Lb0219 c fulfilling the need for precision and speed

Bio-Corkscrew® FTKnotless SwiveLock™ & FiberChain®SutureBridge™SpeedBridge™Fully Threaded Corkscrew® Suture AnchorsThe 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 AnchorThe 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 AnchorThis 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 AnchorThe 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 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.Associated Literature: Double Row Rotator Cuff Repair using the Bio-Corkscrew FT and Bio-Corkscrew LT0215 New Materials in Sports Medicine (PEEK) LA02001Fully Threaded Corkscrew Suture AnchorsBioPEEKTitaniumBio-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-45Bio-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-45Punch/Tap, for 4.5 mm Corkscrew FTPunch/Tap, for 4.5 mm Corkscrew FT AR-1927PTB-45 AR-1927PTB-45Punch, for 4.5 mm PushLock Punch, for 4.5 mm PushLock, and 4.5 mm Corkscrew FT and 4.5 mm Corkscrew FT AR-1922P4.5 mm AR-1922PDisposable 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-1922PBSBio-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-2Bio-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-2Bio-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-2Bio-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-3Bio-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 w/two #2 FiberWire AR-1927CTB AR-1927BNP4Punch with Cortical Tap for 5.5 mm Corkscrew FTBioComposite Corkscrew FT Suture Anchor, and 5.5 mm SwiveLock 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927CTB-25.5 mm AR-1927BCF Punch, for 5.5 mm Corkscrew FT and SwiveLock AR-1927PBDisposable Punch, for 5.5 mm Corkscrew FT and SwiveLock AR-1927PBSPunch/Tap for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTBPunch w/Cortical Tap, for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB-2Bio-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 AR-1927BF-65 AR-1927PSF-65 AR-1929SF-36.5 mm2SpeedFix™ Knotless Single Row Rotator Cuff RepairOrdering InformationQuick 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 AR-2324BSLCdeltoid 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.Bio-SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323BSLCPEEK SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323PSLCPunch, for 5.5 mm Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock AR-1927PBPunch/Tap, for 5.5 mm Corkscrew FT and 5.5 mm SwiveLock AR-1927CTB12Punch/Tap, for 4.75 mm SwiveLock and SwiveLock C AR-2324PTBLoad both tails of the FiberTape into the Retrieve both FiberTape tails through the FiberLink, #2 FiberWire (blue) w/loopDouble Scorpion and pass an inverted lateral portal and preload them through the AR-7235mattress 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-7237-7TigerTape, 2 mm, 7 inch (white/black) each end tapered to #2 TigerWire, 30 inch AR-7237-7T3Expanula: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 ringcontact with bone. Adjust tension if necessary. Make sure the anchor body is in contact with • Secures and stabilizes the cannula bone. Hold the thumb pad steady and rotate position during instrument insertion the driver handle in a clockwise direction and withdrawaluntil the anchor body is flush with bone. Cut the FiberTape tails, one at a time, with • Retracts soft tissue to expand the subacromial spacean open-ended FiberWire cutter.The science behind the technology...• Collar mechanism is easily deployed and retractedSingle Knotless Anchor Pull-Out StrengthExpanula w/No Squirt Cap, Data on file - straight axial pull-out in laminated foam block (10 pcf cancellous core with a 2 mm thick 20 pcf cortical shell) 8.25 mm I.D. x 7.5 mm, qty. 5 AR-6569807071.2e (lbf) 6050ailur56.9403034.1Load-to-F 2027.51019.305.5 mm Bio-4.75 mm Bio-MitekArthrocareSmith & Nephew3SwiveLock C SwiveLock C Versalok™Opus Magnum™ Footprint PK™w/FiberTapew/FiberTapeSpeedBridge™...The Knotless SutureBridgeThe 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 technology...passing steps. The result is a low profile, transosseous equivalent suture bridge 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.600500400e (N)ailur 300200Load to F100012SpeedBridgeStandardSutureBridgeData on file. Six matched pairs were used to compare Insert the Bio-SwiveLock C preloaded Pass the tail of a FiberLink™, for use as a 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.34Load 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.5Hold 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 it is flush with the bone. Cut the FiberTape eyelet retention suture that can be 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 LT02194For more information visit http://speedbridge.arthrex.comSwiveLock SP™ & SpeedBridge Implant SystemOrdering InformationThe Bio-SwiveLock SP combines Bio-SwiveLock SP, 4.75 mm x 24.5 mm, a titanium tip with a PLLA anchor self-punchingbody to eliminate the need for AR-2324BSLMprepunching 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 1complete 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 SystemThe SpeedBridge Implant System provides all implants and sutures 2required 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 3Implant 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.5Ordering InformationSutureBridge™ Ordering InformationA 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 - See pages 1-2.bone can be achieved with minimal knot tying. The repair consists of a tied medial row constructed with two, Lateral Row Implants:fully threaded Corkscrew FT anchors, 3.5 mm PushLockcombined with knotless lateral fixation Bio-PushLock, 3.5 mm x 14 mmusing two PushLocks. The result is a 1 AR-1926Bquick, secure and low profile repair BioComposite PushLock, with excellent contact between tendon Insert two medial row Bio-Corkscrew FT 3.5 mm x 14 mmand bone. The construct provides AR-1926BCanchors and pass FiberWires with the stability in rotation and protects a Scorpion Suture Passer.PEEK PushLock, 3.5 mm x 14 mmbroad healing zone from synovial AR-1926PSfluid infiltration.Punch, for 3.5 mm PushLock AR-1926PCadaveric biomechanical testing of the SutureBridge construct showed 4.5 mm PushLockthat the average load to failure was Bio-PushLock, 4.5 mm x 18.5 mm AR-1922B460N vs. 373N for a standard single PEEK PushLock, 4.5 mm x 18.5 mm row repair. Gap formation under AR-1922PScyclic loading averaged only 1.1 mm Punch, for 4.5 mm PushLockvs. 2.4 mm for a standard single row and 4.5 mm Corkscrew FTrepair. (Data on file)2 AR-1922PTie the medial knots, retrieve one suture Self-Punching from each Bio-Corkscrew FT and load 4.5 mm PushLock SPthrough 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-1922PSM4.75 mm SwiveLock CBio-SwiveLock C, 4.75 mm x 19.1 mm, closed eyelet AR-2324BSLCPunch, for 5.5 mm Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock AR-1927PB3Punch/Tap, for 4.75 mm SwiveLock and SwiveLock C AR-2324PTBInsert the Bio-PushLock into a dilated bone socket, tension the sutures and impact the 5.5 mm SwiveLock Canchor body into its final position. Cut the sutures flush.Bio-SwiveLock C, 5.5 mm x 19.1 mm, closed eyelet AR-2323BSLCPEEK SwiveLock C, 5.5 mm x 19.1 mm,Associated Literature/Media: closed eyelet AR-2323PSLCSutureBridge Double Row Rotator Cuff Repair using the PushLock Punch, for 5.5 mm Corkscrew FTand Bio-Corkscrew FT and 4.75 mm and 5.5 mm SwiveLock LT0515 AR-1927PBPunch/Tap, for 5.5 mm Corkscrew FT DVD: Arthroscopic Double and 5.5 mm SwiveLock Row Rotator Cuff Repair AR-1927CTBFeaturing the SutureBridge Technique with Bio-Corkscrew FT & PushLock Anchors Self-PunchingDVD-10854.75 mm Bio-SwiveLock SPBio-SwiveLock SP, 4.75 mm x 24.5 mm self-punching6 AR-2324BSLMKnotless SwiveLock & FiberChain...Single & Double Row RepairKnotless rotator cuff repair is made simple with the SwiveLock Suture Anchor Ordering Informationand 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, 5.5 mm x 20 mm for the proven Bio-Corkscrew FT. 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-1927BFCPEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, Capture appropriate FiberChain link with w/#2 FiberChain forked tip and insert SwiveLock. AR-1927PFCBio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/FiberChain and FiberWire AR-1927BFCFSingle Row Accessory Instruments:Punch, for 5.5 mm Corkscrew FT and 4.75 mm SwiveLock AR-1927PBA totally knotless, transosseous Disposable Punch, for 5.5 mm Corkscrew FT, 4.75 mm and 5.5 mm SwiveLock equivalent rotator cuff repair can AR-1927PBSeasily be performed when the SwiveLock Punch/Tap, for 4.75 mm SwiveLockanchor is combined with a specially AR-2324PTBconfigured Bio-Corkscrew FT that is Punch/Tap, for 5.5 mm Corkscrew FT provided with a preloaded FiberChain. and 5.5 mm SwiveLock AR-1927CTBAssociated Literature/Media: SwiveLock and FiberChain KnotlessFiberChain Grasper:Rotator Cuff Repair LT0217This rotator cuff grasper includes a hole in DVD: Arthroscopic Rotator Cuff Repair the jaws to ease FiberChain tensioning.Featuring the SwiveLock Anchor DVD-1088FiberChain Grasper w/SR Handle AR-13950SRFiberChainDouble Row7Independently Pass Two FiberWire Suture Tails Without Scorpion RemovalOrdering InformationMultiFire Scorpion, Humpback AR-13995• Easily passes one or two strands of #2 FiberWireMultiFire Scorpion, 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 tissueFiberWire 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 graspersFiberWire • Can be used in arthroscopic and mini-open proceduresGrasper:This new fully Associated Literature/Media:toothed grasper easily retrieves MultiFire Scorpion LB0239multiple strands For more information visitof FiberWire.http://scorpion.arthrex.com FirstPassSecondPassMultiFire Needle:The side-slot design of the MultiFire Needle captures FiberWire within the Scorpion to support more successful passes. AR-13995NPassPort 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 elbowPassPort Button Cannula Sizes:AR-6592-xx-yyxx = ID (06, 08, 10) mmyy = Length (20, 30, 40, 50) mm8Accessory InstrumentsOrdering InformationScorpionThe 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 cuff tissue, then directly passes and retrieves a FiberWire. AR-13990Scorpion 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-13992row techniques that require a deeper medial bite. A “Humpback” version, with Humpback Scorpion, 16 mm locking jaws, is available for use in thicker rotator cuff tissue. The “Humpback” AR-13993requires a 7 mm cannula.Scorpion Needle, AR-13990N All Scorpions use the same disposable needle which withstands multiple suture SureFire Scorpion Needle passes during a single case. AR-13991NDouble ScorpionDouble Scorpion Suture Passer AR-13994Easily pass two pieces of FiberWire for one horizontal mattress or two simple SureFire Double Scorpion Needles AR-13994Nstitches 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 FiberWire Grasper w/SR Handle AR-13975SRwith the new 8.25 mm Expanula and FiberWire Grasper for the ultimate suture passing system.NeedlePunch II, 10 mm AR-13981SNeedlePunch® II NeedlePunch II Push Rod Replacement, The NeedlePunch II is a simple, versatile and effective suture passing instrument AR-13981Pwith a newly designed ergonomic handle and push rod. The low profile allows NeedlePunch II, 16 mm AR-13982Sit 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-7207tissue and for side-to-side cuff repairs. (for side-to-side cuff repairs)Suture Shuttle, (5 to a pack/5 packs to a box) Penetrator™ Suture Retriever AR-7224LThis 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-2167-2the self- ratcheting mechanism. Penetrator Suture Retriever, straight FiberWire Cutters AR-2167ST-2The 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)out repeated use. The Suture Cutter is available in a closed and open ended, AR-11794Lleft notch version.Suture Cutter, w/WishBone Handle, 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-11794LWwithout 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-12250Suture Cutter, closed end w/WishBone Handle, 4.2 mm AR-12250W9