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Arthrex Shoulder Repair Tehnology

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Nicusor Anghel
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100% found this document useful (1 vote)
636 views26 pages

Arthrex Shoulder Repair Tehnology

Uploaded by

Nicusor Anghel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 26

T H E N E X T G E N E R A T I O N I N

• Rotator Cuff Repair • Bankart Repair • SLAP Repair


• Proximal Biceps Tenodesis • Distal Biceps Tenodesis
• AC Joint Repair • Glenoid Bone Loss
Table of Contents

Rotator Cuff Repair ...........................................................................................................................................1-5

SLAP and Bankart Repair .....................................................................................................................................6-9

AC Reconstruction Systems ....................................................................................................................................10

Arthroscopic Suture Passing ............................................................................................................................11-13

Suture Management ..............................................................................................................................................14

Knot Tying and Cutting ...........................................................................................................................................15

FiberWire® Suture ............................................................................................................................................16-17

Distal Biceps Repair .............................................................................................................................................17

Arthroscopic Cannulas .....................................................................................................................................18-19

Specialty Reconstruction Systems ..........................................................................................................................20

ProWick™ Shoulder Postoperative Dressing and Cold Therapy System .................................................................21

Shoulder Positioning Devices ...............................................................................................................................21

Congruent-Arc Latarjet ..........................................................................................................................................22

Shoulder Repair Set ..............................................................................................................................................23

Mini-Open Repairs ................................................................................................................................................23

Shoulder Chondro Pick .........................................................................................................................................23


S U T U R E B R I D G E TM

A transosseous equivalent SutureBridge that enhances footprint compression and may promote tendon healing-
to-bone can be achieved with minimal knot tying. The SutureBridge 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 sustained an average load-to-failure of 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)
The SutureBridge repair can be customized to conform to most rotator cuff tears using multiple anchors and
suture configurations. These constructs can also be created using a variety of Arthrex anchors.
SutureBridge (as tested)
To help recommend possible
Contains:
Medial Row SutureBridge fixation options M Potential
Medial Row
Potential
Lateral Row
Bio-Corkscrew FT, 5.5 mm x 15 mm, within this brochure, products
w/two #2 FiberWire, qty. 2 AR-1927BF Suture Anchor Suture Anchor
Lateral Row
identified with the following
markings can be used: L
Bio-PushLock, 3.5 mm x 14 mm, qty. 2 AR-1926B

S P E E D B R I D G E TM
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 “suturebridge” that enhances footprint compression to maximize contact between tendon and
bone to promote healing. Cadaveric testing has shown that the SpeedBridge is equivalent to the standard SutureBridge in both strength and gap formation. (Data on file)

Insert a 4.75 mm SwiveLock C (AR-2324BSLC), Retrieve one FiberTape tail from each medial Rotate SwiveLock C driver in a clockwise direction
loaded with one strand of FiberTape (AR-7237-7 anchor and load them through the SwiveLock C to complete insertion. Cut the FiberTape tails, one
or AR-7237-7T), into a medial bone socket. Use a eyelet. Insert into a prepared lateral bone at a time, with an open-ended FiberWire cutter.
FiberLink (AR-7235) and Scorpion™ to shuttle both socket until the anchor body contacts bone.
FiberTape tails through the rotator cuff simultaneously. Adjust tension if necessary.

S P E E D F I X TM
KNOTLESS SINGLE ROW ROTATOR CUFF REPAIR
Quick and secure fixation can be obtained with the SpeedFix. This technique takes advantage of the new Expanula™ cannula and the MultiFire 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 MultiFire
Scorpion then makes it easy to pass a FiberTape mattress stitch in one step. A SwiveLock C suture anchor is used to complete the knotless repair.

Load both tails of a FiberTape into the MultiFire Retrieve both FiberTape tails through the lateral Rotate SwiveLock C driver in a clockwise direction
Scorpion™ (AR-13995) and pass an inverted Expanula Cannula (AR-6569). Load the FiberTape to complete insertion. Cut the FiberTape tails, one
mattress stitch in one step. tails through the SwiveLock C eyelet and insert at a time, with an open-ended FiberWire cutter.
the anchor into a prepared bone socket until
the anchor body contacts bone. Adjust tension Order SpeedBridge/SpeedFix Surgical
if necessary. Technique LT0219 brochure for details 1
R O T A T O R C U F F R E P A I R R
4.5 mm 4.5 mm 4.5 mm

5.5 mm 5.5 mm 5.5 mm

6.5 mm M 6.5 mm M 6.5 mm M

Corkscrew FT Suture Anchors


®
C
The threaded design over the entire length of the suture anchor provides substantially higher pull-out strength than comparable anchors, in poor quality bone.
The fully threaded design also prevents anchor “pull-back” that may occur with countersunk anchors. The internal drive mechanism substantially increases t
resistance to stripping during insertion into hard bone. The recessed FiberWire suture eyelet is self-aligning and minimizes suture abrasion during knot tying. i
C
Bio-Corkscrew FT Suture Anchor PEEK Corkscrew FT Suture Anchor BioComposite Corkscrew FT
®


The Bio-Corkscrew FT is a bioabsorbable The PEEK Corkscrew FT is a fully threaded
anchor that maximizes fixation in cortical bone.
Suture Anchor C
PLLA suture anchor that has 14 inch pounds This bioabsorbable suture anchor composed
of insertion torque strength. The strong internal PEEK is a thermoplastic material with excellent C
of both b-TCP and PLLA offers the same benefits
drive mechanism provides double the resistance biocompatibility and biostability characteristics. as the Bio-Corkscrew FT, with the addition of C
to stripping than any other bioabsorbable suture PEEK will not create an artifact on imaging studies. 15% Beta Tricalcium Phosphate. Studies suggest
anchor available. that early bone formation can be connected to C
PEEK Corkscrew FT Suture Anchor, 4.5 mm x 15 mm,
Bio-Corkscrew FT Suture Anchor, 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927PSF-45
the favorable osteoconductive and bioresorbable
properties within b-TCP. C
w/two #2 FiberWire AR-1927BF-45 PEEK Corkscrew FT Suture Anchor w/Needles,
Bio-Corkscrew FT Suture Anchor, 4.5 mm x 15 mm, 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927PNF-45
w/two #2 Tigertail AR-1927BFT-45 PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, BioComposite Corkscrew FT Suture Anchor,
Bio-Corkscrew FT Suture Anchor, w/Needles, w/two #2 FiberWire AR-1927PSF 4.5 mm x 15 mm, w/two #2 FiberWire AR-1927BCF-45
4.5 mm x 15 mm, w/two #2 FiberWire AR-1927BNF-45 PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, BioComposite Corkscrew FT Suture Anchor,
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/one #2 FiberChain AR-1927PFC 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BCF
w/two #2 FiberWire (c) AR-1927BF PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, BioComposite Corkscrew FT Suture Anchor,
Bio-Corkscrew FT Suture Anchor w/Needles, w/three #2 FiberWire AR-1927PSF-3 5.5 mm x 15 mm, w/two #2 TigerTail AR-1927BCFT
5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BNF PEEK Corkscrew FT Suture Anchor, 6.5 mm x 16 mm, BioComposite Corkscrew FT Suture Anchor,
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, w/two #2 FiberWire AR-1927PSF-65 5.5 mm x 15 mm, Vented,
w/two #2 TigerTail AR-1927BFT w/two #2 FiberWire AR-1927BCFV
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, BioComposite Corkscrew FT Suture Anchor,
w/FiberChain AR-1927BFC Convenience Packs 6.5 mm x 15 mm, w/two #2 FiberWire AR-1927BCF-65
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm,
w/FiberChain and #2 FiberWire AR-1927BFCF w/two #2 FiberWire and Scorpion Needle AR-1927BFS
Bio-Corkscrew FT w/four NeedlePunch Needles,
5.5 mm x 15 mm, w/two #2 FiberWire AR-1927BNP4
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm,
w/three #2 FiberWire AR-1927BF-3
Bio-Corkscrew FT Suture Anchor, 6.5 mm x 15 mm,
w/two #2 FiberWire AR-1927BF-65

Bio, BioComposite or PEEK Corkscrew FT Instrumentation


Punch, for 5.5 mm Corkscrew FT, Spade Tip Drill, for 5.5 mm Corkscrew FT,
5.5 mm SwiveLock and 4.75 mm SwiveLock (a) AR-1927PB 4.75 mm and 5.5 mm SwiveLock AR-1927D
Punch/Tap, for 5.5 mm Corkscrew FT, Punch w/Cortical Tap, for 4.5 mm Corkscrew FT AR-1927PTB-45--2
5.5 mm SwiveLock (b) AR-1927CTB Punch w/Cortical Tap, for 5.5 mm Corkscrew FT,
Punch, for 4.5 mm PushLock and 5.5 mm SwiveLock AR-1927CTB--2
and 4.5 mm Corkscrew FT AR-1922P
Punch/Tap, for 4.5 mm Corkscrew FT AR-1927PTB-45
Disposable Punch, for 4.5 mm PushLock
and 4.5 mm Corkscrew FT AR-1922PBS
Disposable Punch, for 5.5 mm Corkscrew FT,
4.75 mm and 5.5 mm SwiveLock AR-1927PBS

c
a

2 b
R R O T A T O R C U F F R E P A I R
4.5 mm
BioComposite BioComposite
4.5 mm

5.5 mm
Bio
4.5 mm Bio

6.5 mm M PEEK PEEK


4.5 mm

L L
Corkscrew FT Suture Anchors PushLock PushLock SP™
The Corkscrew FT suture anchors are fully The 3.5 and 4.5 mm PushLocks are The 4.5 mm PushLock SP was developed to
threaded titanium anchors that maximize fixation knotless anchors used for rotator cuff repair. help speed completion of a SutureBridge while
in cortical bone. The unique PushLock design allows the surgeon increasing the precision of the final construct.
to adjust the amount of tension on the tissue The PushLock SP combines a small titanium
Corkscrew FT Suture Anchor, 4.5 mm x 15 mm, intraoperatively allowing for precise tissue
w/two #2 FiberWire AR-1928SF-45 tip with either a PLLA, BioComposite or PEEK
Corkscrew FT II Suture Anchor, 5.5 mm x 16 mm, reduction. The tissue is securely held in a anchor body. The titanium tip minimizes the
w/two #2 FiberWire AR-1928SF-2 knotless fashion allowing for soft tissue need to prepare a bone socket for the lateral
Corkscrew FT II Suture Anchor w/Needles, healing to bone. The anchor is available in row, where soft tissue can sometimes obscure
5.5 mm x 16 mm, w/two #2 FiberWire AR-1928SNF-2 a bioabsorbable (PLLA), BioComposite and the view. This eliminates the possibility of losing
Corkscrew FT II Suture Anchor, 5.5 mm x 16 mm, also PEEK. the bone socket after prepunching, as is required
w/two #2 TigerTail AR-1928SFT-2
Corkscrew FT III Suture Anchor, 5.5 mm x 16 mm,
for a standard PushLock anchor. The self-
Bio-PushLock, 3.5 mm x 14 mm AR-1926B
w/three #2 FiberWire AR-1928SF-3 BioComposite PushLock, 3.5 mm x 14 mm AR-1926BC
punching feature also helps maintain proper
Corkscrew FT III Suture Anchor, 6.5 mm x 16 mm, PEEK PushLock, 3.5 mm x 14 mm AR-1926PS axial alignment of the anchor during its final
w/three #2 FiberWire AR-1929SF-3 Bio-PushLock, 4.5 mm x 18.5 mm (a) AR-1922B insertion into the bone socket.
BioComposite PushLock, 4.5 mm x 18.5 mm AR-1922BC
PEEK PushLock, 4.5 mm x 18.5 mm AR-1922PS Bio-PushLock SP, 4.5 mm x 18.5 mm AR-1922BM
BioComposite PushLock SP, 4.5 mm x 18.5 mm AR-1922BCM
PEEK PushLock SP, 4.5 mm x 18.5 mm (b) AR-1922PSM
PushLock Required Instruments
Punch, for 3.5 mm PushLock AR-1926P
Punch, for 4.5 mm PushLock
and 4.5 mm Corkscrew FT AR-1922P

PushLock Optional Instruments


Disposable Punch, for 3.5 mm PushLock AR-1926PBS
Disposable Punch, for 4.5 mm PushLock
and 4.5 mm Corkscrew FT AR-1922PBS

a
b

3
R O T A T O R C U F F R E P A I R
Bio-SwiveLock C
4.75 mm Bio-SwiveLock SP
4.75 mm

BioComposite
SwiveLock C
4.75 mm PEEK
SwiveLock SP
4.75 mm
PEEK
SwiveLock C
5.5 mm
L L
SwiveLock® C SwiveLock® SP FiberTape
The SwiveLock C is a 4.75 or 5.5 mm The 4.75 and 5.5 mm SwiveLock SP FiberTape is an ultra-high strength
twist-in knotless anchor. This anchor functions combines a titanium tip with a PLLA or PEEK 2 mm tape using a similar long chain
very similar to the PushLock but with a twist-in anchor body to eliminate the need for pre- polyethylene structure as the FiberWire
design. This anchor is available with a bioab- punching a bone socket. This self-punching suture. In addition to high demand
sorbable PLLA, BioComposite or PEEK anchor design can help save valuable O.R. time while applications, like AC joint reconstruction,
body and PEEK eyelet. The SwiveLock C can be increasing the precision of the final construct. the broad footprint of the FiberTape is
used as the lateral row of the SutureBridge. It can The SwiveLock SP can be combined with ideal for repairs in degenerative cuff
also be combined with FiberTape and used in a FiberTape to complete a SpeedFix or tissue where tissue pull-through may
SpeedFix or SpeedBridge. SpeedBridge knotless rotator cuff repair. be a concern.

Bio-SwiveLock C, 4.75 mm x 19.1 mm, Bio-SwiveLock SP, 4.75 mm x 24.5 mm AR-2324BSLM FiberTape, 2 mm, 36 inch tape
closed eyelet AR-2324BSLC PEEK SwiveLock SP, 4.75 mm x 24.5 mm AR-2324PSLM with each end tapered to
BioComposite SwiveLock C, Bio-SwiveLock SP, 5.5 mm x 24.5 mm AR-2323BSLM #2 FiberWire, 54 inch (a) AR-7237
4.75 mm x 19.1 mm, closed eyelet AR-2324BCC PEEK SwiveLock SP, 5.5 mm x 24.5 mm AR-2323PSLM FiberTape, 2 mm, 7 inch (blue) tape
BioComposite SwiveLock C, with each end tapered to
4.75 mm x 19.1 mm, w/FiberTape Loop AR-2324BSLT SpeedBridge Kit with Bio-SwiveLock SP, #2 FiberWire, 30 inch AR-7237-7
Bio-SwiveLock C, 5.5 mm x 19.1 mm, includes all implants and FiberTapes TigerTape, 2 mm, 7 inch (white/black)
closed eyelet AR-2323BSLC necessary to perform a SpeedBridge repair: tape with each end tapered to
Bio-SwiveLock C, 5.5 mm x 19.1 mm, (4 - 4.75 mm Bio-SwiveLock SP, #2 TigerWire, 30 inch AR-7237-7T
Vented AR-2323BSLV 1 FiberTape, 1 TigerTape, 1 FiberLink, FiberTape Retriever w/SR Handle AR-13974SR
BioComposite SwiveLock C, 5.5 mm x 19.1 mm, 1 Disposable Punch) AR-2600SBS-3 FiberTape Retriever
Vented, closed eyelet AR-2323BCC w/WishBone Handle AR-13974W
PEEK SwiveLock C, 5.5 mm x 19.1 mm,
closed eyelet AR-2323PSLC Bio-SwiveLock SP Optional Instrument
Punch/Tap, for 4.75 mm SwiveLock AR-2324PTB
SpeedBridge Kit, includes all implants and
FiberTapes necessary to perform a
SpeedBridge repair:
(4 - 4.75 mm Bio-SwiveLock C,
1 FiberTape, 1 TigerTape, 1 FiberLink,
1 Disposable Punch) (a) AR-2600SBS-2

SwiveLock Required Instruments


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 AR-2324PTB

SwiveLock Optional Instruments


Disposable Punch, for 5.5 mm Corkscrew FT SpeedFix
and 4.75 mm and 5.5 mm SwiveLock AR-1927PBS
Spade Tip Drill, for 5.5 mm Corkscrew FT
and 4.75 mm and 5.5 mm SwiveLock AR-1927D

Vented SwiveLock

SpeedBridge
4
R O T A T O R C U F F R E P A I R
3.7 mm

5.5 mm

5 mm

4.75 mm
6.5 mm

FiberChain

PEEK and Bio-SwiveLock Bio-Corkscrew Suture Anchor Corkscrew Suture Anchor


The SwiveLock is a 4.75 mm or 5.5 mm The Bio-Corkscrew Suture Anchor with The Corkscrew design incorporates
knotless anchor for rotator cuff repair. the unique braided suture eyelet molded a cancellous thread with a very small core
The distal forked tip is designed to engage a into the body virtually eliminates suture diameter to maximize pull-out strength in
link of FiberChain, providing secure fixation abrasion during knot tying. The bioabsorbable cancellous or osteopenic bone. Each
n, for either single or double row repair. PLDLA amorphous copolymer has the same Corkscrew comes with two #2 Tevdek or
cancellous thread design as our popular FiberWire sutures of contrasting colors
Bio-SwiveLock Suture Anchor, 4.75 mm x 20 mm AR-2324BSL titanium Corkscrew to maximize pull-out (except 3.5 mm anchor), to maximize soft
Bio-SwiveLock Suture Anchor, 5.5 mm x 20 mm AR-2323BSL
strength in osteopenic bone. The Bio-Corkscrew tissue fixation and allow suture identification.
PEEK SwiveLock Suture Anchor, 5.5 mm x 20 mm AR-2323PSL
FiberChain, #2 FiberWire w/ten, 7 mm long loops also retains initial fixation strength throughout The Corkscrew II has two suture eyelets to
(required w/SwiveLock, 5 per box) AR-7270 the tissue healing process. The enlarged eyelet minimize the possibility of having the second
FiberChain, w/large Terminal Link AR-7271 allows passage of up to four #2 sutures, if suture lock after the first suture is tied.
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, desired, for maximum soft tissue fixation.
w/FiberChain AR-1927BFC Bio-Corkscrew Anchors, for open Corkscrew II Suture Anchor, 5 mm x 15.5 mm,
Bio-Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, procedures, are also available w/FiberWire w/two #2 FiberWire (2 eyelets) AR-1902SF
w/FiberChain and FiberWire AR-1927BFCF Corkscrew Suture Anchor, 3.5 mm x 12 mm,
PEEK Corkscrew FT Suture Anchor, 5.5 mm x 15 mm, with 26 mm 1/2 circle tapered cutting needles.
w/one #2 Tevdek AR-1915S
w/FiberChain AR-1927PFC In most cases the Bio-Corkscrew Punch or Corkscrew Suture Anchor, 5 mm x 15.5 mm,
FiberChain Grasper, w/SR Handle AR-13950SR Bio-Corkscrew Cutting Punch is used to w/two #2 Tevdek (c) AR-1920S
create a pilot hole for the implant. In hard Corkscrew Suture Anchor, 3.5 mm x 12 mm,
bone, the Combo Punch/Tap should be used. w/one #2 FiberWire AR-1915SF
Corkscrew Suture Anchor, 5 mm x 15.5 mm,
Bio-Corkscrew Suture Anchor, 3.7 mm x 17.9 mm, w/two #2 FiberWire AR-1920SF
w/two #2 FiberWire AR-1920BF-37 Corkscrew Suture Anchor, 6.5 mm x 15.5 mm
Bio-Corkscrew Suture Anchor, w/NeedlePunch Needles, w/two #2 FiberWire, AR-1925SF
5 mm x 17.9 mm, w/two #2 FiberWire AR-1920BNP Corkscrew Suture Anchor w/Needles,
Bio-Corkscrew Suture Anchor, 5 mm x 17.9 mm, 5 mm x 15.5 mm, w/two #2 FiberWire AR-1920NSF
w/two #2 Tevdek AR-1920B
Bio-Corkscrew Suture Anchor, 5 mm x 17.9 mm, Optional Instrument
w/two #2 FiberWire (a) AR-1920BF
Tear Drop Handle (required for Starter Awl) AR-2001
Bio-Corkscrew Suture Anchor, 5 mm x 17.9 mm,
w/two #2 TigerTail AR-1920BFT
Bio-Corkscrew Suture Anchor, 6.5 mm x 17.9 mm
w/two #2 FiberWire AR-1925BF

Bio-Corkscrew Open Procedures


Bio-Corkscrew Suture Anchor w/Needles,
5 mm x 17.9 mm, w/two #2 FiberWire AR-1920BNF
Bio-Corkscrew Suture Anchor w/Needles,
6.5 mm x 17.9 mm, w/two #2 FiberWire AR-1925BNF

a c Bio-Corkscrew Required Instruments


Punch, for 5 mm and 6.5 mm Bio-Corkscrew AR-1920PB
Punch/Tap, for 5 mm Bio-Corkscrew AR-1920PTB
Punch, for 3.7 mm Bio-Corkscrew AR-1920PB-37
Punch/Tap, for 3.7 mm Bio-Corkscrew AR-1920PTB-37

Bio-Corkscrew Optional Instruments


Cutting Punch,
for 5 mm and 6.5 mm Bio-Corkscrew AR-1920CPB
Punch/Tap, for 6.5 mm Bio-Corkscrew AR-1925PTB
Disposable Punch, for 5 mm and 6.5 mm
Bio-Corkscrew AR-1920PBS
5
S L A P & B A N K A R T R E P A I R
PEEK, BioComposite and Bio-PushLock
The 2.9 and 3.5 mm PushLocks are knotless anchors designed to be used in arthroscopic stability procedures
in the glenohumeral joint. The unique PushLock design allows the surgeon to adjust the amount of tension on the
tissue intraoperatively allowing for precise tissue reduction. The tissue is securely held in a knotless fashion allowing
3.5 mm
for soft tissue healing to bone. Suture passage through tissue is performed with a variety of instruments including
the SutureLassos (of various terminal designs), BirdBeaks®, Penetrator™, and the Bankart Viper. Using a drill and
spear, a pilot hole is precisely placed on the glenoid rim. The anchor is available in a bioabsorbable material (PLLA),
2.9 mm PEEK and BioComposite.

Bio-PushLock, 2.9 mm x 10.7 mm AR-1923B PushLock Optional Instruments


BioComposite PushLock, 2.9 mm x 10.7 mm AR-1923BC
PEEK PushLock, 2.9 mm x 10.7 mm AR-1923PS Offset Guide, for 3.7 mm Bio-SutureTak
Bio-PushLock, 3.5 mm x 14 mm AR-1926B and 3.5 mm PushLock (c) AR-1909R
BioComposite PushLock, 3.5 mm x 14 mm AR-1926BC Spear w/Circumferential Teeth, Trocar Tip Obturator,
PEEK PushLock, 3.5 mm x 14 mm (a) AR-1926PS for 3.7 mm SutureTak and 3.5 mm PushLock (e) AR-1906
Spade Tip Drill, for 3.5 mm PushLock (d) AR-1911
3.5 mm
Metal Cannula for 3.5 mm PushLock AR-1926MC
PushLock Required Instruments Metal Cannula for 2.9 mm PushLock AR-1923MCS
Spear, Trocar and Blunt Tip Obturator, Disposable Silicone Dam for AR-1923MCS AR-1923MC-03
2.9 mm for 2.8 mm FASTak II, 3 mm SutureTak, Disposables Kit for 2.9 mm PushLock
and 2.9 mm PushLock AR-1949 (w/metal spear and drill) AR-1923DS
Drill, for 2.9 mm PushLock AR-1923DL Disposables Kit for 3.5 mm PushLock
Spear, Trocar Tip Obturator, for 3.7 mm SutureTak (w/metal spear and drill) AR-1926DS
and 3.5 mm PushLock (b) AR-1907 Disposables Kit for 3.5 mm PushLock
Drill, for 3.5 mm PushLock AR-1912 (w/offset guide and drill) AR-1926DS-2
Offset Guide, for 2.8 mm FASTak II, 3 mm SutureTak,
and 2.9 mm PushLock AR-1934R
Recommended FiberWire for use with PushLock Spear w/Circumferential Teeth,
3.5 mm #2 FiberWire, 38 inches (blue) AR-7233 Trocar Tip Obturator, for 2.8 mm
#2 TigerWire, 38 inches (white) AR-7203 FASTak II, 3 mm SutureTak,
#2 FiberLink w/closed Loop (blue) AR-7235 and 2.9 mm PushLock AR-1946
FiberStick, #2 FiberWire, 50 inches
2.9 mm
(blue), one end stiffened, 12 inches AR-7209
TigerStick, #2 TigerWire, 50 inches
(white/black), one end stiffened, 12 inches AR-7209T

6
R S L A P & B A N K A R T R E P A I R
Bio-SutureTak , PEEK SutureTak and BioComposite
®

The SutureTak is a 2.4 mm or 3 mm diameter bioabsorbable suture anchor with a molded-in suture eyelet. A 3.7 mm Bio-SutureTak is available for
revisions or when soft bone is encountered. The unique suture eyelet maintains its strength throughout most of the degradation cycle and eliminates suture
abrasion during knot tying. The flexible eyelet eliminates the need to orientate the eyelet during insertion to optimize suture sliding.
The PEEK SutureTak is a 3 mm nonabsorbable suture anchor with a material eyelet which provides superior abrasion resistance due to PEEK’s low
coefficient of friction. Simple predrilling with a small 1.8 mm or 2.4 mm diameter drill and the mallet insertion significantly reduces surgery time and
preserves bone stock versus other bioabsorbable implants. The Bio-SutureTak is available with or without needles and FiberWire or TigerTail suture.

2.4 mm Bio-SutureTak 3 mm Bio-SutureTak, 3.7 mm Bio-SutureTak


and BioComposite SutureTak PEEK SutureTak, and Implant:
Implants: BioComposite SutureTak Bio-SutureTak Suture Anchor,
3.7 mm x 14 mm, w/#2 FiberWire (c) AR-1934BLF
Bio-SutureTak Suture Anchor, Implants:
2.4 mm x 12 mm, w/#2 FiberWire (a) AR-1934BF-24 Bio-SutureTak Suture Anchor,
Bio-SutureTak Suture Anchor, 3 mm x 14 mm, w/#2 FiberWire (b) AR-1934BF
Required Instruments
2.4 mm x 12 mm, w/#2 TigerTail AR-1934BFT-24 Bio-SutureTak Suture Anchor, Drill, for 3.7 mm SutureTak AR-1908
BioComposite SutureTak Suture Anchor, 3 mm x 14 mm, w/two #2 FiberWire AR-1934BF-2 Instrumentation Set (AR-1934LS) includes:
2.4 mm x 12 mm, w/#2 FiberWire AR-1934BCF-24 Bio-SutureTak Suture Anchor, Spear, Trocar Tip Obturator, for 3.7 mm
3 mm x 14 mm, w/#2 TigerTail AR-1934BFT SutureTak and 3.5 mm PushLock AR-1907
Required Instruments Bio-SutureTak Suture Anchor, Bio-SutureTak Instrumentation Case AR-1934C
Instrumentation Set (AR-1934-24S) includes: 3 mm x 14 mm, w/two #2 TigerTail AR-1934BFT-2
Spear, Trocar and Blunt Tip Obturator, for PEEK SutureTak Suture Anchor, Optional Instruments
2.4 mm FASTak and 2.4 mm SutureTak AR-1948 3 mm x 12 mm, w/#2 FiberWire AR-1934PS Spear w/Circumferential Teeth, Trocar Tip Obturator,
Drill, for 2.4 mm SutureTak AR-1934D-24 PEEK SutureTak Suture Anchor, for 3.7 mm SutureTak
Bio-SutureTak Instrumentation Case AR-1934-24C 3 mm x 12 mm, w/two #2 FiberWire AR-1934PS-2 and 3.5 mm PushLock AR-1906
BioComposite SutureTak Suture Anchor, Offset Guide, for 3.7 mm SutureTak
Optional Instruments 3 mm x 14 mm, w/#2 FiberWire AR-1934BCF and 3.5 mm PushLock AR-1909R
BioComposite SutureTak Suture Anchor,
Disposable Spear, Trocar Tip Obturator, for 3 mm x 14 mm, w/#2 TigerTail AR-1934BCFT
2.4 mm FASTak and 2.4 mm SutureTak AR-1945S BioComposite SutureTak Suture Anchor,
2.4 mm Bio-SutureTak Disposables Kit
(includes: AR-1945S and AR-1934D-24) AR-1934-24DS
3 mm x 14 mm, w/two #2 FiberWire AR-1934BCF-2 Bio-SutureTak Open Procedures
BioComposite SutureTak Suture Anchor, Implant:
Spade Tip Drill, for 2.4 mm SutureTak AR-1934SD-24 3 mm x 14 mm, w/two #2 TigerTail AR-1934BCFT-2
Cannulated Guide, for 2.4 mm FASTak, Bio-SutureTak Suture Anchor w/Needles,
and 2.4 mm SutureTak AR-1313 w/#2 FiberWire, 3 mm x 14 mm AR-1934BNF
Offset Guide, for 2.4 mm SutureTak AR-1948R
Required Instruments
2.4 mm Bio-SutureTak Percutaneous Insertion Kit Drill, for 3 mm SutureTak AR-1250LT Required Instruments
(Includes disposable 17 gauge Spinal Needle, Instrumentation Set (AR-1934S) (d) includes:
Spear, Trocar Tip and Blunt Obturator, Short Spear, for Bio-SutureTak w/Needles AR-1326G
1.1 mm Nitinol Wire, Portal Dilator, Spear
for 2.8 mm FASTak II, 3 mm SutureTak, Short Spade Tip Drill, for Bio-SutureTak
and Drill) AR-1934PI
and 2.9 mm PushLock AR-1949 w/Needles AR-1256
Bio-SutureTak Instrumentation Case AR-1934C

Optional Instruments
Bio-SutureTak Punch AR-1934P BioComposite
Spear w/Circumferential Teeth, 2.4 mm
Trocar Tip Obturator, for 2.8 mm
FASTak II, 3 mm SutureTak,
and 2.9 mm PushLock AR-1946
a b c Offset Guide, for 2.8 mm FASTak II, BioComposite
3 mm
3 mm SutureTak, and 2.9 mm PushLock AR-1934R
Disposable Offset Guide, for 2.8 mm
FASTak II, 3 mm SutureTak,
and 2.9 mm PushLock AR-1934GS Bio
2.4 mm
Spade Tip Drill, Thick Shaft,
for 3 mm SutureTak AR-1252
Spade Tip Drill, for 3 mm SutureTak AR-1257
Bio-SutureTak Disposables Kit
w/metal Spear (includes: Disposable Bio
3 mm
Spear and AR-1250LT) AR-1934DS-2
Portal Dilator for Bio-SutureTak Spear AR-1949PD
Needle for Portal Dilator AR-6521
Drill, for 3 mm PEEK SutureTak AR-1934PD
Bio
3.7 mm

PEEK
3 mm

d 7
S L A P & B A N K A R T R E P A I R

Bio-FASTak Suture Anchor


®
FASTak and FASTak II Suture Anchor
TM
F
The Bio-FASTak is a 3 mm diameter bioabsorbable suture The FASTak Suture Anchors are titanium
anchor designed for cortical bone, incorporating a suture anchors available in a 2.4 mm or 2.8 mm a
eyelet molded into the implant body, which virtually eliminates diameter and come preloaded with a
suture drag and suture abrasion. The suture eyelet significantly #2 FiberWire. In most cases, the implant a
improves the performance of sliding knots and maintains its can be manually inserted using the handled s
strength throughout most of the degradation cycle. The implant version. A drill is available for use in hard bone f
thread design provides maximum pull-out strength in cortical if desired. For arthroscopic applications, the w
bone and is ideal for arthroscopic or open repairs. FASTak anchor can be inserted through the o
The Bio-FASTak Tap, with the Ratcheting Screwdriver Handle, small diameter FASTak Spear eliminating the
S
is used to create a pilot hole. The Bio-FASTak is inserted need for a cannula. This is ideal for SLAP
through the Spear. No power tools are required. and subscapularis repairs where a small
Bio-FASTaks come with or without needles and are available stab incision and percutaneous delivery of b c
with #2 Tevdek or FiberWire suture. Both styles are sterile and the implant is preferred.
come preloaded with suture in a disposable handled inserter
for speed and convenience. FASTak II Suture Anchor w/Handle
2.8 mm x 11.7 mm, w/#2 FiberWire (b) AR-1324HF
Implants: FASTak II Suture Anchor 2.8 mm x 11.7 mm,
Bio-FASTak Suture Anchor, 3 mm x 14 mm, w/#2 Tevdek AR-1324B w/#2 FiberWire, AR-1324SF D
Bio-FASTak Suture Anchor, 3 mm x 14 mm, w/#2 FiberWire AR-1324BF FASTak Suture Anchor, 2.4 mm x 11.7 mm,
Bio-FASTak Suture Anchor, 3 mm x 14 mm, w/two #2 FiberWire AR-1324BF-2 w/#2 FiberWire AR-1322SXF
Drill, for 2.8 mm FASTak II AR-1324D
Bio-FASTak Instrumentation Set (AR-1327S) (a) includes:
Tap, for Bio-FASTak, (instrument set includes a nonfluted tap) AR-1324TB

Spear, Trocar and Blunt Tip Obturator, for Bio-FASTak AR-1325

Ratcheting Screwdriver Handle AR-1999
Bio-FASTak/Bio-Corkscrew Instrumentation Case AR-1327 D


Optional Instruments
Tap, Fluted, for Bio-FASTak AR-1324TBF
Portal Dilator for Bio-FASTak Spear AR-1325PD S
Needle for Portal Dilator AR-6521
Offset Guide, for 3.7 mm SutureTak, 3.5 mm PushLock
and 3 mm Bio-FASTak AR-1909R
a B
S

S

S

8
R S P E A R S A N D G U I D E S

FASTak Spears Cannulated FASTak Guides Offset Guides


The FASTak Spear with removable trocar The Cannulated FASTak Guide is designed The cannulated Guides allow
and V-shaped tip allows precise control and for insertion of the FASTak Suture Anchor the surgeon to accurately position
accurate anatomical placement of the suture during open or arthroscopic Bankart repairs. suture anchor implants on the
anchors on the glenoid rim, in one simple These guides have a larger wall thickness than glenoid for anatomic reconstruction
step. The small diameter shaft with trocar the spears resulting in a very strong instrument of glenohumeral ligament structures
facilitates percutaneous placement of anchors with a larger dovetail tip. during Bankart and SLAP repairs.
without the use of a cannula for SLAP repairs All Offset Guides enable the surgeon
or a direct approach through the subscapularis. Cannulated Guide, for 2.4 mm FASTak, to easily reproduce a 1.5 mm medial
and 2.4 mm SutureTak (b) AR-1313 offset position relative to the glenoid
Spear, Trocar and Blunt Tip Obturator, (used w/AR-1322SXF and AR-1934BF-24)
rim to complete an anatomic
for 2.8 mm FASTak II, 3 mm SutureTak, reconstruction of the labral tissue.
and 2.9 mm PushLock (a) AR-1949 Cannulated Guide, for 2.8 mm FASTak II,
(used w/FASTak II Suture Anchors: 3 mm SutureTak, and 2.9 mm PushLock AR-1317
c
(used w/FASTak Suture Anchors: Offset Guide, for 3.7 mm SutureTak,
AR-1324SF and AR-1324HF 3.5 mm PushLock
Bio-SutureTaks and PEEK SutureTak: AR-1324SF and AR-1324HF
Bio-SutureTaks and PEEK SutureTak:
and 3 mm Bio-FASTak AR-1909R
AR-1934BF, AR-1934BF-2, AR-1934PS
AR-1934BF, AR-1934BF-2, AR-1934PS (used w/Bio-SutureTaks, PushLocks
and 2.9 mm, PEEK and Bio-PushLock AR-1923PS)
and 2.9 mm, PEEK and Bio-PushLock AR-1923PS) and Bio-FASTaks: AR-1934BLF,

AR-1926PS, AR-1926B, AR-1324BF
Disposable Spear, Trocar Tip Obturator,
Cannulated Bio-FASTak Guide AR-1325CG and AR-1324BF-2)
for 2.8 mm FASTak II, 3 mm SutureTak,
and 2.9 mm PushLock (single use) AR-1949S (used w/Bio-FASTaks:
AR-1324BF, AR-1324BNF, Offset Guide, for 2.8 mm FASTak II,
(used w/AR-1324SF and AR-1324HF
AR-1324BF-2 and AR-1934BF-2) 3 mm SutureTak, c
Bio-SutureTaks and PEEK SutureTak:
and 2.9 mm PushLock (c) AR-1934R
AR-1934BF, AR-1934BF-2, AR-1934PS
Offset Guide,
and 2.9 mm, PEEK and Bio-PushLock AR-1923PS)
a b for 2.4 mm SutureTak AR-1948R

Disposable Spear, Trocar Tip Obturator,
Disposable Offset Guide,
for 2.4 mm FASTak, and 2.4 mm SututerTak
for 2.8 mm FASTak II,
(single use) (a) AR-1945S
3 mm SutureTak,
(used w/AR-1322SXF and AR-1934BF-24)
and 2.9 mm PushLock AR-1934GS
(used w/Bio-SutureTaks and
Spear, Trocar and Blunt Tip Obturator,
PEEK SutureTak: AR-1934BF,
for 2.4 mm FASTak, and 2.4 mm SutureTak AR-1948
AR-1934BFT, AR-1934BF-2
(used w/AR-1322SXF and AR-1934BF-24)
and AR-1934PS)

Bio-SutureTak and PushLock Spears


Spear, Trocar Tip Obturator, for 3.7 mm SutureTak,
and 3.5 mm PushLock AR-1907
Spear w/Circumferential Teeth, Trocar Tip Obturator,
for 3.7 mm SutureTak, and 3.5 mm PushLock AR-1906
Spear w/Circumferential Teeth, Trocar Tip Obturator,
for 2.8 mm FASTak II, 3.0 mm SutureTak,
and 2.9 mm PushLock AR-1946

9
AC RECONSTRUCTION SYSTEMS
Acromioclavicular Joint Reconstruction System Chronic AC Joint Reconstruction
The Acromioclavicular Joint Reconstruction System contains the This system enables surgeons to reconstruct
instrumentation necessary to complete the described acute and chronic chronic AC joint separations anatomically using
AC joint repair techniques. a tendon graft with backup mechanical fixation.
The technique uses 5.5 mm x 8 mm PEEK
Acromioclavicular Joint Reconstruction System (a) (AR-2255CGS) includes: ____________
Constant Guide for AC TightRope (c) AR-2255CG Tenodesis Screws to achieve strong graft
Long Drill, 4 mm Cannulated (b) AR-1204LX fixation in the clavicle and allows the surgeon
AC Joint Coracoid Graft Passing Instrument, left AR-2256L to recreate the conoid and trapezoid
AC Joint Coracoid Graft Passing Instrument, right AR-2256R coracoclavicular ligament bundles. Screws are
AC Joint Tenodesis Screw Driver AR-2255D implanted using the simplified instrumentation
Cannulated Headed Reamer, 5 mm AR-1405
Cannulated Headed Reamer, 5.5 mm AR-1405.5 in the Acromioclavicular Joint Reconstruction System and the graft is
Cannulated Headed Reamer, 6 mm AR-1406 protected during the healing process by utilizing a strand of S
Cannulated Headed Reamer, 6.5 mm AR-1406.5 FiberWire as backup mechanical fixation. Alternatively, 5.5 mm x 15
AC Joint Reconstruction System Instrumentation Case AR-2255CGC mm Bio-Tenodesis Screws may be used and the available implant kit c
Required Disposables includes screws and FiberWire for whipstitching and backup fixation. r
The Coracoid Graft Passing Instruments simplify the notoriously o
Drill Tip Guide Pin, 2.4 mm AR-1250L
Guide Pin, 1.1 mm Nitinol AR-1249 difficult process of graft passing around the coracoid base by l
deploying a wire to capture the graft’s whipstitched ends. s
T
Implants:
PEEK Tenodesis Screw, 5.5 mm x 8 mm AR-1655PS t
Bio-Tenodesis Screws, 5.5 mm x 15 mm AR-1555B r
A
Chronic AC Repair Kit (AR-2256) includes: _______ w
Bio-Tenodesis Screws, 5.5 mm x 15 mm, qty. 2 AR-1555B t
#2 FiberWire, 38 inches w/Tapered Needle, qty. 3 AR-7200
Anatomic Coracoclavicular Reconstruction Surgical Technique LT0510 s
a
b c
Required Instruments s
Acute AC Joint Acromioclavicular Joint Reconstruction System (see above left) AR-2255CGS p
Reconstruction Using TightRope
®
o
Required Disposables
The TightRope enables surgeons to SutureLasso SD Wire Loop AR-4068-05SD B
easily reconstruct acute AC joint separations #2 FiberWire, 38 inches w/tapered Needle AR-7200 S
in a minimally invasive manner, either open or #2 FiberWire, 38 inches AR-7233 S
arthroscopic. The four-stranded continuous loop C
of #5 FiberWire interlaced between two titanium buttons Optional Instruments/Disposables C
provides strong mechnical fixation while the coracoclavicular Bio-Tenodesis Tap, 5.5 mm x 15 mm AR-1555T S
Tear Drop Handle (required w/tap) AR-2001 S
and acromioclavicular ligament disruptions heal. Precise bone
Guide Pin, 1.1 mm Nitinol AR-1249
tunnels are made through the clavicle and coracoid using the Nitinol Graft Prep Needle AR-1291-3
specialized instrumentation in the Acromioclavicular Joint Reconstruction Bio-Tenodesis Disposible Kit, sterile, single use AR-1676DS
System, allowing for simplified passing of the distal button through the
transosseous tunnels. Fixation is achieved by cinching down the proximal
button over the clavicle and tying a knot over the button.
AC GraftRope®
The strength and simplicity of the AC TightRope has been
AC TightRope Repair Kit (AR-2257) includes: _________ enhanced. Completed arthroscopically or open, the system can be
AC TightRope Implant used for both acute and chronic repairs. A graft is easily secured
18” Nitinol Suture Passing Wire to the coracoid button and the unique cortical washer allows for
tenodesis screw fixation of the graft to the clavicle.
TwinTail TightRope AR-2264
AC GraftRope Kit (AR-2258) includes: _______ a
Required Instruments AC GraftRope Implant and SutureLasso SD Wire Loop
Acromioclavicular Joint Reconstruction System (see above) AR-2255CGS
Required Implants
Disposable PEEK Tenodesis Screw, 5.5 mm x 10 mm AR-1655PS-10
PEEK Tenodesis Screw, 5.5 mm x 12 mm AR-1655PS-12
SutureLasso SD Wire Loop AR-4068-05SD PEEK Tenodesis Screw, 5.5 mm x 15 mm AR-1555PS
BioTenodesis Screw, 5.5 mm x 15 mm AR-1555B
#2 FiberLoop w/Straight Needle, 20 inches
(blue), 76 mm needle w/7 mm loop AR-7234

Required Instruments
Acromioclavicular Joint Reconstruction System
(see above left) AR-2255CGS

Optional Instruments
FishHook SutureLasso
(SutureLasso SD Wire Loop not included) AR-2259
10 Graft Sizer, reusable AR-2265
Forked Probe AR-6002
A R T H R O S C O P I C S U T U R E P A S S I N G

SutureLasso™ SutureLasso SD
The SutureLasso has various curved tip The small diameter SutureLassos have an
configurations for arthroscopic Bankart, SLAP & outer diameter of 1.8 mm and feature a thumb
rotator cuff repairs. The SutureLasso has a 2.3 mm pad for one hand wire advancement. These
outer diameter tip. Each SutureLasso comes pre- are available in various tip configurations.
loaded with a Nitinol loop to accomplish a simple • SutureLasso SD, 30˚ straight AR-4068-30
shuttle step to pass suture through the tissue. • SutureLasso SD, 90˚ up AR-4068-90
The Corkscrew SutureLasso is ideal for reaching • SutureLasso SD, 25˚ tight curve left (c) AR-4068-25TL
the low five o’clock position for anterior labral • SutureLasso SD, 25˚ tight curve right AR-4068-25TR
reconstruction or for capsulolabral tissue plication. • SutureLasso SD, 45˚ curve left AR-4068-45L
Additionally, the #2 FiberStick, a #2 FiberWire • SutureLasso SD, 45˚ curve right AR-4068-45R
• SutureLasso SD, 90˚ curve left AR-4068-90L
with a twelve inch stiffened end, will pass directly • SutureLasso SD, 90˚ curve right AR-4068-90R
through all SutureLassos and is helpful for side-to- • SutureLasso SD, crescent AR-4068C
side cuff repairs. • SutureLasso SD
The Banana SutureLasso is designed for passing w/FiberStick, 25˚ tight curve left AR-4068-25TLF
sutures through the rotator cuff via a superior, • SutureLasso SD
percutaneous approach (Modified Neviaser Portal) w/FiberStick, 25˚ tight curve right AR-4068-25TRF
or along the acromial border. SutureLasso SD Wire Loop AR-4068-05SD
FishHook SutureLasso AR-2259
Banana SutureLasso (a) AR-4065B (SutureLasso Wire not included)
SutureLasso, 45˚ w/Wire Loop (e) AR-4065W
SutureLasso, 90˚, w/Wire Loop
Corkscrew SutureLasso, 45˚, curve right (d)
AR-4065-90W
AR-4065-45R Micro SutureLasso
Corkscrew SutureLasso, 45˚, curve left AR-4065-45L These 1.25 mm diameter instruments work
SutureLasso, 45˚ w/#2 PDS AR-4065S well for percutaneous suture passing for rotator
SutureLasso, 90˚ w/#2 PDS (f) AR-4065-90S cuff repairs and glenoid labrum repairs.
Micro SutureLasso, minor bend AR-8701
Micro SutureLasso, major bend (b) AR-8702
Micro SutureLasso, straight AR-8703
Micro SutureLasso Retriever AR-8701SR

Optional Accessories
FiberStick, #2 FiberWire, 50 inches (blue)
one end stiffened, 12 inches, qty. 5 AR-7209
TigerStick, #2 TigerWire, 50 inches
(white/black) one end stiffened,
12 inches, qty. 5 AR-7209T
a b c d e f

Percutaneous Suture Passer


Nitinol wire loop can be used through a
standard 18 gauge spinal needle for percutaneous
suture shuttling.
Percutaneous Suture Passer AR-4125

11
A R T H R O S C O P I C S U T U R E P A S S I N G
a

Viper™ Suture Passer BirdBeak Penetrator™


®

The Viper Suture Passer is a


simple solution for passing suture
The BirdBeak has an extremely
sharp tip to penetrate soft tissue
Suture Retriever
This unique instrument
through soft tissue in a single step easily and a stiff shaft that resists
combines a small penetrating tip
while having complete control of bending during tissue shifting
with a suture grasper to allow
the soft tissue. It is ideal for both procedures.
suture delivery or extraction in
open and arthroscopic suture The BirdBeaks are an essential
one step. The 2.7 mm diameter tip
passing in the rotator cuff allowing tool for arthroscopic labral, SLAP
slides easily through the tissue with
passage of sutures for side-to-side or rotator cuff repair.
the suture either sliding or grasped
repairs and traction sutures. For The BirdBeak Evolution has a
within the self ratcheting mechanism.
arthroscopic repairs, the Viper uniquely designed handle that allows
Ideal for instability and rotator cuff
can pass the suture limbs from for easy operation from virtually any
repairs.
a previously implanted suture hand position.
anchor in a simple or mattress Penetrator Suture Retriever,
stitch fashion. BirdBeak, 45˚ up tip (c) AR-11800 15˚ up curved (f) AR-2167-2
BirdBeak, 22˚ up tip AR-11890 Penetrator Suture Retriever,
Viper Suture Passer (a) AR-13900 BirdBeak, straight AR-11880 straight AR-2167ST-2
Straight BirdBeak, right, 45˚ handle AR-11886
Straight BirdBeak, left, 45˚ handle AR-11887
Bankart Viper™ BirdBeak Evolution, 45˚ up tip
BirdBeak Evolution, 22˚ up tip
AR-11800E
AR-11890E
The Bankart Viper is designed
BirdBeak Evolution, straight (e) AR-11880E
primarily to pass a suture limb BirdBeak Evolution, 15˚ up curve AR-11881E
from a previously implanted suture Banana BirdBeak Evolution, 22˚ up tip AR-11892E
anchor in the hard-to-reach
anterior/inferior five o'clock Inverted BirdBeaks:
position for shoulder labral BirdBeak, 45˚ up tip, Inverted Jaw
w/WishBone Handle (d) AR-11805W
reconstruction. The Bankart Viper
BirdBeak, 22˚ up tip, Inverted Jaw
is 25% smaller than the Viper w/WishBone Handle AR-11895W
allowing access to this inferior
recess of the shoulder joint.
Bankart Viper Suture Passer (b) AR-13905

c e f

12
G A R T H R O S C O P I C S U T U R E P A S S I N G
a (16 mm)

b (20 mm)

c (Humpback)

NeedlePunch II Scorpion Double Scorpion


®

The NeedlePunch II is a simple, The Scorpion Suture Passer adds The Double Scorpion easily
versatile and effective suture passing simplicity to suture passing in rotator passes two pieces of FiberWire for
instrument with a newly designed cuff repair. Ergonomically designed one horizontal mattress or two
ergonomic handle and push rod. for one-hand use, the multi-function simple stitches at one time. The
The low profile allows it to fit Scorpion grasps cuff tissue, then SureFire double needle design
through a 7 mm diameter cannula. directly passes and retrieves a FiberWire. captures and passes both structures
The lower jaw has more taper for The low profile, standard Scorpion through thick tissue at about a
h 7 mm spacing.
easier placement under the rotator grasps 16 mm of tissue and fits through
d This arthroscopic or mini-open
cuff tissue enabling the surgeon to a 5.75 mm cannula. A larger, 20 mm
reduce soft tissue and place a stitch version was developed for use in procedural instrument provides up
f to a 16 mm bit of thick tissue and
up to 16 mm medial to the edge of double row techniques that require a
the tissue. deeper medial bite. A “Humpback” fits through an 8.25 mm lateral
The needle is available in multiple version, with locking jaws, is available cannula.
configurations for shuttling suture for use in thicker rotator cuff tissue. This instrument uses the
through tissue and for side-to-side The Humpback requires a 7 mm SureFire Needle design to capture
cuff repairs. cannula. and pass FiberWire. These needles
All Scorpions use the same are disposable and withstand
NeedlePunch II, 10 mm AR-13981S disposable needle which withstands multiple passes during a single case.
NeedlePunch II Push Rod Replacement AR-13981P
multiple suture passes during a single
NeedlePunch II, 16 mm AR-13982S Double Scorpion Suture Passer AR-13994
NeedlePunch II Push Rod Replacement AR-13982P case.
SureFire Double Scorpion Needle AR-13994N
FiberWire Loop w/Needle for Scorpion Suture Passer, 16 mm (a) AR-13990
NeedlePunch AR-7204 Scorpion Suture Passer, 20 mm (b) AR-13992
#2 FiberWire w/two Needles AR-7207 Humpback Scorpion, 16 mm (c) AR-13993
(for side-to-side cuff repairs) Scorpion Needle AR-13990N
Suture Shuttle, SureFire Scorpion Needle AR-13991N
(1 to a pack/15 packs to a box) AR-7224
Suture Shuttle, Long (for thick tissue)
(1 to a pack/15 packs to a box) AR-7224L

MultiFire Scorpion
The MultiFire Scorpion allows the surgeon to load
two sutures outside and independently pass two sutures
inside. The low profile designs of the Humpback and
Straight fit down either a 5 mm or 7 mm cannula. The
disposable MultiFire Needle withstands multiple suture Straight

passes during a single case.


d
MultiFire Scorpion, Humpback (d) AR-13995
MultiFire Scorpion, Straight, 16 mm AR-13996 Humpback
MultiFire Scorpion Needles AR-13995N

13
S U T U R E M A N A G E M E N T K
a

b e

Suture Retriever FiberWire Grasper Crochet Hook Rotator Cuff Grasper KingFisher
®

The Suture Retriever The FiberWire Grasper The Crochet Hook is a The Rotator Cuff Grasper The KingFisher enables the
is designed for atraumatic is designed to grasp and simple tool that performs was specifically designed for surgeon to perform multiple
suture retrieval and retrieve multiple strands of well in tight spaces to arthroscopic and mini-open tasks with one tool, improving
manipulation during FiberWire. The fully toothed retrieve suture loops during rotator cuff procedures. By speed and efficiency of the
arthroscopic procedures. design and long jaw assembly arthroscopic Bankart, SLAP, placing the grasper through procedure. The KingFisher
The jaws create a closed provides a substantial working rotator cuff, or any suturing a lateral portal the edge of is the optimal tool for
loop which allows the suture range to easily grab suture procedure. The smooth tip the supraspinatus tendon arthroscopic tissue grasping/
to slide freely during suture within the glenohumeral or prevents abrasion of suture can be securely held, by the reduction, foreign body
extraction. subacromial joint space. strands and the ergonomic serrated jaw, and pulled removal as well as suture
The uniquely designed knurled handle facilitates into the proper anatomic retrieval/management.
tip is made to spread FiberWire Grasper instrument manipulation position. The low profile 4 mm The KingFisher has an easy
parallel strands of suture w/NR Handle AR-13975NR in the wet arthroscopic tip allows the surgeon to to use self-releasing jaw lock
FiberWire Grasper
to facilitate retrieval. w/SR Handle AR-13975SR
environment. The Push/Pull securely grasp the tendon mechanism. To lock the jaws,
Its small diameter and low FiberWire Grasper w/ Crochet Hook was designed and determine the amount and securely hold tissue, simply
profile allow access into WishBone Handle AR-13975W to push suture knots and/or of tissue in the jaw. The place pressure on the posterior
the tightest joint spaces. retrieve suture with the same instrument features an aspect of the forward finger.
The tip angle on the 45˚
Suture Retriever allows
FiberChain Grasper instrument. ergonomic ringed handle
with tip-locking mechanism.
To release the lock, and open
the jaws, transfer finger pressure
The FiberChain Grasper Crochet Hook (c) AR-5008H
access to suture strands in is a modified Rotator Cuff to the anterior portion of the
deep, hard-to-reach spaces. Push/Pull Crochet Hook (d) AR-5009H Rotator Cuff Grasper forward ring. The KingFisher’s
Grasper with a hole in the Suture Hook (e) AR-5007H w/SR Handle AR-13960SR
jaws. It allows easy tensioning 4.2 mm diameter shaft allows
Suture Retriever, Rotator Cuff Grasper the instrument to fit down a
3.4 mm, straight (a) AR-12540 of FiberChain cinch stitches
during SwiveLock rotator cuff
FiberTape Retriever w/NR Handle AR-13960NR small 5.75 mm Crystal Cannula.
Suture Retriever, The FiberTape Retriever Rotator Cuff Grasper
3.4 mm, 15˚ up AR-12550 repair procedures. It can also has a wide jaw specifically w/WishBone Handle AR-13960W KingFisher Suture Retriever/
Suture Retriever, be used with the SpeedBridge designed for easy FiberTape Tissue Grasper
3.4 mm, 45˚ right (b) AR-12580 Rotator Cuff Repair technique management during a w/SR Handle AR-13970SR
Suture Retriever,
to help ensure that all slack SpeedBridge or SpeedFix KingFisher Suture Retriever/
3.4 mm, 45˚ left AR-12590
FiberTape has been removed Tissue Grasper
Suture Retriever w/ procedure. The tip is serrated
from under the rotator cuff. w/WishBone Handle (g) AR-13970W
WishBone Handle, to also allow its use as a
3.4 mm, straight AR-12540W
FiberChain Grasper
grasper to securely grab a
Suture Retriever w/
WishBone Handle, w/SR Handle AR-13950SR suture.
3.4 mm, 15˚ up AR-12550W
Suture Retriever w/ FiberTape Retriever
WishBone Handle, w/SR Handle (f) AR-13974SR
3.4 mm, 45˚ right AR-12580W FiberTape Retriever
Suture Retriever w/ w/NR Handle AR-13974NR f
WishBone Handle, FiberTape Retriever
3.4 mm, 45˚ left AR-12590W w/WishBone Handle AR-13974W

14
K N O T T Y I N G A N D C U T T I N G

e
b

CrabClaw™ Knot Pusher Suture Cutter


e The opening rotary jaw The Single-Hole Knot Pusher The Suture Cutter was designed to facilitate
of the CrabClaw makes this provides a simple method to arthroscopic cutting of FiberWire and braided
g instrument an effective suture advance sliding knots and half- suture. The uniquely designed cutting jaws
retriever and knot pusher. hitches. remain sharp throughout repeated use.
It allows for intraarticular This closed end knot pusher The Suture Cutter is available in a closed
capture of suture which has a modified handle that and open ended, left notch version.
dramatically simplifies provides an ergonomic feel. The closed ended Suture Cutter allows
arthroscopic knot tying. The distal tip has also been the surgeon to leave a 3 mm suture tail
Suture posts are alternated modified for easier advance- without the possibility of cutting the knot.
simply by opening the jaws ment of slipknots and half- The open-ended, left notch version facilitates
y and engaging the parallel hitches. suture cutting inside the joint without having
suture limb outside the to top load the cutter.
, cannula or in the joint. Single Hole Knot Pusher AR-1299
y When used as a knot pusher, Knot Pusher, closed end (b) AR-1305 Suture Cutter, 4.2 mm, straight AR-12250
(used w/#2 & #5 suture & FiberTape) (d)
r the ratcheting handle secures Suture Cutter, closed end w/WishBone Handle,
the jaw in a closed position 4.2 mm, straight AR-12250W
n to allow for smooth knot Suture Cutter, 4.2 mm, open-ended,
re advancement. left notch (used w/all suture) (e) AR-11794L
Suture Cutter, w/WishBone Handle,
4.2 mm, open-ended,
’s CrabClaw Knot Pusher/ left notch (used w/all suture) (e) AR-11794LW
s Suture Retriever AR-12960 FiberWire Scissor (for open procedures) (f) AR-11796

a b c
R

Probe
The Articulating Probe enables
the surgeon to easily insert an
instrument through a small stab
incision in soft tissue with the tip
in a straight position. The tip of
the probe can then be changed to
a locked 90˚ position to test the
strength of a soft tissue repair or
6th Finger Knot Pusher to probe defects.
The unique double tube design allows
the surgeon to apply and maintain tension Articulating Probe (c) AR-10100
to the first throw while advancing subsequent Hook Probe, 5.4 mm AR-10000
Hook Probe, 3.4 mm AR-10010
throws with the sliding plastic outer tube. The
inner tube allows subsequent “past pointing”
to apply opposite suture tension to the knot
similar to open knot tying techniques.
A wire loop is incorporated inside the
disposable, sterile 6th Finger Knot Pusher
for easy suture loading.
6th Finger Knot Pusher w/Suture Passer (a) AR-1930S
f
15
F I B E R W I R E S U T U R E

b d e

a b c

FiberWire TigerWire
® ®

FiberWire suture is constructed of a multi-stranded long TigerWire suture uses the same high strength construction as FiberWire
chain ultra-high molecular weight polyethylene (UHMWPE) except that it contains a black marker strand in the suture weave. This strand
core with a braided jacket of polyester and UHMWPE that appears as a stripe in the suture, making suture identification easier during
gives FiberWire superior strength, soft feel and abrasion- open or arthroscopic tissue repairs.
resistance that is unequaled in orthopaedic surgery. Suture
breakage during knot tying is virtually eliminated, especially #2 TigerWire, 38 inches (white/black) AR-7203
#2 TigerWire, 38 inches (white/black) w/two Tapered Needles,
critical during arthroscopic procedures. FiberWire represents 26.5 mm 1/2 circle (b) AR-7205T
a major advancement in orthopaedic surgery.
FiberStick™ and TigerStick
®

#2 FiberWire, 38 inches w/Tapered Needle, 26.5 mm 1/2 circle (a) AR-7200


#2 FiberWire, 38 inches w/Reverse Cutting Needle, 36.6 mm 1/2 circle AR-7202 The 12" stiff “waxed” section of the FiberStick suture allows convenient
#2 FiberWire, 38 inches w/two Tapered Needles, 26.5 mm 1/2 circle AR-7205 and easy advancement through most cannulated instruments, alleviating the
#2 FiberWire, 38 inches w/Tapered Needle, 36.6 mm 1/2 circle AR-7206 need for a monofilament suture or wire suture shuttle. FiberSticks come with
#2 FiberWire, 38 inches (1 blue, 1 white/black) a thin plastic tube which protects the stiffened suture until use.
w/Tapered Needle, 26.5 mm 1/2 circle AR-7208
#2 FiberWire, 38 inches AR-7233 FiberStick, #2 FiberWire, 50 inches (blue), one end stiffened, 12 inches (c) AR-7209
#2 FiberWire, 38 inches, 2 strands (1 blue, 1 white/black) AR-7201 TigerStick, #2 TigerWire, 50 inches (white/black), one end stiffened, 12 inches AR-7209T
#2 FiberWire, 38 inches, 2 strands (1 white, 1 blue/black) AR-7240 2-0 FiberStick, 2-0 FiberWire, 50 inches (blue), one end stiffened, 12 inches AR-7222
#5 FiberWire, 38 inches AR-7210
#5 FiberWire, 38 inches w/Tapered and Conventional Cutting Needles,
FiberChain
®
48 mm 1/2 circle AR-7213
#5 FiberWire, 38 inches w/Conventional Cutting Needle, FiberChain is a single stranded #2 FiberWire suture strand that
48 mm 1/2 circle AR-7211 transitions to chain links of interwoven FiberWire. It is intended for use
0 FiberWire, 38 inches, w/Tapered Needle, 22.2 mm 1/2 circle AR-7250 with the SwiveLock Anchor.
0 FiberWire, 38 inches, w/Diamond Point Needle, 22.2 mm 1/2 circle AR-7251
FiberChain, # 2 FiberWire w/ten 7 mm long loops (required w/SwiveLock) (d) AR-7270
FiberWire Suture Kit (AR-7219) includes: FiberChain, # 2 FiberWire w/eight 7 mm long loops and 20 mm terminal loop AR-7271
Four #5 FiberWire (blue), four #5 FiberWire (white), FiberChain Grasper w/SR Handle AR-13950SR
four #5 FiberWire (white/black), six #2 FiberWire (blue)
w/Tapered Needle and three Free Needles
FiberLink™
FiberLink is constructed from #2 blue FiberWire and transitions from
a single strand to an extended loop. This design is intended to allow two
single strands of #2 FiberWire within a “cinch stitch” to gain purchase around
tissue, while only managing one strand through the PushLock anchor.
FiberLink, #2 FiberWire (blue) w/loop (e) AR-7235
16
F I B E R W I R E S U T U R E

FiberSnare FingerShield™
®
FiberTape
FiberTape is an ultra-high strength FiberSnare with closed loop provides The FingerShield is a woven white
2 mm tape using a similar long chain an easy one step approach to creating polyester sleeve with an embedded
polyethylene structure as the FiberWire a FiberWire loop on the tip of the radiopaque blue marker designed to
suture. In addition to high demand Bio-Tenodesis Driver. Instead of using reduce pressure induced lacerations to
applications, like AC joint reconstruction, a Nitinol wire, insert the stiff nonlooped the digits of the hand caused by repetitive
the broad footprint of the FiberTape is end retrograde through the tip of the knot tying during surgical cases. They slip
ideal for repairs in degenerative cuff Bio-Tenodesis Screwdriver. Place the right over sterile gloves when needed.
tissue where tissue pull-through may tip of the tendon or tendon graft into The tips are left open to allow pinch grasp
be a concern. the FiberWire loop and cinch the other of suture strands while still protecting the
end around the suture cleat on the back IP joint area of each digit. The soft, finger
FiberTape, 2 mm, 36 inch tape end of the blue Tear Drop Handle. The conforming weave will stand up to repetitive
with each end tapered to FiberSnare can also be used as a suture hand tying during a case without constraining
#2 FiberWire, 54 inch (a) AR-7237
shuttle for passage of traction sutures the fingers. Suture slides over the
FiberTape, 2 mm, 7 inch (blue) tape
with each end tapered to through bone tunnels. FingerShield smoothly and effortlessly.
#2 FiberWire, 30 inch AR-7237-7 There are two FingerShields per sterile pack.
TigerTape, 2 mm, 7 inch (white/black) #2 FiberSnare, #2 FiberWire, 26 inches
tape with each end tapered to (green) w/ 3/4” closed loop, FingerShield, 2/pk AR-7199
#2 TigerWire, 30 inch AR-7237-7T 12 inches stiffened (b) AR-7209SN

D I S T A L B I C E P S R E P A I R
Distal Biceps Repair with the BicepsButton™ and Tension Slide Technique
The Tension Slide technique with BicepsButton provides surgeons a simple, reproducible, and
biomechanically stable repair of the distal biceps. This “tensioning” technique reliably draws the tendon
against the distal cortex of the bone socket and therefore maximizes surface area for tendon-to-bone
healing. The addition of a Tenodesis Screw improves the biomechanical strength and allows the tendon
to be placed in a more anatomic position. Biomechanical testing has demonstrated excellent load-to-failure
characteristics with minimal gap formation, possibly allowing for earlier return to activities of daily living.
BicepsButton (a) AR-2261 Required Instruments
Distal Biceps Repair Implant System (b) Bio-Tenodesis Master Set AR-1675S
(includes #2 FiberLoop, 3.2 mm Spade
Tip Drill, Button Inserter,
7 x 10 mm PEEK Tenodesis Screw Optional Disposable
and BicepsButton) AR-2260 Suture Passing Wire AR-1255-18

b
17
A R T H R O S C O P I C C A N N U L A S A
Expanula™ Cannula
The Expanula makes arthroscopic rotator cuff repair easier. Upon insertion of the subacromial
Expanula, its outer sheath is rotated to expand the distal end of the cannula beneath the deltoid.
A counter-pressure ring is then pressed against the skin. This creates an extremely stable portal
that allows instruments to be inserted and removed without the concern of cannula loss.
The Expanula helps keep the subdeltoid bursa under control and can even be used to retract
the deltoid, expanding the workspace and the view. The Expanula makes the use of antegrade
suture passing devices like the Scorpion or NeedlePunch II easier. For removal,
the outer sheath of the Expanula is rotated back to its starting position allowing
the cannula to be pulled out. Each cannula is supplied with a no squirt cap and
disposable obturator.
Expanula Cannula, 8.25 mm I.D. x 7.5 cm (a) AR-6569
Reuseable Obturator for Expanula AR-6571
a

PassPort Button Cannula™


The PassPort Cannulas help maximize visibility and maneuverability inside and outside of the arthroscopic
work space. The double-dam one-piece molded design has low profile flanges that seat flush to the skin and
soft tissue. These flanges create a stable portal that allows instruments to be inserted and removed, without the
concern of cannula loss. They are easily introduced by grasping the inside flange with a curved hemostat and
inserting into the incision. Indications in the shoulder, knee, hip and elbow. Each PassPort is supplied with a
5 mm spacer to ensure the accurate length.
PassPort Cannula, 6 mm I.D. x 2 cm AR-6592-06-20
PassPort Cannula, 6 mm I.D. x 3 cm AR-6592-06-30
PassPort Cannula, 6 mm I.D. x 4 cm AR-6592-06-40
PassPort Cannula, 6 mm I.D. x 5 cm AR-6592-06-50

PassPort Cannula, 8 mm I.D. x 2 cm AR-6592-08-20


PassPort Cannula, 8 mm I.D. x 3 cm AR-6592-08-30 First
PassPort Cannula, 8 mm I.D. x 4 cm AR-6592-08-40 Pass
PassPort Cannula, 8 mm I.D. x 5 cm AR-6592-08-50

PassPort Cannula, 10 mm I.D. x 2 cm AR-6592-10-20


PassPort Cannula, 10 mm I.D. x 3 cm AR-6592-10-30 Second
PassPort Cannula, 10 mm I.D. x 4 cm AR-6592-10-40 Pass
PassPort Cannula, 10 mm I.D. x 5 cm AR-6592-10-50

Articulating Paddle Elevator, w/depth markings AR-8630


PassPort Hemostat AR-6592
Open Cannula, blunt tip AR-6507

10 mm

8 mm

6 mm

18
S A R T H R O S C O P I C C A N N U L A S
Twist-In Cannulas
The translucent Twist-In Cannula allows direct arthroscopic visualization
of instruments and suture passing through the cannula. Flexible option
easily conforms to large or curved instruments. Each cannula is supplied
with a no squirt cap and disposable obturator.
Notched Twist-In Cannula, 8.25 mm I.D. x 7 cm AR-6530N
Twist-In Cannula, 8.25 mm I.D. x 7 cm (a) AR-6530
Twist-In Cannula, 8.25 mm I.D. x 9 cm AR-6540 a
Twist-In Cannula, 7 mm I.D. x 7 cm AR-6570
Twist-In Cannula, 7 mm I.D. x 7 cm, flexible AR-6570F
Twist-In Cannula, 6 mm I.D. x 7 cm AR-6535
Twist-In Cannula, 6 mm I.D. x 9 cm AR-6545

Partially Threaded Cannula, 8.25 mm I.D. x 7 cm (b) AR-6566


Partially Threaded Cannula, 8.25 mm I.D. x 9 cm AR-6575-09
Partially Threaded Cannula, 8.25 mm I.D. x 11 cm* AR-6575-11
Partially Threaded Cannula, 7 mm I.D. x 7 cm AR-6567
b
Instrument Cannula, 5.5 mm I.D. x 9 cm AR-6532
Instrument Cannula, 7 mm I.D. x 7 cm (c) AR-6550
* “no squirt cap” and obturator not included

Crystal Cannula
®

The Crystal Cannula offers a unique barrel-shaped retention bowl that


pools fluid to eliminate cannula “squirt.” Three atraumatic distal retaining
options help to prevent cannula “fall-out.” The translucent cannula allows c
for direct visualization of instruments and suture passing. Flexible option
easily conforms to large or curved instruments. Each cannula is supplied
with a disposable obturator.
Crystal Cannula, 5.75 mm I.D. x 7 cm distal ring (d) AR-6560
Crystal Cannula, 5.75 mm I.D. x 7 cm, smooth AR-6562
Crystal Cannula, 5.75 mm I.D. x 7 cm, partially threaded AR-6564
Crystal Cannula, 5.75 mm I.D. x 7 cm, flexible, distal ring AR-6560F
d

Low Profile 5 mm Cannula


This 5 mm cannula is the lowest profile cannula on the market that
allows for direct visualization of instruments and suture passing. The
proximal portion of the cannula is similar to the Crystal Cannula. Each
cannula is supplied with a disposable obturator.
Low Profile Cannula, 5 mm I.D. x 7 cm (e) AR-6548
e

Shoehorn™ Cannula
The Shoehorn Cannula has a longitudinal slot on top of the cannula
to allow oversized instruments to be introduced. Each cannula is supplied
with disposable obturator.
Shoehorn Cannula, 6 mm I.D. x 9 cm (f) AR-6565

Cannula Accessories
Wissinger Rod, 4 mm AR-3025 f
Extra Long Switching Stick, 4 mm AR-3026
Portal Dilation Set AR-6520S
Replacement Pin for AR-6520S AR-6521
1-Way Stopcock, w/luer lock AR-6561
Reusable Obturator (for AR-6530, AR-6530N, AR-6566, AR-6570F) AR-6531
Reusable Obturator (for AR-6535) AR-6536
Reusable Obturator (for AR-6540, AR-6575-09) AR-6541
Reusable Obturator (for AR-6550, AR-6567, AR-6570) (g) AR-6549
Reusable Obturator (for AR-6560, AR-6562, AR-6564, AR-6560F) AR-6563
Reusable Obturator (for AR-6569) AR-6571 g
Quick Flush Valve AR-2700 19
SPECIALTY RECONSTRUCTION SYSTEMS
Bio-Tenodesis™ Screw System
The Bio-Tenodesis Screw System was designed specifically for the reattachment of soft tissue,
both ligament and tendon, to bone. The Bio-Tenodesis Driver facilitates accurate graft tensioning
into a bony socket in a simple “push-in” method. The interference fit provided by the Tenodesis
Screw and FiberWire virtually eliminates graft separation from the bone. Because of the strength
of the repair achieved with the system, patients are generally allowed to begin postoperative rehab
a earlier than previously permitted. The Bio-Tenodesis Screws are composed of PLLA and are available
in numerous sizes to fit all applications. There are also titanium Tenodesis Screws available for use
with the system, if desired. The system is ideal for the reattachment of soft tissue to bone in upper
extremity procedures including rotator cuff repairs, proximal/distal biceps tenodesis and acromio-
clavicular joint reconstruction.
Bio-Tenodesis Master Set (AR-1675S) (b) includes:
Cannulated Drill, 4 mm AR-1204L
Cannulated Drill, 4.5 mm AR-1204.5L
Cannulated Headed Reamers, 5 - 10 mm AR-1405 - AR-1410
Tear Drop Handle w/Suture Cleat (c) AR-2001BT
Driver for Bio-Tenodesis Screws (AR-1540B) AR-1540DB
Driver for Bio-Tenodesis Screws (AR-1670B, AR-1680B) AR-1670DB
Driver for Bio-Tenodesis Screws (AR-1547B, AR-1555B,
AR-1562B, AR-1350-475, AR-1350-55, AR-1655PS,
AR-1655PS-10 and AR-1655PS-12) AR-1350D
Driver for Bio-Tenodesis Screws (AR-1570B, AR-1580B
and AR-1590B) AR-1570DB
Bio-Tenodesis Screw Instrumentation Case AR-1675C c

Implants (a):
Tenodesis Screw, 4.75 mm x 15 mm, titanium AR-1350-475
Tenodesis Screw, 5.5 mm x 15 mm, titanium AR-1350-55
Bio-Tenodesis Screw w/handled inserter, 3 mm x 8 mm (d) AR-1530B
Bio-Tenodesis Screw, 4 mm x 10 mm AR-1540B
Bio-Tenodesis Screw, 4.75 mm x 15 mm AR-1547B
Bio-Tenodesis Screw, 5.5 mm x 15 mm AR-1555B
Bio-Tenodesis Screw, 6.25 mm x 15 mm AR-1562B
Bio-Tenodesis Screw, 7 mm x 10 mm AR-1670B
Bio-Tenodesis Screw, 7 mm x 23 mm AR-1570B
Bio-Tenodesis Screw, 8 mm x 23 mm AR-1580B
Bio-Tenodesis Screw, 9 mm x 23 mm AR-1590B
Bio-Tenodesis Screw, 8 mm x 12 mm AR-1680B
PEEK Tenodesis Screw w/handled inserter, 3.8 mm x 8 mm AR-1530PS
PEEK Tenodesis Screw, 4 mm x 10 mm AR-1540PS
d
PEEK Tenodesis Screw, 4.75 mm x 15 mm AR-1547PS
PEEK Tenodesis Screw, 5.5 mm x 8 mm AR-1655PS
PEEK Tenodesis Screw, 5.5 mm x 10 mm AR-1655PS-10
PEEK Tenodesis Screw, 5.5 mm x 12 mm AR-1655PS-12
PEEK Tenodesis Screw, 5.5 mm x 15 mm AR-1555PS
PEEK Tenodesis Screw, 6.25 mm x 15 mm AR-1562PS
PEEK Tenodesis Screw, 7 mm x 10 mm AR-1670PS
b PEEK Tenodesis Screw, 7 mm x 23 mm AR-1570PS
PEEK Tenodesis Screw, 8 mm x 23 mm AR-1580PS
PEEK Tenodesis Screw, 9 mm x 23 mm AR-1590PS
PEEK Tenodesis Screw, 8 mm x 12 mm AR-1680PS

Disposables:
Bio-Tenodesis Disposables Kit AR-1676DS
Small Diameter Bio-Tenodesis Disposables Kit AR-1677DS
Bio-Tenodesis Disposables Kit for 3.0 mm x 8 mm screw AR-1530DS
#2 FiberSnare, #2 FiberWire, 26 inches w/closed loop,
one end stiffened, 12 inches AR-7209SN
#2 FiberLoop w/Straight Needle AR-7234
Short Guide Pin, 2.4 mm AR-1250SB

Optional Accessories
Bio-Tenodesis Tap, 4.0 mm x 10 mm AR-1540T
Bio-Tenodesis Tap, 4.75 mm x 15 mm AR-1547T
Bio-Tenodesis Tap, 5.5 mm x 15 mm AR-1555T
Bio-Tenodesis Tap, 6.25 mm x 15 mm AR-1562T
Bio-Tenodesis Tap, 7.0 mm x 23 mm AR-1570T
Bio-Tenodesis Tap, 7.0 mm x 10 mm AR-1670T
Bio-Tenodesis Tap, 8.0 mm x 12 mm AR-1680T
Drill Pin Tip Headed Reamer, 7.0 mm AR-1407DP
Extended Length Driver for Bio-Tenodesis Screws (AR-1547B,
20 AR-1555B, AR-1562B, AR-1350-475 and AR-1350-55) AR-1350DL
S PROWICK SHOULDER POSTOPERATIVE DRESSING
The ProWick Shoulder Postoperative Dressing and Cold Therapy System is revolutionary technology
designed to meet the demands of arthroscopic and mini-open surgical techniques.
ProWick features a tapeless design composed of state-of-the-art, antimicrobial, super-absorbent
material that stores patient exudate away from the surgical incision sites while compression and cold
therapy are applied to the healing joint.

ProWick Shoulder Postoperative Dressing and Cold Therapy System


(box of 10, packed individually, sterile) AR-1625

ProWick Postoperative Dressing ProWick shown with cold pack in place

SHOULDER POSITIONING DEVICES

Lateral Decubitus Shoulder Traction Tower (AR-1630) 3-Point Shoulder Distraction System (AR-1600M)
The Lateral Decubitus Shoulder Traction Tower allows for This versatile system provides safe, effective and easy positioning of the
abduction, forward flexion and traction during open and arthroscopic shoulder during all types of arthroscopic or open shoulder surgery performed
procedures. The single boom arm can be easily adjusted with two in the lateral decubitus position. 3-point shoulder traction with a lateral
independent hand cranks for simplified intraoperative adjustment. strap permits ideal shoulder positioning for improved access to the anterior
This tower attaches easily to the standard O.R. table Clark Rail. The glenohumeral joint. During more routine arthroscopic procedures single
universal carabiner clamp makes the system compatible with all STaR™ point traction may be selected at any desired angle of abduction by transferring
(Shoulder Traction and Rotation) Sleeves. When not in use, the system weights to the third traction cable. The 3-Point Shoulder Distraction System
can be folded, minimizing storage space required in the O.R. suite. attaches easily to standard O.R. table Clark Rails and has color coded cable
ends for easy identification when transferring traction weights.
Lateral Traction Arm Sleeve (AR-1635)
The Lateral Traction Arm Sleeve provides the surgeon with a simple, STaR (Shoulder Traction and Rotation) Sleeve
economical “roll-down” solution for traction in the lateral decubitus position. The STaR Sleeve is a sterile, soft foam traction boot designed to gently
This kit includes the nylon/spandex arm sleeve, 4” Coban™, superficial radial cradle the arm, forearm and wrist during distal distraction in any desired
nerve pad, and 7 foot rope with position of abduction. The STaR Sleeve is used with the 3-Point Shoulder
S hook. The nerve pad can be Distraction System or the Lateral Decubitus Shoulder Traction Tower. The
used over or under the sleeve cushioned Lateral Traction Sling is an ecomonical alternative to the STaR
to protect the superficial radial Sleeve when used with the Atraumatic Hand Holder Traction Attachment.
nerve from compressive type
STaR Sleeve, compact, Coban, sterile, qty. 6, SU AR-1606C
injury. This sleeve can be used STaR Sleeve, Coban, sterile, qty. 6, SU AR-1606
with the Lateral Decubitus Shoulder STaR Sleeve, Velcro, sterile, qty. 6, SU AR-1606V
Traction Tower or 3-Point STaR Sleeve, Velcro, extra long, sterile, qty. 6, SU AR-1606LV
Lateral Traction Arm Sleeve AR-1635 Shoulder Distraction System. STaR Sleeve, Velcro, small, sterile, qty. 6, SU AR-1606SV
In addition, the rope with S hook allows the sleeve to be used with other
traction towers. The entire system is latex free and provided sterile. 21
C O N G R U E N T - A R C L A T A R J E T S
The Glenoid Bone Loss Set helps surgeons address the complex issue of shoulder instability caused by bony pathology such as anterior glenoid bone
loss, bony Bankart, glenoid fracture or engaging Hill-Sachs lesions. The set was developed in collaboration with Stephen S. Burkhart, M.D. (San Antonio,
Texas), Ian Lo, M.D. (Calgary, Canada) and Sven Lichtenberg, M.D. (Heidelberg, Germany).

3.75 mm Cannulated Titanium Screws


• Partially and fully threaded options
• Self-drilling and self-tapping
• Cannulated shaft accepts 1.6 mm guide pins
• 30 to 42 mm lengths in 2 mm increments
• Low profile head
• Standard 2.5 mm hexagonal drive
• Cancellous thread profile

Open Latarjet Instruments


This unique instrumentation helps make the
Latarjet technique more consistent and repeatable.
• Osteotome blade with blade shield for coracoid graft retrieval
• Retractors to ease exposure
• Coracoid grasping drill guide helps control and prepare graft
a
• Glenoid offset guide holds graft in position on the glenoid
while firmly fixed in place

Bony Bankart/Glenoid Fracture Instruments


The instruments have been designed to allow placement of the
partially threaded 3.75 mm cannulated screws, either percutaneously Implants and Disposables:
or through a standard arthroscopic cannula. Osteotome Blade Latarjet (f) AR-7000-01

• Long Nesting Guide Sleeves .062” (1.6 mm) Guide Wire, 6” Long AR-8941-6
• Long 2.75 mm Cannulated Drill .062” (1.6 mm) Guide Wire, 7” Long AR-8941-7
• Long 2.5 mm Hexagonal Driver .062” (1.6 mm) Guide Wire, 12” Long AR-8941-12
e
3.75 mm x 30 mm Cannulated Screw, partially threaded AR-7000-30
Glenoid Bone Loss Set (AR-7000S) (a) includes: 3.75 mm x 32 mm Cannulated Screw, partially threaded AR-7000-32
Osteotome Blade Shield (g) AR-7000-02 3.75 mm x 34 mm Cannulated Screw, partially threaded AR-7000-34
Parallel Drill Guide, 4 mm Offset (c) AR-7000-03 3.75 mm x 36 mm Cannulated Screw, partially threaded AR-7000-36
Parallel Drill Guide, 6 mm Offset AR-7000-04 3.75 mm x 38 mm Cannulated Screw, partially threaded AR-7000-38
Parallel Drill Guide, 8 mm Offset AR-7000-05 3.75 mm x 40 mm Cannulated Screw, partially threaded AR-7000-40
Screw Length Sizer AR-7000-06 3.75 mm x 42 mm Cannulated Screw, partially threaded AR-7000-42
Coracoid Drill Guide (d) AR-7000-07
Fukuda Retractor, Small AR-7000-08 3.75 mm x 30 mm Cannulated Screw, fully threaded AR-7000-30FT
Kolbel Glenoid Retractor AR-7000-09 3.75 mm x 32 mm Cannulated Screw, fully threaded AR-7000-32FT
Nesting Guide Sleeves AR-7000-12 3.75 mm x 34 mm Cannulated Screw, fully threaded AR-7000-34FT
Cannulated Hex Driver, 2.5 mm AR-7000-13 3.75 mm x 36 mm Cannulated Screw, fully threaded AR-7000-36FT
Cannulated Drill, 2.75 mm AR-7000-14 3.75 mm x 38 mm Cannulated Screw, fully threaded AR-7000-38FT f
Drill, 4 mm AR-1204D 3.75 mm x 40 mm Cannulated Screw, fully threaded AR-7000-40FT
Osteotome Handle (e) AR-2961 3.75 mm x 42 mm Cannulated Screw, fully threaded AR-7000-42FT
Handle, Drill Guide (b) AR-9215-1-01
Cannulated Driver Handle w/AO Connection AR-13221AOC
Gelpi Subscapularis Retractor AR-8104
Glenoid Bone Loss Instrument Case AR-7000C
Screw Caddy, 3.75 mm, Fully Threaded Screw AR-7000SC-1
Screw Caddy, 3.75 mm, Partially Threaded Screw AR-7000SC-2
M
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S H O U L D E R R E P A I R S E T
The Shoulder Repair Set is a comprehensive selection of specialty instruments to facilitate arthroscopic shoulder repairs. The set contains the most
popular instruments as determined by leading upper extremity surgeons. A wide variety of arthroscopic suturing instruments facilitates multiple options to
deal with most anatomical variations. Cannulated obturators ease portal dilation and insertion of various diameter clear cannulas over a Switching Stick
or Wissinger Rod. The autoclavable, anodized aluminum case has two custom removal
racks for suturing instruments and cannula obturators.
Additional instruments can be added.

Shoulder Repair Set (AR-8402S) includes:


BirdBeak, 45˚ up tip, 2.75 mm AR-11800 Shoulder Tissue Elevator, 15˚ AR-1342-15 Reusable Obturator for AR-6530 Twist-In Cannula AR-6531
BirdBeak, 22˚ up tip, 2.75 mm AR-11890 Shoulder Tissue Elevator, 30˚ AR-1342-30 Reusable Obturator for AR-6535 Twist-In Cannula AR-6536
Suture Retriever AR-12540 Rotator Cuff Grasper AR-13960SR Reusable Obturator for AR-6540
Shoulder Debridement Rasp AR-1282L Kingfisher Suture Retriever/Tissue Grasper AR-13970SR and AR-6575-09 Twist-In Cannula AR-6541
Knot Pusher, closed end AR-1305 Penetrator Suture Retriever, 15˚ up AR-2167-2 Reusable Obturator for AR-6550, AR-6567
SLAP Rasp AR-1309 4 mm O.D. Wissinger Rod AR-3025 and AR-6570 Twist-In Cannula AR-6549
Glenoid Rasp AR-1312 Extra Long Switching Stick AR-3026 Reusable Obturator for AR-6560
Bankart Rasp AR-1312-90 Suture Hook AR-5007H and AR-6562 Instrument Cannula AR-6563
Shoulder Repair Set Instrumentation Case AR-8402C
Master Shoulder Repair Set (AR-8402MS) includes products listed above plus the following products:
Suture Cutter, open ended, left notch AR-11794L Punch for 4.5 mm PushLock AR-1922P
Suture Cutter, 4.2 mm, straight AR-12250 Punch for 3.5 mm PushLock AR-1926P
NeedlePunch II, 16 mm AR-13982S Bio-Corkscrew FT Punch AR-1927PB
Scorpion Suture Passer, Humpback AR-13993

MINI-OPEN REPAIRS SHOULDER


CHONDR0 PICK
The unique offset design of the Shoulder Chondro Pick allows
the surgeon to apply a penetrating force coaxial to the angled
instrument tip preventing skiving on cartilage. The length of the
instrument shaft allows use of a standard seven centimeter long
cannula of any diameter down to a 5.75 mm internal diameter.
Shoulder Chondro Pick, angled, 40˚ tip AR-8665
a

Modular Soft Tissue Retractor


The Modular Soft Tissue Retractor is a versatile adjunct to muscle-splitting
approaches about the shoulder, including mini-open rotator cuff repair. It has
a self-locking and self-retaining design with modular paddles that allow firm,
yet safe, exposure. Its self-locking design allows the shoulder to be moved
throughout a range of motion without the retractor becoming dislodged.
Modular Soft Tissue Retractor Body AR-8170
Modular Soft Tissue Retractor Set AR-8170S
Modular Soft Tissue Retractor Atraumatic Set AR-8170DS
Modular Soft Tissue Retractor Atraumatic Paddle Set, 75 mm AR-8170-75DS
(Replacement Paddles are available for all sets) (a)

23
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©2009, Arthrex Inc. All rights reserved.

U.S. PATENT NOS. 5,683,401; 5,690,677; 5,746,752; 5,951,559; 5,964,783; 5,993,451;


6,027,523; 6,074,403; 6,117,162; 6,214,031; 6,511,499; 6,517,552; 6,544,281; 6,616,624; 6,652,563; 6,716,234; 6,896,686; 6,916,333; 6,991,636;
6,994,719; 7,029,490; 7,112,208; 7,147,651; 7,195,634; 7,204,839; 7,226,469; 7,329,264; 7,329,272 and PATENTS PENDING. LB0220M

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