DENTAL REPAIR Solutions - Collagen Matrix

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DENTAL REPAIR Solutions - Collagen Matrix
Dental

               Spine

         DENTAL
         REPAIRDural Repair

         Solutions
DENTAL REPAIR Solutions - Collagen Matrix
Science • Technology • Innovation                                                               Proven Performance
                                                                                                         Six Platform Technologies
         At Collagen Matrix we are passionate about
         advancing the science of tissue repair and                                                      We have developed six proprietary tissue

         regeneration. That’s why we’re the driving force                                                engineering technologies to expand our broad line

         in the design, development and manufacturing of                                                 of collagen and mineral based medical device

         advanced collagen and mineral based medical                                                     solutions.

         devices that support the body’s natural ability
         to regenerate.                                                                                  T1 – Reconstituted Collagen
                                                                                                         T2 – Intact Collagen
         Over our 20 years of proven performance, we have                                                T3 – Natural Carbonate Apatite Mineral
         focused our proprietary technologies and innovative                                             T4 – Collagen and Mineral Composites
         products to meet clinical needs through five key                                                T5 – Collagen Coatings
         business units – Dental, Spine, Orthopaedic,                                                    T6 – Crosslinking
         Dural Repair and Nerve Repair.                                                            v

                                                         Evolution of Dental Products
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shapes
                                            2011

                                         Spine
                                                                                         2014
                                                                                                                                    2016

                                        Dural Repair

                                                   Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477              Pa g e 2
                                        Dental
DENTAL REPAIR Solutions - Collagen Matrix
Collagen Membranes
                                                                               Matrixflex™, MatrixDerm®, MatrixDerm® EXT,
                                                                               MatrixDerm® Cap, and MatrixMem™ membranes are
                                                                               intended for use in oral surgical procedures. These
                                                                               resorbable materials are for use in augmentation
                                                                               around implants placed in immediate extraction
                                                                               sockets, delayed extraction sockets, localized ridge
                                                                               augmentation for later implantation, alveolar ridge

7.5
                                                                               reconstruction for prosthetic treatment, filling of
                                                                               bone defects, guided bone regeneration in
                                                                               dehiscence defects and guided tissue regeneration
                                                                               procedures in periodontal defects.

                             million
Our products have helped patients worldwide with                               Wound Dressings
over 7.5 million medical devices that have been
                                                                               Collatene™ Microfibrillar Collagen and MatrixDerm®
produced across all five key business units.
                                                                               Dental Wound Dressings are absorbent collagen
                                                                               matrices intended for the management of oral
                                                                               wounds and sores. They are indicated for use for
                                                                               denture sores, oral ulcers (non-infected or viral),
                                                                               periodontal surgical wounds, suture sites, burns,
                                                                               extraction sites, surgical wounds, and traumatic
                                                                               wounds.

                                                                         v

Bone Grafts
MatrixOss™ Granules and MatrixOss™ in Syringe, SynOss™ Plug, SynOss™ Granules and SynOss™ Putty deliver
choices to clinicians by providing exceptionally high quality xenograft and synthetic alternatives to human
                                                                                                                                WHITE shapes

bone graft materials.
Our products are indicated for use in bone repair such as augmentation or reconstructive treatment of the
alveolar ridge and filling of periodontal defects. In addition, they are suitable for use in conjunction with
products intended for Guided Tissue Regeneration and Guided Bone Regeneration and for filling defects
after root resection, filling extraction sockets, and elevating the maxillary sinus floor.

Page 3                   Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
DENTAL REPAIR Solutions - Collagen Matrix
Membranes at-a-glance
         Why use membranes?
           v The membrane is used as a cell barrier to prevent soft tissue ingrowth in the defect site
           v Contains bone graft material
           v Supports wound healing in guided tissue and bone regeneration procedures

         Our collagen membranes are…
           v Highly purified collagen derived from porcine tissue. Porcine animals are considered a non-TSE
             relevant species
           v Highly biocompatible
           v Programmed for different resorption times to accommodate various applications
           v Suturable with easy handling due to their structural integrity
           v Not side specific, either side can be placed facing bone or soft tissue
           v Easily repositionable to precise adjustment and placement. They do not stick to instruments
           v Permeable to macromolecules and nutrients while creating an effective barrier to epithelial cells

                                                 Material                          Handling                               Strength               Resorption
            Product                              Source                         (conformability)                       (suture pull avg)            Time

                         TM
            Matrixflex                           Porcine                               High                                    High              3-4 months
                                                peritoneum                       (very drapeable)                            0.83 kg

                          TM
            MatrixMem                             Porcine                            Moderate                                  Low               4-6 months
                                                  tendon                                                                     0.28 kg

            MatrixDerm®                           Porcine                            Moderate                               Moderate             6-9 months
                                                  dermis                                                                     0.46 kg
shapes

            MatrixDerm®                           Porcine                             Low                                      High              9-12 months
            EXT                                   dermis                       (space maintaining)                            0.67 kg
                               Spine

            MatrixDerm®                           Porcine                             Low                                   Moderate             9-12 months
            Cap                                   dermis                       (space maintaining)                           0.51 kg

                               Dural Repair

                                          Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477                 Pa g e 4
                               Dental
DENTAL REPAIR Solutions - Collagen Matrix
Membrane characteristics
The two key design parameters that we                                                                     Conformability
have identified in the development of the
membranes are:
                                                                                   MatrixDerm® EXT
    v Handling characteristics: Conformability                                                     & Matr
                                                                                                         ixDerm ®
                                                                                                                  Cap
         vs. Stiffness
                                                                                                                                 Least Drapeable
    v Resorption time                                                              MatrixDer
                                                                                            m             ®
                                                                                                              &
                                                                                                                  Ma
                                                                                                                    trix
This allows the clinician to select the most ideal                                                                      Me
                                                                                   Matrixfl                               m
membrane for the clinical indication.                                                      ex        TM
                                                                                                                                    TM

                                                                                                                      Moderately Drapeable

                                                                                   Highly Drapeable

                                                                Resorption

                               Matrixflex     TM

                                                                                        MatrixDerm®

                                                   MatrixMem         TM

                                                                                                                                 MatrixDerm® EXT

                                                                                                                                 MatrixDerm® Cap

           1         2         3              4             5               6             7               8            9            10                  11   12
                                                                          Months

Membranes can be used in the following types of dental surgeries:
     v In augmentation around implants placed in immediate extraction sockets, delayed extraction sockets
                                                                                                                                         WHITE shapes

     v Localized ridge augmentation for later implantation
     v Alveolar ridge reconstruction for prosthetic treatment
     v Filling of bone defects
     v Guided bone regeneration in dehiscence defects and guided tissue regeneration procedures in
         periodontal defects

Page 5                    Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
DENTAL REPAIR Solutions - Collagen Matrix
SHORT
         Matrixflex                           TM
                                                                                                                                                                   resorption

         REGENERATIVE COLLAGEN DENTAL MEMBRANE

         Matrixflex™ regenerative collagen dental membrane
                                                                                                                      MEDIUM
         is a strong, conformable collagen barrier membrane                                                              resorption

         manufactured from purified porcine peritoneum
         tissue.

         Matrixflex™ is designed to provide a very drapable
         yet very strong membrane.                                                                                                                         Highly
                                                                                                                                                          Drapeable
                                                                                                                      EXTENDED
                                                                                                                         resorption
         Product Features:
             v Resorbable in 3-4 months
             v High mechanical strength                                                                        sorbs in 3-4 month
                                                                                                             Re                  s
             v Highly purified intact porcine peritoneum tissue
                                                                                              Pu

                                                                                                                                                                e
                                                                                                                                                           su
                                                                                                 rif

                                                                                                     ed
                                                                                                                                                          ti s
         CATALOG NO.                                   SIZE
                                                                                                   i

                                                                                                          int
                                                                                                                act                                   e   um                 Scanning

                                                                                                                                               it o n
         CDMPP1520                               15mm x 20mm
                                                                                                                      porcin e per
                                                                                                                                                               Electron Micrograph of
                                                                                                                                                                   the dry MatrixflexTM
         CDMPP2030                               20mm x 30mm                                                                                                     (cross section) at 50x
                                                                                                                                                                         magnification
         CDMPP3040                               30mm x 40mm

                                                                                        v
shapes
                                                                                                                                                      Scan
                                                                                                                                                      here
                                                                                                                                                      to view
                                                                                                                                                      product demo
                             Spine
                                                                                                                                                      video

                             Dural Repair

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                             Dental
DENTAL REPAIR Solutions - Collagen Matrix
MEDIUM
MatrixDerm                              ®
                                                                                                                                                  resorption

REGENERATIVE COLLAGEN DENTAL MEMBRANE

MatrixDerm® regenerative collagen dental
membrane has enhanced characteristics to
provide periodontal and dental surgeons with the
                                                                                                                                           EXTENDED
ideal balance of properties to effectively address a                                                                                              resorption

host of clinical indications and surgical procedures.
The product is manuafactured from porcine
dermis tissue.

Product Features:
     v Resorbable in 6-9 months
     v Highly purified intact dermis tissue                                                        sorbs in 6-9 month
     v Balanced characteristics of handling, strength,
                                                                                                 Re                  s
         and resorption time
     v High mechanical strength

CATALOG NO.                              SIZE                                             Pu
                                                                                               rif                                    s   ue
                                                                                                     ie d                        ti s
                                                                                                                                                             Scanning
PDM1520                            15mm x 20mm
PDM2030                            20mm x 30mm
                                                                                                            inta ct d er mis                   Electron Micrograph of
                                                                                                                                                  the dry MatrixDerm®
                                                                                                                                                 (cross section) at 50x
                                                                                                                                                         magnification
PDM3040                            30mm x 40mm

                                                                          v
                                                                                                                                    Scan  WHITE shapes

                                                                                                                                    here
                                                                                                                                    to view
                                                                                                                                    product demo
                                                                                                                                    video

Page 7                    Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
DENTAL REPAIR Solutions - Collagen Matrix
MEDIUM                                                                      MEDIUM
         MatrixMem                                 TM
                                                                               resorption                                                                  resorption

         REGENERATIVE COLLAGEN DENTAL MEMBRANE

         MatrixMem™ regenerative collagen dental
         membrane is a white, nonfriable, conformable
         membrane matrix engineered from highly purified
                                                                          EXTENDED                                                                      EXTENDED
                                                                               resorption                                                                  resorption
         type I collagen derived from porcine tendon.

         Product Features:
            v Resorbable in 4-6 months
            v Highly purified type I collagen derived from
              porcine Achilles tendon
            v Moderately drapeable
                                                                                                                    s in 4-6 mon
            v Softer surface texture
                                                                                                               esorb            ths
                                                                                                              R

         CATALOG NO.                                    SIZE

         CMPT1520                               15mm x 20mm                                                 So                                      e                  Scanning
                                                                                                                 fte r                         ur
                                                                                                                                         te xt
                                                                                                                                                         Electron Micrograph of
         CMPT2030                               20mm x 30mm                                                              s u rf a c e                      the dry MatrixMemTM
                                                                                                                                                           (cross section) at 50x
                                                                                                                                                                   magnification
         CMPT3040                               30mm x 40mm

                                                                                       v
                                                                                                                                                    Scan
shapes

                                                                                                                                                    here
                                                                                                                                                    to view
                                                                                                                                                    product demo
                            Spine
                                                                                                                                                    video

                            Dural Repair

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                            Dental
DENTAL REPAIR Solutions - Collagen Matrix
EXTENDED
MatrixDerm EXT                         ®
                                                                                                                                      resorption

REGENERATIVE COLLAGEN DENTAL MEMBRANE
WITH EXTENDED RESORPTION TIME

MatrixDerm® EXT regenerative collagen dental
membrane is a white, nonfriable membrane matrix
engineered from highly purified porcine dermis.

Product Features:
    v Resorbable in 9-12 months
    v Highly purified intact thicker dermis tissue
    v Longer in-vivo stability
    v Quick hydration time in seconds
                                                                                                 sorbs in 9-12 month
                                                                                               Re
    v High mechanical strength                                                                                      s

CATALOG NO.                             SIZE

PDMX1520                          15mm x 20mm
                                                                                                 Spa
                                                                                                                                                     Scanning
                                                                                                                               g
                                                                                                                        tainin
                                                                                                                                       Electron Micrograph of
PDMX2030                          20mm x 30mm                                                           c e m ain                    the dry MatrixDerm® EXT
                                                                                                                                         (cross section) at 50x
                                                                                                                                                 magnification
PDMX3040                          30mm x 40mm

                                                                         v
                                                                                                                                   Scan
                                                                                                                                    WHITE shapes

                                                                                                                                   here
                                                                                                                                   to view
                                                                                                                                   product demo
                                                                                                                                   video

Page 9                   Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
DENTAL REPAIR Solutions - Collagen Matrix
EXTENDED
         MatrixDerm CapEXTENDED                       ®
                                                                              resorption                                                                  resorption

         REGENERATIVE COLLAGEN DENTAL MEMBRANE
         WITH EXTENDED RESORPTION TIME

         MatrixDerm® Cap regenerative collagen dental
         membrane cap is a white, nonfriable membrane
         matrix engineered from highly purified porcine
         dermis. It is indicated for oral surgical procedures
         as a resorbable material for use in extraction
         sockets and small bone defects.
                                                                                                       Curves
                                                                                                         rves upon
                                                                                                        hydration

         MatrixDerm® Cap was specifically designed to
         meet the needs for socket ridge preservation
                                                                                                                     bs in 9-12 mont
         procedures, and it has a slight curve when
                                                                                                                 esor               hs
                                                                                                                R
         hydrated to facilitate placement.

         Product Features:
            v Resorbable in 9-12 months
            v Highly purified intact thicker dermis tissue
            v Curves upon hydration
            v Longer in-vivo stability
            v Quick hydration time in seconds
            v High mechanical strength

                                                                                                           Hi
                                                                                                                gh
                                                                                                                     mec                        n   gth
                                                                                                                            h a n i c a l str e
                                                                                                                                                                      Scanning
                                                                                                                                                        Electron Micrograph of
                                                                                                                                                      the dry MatrixDerm® Cap
                                                                                                                                                          (cross section) at 50x
                                                                                                                                                                  magnification
         CATALOG NO.                                   SIZE
         PDMC1216                                12mm x 16mm

                                                                                        v
shapes
                                                                                                                                                Scan
                                                                                                                                                here
                                                                                                                                                to view
                                                                                                                                                product demo
                             Spine
                                                                                                                                                video

                             Dural Repair

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                             Dental
Bone Grafts at-a-glance
                         Collagen Matrix offers both a xenograft-derived bone graft matrix and
                                   a synthetic calcium phosphate bone graft matrix.

Our bone grafts can be used for:
    v Augmentation or reconstructive treatment of the alveolar ridge
    v Filling of infrabony periodontal defects
    v Filling of defects after root resection, apicoectomy, and cystectomy
    v Filling of extraction sockets to enhance preservation of the alveolar ridge
    v Elevation of the maxillary sinus floor
    v Filling of periodontal defects in conjunction with products intended for Guided Tissue Regeneration
          (GTR) and Guided Bone Regeneration (GBR)
    v Filling of peri-implant defects in conjunction with products intended for Guided Bone Regeneration
          (GBR)

                                 Material                  Particle Size                     Form/                         Volume            Void Space
     Product                     Source                        Range                      Configuration                      Fill             (Porosity)

                    TM
     MatrixOss               Anorganic Porcine               0.25 - 1.0 mm                   Granules                    3 cc / gram                   88%
     Granules                  Bone Mineral
                               (Cancellous)

     MatrixOssTM             Anorganic Porcine               1.0 - 2.0 mm                    Granules                    4 cc / gram                   95%
     Granules                  Bone Mineral
                               (Cancellous)

     SynOss    TM
                                 Synthetic                   0.35 - 1.0 mm                   Granules                    2 cc / gram                   81%
     Granules
                                                                                                                                        WHITE shapes
                             Carbonate Apatite

     SynOss    TM
                                 Synthetic                  0.35 - 1.0 mm                       Putty                    0.5cc, 1.0cc                  88%
     Putty                   Carbonate Apatite                                                                            and 2.0cc
                              & Bovine Type I
                                 Collagen

Page 11                         Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
Why Carbonate Apatite?                                                                                                                                                        Our
                                                                                                                                                                            proprietary method
                                     Mineral structure similar to natural bone mineral
                1                                                                                                                                                          to process bone tissue
                                                                                                                                                                    preserves the natural porous
                             v Naturally occurring bone mineral is a calcium
                                     phosphate apatite with 2-8 wt % carbonate                                                                                      structure and maintains the
                                     ion substitution. Unlike highly crystalline                                                                                             carbonate apatite
                                     hydroxyapatite, carbonate apatite in bone has
                                                                                                                                                                             crystal structure.(5)
                                     a lower degree of crystallinity, which allows
                                     the bone mineral to be remodeled in-vivo.(1,2,3)

                                                  IR Spectra
                                      for human, bovine & porcine bones
                                          hydroxyapatite and collagen                                                                             v After processing porcine bone tissue using
                                                                                                                                                      our proprietary method, the IR of processed
                                                   1012
                              557

                                                                                                                                                      bone was similar to that of naturally occuring
                                                                                                                                                      bone with carbonate band between 800 cm -1 -
                                    600

                                             960

                                                                                                                                                      900 cm -1 and 1400 cm -1 1500 cm -1
                                           871

                                                                      1410
                                                                               1445

                                                                                      1634
                                                                             1548

                                                                                               Human Bone
                                                                                                                                                  v The material structure of carbonate apatite
        Absorbance (a.u.)

                                                                                                                                                      being similar to the mineral structure of
                                                                                               Bovine Bone
                                                                                                                                                      natural bone, supports and facilitates
                                                                                                                                                      remodeling of the new bone

                                                                                              Porcine Bone
                                                                                                                                                               IR Spectra for MatrixOssTM
                               560
                             600

                                                                                             Hydroxyapatite
                                     630

                                                                                                                                                                                P-O

                                                                                                    Collagen                                                                             Carbonate
                                                                                                                                                                                          ion peaks
                                                                                                                            Absorbance (a.u.)

                                                                                                                                                        P-O
                            500                  1000                     1500               2000            2500
                                                          Wavenumbers (cm-1)

                                                                                                                                                              P-O
                             v The figure above shows the IR spectra of
                                     the human, bovine and porcine bones,
hapes
                                     hydroxyapatite and collagen.(4) It reflects the
                                     identical chemical composition of human,                                                                                         C-O                     C-O

                                     bovine & porcine
                                                 Spine bones. They all show a
                                     carbonate ion peak at around 871 cm -1                                                                     400       600        800      1000    1200   1400    1600
                                     and 1410/1445 cm -1                                                              v                                                Wavenumbers (cm-1)
                                                           Dural Repair

                                                                      Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477                              Pa g e 1 2
                                                           Dental
Low crystallinity supports bioresorption
 2
     v The broad spectrum of the mineral                                                                           X-ray diffraction for MatrixOssTM, SynOssTM
                                                                                                                               and Hydroxyapatite
           indicates a smaller crystal size. Both
           diffraction patterns are close to
           mature native bone diffraction pattern
                                                                                                               Sharp peaks = high crystallinity
           that is consistent with bone mineral of

                                                                                  Diffraction Intensity
           apatite nature with low crystallinity.(6)
           Hyroxyapatite shows characteristically
                                                                                                                                                                         Sintered
           narrow spectrum with sharper peaks                                                                                                                       Hydroxyapatite

           indicative of high crystallinity.
                                                                                                               Broad peaks = low crystallinity
                                                                                                                                                                       MatrixOssTM
     v Carbonate substitution leads to greater
                                                                                                                                                                            SynOssTM
           bioresorption by osteoclasts due to low                                                        20      22    24      26     28     30     32        34      36            38   40
           crystallinity of the bone graft (3,7,8)                                                                           Diffraction Angle (2 theta)

                                                                                                          v

           Carbonate apatite has been shown to increase the bone forming activities of osteogenic
 3         cells as well as enhance bioresorption of bone by osteoclasts (9)

                                                             Hematopoietic
                                                                 stem cell                                                                   Mesenchymal
                                                                                                                                             stem cell
                                                                                                                                             (osteoprogenitor)

 Endocrine & Paracrine
        signals

                                                                  Osteoclasts
                                                                                                                                                          Carbonate apatite has the
                                                                                                                                     Activated            potential to stimulate local

                                                                                     Macrophages                                     osteoblasts          osteoblastic cells to upregulate
          Osteoclasts are believed to modify                                                                                                              bone related gene expression (11)
          the surface of the bone graft that
          alters the response of osteoblasts (10)

                                                                                                                                                                      WHITE shapes

                                                                                                                                                                                          (10, 12, 13)
     v In-vivo the activities of osteoclasts and osteoblasts are closely related in a process known as coupling
     v The material structure and porosity (or void space) are two parameters that we have evaluated and
           optimized in the development of our bone graft matrices

Page 13                                Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
MatrixOss Granules                        TM

        ANORGANIC BONE GRAFT

        MatrixOss™ Granules is an osteoconductive,
        porous, anorganic bone mineral with carbonate
        apatite structure derived from porcine cancellous
        bone

        Product Features:
            v Carbonate apatite structure - similar to
                  natural bone
            v Highly porous
            v Rough surface/faciliates cell adhesion
            v High volume fill

                                                                                                  Why MatrixOss ?                                  TM

                                                                                                  Safe
                                                                                                        v Porcine animals are considered a non-TSE
                                                                                                           relevant species
                                                                                                        v Bone tissue is subjected to several processing
        CATALOG NO.               VOLUME                          PARTICLE
                                                                 SIZE RANGE                                steps known to eliminate or inactivate viruses
        PMC0510                       0.5 cc                    0.25 - 1.0 mm
                                                                                                        v A rigorous process designed to effectively
        PMC1010                       1.0 cc                    0.25 - 1.0 mm
                                                                                                           mitigate any risk of disease transmission and
        PMC2010                       2.0 cc                    0.25 - 1.0 mm
                                                                                                           ensure safety for human implantation
        PMC4010                       4.0 cc                    0.25 - 1.0 mm
                                                                                                        v The bone graft is provided sterile and for single
        PMC1020                       1.0 cc                     1.0 - 2.0 mm
                                                                                                           use only
        PMC2020                       2.0 cc                     1.0 - 2.0 mm

        Syringe                                                                                   Carbonate apatite anorganic bone mineral
        CATALOG NO.               VOLUME                          PARTICLE                              v Carbonate apatite structures are better
hapes                                                            SIZE RANGE
                                                                                                           osteoconductive materials than hydroxyapatite 1,2,3
        PMCS025                      0.25 cc                    0.25 - 1.0 mm
        PMCS05                        0.5 cc                    0.25 - 1.0 mm                           v Resorption and remodeling profiles are more
                                 Spine
                                                                                                           similar to natural bone than those of synthetic
                                                                                                           materials, such as hydroxyapatite or tricalcium
                                                                                            v              phosphate 2
                                 Dural Repair

                                            Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477        Pa g e 1 4
                                 Dental
Porous                                                                             Volume Fill 16
           v Porosity permits vascularization of the defect                                    v 1gram of small size particles fills approximately
                site and enhances osteogenesis 14,15                                               34% more volume than Bio-Oss®
           v High porosity and large pores enhance bone                                        v 1gram of large size particles fills approximately
                ingrowth and osseointegration of the implant                                       49% more volume than Bio-Oss®
                after surgery 15
                                                                                                                          Same Weight
           v MatrixOss™ macropores range between 0.1mm
                                                                                                                         Fills more space
                – 1.0mm 16

                                                                                                         MatrixOssTM                          BioOss®

      Surface Roughness 17
                                                                                         Void Space 16
          v Surface roughness affects cellular response,
                                                                                               v 88% void space for porcine mineral vs. 78% void
                      MatrixMem
                enhancing cell adhesion and proliferation and                                  MatrixDerm             Cap
                                                                                                space of Bio-Oss for small particles
                                                                                                                            ®

                possibly other markers of expression of cell
                                                                                               v 95% void space for porcine mineral vs. 88% void
                phenotype, like production of collagen type I,
                                                                                                   space of Bio-Oss® for large particles
                osteocalcin, extracellular matrix and
                                                                                                                        Scan
                               Scan
                mineralized material                                                                                    here
                                                                                                                         Same Volume
                               here                                                                                     to view
                                                                                                                        More  void space
                               to view                                                                                  product  demo
                                                                                                                           More dense
                               agnificdemo
                             mproduct  ation                                                                            video
                         75X video

                                                                                                     MatrixOssTM

                                                                                         MatrixOss Granules                                 BioOss®

oam & Plug                                                                                                                                    WHITE shapes

                                                                                                                   Scan
                                                                                                                   here
                                                                                                                   to view
                                                                                                                   product demo
emo                                                                                                                video
                                                                                   v

      Page 15                      Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
SynOss Putty          TM

         SYNTHETIC MINERAL-COLLAGEN COMPOSITE BONE GRAFT

         SynOss™ Putty is a calcium phosphate-based
         mineral with a carbonate apatite structure similar
         to natural bone combined with type I collagen
         derived from bovine Achilles tendon. The mineral
         particles are dispersed within collagen fibers
         forming a 3-dimensional matrix. It is supplied dry
         and forms a moldable putty upon hydration. It is
                                                                                              Collagen
         fully resorbed during the natural process of bone                                 holds mineral
         formation and remodeling.                                                       particles together
                                                                                           in a 3D matrix
         Product Features:
            v Carbonate apatite plus bovine type I collagen
                                                                                                                           upon hydr
            v Moldable putty upon hydration                                                                         ldable          atio
                                                                                                                  Mo                    n
            v Osteoconductive, 3 dimensional structure for
               forming cells
            v Mineral particles are contained within the
               defect site                                                               v

         CATALOG NO.            VOLUME                             SIZE

         SMB050                     0.5 cc                  9.0mm x 8.0mm
         SMB100                     1.0 cc                 11.0mm x 10.5mm

         SMB200                     2.0 cc                 11.0mm x 21.0mm

                                                                                                                                                Scan
shapes
                                                                                                                                                here
                                                                                                                                                to view
                                                                                                                                                product demo
                               Spine
                                                                                                                                                video

                               Dural Repair

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                               Dental
SynOss Granules        TM

SYNTHETIC MINERAL BONE GRAFT

SynOss™ Granules Synthetic Mineral Bone Graft
is an osteoconductive calcium phosphate-based
(carbonate apatite) bone graft material that provides
clinicians and their patients with an ideal alternative
to human allograft and animal origin bone graft
material.

The similarity in structure between SynOss™
Granules and natural anorganic bone mineral
allows the SynOss™ Granules in vivo resorption and
remodeling profile to mimic that of natural bone.

Product Features:
     v Synthetic alternative to allografts and
          xenografts
     v Carbonate apatite structure similar to
          natural bone mineral
     v Osteoconductive                                                     v

 CATALOG NO.           VOLUME                    PARTICLE
                                                SIZE RANGE
 SM2510                 0.5 cc                  0.35 - 1.0 mm
 SM5010                 1.0 cc                  0.35 - 1.0 mm

 SM10010                2.0 cc                  0.35 - 1.0 mm

 SM20010                3.5 cc                  0.35 - 1.0 mm

                                                                                                                                   Scan
                                                                                                                                    WHITE shapes
                                                                                                                                   here
                                                                                                                                   to view
                                                                                                                                   product demo
                                                                                                                                   video

Page 17                     Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
SynOss Plug          TM

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                                                                                                                              ket site w
                                                                                                                                        hen
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         BONE GRAFT COMPOSITE PLUG                                                                               s                            dr
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                                                                                                      Ex

                                                                                                                                                       ed
         SynOss™ is a calcium phosphate-based mineral with
         a synthetic carbonate apatite structure which is like
         natural bone. The similarity in structure between
         the SynOss™ mineral and natural anorganic bone
         mineral mimics natural bone as shown in vivo
         resorption and remodeling profile. The low
         crystallinity of carbonate apatite supports
         bioresorption and the synthetic mineral has been
         shown to increase the bone forming activities of                                                                                                        Scanning
                                                                                                                                                    Electron Micrograph of
                                                                                                                                                  the SynOssTM Plug at 50x
         osteogenic cells as well as enhance bioresorption                                                                                                   magnification

         of bone by osteoclasts. The makeup of the SynOss™
         Plug is approximately 80% mineral combined with
         20% Type I Achilles bovine tendon collagen.

         Product Features:
            vE
              ase of use for socket sites treated with
               composite plug
            v Expands to fill socket site when hydrated
            vM
              ineral particles are contained within the
               defect site
            vO
              ffered in two sizes conveniently packaged five
               per box

         CATALOG NO.                  SIZE                     5 PER BOX

         SMCP1020            10mm x 20mm                        5 per box
         SMCP0625            6mm x 25mm                         5 per box
                                                                                         v
                                                                                                                                                Scan
                                                                                                                                                here
shapes
                                                                                                                                                to view
                                                                                                                                                product demo
                                                                                                                                                video
                              Spine

                              Dural Repair

                                         Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477                    Pa g e 1 8
                              Dental
3
                                                                                                                                                     We offer

MatrixDerm Tape, Foam and Plug                   ®
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                                                                                                                                         c                      es

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RESORBABLE WOUND DRESSING
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                                                                                                                                                                                Tape

MatrixDerm® Resorbable Wound Dressings are
absorbent, porous, collagen matrices engineered
                                                                                        Matrixflex
                                                                                        Product Features:
                                                                                           v Applied directly to
from purified collagen derived from bovine                                                    the wound and
dermis tissue.                                                                                protect the wound           Plug
                                                                                              and delicate new tissue
                                                                                                                                          Foam
They are indicated for use for denture sores, oral                                                    Scan healing
                                                                                           v Aids in wound

Matrixflex
ulcers (non-infected or viral), periodontal surgical
wounds, suture sites, burns, extraction sites,
                                                                                               MatrixDerm
                                                                                           v Availablehere
                                                                                                      to
                                                                                                         in tape, foam and plug form
                                                                                                         view non-pyrogenic and for single
                                                                                           v Supplied sterile,
                                                                                                      product demo
surgical wounds and traumatic wounds.                                                         use only
                                                                                                      video
                                                                                           v Essentially resorbs within 30 days of placement
 CATALOG NO.                                  SIZE *
                     Scan        Length x Width x Height                                                         Scan
 BDDWDT2575          here      2.5 cm x 7.5 cm x 1mm -Tape                                                       here
 BDDWDF2040          to view 2.0 cm x 4.0 cm x 3.0 mm - Foam                                                     to view
                     product demo10 mm x 20 mm - Plug                                                            product demo
 BDDWDP1020
                     video                                                                                       video
* Quantities of 10

                                                                                  v
                                                                                         MatrixDerm EXT
Collatene                            TM

MICROFIBRILLAR COLLAGEN WOUND DRESSING
Collatene™ Microfibrillar Collagen is an absorbent                                                             Scan
                                                                                                               here
 MatrixDerm EXT
microfibrillar collagen matrix intended for the                                                   MatrixDerm Tape, Foam & P
                                                                                                               to view
management of oral wounds and sores. It forms                                                                  product demo
a gel when mixing with the wound’s exudate and                                                                 video
oral fluid to provide a moist healing environment.                                                                                            Scan
                                                                                                                                              here
                 Scan                                                                                                                         to view
It is indicated for use for denture sores, oral
                 here                                                                                                                         product demo
ulcers (non-infected or viral), periodontal surgical
                 to view                                                                                                                      video
wounds, sutureproduct
                   sites, burns,
                          demo extraction sites,
surgical wounds     and traumatic wounds.
                 video
                                                                                         CATALOG NO.                   VOLUME                  QUANTITY
Product Features:                                                                        DWDG0010                       0.1 gram               15 vials/box
   v Highly purified bovine type I collagen
   v Applied directly to the wound and protects
                                                                                                  Collatene                                   WHITE shapes

     the wound bed and delicate new tissue
   v Resorbable                                                                                                  Scan
   v Collatene is supplied sterile, in individual                                                                here
     vials and for single-use only                                                                               to view

           Collatene
   v Controls minor bleeding due to intrinsic
                                                                                                                 video    Socket Repair Kit
                                                                                                                 product demo

     hemostatic properties of intact collagen fibers

Page 19                 Scan      Dent al | CollagenM at r ix.com | 15 Thor nt on Roa d | Oa k l a nd, N J 07436, U S A | 201.405.1477
                                                                                                                                               Scan
                        here
                                                                                                                                               here
                        to view
                                                                                                                                               to view
References:
         1. Spense G., Patel N., Brooks R., Rushton N. 2010. Osteoclastogenesis on hydroxyapatite ceramics: The effect of carbonate substitution. J Biomed Mater Res A. 2010
             Mar 15;92(4):1292-300.
         2. Ellies LG, Carter JM, Natiella JR, Featherstone JDB, Nelson DGA. 1988. Quantitative Analysis of Early In Vivo Tissue Response to Synthetic Apatite Implants. J Biomed Mater Res
             22:137–148.
         3. Landi E., Celotti G., Logroscino G., Tampieri A. 2003. Carbonated Hydroxyapatite as Bone Substitute. Journal of the European Ceramic Society 23: 2931–2937.
         4. M. Figueiredo, A. Fernando, G. Martins, J. Freitas, F. Judas, H. Figueiredo. Effect of the calcination temperature on the composition and microstructure of hydroxyapatite derived from
             human and animal bone. Original Research Article Ceramics International, Volume 36, Issue 8, December 2010, Pages 2383-2393.
         5. Method of Preparing Porous Carbonate Apatite from Natural Bone. United States Patent US 8,980,328
         6. Tadic D, Epple M. A thorough physicochemical characterisation of 14 calcium phosphate-based bone substitution materials in comparison to natural bone. Biomaterials.
             2004 Mar;25(6):987-94
         7. Doi Y, Shibutani T, Moriwaki Y, Kajimoto T, Iwayama Y. Sintered carbonate apatites as bioresorbable bone substitutes. J Biomed Mater Res 1998;39:603–610.
         8. Hasegawa M, Doi Y, Uchida A. Cell-mediated bioresorption of sintered carbonate apatite in rabbits. J Bone Joint Surg [Br] 2003;85:142–147.
         9. Spense G., Patel N., Brooks R., Rushton N. 2009. Carbonate Substituted Hydroxyapatite: Resorption by Osteoclasts Modifies the Osteoblastic Response. Journal of Biomedical Materials
             Research Part A 217-224.
         10. Harris WH, Heaney RP. Skeletal renewal and metabolic bone disease. N Engl J Med 1969;280:253–259.
         11. Rupani A, Hidalgo-Bastida LA, Rutten F, Dent A, Turner I, Cartmell S. Osteoblast activity on carbonated hydroxyapatite. J Biomed Mater Res A. 2012 Apr;100(4):1089-96.
         12. Spence G1, Phillips S, Campion C, Brooks R, Rushton N. Bone formation in a carbonate-substituted hydroxyapatite implant is inhibited by zoledronate: the importance of bioresorption to
             osteoconduction. J Bone Joint Surg Br. 2008 Dec;90(12):1635-40.
         13. Kanayama, K., Sriarj, W., Shimokawa, H., Ohya, K., Doi, Y., Shibutani, T. 2011. Osteoclast and Osteoblast Activities on Carbonate Apatite Plates in Cell Cultures. J Biomater Appl 2011
             26:435-436.
         14. Frank M. Klenke, Yuelian Liu, Huipin Yuan, Ernst B. Hunziker, Klaus A. Siebenrock, Willy Hofstetter. Impact of Pore Size on the Vascularization and Osseointegration of Ceramic Bone
             Substitutes in vivo. Journal of Biomedical Materials Research Part A, 2007, 777-786
         15. Hannink G1, Arts JJ. Bioresorbability, porosity and mechanical strength of bone substitutes: what is optimal for bone regeneration? Injury. 2011 Sep;42 Suppl 2:S22-5.
         16. Data on file
         17. Deligianni DD, Katsala ND, Koutsoukos PG, Missirlis YF, Effect of Surface Roughness of Hydroxyapatite on Human Bone Marrow Cell Adhesion, Proliferation, Differentiation and
             Detachment Strength. Elsevier Biomaterials 22 (2001) 87-96.
shapes

                                              Spine

         Matrixflex , MatrixDerm®, MatrixMem , MatrixDerm® EXT MatrixDerm® Cap, MatrixOss
                   TM                            TM                                                  TM

         Granules, MatrixOss Syringe, SynOss Putty, SynOss Granules, SynOss Plug MatrixDerm®
                              TM                  TM              TM                  TM

         Tape, MatrixDerm® Foam, MatrixDerm® Plug and Collatene are all trademarks of and
                                                                       TM

         manufactured by Collagen Matrix, Inc. Bio-Oss® is a registered trademark of Geistlich-Pharma,
         Switzerland. Please refer to the Instructions for Use for description, indications,
         contraindications, warnings, precautions    and other important information. A surgeon must
                                              Dural Repair
         always rely on his or her own professional clinical judgement when deciding whether to use a
         		            particular product when treating a particular patient. Availability of these products
         		            might vary from one given country or region to another as a result of specific local
         		            regulatory approval or clearance requirements for sale in such country or region.
         		             MS701 Rev. 1                                                                            CollagenMatrix.com | 15 Thornton Road | Oakland, NJ 07436, USA | 201-405-1477
                                              Dental
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