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Active Intelligence® Smart Technology

Equinoxe® Planning App and GPS® Shoulder

First and only shoulder navigation technology that connects the preoperative plan with real-time intraoperative instrument guidance and verifies implant placement.

Exactech Equinoxe Shoulder Planning App

Equinoxe Planning App

Elevating planning options for surgeons, the advanced Equinoxe Planning App can be used with GPS in the operating room. A redesigned, enhanced user interface allows surgeons to plan shoulder component placement and select implants and sizes for the scapula and humerus based on a patient’s specific anatomy.
Exactech Shoulder GPS Equinoxe Planning App Implant placement scapula

Select from a range of humeral stem components

Exactech Shoulder Equinoxe Planning App - Select from a range of humeral stem components
Exactech Shoulder Equinoxe Planning App - Adjust humeral head offset / position in anatomic procedures

Adjust humeral head offset / position in anatomic procedures

Alter humeral trays and liners in reverse procedures

Exactech Shoulder Equinoxe Planning App - Alter humeral trays and liners in reverse procedures
Exactech Shoulder Equinoxe Planning App - Assess shoulder range of motion and impingement

Assess shoulder range of motion and impingement

Easily access Predict+ clinical decision support tool

Data-driven, clinical decision support tool that uses machine learning
Exactech Shoulder - Easily access Predict+ clinical decision support tool
Exactech Shoulder GPS System

GPS Shoulder Application

Connects preoperative plan with implant placement

SURGERY

Real-time glenoid vault visibility

Retroversion | Inclination | Reaming | Drilling depth | Screw placement | Final implant placement

 

Only system that allows full visualization of screw length and color

Exactech Shoulder GPS - Real-time glenoid vault visibility - Cage Drill Guidance
Exactech Shoulder GPS - Intraoperative flexibility

Intraoperative flexibility

Ability to adjust surgical plan in the O.R.

Time neutral after initial cases1,2

SPACE

Exactech Shoulder GPS inside the sterile field

Compact and mobile

Touchscreen tablet integrates seamlessly into the sterile field for easy access

Reusable infrared trackers

OUTCOMES

Improved accuracy3,4 and better fixation5,6

– verified implant placement within 2mm and 2 degrees of plan
Exactech Shoulder GPS - verified implant placement
Exactech Shoulder GPS Predict+ - Improved clinical outcomes compared to non-navigated patients

Improved clinical outcomes

compared to non-navigated patients, including improved range of motion and reduced postoperative complications, revision rates and adverse events7

COST

No capital expense and hassle-free hospital approval process

Lower cost per case with reusable trackers and free segmentation

Equinoxe Planning App and GPS Shoulder Resources

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  1. Greene A., et al. Clinical Use of a Computer Assisted Anatomic Total Shoulder Arthroplasty System: An Analysis of 574 Cases. Presented at CAOS 2019.
  2. Greene A., et al. Clinical Use of a Computer Assisted Reverse Total Shoulder Arthroplasty System: An Analysis of 1702 Cases. Presented at CAOS 2019.
  3. Greene A. et al. Navigated vs. non-navigated results of a CT based computer assisted shoulder arthroplasty system in 30 cadavers. Presented at ISTA 2018.*
  4. Nashikkar P., et al. Role of intraoperative navigation in the fixation of the glenoid component in reverse total shoulder arthroplasty: a clinical case-control study. J Shoulder Elbow Surg. 2019Sept.;28(9):1685-1691.
  5. Nashikkar P., et al. Computer navigation re-creates planned glenoid placement and reduces correction variability in total shoulder arthroplasty: an in vivo case-control study. J ShoulderElbow Surg. 2019 Dec;28(12):e398-e409.
  6. Roche C., et al. Impact of screw length and screw quantity on rTSA glenoid fixation for two different sizes of glenoid baseplates. JSES Open Access (JSESOA-D-19-00048R1).*
  7. Greene AT et al. Two-year clinical outcomes of total shoulder arthroplasty performed with a computer navigated surgery system. Presented at CAOS 2022.

*In vitro (bench) test results may not necessarily be indicative of clinical performance.