ARTHREX ANKLE ARTHROSCOPY

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1 ARTHREX ANKLE ARTHROSCOPY The First Dedicated Instrument System for Ankle Arthroscopy Designed with Leading Ankle Arthroscopists

2 Arthrex is in constant pursuit of innovative solutions that make technically demanding procedures easier, safer and more reproducible. The Ankle Arthroscopy Instrument Set is a result of this pursuit the first and only comprehensive set of instruments available to ankle arthroscopists. Precision-manufactured to the highest quality standards and thoughtfully designed with the feedback of leading ankle arthroscopists, the set enables tissue retraction/elevation, microfracture, and precise soft tissue and bone resection. The previously unreachable and unfixable can now be addressed, opening up new horizons in patient care for ankle pathology. The instrumentation displayed on the following page is included in the Ankle Arthroscopy Set. Ankle Arthroscopy Set AR-8655S Ankle Arthroscopy Instrument Set AR-8650S

3 MICROFRACTURE AND OSTEOCHONDRAL RESECTION Microfracture AR AR The three smaller, microfracture picks (one with a uniquely angled 90º tip) enable easier access to hard-to-reach chondral surface defects. Sharp durable points enable repeated precision control and the gold-coated tips provide a frame of reference for depth. The extremely durable ergonomic handles stand up to repeated malleting, when used to promote fibrotic response on chondral surfaces. AR-8671 Chrondral Pick, straight, 30 tip Chrondral Pick, straight, 60 tip Chrondral Pick, concave, 90 tip AR AR AR-8671 Ring and Cup Curettage AR-8663 AR AR AR A wide array of Ring and Cup Curettes are available in the set with various angles for hard-to-reach places. Large and small size options are available for fast cartilage removal to precision control in removing articular cartilage. The curettes have narrow, yet sturdy, shafts to reduce tissue damage and maximize maneuverability within the joint. Cup Curette, large, straight shaft, 100 mm Cup Curette, small, straight shaft, 100 mm Cup Curette, small angle, straight shaft, 100 mm Curette, large ring, straight shaft, 100 mm Curette, small reverse angle ring, straight shaft, 100 mm Curette, angled ring, straight shaft, 100 mm Curette, straight ring, straight shaft, 100 mm AR-8661 AR AR AR-8663 AR AR AR AR AR AR-8661 Bone and Spur Resection Osteotomes offered in the set include small and large options with both straight and angled shafts. These are ideal for bone removal in open and arthroscopic procedures. Their ergonomic, yet durable, handles allow for repeated malleting. AR Small Joint Osteotome, angled up Small Joint Osteotome, straight Small Joint Osteotome, straight, large Specialty Instruments AR AR AR-1771 AR AR-1771 Developed specifically for ankle arthroscopists, the chondral elevators are designed to help carve and elevate chondral defects, adding capabilities beyond what typical arthroscopy sets offer. A 2.4 mm Drill Guide is also included in the set for assistance in placing guide pins for ankle fusions. AR Cobb Elevator, 9 mm OCD Elevator Blade, blunt OCD Carving Blade, sharp Drill Guide, 2.4 mm Graduated Block Probe, 2.5 mm tip AR AR AR AR AR AR

4 SOFT TISSUE RESECTION AND GRASPING INSTRUMENTS Loose Body Removal and Tissue Manipulation AR-11700SR Each set comes with a straight and 15 down-curved pointed Grasper to aid in loose body removal and soft tissue manipulation. The 2.75 mm diameter shafts and low profile heads allow ease of use in tight joint spaces. Grasper, pointed straight tip, 2.75 mm, straight shaft w/sr Handle Grasper, pointed straight tip, 2.75 mm, 15 down curved shaft w/sr Handle AR-11700SR AR-11740SR AR-11740SR Precise Soft Tissue Resection AR Both slender and large Punches are included in the set for precise tissue resection, enabling fine resection ability with a slender Punch and fast tissue removal with the large Punch. Each Punch has a 2.75 mm diameter straight shaft and low profile head for ease of use in tight joint spaces. These instruments are offered in either ring handled or WishBone configuration and exemplify the quality, durability and precise tactile feel that are synonymous with Arthrex. The low profile tips are ideal for smaller spaces and enable precise resection control. AR Punch, slender, 2.7 mm, straight shaft Punch, large 2.75 mm, straight shaft AR AR PRECISION TARGETING GPS Targeting Drill Guide The GPS Targeting Drill Guide is available as an adjunct to the Ankle Arthroscopy Set or as a stand-alone instrument set. It offers the ability to precisely place Kirschner wires for ankle arthrodesis using cannulated screws, retrograde drilling of osteochondral lesions, as well as a multitude of other applications where precise K-wire placement is desired. The sturdy aluminum frame offers a lightweight and precise instrument capable of rotating, while allowing pinpoint placement of 1.1 mm, 1.6 mm and 2.4 mm K-wires. A variety of patterns from a single hole to a 2-, 3-, and 4-hole pattern in the1.1 mm and 1.6 mm sizes are available. AR-8655GS Hard to reach areas in the curved talus are easily pinpointed using either the straight Indicator pin or the curved Talar Dome Indicator. GPS Targeting Drill Guide Set (AR-8655GS) includes: GPS Targeting Drill Guide AR-8655G Indicator, straight AR-8655G-01 Talar Dome Indicator AR-8655G-09 Guide Sleeve, Single Bore, 1.6 mm AR-8655G-02 Guide Sleeve, Double Bore, 1.6 mm AR-8655G-03 Cannula, 1.6 mm AR-8655G-04 Guide Sleeve, Single Bore, 1.1 mm AR-8655G-05 Guide Sleeve, Double Bore, 1.1 mm AR-8655G-06 * Ordered separately Cannula, 1.1 mm AR-8655G-07 Cannula, 2.4 mm AR-8655G-10 T-handle AR-8655G-08 GPS Targeting Drill Guide Case AR-8655GC Disposables (necessary for procedure, order separately): Guidewire w/trocar Tip,.043 (1.1 mm) AR-8655K-11 Guidewire w/trocar Tip,.062 (1.6 mm) AR-8655K-16 Guidewire w/trocar Tip,.094 (2.3 mm) AR-8967K

5 TISSUE RESECTION AND ABLATION Disposable Shaver Blades and Burrs AR-7300SR 5 mm Cannula and Obturator (AR-6548) Passport Button Cannula Made with the same attention to detail as their larger counterparts, the disposable distal extremities shaver blades and burrs provide outstanding performance in bone and tissue resection applications. The disposable shaver blades and burrs can be used in all APS II shaver handpieces and can be inserted with the cutting window in the up or down position. 5 mm cannulas are the lowest profile on the market. Reduced sizes are less constraining in tight spaces, allowing the user unparalleled functional space. The clear design allows for direct visualization of instruments and suture passing, and the ribbed shaft design controls the insertion depth and helps prevent fall-out. The PowerPick provides a fast and easy method for performing microfracture procedures using the APS II Shaver System. A 1.5 mm drill tip extends 4 mm to penetrate cortical bone with a flick of the lever. PowerPicks are available with tips curved to 30 and 45 to facilitate perfect drill tip placement in a variety of operative sites. PassPort Cannulas help maximize visibility and maneuverability inside and out side of the arthroscopic work space. The double dam, one-piece molded silicone design ensures flexibility, soft tissue protection, and minimizes fluid leakage during arthroscopic procedures. APS II Control Console Blades, Burrs and PowerPicks: Sabre, SJ, 2 mm x 7 cm Sabre, SJ, 3 mm x 7 cm Dissector, SJ, 3 mm x 7 cm Oval Burr, SJ, 10-Flute, 3 mm x 7 cm Round Burr, SJ, 8-Flute, 3 mm x 7 cm PowerPick, 30º PowerPick, 45º AR-8300 AR-7200SR AR-7300SR AR-7300DS AR-73ØØOBT AR-7300RBE AR-8150PP-30 AR-8150PP-45 Handpieces: APS II Shaver Handpiece, Footswitch Control (gray) APS II Shaver Handpiece, Hand Control (gray) Accessories: PassPort Button Cannula, 6 mm I.D. x 2 cm PassPort Hemostat, curved Open Cannula, blunt tip PassPort Selection Guide Low Profile Cannula, w/obturator, 5 mm x 7cm PassPort Inflow/Outflow Adapter AR-8330F AR-8330H AR AR-6592 AR-6507 AR-6592M AR-6548 AR-6592F AR-7300DS AR-7300OBT AR-7300RBE PowerPick AR-8330F Arthrex CoolCut Radio Frequency Ablation The new line of CoolCut radio frequency devices features an innovative ergonomic handle with finger-touch controls. The 90 versions have a unique shape that allows for maximum extension from the tip of the electrode to the shaft of the device, while still fitting through a 5 mm cannula. The new CoolCut shaft coating facilitates easy insertion through both working cannulas and subcutaneous tissue. The pioneering design of the CoolCut electrode tips makes it possible to operate the CoolCut series at extremely low power settings, thereby increasing patient safety without sacrificing performance. The reduction of the power requirements also allows for the absence of a ceramic ring surrounding the electrode face, reducing the size of the tip which aids in reaching target tissue in anatomically tight spaces. OPES Electrosurgical Generator Console OPES Electrosurgical Generator Stand CoolCut Ablation Wands: CoolCut SJ Ball CoolCut SJ Ball 45 CoolCut SJ Ablator 45 CoolCut SJ Ablator 90 AR-9600 AR-9600D AR-9808SJ AR-9808SJ-45 AR-9809SJ-45 AR-9809SJ-90 Additional Instruments and Accessories: Arthrex Pencil Kit OPES Electrosurgical Generator Bipolar Footswitch OPES Electrosurgical Generator Monopolar Footswitch AR-9610 AR-9600FB AR-9600FM Ablators

6 LIMB POSITIONING Noninvasive Ankle Distractor Set The Noninvasive Ankle Distractor Set is designed to provide ankle distraction in a simple and effective manner. With the large tensioning wheel, the surgeon can easily increase or decrease the desired tension during diagnostic or surgical arthroscopy procedures. The unique design places the tensioning wheel to the side of the bed, enabling the surgeon to move closer to the patient and the surgical site. The Clark Rail Adapter makes attachment and rough tensioning of the device simple and hassle free. A complete arthroscopy set-up is achieved when used in conjunction with the Small Joint Limb Holder and ankle strap. The Ankle Arthroscopy Distraction Strap is used in conjunction with the Noninvasive Ankle Distractor Set. It is made of strong nylon strapping material with soft nonslip foam pads for patient comfort and secure hold. This easy-to-use, one-size-fits-all device offers effective traction and grip, which gives the surgeon a distinct advantage over current distraction methods. Noninvasive Ankle Distractor Set (AR-1713S) includes: Distractor Head AR Distractor Post AR Bed Rail Clamp AR Ankle Distractor Case AR-1713C Accessories: Ankle Arthroscopy Distractor Strap AR-1712 to be used with AR-1713S) Optional: Tensiometer Ankle Distraction Strap, nylon (to be used with AR-1713S) Ankle Distraction Strap, cotton, waistband for use without the Ankle Distractor) Small Joint Limb Holder Foam Insert for Small Joint Limb Holder, qty. 5 AR AR-1712 AR-1710 AR-1506 AR-1507 Nonslip foam pads Ankle Arthroscopy Distractor Strap AR-1712 Noninvasive Ankle Distractor Set AR-1713S

7 Distal Extremities Limb Holder The Small Joint Limb Holder is the perfect accompaniment to the Ankle Distractor and is ideal for ankle positioning in the supine position. This versatile limb positioner has an adjustable post for Clark Rail attachment. A small tourniquet or optional foam insert may be used for limb fixation. The waistband Ankle Distraction Strap s foot halter is manufactured from soft, pliable cotton webbing and may be adjusted to fit any size foot, while being secured with an anterior Velcro strap. A second belt attachment is looped through the foot halter and around the surgeon s waist facilitating slow, controlled, intermittent distraction of the joint. Small Joint Limb Holder Foam Insert for Small Joint Limb Holder Ankle Distractor Strap, waistband AR-1506 AR-1507 AR-1710 Small Joint Limb Holder AR-1506 Ankle Distractor Strap (waistband) AR-1710 Small Joint Limb Holder AR-1506 Ankle Distractor Strap (waistband) AR-1710

8 PATENTS PENDING 2013, Arthrex Inc. All rights reserved. LB EN_C

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