Healix Ti Brochure

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TM

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

TM

Dual Thread Suture Anchor with Titanium

Optimized Fixation in Rotator Cuff Repair

Cortical

Threads

Cancellous

Threads

4

0

8

12

16

20

24

12.71 13.88

2.95 3.38

4.5mm Corkscrew FT*4.5mm HEALIX Ti

Insertion Torque [lbf]

4.5mm HEALIX Ti Torque Capability1

Safe Driver/Handle Strip - 17.60

Driver/Anchor Hex Strip Failure - 18.70

Soft Foam

Hard Foam

Soft Foam

Hard Foam

Difference before the force to

insert reaches the force of failure

Driver/Anchor

Hex Strip -12.50

5

0

10

15

20

25

30

21.34 22.00

5.19 5.14

5.5mm Corkscrew FT*5.5mm HEALIX Ti

Insertion Torque [lbf]

5.5mm HEALIX Ti Torque Capability3

Driver/Anchor Hex Strip Failure - 25.00

Driver/Anchor Hex Strip - 22.80

• Internally driven design provides increased

torque capabilities and insertion confidence2

• DePuy Mitek’s evolutionary HEALIX Suture Anchor

is now offered with titanium for added strength

• Cannulation channels blood

to the surface

• Smooth suture bridge provides

improved resistance to

suture abrasion

2

4

6

8

10

12

14

12

4

5.5mm Corkscrew FT*5.5mm HEALIX Ti

Threads per Anchor Comparison1

0

Threads per anchor

Strength Data Attributes

20

0

40

60

80

100

120

110.00 74.20 72.00

5.5mm

Corkscrew FT*

4.5mm

Corkscrew FT*

5.5mm

HEALIX Ti

Suture Abrasion in Number of Suture Cycles to Break

Pullout Force [lbf]

Pullout Comparison1

50

0

100

150

200

250

300

242 126 82

4.5mm HEALIX Ti

82.90

4.5mm

HEALIX Ti

FASTIN®RC5.5mm HEALIX Ti

Tip Separation Force [lbf]

Trocar Tip Strength1

0 1600140012001000800600400200

1346 Cycles

4.5mm Corkscrew FT

FASTIN®RC

1171 Cycles

972 Cycles

4.5mm HEALIX Ti

5.5mm HEALIX Ti

Suture Abrasion Resistance1

• Dual thread pattern maximizes pull-out

strength2by independently engaging both

cortical & cancellous bone

• Tactile feedback during transition from

cancellous to cortical threads confirms

anchor engagement and security

• HEALIX Ti is engineered to engage denser

bone than Arthrex’s Corkscrew FT1

• Increased number of threads provides

improved bone contact, purchase & bite

• ORTHOCORD®Suture now with the

NEW blue striped 3rd suture

- 55 lbs of tensile strength3

- 45% less stiff than Fiberwire**

• Efficient trocar tip designs allows quick &

easy anchor insertion without the need to

pre-awl, or request additional instruments

Suture Bridge

Optimized Fixation in

Rotator Cuff Repair

Engineered with HEALIX Dual

Thread Technology™ Insertion Torque

169 Cycles

25

50

75

100

125

150

175

128.3

5

5.5mm Corkscrew FT*5.5mm HEALIX Ti

Cadaveric Perfusion (Flow Rate)1

0

Perfusion (cm3/min)

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).

3

The two blue striped ORTHOCORD®suture

limbs are passed through the RC as a hori-

zontal 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.

1

Technique II

A wide lateral horizontal mattress is cre-

ated with passes 1 and 4 and the mattress

stitch is then tied first.

2

Mason-Alex7with HEALIX Ti Triple Loaded Anchor

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.

1A 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).

2

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

Purple

Purple

Blue

Blue

Blue Striped

Blue Striped

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.

1The blue ORTHOCORD sutures are tied first as a medial

mattress (limbs 2 and 4).

2

The blue striped ORTHOCORD is then tied over the top of

the medial mattress as a simple stitch.

3

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).

4

Technique III Pyramid Stitch with HEALIX Ti Triple Loaded Anchor

Triple-Loaded HEALIX Ti™Techniques

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.

Mark H. Getelman, M.D.

Co-Director Sports Medicine Fellowship

Southern California Orthopedic Institute

HEALIX Ti 4.5mm

HEALIX Ti 5.5mm

HEALIX Ti 6.5mm

Purple

Purple

Blue

Blue

Blue Striped

Blue Striped

CUFFLOK™Surgical Technique3Pascal Boileau M.D.

Department of Orthopaedic Surgery, Hôpital de L’Archet,

University of Nice, Nice, France

Insert HEALIX Ti™ Dual Threaded

Suture Anchor adjacent to the articular

margin on the medial tuberosity.

1Group like colored suture limbs

together and pass either anteriorly

or posteriorly with EXPRESSEW® II

Flexible Suture Passer.

2Grasp and remove inner suture limbs

(one purple and one blue) together and

tie a secure knot outside the shoulder.

3

Pull opposite limbs to advance knot

into the subacromial space securing

the medial aspect in a mattress fashion.

4

Place limbs into a VERSALOK® Suture

Anchor. Insert VERSALOK Anchor into the

bone and load deployment gun. Once

sutures are tensioned deploy anchor.

5Rotate VERSALOK inserter in

a counterclockwise manner to

remove inserter. Cut sutures

and probe final repair.

6

RO TATOR C UFF R EPAI R S Y S TE M S

Engineered with HEALIX Dual Thread Technology™

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

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

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

PRODUCT# DESCRIPTION

VERSALOK®

210808 VERSALOK Anchor w/ ORTHOCORD

214710 Deployment Gun

214711 2.9mm Awl

EXPRESSEW®II Flexible Suture Passer

214004 EXPRESSEW II Device

214005 EXPRESSEW II Needles 5/box

270120 Grasper-Grabber Suture/Tendon Grabber

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

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

PRODUCT# DESCRIPTION

*Corkscrew FT is a trademark of Arthrex Inc. Naples FL

**Fiberwire is a registered trademark of Arthrex, Inc. Naples FL

1. Data on File at DePuy Mitek, Inc.

2. Compared with Arthrex Corkscrew FT Anchor.

3. Professor Pascal Boileau M.D. et al, The Mattress-Tension-Band (MTB)

Technique: A Knotless Double-Row Arthroscopic Rotator Cuff Repair, Shoulder

Concepts 2008 Arthroscopy & Arthroplasty, pp 245, 2008 May.

4. Burks RT., Crim J., Brown N., Fink B. Greis PE. A prospective randomized

clinical trial comparing arthroscopic single- and double-row rotator cuff repair:

magnetic resonance imaging and early clinical evaluation. American Journal

of Sports Medicine. 37(4):674-82, 2009 Apr.

•Sizes (4.5mm, 5.5mm, 6.5mm)

•Arthroscopic and Needle versions

•Comes preloaded with 2 or 3 strands of ORTHOCORD

®

Suture

HEALIX Ti product breadth provides versatility

to address the demands from a wide variety of

techniques & tear configurations

Ordering Information

TM

HEALIX Ti 5.5mm

EXPRESSEW II

VERSALOK

5. Grasso A., Milano G., Salvatore M., Falcone G., Deriu L.,

Fabbriciani C., Single-row versus double-row arthroscopic

rotator cuff repair: a prospective randomized clinical study.

Arthroscopy. 25(1):4-12, 2009 Jan.

6. Franceschi F., Ruzzini L., Longo UG., Martina FM., Zobel BB.,

Maffulli N., Denaro V. Equivalent clinical results of arthroscopic

single-row and double-row suture anchor repair for rotator

cuff tears: a randomized controlled trial. American Journal of

Sports Medicine. 35(8):1254-60, 2007 Aug.

7. Castagna A., Garofalo R., Conti M., Borroni M., Snyder SJ.

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.