Titanium Anchors 3.0 and 5.0/6.5 for use in reconstructive surgery

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Titanium Anchors 3.0 and 5.0/6.5

for use in reconstructive surgery

KARL STORZ offers high quality titanium anchors in 3.0, 5.0 and 6.5 mm diameter for reconstructive surgery.

The titanium anchors come sterilized with two preloaded MEGAFIBRE® #2 sutures, loaded on a disposable inserter.

The special MEGAFIBRE® suture is a braided, non-absorbable, ultra-high molecular weight polyethylene suture. Characterized by low tissue drag and its flat design, this suture offers increased knot strength compared to other sutures made of polyester or polyblend.

Accessories for use with titanium anchors are reusable and produced in typical KARL STORZ quality and thus meet highest demands.

Special characteristics:

• Preloaded disposable inserter

• Use of the special MEGAFIBRE® suture

• Patented suture eyelet and single suture guidance for maximum suture stability

• Orientation aids for suture position

• Special anchor for patients with osteoporosis

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Titanium Anchors 3.0

The titanium anchor 3.0 comes with two preloaded MEGAFIBRE® #2 sutures.

Thanks to its unique thread design and its patented suture eyelet, maximum suture stability is ensured.

Self-cutting anchor 3.0:

To permit safe placement of the anchors and optimal gliding of MEGAFIBRE®, the disposable inserters include orientation aids. Two laser-etched marks at the distal end identifiy the position of the MEGAFIBRE®.

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Titanium Anchor 3.0

Anatomical reconstruction of the labrum-capsule complex in a Bankart injury

Diagram of a Bankart lesion.

Tear of the middle glenohumeral ligament (MGHL) and of the anterior part of the inferior glenohumeral ligament (IGHL).

After positioning the SPS-Secure Portal System in the anterior-superior and anterior-inferior portals, the labrum-capsule complex is mobilized using a sharp elevator 28179 BB or BC.

BCT

Bankart lesion

AIGHL

Subscapularis tendon

Labrum

MGHL

SGHL

Glenoid

PIGHL

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Titanium Anchor 3.0

Anatomical reconstruction of the labrum-capsule complex in a Bankart injury

Insertion of the glenoid guide and preparation of the implant bed with the threaded drill 28179 TT (The self-tapping anchor does not require this step).

Insertion of the 3.0 titanium anchor via the inferior cannula to the laser mark on the disposable inserter.

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Passing of the blue-white suture the blue support suture through the labrum-capsule complex and exiting the suture through the anterior-superior cannula. Again puncturing of the labrum-capsule complex with a suture hook via the anterior-inferior cannula. Passing of the shuttle suture through the anterior-superior cannula and extracorporeal taying of the white anchoring suture. Passing of the white anchoring suture through the labrum-capsule complex and exiting the suture through the anterior-inferior cannula.

Retrieval of the white and blue-white sutures located superiorly via the anterior-superior cannula and retrival of the white an blue-white sutures via the anterior-inferior cannula. Puncture of the labrum-capsula complex with a suture hook and forwarding of a shuttle suture.

The blue shuttle suture is exited via the anterior-interior cannula and tied extracorporeally with the blue-white anchoring suture of the inferior cannula.

Titanium Anchor 3.0

Anatomical reconstruction of the labrum-capsule complex in a Bankart injury

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Preperation of arthroscopic sliding knots and placement of additional titanium anchors.

Titanium Anchor 3.0

Anatomical reconstruction of the labrum-capsule complex in a Bankart injury

Reconstructed Bankart injury.

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The 5.0 and 6.5 titanium anchors were developed for use in reconstructive rotator cuff surgery.

Both anchors come with two pre-loaded MEGAFIBRE® #2 sutures. The disposable inserters of these two anchors also feature laser marks for orientation purposes.

Titanium Anchor 5.0 and 6.5

Equipped with a self-tapping screw thread, these two anchors require no preparatory measures whatsoever. However, the 28179 KS bone punch can be used to facilitate insertion, if desired.

The titanium anchor 6.5 was developed especially for the treatment of patients with osteoporosis and features larger thread wings, which ensure better support in lower bone quality.

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Titanium Anchor 5.0 and 6.5

Anatomical reconstruction of an L-shaped tear in the rotator cuff

Lateral view: Dorsal and ventral portals are placed.

Puncture of the longitudinally ruptured rotator cuff.

a) Retrieval of monofilament support suture

b) Extracorporeal tying of the support suture with a multifilament suture Passing support suture through rotator cuff tear.

Retrieval of the suture and knotting of the first side-to-side suture.

Application of further side-to- side sutures.

Support suture thread retrieved dorsally

Preparation of the supra-spinatus tendon insertion/ footprint.

If desired, an acromionizer burr may be used, which minimizes bleeding

Placing of the titanium anchor in the area of the footprint (b).

If desired, a pilot hole can be prepared with the 28179 KS bone punch (a) to facilitate screwing in the anchor (b).

a b

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Removal of disposable inserter and arranging of the sutures

(Lateral arthroscopic view): After one of the suture is retrieved dorsally with a suture catcher, the rotator cuff is punctured from ventrally and the support suture is exited dorsally

Knotting and passing the support suture with the suture through the rotator cuff

Titanium Anchor 5.0 and 6.5

Anatomical reconstruction of an L-shaped tear in the rotator cuff

The same is now repeated with the remaining pair of sutures

Complete reconstruction of an L-shaped rotator cuff tear

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Instruments

28136 CR High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 6 mm, working length 13.5 cm, two stopcocks, rotatable, for use with HOPKINS® telescopes 0°, 30°, 70° and Obturators 28126 BC/BT/BS, 28134 O, color code: red

28126 BT Obturator, semisharp, for use with Arthroscope Sheaths 28229 DR, 28129 CR, 28126 CR/R/B, 28136 CR, 28135 CR and 28136 EC, color code: green-red-yellow

28124 BX Changing Rod, length 23 cm, package of 6, for use with arthroscope sheaths with inner diameter 4 mm

2870514 TI Titanium Suture Anchor, diameter 5 mm, length 12.5 mm, with 2 MEGAFIBRE® threads USP 2, pre-assembled, self-tapping, with inserter, sterile, for single use

2870614 TI Titanium Suture Anchor, diameter 6.5 mm, length 12.5 mm, with 2 MEGAFIBRE® threads USP 2, pre-assembled, self-tapping, with inserter, sterile, for single use

NEW 2870309 ST Titanium Suture Anchor, diameter 3 mm, length 9 mm, with two MEGAFIBRE® sutures USP 2, pre-assembled, self-tapping, with inserter, sterile, for single use

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28179 KS Bone Punch, for use with Titanium Suture Anchors 2870514 TI, 2870614 TI and 2870309 ST

28179 I Crochet Hook, working length 15 cm

2870356 KP Knot Pusher and Suture Cutter, for cutting sutures up to size USP 2, including: Insert and Blade Handle

28179 KP Knot Pusher, working length 18 cm

28179 GG Glenoid Guide, working length 12.5 cm, for use with BioPlug 2870411 BP and 2870310 BP and Drills 28179TB/TD

Instruments

2870356 SC Suture Cutter, for cutting sutures size USP 2

NEW

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28179 GH HALF PIPE®, long, working length 9.5 cm

28179 OB Obturator, for use with 28179 GK/GH

28171 AGN SILGRASP® Alligator Grasping Forceps, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 12 cm

28171 AGSN SILGRASP® Alligator Grasping Forceps, straight jaws, serrated, with ratchet, sheath diameter 3 mm, straight, handle with cleaning connector, working length 12 cm

28171 PGN SILGRASP® Foreign Body Grasping Forceps, aggressive, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm

28171 PGSN SILGRASP® Foreign Body Grasping Forceps, aggressive, with ratchet, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm

28171 SGN SILGRASP® Suture Grasping Forceps, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm

Instruments

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Instruments

28179 BB Elevator, width 4 mm, 15° curved upwards, working length 15 cm

28179 BC Elevator, width 4 mm, 30° curved upwards, working length 15 cm

28179 CB Glenoid Rasp, width 5.5 mm, 30° curved upwards, working length 15 cm

28179 CC S.L.A.P Rasp, width 5.5 mm, 30° curved downwards, working length 15 cm

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Instruments

28184 WH WONDERHOOK® Handle, complete, for transporting monofilament threads up to size USP 1 including: Transport Cassette

28184 NG WONDERHOOK® Suture Attachment, for use with monofilament threads up to size USP 1, straight, working length 15 cm, for use with Handle 28184 WH, color code: blue

28184 NGL Same, long

28184 NA WONDERHOOK® Suture Attachment, for use with monofilament threads up to size USP 1, distal tip slightly curved upwards, working length 15 cm, for use with Handle 28184 WH, color code: gold

28184 MR WONDERHOOK® Suture Attachment, for use with monofilament threads up to size USP 1, distal tip curved 25° right, working length 15 cm, for use with Handle 28184 WH, color code: green

28184 ML Same, distal tip curved 25° left

NEW

NEW

NEW

NEW

28184 NR WONDERHOOK® Suture Attachment, for use with monofilament threads up to size USP 1, distally strongly curved to right, working length 15 cm, for use with Handle 28184 WH, color code: red

28184 NL Same, distally strongly curved to left

28184 RA Cleaning Adaptor, for use with Suture Attachments 28184 NR/NL/MR/ML/NA/NG/NGL

NEW

NEW

NEW

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Instruments

33136 P Handle, with thumb release, with 4 locking positions, for use with Suture Attachments 28180 LA/LC/LL/LR/LRG

28180 LA SHOULDER PRO® Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, curved upwards, working length 15 cm, for use with Handle 33136 P, color code: black

28180 LC SHOULDER PRO® Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, straight, working length 15 cm, for use with Handle 33136 P, color code: blue

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28180 LL SHOULDER PRO® Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, curved to left, also curved to left in sheath, working length 15 cm, for use with Handle 33136 P, color code: red

28180 LR SHOULDER PRO® Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, curved to right, also curved to right in sheath, working length 15 cm, for use with Handle 33136 P, color code: green

28180 LRG SHOULDER PRO® Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, retrograde opening, also curved upwards in sheath, working length 15 cm, for use with Handle 33136 P, color code: white

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Optional: For the respective sets, Handle 28179 DF is available to facilitate the insertion of the Dilator 28179 DL.

Recommended Set

SPS – Secure Portal System

28179 FB

28179 FC 28179 FP

28179 EB 28179 EO

28179 EC 28179 EP

28179 DB 28179 DO

28179 DW

28179 FO

28179 OG28179 DG

28179 DL

28179 SA/SB 28179 SC/SD 28179 DF

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SPS – Secure Portal System

A workable instrument set requires the following supplementary sets:

1. For inner diameter 6.1 mm, working length 7 cm

28179 EB Dilator, with handle28179 EO Obturator, diameter 4 mm, for use with Dilator 28179 EB 28179 SA Cannula, with thread, transparent, for single use

2. For inner diameter 6.1 mm, working length 8.5 cm

28179 EC Dilator, with handle 28179 EP Obturator, diameter 4 mm, for use with Dilator 28179 EC 28179 SB Cannula, with thread, transparent, for single use

3. For inner diameter 8.25 mm, working length 7 cm

28179 FB Dilator, with handle28179 FO Obturator, diameter 4 mm, for use with Dilator 28179 FB28179 SC Cannula, with thread, transparent, for single use

4. For inner diameter 8.25 mm, working length 8.5 cm

28179 FC Dilator, with handle28179 FP Obturator, diameter 4 mm, for use with Dilator 28179 FC28179 SD Cannula, with thread, transparent, for single use

Optional:

28179 GS Set of Gaskets, 10x 2 sealing caps, sterile, for use with Valve Housing 28179 DG/OG

28179 GU Set of Gaskets, 10x 2 sealing caps, unsterile, for use with Valve Housing 28179 DG/OG

28179 OG Valve Housing, without LUER-Lock, for use with Cannulas and Set of Gaskets 28179 GU/GS

28179 E Basic Set for SPS – Secure Portal System including:

Positioning Needle Obturator Guide Wire, package of 6 Dilator Handle, for Dilator 28179 DL

Recommended Set

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Instruments

28179 HG Handle, for use with monofilament threads size USP 2-0 to 2, for use with Suture Attachments 28179 PA – PH, 28728 NA – NG , and Wheel Attachment 28179 HR and Wheel 28179 R

28179 HR Wheel Attachment, for use with monofilament threads size USP 2-0 to 2, for use with Handle 28179 HG and Wheel 28179 R

28179 R Wheel, for use with monofilament threads size USP 2-0 to 2, for use with Wheel Attachment 28179 HR

28180 BG Suture Catcher, with inserter, sterile, package of 10, for use with Suture Attachments 28179 PA – PH and 28728 NA – NG, Wheel Attachment 28179 HR and Handle 28179 HG

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28179 PE Suture Attachment, hook-shaped distal tip, straight, 8.7 mm in height, working length 15 cm, for use with Handle 28179 HG

28179 PG Suture Attachment, distal tip angled 30° to right, straight, 8 mm in height, working length 15 cm, for use with Handle 28179 HG

28179 PA

28179 PA Suture Attachment, distal tip curved, straight, 5 mm in height, working length 150 mm, for use with Handle 28179 HG

28179 PB Same, 7 mm in height

28179 PC Same, 8 mm in height

28179 PD Same, distal tip curved hook like, 8.0 mm in height

28179 PF Same, 10 mm in height

28179 PH Same, distal tip angled 30° to left

28179 R1 Cleaning Adaptor, for use with Suture Attachments 28179 PA – PH and 28728 NA – NG

28179 R2 Cleaning Adaptor, for use with Handles 28179 HG

28179 PE/PF

28179 PE/PF

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Additional Literature:

•ENDOWORLD®:– BioPlug 3.5 and 4.2 for use in reconstructive surgery (ART 26)– BioPlug 5.2 SPS – Secure Portal System

For use in reconstructive shoulder surgery on the humeral head (ART 27)– ARTHROPUMP® Power – The Clever System for Arthroscopic Fluid Management (ART 42)– UNIDRIVE® S III ARTHRO – Your Complete Solution for Arthroscopy (ART 46)

•ENDOGRAM:– WONDERHOOK® – New Suture Shuttle System for Shoulder Arthroscopy (ART 4 09/2014)

•DoctortoDoctorManuals:

G. Lajtai, G. Aitzetmüller, G. Pörtsch, H. Panger: Shoulder Arthroscopy Part I Positioning and Approaches, Part II Instabilities and their Treatment, Part III Subacromial Impingement Syndrome and its Treatment

•DVD:– Shoulder: Arthroscopy and Anatomy (KS 664)– The Shoulder Anatomical Knowledge Update (KS 705)– The Shoulder Anatomical Update 2010 (KS 724)– Anterior Instability Repair (KS 629)

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Notes

It is recommended to check the suitability of the product for the intended procedure prior to use.

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KARL STORZ SE & Co. KG Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany Postbox 230, 78503 Tuttlingen/Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: info@karlstorz.com

www.karlstorz.com