spinal biologics; frontline services

Frontline Services, Inc

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We got your six.

01

Our Partners

Just a few of our partners. If there is a product you cannot find on our website please let us know. If we don’t already have it available, we will get it for you.

 

spinal biologics; frontline services

We Got Your Six

core values

With great integrity, honesty, respect and a reliability Frontline Services Inc. is committed to creating the best possible service and the highest standard of care to patients.

Frontline Services Inc. is a mission-focused company dedicated to providing the most advanced and effective spinal surgery technologies to increase the value of life, one surgery at a time.

02

Your Peace of Mind

Frontline Services Inc. is committed to offering patients the best possible service, quality and value. Enriching and improving lives, one surgery at a time.

Frontline Services, Inc. is committed to improving the lives of patients by providing the most innovative and effective spinal surgery technologies worldwide. 

03

Just a few of our most popular products.

our products

AlphaFuse

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Charlie1

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DeltaStrand

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EcoSponge

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LimaCore

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spinal biologics; frontline services

Accell evo3

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spinal biologics; frontline services

strand plus

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spinal biologics; frontline services

cancellous bone

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F.A.Q.

Frequently Asked

We’ve put together some commonly asked questions to give you more information about the products and services we offer.

If you have a question that you cannot find the answer to, please contact us at info@flservicesinc.com.

Yes. All implant products provided through Frontline Services have received FDA 510k. FDA documentation remain current and on file at our corporate office.

Yes. Frontline Services curates an extensive surgical technology vendor portfolio. We specialize in bringing comprehensive implant and instrumentation systems to the Spine surgeon.

Most implants provided are available in validated, sterile packaging, with only some exceptions. Products which are not sterile packaged through our vendors can be sterilized according to manufacturers’ prescribed protocols.

Yes. Working collaboratively with the surgeon and our vendor partners, FDA-compliant custom instrumentation can be designed and manufacturer to the surgeon’s preference, with usually very short lead times.

Yes. From pre-op to post-op phases of each episode of care, Frontline Services plays its role to ensure facility-compliant services are provided to successfully support the surgeons pre-, intra- and post-operative surgical support requirements.

Yes. All Frontline Services team members are certified by its vendor partners, and are qualified to support surgical cases.

Yes. All Frontline Services team members maintain current hospital credentialing, ie Symplr, and others, as necessary.

There are 2 classifications of Orthobiologics.  They are Synthetic based and Tissue based.  
The Synthetic based products are designed and produced in the manufactures lab to satisfy the design rationale that the manufacturer sets forth. These products contain mainly bTCP (beta-Tricalcium Phosphate) and/or HA (Hydroxyapatite) which are compounds found in bone.
The Tissue based products are derived from human tissue that has been processed from human cadaveric bone which has been donated.  This is a very regulated environment and must meet specific standards for human tissue to be accepted and donated.
All tissue, tissue manufacturers and representatives must meet strict tissue handling standards that are set forth by AATB (American Association of Tissue Banks).  These standards include testing for disease, genetic mutations, processing standards, post manufacturing handling lot and serial number traceability and ultimately, following the tissue donating person’s pre-determined desires on the usage of tissue.
   The tissue products that Frontline has chosen to represent has taken an extra step in safety by following all the AATB guidelines and added in sterilizing the final product while most other manufacturer’s only process aseptically (clean, but not sterile).
The answer can be yes or no.  It depends on what the manufacturer is trying to accomplish.  Any additive would be referred to as a “Carrier”.  The function of a carrier in an Orthobiologic is to assist in delivering the “Active Ingredient” (either tissue or synthetic) to the desired treatment area and once delivered, keep it at that site to allow the “Active Ingredient” to accomplish what it is designed to accomplish.  As you can imagine, the design and % quantity of carrier affects the quality and quantity as well as length of time the “Active Ingredient” is available.  
Frontline has researched and found that the biologics that we represents has a unique carrier that has the smallest % by volume of carrier and a carrier that is designed to thicken and maintain the “Active Ingredient” at the desired site for the longest possible time without compromising the surgeons objective.

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AlphaFuse® is a physiologic bone tissue allograft manufactured through Stability’s proprietary process. AlphaFuse® is comprised of 100% processed cortical bone tissue, with no added carrier, thus maximizing the bone forming potential. The physiologic microstructure of AlphaFuse® retains growth factors, osteogenic proteins and biologic CaP minerals.

Why AlphaFuse?

The microstructure of AlphaFuse® affords it with beneficial handling and moldability. Both the Moldable and Blend formats provide flexible clinical options, and the wet field integrity assures both stability and retention of the graft in the surgical field.

AlphaFuse

Charlie1 Demineralized Bone Matrix (DBM) is used for voids or gaps that are not intrinsic to the stability of boney structure including: filling cavitary defects, cysts or revision arthroplasty fracture repair and fusion procedures in foot/ankle, hand/wrist, cervical, lumbar and deformity spinal surgery.

Why Charlie1?

Frontline’s Charlie1 DBM is a 100% human allograft bone void filler. Charlie1 DBM is available in multiple formats, both
offering a robust scaffold for mesenchymal cells, osteoprogenitor cells and osteboblasts.

Charlie1

Frontline’s Cortical Fibers are a versatile bone void filler comprised of 100% cortical bone. Once hydrated, the pliable fibers provide excellent moldability and handling characteristics. Frontline’s Cortical Fibers have both osteoinductive and osteoconductive potential and provide an outstanding scaffold for bone growth.

Why DeltaStrand?

Frontline’s Cortical Fibers are unique in that they provide putty like handling characteristics with the added flexibility to work with a surgeon’s preferred rehydration process. These grafts hydrate quickly, and can easily and effectively conform to fill the necessary space.

DeltaStrand

Once hydrated, EchoSponge can compress to easily fill irregular bone defects. The sponge like properties allow it to expand to completely fill bone voids and prevent migration from the surgical site.

Why EchoSponge?

EchoSponge is a bone tissue allograft made of 100% cancellous bone. Frontline’s properietary process creates an optimal scaffold for new bone growth with both osteoinductive and osteoconductive potential.

EcoSponge

LimaCore Particulate is an amniotic tissue allograft, composed of amnion and chorion membrane. LimaCore Particulate is stored at room temprature for ease of use and delivers essential growth factors without the need for cryopreservation. LimaCore provides a reliable and versatile allograft option for a multitude of procedures including Spine & Orthopedics, Extremity, Vascular, Urological and General Surgery.

Why LimaCore?

Amniotic Tissue has been used clinically for over 100 years with more than
100 publications to date. The use of amniotic tissue is shown to stimulate healing and reduce scar tissue and inflammation. Amniotic tissue grafts have been shown to improve surgical outcomes by reducing fibrosis, preventing adhesions and providing growth factors that aid the healing process.

LimaCore

spinal biologics; frontline services

Accell Evo3 and Evo3c are designed to provide both immediate and sustained access to naturally occurring inductive bone proteins to facilitate fusion. Provided in an open-bore syringe, the putty is moldable and resists irrigation.

Our Accell Evo3® grafts combine demineralized bone matrix with patented Accell® bone matrix in a bioresorbable, reverse phase medium carrier. Provided in an open-bore syringe, the putty is moldable and resists irrigation. 

Key Features

– Accell Technology – The patented Accell process yields Accell bone matrix (ABM). ABM is an open-structured, dispersed form of DBM.

– Superior Handling – The unique, poloxamer, reverse phase medium carrier, which becomes more viscous at body temperature, provides exceptional handling and containment characteristics. The graft is moldable, packable, mixable and resists irrigation.

– Verified Osteoinductive Potential – Every lot of DBM is tested in a validated, in vitro assay to verify osteoinductive potential.

– Expert Processing – Cortical bone and cancellous bone obtained from AATB-accredited tissue banks is processed into DBM in our state-of-the-art facility. The demineralization process is tightly controlled to consistently produce demineralized bone.

– Electron Beam Sterilization – The processing of DBM and ABM is completed under aseptic conditions in our state-of-the-art facility. As the last step in manufacturing, the graft is sterilized via electron beam irradiation.

Accell evo3

allograft cancellous bone; frontline services; josh nacey; spinal biologics

Strand™ Plus delivers all the features and benefits of Strand demineralized bone fibers plus the advantages of Accell® Bone Matrix (ABM). Strand fibers were developed through a disciplined R&D process that evaluated a variety of fiber geometries to deliver osteoinductivity, osteoconductivity, intraoperative handling, and expansion. Strand Plus provides both immediate and sustained release of growth factors from the ABM and demineralized bone fibers respectively. Strand Plus is 100% demineralized bone fibers powered by ABM to unleash the bone forming capacity and fusion potential.

Key Features

100% demineralized bone fibers with the benefits of Accell Bone Matrix

Cellular highways for cell migration and fusion

Moldable and cohesive

Expands to fill gaps

Procedural integration with RAPID®

strand plus

allograft cancellous bone; frontline services; josh nacey; spinal biologics

Allograft Cancellous Bone is a naturally osteoconductive alternative to autograft. When sufficient autologous bone is not available or undesirable, allograft cancellous bone providesa suitable alternative, with minimal risk.

Our Cancellous Bone, in chips and crushed, is a natural osteoconductive scaffold. The porous, three-dimensional structure supports boney ingrowth.

Key Features

Multiple Uses – Cancellous bone can be used as a bone graft extender or for composite grafting.

Maximum Flexibility – Cancellous bone packs well into any size or shape defect, for maximum surgical flexibility.

Ready-to-Use – Cancellous bone is available for immediate use with no refrigeration or thawing required.

cancellous bone

Made of PEEK-OPTIMA, the Idys™-C cage has been designed by a team with extensive experience in the development of spine instrumentation. The design team focused on creating a cervical cage adapted to the vertebral anatomy in order to maintain disc height, restore cervical lordosis and stabilize the treated segment. The Idys-C creates favorable conditions to optimize bone fusion.

Key Features

  • Anatomical Shape: Conforms to healthy endplates
  • Medial Wall Design: Provides high resistance under load impaction
  • Large Grafting Space: Allows for substantial graft amounts
  • X-ray Markers (tantalum): Produces clear radiologic visualization during surgery and follow-ups
  • Multiple Footprint and Heights: Facilitates a precise anatomical fit

idys-c

spinal biologics; frontline services

The Idys™-ALIF cage has been designed by a team with extensive experience in the development of spinal instrumentation. Made of PEEK, the Idys™-ALIF cage is specially designed for limbo-sacral interbody fusion via the anterior approach.

A modular fusion technology, IDYS® ALIF features proprietary interbody cage, titanium plate, and bone screw designs: a combination offering the surgeon a robust, simple and efficient solution to address lumbar pathologies from an anterior approach.

Key Features:

IDYS® ALIF CAGES

Offered in comprehensive size and lordosis ranges to accommodate varying patient anatomies, IDYS® ALIF interbody cages are available in:

4 footprints – 5 heights – 4 lordosis options

IDYS® ALIF CAGES are designed to: 

Allow radiographic confirmation of implant placement – 3 radiopaque tantalum markers

Promote successful arthrodesis – 2 large fenestrations for bone graft

IDYS® ALIF CAGES are also designed to: 

Facilitate ease of intervertebral insertion 

Be assembled easily and quickly with the IDYS® ALIF PLATE – No instrument required

IDYS® ALIF PLATE is designed to: 

Allow variable screw angulation while managing difficult patient anatomy

Provide aggressive, strong bone screw anchoring

 

Securely and reliably lock bone screws in place

IDYS® ALIF SCREW is designed to:

Be self-tapping and self-drilling

idys alif

spinal biologics; frontline services

The new Erisma® – LP MIS design is based on the same efficient techniques as the Erisma® – LP Evolution, satisfying surgeons’ needs regarding reliability, security, and ease of use. The Secure Guidewire of the Erisma®-LP MIS system enhances the security of MIS surgery.

Erisma®-MIS is a percutaneous posterior pedicle screw system designed for the stabilization of the thoracic and lumbar spine. The new Erisma®-LP MIS design is based on the same efficient techniques as the Erisma®-LP Evolution, satisfying surgeons’ needs regarding reliability, security, and ease of use. With a coherent set of implants and instruments, the Erisma®-LP MIS can be used for treating multiple thoraco-lumbar pathologies.

The Secure Guidewire of the Erisma®-LP MIS system enhances the security of MIS surgery.

Key features

– Secure Guidewire: The Secure Guidewire enhances security during tapping and screw insertion, while preventing penetration of the anterior cortical wall of the vertebra and significantly reducing the risk of pre-mature, involuntary removal of the Secure Guidewire.

– Instrumentation Low Profile: The use of extended heads allows to reduce the size of incisions. The instruments connect outside of the wound. Their functional part passes between the petals

– 3-Zone thread: Improve bone purchase and ease of insertion

– Safe construct: The asymmetrical threading of the set screw minimizes head splay and maximizes rod grip strength

– Polyaxial screw head: 50° Angulation provides greater flexibility for proper screw placement and rod insertion

erisma - lp mis

The Shoreline® ACS is a premiere SeaSpine® product, providing TruProfile® and No-Profilecervical spinal fixation and realignment with ultimate system flexibility, complete construct modularity, & streamlined instrumentation.

The Shoreline® ACS System is a premier product, providing TruProfile® and No-Profile cervical spinal fixation and realignment, with ultimate system flexibility, construct modularity, and refined instrumentation.

Key Features:

Intraoperative Choices – The system offers four styles of implant constructs 

NanoMetalene® Technology – Up to 1-micron of commercially pure titanium molecularly bonded to PEEK

Minimized Adjacent Level Overhang – The TruProfile® plates are designed to be as short as possible*

Adjacent Level Implant Options – The No-Profile and TruProfile® constructs are designed to fit adjacent levels

Hyperlordotic Interbodies – The TruProfile® construct offers 10° and 15° lordotic options*

Large Interbody Footprints – The system offers three large interbody footprints: 16×14, 18×15, and 20x15mm*

Maximized Graft Apertures – The interbodies have maximized graft apertures to increase graft volume

High Performance Screws – The system offers 3.5 and 4.0mm screws with an aggressive thread pattern

Refined Instruments – The instruments have been designed for ease of use and simplicity

*TruProfile® construct only

shoreline