Layout 1 - Synthes
Transcription
Layout 1 - Synthes
A publication of Synthes (USA) • Volume 29, Number 1 • Spring 2011 frag features VEPTR II Update 3 Race to the Clouds 4 The MATRIX Spine System 6 Chester County Futures 7 “Opportunity for Success” Tour de Synthes 8 CMF Surgical Planning 10 An Unprecented PSI 12 Mobile App 13 Photo Contest Winners 16 Synthes Biomaterials 23 Histology and Micro-CT Labs Synthes Heroes 24 People Profiles 28 Retirees 35 Leadership Connections 36 ments Trauma Launches a Major Product Line– the VA-LCP Forefoot /Midfoot System Hallux valgus, hallux rigidus, tarsometatarso fusion, flatfoot correction, the list goes on and on. These are all procedures related to reconstructive foot surgery. Synthes has generally supported our surgeons who perform these procedures, however, we haven’t made a concerted effort to really tap into this market. Reconstructive surgery represents a majority of foot surgeries, so this equates to new market opportunities. In recent years, smaller competitors have recognized this opportunity and capitalized on this market by developing products designed by foot surgeons, for foot surgeons. It was time for Synthes to step up to the plate and recapture the title of being the vendor of choice for our foot surgeons. In the spring of 2009, we embarked on a journey to interview more than 75 surgeons globally, to develop the ultimate system for reconstructive foot surgery. In anticipation of this system, the sales force was trained on the different reconstructive foot procedures, and what products we already had to support our surgeons. Support literature, the Footbook and the Foot Matrix, were developed to aid in this training—these are now the go-to guides for our consultants to learn about the different procedures for reconstructive foot surgery. continued on page 2 Service Awards 37 In Memoriam 38 fragments · Spring 2011 1 Trauma Launches a Major Product Line–the VA-LCP Forefoot/Midfoot System continued from page 1 The culmination of the surgeon interviews, countless hours of global product development, manufacturing development, and training was introduced at the October 2010 Annual Trauma Sales Meeting. The 2.4 mm/2.7 mm Variable Angle LCP Forefoot/Midfoot System launched in the US on October 27. Along with new technology, we are addressing new markets with this system. It consists of 48 anatomic and procedure-specific implants for reconstructive foot procedures. The system is compatible with the Modular Graphic Case System, allowing customization of sets to meet the surgeon’s needs and hospital budgets. Market preference evaluation was a huge success, with 29 sets made available in the field and 185 cases generated in just two-and-a-half months! Our consultants did an incredible job of sharing sets across regions and areas. Everyone involved in the MPE did their part in getting this system approved and launched on time for the sales meeting. We learned a lot from the MPE, one of the most important being that our surgeons are using multiple implants in one patient! Icing on the cake for this system is the extensive product support information available at launch. The technique guide is so informative that it had to be spiral bound, with tabs for quick access to the different sections. Consultants were provided with six 2-minute drills addressing different system components, a detailed competitive matrix, an animation video, and various other support materials. So, what is so great about this system? For starters, there’s plenty of new technology. An innovative compression feature was introduced with this system, consisting of compression wires for preliminary fixation of the plate to the bone. Most plates in the system include a compression wire hole and a compression wire slot. By placing a second compression wire in the far side of the slot, compression forceps can be used to close a gap. The plates in the system accommodate up to 4 mm of compression; however, the beauty of the compression feature is that it can be designed with almost any amount of compression and applied to a variety of plate designs. Another new element in the system is the 2.7 mm Variable Angle LCP technology, similar to our existing 2.4 mm VA-LCP system, with 15° off-axis angulations. As an additional benefit, the plates can accept both 2.4 mm and 2.7 mm VA locking screws. They are also backward compatible with existing 2.4 mm and 2.7 mm locking screws, as long as these screws are used on-axis, and not off-angle. 2 fragments · Spring 2011 This system is truly a global effort with global surgeon input, global product development, global marketing communications and global manufacturing. This is a great example of what can be accomplished at Synthes when everyone works together toward a common goal. by Dipan Patel VEPTR II Update The Vertical Expandable Prosthetic Titanium Rib (VEPTR) is a humanitarian device designed to mechanically stabilize and distract the thorax to correct three-dimensional thoracic deformities and provide improvement in volume for respiration and lung growth in skeletally immature patients diagnosed with thoracic insufficiency syndrome (TIS). TIS is defined as the inability of the thorax to support normal respiration or lung growth. The VEPTR devices are attached perpendicular to the patient’s natural ribs, lumbar vertebra or ilium. Once the device is in place, its design allows the surgeon to perform expansion and anatomic distraction, as well as the replacement of components through less-invasive surgery. Differentiating the VEPTR II system from VEPTR is the wider range of fixation options, as well as the significant decrease in required inventory resulting from new internal manufacturing processes. These constructs are adaptable to individual patient anatomy, and allow for adjustment during patient growth. One of the major modifications has been to the rib hooks and cradles, which are to be manufactured in the Brandywine, Pennsylvania, facility. Two pins are pressed into several of the current devices which require very close tolerances of the pin diameters and bores that they are pressed into. The design change and manufacturing process will integrate the pins into the device as one component, eliminating the need for an assembly process. Finishes on these configurations of components are machined and then anodized. Providing an “as machined” surface without performing secondary finishing operations (vibratory or bead blast) has been a challenge, but positive results have been achieved. by Mariah DiGuglielmo and Brian Dougherty David Burkhart, Dianne Hosford, Ken Godschall, Mary Shive , Shari Glowacki, Elizabeth M. Wolf, Susan McClain, Craig Lovell, Brent Oberholtzer, Joseph Kamerdze III, Ryan Freeze, Brad Bouchard, Rob Almy, Dean Padovani, Bill Neas. Photo by Lem Tyre fragments · Spring 2011 3 Race to the Clouds Through the ages men have sought to conquer mountains, first on foot, then horseback, then by wagon, and now using the horsepower of the modern automobile engine. The Pikes Peak Hill Climb, also known as “The Race to the Clouds,” is one of those events that tackles just that urge. The second oldest automobile race in America (second only to the Indianapolis 500) it was first run in 1916. The 12.42 mile course starts at an elevation of 9,390 feet and ends at the summit of Pikes Peak, at 14,100 feet. There are 156 turns along the way, many of them tight switchbacks that are posted as 10 mph limits for the normal driver. Drivers pass such places as Devil’s Playground and sheer drop-off cliffs as they climb to the top. Each summer since 2008, one of Synthes’ own, Jesse Neal, a twenty-two year engineering tech at the Monument plant, has participated in the hill climb. The first year he ran it solo, in his 1971 Plymouth Barracuda. In 2009 he offered a friend the opportunity to “ride shotgun.” 4 fragments · Spring 2011 That first lucky passenger was fellow Synthes employee, Keith Hendry, an engineer in the Monument heading department. In 2010 another Synthes employee, Jerry Mullins, a quality engineer with thirteen years at Synthes, rode with Jesse. Jesse, a self-proclaimed motorhead bought the car in 1999. He and his wife, Lisa Neal— who is also a Synthes employee and the backbone of Jesse’s crew, flew back East to see it. They knew immediately that they were taking the car home. It had been modified to be fast, but after bringing it home, Jesse only managed to make one race before disaster struck. The small block blew itself to pieces “in a spectacular fashion.” For three months, the ‘Cuda sat in the garage, alone and dismantled. He started over, learning, building and creating a machine that would not only attempt the Hill Climb, but which would qualify in vintage road races as well. History in the making— literally. The Pikes Peak Hill Climb was a “must-do race” for Jesse. The location is breathtaking, the chance to have your name carved into the record books with names like Unser, Andretti, Millen, Dallenbach, Vasholtz and others doesn’t come often, and the challenge of the mountain itself, undeniable. He offered Keith the opportunity to ride with him as a way of saying thanks for crewing at the previous year’s hill climb and to Jerry as payback for the guitar lessons he’d been getting. Jerry is also a motorcycle enthusiast, and at first, Jesse wasn’t sure the race would offer enough thrill for Jerry. But Jesse was up on a north road one day practicing, and Jerry was there with his bike, nearly laying it down. Jesse knew he’d found his partner for the hill. The Hill Climb itself is a six-day event. The meetings, parties and get-togethers are fun, but the meat of it all is the practices and the race itself. Drivers are divided into three groups, and each are assigned a third of the road to run practice for a day. They switch to a different section the next day. There are a couple of turns that aren’t practiced, just because of the logistics of so many drivers needing the road. It all begins at 3:30 am in the cold and dark of the high mountain. All practice runs must be completed by 8:30 am, as the highway is opened at 9:00 am to the public, for tourists to crawl up and down in their sedans and RVs. Race day is the only time drivers actually experience the whole course. So surprises are more common than not. Even those drivers who have run the course before get a different taste of it each year, thanks to the City of Colorado Springs’ ongoing project to pave larger portions of the road. And as to the weather— it can be sunny and dry, cloudy, rainy, muddy — and there have been reports of snow at that altitude, even in July. There’s no way to predict the road conditions from one practice session to the next, much less the specifics of the race day. That’s just part of the challenge. So, race day arrives. Jesse and Jerry are on the mountain long before dawn thinks of raising its sleepy head. They’ve ridden up the hill multiple times, testing, adjusting, learning the road the best they can. The car and the men are as prepared as they can get for what Jerry calls “a ride that’ll make you scream like a little girl.” They slip into their required safety equipment—fireresistant shoes and socks, 2-layer fire suit, gloves, head sock and helmet. Then they climb into the car with the neck and head restraint system. Minutes later, two men, a car and the clock, face off against the mighty mountain. Last year the texture of the road, thanks to the city’s use of Magnesium Chloride to clear the roads in bad weather, completely changed. Previously, Jesse had to go up in 3rd gear, slowing down at least a couple of times and adding minutes to his time. This time the car had more grip and a “better feel,” so Jesse was able to make the full run in 4th gear, with the pedal to the floor and no slowing. When they got to the end of their run, Jerry was awfully glad Jesse knew the road, as there were a couple places he’d expected him to slow down. He didn’t, and Jerry grabbed the seat to brace himself. It was the ride of a lifetime. The ‘Cuda took third place in the Vintage Class in 2010, with a time of 13 minutes and 54.8 seconds. Not too shabby considering the first race back in 1916 was won by Fred Junk with a time of 20 minutes and 4.6 seconds. The next race, the 89th time the men and cars will challenge the mountain, is scheduled for June 26, 2011. You can bet that Jess and the 'Cuda are raring to give it another go. He hasn't chosen this year’s passenger, though he’s definitely keeping his eye open. Any volunteers? Mr. Wyss? by Angel Smits fragments · Spring 2011 5 The MATRIX Spine System The goal is to provide a comprehensive and efficient modular spinal deformity/degenerative correction system that accommodates innovative surgical techniques in an intuitive and ergonomic manner. After successfully launching the Pangea and Synapse systems, the unified spine focus became Pangea XT (aka project Gemini, which eventually became MATRIX 5.5). The goal of the system was to design and manufacture Synthes’ first 5.5 mm diameter rod system, with a singlestage cap for degenerative and deformity conditions, as well as the ability to pop the screwhead onto the bone screw after it is inserted into the pedicle. The system was intended to be all inclusive, and the largest new product launch in Synthes’ history. This new design goal forced the team to rethink the individual part geometries, gauging, and manufacturing processes. The process-driven cell concept, which allows the same or similar components to be produced together, has proven to be significantly more efficient. This concept enables optimization of resources and easy reaction to changes in production schedules, while allowing maximum production levels. After intense development, a quick turn on mechanical testing, prototyping, and the unprecedented concurrent engineering, Synthes Spine launched MATRIX 5.5. Starting with implant quality titanium alloy (Ti-6Al-7Nb) annealed round bar, the manufacturing team focused on high quality lean processes. The net result was a significant cycle time and cost reduction with improved part quality and throughput. 6 fragments · Spring 2011 Based on previous process development work with other machining centers, the latest robust approaches were introduced not only to the new MATRIX designs, but also provided major improvements for the machining of other systems (i.e. Pangea). Gauging systems were developed and stringent quality-related documentation incorporated to check new features. As the final design and improvements progressed, the team began focusing on the “staking” of the collets used in the body. The resultant discovery prompted the design of the dual head orbital riveter for the assembly operations. MATRIX manufacturing relies on a long list of extremely tight-tolerance custom cutting tools. The design of new tooling resulted in significant savings, a qualified tool system, and dual sources of supply. Improvements were also realized in the finishing operations as well as many other areas in the manufacturing process. Everyone involved with launching the Matrix project is extremely proud of the achievement, and the benefits provided for patients worldwide. by Mariah DiGuglielmo and Brian Dougherty Chester County Futures “Opportunity and a Plan for Success” Many Synthes employees volunteer in their communities, and many times our leadership makes decisions to contribute to important causes. Sometimes these endeavors come together! This was the case for me, Synthes, and an organization called Chester County Futures (“Futures”). As a volunteer at Futures, I mentor an at-risk high school student, with the goal of getting her to college. A college education is an important step in breaking the cycle of poverty. I have been working with the same student since she was in ninth grade; she is now in her senior year and has been accepted to the colleges of her choice. But getting into college isn’t enough— the program works with seniors such as my mentee to make sure they apply for all pertinent scholarships and also keep their grades up. A college program helps them to stay in college once they get there. Chester County Futures enrolls students from five Chester County high schools when they enter high school, based on low income criteria and recommendations from guidance counselors. They must maintain good grades and attend regular after-school academic enrichment meetings, in order to stay in the program. They also visit colleges and attend career fairs, the better to motivate them to succeed. Early on, each student is matched with a mentor, whose job it is to be a friend, coach and sounding board to their mentee. My mentee and I have gone to the movies, to plays, and to museums, but we mostly just meet over a meal and discuss school, sports, family events, and, of course, the college application process. The program works—in its 14 years of existence, 100% of its students have made it to high school graduation and 93% have enrolled in post-secondary schools. Futures’ students have achieved an impressive 82% college retention rate—32% better than the national 50% rate for students at all income levels, and nearly double the national rate for low-income minority students like those Futures serves. As word of these achievements has spread, the number of participating school districts has grown. In mid-2010, Rick Gennett, Chairman of Synthes Trauma, was introduced to Futures and met with its leadership team and chairman, Jeremy Allen. Rick came to understand the impact of Chester County Futures; on a return flight from Switzerland, he presented the importance of the organization to Synthes Chairman of the Board, Hansjörg Wyss. The very next day, Mr. Wyss approved the single largest gift ever pledged to Futures: $480,000, an eight-year commitment sponsoring twenty ninth graders. On September 20, 2010, Futures held a fund raiser, during which Rick Gennett presented Futures with a $60,000 check on behalf of Synthes, to cover the first pledge year. This is yet another reason to be proud of what our company stands for. If you are in the Chester County area, you too can join Synthes in helping this worthwhile organization. Go to www.ccfutures.org for more information. by Samantha Jouin fragments · Spring 2011 7 Tour de Synthes Tours of Synthes facilities have become an essential part of the introduction to the Synthes culture. Among other responsibilities, Jill Hayes and Amanda DeVogel have established an excellent tour program in Brandywine. The organizers and guides in all of our facilities take pride in providing the participants with a quality visit. During 2010, 140 tours took place in the Brandywine manufacturing facility alone. Tour groups average seven people each, or about 900 visitors per year, and vary in audience; approximately 105 surgeons, 17 doctors from China, residents, and nurses visited in 2010. Synthes Basic Training classes from CMF and Spine, MBA candidates, co-ops, international employees, various vendors, and local school groups also toured. Spine Synthes Spine arranged approximately 30 plant tours in 2010, for a number of surgeon groups. Each tour was tailored to the specific group and allowed participants to view several different product cells, including ProDisc, Hooks and Screws (i.e. USS Dual Core, Synapse, Pangea, and MATRIX) and/or VEPTR. Feedback was positive, with specific appreciation for the raw material, sophisticated equipment, and plant personnel. While surgeon visits place emphasis on product development, providing individuals Trauma surgeons and consultants during a recent tour: Greg Turnbow, Ben Stewart, Aaron Bates, MD, Jules Dumas, MD, Kevin Kerlin (RM), Marc Zussman, MD, Jared Deahr, Gloria Lauria, Customer Management Program Manager 8 fragments · Spring 2011 an opportunity to tour the plant is extremely important. A tour allows surgeons and sales consultants alike to view first-hand the expertise required to produce a quality product. CMF While attending the annual meeting of neurosurgeons in Philadelphia, Dr. Jorge Alonso López-Magaña (Mexico City) visited Synthes, accompanied by Eric Lichtenstein, Product Manager in CMF neurosurgery. Dr. López-Magaña commented on the amount of detail in the manufacturing process, as well as the equipment and personnel involved. Dr. Stephen H. Johnson, neurological surgeon, and his son Geoff, currently a senior at the University of Pennsylvania (Engineering) and a Synthes intern, were among the visitors in 2010. Also with the group were Craig Wencis, Spine Sales Consultant, and Ryan Garrity, Seacoast Regional Manager. Dr. Johnson and Geoff commented on the appearance of the facility and their familiarity with machining operations. Synthes personnel are honored to have such esteemed visitors tour the facility. Trauma With an eye on the needs of our surgeons, Synthes Trauma has gone beyond their Trauma Tour and Technology Review to offer specialty tours. The first dual specialty tour was held in August for Hand & Wrist and Foot & Ankle surgeons. Each anatomic-specific Product Group had the opportunity to expand on new trauma and reconstructive implants with presentations, informal discussions and hands-on sawbones labs. Feedback was highly positive. As one consultant commented, “This visit was very organized, structured, and relevant. PD session was great. Really showed the surgeons that the PD personnel are aware of the challenges of their specific specialty and are looking for solutions.” Due to the increasing occurrence of obesity and diabetes in the US population, the demand for podiatry procedures has escalated. The statistics are grim. Diabetes is predicted to double by 2034, and currently 57% of the US population is overweight, with one in six identified as obese. Together or alone both of these conditions can lead to foot and/or ankle impairments requiring operative treatment. Synthes Trauma is responding to the DPM-trained Foot and Ankle surgeons with a day dedicated to their surgical needs, including a cadaver lab featuring our recently launched 2.4 mm/2.7 mm VA-LCP Forefoot/Midfoot System. Trauma’s tours begin with a welcome and introduction by our VP of Sales, Ken Carpenter, or Director of Product Development, Colleen Flesher, and are followed by presentations that engage the surgeons in Synthes history and our relationship with the AO. Our legal counsel gives an overview of the process for taking a surgeon idea for a new implant or instrument from concept to development by “Partnering with Industry.” New and upcoming products are presented by a Product and Program Manager, followed by Gloria Lauria outlining all the “extras” we offer such as custom implants and online education for orthopaedic or podiatric residents and operating room personnel. A tour of the Tech Center takes surgeons chronologically through our product development process from CAD drawings, to the Prototype Shop (fondly referred to as a Home Depot for surgeons) to our ‘OR’, the Bioskills lab, and Mechanical Testing. A visit to the Plant is la cerise sur le gâteau (the cherry on the cake), as surgeons see our state-of-the-art equipment and gain an understanding of all the behind-the-scenes processes involved in manufacturing implants and instruments. A full schedule of Trauma and Specialty Tours is planned for the new year. Alice Sanborn, Trauma Meeting Coordinator, arranged visits for nearly eighty surgeons last year and will be even busier in 2011, as slots are filling up quickly. by Mariah DiGuglielmo, Brian Dougherty, and Gloria Lauria S yn the sM -F ra gm en t Where’s Graphic Productions? i ni The department formerly known as Graphic Productions, Corporate Communications, or the Marketing Department is now the one-stop shopping, in-house vendor: Global Marketing Services & Communications. While our services vary slightly depending on location, our internal customer-oriented structure is consistent. Dedicated teams (Corporate Communications, Product Communications, Graphics & Production, Distribution, Web, and eCommerce) with designated Project Managers ensure that all projects are given the same careful attention. Designing, editing and overseeing the production of fragments is one of our favorite annual projects! “It's a fascinating and demanding experience between the many different cultures, time zones, languages and markets.” (Rainer Schlegel, Director MS&C) Learn more about our department, our services, and our personnel, by visiting our recently updated global intranet site: Synthes Intranet–eu > Services > Marketing Services & Communications. fragments · Spring 2011 9 CMF Surgical Planning For craniomaxillofacial surgery, both function and aesthetics are key objectives for the surgeon and the patient. Complex facial reconstructions, due to tumor resection, deformities or trauma, can create challenges for the surgeon trying to provide optimum results for the patient. Traditionally, preoperative planning may use CT scans and anatomic bone models, though many decisions are made in the operating room. Providing tools for preoperative planning allows the surgeon to simulate the surgical steps and make the clinical decisions before entering the operating room. Beyond surgical planning, providing guidance in the OR will allow the surgeon to accurately and effectively transfer the surgical plan to the OR, further enhancing the surgical outcome. Over the past five years, the CMF division has offered our customers various solutions for preoperative planning. Anatomic Bone Models are physical representations of the patient’s anatomy, used to perform tactile surgical planning such as precontouring and checking the fit of implants. While this provides good 10 fragments · Spring 2011 visualization of the anatomy, it does not allow surgical simulation and optimization. With Patient Specific Implants, we can provide surgical planning, as we collaborate with the surgeon to develop an implant to match the patient’s anatomy and meet the surgeon’s goals for aesthetics and function. Although this service has been very successful, surgeons need even more advanced tools for visualizing the patient’s condition, simulating the surgery, and transferring a virtual plan into the operating room. The Synthes CMF Customized Surgical Solutions team is addressing the growing need for better visualization and simulation with the introduction of ProPlan CMF. The Synthes ProPlan CMF software provides visualization and functionality for the surgeon to plan a variety of surgical procedures, including mandible and maxillary reconstruction, orthognathics, and distraction osteogenesis. The software includes a library of our standard implants, allowing the surgeon to select the appropriate implant for the surgical plan. Using this application, surgeons can simulate the surgery on a computer, before taking a case to the operating room. It all starts by importing the patient’s CT data into ProPlan CMF. The data can then be segmented, allowing the surgeon to see specific patient anatomy, such as bone. ProPlan CMF includes wizards for simulating surgery. These wizards include an osteotomy wizard for planning bone resections and a fibula wizard for optimizing the form and fit of a fibula graft. By using these functions, the surgeon can plan the position and angle of the osteotomies, and then optimize the final outcome by creating and shaping a virtual graft to fit the patient. To support surgeons who are interested in using ProPlan CMF, but do not have the time to become proficient in the software, CMF offers a planning service facilitated by a clinical engineer. The clinical engineer hosts a web meeting with the surgeon, operating the ProPlan CMF software and executing the surgical simulation under direction by the surgeon. This allows the surgeon to focus on the surgical plan and clinical decisions, while the engineer focuses on following the surgeon’s directions and operating the software. The outcome of the planning session is a surgical plan approved by the surgeon. For surgical procedures where exposure and visualization are possible, a physical surgical guide can be used. The surgical guide is a patient-specific, single-use instrument that directs the location and trajectory of drills and/or saws. Surgical guides help the surgeon perform an osteotomy, or locate an implant, as planned during the planning session. The guide can also be used to maintain occlusion of the teeth. Specific features of the patient’s skeletal anatomy or dentition are replicated in the guide to provide a secure, appropriate fit. The final result is the execution of preplanned procedures in the operating room. The key goals of preoperative planning include reduced operating time and consistent and predictable aesthetic results. These goals can be achieved through informed clinical decisions before surgery, and the ability to transfer those clinical decisions to the OR. The addition of the ProPlan CMF surgical planning software, planning service, and surgical guides to our product portfolio complements our current offering of customized, patient specific implants. With ProPlan CMF, we are involved earlier in the surgical workflow, supporting the surgeon from initial surgical planning all the way through surgery. For more information, go to: http://www.synthescss.com. by Michael Barthold fragments · Spring 2011 11 An Unprecedented PSI By definition, all of the 900+ Patient Specific Implants designed by the CMF PSI team in 2010 were unique. The PSI designed by Joe Bravo for a show horse named Jack can be called unprecedented. Jack suffered a tripod fracture including an orbital floor blowout, caused by running into a tree after he was startled. The first attempt to repair the horse’s injured eye with plates and screws was unsuccessful, as the eyeball was not fully supported by the orbital floor. M F ra nt Sy nt s he ini e gm Dr. Rohit Khosla, a plastic surgeon at Stanford University, who had recently been reintroduced to PSI technology during a tour of the Synthes Tech Center, reached out to the CMF PSI team for consultation. The PEEK implant was more complex than most PSIs and took six days to machine. It was successfully implanted by Dr. Khosla with the assistance of David Garfinkle, the local CMF Sales Consultant. Jack has had a remarkable full recovery and the family is eternally grateful to Joe, David, and the supporting cast from Synthes who made this repair a success! Local Press for Synthes Vet When Kimberly Burke, Synthes Vet Sales Consultant, got the call from the University of Pennsylvania’s New Bolton Center on the morning of January 29, 2010, she anticipated a phone consultation on how to fix a fracture on a 1000+ pound horse with Synthes Vet Large Fragment plates and screws. Little did she know that she would be asked to perform a field consultation on correcting an angular limb deformity on a 70-pound dwarf miniature horse. The surgery was successfully performed using 3.5 mm plates and screws, which are uncommonly used by equine surgeons. Tank was standing immediately after surgery without postoperative complications—always a major concern in equine patients. Synthes was given public accolades in several local and online publications and Kimberly received a personal letter from Pennsylvania Senator Andrew Dinniman, thanking her for her contribution to the success of the surgery. by Ryan Buck 12 fragments · Spring 2011 by Ryan Buck Mobile App With the continuous evolution of technology, companies are faced with the challenge of keeping pace and finding creative ways to deliver support materials. More and more, people are relying on their smart phones to serve not only as a phone, but also as a means of access to the web, e-mail, text, and social media. Our society has become much more mobile, and to keep up, Synthes has created and launched a cross-divisional mobile application for iPad, iPhone, and iPod touch. We are very excited to offer a comprehensive application that spans our Trauma, CMF, Spine, and Veterinary divisions. This free mobile app is available in the US and Canada, and offers a variety of features to medical professionals, and our Sales Consultants and internal employees. View content without 3G or WiFi connection Sales Consultants and medical professionals can easily access information previously downloaded to their devices, without the need for 3G or WiFi connection. Sales-specific content In addition to the information available to the general public, Synthes offers a passwordprotected area containing sales resource tools, intended to aid in competitive positioning. This section offers additional information for Sales Consultants to support their surgeons and the patients they treat. Synthes has formatted the content to optimize viewing on the iPod touch, iPad, and iPhone, respectively E-mail PDF content from device Users have the ability to e-mail any PDF product support files directly from the mobile application, while connected to the internet. Content update feature Users are prompted to update the application every seven days, to ensure that the most up-to-date content is always available. How to Register (two-step process): 1. From a computer (not the mobile device) – Follow Synthes Intranet link: http://portal.synthes.com/IT/WPP/MobileReg.aspx – Select Company – Click “Register” – Your ID and Password will be e-mailed to your synthes.com address 2. From the iPhone, iPad or iPod Touch – Launch the Synthes Application – Click “Settings” then the Account Information tab – Click “Login information” – Enter ID and Password that were e-mailed – Click “Check Connection” to register – Click “Update” to get the latest Synthes information – Click “Home” to begin using the application fragments · Spring 2011 13 Mobile App continued from page 13 The launch of this multidivisional support mechanism was monumental for Synthes, and was no easy feat. Driven by the IT-Multimedia Department, it was an extremely well-collaborated effort, pulling resources from many departments, to successfully meet a target launch for the Trauma and Spine National Sales Meetings in October and November 2010, respectively. Mobile App—CMF The CMF section of the Synthes USA Mobile App brings with it a wave of on-the-go information for our busy surgeons, OR personnel and Sales Consultants. At its introduction, the App came loaded with thorough information on all of CMF’s products. Also, key technologies are highlighted with ample video, literature and journal abstracts for important new products. With the aggressive launch date successfully met, we look forward to the continual growth of this application. It is intended to serve not only as a platform for launching new product support materials, but also regular product updates and enhancement information. We are very pleased with the response received so far, and look forward to the future! We have buoyed the contents with critical “Customer Resources” where you will find comprehensive contact numbers, website links, and a calendar of important events. The “Additional Resources” section is reserved strictly for Synthes Sales Force and contains a wealth of information, such as the catalog, price list, internal training and meetings. Sales Consultants will remain an invaluable resource to their customers with this information at their fingertips. A very special thanks to the many Synthes groups who contributed to the success of this project. by Mariah DiGuglielmo January iPad announced by Apple April iPad available for sale May Project requests from Synthes received by Multimedia June Began compiling documentation for pilot (genesis of project was KYO) July Pilot commenced, feedback received and pilot concluded August – October Interface and existing content was refined (based on feedback from pilot phase) and new content developed October Software validation Application approved by Apple Application added to iTunes 14 fragments · Spring 2011 Feedback so far is very positive. Consultants are saying, “wonderful” and “love it!” Content enhancements are made frequently, and future waves will include competitive analyses, additional key technologies to support new product launches, and much more. So download and sync up your new Synthes CMF App! by Sandy Folta Mobile App— Spine At the touch of a finger, Sales Consultants and medical professionals now have access to a variety of presentations, PDFs, videos, product and x-ray images, and product support materials spanning key clinical areas and products such as MATRIX Spine, Oracle, and Zero-P. A new Browse by System feature is also available– which is a more inclusive extension of Know Your Options. Interactive Quick Reference Techniques serve as an OR tool to support proper technique, as well as a unique way to host product in-services. This application can aid in personal education, as well as the treatment and support of patient care. Mobile App—Trauma At the Fall Trauma Sales Meeting, we had the opportunity to announce the launch of the exciting new Synthes Mobile Application. For the first time surgeons and Sales Consultants have access to product and educational information at their fingertips. The Trauma section highlights and introduces some of our Key Technologies, reinforcing the message through technique guides and videos. In addition to the Key Technology section, users can browse products by anatomy, through “Know Your Options,” and view our comprehensive line of trauma offerings for anatomical segments through “Synthes Solutions.” The Synthes Spine Sales Force has received the launch of the mobile application with great enthusiasm, stating that, “this app is exactly what the sales force needs,” and, “it is the most useful sales support tool that I’ve ever seen since coming on board.” This overwhelmingly positive response is a testimony to the hard work of many internal teams, and the potential we have for future growth. by Mariah DiGuglielmo Here are some comments that summarize the excitement: “This app is amazing, and thank you for this huge resource” –Sales Consultant “I just wanted to say my surgeons really like the app. Every surgeon I’ve told has been impressed that we have one and with the amount of content.” –Sales Consultant “It’s a life changer having this information at your fingertips” –Sales Consultant “This app is tight” – Ortho Resident by Rebecca Black Mobile App for Vet As part of the October launch of the Synthes Mobile Application, a dedicated link for Synthes Vet was created. Although initial functionality of this link is limited to an overview of the Vet division, contact information, and direct access to our eCommerce website, the Synthes Vet team is anticipating future uses such as online ordering, access to technique guides and videos, and additional surgical resources. The Synthes Vet team believes that these handheld capabilities will be well received by its entrepreneurial and tech-savvy customer base. by Ryan Buck fragments · Spring 2011 15 2010 Photo Contest Winners Each year, fragments invites Synthes employees to submit their favorite photos for judging. The judges’ selections are highlighted on these and the following pages. Congratulations to the winners, and thanks to all the employees who submitted more than 270 entries. Best Portrait John Reilly, SUSA Sales Consultant Best Use of Color Niagara Falls, Canada Nabeel Bhatti, Brandywine 16 fragments · Spring 2011 Best Use of Light Allan Kimble, West Chester Best Pet Jaime Fiorito, Tech Center fragments · Spring 2011 17 Best Wildlife Great Blue Heron Loantaka Brook Reservation, Morristown, New Jersey John Doyle, West Chester Best Architecture St. Peter’s Basilica, Vatican City, Italy Hamilton Durow, Monument Honorable Mention Verlatta Edouard, Monument 18 fragments · Spring 2011 Best Black & White Buenos Aires, Argentina Lance Philips, Spine Sales Consultant Best Action Near the Matterhorn, Zermatt, Switzerland Amanda Randall, Tech Center Honorable Mention Andrew Davison, Tech Center fragments · Spring 2011 19 Honorable Mention Yosemite National Park, California Ken Lessig, West Chester Honorable Mention Bryan Harlacker, Elmira 20 fragments · Spring 2011 Honorable Mention Kelly Kramer, Tech Center Honorable Mention Hanalei, Kauai, Hawaii Brian Dec, West Chester Honorable Mention Seward Jonson Sculpture Grounds for Sculptures Park, Hamilton, New Jersey Tanya Brodsky, West Chester fragments · Spring 2011 21 Honorable Mention Maui, Hawaii Brandon Randall, West Chester Honorable Mention Waimea Canyon, Kauai, Hawaii Brian Dec, West Chester Honorable Mention Niagara Falls, Canada Nabeel Bhatti, Brandywine 22 fragments · Spring 2011 Synthes Biomaterials Histology and Micro-CT Laboratories Approximately two years ago, Synthes Biomaterials moved forward with an initiative to expand our R&D capabilities through the build-out of a new histology laboratory. The primary purpose of this lab is to evaluate and characterize tissue specimens being generated by the various preclinical programs within the Biomaterials organization. Most of these studies are designed and intended to evaluate new and innovative technologies in various stages of development. Typically, these studies culminate with the collection of tissue samples which are characterized to determine the safety and efficacy of the subject device. Before developing our internal capabilities in this area, Synthes relied on outside contractors to provide these services. For a variety of reasons, a consequence of this was that histological work was often a bottleneck for project timelines. Protracted turn-around times also compromised our ability to make effective and timely decisions regarding emerging data proof-of-concept studies associated with new technologies. Recognizing these issues, Synthes management made a strategic decision to restructure the existing floor plan of the Development Center in West Chester to dedicate approximately 600 square feet of space to this new facility. Activities in the lab are broadly classified into two groups; micro-computed tomography (CT) and histological analysis. Micro CT In recent years, this technology has become increasingly important in orthopaedic research. With these systems, it is possible to quantitatively and qualitatively assess mineralized tissues in three dimensions, with an extremely high level of accuracy and precision. The Scanco μ-CT 80 system we acquired is capable of resolving details down to an 18 μm voxel size. Using this system, explanted tissue specimens can be scanned and quantified within days after retrieval. This is in contrast to any type of histological processing which can take weeks or months under the best circumstances. This system can also be used to interrogate nonmineralized and nonbiologic materials such as structural polymers. In fact, the system has been instrumental in the development of several critical initiatives. The ability to accurately and rapidly generate data has been essential in quickly moving through iterative development processes, and has shortened development timelines considerably when compared to traditional engineering and analytical methods. Histology The lab is completely outfitted for performing all phases and types of histological work, including both paraffin and plastic embedded sections. For plastic embedding, a complete Exakt tissue processing system was acquired. This system includes equipment for processing and embedding tissues, followed by sectioning on band saws and grinding and polishing slides for final slide preparation. A brace of Olympus microscopes outfitted with high-resolution digital cameras and a specialized software package for generating quantitative histomorphometric data complete the operation. In summary, the new histology lab has been a very welcome addition to the Biomaterials organization. Not only has it enhanced and complemented our existing in-house analytical capabilities, but it has also resulted in timely, high-quality work at reduced operational costs. by Robert Harten Histological images of bone (red) growing into a porous PEEK structure Micro-CT image of a polymer injected around a hip-screw in a mini-pig femur Micro-CT image of healing bone defects in a rat skull fragments · Spring 2011 23 Synthes Heroes—Above and Beyond In the spring of 2010, Synthes USA was presented with two awards by the National ESGR Organization. Chris Lockett received the “Patriot Award” in recognition IV Hall, Michel Orsinger, Paul Murach and Ken Carpenter of his outstanding support of an employee in the National Guard or Reserve Forces, and Synthes USA was presented with the “Above and Beyond Award” in recognition of their support (above and beyond that required by federal law) of their employees in the National Guard and Reserve Forces. When Duty Calls On the evening of December 17, 2008, I arrived home at 1:00 am after a long day of covering cases in my northwest Georgia S t yn s he M ini -F m rag territory. To my surprise, I was greeted by a large certified-mail envelope from the United States Department of Defense. Immediately a knot began to grow in my stomach— I knew what this was, and that the next year of my life was about to take a dramatic turn. I had previously served five years on Active Duty in United States Army, as part of an eight-year commitment for accepting an ROTC scholarship that paid for my college tuition. For my final three years, I had chosen to serve in the IRR (Inactive Ready Reserve), a sort-of emergency force, only to be called upon if the United States military ever had a critical shortage of manpower. I was in my second year of service in the IRR when I received this letter – the seventh year of my eight-year obligation. When I opened the certified letter from the DOD, it contained official military orders calling me back to active duty, for a 12-month deployment in support of Operation Enduring Freedom in Afghanistan. e nt Five minutes to save a life! Five minutes of terror ended happily recently, thanks to Mike Connolly, a third-shift machinist in the Brandywine plant. When a seven-year-old boy choked on a marshmallow after church in January, his father couldn’t clear the boy’s throat before the lad passed out. The father scooped up his son and ran into the church for help. Mike’s wife Emily, who is certified in CPR, began the Heimlich maneuver but wasn’t strong enough to dislodge the marshmallow. She called for Mike, who is also CPR certified, and after seven upward thrusts, the boy began to cough. “I heard him cough a little bit and he started to cry, and it was so good to hear him cry,” Mike said. 24 fragments · Spring 2010 The knot in my stomach grew, for I knew that I had to wake my wife and inform her that I would be leaving for a year — again — to another combat zone. I crept into our bedroom, and broke the news as gently as I could. My orders required me to report for duty on February 22, 2009, a little more than two months after receiving them. My first concern was for my wife, Amanda, but she is a tough cookie— we had been through this before, in 2005, when, after having been married for only a month, I deployed to Iraq for 12 months with the United States Army’s 3rd Infantry Division. My second concern was for my job and the business I had grown in my territory. I immediately called my Regional Manager, Chris Lockett, and informed him of the situation. Chris took the news quite well—his first concern was for me and my well-being. In the ensuing days before my deployment, Chris hired a tenured ASC, Joe Starnes, to look after my territory while I was gone. He then ensured, with the help of our HR department, that all administrative functions continued in my absence and that my transition to the military was seamless. During my deployment, Chris and Joe worked tirelessly to ensure that my territory was well taken care of and all my surgeons’ needs were met. Chris went above and beyond what was expected of a regional manager when, during the heavy rains in September of 2009—while I was still deployed—my backyard began to flood and threatened to flood my house. Chris drove over to my house, in the torrential rain, and dug trenches in my backyard to alleviate the flooding—much to the relief of my wife. This is but one example of the overwhelming support I received from Synthes and my coworkers during my deployment. All of the e-mails, letters, care packages, and administrative support I received from Synthes, as well as the piece of mind provided by Chris and Joe, were the critical components in ensuring that I was able to complete my military mission and return home safely in early 2010. by Paul Murach Sy h nt es ni i M - gm F ra e nt Thanks to Dr. David Beigler, who sent Kevin Kerlin an e-mail praising Dave’s heroism, we are able to embarrass David Schmidt, SUSA-411, with the following report. One Monday in June 2010, Dave was on his way between cases and hospitals in the Chicago suburbs. Talking to his wife on his cell phone while sitting at a stop sign, he saw what he thought was dust from construction beyond a house across the street. When he realized that it was actually smoke from the burning house, Dave told his wife, “Gotta go, there’s a house on fire,” and hung up to call 911. Checking for anyone at home, Dave and a passing bicyclist hammered on doors, heard voices, and finally convinced two fearful little boys to open the door and come out of the house. When asked repeatedly if there was anyone else there, they answered “no” several times, before one said, “Where’s our brother?” So Dave opened the door and yelled, until the third and youngest child ran up from the basement and out the door. Dave got their mother’s cell phone number from the boys, and called to tell her the boys were safe at a neighbor’s, her house was on fire, and the fire department was on the way. Fire engines arrived within about five minutes of the 911 call. Dave then called to tell his surgeon, Dr. Beigler, why he was late. Meanwhile, Dave’s wife worried as she tried to call him for about an hour after he hung up on her. fragments · Spring 2011 25 Search and Rescue–On the Right Track Almost 20 years ago, Chuck Wooters, a Senior Designer for Trauma graphic cases, began search and rescue (SAR) with his first German Shepherd Dog, Tikki. “My interest started because I wanted to work with my dogs outdoors, and has continued because it’s a beautiful, amazing thing to watch and learn what these dogs are capable of doing,” he states. Currently, he and his wife have seven German Shepherds that are retired SAR dogs, operational working dogs, or puppies in training. Chuck trains his own dogs, which are certified similarly to police dogs in tracking and human scent, water search, and wilderness rescue. His dogs hold multiple certifications with the International Police Working Dog Association, the PA Police Canine Association and the National Association for Search and Rescue. With his dog Falco by his side, Chuck has gone across the country and into the wilderness of Canada to search for missing people. All search results may not always be what the family of the missing person hopes for. While working with the police, Chuck and Falco recently found the hidden burial location of a local West Goshen man who was allegedly murdered by his wife, in a highly publicized “lover’s triangle.” Chuck is part of the Search and Rescue Dogs of PA, which is a nonprofit group that is listed with the 911 Emergency Services. They are available as a resource for police, fire, park and forest services at no charge. To learn more, visit their web page at www.sardogs.org. by Janice Garnett 40th Anniversary of the First AO Course in the U.S. In March 1970, at the Fawcett Center for Tomorrow in Columbus, Ohio, the first AO course was held in the United States. Orthopaedic legends such as Howard Rosen and Joe Schatzker were on the faculty list, as US orthopaedic surgeons were now able to learn about the AO principles of fracture fixation without having to make the long trek to Davos, Switzerland. But why were world-renowned veterinarians Jacques Jenny and Bruce Hohn also listed as faculty? The reason was that this was billed as an AOVet course. From 1970 to 1974, veterinarians and human orthopaedic surgeons were trained together at the AOVet course held in Columbus each year. It was not until 1975 that the first solo human course was held in Chicago, Illinois. The AOVet course in Columbus is the largest and longest standing AO course in the US. Each year, approximately 250 veterinarians from resident programs, private practice, and academia travel to Columbus to learn about the basic and advanced principles of large and small animal fracture fixation. Due to the growing popularity of the Columbus course, a second US AOVet course was added in 2007 in La Jolla, California. Synthes Vet proudly supports both of these courses each year! by Ryan Buck 26 fragments · Spring 2011 Elmira Veterans George Washington once said, “The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to how they perceive the veterans of earlier wars, and how they are treated and appreciated by their nation.” When we think of heroes, we may think of those who paid the ultimate sacrifice, those whose names appear for receiving our country’s highest award, the Medal of Honor. It has been written, “Courage is almost a contradiction in terms. It means a strong desire to live taking the form of readiness to die.” Those who have died were not thinking about being heroic. They were just trying to do what their country called for them to do. Air Force: Front row: Kristie Sackett, R.J. Mack, Michael Keegan; second row: Dave Coolbaugh, Steve Howell, Mitch Rought, Robert Bydairk (not in photo: John Cowilich, Al Lukowski, Jeremy Smith) As veterans working for Synthes here at Elmira, and at other Synthes plants, we always remember those we served with. We may not have made the ultimate sacrifice, but we did make sacrifices. They may have been on the sands of Iraq or in the jungles of Vietnam, or even on the seas of the world, or the skies above. Our thanks go out to every veteran who has made some sacrifice for his or her country. by Clyde Lahnum Navy: Front row: Don Wheaton, Clyde Lahnum, Joseph Whitney, Robert Sharp; second row: Kevin White ( Air Force), Eldon Smith, Chris Wiehe, Ron Becker, Joel Buice, Jesse Knox (Army). (not in photo: Tim Benesh) Army: Front row: Jeff Johnson, Kevin Hakes, Richard Gaboriault, Edwin Cubero, Robert Poulin, Aaron Markle; second row: Kevin Spring, Matthew Bryant, Howard Brown, Jonathan Cortright, Therold Davenport, Keith Cole (not in photo: Ron Baker, Robert Bonyak, Brian Carrigan, Marty Fuller, Jesse Knox, Charles Sweeney, Lyle Vargeson, Nicholas Vitulli) Marines: Front row: Clyde Lahnum (Coast Guard), David Embury; Second row: Michael Sykora, Chad Williams, Kevin Morgan fragments · Spring 2011 27 People Profiles Lois Suhrie Lois Suhrie has been working with Synthes for 25 years in various integral positions. As the Director of Nursing Continuing Education for much of the last decade, she has led the department through many changes, milestones and accomplishments. Lois divides her professional life into two separate successful careers–clinical nursing in the operating room environment, and the medical industry. She started her O.R. career as a staff nurse, took on progressive middle-management positions, finally becoming a Director of Surgical Services and Critical Care. Lois was introduced to Synthes while planning the opening of a new hospital. The orthopaedic surgeons insisted that she purchase only Synthes internal fixation systems. At Synthes, Lois has worn many hats. She started her journey serving as a technical consultant to the small 70-member sales force, assisted with sales training, and attended the occasional Operating Room Personnel (ORP) course. As Synthes grew, Lois became National Training Manager for Trauma Sales Training, managed the Trauma division’s meetings, conventions and trade shows, and, for a short time, served as Product Manager for Epiguard, a wound dressing product that Synthes no longer offers. Lois also set up and managed the Trauma division’s New Technology Symposia physician education offerings. Concurrent with all of these roles, Lois has maintained her interest and involvement with nursing continuing education. 28 fragments · Spring 2011 Under Lois’ direction, the number of ORP courses has grown and the courses have become specialized for not only Trauma, but Craniomaxillofacial and Spine. In addition to major ORP courses, the department also offers local Bioskills Workshops, and accredited online continuing education on the Skeletal Simulations website. The department is accredited to be its own provider of continuing education for registered nurses and surgical technologists, and issues over 5,000 certificates a year. Lois thinks that one of the strengths of Nursing Continuing Education is that providing education is an ethical way to positively influence business and satisfies what is the most important goal of Synthes– to improve patient care. Originally from Paterson, New Jersey, Lois attended college and initially worked in the Washington, DC, area. She moved to Chicago for her first medical industry job, and 25 years ago, moved back east to work with Synthes. (Currently the Nursing Continuing Education offices are located in Paoli, Pennsylvania). In her free time, Lois enjoys interior design, laying claim to the distinction of earning a Certificate of Interior Design from Temple University. Lois relishes the opportunity to travel anywhere there is sun, sand and a warm ocean to sit next to or wade into. Lois enjoys reading and travelling with friends. She is very close with her sister and likes spending time with her nieces and nephews. by Lauren Hysek Tony Wilkes Tony gained his hands-on approach to engineering and his passion for launching new products during his college years, when he participated in Penn State’s engineering Co-Op program, working for Hershey Foods and McNeil Consumer Products. His assignments ranged from pushing cast-iron bathtubs full of molten chocolate across the factory, to watching focus groups, from behind a twoway mirror, review products he helped to make. He also participated in two undergraduate research projects in the fields of petroleum recovery and refining. After Tony received his B.S. in Chemical Engineering from Penn State University in 1996, Tony began his engineering career as a process and product development engineer for Orthovita, a start-up medical device manufacturer. He was involved in the early research and development of the Cortoss and Vitoss product lines, and he contributed to the build-out of a GMP manufacturing facility with aseptic suites to support the commercialization and launch of these new products. In his six years at Orthovita, Tony advanced to the level of Senior Engineer II, with responsibility for two direct reports. Tony joined Synthes in 2003 as a process engineer for Norian, during the move from Cupertino to West Chester. During his eight years with Synthes, Tony has been one of the driving forces behind the growth of Biomaterials’ product pipeline. Currently, he is an Engineering Supervisor for Norian manufacturing, managing a group of manufacturing engineers, a packaging engineer, and technicians. In 2008, Tony received his Six Sigma Black Belt certification. Since then, he has coached or assisted seven other engineers to receive their Green Belt certification. Tony gained valuable experience from his involvement with the transfer of Norian Corporation, which has been instrumental to the successful transfer of manufacturing from Switzerland for several products, such as ProDisc-L in 2005, and chronOS preforms in 2007. His group has been responsible for the manufacturing for numerous new product launches including ProDisc-C, SynPor Porous Polyethylene, chronOS Strip, Fiber-Reinforced Norian and the Bone Marrow Aspiration System (BMAS). Tony’s German language skills, learned from five years of study in high school culminating with a two-week exchange to Germany, have also aided in these efforts. Participating in the launch of new products is very motivating to Tony. He feels a sense of accomplishment when products he has helped to bring to market end up in the hands of surgeons and ultimately improve patients’ lives. An avid rugby player in his college days, Tony now enjoys spending time with his children, Jacob, Gabriel, and Sarah, and stepson Daniel. His varied interests include playing poker, hiking, listening to music, and video games. Someday he would like to learn how to fly an airplane, and travel to see the world. by Linette Keynton fragments · Spring 2011 29 People Profiles continued Harold Guay Harold Guay began his career with Synthes in January 1999, as a consultant in the Central Québec Region, where he carried all Synthes product lines. Before Synthes, Harold had completed a business degree at University of Laval in Québec City, and also had ten years of experience working for a total joint and biologics orthopaedic company. During his Basic Sales training in Paoli, Harold finished first in all three divisions, Trauma, Spine and CMF, even though English is his second language! As a consultant, Harold received the President’s award twice, was Canadian senator in CMF, and was designated by his Canadian peers to be the first speaker of the first Canadian Sales Senate. Harold was promoted to Trauma Regional Manager for the Province of Québec in June 2009. Most recently, Harold was honored as 2010 Manager of the Year, for his contribution to maintain and grow Synthes business, in an area where tenders are now a requirement, under a new law in the province of Québec, since 2009. 30 fragments · Spring 2011 Even though Harold reports to the Trauma business manager, he works closely with managers and consultants in CMF and Spine as well, in the entire province of Québec. His sales team is composed of nine consultants, who serve a population of eight million people spread over a large geographical territory. Harold and Guylaine, his wife of twenty years, have a daughter, Elisabeth, who will turn 18 in April. He and his wife enjoy motorcycling, golfing and traveling together. In addition to the time he spends with his family, Harold is a fan of the Montréal Canadiens hockey team, and likes to tease his friends from Toronto (especially the biggest Maple Leafs fan— Mike Mikola!). His favorite sport is definitely golfing; he plays all summer and likes to make a couple of golf trips with his wife and friends every year—away from snow! Harold is very involved in his close community, and feels it’s important to give to others a little of the good things he gets from life. by Cynthia Kenny Kim Gagnon Kim started her career with Synthes nine years ago as a cost accountant, bringing with her seven years of experience. From there, Kim was promoted to Cost Accounting Supervisor in 2007. Her major goal in her professional life is to become Cost Accounting Manager, or Plant Controller, which would be a huge advancement from her very first job making hoagies for Bandit Truck Stop. The most rewarding aspect of her job is being part of a company whose products help so many people and animals. Jacob, Kim’s yellow Labrador retriever, is a recipient of a Synthes plate in his hip. Another of Kim’s goals for the future is volunteering at animal shelters. Originally born in Hazleton, Pennsylvania, Kim now resides in Elmira Heights, New York. At some point in time, she would like to live Melissa Kucharik While Melissa Kucharik was attending Cornell University, a classmate was involved in a serious auto accident and became the recipient of numerous medical device implants. This event sparked Melissa’s quest to enter a career that would benefit humanity. Soon after, Melissa began her introduction to the Synthes world, focusing on process improvement within the Spine Product Development team. Her initial responsibilities included evaluation of the current product development process, subsequent development, and execution of design for Six Sigma training. Melissa then moved into Operations, expanding her knowledge of Synthes through various projects that included research, budgeting, and presentation development. Her next assignments led to the role of Production Supervisor within the Brandywine Finishing and Packaging Department, with about 30 direct reports. Melissa soon found that it is sometimes difficult to meet all business units’ needs simultaneously, although she recognizes this as a special challenge. There in Carmel, California. One of the greatest challenges in Kim’s personal life was working full time while going to college full time, and she is most proud of the fact that she paid her own way through college. As a result, Kim now holds a Bachelor of Science in accounting from Wilkes University in Wilkes-Barre, PA. Kim has been married to her husband Gil for nine years, and has two wonderful stepdaughters. In her free time, Kim enjoys hiking in the woods with her dog, reading, traveling, visiting family, and participating in various exercise classes. by Holly Baker are many stringent requirements for the appearance of our products, and an incredible level of activity every day. Fascinated with the endless abilities of the computer age, Melissa is able to utilize the Management Science and Information Technologies degree from Pennsylvania State University in her daily activities. What’s next? As a rotational MBA candidate, Melissa continues to focus on the operations at Synthes, medical device markets, and enjoys every minute of each assignment. Having earned a fellowship while at Cornell University, Melissa found that the leadership education she received has been extremely helpful in pursuing and achieving her goals. In the midst of all of the goings-on, involvement, and hustle-and-bustle at Synthes, Melissa still finds time to relax, unwind, and participate in many enjoyable activities with her husband, Brian. by Brian J. Dougherty fragments · Spring 2011 31 People Profiles continued Andrew Zunino From his first job in the mushroom houses with his father, to AMT in 1992, and finally to Synthes in 2006, it’s been clear to his coworkers that Andrew Zunino is a dynamic individual. His easy-going manner and adaptability have made him a great asset to the Synthes family. Perhaps Andrew’s greatest trait is his adaptability. Earlier in his career, Andrew worked in accounting, inventory control, and then inspection. He credits this wide variety of positions to having supervisors who have always been supportive as he sought out new challenges. Ultimately, Andrew would like to use his skills to work with compliance and auditing. When talking about Synthes, Andrew’s greatest feeling of accomplishment comes from knowing that he has helped to make a product that will contribute to the well being of a patient. Receiving the e-mail ‘thank you’s from surgeons after a successful surgery reinforces this for him. He feels his greatest challenge is in finding a balance between his work and his personal life, which he has managed to accomplish through an unusual pastime. In the summer of 2005, Andrew decided he needed to find a way to meet new people, and have fun while doing it. He found this in what many would consider to be an unusual place, the world of ballroom dancing. Taking ballroom dance lessons proved to be the fun way to meet new people he had been looking for, and has also turned into another area in his life where he excels. In 2006, Andrew and his dance partner entered his first competition, as a result of a lost bet. He competed in his third competition with her on October 23, 2010, placing first. Andrew’s favorite dance is whichever he happens to be best at in the present moment, but he prefers the cha-cha, overall. Competing in the Ohio Star Ball, the largest dance competition in the country, is a goal for the future. Andrew celebrated five years with Synthes when the Jennersville facility reached its fifth anniversary in February 2011. We look forward to having him with us for many more years to come! by Meghan Conan 32 fragments · Spring 2011 Christoph Roth Christoph (Chris) Roth was born and raised in southwestern Germany. His strong work ethic was cultivated there, when he started working at the young age of six! His very first job was to harvest grapes at a local vineyard with other local kids. The kids all got paid by the bucket. Throughout high school and university, Chris enjoyed playing soccer and handball. This is not the typical American handball you are thinking of. European handball, also known as team handball or field handball, is an Olympic sport similar to soccer, but where players use their hands. Chris attended university in Germany and in England, majoring in medical engineering. During his college years, when he wasn’t studying or playing sports, he was working as a paramedic. From an early age, Chris knew he wanted to work in the medical field. In 1992, Chris came to the United States for the first time, to complete an internship at the University of Delaware. It was during this internship that Chris met his wife, Jen. He returned home after his internship, but came back to the US in 1994 to attend graduate school at the University of Delaware, where he studied biomechanics. Chris and Jen were married in 1997. They like to celebrate big— they had two weddings, one in the US and one in Germany! Chris attributes his successes to Jen, and says he could not be who he is today without her support. Chris and Jen have three beautiful children, 12-year-old Jonathan, 10-year-old Charlotte, and 7-year-old William. The kids each have a favorite pastime: Jonathan plays soccer, Charlotte has a love of horses, and William has a love of Legos! Maybe he’ll be an engineer like his dad. Chris joined Synthes in 1999, and has had an extensive career path in Trauma, Spine, and CMF. His first position was as an engineer in Trauma Product Development in the US, in the Ex Fix group. He then moved to the IM Nail group, where he led the TFN project. Chris joined the Spine division in 2003, as Group Manager of the cervical group. He spent four years with this group, developing the Vectra family of anterior cervical plates and the Synapse and OC Fusion systems. He then moved to Oberdorf in 2007, to become Senior Group Manager for lumbar interbody fusion and nonfusion products. In 2008, Chris left Spine to become Director of Product Development for CMF in Oberdorf. In 2010, he returned to the US, and is now the Director of Product Development for CMF in West Chester, Pennsylvania. Since then, CMF has completed the launch of the various craniofacial and thoracic Matrix systems, introduced a xenograft soft tissue repair product, and is now gearing up to enter the field of computerbased surgical planning and patient-specific surgical kits. Balancing work and life is important to Chris. In his free time, he enjoys playing soccer, mountain biking, Formula One racing, and working on home projects such as woodworking and fixing old furniture. This is a pastime familiar to his family— both his dad and grandfather were cabinetmakers. Chris finds enjoyment in the outdoors, and one of his greatest pleasures is camping with his family, where he can escape his Blackberry, cell phones and televisions, and just rough it. For Chris, the greatest reward in working at Synthes is to make a difference for patients and our surgeons. Whether it is a single small screw or a large implant system, identifying a need, working through the development challenges, and then seeing the final product helping people is his greatest reward. Chris’s hopes for Synthes’ future is to see success in what Synthes does today and to make a difference in the future. by Dana Connor fragments · Spring 2011 33 People Profiles continued Michael Shufelt Picture this. A warm, sunny afternoon, kicked back on a Harley, the Rocky Mountains on either side of the road, the summer air cool but not cold. Telluride is just a few miles up the road. That’s the ideal moment for Mike Shufelt. Looking at Mike, you’d never think he was one of the long-timers who work at Synthes. He just received recognition for 30 years of service, but he’s nowhere near retirement, or old age. Mike started working in Monument in April of 1980 as a machine operator at the ripe old age of eighteen. For a long time he was by far the youngest employee in the place. Back then it “was more like a big family.” Everyone wore jeans and T-shirts to work. This was long before uniforms. And the shoes—everyone wore tennis shoes that would inevitably curl up from all the oil they absorbed. Today’s safety managers would “freak” over a lot of things that were done back then. Now it’s not as homey, with hundreds of employees instead of the 22 when Mike started. But Mike believes in what he does, in what the company does for patients. Family is still an important part of his job, though. A single parent, both Mike’s sons have worked at Synthes, and his older brother is a fellow employee. 34 fragments · Spring 2011 A few years ago, he was able to witness a surgery where two of the nails he’d made were given to a young woman who’d been in a motorcycle accident. Mike saw firsthand what he’d been able to give her, what Synthes had done to improve her life and care. Mike continues to be an active part of the growth of Synthes. He helped set up the Elmira plant back around 2001, and just completed his second trip to China as part of the team getting the plant at Suzhou set up. Mike felt China was a good experience. He appreciated seeing another culture head on, seeing the Great Wall and Tiananmen Square, but mostly he enjoyed the people. “They’re no different than us,” he says. “They’re maybe even more interested in us than we are them.” In China, Mike spent a large chunk of his time as a teacher, showing the Suzhou staff how to run the machines and make the parts. He still stays in contact with many of them and feels he’s made friends around the world. So despite his love of his bike and the road, he’ll keep coming back to Synthes to work because, for Mike, it’s about the people: his coworkers, as well as those who benefit from our work. And as long as that remains true, so will Mike. by Angel Smits Vinny Lesniewski Vinny Lesniewski joined Synthes in 2001— since then, he has held positions in CMF, Biomaterials, and Spine. In 2007, Vinny switched gears and moved into the field to serve as a Field Technical Specialist (FTS) and was recently promoted to Manager, Field Technical Support. This position allows Vinny to provide technical support for some of the more challenging and technically demanding surgical procedures, including ProDisc-L, ProDisc-C, Oracle and MATRIX MIS. Though this Massachusetts native has found much joy and success as a member of the FTS team, the territory comes with its challenges. Because his main responsibility is providing technical support for IDE studies and surgical procedures utilizing new product, new technique, or new approach, Vinny’s biggest challenge is the constant learning experience. In addition to staying on top of new technologies, Vinny has also experienced challenge with the differing OR environments, and the personalities within each. But with great challenge comes great reward! Vinny finds value and reward in the many opportunities that have been presented, allowing him to learn from thought leaders throughout the world, and thrives on his ability to transfer knowledge and experience to the Sales Consultants, to better help the surgeons and patients they serve. He truly finds joy in the success stories, and believes that strong relationships, combined with innovative products and technical support, will continue to open doors. Vinny has found a great fit with Synthes, and is quick to mention the great personal friendships and business relationships he has developed along the way. As described by his peers, Vinny is kind, patient, approachable, knowledgeable, and a great educator. These characteristics are demonstrated in his day-to-day activities, whether he is training a new hire, participating in a bioskills laboratory activity, or supporting a surgical case. Those who have had the pleasure of working with Vinny know that he has impacted the lives of many people. Although Vinny has done his share of traveling for work — more than 120,000 air miles in 2010—this has not deterred him from traveling with his family. Vinny is a true family man who enjoys weekend summer trips to the Jersey shore (where he likes to jet ski) with his wife, Bridgette, and daughters, Kaitlyn, Abigail, and Erin. We wish Vinny the very best as he tackles this new chapter in his professional career as Manager, Field Technical Support. by Mariah DiGuglielmo 2010 Ret ire Best wishes for an enjoyable retirement, es to the following folks who retired in 2010. Donna Bell Rodger Bovenkerk Vivian Brown William Burke William Cadwell James Cay Courtney Edwards Leoncio Flores Frances Forbes Thomas Higgins Peter Kellermann Virgil Kvaal Brian Mannix Betty O’Reilley Mack Parker Christopher Pearce Albert Ragazzo Lael Ravenscroft Marjorie Seamon Edward Sweeney Joan Vagnoni Arnold Valle fragments · Spring 2011 35 Leadership Connections Since the 2008 inception of Leadership Connections, a multilevel global leadership development program, the course has had an impact on the company, by improving the capacity of Synthes leaders to transform the organization. Leadership Connections is tailored to the Synthes culture and designed to meet its varied needs. The program targets those in management roles in every area of the organization and at every global location. The goal is to develop Synthes leaders using a unified philosophy and approach, grounded by a set of Leadership Behaviors that define what it means to be a leader at Synthes. These Leadership Behaviors are based on Synthes Core Values & Principles, and were developed as a result of interviews with forty leaders at all levels of the global organization. The program architecture includes three levels, to include almost all Synthes leaders: business/functional leaders, leaders of leaders, and leaders of individuals. For all levels, the program includes preparation work, two instructor-led workshops, and action learning assignments that encourage participants to transfer leadership skills learned in the class to 36 fragments · Spring 2011 their daily work activities. The workshops are interactive and combine experiential exercises, opportunities for self-reflection, and group discussions. Participants also cite interaction with upper management as one of the most beneficial aspects of the program. In all classes, participants are mixed with colleagues from different divisions and functional groups; in many classes, participants are also mixed with colleagues from other parts of the globe. This approach is intended to encourage leaders to develop new relationships across the organization, breaking down silos and improving company-wide collaboration and communication. By the end of 2011, most Synthes leaders will have participated in the existing Leadership Connections core program. Also in 2011, elective courses and additional resources will be available. As this new program continues to evolve, it is clear that Synthes is creating a commitment to leadership development to complement its long-established dedication to excellence in technical, process and product training. by Lauren Hysek Service Awards A total 658 employees were honored in 2010, in the US and Canada, including 180 who celebrated 10 years and 329 who celebrated 5 years of service. 20 years 30 years Robert W. Boudreau Gary L. Gonser Robert M. Lucero Jean L. McGuire James A. Pierce Darek W. Reichert Stephen Schwartz Cynthia Shillinglaw James W. Shufelt Michael E. Shufelt David M. Sparks Steven D. Steinke Helga M. Swain 15 years Patricia Abrahams Stacy Alexander Robert Bennett Scott R. Berner Kevin M. Booth Michael Bradshaw Patrick Burgess Lisa K. Byram B. Kristen Carr Theresa R. Cooke Dennis A. Cox Henry J. Davis James Dwyer Gerard W. Gardner 25 years Thomas Barrett Stephen R. Beckett Dennis Brady Alan Burrus Joyce A. Dickerson Courtney Edwards Daniel R. Gennett Kevin Kerlin Timothy Kozlowski John D. Palmer Vicki L. Pevoteaux Ruth A. Snider Margaret Ann Hellmann Todd C. Hemple Winifred Jefford Hal Jennings, Jr. Christopher F. Jones Frank Korzen Darek Krepuszewski Steven Krevitski George Kubica Reese Lambert Michael Wayne Lillie John Lowe Gregory Maier Robert Marsh Timothy Menke John Wayne Mest Randel K. Agnew Joel Ambrose Alec Androwick Mary Lou Beatrice Scott Bednarke James J. Campbell Gordon Conrad Thomas J. Cook Dorothy B. Deemer Robert Donohue Rod Elkins John Louis Fernandes Curtis M. Frund Richard J. Gallo John A. Glynn Ross J. Hamel Nancy H. Holmes Douglas Kephart Michael Lacey Michael Mikola Paul J. Mulloy Steven F. Murray James Norman Karen Papa Richard Parker, Jr. David Pastian Marilyn J. Perry Stacey M. Pretzeus Stephen D. Price Jayne E. Randall Shelly Ray William J. Reichard, Jr. Robert Rice Frank Richardson Robert B. Rosing Chuck Lancaster Thomas C. Lichtner Craig W. Lynn Michael C. Mazzio Sandra L. McBride John J. Milles Elizabeth O’Reilley James L. Oxford Wilson Reason, Jr. Harvey Roney Robert L. Smethers Constance F. Stone Susan E. Tipton Rock Viau Steven M. Voivodas Nancy Wagner Gary E. Welch Randall D. Whelan Joan Wilson Julie P. Wilson Sean Michael Rousseau Heather M. Rylander Eric Schroeter Joseph Seiler Matthew Shapcott Kevin E. Shaver Kevin Stone David A. Styer Daniel L. Tamblyn Timothy J. Tusick Kurt Van Remortel Daniel J. Vanryn David A. Walker Bonnie Wallace Steven White fragments · Spring 2011 37 In Memoriam Diane Reed Synthes Elmira lost an exceptional employee and a valued friend on February 19, 2010, when Diane Reed passed away at the age of 47, after a valiant battle with cancer. Diane was a devoted wife, mother, grandmother, and daughter, who enjoyed traveling, spending time with her family and spoiling her grandchildren. Diane worked for Synthes as an Inspector for more than three years and took great pride in her role. She was a dedicated, team-oriented person with a strong work ethic, who performed at levels above the norm on a consistent basis. Diane was held in high regard by all her coworkers for her performance at work, but seeing how she handled her illness made us respect her even more. When she was diagnosed with small cell lung cancer, Diane decided that she was going to beat it. She approached each day with a very positive attitude, and she repeatedly surprised her doctors with her stamina and relentless will to keep active. There were several weeks when she would have chemotherapy or radiation treatments one day and come to work the next day, ready to contribute with a smile on her face. She colored her hair green, wore funky hats, and never once asked for special treatment. One of Diane’s finest assets was her sense of humor. She had an uncanny knack for knowing when you needed some comic relief, and you could count on her to come out with a one-liner that would make you laugh. Her humor was a gift that she never lost. Four days before she passed away, she was still cracking jokes and making us chuckle. It was her way of making us feel better when she knew the end was near. The strength and perseverance she demonstrated while fighting her disease were amazing. Diane taught us to cherish each day, carry on in the face of adversity, and that feeling sorry for yourself is a waste of precious time. Diane, and many cherished memories of her, will always be in our hearts. Our lives have been enriched because we were blessed to have known and loved her. Becky Lucas Robert Garner Robert (Bob) J. Garner died very unexpectedly on April 30, 2010. Bob was born in Pittsburgh on May 7, 1968, graduated from Carlynton High School in 1986, and from Indiana University of Pennsylvania in 1992. A highly skilled and experienced supply chain professional, Bob joined Synthes North American Materials Management team in December 2007 and immediately established himself as a key contributor and team member within Global Operations and later the Synthes One Team. Known for his fantastic humor and wit, Bob was a natural born teacher, leader and beloved colleague who enjoyed engaging those around him in lively discussions, often involving travel and sports, typically the Pittsburgh teams. However, he will be remembered by many for his kindness, mentorship and, of course, his baking creations, especially the cakes and cookies. Bob is survived by his wife, Eileen and son, Sean. 38 fragments · Spring 2011 Bob Strehl Tommy Perez Our dear friend, Tommy Perez, 39 years old, passed away suddenly on December 10, 2010. Tommy, an employee of Eurest Dining Services, managed our on-site Synthes café, at our home office in West Chester. Many of you who visited West Chester had the opportunity to experience some of the best cuisine in town, created by Tommy and his team. Tommy touched all of us. A kind man, with a smile for everyone he met, he was always showcasing the Café and his wonderful staff. So proud of their work when given accolades for a job well done, he always gave credit to his team. Whether providing daily food services or a lavish banquet for a holiday party, Tommy genuinely cared about providing the best service to Synthes. We are quite honored to have known and worked closely with Tommy Perez, a professional and a true gentleman. Tommy leaves behind his wife, Jessica, and young daughter, Mia. Tommy’s presence at Synthes will not be forgotten. He will be remembered for his warm personality and that infectious smile that brightened our day, every day. Pat Whitmore Cal Stewart Cal “Buddy” Stewart, age 51, passed away November 23, 2010, after a long, courageous battle with appendix cancer. Born April 15, 1959, in Lansdale, Pennsylvania, Cal grew up in North Wilmington, Delaware. He attended Concord High School, the University of Delaware (Geology) and Widener University (Engineering). Most recently, Cal managed the Synthes US Mechanical Testing Laboratory. Cal joined Synthes in 2005 as Supervisor, Mechanical Testing, and was promoted to Manager in 2007. During Cal’s tenure the laboratory went through two major expansions, increasing both static and fatigue testing capacity and adding spinal disc wear and metallurgical capabilities. More importantly, Cal will be remembered for his ability to develop positive relationships with his staff and internal/external customers, and for elevating the professionalism of the laboratory. In the words of his peers, “His calm composure, respect for coworkers, and overall professionalism on the job has been an example to many of us.” Also, “Cal was an exceptional person and role model,” and “… always impressed from his knowledge and his kindness.” In his spare time Cal enjoyed fishing, crabbing and spending time on Madison Bay, on the Chesapeake. He was passionate about music and spending time with his wife Helen, family and friends, and enjoyed being outdoors with his dogs (Brooke, Nicki and Kasha). Cal was dedicated to promoting animal welfare and had been a member of the Board of Directors and past Board Chair of the Delaware Humane Association. Finally, Cal mentored and supported others battling cancer. The Synthes US Mechanical Testing Laboratory Randy Stephens Synthes Monument said an abrupt and sad goodbye to one of its own March 13, 2011. Randy Stephens was not quite 40 years old, too soon to end the laughter that was his specialty. Randy began his Synthes career in 2005, as a Finishing Operator, a position where he attained Senior status. He then become a Packaging Operator, another position he held as a Senior, and finally, he was working as Senior Machine Operator, Trainer, where he shared his knowledge and training with coworkers. Off the clock, Randy loved to cook. It wasn’t unusual for him to organize a last minute get- together, where he did most of the cooking, and his friends and co-workers enjoyed the marvelous meals he made. And his invitations weren’t just for the adults. He welcomed their children, and would play with them as if he were one of them. They still repeat some of the goofy catch phrases he teased them with. The manufacturing floor is just a little quieter these days without Randy’s laughter, and the laughter he inspired in others. He may be gone, but his broad smile and warm heart are most certainly not forgotten. Angel Smits fragments · Spring 2011 39 frag ments Editor-in-Chief: Steve Dixon Assistant Editors: Sandy Olock, Jean Thomas Staff: Holly Baker, Rebecca Black, Ryan Buck, Meghan Conan, Mariah DiGuglielmo, Brian Dougherty, Paul Gordon, Lauren Hysek, Cynthia Kenny, Linette Keynton, Kate Richardson, Angel Smits, Daneen Touhalisky Contributors: Mike Barthold, Dana Connor, Ron DeVogel, Sandy Folta, Janice Garnett, Robert Harten, Samantha Jouin, Clyde Lahnum, Gloria Lauria, Becky Lucas, Paul Murach, Dipan Patel, Bob Strehl, Lem Tyre, Pat Whitmore Layout: Jacqué Willoughby C4 fragments · Spring 2011 © 2011 Synthes, Inc. or its affiliates Printed in U.S.A. 5/11 J10347-A