TM

Dual Thread Suture Anchor with Titanium

TM

Optimized Fixation in Rotator Cuff Repair

1-800-382-4682 | www.depuy.com
©DePuy Mitek, Inc. 2009. All rights reserved. Printed in the USA.
Dyneema® Purity is a registered trademark of Royal DSM N.V.
P/N 901072, Rev. A 10/09
 Strength Data Attributes

Engineered with HEALIX Dual Optimized Fixation in

Thread Technology™ Insertion Torque Rotator Cuff Repair

Cadaveric Perfusion (Flow Rate)1

• DePuy Mitek’s evolutionary HEALIX Suture Anchor • Dual thread pattern maximizes pull-out • Internally driven design provides increased 175
is now offered with titanium for added strength strength2 by independently engaging both torque capabilities and insertion confidence2
150
cortical & cancellous bone

Perfusion (cm3/min)
125

Pullout Comparison 1 • Tactile feedback during transition from 4.5mm HEALIX Ti Torque Capability 1 100
120 cancellous to cortical threads confirms 24
75 128.3
anchor engagement and security 50
100
Pullout Force [lbf]

20 Driver/Anchor Hex Strip Failure - 18.70 25

80 5
Safe Driver/Handle Strip - 17.60
0

Insertion Torque [lbf]

60 16 5.5mm HEALIX Ti 5.5mm Corkscrew FT*
110.00 82.90 74.20 72.00 Driver/Anchor
40 Hex Strip -12.50
Cancellous 12
20 Threads
• Cannulation channels blood
0 8
5.5mm 4.5mm 5.5mm 4.5mm
to the surface
HEALIX Ti HEALIX Ti Corkscrew FT* Corkscrew FT* 12.71 13.88
4 • Smooth suture bridge provides
2.95 3.38 improved resistance to
Cortical 0 suture abrasion
Threads 4.5mm HEALIX Ti 4.5mm Corkscrew FT*
Threads per Anchor Comparison1
14
12
Threads per anchor

10
Soft Foam Soft Foam
8 • HEALIX Ti is engineered to engage denser
bone than Arthrex’s Corkscrew FT 1 Hard Foam Hard Foam
6 12
Difference before the force to
4 insert reaches the force of failure
• Increased number of threads provides Suture Bridge
2 4 improved bone contact, purchase & bite
0
5.5mm HEALIX Ti 5.5mm Corkscrew FT*
Suture Abrasion Resistance1
5.5mm HEALIX Ti Torque Capability3
30 1346 Cycles 5.5mm HEALIX Ti
Driver/Anchor Hex Strip Failure - 25.00
25 1171 Cycles 4.5mm HEALIX Ti
Trocar Tip Strength 1
Driver/Anchor Hex Strip - 22.80
300

Insertion Torque [lbf]

20 972 Cycles 4.5mm Corkscrew FT
Tip Separation Force [lbf]

250
15 169 Cycles FASTIN®RC
200

150 10 21.34 22.00 0 200 400 600 800 1000 1200 1400 1600
Suture Abrasion in Number of Suture Cycles to Break
100
5
50 242 126 82 • Efficient trocar tip designs allows quick &
easy anchor insertion without the need to 5.19 5.14 • ORTHOCORD® Suture now with the
0 0
5.5mm HEALIX Ti 4.5mm HEALIX Ti FASTIN® RC pre-awl, or request additional instruments NEW blue striped 3rd suture
5.5mm HEALIX Ti 5.5mm Corkscrew FT*
- 55 lbs of tensile strength3
- 45% less stiff than Fiberwire**

Triple-Loaded HEALIX Ti Techniques
Mark H. Getelman, M.D. Introduction - For rotator cuff repairs, there are cases where double row techniques can be beneficial, however, the majority of
™ Co-Director Sports Medicine Fellowship
Southern California Orthopedic Institute
cases can be managed well with single row repairs. Several prospective randomized studies have documented equivalent
outcomes with either single or double row repairs4,5,6. In the following, we present different suture options for single row repair.

Technique I Single-Row Rotator Cuff Repair with HEALIX Ti Triple Loaded Anchor Technique III Pyramid Stitch with HEALIX Ti Triple Loaded Anchor

Blue Striped

Blue Blue

Purple
Purple

Blue Striped

For the simple repair three suture passes

1 are made per anchor. The medial limb of
each suture closer to the RC is then passed
2
A lateral microfracture is performed with
a small awl (2-3mm diameter holes by
3-4mm in depth) to promote blood flow
1
Passes are typically made from posterior to anterior with
the purple stitch as a laterally based wider mattress (pass
1,5) the blue ORTHOCORD® stitch as a narrower and more
2
The blue ORTHOCORD sutures are tied first as a medial
mattress (limbs 2 and 4).

through the RC using either a shuttle to the healing site (Crimson Duvet). medial mattress (pass 2,4) and the blue striped medial limb
technique with DePuy Mitek IDEAL™ passed at the apex (most medial) of the triangle as pass 3.
Suture Graspers or an EXPRESSEW® II
device. The three limbs are equidistantly
spaced apart. Once all sutures are passed
they are sequentially tied using a locking
sliding knot and then follow up with three
alternating half hitches.

Technique II Mason-Alex7 with HEALIX Ti Triple Loaded Anchor

The blue striped ORTHOCORD is then tied over the top of The second most lateral mattress (purple ORTHOCORD) is lastly

Blue Striped
Blue Purple

Blue Striped
3 the medial mattress as a simple stitch. 4 tied over the top of the simple stitch completing the repair. A
microfracture is then performed laterally on the tuberosity to
stimulate blood flow to the surface (Crimson Duvet).

Blue
Purple

The two blue striped ORTHOCORD® suture A wide lateral horizontal mattress is cre- The two simple stitches are then tied over
1 limbs are passed through the RC as a hori-
zontal mattress with the medial limbs of
2 ated with passes 1 and 4 and the mattress
stitch is then tied first.
3 the mattress stitch. A microfracture is
then performed laterally on the tuberosity
the blue and purple passed more medially to stimulate blood flow to the surface
and between the mattress. Simply, pass 1 is (Crimson Duvet). m mm m
posterior lateral and is the blue striped. 4.5m i 5.5 6.5m
Ti IX
T Ti
Next, pass 2 and 3(purple & blue) are made IX AL IX
as simple passes using more medial limbs AL HE AL
HE HE
closer to the tissue. Pass 4 is blue striped
and that is anterior lateral.
 Pascal Boileau M.D.
3
CUFFLOK Surgical Technique
™ Department of Orthopaedic Surgery, Hôpital de L’Archet,
University of Nice, Nice, France
Insert HEALIX Ti™ Dual Threaded Group like colored suture limbs
1 Suture Anchor adjacent to the articular
margin on the medial tuberosity.
2 together and pass either anteriorly
or posteriorly with EXPRESSEW® II
Flexible Suture Passer.
Pull opposite limbs to advance knot Place limbs into a VERSALOK® Suture
4 into the subacromial space securing
the medial aspect in a mattress fashion. 5 Anchor. Insert VERSALOK Anchor into the
bone and load deployment gun. Once
sutures are tensioned deploy anchor.
ROTATOR CUFF R E PA I R S Y S T E M S
mm II
5.5 EW
Ti SS
A LIX PR
E SA
HE EX V ER
Ordering Information
TM
Engineered with HEALIX Dual Thread Technology™
HEALIX Ti product breadth provides versatility • Sizes (4.5mm, 5.5mm, 6.5mm)
to address the demands from a wide variety of • Arthroscopic and Needle versions
techniques & tear configurations • Comes preloaded with 2 or 3 strands of ORTHOCORD® Suture
Grasp and remove inner suture limbs
3 (one purple and one blue) together and
tie a secure knot outside the shoulder.
PRODUCT# DESCRIPTION PRODUCT# DESCRIPTION
HEALIX Ti™ Anchor VERSALOK®
222253 4.5mm HEALIX Ti Anchor w/ORTHOCORD® 210808 VERSALOK Anchor w/ ORTHOCORD
222245 5.5mm HEALIX Ti Anchor w/ORTHOCORD 214710 Deployment Gun
222249 6.5mm HEALIX Ti Anchor w/ORTHOCORD 214711 2.9mm Awl
222242 5.5mm HEALIX Ti Anchor w/ORTHOCORD and Needles
222248 6.5mm HEALIX Ti Anchor w/ORTHOCORD and Needles EXPRESSEW® II Flexible Suture Passer
222271 4.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD 214004 EXPRESSEW II Device
222243 5.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD 214005 EXPRESSEW II Needles 5/box
222241 6.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD 270120 Grasper-Grabber Suture/Tendon Grabber
HEALIX BR™ Anchor NEW Clear Cannula System
222229 4.5mm HEALIX BR Anchor w/ ORTHOCORD 214106 5.5mm x 75mm Smooth
222233 5.5mm HEALIX BR Anchor w/ ORTHOCORD 214114 7.0mm x 75mm Smooth
222238 6.5mm HEALIX BR Anchor w/ ORTHOCORD 214107 5.5mm x 75mm Smooth with Distal Rib
222232 5.5mm HEALIX BR Anchor w/ ORTHOCORD w/ Needles 214115 7.0mm x 75mm Smooth with Distal Rib
222239 6.5mm HEALIX BR Anchor w/ ORTHOCORD w/ Needles 214104 5.5mm x 55mm Threaded
214118 8.5mm x 55mm Threaded
HEALIX PEEK™ Anchor 214108 5.5mm x 75mm Threaded
222205 4.5mm HEALIX PEEK Anchor w/ ORTHOCORD 214116 7.0mm x 75mm Threaded
Rotate VERSALOK inserter in 222209 5.5mm HEALIX PEEK Anchor w/ ORTHOCRD 214120 8.5mm x 75mm Threaded
6 a counterclockwise manner to
remove inserter. Cut sutures
222221
222210
222215
6.5mm HEALIX PEEK Anchor w/ ORTHOCORD
5.5mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles
6.5mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles
214110
214122
5.5mm x 90mm Threaded
8.5mm x 90mm Threaded
and probe final repair. 222207 5.5mm HEALIX PEEK 3-Suture w/ ORTHOCORD IDEAL™ Suture Shuttle with CHIA™
222219 6.5mm HEALIX PEEK 3-Suture w/ ORTHOCORD 251001 IDEAL Suture Shuttle, 25º Left
251002 IDEAL Suture Shuttle, 25º Right
HEALIX Instruments (For use with HEALIX BR & HEALIX PEEK) 251003 IDEAL Suture Shuttle, 45º Left
222223 HEALIX Awl™ 251004 IDEAL Suture Shuttle, 45º Right
222226 4.5mm HEALIX Cortical Awl/Tap™ 251005 IDEAL Suture Shuttle, 90º Up
222251 5.5mm HEALIX Cortical Awl/Tap 251006 IDEAL Suture Shuttle, Straight Hook
222272 4.5mm HEALIX Full Awl/Tap 251007 IDEAL Suture Shuttle, Straight Crescent
222224 5.5mm HEALIX Full Awl/Tap
222225 6.5mm HEALIX Full Awl/Tap CHIA PERCPASSER™
214101 CHIA PERCPASSER Suture Passer
*Corkscrew FT is a trademark of Arthrex Inc. Naples FL 5. Grasso A., Milano G., Salvatore M., Falcone G., Deriu L.,
**Fiberwire is a registered trademark of Arthrex, Inc. Naples FL Fabbriciani C., Single-row versus double-row arthroscopic
1. Data on File at DePuy Mitek, Inc. rotator cuff repair: a prospective randomized clinical study.
2. Compared with Arthrex Corkscrew FT Anchor. Arthroscopy. 25(1):4-12, 2009 Jan.
3. Professor Pascal Boileau M.D. et al, The Mattress-Tension-Band (MTB) 6. Franceschi F., Ruzzini L., Longo UG., Martina FM., Zobel BB.,
Technique: A Knotless Double-Row Arthroscopic Rotator Cuff Repair, Shoulder Maffulli N., Denaro V. Equivalent clinical results of arthroscopic
Concepts 2008 Arthroscopy & Arthroplasty, pp 245, 2008 May. single-row and double-row suture anchor repair for rotator
K 4. Burks RT., Crim J., Brown N., Fink B. Greis PE. A prospective randomized cuff tears: a randomized controlled trial. American Journal of
LO clinical trial comparing arthroscopic single- and double-row rotator cuff repair: Sports Medicine. 35(8):1254-60, 2007 Aug.
magnetic resonance imaging and early clinical evaluation. American Journal 7. Castagna A., Garofalo R., Conti M., Borroni M., Snyder SJ.
of Sports Medicine. 37(4):674-82, 2009 Apr. Arthroscopic rotator cuff repair using a triple-loaded suture
anchor and a modified Mason-Allen technique (Alex stitch).
Arthroscopy. 23(4):440.e1-4, 2007 Apr.