Register a Surgeon Title - Select -Dr.Mr.Mrs.Ms.MissMx. First Name Last Name Email Phone Phone Number Extension Country - Select -AustraliaAustriaBelgiumBulgariaCanadaCroatiaCzech RepublicDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIndiaIrelandIsraelItalyKuwaitLatviaLithuaniaMalaysiaNetherlandsNew ZealandNorthern IrelandNorwayPolandPortugalPuerto RicoRomaniaRussiaSaudi ArabiaScotlandSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandThailandTurkeyUKUnit. Arab Emir. (UAE)United States of AmericaVietnamWales Secondary Contact Name Phone Email Country AustraliaAustriaBelgiumBulgariaCanadaCroatiaCzech RepublicDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIndiaIrelandIsraelItalyKuwaitLatviaLithuaniaMalaysiaNetherlandsNew ZealandNorthern IrelandPolandPortugalPuerto RicoRomaniaRussiaSaudi ArabiaScotlandSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandThailandTurkeyUKUnit. Arab Emir. (UAE)United States of AmericaVietnamWales Sales Rep Contact Information First Name Last Name Email Operating Facility Primary Operating Facility Name Primary Operating Facility Address Is this an Ambulatory Surgery Center (ASC)? - Select -YesNoUnsure Secondary Operating Facility Name Secondary Operating Facility Address Is this an Ambulatory Surgery Center (ASC)? - Select -YesNoUnsure Do you have a Tertiary Operating Facility? YesNo Tertiary Operating Facility Name Tertiary Operating Facility Address Is this an Ambulatory Surgery Center (ASC)? - Select -YesNoUnsure Register an Imaging Facility Required Imaging Center Information Facility Name Facility Type Imaging Center Primary Contact Information Name Email Sales Region - Select -AustraliaAustriaBelgiumBulgariaCanadaCroatiaCzech RepublicDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIndiaIrelandIsraelItalyKuwaitLatviaLithuaniaMalaysiaNetherlandsNew ZealandNorthern IrelandPolandPortugalPuerto RicoRomaniaRussiaSaudi ArabiaScotlandSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandThailandTurkeyUKUnit. Arab Emir. (UAE)United States of AmericaVietnamWales Sold to Party UCN Phone Number Phone Number Extension Physical Address Address 1 Address 2 Country - Select -AustraliaAustriaBelgiumBulgariaCanadaCroatiaCzech RepublicDenmarkEstoniaFinlandFranceGermanyHong KongHungaryIndiaIrelandIsraelItalyKuwaitLatviaLithuaniaMalaysiaNetherlandsNew ZealandNorthern IrelandPolandPortugalPuerto RicoRomaniaRussiaSaudi ArabiaScotlandSingaporeSlovakiaSloveniaSouth AfricaSouth KoreaSpainSwedenSwitzerlandThailandTurkeyUKUnit. Arab Emir. (UAE)United States of AmericaVietnamWales City State/Province Postal Code Alternate Contacts Name Email Phone Number Phone Number Extension Name Email Phone Number Phone Number Extension Implant and Guide Type Preferences Implant System - Select -ATTUNE™SIGMA™ Guide Kit Type - Select -HybridPin GuideResection Guide Plan / Guide Kit Type - Select -Resection GuidePin GuideHybridVELYS™ RAS TKA Plan OnlyTRUMATCH™ Plan Only Important Note *Note: not all surgical preferences are available with all kit or plan types. The VELYS Plan Only option is not available in all OUS regions. Plan / Guide Kit Type - Select -Resection GuidePin GuideHybridTRUMATCH™ Plan Only Important Note *Note: not all surgical preferences are available with all kit or plan types. The VELYS Plan Only option is not available in all OUS regions. Resection Guide Kit Type Tibia OnlyFemur and TibiaFemur Only Resection Guide Kit Type Pin Guide Kit Type Tibia OnlyFemur and TibiaFemur Only Pin Guide Kit Type Alignment Type Alignment Type - Select -Mechanical AlignmentPatient Specific Alignment Femoral Component - Select -CRPSCR150 Femoral Component - Select -CRPS Tibial Component - Select -Fixed BearingMobile Bearing Tibial Component Surgical Technique Preferences Distal femur landmark - Select -Most Distal CondyleAverage Between Condyles Additional distal femur resection to be automatically added when a flexion contracture greater than 10° is observed in the image (mm) - Select -012 Distal femur resection distance (mm) - Select -56789101112131415 Femoral component rotation landmark - Select -Epicondylar AxisPosterior CondylesWhitesides Line External rotation angle relative to landmark above (degree) - Select -01234567 2nd choice femoral component rotation landmark if 1st is not detectable - Select -Epicondylar AxisPosterior CondylesWhitesides Line 2nd choice external rotation angle relative to landmark above (degree) - Select -01234567 Femoral sizing reference and AP positioning reference - Select -Anterior DownPosterior Up When between sizes do you normally up or downsize - Select -Up-sizeDown-sizeNo Preference Acceptable limit to shift femoral implant AP when in between sizes (mm) - Select -0123 Acceptable limit to flex femoral implant when in between sizes (degree) - Select -012345 Tibia resection landmark - Select -High CondyleLow CondyleAverage Between Condyles Tibia resection distance (mm) - Select -012345678910111213141516 Additional tibia resection to be automatically added when a flexion contracture greater than 10° is observed in the image (mm) - Select -012 Tibia slope angle (degree) - Select -01234567Match pre-op with limit between 0 and 3Match pre-op with limit between 0 and 5Match pre-op with limit between 0 and 7Match pre-op with limit between 0 and 9 By submitting this form I acknowledge that I've reviewed and agree to the website's privacy policy CAPTCHA Submit Leave this field blank