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Rotator Cuff Repair: Fulfilling The Need For Precision and Speed
Rotator Cuff Repair: Fulfilling The Need For Precision and Speed
SpeedFix™
SpeedFix™
Rip-Stop
SpeedBridge™
DX Reinforcement
Matrix
Table of Contents
Fully Threaded Corkscrew® Suture Anchors�������������������������������� 04
SpeedBridge™��������������������������������������������������������������������������������������� 09
Accessory Instruments������������������������������������������������������������������������� 14
Table of Contents I 03
Fully Threaded Corkscrew® Suture Anchors
BioComposite Corkscrew® FT, PEEK Corkscrew® FT, Corkscrew® FT
The BioComposite Corkscrew FT The PEEK Corkscrew FT is made The Corkscrew FT family is made
features a strong internal square from polyetheretherketone, which of titanium. The 5.5 mm Corkscrew
drive mechanism that maximizes is a non-absorbable, thermoplastic FT II features the unique FiberWire
torque, while minimizing the material with excellent biocompati- eyelet to minimize suture abrasion
potential for stripping during bility and biostability characteristics. and maximize suture sliding during
insertion into hard cortical bone. The anchor is radiolucent and will knot tying. The 4.5 mm Corkscrew
This bioabsorbable suture anchor not cause an artifact on imaging FT II and 6.5 mm Corkscrew FT III
is composed of 15 % beta tricalcium studies. A punch is required to feature a metal crosspin eyelet. All
phosphate and 85 % PLLA. Studies prepare a bone socket for anchor have a strong internal hex drive
suggest that early bone formation insertion. mechanism. The anchor is inserted
can be connected to the favorable Combination punch / taps are avail- without the need for bone socket
osteoconductive and bioresorbable able for use in extremely hard bone. preparation. A mallet is used to
properties within β-TCP. introduce the anchor tip, then the
anchor is screwed in until flush.
Associated Literature:
New Materials in Sports LA0200
Medicine (PEEK)
6.5 mm 6.5 mm
Titanium
Product Description Item Number Product Description Item Number
BioComposite Corkscrew® AR-1927BCFT PEEK CorkScrew® FT, AR-1927PST-475 Corkscrew® FT II suture AR-1928SNF-2
FT suture anchor, suture anchor double anchor, with needles,
5.5 mm × 15 mm, with two loaded, 4.75 mm, VE5 5.5 mm × 16 mm,
# 2 TigerTail® with two # 2 FiberWire®
PEEK CorkScrew® FT, AR-1927PSF-475
BioComposite Corkscrew® AR-1927BCF-3 suture anchor, tripleplay, Corkscrew® FT II suture AR-1928SFT-2
FT suture anchor, 4.75 mm, VE5 anchor, 5.5 mm × 16 mm,
5.5 mm × 15 mm, with two # 2 TigerTail
Punch / tap, for 4.75 mm AR-1927PTB-475
with three # 2 FiberWire® CorkScrew® FT Corkscrew® FT III suture AR-1928SF-3
BioComposite Corkscrew® AR-1927BCNF anchor, 5.5 mm × 16 mm,
PEEK Corkscrew® FT AR-1927PSF with three # 2 FiberWire®
FT suture anchor suture anchor,
with needles, 5.5 mm × 15 mm, Corkscrew® FT III suture AR-1928SF-3
5.5 mm × 15 mm, with two # 2 FiberWire® anchor, 6.5 mm × 16 mm,
with two # 2 FiberWire® with three # 2 FiberWire®
PEEK Corkscrew® FT AR-1927PSF-3
Punch, for 5.5 mm AR-1927PB suture anchor,
Corkscrew® FT 5.5 mm × 15 mm,
and SwiveLock® with three # 2 FiberWire®
Disposable punch, for AR-1927PBS Punch, for 5.5 mm AR-1927PB
5.5 mm Corkscrew® FT Corkscrew® FT
and SwiveLock® and 4.75 mm SwiveLock®
Tap / punch, for 5.5 mm AR-1927CTB Disposable punch, for AR-1927PBS
Corkscrew® FT and 5.5 mm Corkscrew® FT
5.5 mm SwiveLock® and SwiveLock®
Spade tip drill, for 5.5 mm AR-1927D Tap / punch, for 5.5 mm AR-1927CTB
Corkscrew® FT and Corkscrew® FT and
SwiveLock® 5.5 mm SwiveLock®
BioComposite Corkscrew® AR-1927BCF-65
FT, 6.5 mm × 15 mm,
with two # 2 FiberWire®
Fully Threaded Corkscrew Suture Anchors I 05
Knotless SwiveLock® Anchors and FiberTape®
Result: Very Flat Design With Very High Stability
(c)
SpeedFix™ (b)
SpeedBridge™ (a)
SwiveLock® C (a)
SwiveLock® SP (b)
FiberTape® (c)
SpeedFix™
1 2 3
Load both tails of the FiberTape into Retrieve both FiberTape tails Insert the SwiveLock into the pre-
the SCORPION-multifire and pass through the lateral portal and pre- pared bone socket until the anchor
mattress stitch in one step. load them through the SwiveLock body makes contact with bone.
eyelet. Prepare a bone socket using Adjust tension if necessary. Hold
a punch. 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 with a FiberTape cutter.
Product Description Item Number Product Description Item Number Product Description Item Number
80
Pull-Out Strength (lbf)
70
60 71.2
50
56.9
40
30
20
34.1
30.6
27.5
10 19.3
0
14.4
* Data on file
1 2 3
Insert the SwiveLock preloaded Pass the tail of a FiberLink, for use Load both tails of the FiberTape
with 1 strand of FiberTape into a as a suture shuttle, through the through the FiberLink loop. Pull on
prepared medial bone socket. rotator cuff with a Scorpion. Retrieve the FiberLink tail, through the ante-
the FiberLink tail through the rior portal, to shuttle the FiberTape
anterior portal. through a single hole in the rotator
cuff.
4 5
Retrieve 1 FiberTape tail from each Hold the SwiveLock thumb pad
medial anchor and preload them steady and rotate the driver in a
through the SwiveLock eyelet. clockwise direction to insert the
Insert into a prepared lateral bone anchor body until it is flush with the
socket until the anchor body bone. Cut the FiberTape tails with
contacts bone. Adjust tension if a FiberTape cutter. Repeat steps 4
necessary. and 5 for the second lateral anchor.
SpeedBridge I 09
BioComposite Vented SwiveLock®
With FiberTape® Loop
BioComposite Vented SwiveLock®
1 2 3
Insert medial anchor normally and Load the single tail directly onto a The tail smoothly leads both
retrieve both FiberTape limbs at Scorpion and pass through the cuff FiberTape limbs through the tissue.
the same time with a FiberTape without the need for a FiberLink The spliced tail is cut off, allowing
retriever. suture shuttling step. each FiberTape limb to be sepa-
rated for normal lateral fixation.
600
is equivalent to the standard SutureBridge in both
500
strength and gap formation.
400
300
Six matched pairs were used to compare the
200 SpeedBridge to the standard SutureBridge. The
100 constructs were cycled 500 times between 10 and 100
0 N and then pulled to failure. Both constructs were only
SpeedBridge Standard
limited by tendon quality. No anchors or sutures failed.
* Data on file
SutureBridge
FiberTape has 200 % more footprint area than The force required to pull FiberTape through tendon
# 2 FiberWire. tissue is significantly greater than that of # 2 FiberWire.
200
189 N
100
149 N
0
FiberTape # 2 FiberWire
Pressure sensitive film study. Simple stitches pulled through cadaver tendons.
* Data on file * Data on file
1 2 3
Load 3 - 5 cm of # 2 FiberWire into Introduce the Scorpion suture Detach the Scorpion suture passer
the lateral slot on the lower jaw and passer through the lateral portal from the tissue and retrieve it
pull right to the end of the slot. and actuate the handle to push the through the lateral portal together
needle through the tissue. with the FiberWire suture.
Releasing the handle retracts the
needle into the instrument while the
suture remains in the upper jaw.
12 I Scorpion: Simple, Precise, and Fast to Meet the Most Stringent Requirements
The Ultimate Suture Passer.
Grasp, Pass and Retrieve
FastPass Scorpion™
Product Description Item Number Optimal view and maneuverability within and outside of
FastPass SCORPION-multifire AR-13997MFF the arthroscopic work space.
SCORPION-multifire needle AR-13995N
■■Low profile dual flange design seats flush to the skin
and soft tissue
■■Double dam, 1 piece molded silicone design in
6, 8, 10 mm IDs and 20 - 50 mm lengths
■■Indications in the shoulder, knee, hip and elbow
■■Sizes: AR-6592-xx-yy,
xx = ID: 6, 8, 10 mm, yy = Length: 20, 30, 40, 50 mm
(a)
(b)
The Scorpion suture passer adds simplicity to suture New, fully toothed grasper for problem-free retrieval of
passing in rotator cuff repair. Ergonomically designed multiple strands of FiberWire.
for one-hand use, the multi-function Scorpion grasps
cuff tissue, then directly passes and retrieves a Product Description Item Number
FiberWire. The low profile standard Scorpion grasps FiberWire® grasper AR-13975SRF
16 mm of tissue and fits through a 5.75 mm cannula.
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. The FastPass Scorpion will pass and
retrieve FiberWire all in one step.
14 I Accessory Instruments
Accessory Instruments
(a)
(b)
This unique instrument combines a small penetrating The suture cutters were designed to facilitate
tip with a suture grasper to allow suture delivery and arthroscopic cutting of FiberWire and braided sutures.
retrieval in one step. The tip is 2.7 mm in diameter and The uniquely designed cutting jaws remain sharp even
slides easily through the tissue with the suture either after repeated use. The suture cutters are available in
sliding or grasped within the self-ratcheting mechanism. versions with a closed tip and with an open tip and left
A special version with broad jaws is available for simple notch.
handling of FiberTape.
The closed tip suture cutter prevents cutting of the knot
Product Description Item Number by preserving a 3-mm-long suture tail. The open tip
Penetrator™ suture retriever, 15˚ up curved (a) AR-2167-2F and left notch version allows you to cut sutures flush to
Penetrator™ suture retriever, straight AR-2167ST-2F
the bone in the joint without needing to introduce the
suture cutter over the suture.
Penetrator™ FiberTape® retriever, 15˚ up curved AR-2167-3F
Penetrator™ FiberTape® retriever, straight AR-2167ST-3F
Product Description Item Number
Accessory Instruments I 15
Accessory Instruments
The KingFisher is the optimal instru- The FiberTape cutter allows simple, This instrument was developed to
ment for grasping and repositioning simultaneous cutting of 2 facilitate the handling of FiberTape.
of tissue, removing foreign bodies FiberTapes without extending The broad device on the upper jaw
and retrieving sutures / suture suture tails. makes it possible to pass the
management during arthroscopic FiberTape and retrieve it without
procedures. The user-friendly, Product Description Item Number any problems. The tip can also be
self-releasing jaw lock facilitates FiberTape® cutter AR-13250F used as a grasper.
clamping of the tissue. The flat jaws
of the KingFisher simplify work in Product Description Item Number
confined spaces. FiberTape® retriever, with AR-13974SRF
With its shaft diameter of just SR handle
4.2 mm, the KingFisher can be FiberTape® retriever, with AR-13974NRF
introduced down a narrow 5.75 mm NR handle
Crystal Cannula.
16 I Accessory Instruments
Accessory Instruments
The QuickPass family of lassos uses thumbwheels and The small diameter SutureLassos have an outer diam-
an ergonomic handle to quickly and easily advance the eter of 1.8 mm and feature a thumb pad for one-hand
supplied nitinol wire loop, a # 2 FiberStick or a monofil- wire advancement. These are available in various tip
ament (PDS) suture. Sterile, single-patient use assures a configurations.
sharp instrument every time. All current SutureLasso SD
tip configurations are available for arthroscopic labral Product Description Item Number
and rotator cuff repairs. Tip dimensions and color-cod- SutureLasso™ SD, 30˚ straight AR-4068-30
ing match the SutureLasso SD family. The tip diameter SutureLasso™ SD, 90˚ up AR-4068-90
is a small 1.8 mm and is combined with a stiffer 3.8 mm
SutureLasso™ SD, 25˚ tight curve left AR-4068-25TL
shaft to provide the perfect combination of atraumatic
SutureLasso™ SD, 25˚ tight curve right AR-4068-25TR
suture passage with a robust and ergonomic handle.
SutureLasso™ SD, 45˚ curve left AR-4068-45L
SutureLasso™ SD, 45˚ curve right AR-4068-45R
Product Description Item Number
SutureLasso™ SD, 90˚ curve left AR-4068-90L
QuickPass™, 30˚ straight AR-6068-30
SutureLasso™ SD, 90˚ curve right AR-4068-90R
QuickPass™, 90˚ straight AR-6068-90
SutureLasso™ SD, crescent AR-4068C
QuickPass™, 25˚ tight curve left AR-6068-25TL
SutureLasso™ SD, with FiberStick™, 25˚ tight curve left AR-4068-25TLF
QuickPass™, 25˚ tight curve right AR-6068-25TR
SutureLasso™ SD, with FiberStick™, 25˚ tight curve right AR-4068-25TRF
QuickPass™, 45˚ curve left AR-6068-45L
SutureLasso™ SD wire loop AR-4068-05SD
QuickPass™, 45˚ curve right AR-6068-45R
QuickPass™, 90˚ curve left AR-6068-90L
QuickPass™, 90˚ curve right AR-6068-90R
QuickPass™, 90˚ tight curve AR-6068-90T
QuickPass™, crescent AR-6068C
QuickPass™ wire loop AR-6068-01
Accessory Instruments I 17
Accessory Instruments
(a)
(b)
18 I Accessory Instruments
Accessory Instruments
(a)
(b)
(c)
The Rhino suture passer is the next generation in The ProWick shoulder postoperative dressing and cold
reusable suture passing devices. The extremely sharp, therapy system is revolutionary technology designed
small diameter tip will easily penetrate soft tissue and to meet the demands of arthroscopic and mini-open
the rigid 3.4 mm shaft will resist bending and flexing surgical techniques. ProWick features a tapeless design
during tissue shifting procedures. The configurations composed of state-of-the-art, super-absorbent mate-
include straight, left and right curve with an upturned rial that stores patient exudate away from the surgical
tip. The novel bottom opening jaw design is conve- incision sites while compression and cold therapy are
niently positioned to capture the suture from an anchor, applied to the healing joint.
eliminating the need to rotate the instrument.
Product Description Item Number
Product Description Item Number ProWick® shoulder postoperative dressing and cold AR-1625P
Rhino suture passer, straight (c) AR-11850SRF therapy system (box of 10, packed individually, sterile)
Accessory Instruments I 19
View U.S. Patent information at
www.arthrex.com/corporate/virtual-patent-marking
www.arthrex.com
© Arthrex GmbH, 2019. All rights reserved. LB2-0219-EN_I