Lb0219 c fulfilling the need for precision and speed

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  • 1. Bio-Corkscrew® FT Knotless SwiveLock™ & FiberChain® SutureBridge™ SpeedBridge™
  • 2. Fully Threaded Corkscrew® Suture Anchors 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. Bio-Corkscrew FT Suture Anchor 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. BioComposite Corkscrew FT Suture Anchor 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. PEEK Corkscrew FT Suture Anchor 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. Corkscrew FT Suture Anchor The 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. Associated Literature: Double Row Rotator Cuff Repair using the Bio-Corkscrew FT and Bio-Corkscrew LT0215 New Materials in Sports Medicine (PEEK) LA0200 1
  • 3. Fully Threaded Corkscrew Suture Anchors Bio PEEK Titanium Bio-Corkscrew FT Suture Anchor, PEEK Corkscrew FT Suture Anchor Corkscrew FT Suture Anchor, 4.5 mm x 15 mm, w/two #2 FiberWire 4.5 mm x 15 mm, w/two #2 FiberWire 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927BF-45 AR-1927PSF-45 AR-1928SF-45 Bio-Corkscrew FT Suture Anchor, PEEK Corkscrew FT Suture Anchor w/Needles, w/Needles, 4.5 mm x 15 mm, 4.5 mm x 15 mm, w/two #2 FiberWire w/two #2 FiberWire AR-1927PNF-45 AR-1927BNF-45 Punch/Tap, for 4.5 mm Corkscrew FT Punch/Tap, for 4.5 mm Corkscrew FT AR-1927PTB-45 4.5 mm AR-1927PTB-45 Punch, for 4.5 mm PushLock Punch, for 4.5 mm PushLock, and 4.5 mm Corkscrew FT and 4.5 mm Corkscrew FT AR-1922P AR-1922P Disposable Punch, for 4.5 mm PushLock Disposable Punch, for 4.5 mm PushLock and 4.5 mm Corkscrew FT and 4.5 mm Corkscrew FT AR-1922PBS AR-1922PBS Bio-Corkscrew FT Suture Anchor, PEEK Corkscrew FT Suture Anchor, Corkscrew FT II Suture Anchor, 5.5 mm x 15 mm, w/two #2 FiberWire 5.5 mm x 15 mm, w/two #2 FiberWire 5.5 mm x 16 mm, w/two #2 FiberWire AR-1927BF AR-1927PSF AR-1928SF-2 Bio-Corkscrew FT Suture Anchor, PEEK Corkscrew FT Suture Anchor, Corkscrew FT II Suture Anchor w/Needles, 5.5 mm x 15 mm, w/three #2 FiberWire 5.5 mm x 15 mm, w/three #2 FiberWire 5.5 mm x 16 mm, w/two #2 FiberWire AR-1927BF-3 AR-1927PSF-3 AR-1928SNF-2 Bio-Corkscrew FT Suture Anchor w/Needles, Punch, for 5.5 mm Corkscrew FT, Corkscrew FT II Suture Anchor, 5.5 mm x 15 mm, w/two #2 FiberWire and 4.75 mm SwiveLock 5.5 mm x 16 mm, w/two #2 TigerTail AR-1927BNF AR-1927PB AR-1928SFT-2 Bio-Corkscrew FT Suture Anchor, Disposable Punch, Corkscrew FT III Suture Anchor 5.5 mm x 15 mm, w/two #2 TigerTail for 5.5 mm Corkscrew FT and SwiveLock 5.5 mm x 16 mm, w/three #2 FiberWire AR-1927BFT AR-1927PBS AR-1928SF-3 Bio-Corkscrew FT w/four NeedlePunch Punch/Tap for 5.5 mm Corkscrew FT Needles, 5.5 mm x 15 mm, and 5.5 mm SwiveLock 5.5 mm w/two #2 FiberWire AR-1927CTB AR-1927BNP4 Punch with Cortical Tap for 5.5 mm Corkscrew FT BioComposite Corkscrew FT Suture Anchor, and 5.5 mm SwiveLock 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927CTB-2 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 Bio-Corkscrew FT, PEEK Corkscrew FT Suture Anchor, Corkscrew FT III Suture Anchor 6.5 mm x 15 mm, w/two #2 FiberWire 6.5 mm x 16 mm, w/two #2 FiberWire 6.5 mm x 16 mm, w/three #2 FiberWire 6.5 mm AR-1927BF-65 AR-1927PSF-65 AR-1929SF-3 2
  • 4. SpeedFix™ Knotless Single Row Rotator Cuff Repair Ordering Information Quick and secure single-row fixation can be obtained with the SpeedFix. The SwiveLock C: SpeedFix takes advantage of the new Expanula™ Cannula and Double Scorpion Bio-SwiveLock C, Suture Passer. The Expanula has a deployable collar that is used to retract the 4.75 mm x 19.1 mm, closed eyelet deltoid and expand the working area in the subacromial space. The Double AR-2324BSLC Scorpion Suture Passer is used to pass an inverted mattress stitch in one step. 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 1 2 Punch/Tap, for 4.75 mm SwiveLock and SwiveLock C AR-2324PTB Load both tails of the FiberTape into the Retrieve both FiberTape tails through the FiberLink, #2 FiberWire (blue) w/loop Double Scorpion and pass an inverted lateral portal and preload them through the AR-7235 mattress stitch in one step. Swiveock C eyelet. Prepare a bone socket using a punch. 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 3 Expanula: 8.25 mm x 7.5 cm subacromial Insert the Bio-SwiveLock C into the prepared cannula with expanding collar and bone socket until the anchor body makes counter-pressure ring contact with bone. Adjust tension if necessary. Make sure the anchor body is in contact with • Secures and stabilizes the cannula position during instrument insertion bone. Hold the thumb pad steady and rotate and withdrawal the driver handle in a clockwise direction until the anchor body is flush with bone. • Retracts soft tissue to expand the Cut the FiberTape tails, one at a time, with subacromial space an open-ended FiberWire cutter. The science behind the technology... • Collar mechanism is easily deployed and retracted Single Knotless Anchor Pull-Out Strength Data on file - straight axial pull-out in laminated foam block (10 pcf cancellous core with a 2 mm thick 20 pcf cortical shell) Expanula w/No Squirt Cap, 8.25 mm I.D. x 7.5 mm, qty. 5 AR-6569 80 70 Load-to-Failure (lbf) 71.2 60 50 56.9 40 30 34.1 20 27.5 10 19.3 0 5.5 mm Bio- 4.75 mm Bio- Mitek Arthrocare Smith & Nephew SwiveLock C SwiveLock C Versalok™ Opus Magnum™ Footprint PK™ 3 w/FiberTape w/FiberTape
  • 5. SpeedBridge™...The Knotless SutureBridge The fully threaded SwiveLock C can be combined with FiberTape to create a The science behind the quick and secure SutureBridge construct with no knots and only two suture passing steps. The result is a low profile, transosseous equivalent suture bridge technology... that enhances footprint compression to maximize contact between tendon and Cadaveric testing shows that the bone which helps promote healing. SpeedBridge is equivalent to the standard SutureBridge in both strength and gap formation. 600 500 Load to Failure (N) 400 300 200 100 1 2 0 SpeedBridge Standard SutureBridge Insert the Bio-SwiveLock C preloaded Pass the tail of a FiberLink™, for use as a Data on file. Six matched pairs were used to compare the SpeedBridge to the standard SutureBridge. The with one strand of FiberTape into a suture shuttle, through the rotator cuff constructs were cycled 500 times between 10 & 100N prepared medial bone socket. with a Scorpion. Retrieve the FiberLink and then pulled to failure. Both constructs were only tail through the anterior portal. limited by tendon quality. No anchors or sutures failed. 3 4 Load both tails of the FiberTape through Retrieve one FiberTape tail from each medial the FiberLink loop. Pull on the FiberLink anchor and preload them through the tail, through the anterior portal, to SwiveLock C eyelet. Insert into a prepared shuttle the FiberTape through a single lateral bone socket until the anchor body hole in the rotator cuff. contacts bone. Adjust tension if necessary. Cannulated SwiveLock design allows blood channeling to the repair site. 5 Hold the SwiveLock C thumb pad steady and rotate the driver in a clockwise direction to insert the anchor body until SwiveLock preloaded w/#2 FiberWire eyelet retention suture that can be it is flush with the bone. Cut the FiberTape incorporated into the repair or tails, one at a time, with an open-ended discarded. FiberWire cutter. Repeat steps 4 and 5 for the second lateral anchor. Associated Literature/Media: SpeedBridge and SpeedFix Knotless Rotator Cuff Repair Using the SwiveLock C and FiberTape LT0219 For more information visit http://speedbridge.arthrex.com 4
  • 6. SwiveLock SP™ & SpeedBridge Implant System Ordering Information The Bio-SwiveLock SP combines Bio-SwiveLock SP, a titanium tip with a PLLA anchor 4.75 mm x 24.5 mm, self-punching body to eliminate the need for AR-2324BSLM 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 1 complete a SpeedFix or SpeedBridge knotless rotator cuff repair. 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. SpeedBridge Implant System The SpeedBridge Implant System provides all implants and sutures 2 required to complete a SpeedBridge Rotator Cuff Repair in a single Mallet directly on the driver handle to sterile tray that maximizes O.R. simultaneously create the bone socket and convenience and efficiency. partially insert the SwiveLock SP until the anchor body contacts bone. Tension may be adjusted if necessary. SpeedBridge 3 Implant System (AR-2600SBS-2) includes: 4.75 mm Bio-SwiveLock C 4 ea. Hold the thumb pad steady and rotate the SwiveLock Punch 1 ea. driver in a clockwise direction to insert the FiberTape 1 ea. anchor body until it is flush with the bone. 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. 5
  • 7. SutureBridge™ Ordering Information A transosseous equivalent SutureBridge Medial Row Implants: that enhances footprint compression Any Corkscrew FT may be used for and may promote tendon healing-to- the SutureBridge Medial Row - bone can be achieved with minimal See pages 1-2. knot tying. The repair consists of a tied medial row constructed with two, Lateral Row Implants: fully threaded Corkscrew FT anchors, 3.5 mm PushLock combined with knotless lateral fixation Bio-PushLock, 3.5 mm x 14 mm using two PushLocks. The result is a 1 AR-1926B quick, secure and low profile repair BioComposite PushLock, with excellent contact between tendon Insert two medial row Bio-Corkscrew FT 3.5 mm x 14 mm and bone. The construct provides anchors and pass FiberWires with the AR-1926BC stability in rotation and protects a Scorpion Suture Passer. PEEK PushLock, 3.5 mm x 14 mm broad healing zone from synovial AR-1926PS fluid infiltration. Punch, for 3.5 mm PushLock AR-1926P Cadaveric biomechanical testing of the SutureBridge construct showed 4.5 mm PushLock that the average load to failure was Bio-PushLock, 4.5 mm x 18.5 mm 460N vs. 373N for a standard single AR-1922B row repair. Gap formation under PEEK PushLock, 4.5 mm x 18.5 mm AR-1922PS cyclic loading averaged only 1.1 mm Punch, for 4.5 mm PushLock vs. 2.4 mm for a standard single row and 4.5 mm Corkscrew FT repair. (Data on file) 2 AR-1922P Tie the medial knots, retrieve one suture Self-Punching from each Bio-Corkscrew FT and load 4.5 mm PushLock SP through the Bio-PushLock eyelet. Bio-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 C Bio-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 3 Punch/Tap, for 4.75 mm SwiveLock and SwiveLock C AR-2324PTB Insert the Bio-PushLock into a dilated bone socket, tension the sutures and impact the anchor body into its final position. Cut the 5.5 mm SwiveLock C sutures flush. Bio-SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323BSLC PEEK SwiveLock C, 5.5 mm x 19.1 mm, Associated Literature/Media: closed eyelet SutureBridge Double Row Rotator AR-2323PSLC Cuff Repair using the PushLock Punch, for 5.5 mm Corkscrew FT and Bio-Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock LT0515 AR-1927PB DVD: Arthroscopic Double Punch/Tap, for 5.5 mm Corkscrew FT Row Rotator Cuff Repair and 5.5 mm SwiveLock Featuring the SutureBridge AR-1927CTB Technique with Bio-Corkscrew FT & PushLock Anchors Self-Punching DVD-1085 4.75 mm Bio-SwiveLock SP Bio-SwiveLock SP, 4.75 mm x 24.5 mm self-punching 6 AR-2324BSLM
  • 8. Knotless SwiveLock & FiberChain...Single & Double Row Repair Knotless rotator cuff repair is made simple with the SwiveLock Suture Anchor Ordering Information 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 Implants/Disposables: standard single suture strand, while the other is fashioned into chain links that Bio-SwiveLock Suture Anchor, are each approximately 6 mm long. The SwiveLock Suture Anchor consists of a 4.75 mm x 20 mm fully threaded, anchor body (PLLA or PEEK) and a forked, swivel tip (PEEK) that AR-2324BSL are loaded onto a tenodesis style driver. The thread configuration is the same as Bio-SwiveLock Suture Anchor, for the proven Bio-Corkscrew FT. 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, Capture appropriate FiberChain link with w/#2 FiberChain forked tip and insert SwiveLock. AR-1927PFC Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/FiberChain and FiberWire AR-1927BFCF Single Row Accessory Instruments: Punch, for 5.5 mm Corkscrew FT and 4.75 mm SwiveLock AR-1927PB A totally knotless, transosseous Disposable Punch, for 5.5 mm Corkscrew FT, equivalent rotator cuff repair can 4.75 mm and 5.5 mm SwiveLock AR-1927PBS easily be performed when the SwiveLock Punch/Tap, for 4.75 mm SwiveLock anchor is combined with a specially AR-2324PTB configured Bio-Corkscrew FT that is Punch/Tap, for 5.5 mm Corkscrew FT provided with a preloaded FiberChain. and 5.5 mm SwiveLock AR-1927CTB Associated Literature/Media: SwiveLock and FiberChain Knotless FiberChain Grasper: Rotator Cuff Repair LT0217 This rotator cuff grasper includes a hole in DVD: Arthroscopic Rotator Cuff Repair the jaws to ease FiberChain tensioning. Featuring the SwiveLock Anchor DVD-1088 FiberChain Grasper w/SR Handle AR-13950SR FiberChain Double Row 7
  • 9. Independently Pass Two FiberWire Suture Tails Without Scorpion Removal Ordering Information MultiFire Scorpion, Humpback AR-13995 MultiFire Scorpion, • Easily passes one or two strands of #2 FiberWire Straight, 16 mm • Ideal for single row, double row or margin convergence AR-13996 • Humpback ratcheting jaw design grasps up to 16 mm of thick tissue FiberWire Grasper • Simplistic and ergonomic design allows for one-handed operation AR-13975SR • 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 FiberWire • Can be used in arthroscopic and mini-open procedures Grasper: This new fully Associated Literature/Media: toothed grasper easily retrieves MultiFire Scorpion LB0239 multiple strands For more information visit of FiberWire. http://scorpion.arthrex.com First Pass Second Pass MultiFire Needle: The side-slot design of the MultiFire Needle captures FiberWire within the Scorpion to support more successful passes. AR-13995N PassPort Button Cannula: 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 Sizes: AR-6592-xx-yy xx = ID (06, 08, 10) mm yy = Length (20, 30, 40, 50) mm 8
  • 10. Accessory Instruments Ordering Information Scorpion The Scorpion Suture Passer adds simplicity to suture passing in rotator cuff repair. Scorpion Suture Passer, Ergonomically designed for one-hand use, the multi-function Scorpion grasps 16 mm AR-13990 cuff tissue, then directly passes and retrieves a FiberWire. Scorpion Suture Passer, The low profile, standard Scorpion grasps 16 mm of tissue and fits through a 20 mm 5.75 mm cannula. A larger, 20 mm version was developed for use in double AR-13992 row techniques that require a deeper medial bite. A “Humpback” version, with Humpback Scorpion, 16 mm AR-13993 locking jaws, is available for use in thicker rotator cuff tissue. The “Humpback” Scorpion Needle, requires a 7 mm cannula. AR-13990N All Scorpions use the same disposable needle which withstands multiple suture SureFire Scorpion Needle passes during a single case. AR-13991N Double Scorpion Suture Passer Double Scorpion AR-13994 SureFire Double Scorpion Needles Easily pass two pieces of FiberWire for one horizontal mattress or two simple AR-13994N stitches at one time. The SureFire double needle design captures and passes both FiberWire Grasper w/SR Handle sutures through thick tissue at about a 7 mm spacing. Use this instrument along AR-13975SR with the new 8.25 mm Expanula and FiberWire Grasper for the ultimate suture passing system. NeedlePunch II, 10 mm AR-13981S NeedlePunch® II NeedlePunch II Push Rod Replacement, AR-13981P The NeedlePunch II is a simple, versatile and effective suture passing instrument NeedlePunch II, 16 mm with a newly designed ergonomic handle and push rod. The low profile allows AR-13982S it to fit through a 7 mm diameter cannula. The lower jaw has more taper for FiberWire Loop w/Needle easier placement under the rotator cuff tissue enabling the surgeon to reduce for NeedlePunch, soft tissue and place a stitch up to 1 cm medial to the edge of the tissue. AR-7204 #2 FiberWire w/two Needles, The needle is available in multiple configurations for shuttling suture through AR-7207 (for side-to-side cuff repairs) tissue and for side-to-side cuff repairs. Suture Shuttle, (5 to a pack/5 packs to a box) Penetrator™ Suture Retriever AR-7224L This unique instrument combines a small penetrating tip with a suture grasper Penetrator Suture Retriever, to allow suture delivery or extraction in one step. The 2.7 mm diameter tip 15˚ up curved slides easily through the tissue with the suture either sliding or grasped within AR-2167-2 the self- ratcheting mechanism. Penetrator Suture Retriever, straight AR-2167ST-2 FiberWire Cutters The Suture Cutter was designed to facilitate arthroscopic cutting of FiberWire Suture Cutter, 4.2 mm, open-ended, and braided suture. The uniquely designed cutting jaws remain sharp through- left notch (used w/all suture) AR-11794L out repeated use. The Suture Cutter is available in a closed and open ended, Suture Cutter, w/WishBone Handle, left notch version. 4.2 mm, open-ended, left notch (used w/all suture) The closed-ended Suture Cutter allows the surgeon to leave a 3 mm suture tail AR-11794LW without the possibility of cutting the knot. The open-ended, left notch version Suture Cutter, 4.2 mm, straight facilitates suture cutting inside the joint without having to top load the cutter. (used w/#2 & #5 suture & FiberTape) AR-12250 Suture Cutter, closed end w/WishBone Handle, 4.2 mm AR-12250W 9
  • 11. Accessory Instruments Ordering Information KingFisher® The KingFisher Suture Retriever/Tissue Grasper enables the surgeon to perform KingFisher Suture Retriever/ multiple tasks with one tool, improving the speed and efficiency of the procedure. Tissue Grasper w/SR Handle The KingFisher is the optimal tool for arthroscopic tissue grasping/reduction, AR-13970SR foreign body removal as well as suture retrieval/management. The jaws feature a KingFisher Suture Retriever/ Tissue Grasper w/WishBone Handle self-releasing locking mechanism to aid in clamping tissue. The low profile jaws of AR-13970W 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®. SutureLasso™ SD The small diameter SutureLassos feature a stiff shaft and a sharp, atraumatic tip SutureLasso SD, 90° up with an outer diameter of only 1.8 mm. The SutureLasso SD is available in a variety AR-4068-90 of tip configurations and is pre-loaded with a Nitinol wire shuttle loop. A thumb SutureLasso SD, crescent pad is used for easy, one-handed wire advancement. AR-4068C SutureLasso SD, 45° curve right Skip a shuttling step during margin convergence suturing by loading a FiberStick AR-4068-45R SutureLasso SD, 45° curve left directly through the SutureLasso SD in place of the Nitinol wire loop. The Fiber- AR-4068-45L Stick is a #2 FiberWire with 12 inches stiffened to allow easy advancement through SutureLasso SD, 25° tight curve right most cannulated instruments. AR-4068-25R SutureLasso SD, 25° tight curve left AR-4068-25L SutureLasso SD, 90° curve right AR-4068-90R SutureLasso SD, 90° curve left AR-4068-90L SutureLasso SD, 30° straight AR-4068-30 FiberStick, #2 FiberWire, 50 inches (blue), one end stiffened, 12 inches, qty. 5 AR-7209 BirdBeak® The BirdBeak has an extremely sharp tip to penetrate soft tissue easily and a stiff BirdBeak, 45˚ up tip shaft that resists bending during tissue shifting procedures. The BirdBeaks are an AR-11800 essential tool for arthroscopic labral, SLAP or rotator cuff repair. The BirdBeak BirdBeak, 22˚ up tip AR-11890 Evolution has a uniquely designed handle that allows for easy operation from BirdBeak, straight virtually any hand position. AR-11880 Straight BirdBeak, right, 45˚ handle Inverted BirdBeak AR-11886 Straight BirdBeak, left, 45˚ handle This innovative BirdBeak’s lower jaw opens to easily retrieve sutures from directly AR-11887 BirdBeak Evolution, 45˚ up tip above an anchor. This can be helpful when passing stitches for both rotator cuff AR-11800E and labral repairs. The instrument utilizes a ratcheting WishBone handle. The BirdBeak Evolution, 22˚ up tip ratcheting feature can be locked out if desired. The lower jaw incorporates a AR-11890E suture grasping notch which allows the surgeon to grasp the suture with or with- BirdBeak Evolution, straight AR-11880E out allowing it to slide. BirdBeak Evolution, 15˚ up curve AR-11881E Banana BirdBeak Evolution, 22˚ up tip ProWick™- Shoulder Postoperative Dressing and Cold Therapy System AR-11892E The ProWick System was specifically designed for use in shoulder surgery. It is a tapeless system composed BirdBeak, 45˚ up tip, Inverted Jaw of state-of-the-art, super-absorbent material that w/WishBone Handle quickly wicks away exudate from the surgical incision AR-11805W sites while compression and cold therapy are applied BirdBeak, 22˚ up tip, Inverted Jaw w/WishBone Handle to the healing shoulder. Dressing Cold Therapy AR-11895W ProWick Postoperative Dressing and Cold Therapy System, box of 10, packed individually, sterile AR-1625 10
  • 12. Bone Marrow Aspiration Promote Healing Using Autogenous Bone Marrow Bone marrow aspirate (BMA) provides a cell suspension that can be readily processed Bone marrow is a source of stem cells and progenitor cells that can repair, intraoperatively for immediate maintain, and differentiate into a variety of tissues. Many studies have implantation. 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. 1 Insert bone marrow aspiration needle into humeral head. 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 2 rotator cuff tendon that can be hydrated with bone marrow aspirate and shuttled Remove trocar and connect syringe. down the medial row FiberTapes into Aspirate 10-20 cc’s of bone marrow. position to complete the repair. *RC Allograft impregnated with bone marrow aspirate should be inserted in a mini-open technique. 3 Hydrate the RC Allograft with bone marrow in prep tray. Alternatively, the BMA can be localized to a repair site and facilitate healing. Ordering Information Bone Marrow Aspirate Kit (AR-1101DS) Cannulated SwiveLock design promotes includes: 1 Bone Marrow Needle, blood channeling to the repair site. 1 60 cc Syringe, 1 Prep Tray RC Allograft 241001 (order through ATSI) 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. www.arthrex.com © 2009, Arthrex Inc. All rights reserved. LB0219C ...up-to-date technology U.S. PATENT NOS. 5,964,783; 6,652,563; 6,716,234; 6,991,636; 6,994,719; 7,029,490; just a click away 7,147,651 and PATENTS PENDING.