definiens: means all knee replacement, shoulder replacement, and hip replacement products of Zimmer and its Affiliates, as Commercialized as of the Effective Date, including those sold as part of the Signature Personalized Patient Care Vanguard Complete Knee Sy stem, Persona - The Personalized Knee System, NexGen Complete Knee Solution, Gender Solutions Natural -Knee Flex System, Shoulder for Trabecular Metal Reverse Glenoid, Signature Personalized Patient Care for Comprehensive Total and Reverse Shoulder Systems, and Signature Personalized Patient Care System - Acetabular Guide System ( collectively, the ) and any implant, as Commercialized as of the Effective Date, sold with, for use with, or that can be used with any Zimmer Covenant Tool, i ncluding NexGen CR, NexGen CR -Flex, NexGen CR -Flex Gender, NexGen LPS, NexGen LPS -Flex, NexGen LPS Flex Gender, Persona CR, Persona PS, Vanguard Cruciate Retaining Knee, Vanguard Posterior Stabilized Knee, Gender Solutions high -flex femoral implant, Trifla nge acetabular component, Trabecular Metal ™ Reverse Glenoid Baseplate, Trabecular Metal Reverse Plus System, Signature Personalized Patient Care for Comprehensive Total and Reverse Shoulder Systems, including Limited Variations thereof, provided that such products and Limited Variations thereof are Commercialized under the brands of Zimmer or its Affiliates