Vitoss Bone Graft Substitute - Preparation Techniques

	Foam Preparation Technique Step 1: Fill a syringe with a volume of bone marrow aspirate, blood, or saline equal to the volume of the Vitoss Foam Strip.

	Step 2: Hydrate Vitoss Foam Strip with an ~ 1:1 volume of bone marrow aspirate, blood, or saline.

	Step 3: Vitoss Foam Strip is flexible when wet.

	Step 4: If necessary, then shape, cut, or customize the Vitoss Foam Strip to a desirable form.

	Step 5: Apply Vitoss Foam Strip to the grafting site. Vitoss Foam Strip will soak and hold fluid under compression.

Also available in Vitoss

	Canister Preparation Technique Step 1: Remove both end caps from the Vitoss Canister. Attach the syringe containing bone marrow aspirate, blood, or saline to the Vitoss Canister.

	Step 2: Hold the Vitoss Canister upright and add the desired amount of bone marrow aspirate, blood, or saline (an ~ 1:1 ratio is recomended).

	Step 3: Allow the blood or BMA to coagulate (recomended for 15 minutes). Then unscrew the interlocking front of the syringe cap and attach the push rod.

	Step 4: Turn the push rod 1 and 1/4 turn clockwise (left to right) to expell Vitoss.

	Step 5: Apply the prepared Vitoss. Handling characteristics (pictured) may not be achieved with saline.

	Flow Preparation Technique Step 1: Cut or break the Vitoss Foam Flow cylinders (pucks) into quarters.

	Step 2: Add 2-2.5cc of bone marrow aspirate, blood, or saline per puck into the syringe.

	Step 3: Insert the dry Vitoss Foam Flow pucks into the bone marrow aspirate, blood, or saline.

	Step 4: Use a Penfield elevator or similar instrument to mix the hydrated pucks within the syringe body, making sure all product is mixed thoroughly.

	Step 5: Apply vitoss Foam Flow to the grafting site.

	Pack Preparation Technique Step 1: Fill a syringe with a volume of bone marrow aspirate, blood, or saline equal to the volume of the Vitoss Foam Pack.

	Step 2: Hydrate Vitoss Foam Pack with an ~ 1:1 volume of bone marrow aspirate, blood, or saline.

	Step 3: For Vitoss Bioactive Foam Pack, add the bioactive glass component and if needed or desired, you can add up to a 1:1 volume of local bone autograft for either formulation.

	Step 4: Manually knead and shape the Vitoss Foam Pack for about 60 seconds until a putty-like consistency is obtained.

	Step 5: Apply Vitoss Foam Pack to the grafting site.

Also available in Vitoss