HEALIX TRANSTEND Implant System Brochure

Healix Transtend Implant System Brochure HEALIX_TRANSTEND_Implant_System_Brochure HEALIX_TRANSTEND_Implant_System_Brochure 3 2013 pdf 258413772373414384

2013-02-24

: Pdf Healix Transtend Implant System Brochure HEALIX_TRANSTEND_Implant_System_Brochure 2 2013 pdf

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HEALIX TRANSTEND™
Implant System:
A percutaneous solution for
partial tears of the rotator cuff.

Partial tear. Complete solution.

HEALIX TRANSTEND Implant System
The all-new HEALIX TRANSTEND Implant System represents a revolutionary advancement in
the treatment of partial thickness rotator cuff tears. This comprehensive percutaneous solution,
featuring HEALIX TRANSTEND Anchors and the innovative PERCANNULA™ System, enables the
reattachment of a partially torn rotator cuff while minimizing tendon trauma and maximizing
procedural visualization.
Engineered for the repair of both small and large partial thickness rotator cuff tears, this novel
solution not only aids in the prevention of tear propagation, but it also allows for the retention of
the connected tendon, ultimately preserving the patient’s natural anatomy.

HEALIX TRANSTEND Implant System	

1

The Comprehensive Procedural Solution	

2

Product Features and Benefits
	

HEALIX TRANSTEND Anchors	

3

	

PERCANNULA System	

4

Surgical Techniques*
	

– Anchor insertion technique	

	

– Two-anchor repair	

7

	

– One-anchor repair	

8

Ordering Information	

1

5-6

9-10

*Surgical technique contributions provided by Amir R. Moinfar, M.D., Baltimore, MD.

The Comprehensive Procedural Solution
The HEALIX TRANSTEND Implant System is available in
1- or 2-anchor sets. Each set includes:
1 or 2 BIOCRYL® RAPIDE™ (BR), PEEK, or Titanium (Ti) HEALIX TRANSTEND anchor(s)
PERCANNULA System (Cannula, Obturator and Guidewire)

HEALIX TRANSTEND Anchors
3.4 mm BR anchor
3.4 mm PEEK anchor
2.9 mm Ti anchor

PERCANNULA System
4.0 mm Cannula
Cannulated Obturator
1.1 mm Guidewire

2

Features and Benefits:
HEALIX TRANSTEND Anchors
The HEALIX TRANSTEND Anchor features:
Material choice: BIOCRYL RAPIDE (BR), PEEK, TITANIUM (Ti)
Small diameter anchors to provide optimal strength while allowing for
more tissue to bone contact
Cannulation to channel blood to the surface
Dual thread pattern to maximize pull-out strength by independently
engaging both cortical and cancellous bone

*
†

Data on file at DePuy Mitek.
Fiberwire is a registered trademark of Arthrex, Inc.

Average Load (lbs)

Preloaded with ORTHOCORD® high strength suture
	
- 55 lbs of tensile strength*
	
- 45% less stiff than Fiberwire†

Anchor Pull-Out Strength

90
80
70
60
50
40
30
20
10
0
HEALIX TRANSTEND™
BR

Cannulation channels
blood to the surface

Laser markings represent
suture eyelet orientation
Dual Thread technology

3

HEALIX TRANSTEND™
PEEK

HEALIX TRANSTEND™
Ti

Features and Benefits:
PERCANNULA System
The new and innovative PERCANNULA System is designed to enhance
procedural efficiency and features:
4.0 mm Cannula
	
- Small diameter cannula minimizes tendon trauma
	
- Double dam aids in the prevention of fluid leakage
	- Innovative distal rib allows for the retraction of the rotator cuff,
ultimately enhancing visualization during the procedure
Cannulated Obturator
	- Trocar-tipped obturator fits easily over the Guidewire and aids in
cannula insertion through the rotator cuff
1.1 mm Guidewire
	
- Sharp-tipped Guidewire easily penetrates tissue
	
- Roughened surface allows for easier gripping in the wet surgical environment
	
- 3 mm laser markings available for reference

Cannula features an innovative
distal rib for rotator cuff retraction,
enhancing visualization
Cannula features a double
dam to prevent fluid leakage
Guidewire features a
roughened surface for
easy gripping

Guidewire features 3 mm laser
markings for reference

Guidewire features a sharp tip to
easily penetrate tissue
4

Anchor Insertion Technique
1	 Insert the trocar-tipped Guidewire

percutaneously through the
rotator cuff and to the location on
the humeral head where anchor
insertion is desired (typically on the
medial footprint). Maintaining the
shoulder in abduction and external
rotation may aid in visualization and
Guidewire placement.

2		Place the cannula and obturator

assembly over the Guidewire. Insert
into the shoulder and through
the rotator cuff. Occasionally a
more lateral insertion approach
may be necessary to penetrate the
rotator cuff.

3		Remove the Guidewire and

obturator, leaving only the cannula
through the rotator cuff. For
enhanced visualization, pull back on
the cannula allowing for the distal rib
to retract the rotator cuff.

5

4		For the BR or PEEK anchor, insert the
Awl/Tap: mallet the Awl/Tap until
the distal threads are inserted and
the smooth section of the Awl/Tap
is buried. Then continue to insert by
turning in a clockwise direction until
the distal laser line is flush with the
bone surface. Do not use the Awl/
Tap for the Ti anchor.

5		Insert the anchor by turning

clockwise until the anchor is fully
inserted and the distal laser line is
flush with bone. For the BR and
PEEK anchor make sure to insert
the anchor at the same angle as the
Awl/Tap. There are laser markings
distally and proximally to represent
suture eyelet orientation.

6		If inserting only one anchor,

remove the cannula and complete
the one-anchor repair as outlined
on page 8.

		If inserting a second anchor, start
from Step 1 and choose another
location for the placement of the
second anchor. Complete the
two-anchor repair as outlined
on page 7.

6

Two-Anchor Repair – Continued from steps 1-6

7	 Once two anchors are inserted, place

8		Retrieve one suture limb from each

9		Shuttle the knot into the shoulder

10	Retrieve the remaining two limbs

the arthroscope in a posterior portal
in the subacromial space. Insert a
cannula laterally in the same portal
used for subacromial decompression.

by pulling on the two remaining
percutaneous limbs.

7

anchor outside of the cannula.
Outside of the shoulder, place a
clamp on the sutures. Tie the two
suture limbs together down to
the clamp.

through the cannula. Tie them using
a non-sliding knot to complete
the repair. Use the CordCutter to
remove excess suture.

One-Anchor Repair – Continued from steps 1-6

7	 Once one anchor is placed, insert the
Grasper–Grabber device to retrieve
one suture limb through an anterior
cannula.

	

Insert a spinal needle through the
rotator cuff at the location to
pass suture.

9		Place the arthroscope in the posterior
portal of subacromial space. Remove
the cannula from the anterior portal
and place in a lateral portal in the
subacromial space. Retrieve both
suture limbs through the cannula.

8		Insert a CHIA PERCPASSER

through the
spinal needle and retrieve through the
anterior cannula. Place the suture limb
into the CHIA kite, remove the spinal
needle and pull back on the distal end of
the CHIA to pass the suture limb. Repeat
steps 7 and 8 on this page to pass the
second suture limb.
™

10	Tie an arthroscopic knot through

the lateral cannula to complete
the repair. Use the CordCutter to
remove excess suture.

8

Ordering Information:	
HEALIX TRANSTEND Implant System and Instrumentation
222261	
222263	
222278	
222280	
222266	
222268	
222273	
222281	

HEALIX TRANSTEND (BR/1) Implant System (1 BR Anchor, PERCANNULA System)	
HEALIX TRANSTEND (BR/2) Implant System (2 BR Anchors, PERCANNULA System) 	
HEALIX TRANSTEND (PEEK/1) Implant System (1 PEEK Anchor, PERCANNULA System) 	
HEALIX TRANSTEND (PEEK/2) Implant System (2 PEEK Anchors, PERCANNULA System) 	
HEALIX TRANSTEND (Ti/1) Implant System (1 Ti Anchor, PERCANNULA System) 	
HEALIX TRANSTEND (Ti/2) Implant System (2 Ti Anchors, PERCANNULA System) 	
HEALIX TRANSTEND 3.4 mm Awl/Tap (for BR and PEEK Anchors) 			
HEALIX TRANSTEND 2.2 mm Drill Bit (optional for Ti anchor) 			

EA
EA
EA
EA
EA
EA
1/box
1/box

PERCANNULA System
222274	

PERCANNULA System 							

1/box

Instruments to complement the HEALIX TRANSTEND Implant System Technique
214101	
270120	

CHIA PERCPASSER Suture Passer						
Grasper-Grabber Suture/Tendon Grabber					

5/box
1/box	

HEALIX Family of Anchors
HEALIX BR™ Anchor
222229	
222233	
222238	
222232	
222239	

4.5 mm HEALIX BR Anchor w/ ORTHOCORD 					
5.5 mm HEALIX BR Anchor w/ ORTHOCORD 					
6.5 mm HEALIX BR Anchor w/ ORTHOCORD 					
5.5 mm HEALIX BR Anchor w/ ORTHOCORD and Needles 			
6.5 mm HEALIX BR Anchor w/ ORTHOCORD and Needles				

EA
EA
EA
EA
EA

HEALIX PEEK™ Anchor

PEEK™

222205	
222209	
222221	
222210	
222215	
222207	
222219	
	

4.5 mm HEALIX PEEK Anchor w/ ORTHOCORD					
5.5 mm HEALIX PEEK Anchor w/ ORTHOCORD					
6.5 mm HEALIX PEEK Anchor w/ ORTHOCORD					
5.5 mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles			
6.5 mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles			
5.5 mm HEALIX PEEK 3-Suture w/ ORTHOCORD				
6.5 mm HEALIX PEEK 3-Suture w/ ORTHOCORD				

EA
EA
EA
EA
EA
EA
EA

HEALIX Ti™ Anchor

TM

222253	
222245	
222249	
222242	
222248	
222271	
222243	
222241	

4.5 mm HEALIX Ti Anchor w/ ORTHOCORD					
5.5 mm HEALIX Ti Anchor w/ ORTHOCORD					
6.5 mm HEALIX Ti Anchor w/ ORTHOCORD					
5.5 mm HEALIX Ti Anchor w/ ORTHOCORD and Needles				
6.5 mm HEALIX Ti Anchor w/ ORTHOCORD and Needles				
4.5 mm HEALIX Ti 3-Suture Anchor w/ ORTHOCORD				
5.5 mm HEALIX Ti 3-Suture Anchor w/ ORTHOCORD 				
6.5 mm HEALIX Ti 3-Suture Anchor w/ ORTHOCORD				

EA
EA
EA
EA
EA
EA
EA	
EA

HEALIX Instruments (For use with HEALIX BR & HEALIX PEEK)
222223	
222226	
222251	
222272	
222224	
222225	

9

HEALIX Awl				
4.5 mm HEALIX Cortical Awl/ Tap				
5.5 mm HEALIX Cortical Awl/ Tap				
4.5 mm HEALIX Full Awl/ Tap				
5.5 mm HEALIX Full Awl/ Tap				
6.5 mm HEALIX Full Awl/ Tap				

1/box
1/box
1/box
1/box
1/box
1/box

VERSALOK® Anchors and Instrumentation
210818	
210808	
214710	
214711 	
	

VERSALOK PEEK Anchor w/ ORTHOCORD	
VERSALOK Anchor w/ ORTHOCORD	
Deployment Gun	
2.9 mm Awl	

EA
EA
1/box
1/box

EXPRESSEW® INSTRUMENTS
214124 	
214140 	
214141 	

EXPRESSEW III w/ Hook	
EXPRESSEW III w/o Hook	
EXPRESSEW III Needle (for use with E II and EIII)	

1/box
1/box
5/box

Clear Cannula System
214104	
214106	
214107	
214108	
214110	
214114 	
214115	
214116	
214118	
214120	
214122	

Clear Cannula Threaded, 5.5 mm x 55 mm 	
Clear Cannula Smooth, 5.5 mm x 75 mm 	
Clear Cannula Smooth Distal Rib, 5.5 mm x 75 mm 	
Clear Cannula Threaded, 5.5 mm x 75 mm 	
Clear Cannula Threaded, 5.5 mm x 90 mm 	
Clear Cannula Smooth, 7.0 mm x 75 mm 	
Clear Cannula Smooth Distal Rib, 7.0 mm x 75 mm 	
Clear Cannula Threaded, 7.0 mm x 75 mm 	
Clear Cannula Threaded, 8.5 mm x 55 mm	
Clear Cannula Threaded, 8.5 mm x 75 mm	
Clear Cannula Threaded, 8.5 mm x 90 mm	

5/box
5/box
5/box
5/box
5/box
5/box
5/box
5/box
5/box
5/box
5/box

The IDEAL™ Suture Management Family
Chia PERCPASSER
214101	

CHIA PERCPASSER Suture Passer	

5/box

IDEAL Suture Grasper
251720	
251721	
251722	
251723	

IDEAL Suture Grasper, 15º	
IDEAL Suture Grasper, 30º	
IDEAL Suture Grasper, 45º	
IDEAL Suture Grasper, 60º	

1/box
1/box
1/box
1/box

IDEAL Suture Shuttle with CHIA™
251001	
251002	
251003	
251004	
251005	
251006	
251007	

IDEAL Suture Shuttle, 25º Left	
IDEAL Suture Shuttle, 25º Right	
IDEAL Suture Shuttle, 45º Left	
IDEAL Suture Shuttle, 45º Right	
IDEAL Suture Shuttle, 90º Up	
IDEAL Suture Shuttle, Straight Hook	
IDEAL Suture Shuttle, Straight Crescent	

1/box
1/box
1/box
1/box
1/box
1/box
1/box

10

For more information, contact your DePuy Mitek sales representative,
or call 1-800-382-4682.
DePuy Mitek, Inc.
325 Paramount Drive
Raynham, MA 02767
USA
Tel: +1 (800) 382-4682
www.depuy.com
©DePuy Mitek, Inc. 2011.
All rights reserved.
P/N 901120 03/11 ADDB/LP



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History When                    : 2010:05:31 22:20:28-04:00, 2010:05:31 23:22:34-04:00, 2010:05:31 23:22:34-04:00, 2010:05:31 23:30:29-04:00, 2010:05:31 23:34:51-04:00, 2010:06:01 09:01:10-04:00, 2010:06:01 09:04:21-04:00, 2010:06:01 09:05:14-04:00, 2010:06:01 09:35:22-04:00, 2010:06:01 09:35:22-04:00, 2010:06:01 11:40:37-04:00, 2010:06:01 13:48:55-04:00, 2010:06:01 13:56:22-04:00, 2010:06:01 13:56:22-04:00, 2010:06:01 13:59:26-04:00, 2010:06:01 15:34:43-04:00, 2010:06:01 15:48:34-04:00, 2010:07:26 16:41:52-04:00, 2010:07:26 16:41:52-04:00, 2010:07:26 16:50:15-04:00, 2010:08:10 17:14:50-04:00, 2010:08:10 17:14:50-04:00, 2010:08:10 17:17:36-04:00, 2010:08:10 17:54:12-04:00, 2010:08:11 10:24:57-04:00, 2010:08:11 10:24:57-04:00, 2010:08:11 11:14:54-04:00, 2010:08:11 11:14:54-04:00, 2010:08:11 11:29:12-04:00, 2010:08:11 11:35:15-04:00, 2010:08:11 11:38:35-04:00, 2010:08:11 12:19:05-04:00, 2010:08:11 12:25:04-04:00, 2010:08:11 13:50:49-04:00, 2010:08:11 13:58:31-04:00, 2010:08:11 13:59:10-04:00, 2010:08:11 17:14:35-04:00, 2010:08:11 17:31:34-04:00, 2010:08:11 17:31:48-04:00, 2010:08:11 17:41:05-04:00, 2010:08:11 17:46:49-04:00, 2010:08:11 18:02:01-04:00, 2010:08:11 18:02:11-04:00, 2010:08:11 18:08:09-04:00, 2010:08:11 18:09:01-04:00, 2010:08:11 18:11:05-04:00, 2010:08:11 18:13:06-04:00, 2010:08:11 18:13:25-04:00, 2010:08:11 18:14:19-04:00, 2010:08:11 18:14:59-04:00, 2010:08:11 18:15:16-04:00, 2010:08:11 18:19:38-04:00, 2010:08:11 18:22:07-04:00, 2010:08:11 18:22:54-04:00, 2010:08:11 18:27:50-04:00, 2010:08:11 18:35:30-04:00, 2010:08:27 13:43:35-04:00, 2010:08:27 13:47:55-04:00, 2010:08:27 13:57:14-04:00, 2010:08:27 14:00:14-04:00, 2010:08:27 15:24:19-04:00, 2010:08:27 15:29:18-04:00, 2010:09:09 20:39:22-04:00, 2010:09:09 20:41:34-04:00, 2010:09:09 20:44:10-04:00, 2010:09:09 21:05:23-04:00, 2010:09:09 21:10:55-04:00, 2010:09:09 21:14:50-04:00, 2010:09:09 21:17:25-04:00, 2010:09:14 10:39:38-04:00, 2010:09:14 10:40:38-04:00, 2010:09:14 10:41:41-04:00, 2010:09:14 10:42:06-04:00, 2010:09:14 11:16:53-04:00, 2010:09:15 14:14:23-04:00, 2010:09:15 14:21:56-04:00, 2010:09:15 14:26:41-04:00, 2010:09:15 14:26:55-04:00, 2010:09:15 14:29:07-04:00, 2010:09:15 14:29:59-04:00, 2010:09:15 14:34:04-04:00, 2010:09:15 15:23:50-04:00, 2010:09:15 15:34:17-04:00, 2010:09:15 15:56:07-04:00, 2010:09:16 10:36:07-04:00, 2010:09:16 10:39:36-04:00, 2010:09:16 11:37:40-04:00, 2010:09:16 11:46:18-04:00, 2010:09:17 11:44:19-04:00, 2010:09:17 11:45:37-04:00, 2010:09:17 12:18:15-04:00, 2010:09:17 12:21:28-04:00, 2010:09:17 12:21:28-04:00, 2010:09:17 12:25:20-04:00, 2010:09:17 12:26:15-04:00, 2010:10:05 15:59:11-04:00, 2010:10:05 15:59:11-04:00, 2010:10:05 16:00:04-04:00, 2010:10:05 16:18:56-04:00, 2010:10:05 16:20:55-04:00, 2010:10:05 18:25:55-04:00, 2010:12:15 10:54:18-05:00, 2010:12:15 10:55:07-05:00, 2010:12:15 10:55:07-05:00, 2010:12:15 11:01:14-05:00, 2010:12:15 11:46:39-05:00, 2010:12:15 11:46:39-05:00, 2010:12:15 12:33:41-05:00, 2010:12:16 12:51:34-05:00, 2010:12:17 09:42:01-05:00, 2010:12:17 10:57:04-05:00, 2010:12:17 13:02:24-05:00, 2010:12:17 13:06:14-05:00, 2010:12:17 14:34:04-05:00, 2010:12:17 16:47:47-05:00, 2010:12:17 16:52:20-05:00, 2010:12:21 14:59:36-05:00, 2011:01:05 11:02:35-05:00, 2011:01:05 13:04:23-05:00, 2011:01:05 13:57:08-05:00, 2011:01:05 14:15:12-05:00, 2011:01:05 15:12:48-05:00, 2011:01:05 15:17:08-05:00, 2011:01:05 15:30:17-05:00, 2011:01:05 15:31:23-05:00, 2011:01:05 15:53:37-05:00, 2011:01:05 15:55:36-05:00, 2011:01:05 16:13:02-05:00, 2011:01:06 12:48:29-05:00, 2011:01:07 09:48:20-05:00, 2011:01:07 09:49:55-05:00, 2011:01:07 11:50:47-05:00, 2011:01:07 12:43:09-05:00, 2011:01:07 13:24:20-05:00, 2011:01:07 13:27:15-05:00, 2011:01:07 16:01:05-05:00, 2011:01:07 16:04:51-05:00, 2011:01:10 11:57:15-05:00, 2011:01:19 15:44:46-05:00, 2011:01:19 15:45:36-05:00, 2011:01:19 15:50:09-05:00, 2011:01:19 15:50:21-05:00, 2011:01:19 15:50:29-05:00, 2011:01:19 16:13:14-05:00, 2011:01:19 16:17:48-05:00, 2011:01:20 10:18:54-05:00, 2011:01:20 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15:38:56-05:00, 2011:03:14 16:11:46-04:00, 2011:03:14 16:32:31-04:00, 2011:03:14 16:33:13-04:00, 2011:03:14 16:38:36-04:00, 2011:03:14 16:48:47-04:00, 2011:03:14 16:49:10-04:00, 2011:03:14 16:50:56-04:00, 2011:03:14 17:49:07-04:00, 2011:03:15 13:10:54-04:00, 2011:03:15 13:12:37-04:00, 2011:03:15 13:13:28-04:00, 2011:03:15 13:16:57-04:00, 2011:03:15 13:17:36-04:00, 2011:03:15 13:34:42-04:00, 2011:03:15 13:40:58-04:00, 2011:03:15 13:52:04-04:00, 2011:03:15 14:05:09-04:00, 2011:03:15 14:09:33-04:00, 2011:03:15 14:11:22-04:00, 2011:03:15 14:20:44-04:00, 2011:03:15 14:30:02-04:00, 2011:03:15 15:06:48-04:00, 2011:03:15 15:07:43-04:00, 2011:03:15 15:08:54-04:00, 2011:03:15 15:11:36-04:00, 2011:03:15 15:11:48-04:00, 2011:03:15 15:13:04-04:00, 2011:03:15 15:13:08-04:00, 2011:03:15 15:17:06-04:00, 2011:03:15 15:17:15-04:00, 2011:03:15 15:27:53-04:00, 2011:03:15 15:27:58-04:00, 2011:03:17 14:39:48-04:00, 2011:03:17 14:46:27-04:00, 2011:03:17 15:46:06-04:00, 2011:03:17 15:48:25-04:00, 2011:03:17 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Derived From Instance ID        : xmp.iid:0280117407206811ACAFCB091AEE2AA9
Derived From Document ID        : xmp.did:84A727CF34206811AE56AF83DEFCE2EC
Derived From Original Document ID: xmp.did:0180117407206811A04CCF564826B417
Derived From Rendition Class    : default
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Manifest Placed X Resolution    : 300.00, 72.00, 72.00, 100.00, 100.00, 100.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 72.00, 72.00, 300.00, 72.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 300.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 72.00, 300.00, 300.00, 300.00
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Manifest Placed Resolution Unit : Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches, Inches
Manifest Reference Instance ID  : xmp.iid:0380117407206811B1A4A6107738CC18, xmp.iid:F77F1174072068119109B677AF11A142, uuid:1AD63C26B1F3DD11BBC9A706CFCA9913, xmp.iid:0680117407206811B1A4A6107738CC18, xmp.iid:0780117407206811B1A4A6107738CC18, xmp.iid:0580117407206811B1A4A6107738CC18, xmp.iid:0980117407206811A3D8BACD9E21F1EC, xmp.iid:F5FDC4920E206811A3D8BACD9E21F1EC, xmp.iid:FAFDC4920E206811A3D8BACD9E21F1EC, xmp.iid:E51D377835206811A7809F949B3A9BDE, xmp.iid:0980117407206811A3D8BACD9E21F1EC, xmp.iid:F5FDC4920E206811A3D8BACD9E21F1EC, xmp.iid:E21D377835206811A7809F949B3A9BDE, xmp.iid:E41D377835206811A7809F949B3A9BDE, xmp.iid:FAFDC4920E206811A3D8BACD9E21F1EC, xmp.iid:FC7F1174072068118DBBF13CB58FE7EB, xmp.iid:F5FDC4920E206811A3D8BACD9E21F1EC, xmp.iid:0180117407206811976BE9AE6C6CF45E, uuid:2c01a2e7-ea02-8946-aa25-93a46f86fb7d, xmp.iid:FC7F1174072068118DBBF13CB58FE7EB, xmp.iid:F77F1174072068119109B677AF11A142, xmp.iid:FC7F1174072068118DBBF13CB58FE7EB, xmp.iid:E41D377835206811A7809F949B3A9BDE, xmp.iid:6E6C9E281F206811A3D8BACD9E21F1EC, xmp.iid:6B6C9E281F206811A3D8BACD9E21F1EC, xmp.iid:E91D377835206811A7809F949B3A9BDE, xmp.iid:EB1D377835206811A7809F949B3A9BDE, xmp.iid:4E4C7E9036206811A7809F949B3A9BDE, xmp.iid:E71D377835206811A7809F949B3A9BDE, xmp.iid:504C7E9036206811A7809F949B3A9BDE, xmp.iid:524C7E9036206811A7809F949B3A9BDE, xmp.iid:0880117407206811B1A4A6107738CC18, xmp.iid:0A80117407206811B1A4A6107738CC18, xmp.iid:472FE3AC18206811B1A4A6107738CC18, xmp.iid:452FE3AC18206811B1A4A6107738CC18, xmp.iid:482FE3AC18206811B1A4A6107738CC18, xmp.iid:0980117407206811B1A4A6107738CC18, xmp.iid:462FE3AC18206811B1A4A6107738CC18, xmp.iid:442FE3AC18206811B1A4A6107738CC18, xmp.iid:F77F1174072068119109B677AF11A142, xmp.iid:F77F1174072068119109B677AF11A142, uuid:D77B6352232CDF11902280BB9FD20F23, uuid:1FB0DEAD183BDE11A838FA453CAF82D3, uuid:14475E90A447DE11A6EFB134D7ACCB73, uuid:1B2F0DF8BA2EDF119654DD24E833BCA8, uuid:1A2F0DF8BA2EDF119654DD24E833BCA8, uuid:542DEE2B6F37DF11A33EA1FAAB3CE0DC, uuid:4507E056EFDFDD11A1F9C4D75928AC17, uuid:4707E056EFDFDD11A1F9C4D75928AC17, uuid:9C71E441F2DFDD11A1F9C4D75928AC17, uuid:1AD63C26B1F3DD11BBC9A706CFCA9913, xmp.iid:FAFDC4920E206811A3D8BACD9E21F1EC, xmp.iid:0980117407206811A3D8BACD9E21F1EC, xmp.iid:F5FDC4920E206811A3D8BACD9E21F1EC
Manifest Reference Document ID  : adobe:docid:photoshop:bd88e204-2544-11e0-811a-ac08cc98394e, xmp.did:F77F1174072068119109B677AF11A142, uuid:AB42C0E8DC1511DDB51EFDACCFEAD551, xmp.did:7B4FAE7E1D2068119AE594D2C73E927E, xmp.did:7F4FAE7E1D2068119AE594D2C73E927E, xmp.did:804FAE7E1D2068119AE594D2C73E927E, xmp.did:7F4FAE7E1D2068119AE594D2C73E927E, xmp.did:804FAE7E1D2068119AE594D2C73E927E, xmp.did:7B4FAE7E1D2068119AE594D2C73E927E, adobe:docid:photoshop:bd88e204-2544-11e0-811a-ac08cc98394e, xmp.did:7F4FAE7E1D2068119AE594D2C73E927E, xmp.did:804FAE7E1D2068119AE594D2C73E927E, xmp.did:2EFD483D2D2068119AE594D2C73E927E, xmp.did:9BB6F3FF0D2068119AE594D2C73E927E, xmp.did:7B4FAE7E1D2068119AE594D2C73E927E, xmp.did:2DFD483D2D2068119AE594D2C73E927E, xmp.did:804FAE7E1D2068119AE594D2C73E927E, xmp.did:0180117407206811976BE9AE6C6CF45E, xmp.did:0180117407206811BA75BA23CF20583D, xmp.did:2DFD483D2D2068119AE594D2C73E927E, xmp.did:F77F1174072068119109B677AF11A142, xmp.did:2DFD483D2D2068119AE594D2C73E927E, xmp.did:9BB6F3FF0D2068119AE594D2C73E927E, xmp.did:2AFD483D2D2068119AE594D2C73E927E, xmp.did:784FAE7E1D2068119AE594D2C73E927E, adobe:docid:photoshop:192c6a58-09ca-11e0-af4e-d6548d5fb5ef, adobe:docid:photoshop:f3ac9a0f-1980-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:cdb4d725-1981-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:cdb4d729-1981-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:cdb4d72d-1981-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:1b095be5-1982-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:1b095bea-1982-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:4ed446f7-1983-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:11e9fa2e-1983-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:11e9fa34-1983-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:1b095bed-1982-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:4ed446fa-1983-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:11e9fa31-1983-11e0-a23f-f37e6dcd4272, adobe:docid:photoshop:4ed446f4-1983-11e0-a23f-f37e6dcd4272, xmp.did:F77F1174072068119109B677AF11A142, xmp.did:F77F1174072068119109B677AF11A142, uuid:95F3D24B9927DF1182839B55C98167A6, uuid:AB5F8356B180DD1184ADDF15AEFC80B7, uuid:13475E90A447DE11A6EFB134D7ACCB73, uuid:28F43CF7132DDF119654DD24E833BCA8, uuid:2CF43CF7132DDF119654DD24E833BCA8, uuid:522DEE2B6F37DF11A33EA1FAAB3CE0DC, uuid:4207E056EFDFDD11A1F9C4D75928AC17, uuid:2C5934CDCEDFDD11A1F9C4D75928AC17, uuid:9B71E441F2DFDD11A1F9C4D75928AC17, uuid:AB42C0E8DC1511DDB51EFDACCFEAD551, xmp.did:7B4FAE7E1D2068119AE594D2C73E927E, xmp.did:7F4FAE7E1D2068119AE594D2C73E927E, xmp.did:804FAE7E1D2068119AE594D2C73E927E
Doc Change Count                : 4344
Format                          : application/pdf
Producer                        : Adobe PDF Library 9.0
Trapped                         : False
Page Count                      : 12
Creator                         : Adobe InDesign CS4 (6.0.6)
EXIF Metadata provided by EXIF.tools

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