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Proven Superiority vs. Autograft in Overall Clinical Success1,2 Published in SPINE & Neurosurgery

Among 400+ spinal bone grafts on the market, spine surgeons can feel confident in choosing i-FACTOR Peptide Enhanced Bone Graft which is backed by Level 1 human clinical data from an IDE study published in Spine and Neurosurgery. In this study i-FACTOR demonstrated high fusion rates and statistical superiority vs. autograft in overall clinical success.1,2

One of only two Class III FDA-PMA approved spinal bone grafts, i-FACTOR is the leading evidence-based alternative and is powered by a first of its kind molecule called P-15: Osteogenic Cell Binding Peptide. i-FACTOR is free of many safety risks seen with other products such as ectopic bone formation and i-FACTOR is at least 30% less expensive than other drug-device combination products.1,2,3

The FIRST Bone Graft with P-15 Osteogenic Cell Binding Peptide

IS COST EFFECTIVE i-FACTOR is at least30% Less Expensive than Infuse3 $

The P-15 Peptide is bound to the anorganic bone mineral in i-FACTOR and it’s powerful mechanism of action eliminates the risk for heterotopic ossification seen with morphogenetic growth factors.

• Only grows bone in a bony environment; no evidence of ectopic bone formation3

• IDE Study demonstrated no difference in adverse events vs. autograft1,2

• Clinical experience outside US since 2008, in US since 2015• Over 100k procedures worldwide since 2008

i-FACTOR is Safe

100%

p= 0.4220

Fusion Success

i-FACTOR 12 months Autograft 12 months i-FACTOR 24 months Autograft 24 months

NDI Success Neurological Success Safety Success Overall Successp= 0.2907 p= 0.8123 p= 0.3085 p= 0.0382p= 0.2195 p= 0.1804 p= 0.6944 p= 0.1379 p= 0.0302

80%

60%

40%

20%

0%

89

79

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95 95

86

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69 6970

94 91

57 56

STATISTICALLY SUPERIOR

% S

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FUSIONNO EVIDENCE OFECTOPIC BONE FORMATION

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POWERED BY

FDA Approved IDE Study High Fusion Rate 97.3%

HIGHFUSIONRATESHAS LEVEL 1 DATA

FUSION

Powered by P-15: Osteogenic Cell Binding Peptide

P-15 Peptide

Osteogenic Cell Surface Receptors

i-FACTOR facilitates an abundance of osteogenic cells bound at the fusion site because cells are attracted to and attach to the i-FACTOR P-15 Peptide.4,5,6,7 The attachment activates multiple molecular processes that drive bone formation:

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ML-0618 10/20

References 1. Arnold P, Sasso R. et. al. Spine 2016; 41(13): 1075-83.

2. Arnold P, Sasso R. et. al. Neurosurg 2018; 83(3): 377-84.

3. Internal Data Report

4. Hennessy KM, Pollot BE, et. al. Biomat 2009; 30(10): 1898-909.

15 Amino Acids Chain

5. Nguyen H, Qian JJ. et. al. Biochem Biophys Res Commun 2003; 311(1): 179-86.

6. Yang XB, Bhatnager RS. et. al. Tissue Eng 2004; 10(7-8): 1148-59.

7. Qian JJ, Bhatnager RS. et. al. J Biomed Mater Res 1996; 31(4):545-54.

• Increased Number of Cells Bound at the Fusion Site4,5,6,7

• Increased Cellular Proliferation4,5,6,7

• Increased Protein/Matrix Production4,5,6,7

• Improved Overall Clinical Success Compared to Autograft1,21,2,5,6,7,8

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2797 Internationally available


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