PALACOS® R & R+G pro
All-in-One Fixation SystemTM

PALACOS R pro & PALACOS R+G pro with nozzles
PALACOS pro nozzles and pressurizer
PALACOS R pro & PALACOS R+G pro All-in-One Fixation System

Not just unprecedented. Untouchable.

The innovative PALACOS® R & R+G pro All-in-One Fixation System™ integrates the renowned quality of PALACOS® bone cement into a ready-to-mix closed vacuum system. By adding an efficient, sterile workflow to the gold standard in cement1, PALACOS® R & R+G pro brings a new level of simplification and standardization to joint arthroplasty procedures.

PALACOS® pro: Fixated on Simplicity. Designed for Safety. Known for Superiority.

Let the PALACOS® pro All-In-One-Fixation-SystemTM bring new levels of simplification and standardization to your joint arthroplasty procedure.

  • Preloaded packaging streamlines cement preparation
  • Dispensing valve releases formula, eliminating contact with monomer liquid
  • Pictogram operating instructions are printed on both the mixing device and Tyvek® packaging.
  • Double filtration for removal of glass particles
  • Sealed ampoule and activated charcoal filter reduces MMA fumes during mixing process2
  • Homogenous cement in 20 seconds
  • All-in-one stocking unit simplifies ordering and lowers facility costs
  • Available in three variants (R, R+G*, and MV+G*), and two sizes (40 and 80) for utmost flexibility during surgery.
  • Able to be mixed with or without vacuum

* In the United States, PALACOS® R+G and MV+G are indicated for use in the second stage of a two-stage revision for total joint arthroplasty after the initial infection has been cleared.

PALAMIX Cement Gun

Winner of the Design Preis Schweiz Award, the PALAMIX Cement Gun is engineered to enable precise cement extrusion with low torque force.

For use with:
PALAMIX Vacuum Mixing System
PALACOS pro All-In-One-Fixation-System

PALAGUN Single-Use Cement Gun

The one-time-use PALAGUN® is a convenient option for facilities seeking the benefits of gun pressurization while maintaining cost efficiency without repeated sterilizations.

For use with:
PALAMIX Vacuum Mixing System
PALACOS pro All-In-One-Fixation-System


These nozzles and pressurizers come included with your purchase of the PALACOS pro All-In-One-Fixation-System:
Standard nozzle (210 mm L, 11.3 -14 mm DIA) 
Short nozzle (50 mm L, 13.5 - 14.0 mm DIA)
Femoral pressurizer (conical)

Additional nozzles available for separate purchase:
Medium nozzle (241 mm L, 8.3 - 12.6 mm DIA) (conical)
Flexible short nozzle with knee pressurizer (65 mm L, 11.3 mm DIA)

PALAMIX Vacuum Pump

Designed for easy use, our vacuum pump comes with hoses designed to work with your facility's system.

For use with:
PALACOS pro All-in-One Fixation System
PALABOWL Vacuum Bowl Mixing System
PALAMIX Vacuum Mixing System

Closed mixing systems, such as the PALACOS® R & R+G pro All-In-One-Fixation-SystemTM, provide protection not just for the cement during mixing and setting, but also for the patient and staff in the operating room. 

Research studies have shown significant bacterial and particulate counts inside the OR and that contamination of the back-table is time dependent.3,4 Additionally, 97% of the delegates to the 2018 International Consensus Meeting on PJI expressed concern that particles such as cement may cause contamination after becoming aerosolized, contacting unsterile surfaces, and falling onto sterile equipment or into the wound.5 Our enclosed system minimizes the risk of contamination by providing safe and contactless handling.

Closed mixing systems also greatly reduce staff and patient exposure to MMA fumes. The PALACOS® pro All-In-One-Fixation-SystemTM has been shown to reduce MMA fumes significantly compared to other preloaded, contained systems2.

1 Olerud Comparison of Refobacin Bone Cement and Palacos with Gentamicin in total hip arthroplasty: an RSA study with two years follow-up, Hip int., 2013:1.

2 Kuehn, PMMA Cements, 2014, p. 260 ff.

3 Ritter MA. Operating Room Environment. Clin Orthop Relat Res 1999; 369: 103-9.

4 Dalstrom DJ, Venkatarayappa I, Manternach AL, Palcic MS, Heyse BA, Prayson MJ. Time-Dependent Contamination of Opened Sterile Operating Room Trays. J Bone Joint Surg Am 2008; 90(5): 1022-1025.

5 Aboulhoud MM, et al. Hip and Knee Section, Prevention, Operating Room Environment: Proceedings of International Consensus on Orthopedic Infections. J Arthroplasty 2019; 34: S293-300.