Healix Ti Brochure
Healix Ti Brochure Healix_Ti_Brochure Healix_Ti_Brochure 3 2013 pdf 258413772373414384
2013-02-24
: Pdf Healix Ti Brochure Healix_Ti_Brochure 2 2013 pdf
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TM Dual Thread Suture Anchor with Titanium TM Optimized Fixation in Rotator Cuff Repair 1-800-382-4682 | www.depuy.com ©DePuy Mitek, Inc. 2009. All rights reserved. Printed in the USA. Dyneema® Purity is a registered trademark of Royal DSM N.V. P/N 901072, Rev. A 10/09 Attributes Strength Data Engineered with HEALIX Dual Thread Technology™ Pullout Comparison 1 • Dual thread pattern maximizes pull-out strength2 by independently engaging both cortical & cancellous bone 100 4.5mm HEALIX Ti Torque Capability 1 24 175 150 Driver/Anchor Hex Strip Failure - 18.70 20 80 110.00 82.90 72.00 74.20 40 Cancellous Threads 20 0 5.5mm HEALIX Ti 4.5mm 5.5mm 4.5mm HEALIX Ti Corkscrew FT* Corkscrew FT* 100 128.3 75 50 5 0 5.5mm HEALIX Ti 16 5.5mm Corkscrew FT* Driver/Anchor Hex Strip -12.50 12 • Cannulation channels blood to the surface 8 12.71 13.88 • Smooth suture bridge provides improved resistance to suture abrasion 4 Threads per Anchor Comparison1 125 25 Safe Driver/Handle Strip - 17.60 Insertion Torque [lbf] 60 Cadaveric Perfusion (Flow Rate)1 • Internally driven design provides increased torque capabilities and insertion confidence2 • Tactile feedback during transition from cancellous to cortical threads confirms anchor engagement and security 120 Pullout Force [lbf] Insertion Torque Perfusion (cm3/min) • DePuy Mitek’s evolutionary HEALIX Suture Anchor is now offered with titanium for added strength Optimized Fixation in Rotator Cuff Repair 2.95 Cortical Threads 3.38 0 4.5mm HEALIX Ti 4.5mm Corkscrew FT* 14 Threads per anchor 12 10 • HEALIX Ti is engineered to engage denser bone than Arthrex’s Corkscrew FT 1 8 12 6 4 Soft Foam Hard Foam Hard Foam Difference before the force to insert reaches the force of failure • Increased number of threads provides improved bone contact, purchase & bite 4 2 Soft Foam Suture Bridge 0 5.5mm HEALIX Ti 5.5mm Corkscrew FT* Suture Abrasion Resistance1 5.5mm HEALIX Ti Torque Capability3 30 25 Trocar Tip Strength 1 Driver/Anchor Hex Strip Failure - 25.00 Insertion Torque [lbf] 250 200 150 1171 Cycles 972 Cycles 20 169 Cycles 15 21.34 10 22.00 4.5mm HEALIX Ti 0 200 400 4.5mm Corkscrew FT FASTIN®RC 600 800 1000 1200 1400 Suture Abrasion in Number of Suture Cycles to Break 100 50 5.5mm HEALIX Ti Driver/Anchor Hex Strip - 22.80 300 Tip Separation Force [lbf] 1346 Cycles 242 126 82 0 5.5mm HEALIX Ti 4.5mm HEALIX Ti FASTIN® RC • Efficient trocar tip designs allows quick & easy anchor insertion without the need to pre-awl, or request additional instruments 5 5.19 5.14 0 5.5mm HEALIX Ti 5.5mm Corkscrew FT* • ORTHOCORD® Suture now with the NEW blue striped 3rd suture - 55 lbs of tensile strength3 - 45% less stiff than Fiberwire** 1600 Mark H. Getelman, M.D. Co-Director Sports Medicine Fellowship Southern California Orthopedic Institute Triple-Loaded HEALIX Ti Techniques ™ Technique I Introduction - For rotator cuff repairs, there are cases where double row techniques can be beneficial, however, the majority of cases can be managed well with single row repairs. Several prospective randomized studies have documented equivalent outcomes with either single or double row repairs4,5,6. In the following, we present different suture options for single row repair. Technique III Single-Row Rotator Cuff Repair with HEALIX Ti Triple Loaded Anchor Pyramid Stitch with HEALIX Ti Triple Loaded Anchor Blue Striped Blue Blue Purple Purple Blue Striped 1 For the simple repair three suture passes are made per anchor. The medial limb of each suture closer to the RC is then passed through the RC using either a shuttle technique with DePuy Mitek IDEAL™ Suture Graspers or an EXPRESSEW® II device. The three limbs are equidistantly spaced apart. Once all sutures are passed they are sequentially tied using a locking sliding knot and then follow up with three alternating half hitches. Technique II Blue 2 A lateral microfracture is performed with a small awl (2-3mm diameter holes by 3-4mm in depth) to promote blood flow to the healing site (Crimson Duvet). 1 Passes are typically made from posterior to anterior with the purple stitch as a laterally based wider mattress (pass 1,5) the blue ORTHOCORD® stitch as a narrower and more medial mattress (pass 2,4) and the blue striped medial limb passed at the apex (most medial) of the triangle as pass 3. 3 The blue striped ORTHOCORD is then tied over the top of the medial mattress as a simple stitch. 2 The blue ORTHOCORD sutures are tied first as a medial mattress (limbs 2 and 4). 4 The second most lateral mattress (purple ORTHOCORD) is lastly tied over the top of the simple stitch completing the repair. A microfracture is then performed laterally on the tuberosity to stimulate blood flow to the surface (Crimson Duvet). Mason-Alex7 with HEALIX Ti Triple Loaded Anchor Purple Blue Striped Blue Striped Blue 1 Purple The two blue striped ORTHOCORD® suture limbs are passed through the RC as a horizontal mattress with the medial limbs of the blue and purple passed more medially and between the mattress. Simply, pass 1 is posterior lateral and is the blue striped. Next, pass 2 and 3(purple & blue) are made as simple passes using more medial limbs closer to the tissue. Pass 4 is blue striped and that is anterior lateral. 2 A wide lateral horizontal mattress is created with passes 1 and 4 and the mattress stitch is then tied first. 3 The two simple stitches are then tied over the mattress stitch. A microfracture is then performed laterally on the tuberosity to stimulate blood flow to the surface (Crimson Duvet). IX AL HE m .5m 4 Ti IX AL HE mm 5.5 i T IX AL HE m .5m 6 Ti Pascal Boileau M.D. 3 CUFFLOK Surgical Technique ™ Ordering Information Department of Orthopaedic Surgery, Hôpital de L’Archet, University of Nice, Nice, France TM Engineered with HEALIX Dual Thread Technology™ 1 Insert HEALIX Ti™ Dual Threaded Suture Anchor adjacent to the articular margin on the medial tuberosity. 2 Group like colored suture limbs together and pass either anteriorly or posteriorly with EXPRESSEW® II Flexible Suture Passer. 3 Grasp and remove inner suture limbs (one purple and one blue) together and tie a secure knot outside the shoulder. HEALIX Ti product breadth provides versatility to address the demands from a wide variety of techniques & tear configurations PRODUCT# 4 Pull opposite limbs to advance knot into the subacromial space securing the medial aspect in a mattress fashion. 5 Place limbs into a VERSALOK® Suture Anchor. Insert VERSALOK Anchor into the bone and load deployment gun. Once sutures are tensioned deploy anchor. 6 Rotate VERSALOK inserter in a counterclockwise manner to remove inserter. Cut sutures and probe final repair. • Sizes (4.5mm, 5.5mm, 6.5mm) • Arthroscopic and Needle versions • Comes preloaded with 2 or 3 strands of ORTHOCORD® Suture DESCRIPTION DESCRIPTION HEALIX Ti™ Anchor 222253 4.5mm HEALIX Ti Anchor w/ORTHOCORD® 222245 5.5mm HEALIX Ti Anchor w/ORTHOCORD 222249 6.5mm HEALIX Ti Anchor w/ORTHOCORD 222242 5.5mm HEALIX Ti Anchor w/ORTHOCORD and Needles 222248 6.5mm HEALIX Ti Anchor w/ORTHOCORD and Needles 222271 4.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD 222243 5.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD 222241 6.5mm HEALIX Ti 3-Suture Anchor w/ORTHOCORD VERSALOK® 210808 VERSALOK Anchor w/ ORTHOCORD 214710 Deployment Gun 214711 2.9mm Awl HEALIX BR™ Anchor 222229 4.5mm HEALIX BR Anchor w/ ORTHOCORD 222233 5.5mm HEALIX BR Anchor w/ ORTHOCORD 222238 6.5mm HEALIX BR Anchor w/ ORTHOCORD 222232 5.5mm HEALIX BR Anchor w/ ORTHOCORD w/ Needles 222239 6.5mm HEALIX BR Anchor w/ ORTHOCORD w/ Needles NEW Clear Cannula System 214106 5.5mm x 75mm Smooth 214114 7.0mm x 75mm Smooth 214107 5.5mm x 75mm Smooth with Distal Rib 214115 7.0mm x 75mm Smooth with Distal Rib 214104 5.5mm x 55mm Threaded 214118 8.5mm x 55mm Threaded 214108 5.5mm x 75mm Threaded 214116 7.0mm x 75mm Threaded 214120 8.5mm x 75mm Threaded 214110 5.5mm x 90mm Threaded 214122 8.5mm x 90mm Threaded HEALIX PEEK™ Anchor 222205 4.5mm HEALIX PEEK Anchor w/ ORTHOCORD 222209 5.5mm HEALIX PEEK Anchor w/ ORTHOCRD 222221 6.5mm HEALIX PEEK Anchor w/ ORTHOCORD 222210 5.5mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles 222215 6.5mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles 222207 5.5mm HEALIX PEEK 3-Suture w/ ORTHOCORD 222219 6.5mm HEALIX PEEK 3-Suture w/ ORTHOCORD HEALIX Instruments (For use with HEALIX BR & HEALIX PEEK) 222223 HEALIX Awl™ 222226 4.5mm HEALIX Cortical Awl/Tap™ 222251 5.5mm HEALIX Cortical Awl/Tap 222272 4.5mm HEALIX Full Awl/Tap 222224 5.5mm HEALIX Full Awl/Tap 222225 6.5mm HEALIX Full Awl/Tap ROTATOR CUFF PRODUCT# EXPRESSEW® II Flexible Suture Passer 214004 EXPRESSEW II Device 214005 EXPRESSEW II Needles 5/box 270120 Grasper-Grabber Suture/Tendon Grabber IDEAL™ Suture Shuttle with CHIA™ 251001 IDEAL Suture Shuttle, 25º Left 251002 IDEAL Suture Shuttle, 25º Right 251003 IDEAL Suture Shuttle, 45º Left 251004 IDEAL Suture Shuttle, 45º Right 251005 IDEAL Suture Shuttle, 90º Up 251006 IDEAL Suture Shuttle, Straight Hook 251007 IDEAL Suture Shuttle, Straight Crescent CHIA PERCPASSER™ 214101 CHIA PERCPASSER Suture Passer R E PA I R S Y S T E M S A HE LIX Ti mm 5.5 EW SS E PR EX II K LO V SA ER *Corkscrew FT is a trademark of Arthrex Inc. Naples FL 5. Grasso A., Milano G., Salvatore M., Falcone G., Deriu L., **Fiberwire is a registered trademark of Arthrex, Inc. Naples FL Fabbriciani C., Single-row versus double-row arthroscopic 1. Data on File at DePuy Mitek, Inc. rotator cuff repair: a prospective randomized clinical study. 2. Compared with Arthrex Corkscrew FT Anchor. Arthroscopy. 25(1):4-12, 2009 Jan. 3. Professor Pascal Boileau M.D. et al, The Mattress-Tension-Band (MTB) 6. Franceschi F., Ruzzini L., Longo UG., Martina FM., Zobel BB., Technique: A Knotless Double-Row Arthroscopic Rotator Cuff Repair, Shoulder Maffulli N., Denaro V. Equivalent clinical results of arthroscopic Concepts 2008 Arthroscopy & Arthroplasty, pp 245, 2008 May. single-row and double-row suture anchor repair for rotator 4. Burks RT., Crim J., Brown N., Fink B. Greis PE. A prospective randomized cuff tears: a randomized controlled trial. American Journal of clinical trial comparing arthroscopic single- and double-row rotator cuff repair: Sports Medicine. 35(8):1254-60, 2007 Aug. magnetic resonance imaging and early clinical evaluation. American Journal 7. Castagna A., Garofalo R., Conti M., Borroni M., Snyder SJ. of Sports Medicine. 37(4):674-82, 2009 Apr. Arthroscopic rotator cuff repair using a triple-loaded suture anchor and a modified Mason-Allen technique (Alex stitch). Arthroscopy. 23(4):440.e1-4, 2007 Apr.
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