Lb0219 c fulfilling the need for precision and speed

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Bio-Corkscrew ® FT Knotless SwiveLock & FiberChain ® SutureBridge SpeedBridge

description

 

Transcript of Lb0219 c fulfilling the need for precision and speed

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Bio-Corkscrew® FT

Knotless SwiveLock™ & FiberChain®

SutureBridge™

SpeedBridge™

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The fully threaded Corkscrew family of suture anchors was designed for maximum fixation strength and simple insertion. An internal drive mechanism is combined with a unique FiberWire® suture eyelet to allow for continuous threads along the entire length of the anchor. This design allows the anchor to be inserted flush with the cortical bone surface providing excellent fixation strength and stability while preventing the anchor “pull-back” effect that can occur in conventional anchors with protruding eyelets. The internal drive configuration allows for high insertion torque and the suture eyelet self-aligns to eliminate the need for specific eyelet orientation at the tissue edge. The anchors are double-loaded with FiberWire suture to provide the best possible combination for superior repair strength.

Fully Threaded Corkscrew® Suture Anchors

Bio-Corkscrew FT Suture Anchor

BioComposite Corkscrew FT Suture Anchor

Corkscrew FT Suture AnchorThe Corkscrew FT family is made of titanium. The 5.5 mm Corkscrew FT II features the unique FiberWire eyelet to minimize suture abrasion and maximize suture sliding during knot tying. The 4.5 mm Corkscrew FT II and 6.5 mm Corkscrew FT III feature a metal crosspin eyelet. All have a strong internal hex drive mechanism. The anchor is inserted without the need for bone socket preparation. A mallet is used to introduce the anchor tip, then the anchor is screwed in until flush.

PEEK Corkscrew FT Suture Anchor

Associated Literature: Double Row Rotator Cuff Repair using the Bio-Corkscrew FT and Bio-Corkscrew LT0215 New Materials in Sports Medicine (PEEK) LA0200

The PEEK Corkscrew FT is made from polyetheretherketone, which is a non-asorbable, thermoplastic material with excellent biocompatibility and biostability characteristics. The anchor is radiolucent and will not cause an artifact on imaging studies. A punch is required to prepare a bone socket for anchor insertion. Combination punch/taps are available for use in extremely hard bone.

The Bio-Corkscrew FT is made from bioabsorbable PLLA. Its strong internal square drive mechanism increases insertion torque to minimize stripping during insertion into hard cortical bone. A punch is required to prepare a bone socket for anchor insertion. Combination punch/taps are available for use in extremely hard bone.

This bioabsorbable suture anchor composed of b-TCP and PLLA offers the same benefits as the Bio-Corkscrew FT, with the addition of 15% Beta tricalcium phosphate. Studies suggest that early bone formation can be connected to the favorable osteoconductive and bioresorbable properties within b-TCP.

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Fully Threaded Corkscrew Suture Anchors4.

5 m

m

Bio PEEK Titanium

6.5

mm

5.5

mm

Bio-Corkscrew FT Suture Anchor, 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927BF-45

Bio-Corkscrew FT Suture Anchor, w/Needles, 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927BNF-45

Punch/Tap, for 4.5 mm Corkscrew FT AR-1927PTB-45

Punch, for 4.5 mm PushLock, and 4.5 mm Corkscrew FT AR-1922P

Disposable Punch, for 4.5 mm PushLock and 4.5 mm Corkscrew FT AR-1922PBS

PEEK Corkscrew FT Suture Anchor 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927PSF-45

PEEK Corkscrew FT Suture Anchor w/Needles, 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927PNF-45

Punch/Tap, for 4.5 mm Corkscrew FT AR-1927PTB-45

Punch, for 4.5 mm PushLock and 4.5 mm Corkscrew FT AR-1922P

Disposable Punch, for 4.5 mm PushLock and 4.5 mm Corkscrew FT AR-1922PBS

Corkscrew FT Suture Anchor, 4.5 mm x 15 mm, w/two #2 FiberWire AR-1928SF-45

Corkscrew FT II Suture Anchor, 5.5 mm x 16 mm, w/two #2 FiberWire AR-1928SF-2

Corkscrew FT II Suture Anchor w/Needles, 5.5 mm x 16 mm, w/two #2 FiberWire AR-1928SNF-2

Corkscrew FT II Suture Anchor, 5.5 mm x 16 mm, w/two #2 TigerTail AR-1928SFT-2

Corkscrew FT III Suture Anchor 5.5 mm x 16 mm, w/three #2 FiberWire AR-1928SF-3

PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927PSF

PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/three #2 FiberWire AR-1927PSF-3

Punch, for 5.5 mm Corkscrew FT, and 4.75 mm SwiveLock AR-1927PB

Disposable Punch, for 5.5 mm Corkscrew FT and SwiveLock AR-1927PBS

Punch/Tap for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB

Punch with Cortical Tap for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB-2

Bio-Corkscrew FT, 6.5 mm x 15 mm, w/two #2 FiberWire AR-1927BF-65

PEEK Corkscrew FT Suture Anchor, 6.5 mm x 16 mm, w/two #2 FiberWire AR-1927PSF-65

Corkscrew FT III Suture Anchor 6.5 mm x 16 mm, w/three #2 FiberWire AR-1929SF-3

Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BF

Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/three #2 FiberWire AR-1927BF-3

Bio-Corkscrew FT Suture Anchor w/Needles, 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BNF

Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/two #2 TigerTail AR-1927BFT

Bio-Corkscrew FT w/four NeedlePunch Needles, 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BNP4

BioComposite Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BCF

Punch, for 5.5 mm Corkscrew FT and SwiveLock AR-1927PB

Disposable Punch, for 5.5 mm Corkscrew FT and SwiveLock AR-1927PBS

Punch/Tap for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB

Punch w/Cortical Tap, for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB-2

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SpeedFix™ Knotless Single Row Rotator Cuff Repair

Load both tails of the FiberTape into the Double Scorpion and pass an inverted mattress stitch in one step.

Retrieve both FiberTape tails through the lateral portal and preload them through the Swiveock C eyelet. Prepare a bone socket using a punch.

The science behind the technology...

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Insert the Bio-SwiveLock C into the prepared bone socket until the anchor body makes contact with bone. Adjust tension if necessary. Make sure the anchor body is in contact with bone. Hold the thumb pad steady and rotate the driver handle in a clockwise direction until the anchor body is flush with bone. Cut the FiberTape tails, one at a time, with an open-ended FiberWire cutter.

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Ordering Information

SwiveLock C:Bio-SwiveLock C, 4.75 mm x 19.1 mm, closed eyelet AR-2324BSLC

Bio-SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323BSLC

PEEK SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323PSLC

Punch, for 5.5 mm Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock AR-1927PB

Punch/Tap, for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB

Punch/Tap, for 4.75 mm SwiveLock and SwiveLock C AR-2324PTB

FiberLink, #2 FiberWire (blue) w/loop AR-7235

FiberTape:FiberTape, 2 mm, 7 inch (blue) each end tapered to #2 FiberWire, 30 inch AR-7237-7

TigerTape, 2 mm, 7 inch (white/black) each end tapered to #2 TigerWire, 30 inch AR-7237-7T

Expanula:8.25 mm x 7.5 cm subacromial cannula with expanding collar and counter-pressure ring

• Secures and stabilizes the cannula position during instrument insertion and withdrawal

• Retracts soft tissue to expand the subacromial space

• Collar mechanism is easily deployed and retracted

Expanula w/No Squirt Cap, 8.25 mm I.D. x 7.5 mm, qty. 5 AR-6569

Single Knotless Anchor Pull-Out StrengthData on file - straight axial pull-out in laminated foam block (10 pcf cancellous core with a 2 mm thick 20 pcf cortical shell)

Load

-to-

Failu

re (l

bf)

80706050403020100

5.5 mm Bio-SwiveLock C w/FiberTape

4.75 mm Bio-SwiveLock C w/FiberTape

MitekVersalok™

ArthrocareOpus Magnum™

Smith & NephewFootprint PK™

71.2

56.9

34.127.5

19.3

Quick and secure single-row fixation can be obtained with the SpeedFix. The SpeedFix takes advantage of the new Expanula™ Cannula and Double Scorpion Suture Passer. The Expanula has a deployable collar that is used to retract the deltoid and expand the working area in the subacromial space. The Double Scorpion Suture Passer is used to pass an inverted mattress stitch in one step.

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SpeedBridge™...The Knotless SutureBridge

The fully threaded SwiveLock C can be combined with FiberTape to create a quick and secure SutureBridge construct with no knots and only two suture passing steps. The result is a low profile, transosseous equivalent suture bridge that enhances footprint compression to maximize contact between tendon and bone which helps promote healing.

The science behind the technology...

Cadaveric testing shows that the SpeedBridge is equivalent to the standard SutureBridge in both strength and gap formation.

400

500

600

300

200

100

0

Data on file. Six matched pairs were used to compare the SpeedBridge to the standard SutureBridge. The constructs were cycled 500 times between 10 & 100N and then pulled to failure. Both constructs were only limited by tendon quality. No anchors or sutures failed.

SpeedBridge StandardSutureBridge

Load

to F

ailu

re (N

)

Insert the Bio-SwiveLock C preloaded with one strand of FiberTape into a prepared medial bone socket.

Pass the tail of a FiberLink™, for use as a suture shuttle, through the rotator cuff with a Scorpion. Retrieve the FiberLink tail through the anterior portal.

Load both tails of the FiberTape through the FiberLink loop. Pull on the FiberLink tail, through the anterior portal, to shuttle the FiberTape through a single hole in the rotator cuff.

Retrieve one FiberTape tail from each medial anchor and preload them through the SwiveLock C eyelet. Insert into a prepared lateral bone socket until the anchor body contacts bone. Adjust tension if necessary.

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Hold the SwiveLock C thumb pad steady and rotate the driver in a clockwise direction to insert the anchor body until it is flush with the bone. Cut the FiberTape tails, one at a time, with an open-ended FiberWire cutter. Repeat steps 4 and 5 for the second lateral anchor.

Cannulated SwiveLock design allows blood channeling to the repair site.

SwiveLock preloaded w/#2 FiberWire eyelet retention suture that can be incorporated into the repair or discarded.

Associated Literature/Media:SpeedBridge and SpeedFix Knotless Rotator Cuff Repair Using the SwiveLock C and FiberTape LT0219For more information visit http://speedbridge.arthrex.com

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SwiveLock SP™ & SpeedBridge Implant System

SpeedBridge Implant SystemThe SpeedBridge Implant System provides all implants and sutures required to complete a SpeedBridge Rotator Cuff Repair in a single sterile tray that maximizes O.R. convenience and efficiency.

Pass a FiberTape in an inverted mattress configuration. Load the FiberTape tails through the SwiveLock SP eyelet and locate the best anchor position. Leave some slack in the FiberTapes. Tension can be adjusted later.

Mallet directly on the driver handle to simultaneously create the bone socket and partially insert the SwiveLock SP until the anchor body contacts bone. Tension may be adjusted if necessary.

Hold the thumb pad steady and rotate the driver in a clockwise direction to insert the anchor body until it is flush with the bone.

Ordering Information

Bio-SwiveLock SP, 4.75 mm x 24.5 mm, self-punching AR-2324BSLM

The Bio-SwiveLock SP combines a titanium tip with a PLLA anchor body to eliminate the need for prepunching a bone socket. This self-punching design can help save valuable O.R. time while increasing the precision of the final construct. The Bio-SwiveLock SP can be combined with FiberTape to complete a SpeedFix or SpeedBridge knotless rotator cuff repair.

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4.75 mm Bio-SwiveLock C 4 ea.SwiveLock Punch 1 ea.FiberTape 1 ea.TigerTape 1 ea.FiberLink Suture Passer 1 ea.

SpeedBridge Implant System w/Bio-SwiveLock SP (AR-2600SBS-3) includes:

4.75 mm Bio-SwiveLock SP 4 ea.FiberTape 1 ea.TigerTape 1 ea.FiberLink Suture Passer 1 ea.

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Medial Row Implants:Any Corkscrew FT may be used for the SutureBridge Medial Row - See pages 1-2.

Lateral Row Implants:3.5 mm PushLockBio-PushLock, 3.5 mm x 14 mm AR-1926B

BioComposite PushLock, 3.5 mm x 14 mm AR-1926BC

PEEK PushLock, 3.5 mm x 14 mm AR-1926PS

Punch, for 3.5 mm PushLock AR-1926P

4.5 mm PushLockBio-PushLock, 4.5 mm x 18.5 mm AR-1922B

PEEK PushLock, 4.5 mm x 18.5 mm AR-1922PS

Punch, for 4.5 mm PushLock and 4.5 mm Corkscrew FT AR-1922P

Self-Punching 4.5 mm PushLock SPBio-PushLock SP, 4.5 mm x 18.5 mm AR-1922BM PEEK PushLock SP, 4.5 mm x 18.5 mm AR-1922PSM

4.75 mm SwiveLock CBio-SwiveLock C, 4.75 mm x 19.1 mm, closed eyelet AR-2324BSLC

Punch, for 5.5 mm Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock AR-1927PB

Punch/Tap, for 4.75 mm SwiveLock and SwiveLock C AR-2324PTB

5.5 mm SwiveLock CBio-SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323BSLC

PEEK SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323PSLC

Punch, for 5.5 mm Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock AR-1927PB

Punch/Tap, for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB

Self-Punching4.75 mm Bio-SwiveLock SPBio-SwiveLock SP, 4.75 mm x 24.5 mm self-punching AR-2324BSLM

A transosseous equivalent SutureBridge that enhances footprint compression and may promote tendon healing-to-bone can be achieved with minimal knot tying. The repair consists of a tied medial row constructed with two, fully threaded Corkscrew FT anchors, combined with knotless lateral fixation using two PushLocks. The result is a quick, secure and low profile repair with excellent contact between tendon and bone. The construct provides stability in rotation and protects a broad healing zone from synovial fluid infiltration.

Cadaveric biomechanical testing of the SutureBridge construct showed that the average load to failure was 460N vs. 373N for a standard single row repair. Gap formation under cyclic loading averaged only 1.1 mm vs. 2.4 mm for a standard single row repair. (Data on file)

Insert two medial row Bio-Corkscrew FT anchors and pass FiberWires with the Scorpion Suture Passer.

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Insert the Bio-PushLock into a dilated bone socket, tension the sutures and impact the anchor body into its final position. Cut the sutures flush.

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Associated Literature/Media:SutureBridge Double Row Rotator Cuff Repair using the PushLock and Bio-Corkscrew FT LT0515

DVD: Arthroscopic Double Row Rotator Cuff Repair Featuring the SutureBridge Technique with Bio-Corkscrew FT & PushLock Anchors DVD-1085

Tie the medial knots, retrieve one suture from each Bio-Corkscrew FT and load through the Bio-PushLock eyelet.

SutureBridge™ Ordering InformationOrdering Information

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Ordering Information

Implants/Disposables: Bio-SwiveLock Suture Anchor, 4.75 mm x 20 mm AR-2324BSL Bio-SwiveLock Suture Anchor, 5.5 mm x 20 mm AR-2323BSL PEEK SwiveLock Suture Anchor, 5.5 mm x 20 mm AR-2323PSL FiberChain, #2 FiberWire,

w/10 loops, 7 mm long AR-7270

FiberChain, #2 FiberWire,

w/8 loops, and large terminal link, 7 mm long AR-7271

Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/FiberChain AR-1927BFC

PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/#2 FiberChain AR-1927PFC

Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/FiberChain and FiberWire AR-1927BFCF

Accessory Instruments:Punch, for 5.5 mm Corkscrew FT and 4.75 mm SwiveLock AR-1927PB

Disposable Punch, for 5.5 mm Corkscrew FT, 4.75 mm and 5.5 mm SwiveLock AR-1927PBS

Punch/Tap, for 4.75 mm SwiveLock AR-2324PTB

Punch/Tap, for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB

FiberChain Grasper:This rotator cuff grasper includes a hole in the jaws to ease FiberChain tensioning.

FiberChain Grasper w/SR Handle AR-13950SR

A totally knotless, transosseous equivalent rotator cuff repair can easily be performed when the SwiveLock anchor is combined with a specially configured Bio-Corkscrew FT that is provided with a preloaded FiberChain.

Associated Literature/Media:SwiveLock and FiberChain KnotlessRotator Cuff Repair LT0217

DVD: Arthroscopic Rotator Cuff Repair Featuring the SwiveLock Anchor DVD-1088

Single Row

Double Row

Knotless SwiveLock & FiberChain...Single & Double Row Repair

Knotless rotator cuff repair is made simple with the SwiveLock Suture Anchor and FiberChain. Developed in conjunction with Stephen S. Burkhart, M.D., FiberChain is a specialty suture that is formed from #2 FiberWire. One end is a standard single suture strand, while the other is fashioned into chain links that are each approximately 6 mm long. The SwiveLock Suture Anchor consists of a fully threaded, anchor body (PLLA or PEEK) and a forked, swivel tip (PEEK) that are loaded onto a tenodesis style driver. The thread configuration is the same as for the proven Bio-Corkscrew FT.

Capture appropriate FiberChain link with forked tip and insert SwiveLock.

FiberChain

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• Easily passes one or two strands of #2 FiberWire• Ideal for single row, double row or margin convergence• Humpback ratcheting jaw design grasps up to 16 mm of thick tissue• Simplistic and ergonomic design allows for one-handed operation• Multi-functional instrument grasps tissue and also retrieves FiberWire• Low profile designs fit down either a 5 mm or 7 mm cannula• Complementary cannulas and graspers• Can be used in arthroscopic and mini-open procedures

FirstPass

SecondPass

Ordering Information

MultiFire Needle:The side-slot design of the MultiFire Needle captures FiberWire within the Scorpion to support more successful passes. AR-13995N

FiberWire Grasper:This new fully toothed grasper easily retrieves multiple strands of FiberWire.

Maximize visibility and maneuverability inside and outside of the arthroscopic work space.

• Low profile dual flange design seats flush to the skin and soft tissue• Double dam, one piece molded silicone design in 6, 8, 10 mm IDs and 20-50 mm lengths• Indications in the shoulder, knee, hip, and elbow

PassPort Button Cannula:

PassPort Button Cannula Sizes:AR-6592-xx-yyxx = ID (06, 08, 10) mmyy = Length (20, 30, 40, 50) mm

Associated Literature/Media:MultiFire Scorpion LB0239For more information visithttp://scorpion.arthrex.com

Independently Pass Two FiberWire Suture Tails Without Scorpion Removal

MultiFire Scorpion, Humpback AR-13995

MultiFire Scorpion, Straight, 16 mm AR-13996

FiberWire Grasper AR-13975SR

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Ordering Information

ScorpionThe Scorpion Suture Passer adds simplicity to suture passing in rotator cuff repair. Ergonomically designed for one-hand use, the multi-function Scorpion grasps cuff tissue, then directly passes and retrieves a FiberWire.

The low profile, standard Scorpion grasps 16 mm of tissue and fits through a 5.75 mm cannula. A larger, 20 mm version was developed for use in double row techniques that require a deeper medial bite. A “Humpback” version, with locking jaws, is available for use in thicker rotator cuff tissue. The “Humpback” requires a 7 mm cannula.

All Scorpions use the same disposable needle which withstands multiple suture passes during a single case.

Accessory Instruments

Double ScorpionEasily pass two pieces of FiberWire for one horizontal mattress or two simple stitches at one time. The SureFire double needle design captures and passes both sutures through thick tissue at about a 7 mm spacing. Use this instrument along with the new 8.25 mm Expanula and FiberWire Grasper for the ultimate suture passing system.

NeedlePunch® IIThe NeedlePunch II is a simple, versatile and effective suture passing instrument with a newly designed ergonomic handle and push rod. The low profile allows it to fit through a 7 mm diameter cannula. The lower jaw has more taper for easier placement under the rotator cuff tissue enabling the surgeon to reduce soft tissue and place a stitch up to 1 cm medial to the edge of the tissue.

The needle is available in multiple configurations for shuttling suture through tissue and for side-to-side cuff repairs.

Double Scorpion Suture Passer AR-13994

SureFire Double Scorpion Needles AR-13994N

FiberWire Grasper w/SR Handle AR-13975SR

Penetrator™ Suture Retriever

FiberWire Cutters

This unique instrument combines a small penetrating tip with a suture grasper to allow suture delivery or extraction in one step. The 2.7 mm diameter tip slides easily through the tissue with the suture either sliding or grasped within the self- ratcheting mechanism.

The Suture Cutter was designed to facilitate arthroscopic cutting of FiberWire and braided suture. The uniquely designed cutting jaws remain sharp through-out repeated use. The Suture Cutter is available in a closed and open ended, left notch version.

The closed-ended Suture Cutter allows the surgeon to leave a 3 mm suture tail without the possibility of cutting the knot. The open-ended, left notch version facilitates suture cutting inside the joint without having to top load the cutter.

Penetrator Suture Retriever, 15˚ up curved AR-2167-2

Penetrator Suture Retriever, straight AR-2167ST-2

Suture Cutter, 4.2 mm, open-ended, left notch (used w/all suture) AR-11794L

Suture Cutter, w/WishBone Handle, 4.2 mm, open-ended, left notch (used w/all suture) AR-11794LW

Suture Cutter, 4.2 mm, straight (used w/#2 & #5 suture & FiberTape) AR-12250

Suture Cutter, closed end w/WishBone Handle, 4.2 mm AR-12250W

NeedlePunch II, 10 mm AR-13981S NeedlePunch II Push Rod Replacement, AR-13981P

NeedlePunch II, 16 mm AR-13982S

FiberWire Loop w/Needle for NeedlePunch, AR-7204

#2 FiberWire w/two Needles, AR-7207 (for side-to-side cuff repairs)

Suture Shuttle, (5 to a pack/5 packs to a box) AR-7224L

Scorpion Suture Passer, 16 mm AR-13990

Scorpion Suture Passer, 20 mm AR-13992

Humpback Scorpion, 16 mm AR-13993

Scorpion Needle, AR-13990N

SureFire Scorpion Needle AR-13991N

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Accessory Instruments Ordering Information

The ProWick System was specifically designed for use in shoulder surgery. It is a tapeless system composed of state-of-the-art, super-absorbent material that quickly wicks away exudate from the surgical incision sites while compression and cold therapy are applied to the healing shoulder.

ProWick™- Shoulder Postoperative Dressing and Cold Therapy System

ProWick Postoperative Dressing and Cold Therapy System, box of 10, packed individually, sterile AR-1625

Dressing Cold Therapy

The KingFisher Suture Retriever/Tissue Grasper enables the surgeon to perform multiple tasks with one tool, improving the speed and efficiency of the procedure. The KingFisher is the optimal tool for arthroscopic tissue grasping/reduction, foreign body removal as well as suture retrieval/management. The jaws feature a self-releasing locking mechanism to aid in clamping tissue. The low profile jaws of the KingFisher allow the surgeon to reach tight areas easily. The 4.2 mm diameter shaft allows the KingFisher to fit down a small 5.75 mm Crystal Cannula®.

KingFisher®

The small diameter SutureLassos feature a stiff shaft and a sharp, atraumatic tip with an outer diameter of only 1.8 mm. The SutureLasso SD is available in a variety of tip configurations and is pre-loaded with a Nitinol wire shuttle loop. A thumb pad is used for easy, one-handed wire advancement.

Skip a shuttling step during margin convergence suturing by loading a FiberStick directly through the SutureLasso SD in place of the Nitinol wire loop. The Fiber-Stick is a #2 FiberWire with 12 inches stiffened to allow easy advancement through most cannulated instruments.

SutureLasso™ SDSutureLasso SD, 90° up AR-4068-90SutureLasso SD, crescent AR-4068CSutureLasso SD, 45° curve right AR-4068-45RSutureLasso SD, 45° curve left AR-4068-45LSutureLasso SD, 25° tight curve right AR-4068-25RSutureLasso SD, 25° tight curve left AR-4068-25LSutureLasso SD, 90° curve right AR-4068-90RSutureLasso SD, 90° curve left AR-4068-90LSutureLasso SD, 30° straight AR-4068-30FiberStick, #2 FiberWire, 50 inches (blue), one end stiffened, 12 inches, qty. 5 AR-7209

BirdBeak, 45˚ up tip AR-11800BirdBeak, 22˚ up tip AR-11890BirdBeak, straight AR-11880Straight BirdBeak, right, 45˚ handle AR-11886Straight BirdBeak, left, 45˚ handle AR-11887BirdBeak Evolution, 45˚ up tip AR-11800EBirdBeak Evolution, 22˚ up tip AR-11890EBirdBeak Evolution, straight AR-11880EBirdBeak Evolution, 15˚ up curve AR-11881EBanana BirdBeak Evolution, 22˚ up tip AR-11892E

BirdBeak, 45˚ up tip, Inverted Jaw w/WishBone Handle AR-11805WBirdBeak, 22˚ up tip, Inverted Jaw w/WishBone Handle AR-11895W

KingFisher Suture Retriever/ Tissue Grasper w/SR Handle AR-13970SRKingFisher Suture Retriever/ Tissue Grasper w/WishBone Handle AR-13970W

The BirdBeak has an extremely sharp tip to penetrate soft tissue easily and a stiff shaft that resists bending during tissue shifting procedures. The BirdBeaks are an essential tool for arthroscopic labral, SLAP or rotator cuff repair. The BirdBeak Evolution has a uniquely designed handle that allows for easy operation from virtually any hand position.

BirdBeak®

This innovative BirdBeak’s lower jaw opens to easily retrieve sutures from directly above an anchor. This can be helpful when passing stitches for both rotator cuff and labral repairs. The instrument utilizes a ratcheting WishBone handle. The ratcheting feature can be locked out if desired. The lower jaw incorporates a suture grasping notch which allows the surgeon to grasp the suture with or with-out allowing it to slide.

Inverted BirdBeak

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Bone marrow is a source of stem cells and progenitor cells that can repair, maintain, and differentiate into a variety of tissues. Many studies have investigated the benefits of bone marrow, promoting its use for bony and tendon defects. RC Allograft can act as a carrier of bone marrow which promotes a biological response to damaged rotator cuff tissue.

SpeedBridge with RC Allograft Augmentation

The SpeedBridge rotator cuff repair can easily be combined with RC Allograft to provide complete footprint restoration on challenging repairs. RC Allograft is sterile rotator cuff tendon that can be hydrated with bone marrow aspirate and shuttled down the medial row FiberTapes into position to complete the repair.

Promote Healing Using Autogenous Bone Marrow

Bone Marrow Aspirate Kit (AR-1101DS) includes: 1 Bone Marrow Needle, 1 60 cc Syringe, 1 Prep Tray

RC Allograft 241001 (order through ATSI)

Remove trocar and connect syringe. Aspirate 10-20 cc’s of bone marrow.

Insert bone marrow aspiration needle into humeral head.

Ordering Information

Hydrate the RC Allograft with bone marrow in prep tray. Alternatively, the BMA can be localized to a repair site and facilitate healing.

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Cannulated SwiveLock design promotes blood channeling to the repair site.

*RC Allograft impregnated withbone marrow aspirate should beinserted in a mini-open technique.

Bone marrow aspirate (BMA) provides a cell suspension that can be readily processed intraoperatively for immediate implantation.

Bone Marrow Aspiration

© 2009, Arthrex Inc. All rights reserved. LB0219C

This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s Directions For Use.

U.S. PATENT NOS. 5,964,783; 6,652,563; 6,716,234; 6,991,636; 6,994,719; 7,029,490; 7,147,651 and PATENTS PENDING.

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