HEALIX TRANSTEND Implant System Brochure

Healix Transtend Implant System Brochure HEALIX_TRANSTEND_Implant_System_Brochure HEALIX_TRANSTEND_Implant_System_Brochure 3 2013 pdf 258413772373414384

2013-02-24

: Pdf Healix Transtend Implant System Brochure HEALIX_TRANSTEND_Implant_System_Brochure 2 2013 pdf

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HEALIX TRANSTEND™

Implant System:

A percutaneous solution for

partial tears of the rotator cuff.

Partial tear. Complete solution.

HEALIX TRANSTEND Implant System

The all-new HEALIX TRANSTEND Implant System represents a revolutionary advancement in

the treatment of partial thickness rotator cuff tears. This comprehensive percutaneous solution,

featuring HEALIX TRANSTEND Anchors and the innovative PERCANNULA™ System, enables the

reattachment of a partially torn rotator cuff while minimizing tendon trauma and maximizing

procedural visualization.

Engineered for the repair of both small and large partial thickness rotator cuff tears, this novel

solution not only aids in the prevention of tear propagation, but it also allows for the retention of

the connected tendon, ultimately preserving the patient’s natural anatomy.

HEALIX TRANSTEND Implant System 1

The Comprehensive Procedural Solution 2

Product Features and Beneﬁts

HEALIX TRANSTEND Anchors 3

PERCANNULA System 4

Surgical Techniques*

– Anchor insertion technique 5-6

– Two-anchor repair 7

– One-anchor repair 8

Ordering Information 9-10

*Surgical technique contributions provided by Amir R. Moinfar, M.D., Baltimore, MD.

The Comprehensive Procedural Solution

HEALIX TRANSTEND Anchors

3.4 mm BR anchor

3.4 mm PEEK anchor

2.9 mm Ti anchor

PERCANNULA System

4.0 mm Cannula

Cannulated Obturator

1.1 mm Guidewire

The HEALIX TRANSTEND Implant System is available in

1- or 2-anchor sets. Each set includes:

1 or 2 BIOCRYL® RAPIDE™ (BR), PEEK, or Titanium (Ti) HEALIX TRANSTEND anchor(s)

PERCANNULA System (Cannula, Obturator and Guidewire)

Dual Thread technology

Cannulation channels

blood to the surface

Laser markings represent

suture eyelet orientation

Anchor Pull-Out Strength

Average Load (lbs)

HEALIX TRANSTEND™

PEEK

Features and Beneﬁts:

HEALIX TRANSTEND Anchors

The HEALIX TRANSTEND Anchor features:

Material choice: BIOCRYL RAPIDE (BR), PEEK, TITANIUM (Ti)

Small diameter anchors to provide optimal strength while allowing for

more tissue to bone contact

Cannulation to channel blood to the surface

Dual thread pattern to maximize pull-out strength by independently

engaging both cortical and cancellous bone

Preloaded with ORTHOCORD® high strength suture

- 55 lbs of tensile strength*

- 45% less stiff than Fiberwire†

* Data on ﬁle at DePuy Mitek.

† Fiberwire is a registered trademark of Arthrex, Inc.

Features and Beneﬁts:

PERCANNULA System

The new and innovative PERCANNULA System is designed to enhance

procedural efﬁciency and features:

4.0 mm Cannula

- Small diameter cannula minimizes tendon trauma

- Double dam aids in the prevention of ﬂuid leakage

- Innovative distal rib allows for the retraction of the rotator cuff,

ultimately enhancing visualization during the procedure

Cannulated Obturator

- Trocar-tipped obturator ﬁts easily over the Guidewire and aids in

cannula insertion through the rotator cuff

1.1 mm Guidewire

- Sharp-tipped Guidewire easily penetrates tissue

- Roughened surface allows for easier gripping in the wet surgical environment

- 3 mm laser markings available for reference

Guidewire features a sharp tip to

easily penetrate tissue

Guidewire features 3 mm laser

markings for reference

Guidewire features a

roughened surface for

easy gripping

Cannula features a double

dam to prevent ﬂuid leakage

Cannula features an innovative

distal rib for rotator cuff retraction,

enhancing visualization

Anchor Insertion Technique

1 Insert the trocar-tipped Guidewire

percutaneously through the

rotator cuff and to the location on

the humeral head where anchor

insertion is desired (typically on the

medial footprint). Maintaining the

shoulder in abduction and external

rotation may aid in visualization and

Guidewire placement.

2 Place the cannula and obturator

assembly over the Guidewire. Insert

into the shoulder and through

the rotator cuff. Occasionally a

more lateral insertion approach

may be necessary to penetrate the

rotator cuff.

3 Remove the Guidewire and

obturator, leaving only the cannula

through the rotator cuff. For

enhanced visualization, pull back on

the cannula allowing for the distal rib

to retract the rotator cuff.

4 For the BR or PEEK anchor, insert the

Awl/Tap: mallet the Awl/Tap until

the distal threads are inserted and

the smooth section of the Awl/Tap

is buried. Then continue to insert by

turning in a clockwise direction until

the distal laser line is ﬂush with the

bone surface. Do not use the Awl/

Tap for the Ti anchor.

5 Insert the anchor by turning

clockwise until the anchor is fully

inserted and the distal laser line is

ﬂush with bone. For the BR and

PEEK anchor make sure to insert

the anchor at the same angle as the

Awl/Tap. There are laser markings

distally and proximally to represent

suture eyelet orientation.

6 If inserting only one anchor,

remove the cannula and complete

the one-anchor repair as outlined

on page 8.

If inserting a second anchor, start

from Step 1 and choose another

location for the placement of the

second anchor. Complete the

two-anchor repair as outlined

on page 7.

Two-Anchor Repair – Continued from steps 1-6

7 Once two anchors are inserted, place

the arthroscope in a posterior portal

in the subacromial space. Insert a

cannula laterally in the same portal

used for subacromial decompression.

8 Retrieve one suture limb from each

anchor outside of the cannula.

Outside of the shoulder, place a

clamp on the sutures. Tie the two

suture limbs together down to

the clamp.

9 Shuttle the knot into the shoulder

by pulling on the two remaining

percutaneous limbs.

10 Retrieve the remaining two limbs

through the cannula. Tie them using

a non-sliding knot to complete

the repair. Use the CordCutter to

remove excess suture.

One-Anchor Repair – Continued from steps 1-6

7 Once one anchor is placed, insert the

Grasper–Grabber device to retrieve

one suture limb through an anterior

cannula.

Insert a spinal needle through the

rotator cuff at the location to

pass suture.

9 Place the arthroscope in the posterior

portal of subacromial space. Remove

the cannula from the anterior portal

and place in a lateral portal in the

subacromial space. Retrieve both

suture limbs through the cannula.

10 Tie an arthroscopic knot through

the lateral cannula to complete

the repair. Use the CordCutter to

remove excess suture.

8 Insert a CHIA PERCPASSER™ through the

spinal needle and retrieve through the

anterior cannula. Place the suture limb

into the CHIA kite, remove the spinal

needle and pull back on the distal end of

the CHIA to pass the suture limb. Repeat

steps 7 and 8 on this page to pass the

second suture limb.

Ordering Information:

HEALIX TRANSTEND Implant System and Instrumentation

222261 HEALIX TRANSTEND (BR/1) Implant System (1 BR Anchor, PERCANNULA System) EA

222263 HEALIX TRANSTEND (BR/2) Implant System (2 BR Anchors, PERCANNULA System) EA

222278 HEALIX TRANSTEND (PEEK/1) Implant System (1 PEEK Anchor, PERCANNULA System) EA

222280 HEALIX TRANSTEND (PEEK/2) Implant System (2 PEEK Anchors, PERCANNULA System) EA

222266 HEALIX TRANSTEND (Ti/1) Implant System (1 Ti Anchor, PERCANNULA System) EA

222268 HEALIX TRANSTEND (Ti/2) Implant System (2 Ti Anchors, PERCANNULA System) EA

222273 HEALIX TRANSTEND 3.4 mm Awl/Tap (for BR and PEEK Anchors) 1/box

222281 HEALIX TRANSTEND 2.2 mm Drill Bit (optional for Ti anchor) 1/box

PERCANNULA System

222274 PERCANNULA System 1/box

Instruments to complement the HEALIX TRANSTEND Implant System Technique

214101 CHIA PERCPASSER Suture Passer 5/box

270120 Grasper-Grabber Suture/Tendon Grabber 1/box

HEALIX Family of Anchors

HEALIX BR™ Anchor

222229 4.5 mm HEALIX BR Anchor w/ ORTHOCORD EA

222233 5.5 mm HEALIX BR Anchor w/ ORTHOCORD EA

222238 6.5 mm HEALIX BR Anchor w/ ORTHOCORD EA

222232 5.5 mm HEALIX BR Anchor w/ ORTHOCORD and Needles EA

222239 6.5 mm HEALIX BR Anchor w/ ORTHOCORD and Needles EA

HEALIX PEEK™ Anchor

222205 4.5 mm HEALIX PEEK Anchor w/ ORTHOCORD EA

222209 5.5 mm HEALIX PEEK Anchor w/ ORTHOCORD EA

222221 6.5 mm HEALIX PEEK Anchor w/ ORTHOCORD EA

222210 5.5 mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles EA

222215 6.5 mm HEALIX PEEK Anchor w/ ORTHOCORD and Needles EA

222207 5.5 mm HEALIX PEEK 3-Suture w/ ORTHOCORD EA

222219 6.5 mm HEALIX PEEK 3-Suture w/ ORTHOCORD EA

HEALIX Ti™ Anchor

222253 4.5 mm HEALIX Ti Anchor w/ ORTHOCORD EA

222245 5.5 mm HEALIX Ti Anchor w/ ORTHOCORD EA

222249 6.5 mm HEALIX Ti Anchor w/ ORTHOCORD EA

222242 5.5 mm HEALIX Ti Anchor w/ ORTHOCORD and Needles EA

222248 6.5 mm HEALIX Ti Anchor w/ ORTHOCORD and Needles EA

222271 4.5 mm HEALIX Ti 3-Suture Anchor w/ ORTHOCORD EA

222243 5.5 mm HEALIX Ti 3-Suture Anchor w/ ORTHOCORD EA

222241 6.5 mm HEALIX Ti 3-Suture Anchor w/ ORTHOCORD EA

HEALIX Instruments (For use with HEALIX BR & HEALIX PEEK)

222223 HEALIX Awl 1/box

222226 4.5 mm HEALIX Cortical Awl/ Tap 1/box

222251 5.5 mm HEALIX Cortical Awl/ Tap 1/box

222272 4.5 mm HEALIX Full Awl/ Tap 1/box

222224 5.5 mm HEALIX Full Awl/ Tap 1/box

222225 6.5 mm HEALIX Full Awl/ Tap 1/box

PEEK

™

VERSALOK® Anchors and Instrumentation

210818 VERSALOK PEEK Anchor w/ ORTHOCORD EA

210808 VERSALOK Anchor w/ ORTHOCORD EA

214710 Deployment Gun 1/box

214711 2.9 mm Awl 1/box

EXPRESSEW® INSTRUMENTS

214124 EXPRESSEW III w/ Hook 1/box

214140 EXPRESSEW III w/o Hook 1/box

214141 EXPRESSEW III Needle (for use with E II and EIII) 5/box

Clear Cannula System

214104 Clear Cannula Threaded, 5.5 mm x 55 mm 5/box

214106 Clear Cannula Smooth, 5.5 mm x 75 mm 5/box

214107 Clear Cannula Smooth Distal Rib, 5.5 mm x 75 mm 5/box

214108 Clear Cannula Threaded, 5.5 mm x 75 mm 5/box

214110 Clear Cannula Threaded, 5.5 mm x 90 mm 5/box

214114 Clear Cannula Smooth, 7.0 mm x 75 mm 5/box

214115 Clear Cannula Smooth Distal Rib, 7.0 mm x 75 mm 5/box

214116 Clear Cannula Threaded, 7.0 mm x 75 mm 5/box

214118 Clear Cannula Threaded, 8.5 mm x 55 mm 5/box

214120 Clear Cannula Threaded, 8.5 mm x 75 mm 5/box

214122 Clear Cannula Threaded, 8.5 mm x 90 mm 5/box

The IDEAL™ Suture Management Family

CHIA PERCPASSER

214101 CHIA PERCPASSER Suture Passer 5/box

IDEAL Suture Grasper

251720 IDEAL Suture Grasper, 15º 1/box

251721 IDEAL Suture Grasper, 30º 1/box

251722 IDEAL Suture Grasper, 45º 1/box

251723 IDEAL Suture Grasper, 60º 1/box

IDEAL Suture Shuttle with CHIA™

251001 IDEAL Suture Shuttle, 25º Left 1/box

251002 IDEAL Suture Shuttle, 25º Right 1/box

251003 IDEAL Suture Shuttle, 45º Left 1/box

251004 IDEAL Suture Shuttle, 45º Right 1/box

251005 IDEAL Suture Shuttle, 90º Up 1/box

251006 IDEAL Suture Shuttle, Straight Hook 1/box

251007 IDEAL Suture Shuttle, Straight Crescent 1/box