cc..... 2102-1110
75 x 100 x 4mm - 30cc.. 2102-1130
Morsels
15cc Macro..................... 2102-0020
30cc Macro..................... 2102-0021
1.2cc Blocks................... 2102-0013
10cc Blocks.................... 2102-0006
30cc Macro (x10)............ 2102-0131

Canisters
5cc Micro........................ 2102-0026
5cc Standard .................. 2102-0030
10cc Micro...................... 2102-0027
10cc Standard................. 2102-0031
15cc Micro...................... 2102-0028
15cc Standard................. 2102-0032
30cc Micro...................... 2102-0029
30cc Standard................. 2102-0033
Imbibe
Syringes
10cc............................... 2105-0010
20cc............................... 2105-0020
30cc............................... 2105-0030
Needles
11 gauge x 4in................ 2090-0027
11 gauge x 6in................ 2090-0028
8 gauge x 6in.................. 2090-0029
8 gauge x 8in.................. 2090-0047
Fenestrated
8 gauge x 6in.................. 2090-0030
TissueMend
5cm x 6cm..................... 6495-9-001
6cm x 10cm................... 6495-9-004
3cm x 3cm..................... 6495-9-006

MemoDerm
Non-Meshed
2cm x 4cm (0.33-0.61mm thickness)

HTM0330204
4cm x 8cm (0.80-1.40mm thickness)

HTM0800408
5cm x 5cm (0.80-1.20mm thickness)

HTM0900505
5cm x 5cm (1.00-2.00mm thickness)

HTM1500505
5cm x 10cm (2.00-3.50mm thickness)

HTM2000510
Meshed
4cm x 4cm (0.40-0.80mm thickness)

HTM0400404M
4cm x 8cm (0.40-0.80mm thickness

HTM0400408M
RegenKit THT
RegenKit THT................. 8495-9-001
Universal Centrifuge........ 8495-9-010
Balancing Tube 3Pk........ 8495-9-998
PriMatrix
4cm x 4cm..................... 6495-9-104
6cm x 6cm..................... 6495-9-106
8cm x 8cm..................... 6495-9-108
4cm x 4cm Fenestrated.. 6495-9-114
6cm x 6cm Fenestrated.. 6495-9-116
8cm x 8cm Fenestrated.. 6495-9-118

Trauma & Extremities
Craniomaxillofacial
Spine
Biologics
Surgical Products
Neuro & ENT
Interventional Spine
Navigation
Endoscopy
Communications
Imaging

References:
1. Millennium Research Group: US Markets for Orthopedic
Biomaterials
2. Vitoss Bibliography, P/N 5606-011 7 Rev. 00, 2010.
3. Stryker Orthobiologics Internal Sales Data, May 2012.
4. Hench, L.L., Splinter, R.J., and Allen, W.C., Bonding Mechanisms at
the Interface of Ceramic Prosthetic Materials. Journal of Biomedical
Materials Research, 1971; 2(1): 117-141.
5. Hench, L.L., Paschall, H.A., Direct Chemical Bond of Bioactive
Glass-Ceramic Materials to Bone and Muscle.Journal of Biomedical
Materials Research, 1973; 4: 25-42.
6. Gross, U., The Interface of Various Glasses and Glass Ceramics with a
Bony Implantation Bed. Journal of Biomedical Materials Research,
1985; 19: 251-271.
7. Hench, L.L., The Story of Bioglass. Journal of Materials Science:
Materials in Medicine, 2006 Nov; 17(11): 967-78.
8. Oonishi, H., et al., Particulate Bioglass Compared with
Hydroxyapatite as a Bone Graft Substitute. Clinical Orthopaedics
and Related Research, 1997 Jan; 334: 316-25.
9. Vrouwenvelder, W.C.A., Histological and Biochemical Evaluation of
Osteoblasts Cultured on Bioactive Glass, Hydroxyapatite, Titanium
Alloy, and Stainless Steel. Journal of Biomedical Materials Research,
1993 Apr; 27(4): 465-75.
10. Xynos, I.D., Edgar, A.J., Buttery, L.D.K., Hench, L.L., and Polak, J.M.,
Ionic Products of Bioactive Glass Dissolution Increase Proliferation
of Human Osteoblasts and Induce Insulin-like Growth Factor
II mRNA Expression and Protein Synthesis. Biochemical and
Biophysical Research Communications, 2000 September 24; 276(2):
461-5.
11. Hench, L.L., Polak, J.M., Xynos, I.D., Buttery, L.D.K., Bioactive
Materials to Control Cell Cycle. Materials Research Innovations,
2000; 3(6): 313-323.
12. Sanders, D.M., Hench, L.L., Mechanisms of Glass Corrosion. Journal
of American Ceramic Society. 1973; 56(7): 373-377.

13. Hench, L.L., Characterization of Glass Corrosion and Durability.
Journal of Non-Crystalline Solids, 1975; 19: 27-39.
14. Ogino, M., Hench, L.L., Formation of Calcium Phosphate Films on
Silicate Glasses. Journal of Non-Crystalline Solids, 1980; 38 and 39:
673-678. Spinal Fusion Model. European Spine Journal, 2007; 16:
2215-2224.
15. Havener, M.B., Brown, L.S., Darmoc, M.M., Owsianny, R.S.,
Clineff, T.D,, Improvements in Healing with a Bioactive Bone Graft
Substitute in a Canine Metaphyseal Defect. 55th Annual Meeting of
the Orthopaedic Research Society, 2009.
16. 1808.E703
17. Orthovita Test Report P/N 1070-0008R.
18. Motomiya, M., et al., Effect of Hydroxyapatite Porous Characteristics
on Healing Outcomes in Rabbit Posterolateral Spinal Fusion Model.
European Spine Journal, 2007; 16: 2215-2224.
19. Havener, MB, Clineff, TD, Darmoc, MM, Brown, LS, Owsiany, R, A
Comparative Study of Synthetic Bone Graft Substitutes in a Canine
Metaphyseal Defect. 54th Annual Meeting of the Orthopaedic
Research Society, 2008.
20. Dikson, K.F., et al. The Use of BoneSource Hydroxyapatite Cement
for Traumatic Metaphyseal Bone Void Filling. J Trauma 2002;
53:1103-1108.
21. Zerris,V., et al., Repair of the dura mater with processed collagen
devices. Journal of Biomedical Materials Research Part B: Applied
Biomaterials, 2007. 83(2): p. 580-8.
22. Larson et al. “Scarless Fetal Wound Healing: A Basic Science
Review” Plastic and Reconstructive Surgery 126(4) 1172-1180,
2010.)
23. Study Report – Regen™ THT Tube Performance Testing, USFDA
510(k) BK090048, May 2010, Data on file at RegenLab, Switzerland

A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a
particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before
using it in surgery. • The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to
the package insert, product label and/or instructions for use before using any Stryker product. Products may not be available in all markets because
product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have
questions about the availability of Stryker products in your area. • Caution: Federal law restrics this device to sale by or on the order of a physician.
For additional safety information, please see the Vitoss Product Instructions for Use. • Stryker Corporation or its divisions or other corporate
affiliated entities own, use or have applied for the following trademarks or service marks: HydroSet, Imbibe, MemoDerm, Stryker, Vitoss. All other
trademarks are trademarks of their respective owners or holders. Lit.#NL12-BR-JP-581 Copyright ® 2012 Stryker

Patient Care & Handling Equipment
EMS Equipment

Distributed by:
Stryker
325 Corporate Drive
Mahwah, NJ 07430
t: 201 831 5000
www.stryker.com
Vitoss is manufactured by:
Stryker Orthobiologics
77 Great Valley Parkway
Malvern, PA 19355

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xmp.iid:497902D5BE20681198DBD4EA48FBFEEB, xmp.iid:4A7902D5BE20681198DBD4EA48FBFEEB, xmp.iid:4B7902D5BE20681198DBD4EA48FBFEEB, xmp.iid:4C7902D5BE20681198DBD4EA48FBFEEB, xmp.iid:4D7902D5BE20681198DBD4EA48FBFEEB, xmp.iid:4E7902D5BE20681198DBD4EA48FBFEEB, xmp.iid:9AC973BEC220681198DBD4EA48FBFEEB, xmp.iid:3140B222C320681198DBD4EA48FBFEEB, xmp.iid:3240B222C320681198DBD4EA48FBFEEB, xmp.iid:A5D7F24FC920681198DBD4EA48FBFEEB, xmp.iid:B8034DB2C920681198DBD4EA48FBFEEB, xmp.iid:8E590F30CC20681198DBD4EA48FBFEEB, xmp.iid:8F590F30CC20681198DBD4EA48FBFEEB, xmp.iid:90590F30CC20681198DBD4EA48FBFEEB, xmp.iid:C63BD797CE20681198DBD4EA48FBFEEB, xmp.iid:34E1E2D1CE20681198DBD4EA48FBFEEB, xmp.iid:58484002CF20681198DBD4EA48FBFEEB, xmp.iid:D7D88221D120681198DBD4EA48FBFEEB, xmp.iid:2A3BAFFDD120681198DBD4EA48FBFEEB, xmp.iid:749EDE56D220681198DBD4EA48FBFEEB, xmp.iid:6B4BE410D320681198DBD4EA48FBFEEB, xmp.iid:6C4BE410D320681198DBD4EA48FBFEEB, xmp.iid:AD967B68D520681198DBD4EA48FBFEEB, xmp.iid:7E0861D1D520681198DBD4EA48FBFEEB, xmp.iid:C61F42CDDB20681198DBD4EA48FBFEEB, xmp.iid:9958E914DC20681198DBD4EA48FBFEEB, xmp.iid:5644759FDF20681198DBD4EA48FBFEEB, xmp.iid:CA05A1CFDF20681198DBD4EA48FBFEEB, xmp.iid:E5913CDCDF20681198DBD4EA48FBFEEB, xmp.iid:E6913CDCDF20681198DBD4EA48FBFEEB, xmp.iid:926C7B48E320681198DBD4EA48FBFEEB, xmp.iid:28C91F9CE420681198DBD4EA48FBFEEB, xmp.iid:29C91F9CE420681198DBD4EA48FBFEEB, xmp.iid:71C0C7E5E520681198DBD4EA48FBFEEB, xmp.iid:2816218FE620681198DBD4EA48FBFEEB, xmp.iid:F8CF9CACE620681198DBD4EA48FBFEEB, xmp.iid:F774D3DCE620681198DBD4EA48FBFEEB, xmp.iid:1BCD839DE720681198DBD4EA48FBFEEB, xmp.iid:A58DCA1CE820681198DBD4EA48FBFEEB, xmp.iid:4E18697DE820681198DBD4EA48FBFEEB, xmp.iid:4F18697DE820681198DBD4EA48FBFEEB, xmp.iid:3A165837E920681198DBD4EA48FBFEEB, xmp.iid:68A737BDE920681198DBD4EA48FBFEEB, xmp.iid:44E2EADEE920681198DBD4EA48FBFEEB, xmp.iid:45E2EADEE920681198DBD4EA48FBFEEB, xmp.iid:DF67A2E0EA20681198DBD4EA48FBFEEB, xmp.iid:7ECE9E59EB20681198DBD4EA48FBFEEB, xmp.iid:65045B0FEC20681198DBD4EA48FBFEEB, xmp.iid:5BFA07B4EC20681198DBD4EA48FBFEEB, xmp.iid:5CFA07B4EC20681198DBD4EA48FBFEEB, xmp.iid:5DFA07B4EC20681198DBD4EA48FBFEEB, xmp.iid:C858FFC9F020681198DBD4EA48FBFEEB, xmp.iid:4E397186F120681198DBD4EA48FBFEEB, xmp.iid:E9D3D5BEF320681198DBD4EA48FBFEEB, xmp.iid:CDF05838F420681198DBD4EA48FBFEEB, xmp.iid:CEF05838F420681198DBD4EA48FBFEEB, xmp.iid:4299435FF620681198DBD4EA48FBFEEB, xmp.iid:EAB5C696F720681198DBD4EA48FBFEEB, xmp.iid:A8E0B746F820681198DBD4EA48FBFEEB, xmp.iid:A9E0B746F820681198DBD4EA48FBFEEB, xmp.iid:AAE0B746F820681198DBD4EA48FBFEEB, xmp.iid:ABE0B746F820681198DBD4EA48FBFEEB, xmp.iid:06698B58FA20681198DBD4EA48FBFEEB, xmp.iid:E81B7AD7FA20681198DBD4EA48FBFEEB, xmp.iid:D9A006F5FA20681198DBD4EA48FBFEEB, xmp.iid:10AC2D740720681188C6DE543F9678E3, xmp.iid:7731DAE10720681188C6DE543F9678E3, xmp.iid:9AABAFAC0820681188C6DE543F9678E3, xmp.iid:700DE1950E20681188C6DE543F9678E3, xmp.iid:16BB1EB80F20681188C6DE543F9678E3, xmp.iid:580BFBD50F20681188C6DE543F9678E3, xmp.iid:22646D8B1020681188C6DE543F9678E3, xmp.iid:13BF99271120681188C6DE543F9678E3, xmp.iid:CC14A8741120681188C6DE543F9678E3, xmp.iid:B8471B001420681188C6DE543F9678E3, xmp.iid:785818740720681188C6B49199F2447C, xmp.iid:E26624AF0820681188C6B49199F2447C, xmp.iid:0AB3A2E60820681188C6B49199F2447C, xmp.iid:C5FFD9240A20681188C6B49199F2447C, xmp.iid:76205A4C0A20681188C6B49199F2447C, xmp.iid:7D2216EF0C20681188C6B49199F2447C, xmp.iid:FC2DC4221020681188C6B49199F2447C, xmp.iid:0514A0481B20681188C6B49199F2447C, xmp.iid:4C5BFB911B20681188C6B49199F2447C, xmp.iid:A97D523D1D20681188C6B49199F2447C, xmp.iid:3E7B7F791D20681188C6B49199F2447C, xmp.iid:DDCEB6C52520681188C6B49199F2447C, xmp.iid:DECEB6C52520681188C6B49199F2447C, xmp.iid:3F1A97AE2E20681188C6B49199F2447C, xmp.iid:7A5150882F20681188C6B49199F2447C, xmp.iid:1B2264433120681188C6B49199F2447C, xmp.iid:961EFFA93120681188C6B49199F2447C, xmp.iid:380ADE413220681188C6B49199F2447C, xmp.iid:390ADE413220681188C6B49199F2447C, xmp.iid:3A0ADE413220681188C6B49199F2447C, xmp.iid:F39D46BF3220681188C6B49199F2447C, xmp.iid:F49D46BF3220681188C6B49199F2447C, xmp.iid:392B72353320681188C6B49199F2447C, xmp.iid:3A2B72353320681188C6B49199F2447C, xmp.iid:9F7A27803420681188C6B49199F2447C, xmp.iid:3E360BAA3620681188C6B49199F2447C, xmp.iid:8BFC0DF93620681188C6B49199F2447C, xmp.iid:300E981C3820681188C6B49199F2447C, xmp.iid:842FF1AF3A20681188C6B49199F2447C, xmp.iid:534A1EF43A20681188C6B49199F2447C, xmp.iid:18A560053C20681188C6B49199F2447C, xmp.iid:FD8B713D3C20681188C6B49199F2447C, xmp.iid:FE8B713D3C20681188C6B49199F2447C, xmp.iid:27FCB5923C20681188C6B49199F2447C, xmp.iid:28FCB5923C20681188C6B49199F2447C, xmp.iid:29FCB5923C20681188C6B49199F2447C, xmp.iid:CE0C6B5D3F20681188C6B49199F2447C, xmp.iid:CF0C6B5D3F20681188C6B49199F2447C, xmp.iid:B9A92574072068118A6DA01F0DDBD0AF, xmp.iid:BAA92574072068118A6DA01F0DDBD0AF, xmp.iid:315807860D2068118A6DA01F0DDBD0AF, xmp.iid:2C092C930D2068118A6DA01F0DDBD0AF, xmp.iid:D62D8C180E2068118A6DA01F0DDBD0AF, xmp.iid:3C5B2F0B122068118A6DA01F0DDBD0AF, xmp.iid:E2E01E74072068118A6D8E0EE419F11C, xmp.iid:B4F6BA43092068118A6D8E0EE419F11C, xmp.iid:EC0DB4130A2068118A6D8E0EE419F11C, xmp.iid:BA36447D0A2068118A6D8E0EE419F11C, xmp.iid:A81EB95E0B2068118A6D8E0EE419F11C, xmp.iid:A91EB95E0B2068118A6D8E0EE419F11C, xmp.iid:953B70CB0B2068118A6D8E0EE419F11C, xmp.iid:A8A0C226912068118A6D8E0EE419F11C, xmp.iid:676DF44B912068118A6D8E0EE419F11C, xmp.iid:686DF44B912068118A6D8E0EE419F11C, xmp.iid:773D5DAE972068118A6D8E0EE419F11C, xmp.iid:783D5DAE972068118A6D8E0EE419F11C, xmp.iid:B47F0CA5992068118A6D8E0EE419F11C, xmp.iid:BEB0A13B9F2068118A6D8E0EE419F11C, xmp.iid:FAFD87AEA12068118A6D8E0EE419F11C, xmp.iid:2C61F979A22068118A6D8E0EE419F11C, xmp.iid:5062C4B6A22068118A6D8E0EE419F11C, xmp.iid:16C09FEEA22068118A6D8E0EE419F11C, xmp.iid:17C09FEEA22068118A6D8E0EE419F11C, xmp.iid:40B8C4E4A82068118A6D8E0EE419F11C, xmp.iid:41B8C4E4A82068118A6D8E0EE419F11C, xmp.iid:42B8C4E4A82068118A6D8E0EE419F11C, xmp.iid:01E3A90BAA2068118A6D8E0EE419F11C, xmp.iid:970579C1AA2068118A6D8E0EE419F11C, xmp.iid:7A8AD081AB2068118A6D8E0EE419F11C, xmp.iid:7B8AD081AB2068118A6D8E0EE419F11C, xmp.iid:7C8AD081AB2068118A6D8E0EE419F11C, xmp.iid:A46277F6AC2068118A6D8E0EE419F11C, xmp.iid:A56277F6AC2068118A6D8E0EE419F11C, xmp.iid:8072DF63AE2068118A6D8E0EE419F11C, xmp.iid:80D12DF6AE2068118A6D8E0EE419F11C, xmp.iid:D4F7AF0CAF2068118A6D8E0EE419F11C, xmp.iid:34BCC55FBC2068118A6D8E0EE419F11C, xmp.iid:35BCC55FBC2068118A6D8E0EE419F11C, xmp.iid:43D12E40C42068118A6D8E0EE419F11C, xmp.iid:E8EF355AC62068118A6D8E0EE419F11C, xmp.iid:E9EF355AC62068118A6D8E0EE419F11C, xmp.iid:6EB71F29CB2068118A6D8E0EE419F11C, xmp.iid:36CDC333CB2068118A6D8E0EE419F11C, xmp.iid:37CDC333CB2068118A6D8E0EE419F11C, xmp.iid:F450C856CC2068118A6D8E0EE419F11C, xmp.iid:E805A7AFCC2068118A6D8E0EE419F11C, xmp.iid:83CFBA19D12068118A6D8E0EE419F11C, xmp.iid:84CFBA19D12068118A6D8E0EE419F11C, xmp.iid:1C5F09E6D32068118A6D8E0EE419F11C, xmp.iid:1D5F09E6D32068118A6D8E0EE419F11C, xmp.iid:9F331974072068118A6D93C2DC5075B9, xmp.iid:620D92C2072068118A6D93C2DC5075B9, xmp.iid:568C09DA0A2068118A6D93C2DC5075B9, xmp.iid:578C09DA0A2068118A6D93C2DC5075B9, xmp.iid:107AC532622168118A6D8E0EE419F11C, xmp.iid:B4DE7D38632168118A6D8E0EE419F11C, xmp.iid:F1821874072068118A6DB8B47AB47EC0, xmp.iid:F2821874072068118A6DB8B47AB47EC0, xmp.iid:92C5F0370A2068118A6DB8B47AB47EC0, xmp.iid:919AEF590B2068118A6DB8B47AB47EC0, xmp.iid:929AEF590B2068118A6DB8B47AB47EC0, xmp.iid:CA893E5D1A2068118A6DB8B47AB47EC0, xmp.iid:E00873401B2068118A6DB8B47AB47EC0, xmp.iid:EB611E0C1C2068118A6DB8B47AB47EC0, xmp.iid:9F3983DC1C2068118A6DB8B47AB47EC0, xmp.iid:3FDF06841D2068118A6DB8B47AB47EC0, xmp.iid:1DCF60041E2068118A6DB8B47AB47EC0, xmp.iid:1ECF60041E2068118A6DB8B47AB47EC0, xmp.iid:E6EB32C4202068118A6DB8B47AB47EC0, xmp.iid:A3AEBD16222068118A6DB8B47AB47EC0, xmp.iid:31289A39232068118A6DB8B47AB47EC0, xmp.iid:32289A39232068118A6DB8B47AB47EC0, xmp.iid:33289A39232068118A6DB8B47AB47EC0, xmp.iid:34289A39232068118A6DB8B47AB47EC0, xmp.iid:30864B8C272068118A6DB8B47AB47EC0, xmp.iid:5A6F1AB2272068118A6DB8B47AB47EC0, xmp.iid:84880A472B2068118A6DB8B47AB47EC0, xmp.iid:85880A472B2068118A6DB8B47AB47EC0, xmp.iid:B9D2D6B12D2068118A6DB8B47AB47EC0, xmp.iid:A57853C42D2068118A6DB8B47AB47EC0, xmp.iid:00E24CDDAA2068118A6DB8B47AB47EC0, xmp.iid:EFC4DF2BAB2068118A6DB8B47AB47EC0, xmp.iid:881F1F74072068118A6DECD83EBF27A8, xmp.iid:49D064DC072068118A6DECD83EBF27A8, xmp.iid:BCB78DF0082068118A6DECD83EBF27A8, xmp.iid:3AA077AC092068118A6DECD83EBF27A8, xmp.iid:71893348112068118A6DECD83EBF27A8, xmp.iid:72893348112068118A6DECD83EBF27A8, xmp.iid:DFE830AC122068118A6DECD83EBF27A8, xmp.iid:A6D172BC122068118A6DECD83EBF27A8, xmp.iid:162C1674072068118A6DE43C7E6F1948, xmp.iid:77EBB276082068118A6DE43C7E6F1948, 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History When                    : 2012:05:17 13:11:30-07:00, 2012:05:17 13:12:41-07:00, 2012:05:17 13:12:41-07:00, 2012:05:17 13:30:07-07:00, 2012:05:17 13:35:04-07:00, 2012:05:17 13:36:45-07:00, 2012:05:17 13:37:13-07:00, 2012:05:17 13:39:48-07:00, 2012:05:17 13:42:26-07:00, 2012:05:17 13:44:50-07:00, 2012:05:17 14:14:12-07:00, 2012:05:17 14:20:47-07:00, 2012:05:17 14:41:04-07:00, 2012:05:17 14:41:55-07:00, 2012:05:17 14:56:29-07:00, 2012:05:17 15:44:14-07:00, 2012:05:17 15:47:13-07:00, 2012:05:17 15:59:47-07:00, 2012:05:17 16:24:18-07:00, 2012:05:17 16:25:22-07:00, 2012:05:17 16:25:31-07:00, 2012:05:17 16:30:01-07:00, 2012:05:17 16:31:28-07:00, 2012:05:17 16:31:53-07:00, 2012:05:17 16:35:45-07:00, 2012:05:17 16:36:34-07:00, 2012:05:17 16:44:30-07:00, 2012:05:17 16:51:43-07:00, 2012:05:17 17:36:21-07:00, 2012:05:17 17:38-07:00, 2012:05:17 17:39:58-07:00, 2012:05:17 17:41:16-07:00, 2012:05:17 19:00:35-07:00, 2012:05:18 09:01:45-07:00, 2012:05:18 09:03:21-07:00, 2012:05:18 09:04:44-07:00, 2012:05:18 09:18:43-07:00, 2012:05:18 09:22:11-07:00, 2012:05:18 09:28:47-07:00, 2012:05:18 09:43:43-07:00, 2012:05:18 10:13:17-07:00, 2012:05:18 10:44:20-07:00, 2012:05:18 10:45:59-07:00, 2012:05:18 10:47:17-07:00, 2012:05:18 11:03:33-07:00, 2012:05:18 11:04:11-07:00, 2012:05:18 11:04:55-07:00, 2012:05:18 11:23:03-07:00, 2012:05:18 11:23:31-07:00, 2012:05:18 11:24:16-07:00, 2012:05:18 11:25:09-07:00, 2012:05:18 11:26:07-07:00, 2012:05:18 11:32:11-07:00, 2012:05:18 11:34:59-07:00, 2012:05:18 12:17:32-07:00, 2012:05:18 12:19:12-07:00, 2012:05:18 12:21:57-07:00, 2012:05:18 12:39:47-07:00, 2012:05:18 12:40:31-07:00, 2012:05:18 12:41:13-07:00, 2012:05:18 12:57-07:00, 2012:05:18 12:58:37-07:00, 2012:05:18 12:59:59-07:00, 2012:05:18 13:15:10-07:00, 2012:05:18 13:21:19-07:00, 2012:05:18 13:23:49-07:00, 2012:05:18 13:29:01-07:00, 2012:05:18 13:34:28-07:00, 2012:05:18 13:45:47-07:00, 2012:05:18 13:48:43-07:00, 2012:05:18 14:31:33-07:00, 2012:05:18 14:33:33-07:00, 2012:05:18 14:58:54-07:00, 2012:05:18 15:00:15-07:00, 2012:05:18 15:00:36-07:00, 2012:05:18 15:04:48-07:00, 2012:05:18 15:25:06-07:00, 2012:05:18 15:34:36-07:00, 2012:05:18 15:41:19-07:00, 2012:05:18 15:43:49-07:00, 2012:05:18 15:48:33-07:00, 2012:05:18 15:49:23-07:00, 2012:05:18 15:50:44-07:00, 2012:05:18 15:56:07-07:00, 2012:05:18 15:59:40-07:00, 2012:05:18 16:02:23-07:00, 2012:05:18 16:04:26-07:00, 2012:05:18 16:07:35-07:00, 2012:05:18 16:11:19-07:00, 2012:05:18 16:12:16-07:00, 2012:05:18 16:16:17-07:00, 2012:05:18 16:19:28-07:00, 2012:05:18 16:22:51-07:00, 2012:05:18 16:27:56-07:00, 2012:05:18 16:32:32-07:00, 2012:05:18 16:53:05-07:00, 2012:05:18 16:56:08-07:00, 2012:05:18 17:01:47-07:00, 2012:05:18 17:07:03-07:00, 2012:05:18 17:22:57-07:00, 2012:05:18 17:26:21-07:00, 2012:05:18 17:39:43-07:00, 2012:05:18 17:41:45-07:00, 2012:05:18 17:50:33-07:00, 2012:05:18 17:55:28-07:00, 2012:05:18 17:57:54-07:00, 2012:05:18 18:03:28-07:00, 2012:05:18 18:09:52-07:00, 2012:05:18 18:10:17-07:00, 2012:05:18 18:13:50-07:00, 2012:05:18 18:14:39-07:00, 2012:05:23 14:47:44-07:00, 2012:05:23 14:50:48-07:00, 2012:05:23 14:56:28-07:00, 2012:05:23 15:38:47-07:00, 2012:05:23 15:46:54-07:00, 2012:05:23 15:47:44-07:00, 2012:05:23 15:52:48-07:00, 2012:05:23 15:57:10-07:00, 2012:05:23 15:59:20-07:00, 2012:05:23 16:17:33-07:00, 2012:05:25 09:35:10-07:00, 2012:05:25 09:43:58-07:00, 2012:05:25 09:45:32-07:00, 2012:05:25 09:54:25-07:00, 2012:05:25 09:55:32-07:00, 2012:05:25 10:14:24-07:00, 2012:05:25 10:37:19-07:00, 2012:05:25 11:57:07-07:00, 2012:05:25 11:59:10-07:00, 2012:05:25 12:11:07-07:00, 2012:05:25 12:12:48-07:00, 2012:05:25 13:12:12-07:00, 2012:05:25 14:14:20-07:00, 2012:05:25 14:15:58-07:00, 2012:05:25 14:22:04-07:00, 2012:05:25 14:34:27-07:00, 2012:05:25 14:37:19-07:00, 2012:05:25 14:41:34-07:00, 2012:05:25 14:42:01-07:00, 2012:05:25 14:43:37-07:00, 2012:05:25 14:45:04-07:00, 2012:05:25 14:47:11-07:00, 2012:05:25 14:48:23-07:00, 2012:05:25 14:49:56-07:00, 2012:05:25 14:57:38-07:00, 2012:05:25 15:13:07-07:00, 2012:05:25 15:15:19-07:00, 2012:05:25 15:23:28-07:00, 2012:05:25 15:41:55-07:00, 2012:05:25 15:43:49-07:00, 2012:05:25 15:51:27-07:00, 2012:05:25 15:53:02-07:00, 2012:05:25 15:54:59-07:00, 2012:05:25 15:55:25-07:00, 2012:05:25 16:05-07:00, 2012:05:25 16:14:09-07:00, 2012:05:25 16:15:24-07:00, 2012:05:25 16:17:11-07:00, 2012:05:29 09:07:17-07:00, 2012:05:29 09:39:56-07:00, 2012:05:29 09:50:44-07:00, 2012:05:29 09:51:06-07:00, 2012:05:29 09:54:50-07:00, 2012:05:29 10:23:06-07:00, 2012:05:29 17:02:55-07:00, 2012:05:29 17:15:53-07:00, 2012:05:29 17:21:42-07:00, 2012:05:29 17:24:39-07:00, 2012:05:29 17:30:57-07:00, 2012:05:29 17:32:51-07:00, 2012:05:29 17:34-07:00, 2012:05:30 09:28:36-07:00, 2012:05:30 09:29:38-07:00, 2012:05:30 09:31:37-07:00, 2012:05:30 10:15:20-07:00, 2012:05:30 10:15:39-07:00, 2012:05:30 10:29:24-07:00, 2012:05:30 11:09:24-07:00, 2012:05:30 11:26:56-07:00, 2012:05:30 11:32:37-07:00, 2012:05:30 11:34:19-07:00, 2012:05:30 11:35:53-07:00, 2012:05:30 11:36:18-07:00, 2012:05:30 12:18:33-07:00, 2012:05:30 12:20:29-07:00, 2012:05:30 12:25:05-07:00, 2012:05:30 12:26:48-07:00, 2012:05:30 12:31:53-07:00, 2012:05:30 12:37:16-07:00, 2012:05:30 12:38:05-07:00, 2012:05:30 12:47:12-07:00, 2012:05:30 12:47:41-07:00, 2012:05:30 12:48:48-07:00, 2012:05:30 12:57:54-07:00, 2012:05:30 13:01:59-07:00, 2012:05:30 13:02:37-07:00, 2012:05:30 14:38-07:00, 2012:05:30 14:38:56-07:00, 2012:05:30 15:34:23-07:00, 2012:05:30 15:49:26-07:00, 2012:05:30 15:53:17-07:00, 2012:05:30 16:23:51-07:00, 2012:05:30 16:24:09-07:00, 2012:05:30 16:29:28-07:00, 2012:05:30 16:32:17-07:00, 2012:05:30 16:34:46-07:00, 2012:05:30 17:06:22-07:00, 2012:05:30 17:24:24-07:00, 2012:05:30 17:26:24-07:00, 2012:05:30 17:31:45-07:00, 2012:05:31 07:05:55-07:00, 2012:05:31 07:08:07-07:00, 2012:05:31 07:30:15-07:00, 2012:05:31 07:30:15-07:00, 2012:05:31 10:25:01-07:00, 2012:05:31 10:32:20-07:00, 2012:05:31 12:47:31-07:00, 2012:05:31 12:48:34-07:00, 2012:05:31 13:07:19-07:00, 2012:05:31 13:15:25-07:00, 2012:05:31 13:35:43-07:00, 2012:05:31 15:02:53-07:00, 2012:05:31 15:09:15-07:00, 2012:05:31 15:14:56-07:00, 2012:05:31 15:20:46-07:00, 2012:05:31 15:25:27-07:00, 2012:05:31 15:29:02-07:00, 2012:05:31 15:38:11-07:00, 2012:05:31 15:48:44-07:00, 2012:05:31 15:58:12-07:00, 2012:05:31 16:06:20-07:00, 2012:05:31 16:06:48-07:00, 2012:05:31 16:17:26-07:00, 2012:05:31 16:30:22-07:00, 2012:05:31 16:37:16-07:00, 2012:05:31 16:38:20-07:00, 2012:05:31 17:03:58-07:00, 2012:05:31 17:05:37-07:00, 2012:05:31 17:21:16-07:00, 2012:05:31 17:21:47-07:00, 2012:06:01 08:17:16-07:00, 2012:06:01 08:19:28-07:00, 2012:06:04 10:12-07:00, 2012:06:04 10:14:55-07:00, 2012:06:04 10:22:38-07:00, 2012:06:04 10:27:53-07:00, 2012:06:04 11:22:21-07:00, 2012:06:04 11:23:43-07:00, 2012:06:04 11:32:18-07:00, 2012:06:04 11:32:45-07:00, 2012:06:04 13:55:01-07:00, 2012:06:04 14:02:15-07:00, 2012:06:04 14:06:55-07:00, 2012:06:04 14:09:18-07:00, 2012:06:04 14:13:56-07:00, 2012:06:04 14:15:25-07:00, 2012:06:04 14:24:34-07:00, 2012:06:04 16:50:50-07:00, 2012:06:04 16:52:33-07:00, 2012:06:04 16:59:43-07:00, 2012:06:04 17:03:36-07:00, 2012:06:05 08:31:34-07:00, 2012:06:05 08:32:21-07:00, 2012:06:05 14:05:41-07:00, 2012:06:05 14:14:10-07:00, 2012:06:05 14:15:40-07:00, 2012:06:05 14:30:51-07:00, 2012:06:05 14:31:29-07:00, 2012:06:07 15:09:23-07:00, 2012:06:07 15:12:15-07:00, 2012:06:07 15:43:30-07:00, 2012:06:07 16:00:56-07:00, 2012:06:07 16:07:37-07:00, 2012:06:08 12:36:27-07:00, 2012:06:11 10:50:20-07:00, 2012:06:11 11:01:34-07:00, 2012:06:11 11:07:15-07:00, 2012:06:11 11:09:48-07:00, 2012:06:11 11:13:43-07:00, 2012:06:12 14:45:58-07:00, 2012:06:12 14:48:32-07:00, 2012:06:12 14:49:17-07:00, 2012:06:12 14:52:51-07:00, 2012:06:12 14:55:22-07:00, 2012:06:12 14:56:49-07:00, 2012:06:12 14:56:59-07:00, 2012:06:12 15:06:03-07:00, 2012:06:12 15:31:17-07:00, 2012:06:13 09:03:31-07:00, 2012:06:13 09:36:20-07:00, 2012:06:13 09:51:39-07:00, 2012:06:13 09:54:14-07:00, 2012:06:13 10:29:51-07:00, 2012:06:13 11:11:08-07:00, 2012:06:13 12:09:31-07:00, 2012:06:13 13:24:51-07:00, 2012:06:13 13:25:11-07:00, 2012:06:13 13:26:04-07:00, 2012:06:13 14:19:48-07:00, 2012:06:13 14:27:04-07:00, 2012:06:15 17:08:05-07:00, 2012:06:15 17:10:31-07:00, 2012:06:15 17:11:32-07:00, 2012:06:16 08:22:45-07:00, 2012:06:16 08:23:13-07:00, 2012:06:16 08:24:46-07:00, 2012:06:16 08:27:03-07:00, 2012:06:16 09:00:35-07:00, 2012:06:16 09:05:17-07:00, 2012:06:16 09:10:17-07:00, 2012:06:16 09:18:44-07:00, 2012:06:16 09:21:37-07:00, 2012:06:16 09:29-07:00, 2012:06:16 09:31:03-07:00, 2012:06:18 08:50:07-07:00, 2012:06:18 10:10:19-07:00, 2012:06:18 10:10:40-07:00, 2012:06:18 10:12:17-07:00, 2012:06:18 10:13:37-07:00, 2012:06:18 10:27:24-07:00, 2012:06:18 10:59:41-07:00, 2012:06:18 11:28:22-07:00, 2012:06:18 11:32:08-07:00, 2012:06:18 11:33:27-07:00, 2012:06:18 11:33:33-07:00, 2012:06:18 11:36:13-07:00, 2012:06:18 11:39:53-07:00, 2012:06:18 11:44:07-07:00, 2012:06:19 10:21:46-07:00, 2012:06:19 10:24:23-07:00, 2012:06:19 10:24:23-07:00, 2012:06:19 10:46:47-07:00, 2012:06:19 10:47:53-07:00, 2012:06:26 10:17:57-07:00
History Software Agent          : Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe InDesign 7.0, Adobe 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Derived From Instance ID        : xmp.iid:1AE9CC8D132068118A6DE0546BD9D31F
Derived From Document ID        : xmp.did:F77F11740720681198DBD4EA48FBFEEB
Derived From Original Document ID: xmp.did:F77F11740720681198DBD4EA48FBFEEB
Derived From Rendition Class    : default
Doc Change Count                : 3546
Format                          : application/pdf
Producer                        : Adobe PDF Library 9.9
Trapped                         : False
Page Count                      : 8

EXIF Metadata provided by EXIF.tools

Foot And Ankle Biologic Solutions 1