Vet Systems PRODUCT CATALOGUE

Transcription

1 Vet Systems PRODUCT CATALOGUE

2 The Arthrex Difference Helping Surgeons Treat Their Patients Better Since 1984, Arthrex has been a privately held corporation committed to one thing: providing the finest quality products and educational services to meet the special needs of surgeons and their patients. Arthrex is dedicated to creative product development and medical education with an experienced, devoted team of professionals who are truly committed to continuing this long-term tradition. New product innovation in less invasive surgery is the heart and soul of Arthrex, which has resulted in the development of over 6,000 products for arthroscopic and minimally invasive orthopaedic surgical procedures. Our goal is to make technically demanding surgical procedures easier, safer and reproducible. Your trust in Arthrex products means you are backed by a company committed to uncompromising quality and constant product innovation, while providing you with the most competent technical customer support in the industry.

3 Contents Ligament Stabilization FiberWire Suture Family FiberWire Accessories TightRope Hip Luxation...13 SwiveLock Anchors Titanium Anchors Imaging and Resection Continuous Wave III Arthroscopy Pump Cartilage Repair SynACART OATS Canine Unicompartmental Elbow Biologics Arthrex ACP Double Syringe System Arthrex ABPS Arthrex Quickset Pump Tubing Options Adapteur Power System II Arthrex CoolCut Arthrex Power System Arthrex Power System Synergy HD Canine Arthroscopy Set ArthroCart Arthroscopy Instruments... 33

4 Product Weight Chart Ligament Stabilization All weight ranges are suggestions based on the ultimate load of the product and/or on our veterinary consultant s recommendation. It is up to the veterinarian to determine the proper product, application, technique and weight range to utilize the selected product. Arthrex Vet Systems Product Weight Chart kg 7 11, > mm FASTak up to 11.5 kg 5 mm Corkscrew 3.5 mm SwiveLock 4.75 mm SwiveLock kg w/# 2 FiberWire w/fibertape kg 5.5 mm SwiveLock kg kg FiberTape(2) Mini-TightRope 7-18 kg TightRope CCL kg # 2 FW CCL Kit kg # 5 FW CCL Kit kg 04 I Product Weight Chart

5 Ligament Stabilization Ligament Stabilization I 05

6 FiberWire Suture Family Ligament Stabilization FiberWire suture is constructed of a multi-stranded long chain ultra-high molecular weight polyethylene (UHMWPE) core with a braided jacket of polyester and UHMWPE that gives FiberWire superior strength, soft feel and abrasion resistance that is unequaled in orthopaedic surgery. Suture breakage during knot tying is virtually eliminated, especially critical during arthroscopic procedures. FiberWire represents a major advancement in orthopaedic surgery. Strength FiberWire has greater strength than comparable size standard polyester suture. Multiple independent scientific studies document significant increases in strength to failure, stiffness, knot strength and knot slippage with much less elongation. 1 Biocompatibility Extensive biocompatibility, animal and clinical testing prove that FiberWire demonstrates biocompatibility characteristics equivalent to standard polyester suture. Over two years of successful clinical outcomes in over one million orthopaedic procedures substantiate excellent biocompatibility. Biocompatibility, strength and testing results are available upon request. 2 Tie Ability and Knot Profile Orthopaedic surgeons enthusiastically endorse FiberWire for its feel and knot tie ability. The first throw stays down, facilitating reproducible tissue repair. Sliding knots advance smoothly easing arthroscopic knot tying procedures. Superior strength allows tighter loop security during knot tying, increasing knot integrity while reducing the knot profile compared to standard polyester suture. Abrasion Resistance The multi-strand long chain ultra-high molecular weight polyethylene core dramatically increases FiberWire abrasion resistance. Surgical procedures that create bone edges, tunnel edges, and articulating surface-abrasion areas are appropriate indications for FiberWire. FiberWire is over five times more abrasion resistant than standard polyester suture. Variety The FiberWire family includes sizes # 5, including designs such as FiberStick and FiberSnare that provide innovative solutions to arthroscopic suture passing. TigerWire has a black spiral thread for easy arthroscopic visualization, identification, sizing and motion detection. FiberLoop is ideal for multi-strand tendon repairs. Safety in Numbers Trusted by leading orthopaedic surgeons worldwide since its introduction in 2002, FiberWire has contributed to successful surgical outcomes in over 1,000,000 orthopaedic procedures ranging from Achilles tendon repair to rotator cuff repair. Multiple scientific publications have confirmed the advantages of FiberWire in orthopaedic surgery. 1, 2 1. KY, Burkhart SS, Biomechanical Principles of Arthroscopic Repair of the Rotator Cuff, Operative Techniques in Orthopaedics, 2002; 12-3: Deakin M, Stubbs D, Goldberg J, Bruce W, Gillies RM, Walsh WR, Effect of Suture Type, Anchor and Testing Orientation of the Static Properties of Suture Anchors. A Poster Presentation, #1536. (50th Annual Meeting of the Orthopaedic Research Society) 06 I FiberWire Suture Family

7 FiberWire Suture Family Ligament Stabilization FiberWire AR-7203 (c) (a) (e) (f) (d) (b) FiberWire is a multi-stranded long chain ultra-high molecular weight polyethylene (UHMWPE) suture. FiberWire has greater strength than similar sized polyester suture with superior feel, smooth tie ability and lower knot profile. FiberWire is the ideal suture for most orthopaedic soft tissue repairs, virtually eliminating suture breakage during knot tying. # 5 FiberWire, 96 cm (blue) AR-7210 # 5 FiberWire, 96 cm (blue) w/conventional Cutting Needle, 48 mm ½ circle (a) # 5 FiberWire, 96 cm (blue) w/conventional Cutting Needle, 48 mm ½ circle and Tapered Needle, 26.5 mm ½ circle # 2 FiberWire, 96 cm (blue) w/tapered Needle, 26.5 mm ½ circle (b) AR-7211 AR-7213 AR-7200 # 2 FiberWire, 96 cm (1 blue, 1 white/black) (c) AR FiberWire, 96 cm (blue) w/diamond Point Needle, 22.2 mm ½ circle 2-0 FiberWire, 45.7 cm (blue) w/tapered Needle, 17.9 mm 3/8 circle AR-7251 AR FiberWire, 96 cm (blue) AR Suture Shuttle Loop for NeedlePunch, 40 mm AR FiberWire, 45.7 cm (blue) w/tapered Needle, 26.5 mm ½ circle (d) AR-7242 # 2 FiberWire, 96 cm (1 white, 1 blue/black) AR-7240 # 2 FiberWire, 96 cm (blue) w/reverse Cutting Needle, 36.6 mm ½ circle # 2 FiberWire Loop w/needle for NeedlePunch, 66 cm (green), 10 mm, straight # 2 FiberWire, 96 cm (blue) w/two Tapered Needles, 26.5 mm ½ circle AR-7202 AR-7204 AR-7205 # 2 FiberWire, 96 cm w/tapered Needle (blue), 36.6 mm ½ circle AR-7206 # 2 FiberWire w/two Needles for NeedlePunch, 96 cm (blue) AR-7207 # 2 FiberWire, 96 cm (1 blue, 1 white/black) w/tapered Needle, 26.5 mm ½ circle AR-7208 # 2 FiberWire, 96 cm (blue) AR FiberWire, 96 cm (blue) w/tapered Needle, 22.2 mm ½ circle AR FiberWire, 45.7 cm (blue) w/diamond Point Needle, 26.2 mm 3/8 circle (e) 3-0 FiberWire, 45.7 cm (blue) w/tapered Needle, 15 mm 3/8 circle 3-0 FiberWire, 45.7 cm (blue) w/reverse Cutting Needle, 16.3 mm 3/8 circle (f) 4-0 FiberWire, 45.7 cm (blue) w/diamond Point Needle, 18.7 mm 3/8 circle 4-0 FiberWire, 45.7 cm (blue) w/tapered Needle, 12.3 mm 3/8 circle 4-0 FiberWire, 45.7 cm (blue) w/reverse Cutting Needle, 11.9 mm 3/8 circle 4-0 FiberWire, 45.7 cm (white) w/tapered Needle, 12.7 mm ½ circle AR-7225 AR AR AR-7228 AR AR AR-7248 FiberWire Suture Family I 07

8 FiberWire Suture Family Ligament Stabilization TigerWire FiberStick & TigerStick TigerWire suture uses the same high strength construction as FiberWire except that it contains a black marker strand in the suture weave. This strand appears as a stripe in the suture, making suture identification easier during joint reconstruction and soft tissue repairs. The stiff waxed end of the FiberStick and TigerStick allows convenient and easy advancement through most cannulated instruments or spinal needles, alleviating the need for a monofilament suture or wire suture shuttle. FiberStick and TigerStick come with a thin plastic tube which protects the stiffened suture end until use. # 2 FiberWire, 96 cm (blue, white/black) AR-7201 # 2 TigerWire, 96 cm (white/black) AR-7203 # 2 TigerWire, 96 cm (white/black) w/two Tapered Needles, 26.5 mm ½ circle AR-7205T # 2 FiberWire, 96 cm (1 white, 1 blue/black) AR-7240 FiberStick, # 2 FiberWire, 127 cm (blue) one end stiffened TigerStick, # 2 TigerWire, 127 cm (white/black) one end stiffened, ca. 30 cm 2-0 FiberStick, 2-0 FiberWire, 127 cm (blue) one end stiffened, ca. 30 cm AR-7209 AR-7209T AR-7222 FiberTape & TigerTape FiberLink & TigerLink (a) (c) (b) (d) FiberTape is an ultra-high strength 2 mm wide tape using a similar long chain polyethylene structure as the FiberWire suture. In addition to high demand applications like AC joint reconstruction, the broad footprint of the FiberTape is appropriate for repairs in degenerative cuff tissue where tissue pull-through may be a concern. The closed loop on FiberLink is designed to facilitate the application of a cinch stitch by simply passing the suture through tissue and feeding the free end through the loop and tensioning. The loop length will ensure the loop fully encapsulates the tissue prior to tapering down to the single strand. FiberTape, 2 mm, 137 cm (blue) each end tapered to # 2 FiberWire FiberTape, 2 mm, 76.2 cm (blue) each end tapered to # 2 FiberWire (a) AR-7237 AR FiberLink, # 2 FiberWire, 66 cm (blue), w/closed loop (c) TigerLink, # 2 FiberWire, 66 cm (white/black), w/closed loop (d) AR-7235 AR-7235T TigerTape, 2 mm, 76.2 cm (white /black) each end tapered to # 2 FiberWire (b) AR T 08 I FiberWire Suture Family

9 FiberWire Suture Family Ligament Stabilization FiberLoop & TigerLoop FiberSnare (a) (c) (b) FiberSnare with closed loop provides an easy, one step approach to creating a FiberWire loop on the tip of the Bio-Tenodesis Driver. Instead of using a Nitinol wire, insert the stiff non-looped end retrograde through the tip of the Bio-Tenodesis Screwdriver. Place the tip of the tendon or tendon graft into the FiberWire loop and cinch the other end around the suture cleat on the back end of the blue Tear Drop Handle. The FiberSnare can also be used as a suture shuttle for passage of traction sutures through bone tunnels. FiberLoop is a suture option for multi-strand tendon repairs. These small diameter looped FiberWire products, in 12- and 20-inch lengths, allow for strong multi-strand flexor and extensor tendon repairs while reducing tendon damage from multiple needle passes. FiberLoop is available with 17.9 mm tapered needles to prevent cutting suture while stitching. FiberSnare, # 2 FiberWire, 66 cm (green), stiffened w/closed loop, 12 AR-7209SN 4-0 FiberLoop, 30.5 cm (white) w/tapered Needle, 12.7 mm ½ circle (a) 4-0 FiberLoop, 50.8 cm (white) w/tapered Needle, 12.7 mm ½ circle 4-0 FiberLoop, 30.5 cm (blue) w/tapered Needle, 17.9 mm 3/8 circle 4-0 FiberLoop, 50.8 cm (blue) w/tapered Needle, 17.9 mm 3/8 circle 2-0 FiberLoop, 152 cm (blue) w/diamond Point Needle, 48 mm ½ circle 2-0 FiberLoop, 122 cm (blue) w/diamond Point Needle, 26.2 mm 3/8 circle 2-0 FiberLoop, 66 cm (blue) w/diamond Point Straight Needle, 64.8 mm 0 FiberLoop w/straight Needle, 66 cm (blue), 76 mm needle w/7 mm loop 0 TigerLoop w/straight Needle, 66 cm (white/black), 76 mm needle w/7 mm loop # 2 FiberLoop w/straight Needle, cm (blue), 76 mm needle w/7 mm loop (b) # 2 TigerLoop w/straight Needle, cm w/tigerwire (white/green), 76 mm needle w/7 mm loop AR AR AR AR AR AR AR AR-7253 AR-7253T AR-7234 AR-7234T CCL Kit (d) The CCL Kits come with # 2 or # 5 FiberWire with swedged on curved and straight needles to allow for easy passage of the FiberWire through bone tunnels and around the fabella. The strength, less elongation properties, and abrasion resistance of FiberWire makes this a great suture for CCL reconstructions. # 5 CCL Kit (d) VAR-2000 # 2 FiberLoop w/curved Needle, (blue), ½ circle (c) AR-7234C # 2 CCL Kit VAR-2002 FiberWire Suture Family I 09

10 FiberWire Accessories FingerShield, FiberWire Scissor and FiberWire Tensioner FingerShield (a) The FingerShield is a woven polyester sleeve with an embedded radiopaque blue marker designed to reduce pressure-induced lacerations to the digits of the hand caused by repetitive knot tying during surgery. They slip right over sterile gloves when needed. The tips are left open to allow pinch grasp of suture strands, while still protecting the IP joint area of each digit. The soft, finger conforming weave will stand up to repetitive hand tying during a case without constraining the fingers. Suture slides over the FingerShield smoothly and effortlessly. FingerShield, 2/pk (a) AR-7199 (b) FiberWire Scissor The FiberWire Scissor was designed to cut any size or style suture, especially FiberWire, in open surgical cases where an arthroscopic Suture Cutter is not necessary. With its specially designed cutting edges, it can cut FiberWire cleanly and effortlessly without frayed edges. The color-coded handle facilitates instrument differentiation in large instrument packs. (c) FiberWire Scissor (b) FiberWire Scissor, small VAR AR FiberWire Tensioner The FiberWire Tensioner provides controlled tensioning of FiberWire loops during knot tying when reapproximating soft tissue. The blunt tip keeps the knot in place, while the tensioning wheel and spring mechanism gently tension the loop to tighten the repair. It is appropriate for use in conjunction with # 5 FiberWire. (d) FiberWire Tensioner (c) Suture Passing Wire (d) VAR-1529 AR I FiberWire Suture Family

11 FiberWire Accessories FiberWire and FiberLoop Needle Reference Charts FiberWire Needle Reference Chart Suture Size Needle Dimensions Reference No. Item Number Actual Size of Needles # 5 (7 metric) 48 mm ½ circle CCS-1 AR-7211 # 5 (7 metric) 48 mm ½ circle & 26.5 mm ½ circle T-5 & CCS-1 AR-7213 # 2 (5 metric) 26.5 mm ½ circle T-5 AR-7200 # 2 (5 metric) 26.5 mm ½ circle T-5 AR-7205 # 2 (5 metric) 26.5 mm ½ circle T-5 AR-7205T # 2 (5 metric) 26.5 mm ½ circle T-5 AR-7208 # 2 (5 metric) 36.6 mm ½ circle C-13 AR-7202 # 2 (5 metric) 36.6 mm ½ circle T-8 AR-7206 # 2 (5 metric) 10 mm NeedlePunch AR-7204 # 2 (5 metric) 10 mm NeedlePunch AR (3.5 metric) 22.2 mm ½ circle T-4 AR (3.5 metric) 22.2 mm ½ circle D-10 AR (3 metric) 17.9 mm 3/8 circle T-13 AR (3 metric) 26.5 mm ½ circle T-5 AR (2 metric) 15 mm 3/8 circle T-43 AR (2 metric) 16.3 mm 3/8 circle C-22 AR (2 metric) 26.2 mm 3/8 circle DE-14 AR (1.5 metric) 11.9 mm 3/8 circle C-17 AR (1.5 metric) 12.3 mm 3/8 circle T-12 AR (1.5 metric) 18.7 mm 3/8 circle DE-10 AR-7228 AR-7211, AR-7213 AR-7202 AR-7206 AR-7250 AR-7220 AR AR-7225 AR-7228 AR-7213, AR-7200, AR-7205, AR-7205T, AR-7208, AR-7242 AR-7204, AR-7207 AR-7251 AR AR AR FiberLoop Needle Reference Chart Suture Size Needle Dimensions Reference No. Item Number Actual Size of Needles # 2 (5 metric) 76 mm w/7 mm loop - AR-7234 # 2 (5 metric) 76 mm w/7 mm loop - AR-7234T # 2 (5 metric) 26.5 mm ½ circle - AR-7234C 0 (3.5 metric) 76 mm w/7 mm loop - AR (3.5 metric) 76 mm w/7 mm loop - AR-7253T 2-0 (3 metric) 48 mm ½ circle D-17 AR (3 metric) 26.2 mm 3/8 circle DE-14 AR (3 metric) 64.8 mm SD-2 AR (1.5 metric) 17.9 mm 3/8 circle T-13 AR (1.5 metric) 17.9 mm 3/8 circle T-13 AR (1.5 metric) 12.7 mm ½ circle T-22 AR (1.5 metric) 12.7 mm ½ circle T-22 AR (1.5 metric) 12.7 mm ½ circle T-22 AR-7248 AR-7234C AR AR AR AR-7234, AR-7234T AR-7253 AR-7253T AR AR AR AR-7248 AR FiberWire Suture Family I 11

12 TightRope Optimize the lateral suture stabilization technique (d) (b) (a) The TightRope CCL technique was developed to provide a minimally invasive method for extracapsular stabilization of the cranial cruciate ligament-deficient canine stifle. TightRope CCL seeks to optimize the lateral suture stabilization technique by employing bone-to-bone fixation, an implant with superior strength and stiffness designed specifically for ligament repair, and a method for consistent isometric implant placement. As such, TightRope CCL can counteract cranial tibial thrust, drawer, and internal rotation while providing optimal joint range of motion. TightRope Benefits Bone-to-bone fixation Strength Minimally invasive technique Low profile implant Potential for addressing all abnormal forces TightRope CCL (a) Cannulated Drill Bit, 3.5 mm (use with VAR-2800) (b) Mini TightRope (c) Cannulated Drill Bit, 2.7 mm (use with VAR-2801) (d) Guide wire for TightRope Syndesmosis Repair Kit Tensioner with Tensiometer Femoral Aiming Guide FiberWire Scissors VAR-2800 VAR-8920DC VAR-2801 VAR-8911DC VAR-8920P VAR-1529 VAR-2810 VAR (c) 12 I TightRope

13 Hip Luxation Easier stabilization with TightRope (b) (c) (a) The extremely durable standard TightRope and Mini TightRope Systems make stabilizing hip luxations easier and reproducible with our toggle pins and FiberTape and FiberWire suture materials. The Femoral Aiming Guide ensures correct placement before drilling. Guide to Drill Bit and Implant Size Based on Patient Weight Dog Weight Implant Size Drill Bit Size < 9 kg. Mini TightRope 2.7 mm for the acetabulum and 2.0 mm for the femoral neck* 9-23 kg Mini TightRope 2.7 mm > 23 kg. Standard TightRope 3.5 mm * VAR-2810 Femoral Aiming Guide TightRope CCL Mini-TightRope CCL Femoral Aiming Guide (a) Cannulated Drill Bit, 3.5 mm (use with AR-8920P) Cannulated Drill Bit, 2.7 mm (use with AR-8920P) Cannulated Drill Bit, 2.0 mm (use with AR-8933K) (b) Guide wire for TightRope Syndesmosis Repair Kit Guide wire (K-wire), 1.1 mm (c) Suture Passing Wire, Nitinol, cm FiberWire Scissors FiberWire Scissors, small Tensioner with Tensiometer VAR-2800 VAR-2801 VAR-2810 VAR-8920DC VAR-8911DC VAR C VAR-8920P VAR-8933K VAR VAR AR VAR-1529 Hip Luxation I 13

14 SwiveLock Anchors Knotless Surgical Technique for Ligament Reconstruction (b) (c) (a) (e) (d) SwiveLock is our newest anchor offered for CCLs and soft tissue-to-bone reattachment. Made with an inert and nonabsorbable thermoplastic material called PEEK, this new anchoring system allows for knotless reconstructions without the need for a tensioner. Specially designed vents in the anchor body promote bone marrow flow and allow for bony ingrowth. Implants VAR-2323PSLG PEEK 5.5 mm Knotless SwiveLock Kit includes PEEK SwiveLock, 5.5 mm x 19.1 mm, closed eyelet (a) FiberTape, 2 mm, cm (b) Suture Button, 3.5 mm x 11 mm (c) Skin Marker VAR-2323PSLC-1 AR-7237 VAR-8920G AR-1897P VAR-2324PSLG PEEK 4.75 mm Knotless SwiveLock Kit includes Disposable Suture Passing Wire, Nitinol, cm Instruments Tap for 5.5 SwiveLock Anchor (d) Spade Tip Drill for 5.5 SwiveLock Anchor (e) Cannulated Drill, 2.5 mm Drill Bit for 4.75 SwiveLock Anchor Tap for 4.75 SwiveLock Anchor Drill Bit for 3.5 SwiveLock Anchor Tap for 3.5 SwiveLock Anchor Guide Wire, 1.04 mm, qty. 4 Banana Knife Hook Knife VAR VAR-1927CTB VAR-1927D VAR-1530C-25 AR AR AR AR VAR-1530K VAR-5001 VAR-5003 Push Knife VAR-5005 PEEK SwiveLock, 4.75 mm x 19.1 mm, closed eyelet (a) VAR-2324PSLC-1 Handle for Knives VAR-5020 FiberTape, 2 mm, cm (b) AR-7237 Suture Button, 3.5 mm x 11 mm (c) VAR-8920G Skin Marker AR-1897P VAR-2325PSLG PEEK 3.5 mm Knotless SwiveLock Kit includes PEEK SwiveLock, 3.5 mm x 19.1 mm, closed eyelet (a) VAR-2325PSLC-1 Vent Cannulation with bony ingrowth FiberTape, 2 mm, cm (b) Suture Button, 3.5 mm x 11 mm (c) Skin Marker AR-7237 VAR-8920G AR-1897P Cross section of a Vented BioComposite SwiveLock eight weeks after implantation in a canine model showing bony ingrowth in the vents and center cannulation. Data on file. 14 I SwiveLock Anchors

15 Titanium Anchors Corkscrew and FASTak Suture Anchors (b) (a) (a) The Corkscrew and FASTak Suture Anchors were designed to provide the highest strength possible in all types of indications and to make technically demanding procedures simpler, safer and reproducible. Built-in, easy-to-use features, such as laser lines on the driver shaft ensure that the anchor has been placed at an appropriate depth and the eyelet is lined up in the correct position to pass the suture in the right direction, are just a couple examples. Combined with the high strength characteristics and increased abrasion resistance of FiberWire, it gives the surgeon confidence during crucial knot tying stages where suture breakage is virtually eliminated. 700 Anchor Pull-out Data* 600 Suture Tensioner with Tensiometer FiberWire Scissor VAR-1529 VAR Ultimate Load (N) Corkscrew Suture Anchor w/# 5 FiberWire, 5 mm (a) FASTak Suture Anchor w/# 2 FiberWire, 2.8 mm (b) FASTak Suture Anchor, 2.8 mm Suture Passing Wire, Nitinol Suture Button, 3.5 mm x 11 mm VAR-2100 VAR-2200 VAR-2201 VAR VAR-8920G 100 Cannulated Drill Bit, 2 mm Guide Wire (K-wire), 1.1 mm VAR C VAR-8933K 0 Guide Wire (K-wire), 1.57 mm VAR-8941K 5 mm Corkscrew w/# 5 FiberWire 3.5 mm Securos w/# 5 OrthoFiber (3.2 mm drill) 2.8 mm FASTak w/# 2 FiberWire Imex 4 mm x 10 mm w/# 2 FiberWire (2.7 mm drill) # 5 BoneBiter w/# 5 FiberWire (2.5 mm drill) * Data on file at Arthrex Titanium Anchors I 15

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17 Imaging and Resection Imaging and Resection I 17

18 Continuous Wave III Arthroscopy Pump Ideal joint distention throughout a surgical procedure The Continuous Wave III Pump provides ideal joint distention throughout a surgical procedure. Pressure and flow levels can be adjusted independently, on the pump or from the sterile field, with the autoclavable remote for optimum control of fluid dynamics. Clear joint distention can be maintained even with aggressive shaving, aspiration and multiple arthroscopy portals. The Continuous Wave III Pump incorporates the latest safety and performance features to meet the highest demands of surgeons, surgical nurses and administrators in today s cost-conscious and performanceminded surgical settings. Autoclavable Remote Console AR-6476 VAR-6475 Pump Tubing Options Main Pump Tubing, Extension Tubing and Y-Tubing Adapter Main Pump Tubing One Piece Main Pump & Extension Tubing (c) (b) (a) This tubing set is for those who prefer a complete tubing set and want to replace the fluid bags after each case. Each tube set comes with an independently packaged press-fit luer lock. This unique tubing provides an economical option to reduce tubing costs by allowing the Main Pump Tubing (AR-6420) to remain in use for the entire surgical day. The exclusive backflow valve prevents contaminated fluid from reaching the Main Pump Tubing. The Main Pump Tubing and fluid bags no longer need to be discarded after each surgical case. Main Pump Tubing for AR-6475, sterile, qty. 10 (a) AR-6415 Main Pump Tubing for AR-6450, AR-6475 and AR-6480 (b) AR-6420 Extension Tubing, sterile, qty. 20 (c) AR I Continuous Wave III Arthroscopy Pump Pump Tubing Options

19 Adapteur Power System II Not just another Shaver System (e) (b) (c) Reliable & Aggressive The Arthrex Shaver Adapteur Power System II is a versatile system for multiple orthopaedic procedures. The multi-function power console allows simultaneous operation of two handpieces. No time-consuming blade changes due to the utilization of dual, active shaver handpieces. Operation of the channels with a single footswitch or for individual use with a second footswitch. Choose from three oscillation mode selections for controlled, efficient or aggressive resection. The Arthrex unique double-sealed handpiece is the most reliable in the industry with a light, ergonomic feel and a touch control option. High performance motors and the use of cutting edge materials put an excellent tool in the surgeon s hand. Multi-functional Shaver System Operation of 2 handpieces simultaneously Automatic detection of handpiece Control via 1 or 2 footpedals 3 different oscillating modes Standard, Efficient, Aggressive Shaver FWD/REV: rpm max. OSC: rpm max. Drill FWD/REV: rpm max. Sagittal Saw FWD/REV: cyc/min APS II Console Synergy Resection Shaver Console (a) Low Profile Footswitch (b) Cordless Gaspedal Footswitch (c) Shaver Handpiece Adapteur Power System II, Footswitch Control (d) Shaver Handpiece Adapteur Power System II, Handswitch Control (e) VAR-8300 VAR-8305 VAR-8310 AR-8315 VAR-8330F AR-8330H (a) Adapteur Power System II I 19

20 Arthrex CoolCut The next generation of Radio Frequency Ablation Device 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. The new line of CoolCut radio frequency devices features an innovative ergonomic handle with finger touch controls. The 90 versions have a special 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. CoolCut Ablation Wands Aspirating Ablation Probes Aspiration Ablation Probes Non-Aspiration Ablation Probes CoolCut 90 (a) AR-9803A-90 (a) (e) CoolCut 50 (b) CoolCut 30 (c) AR-9803A-50 AR-9803A-30 CoolCut XL (d) AR-9705A-90 Non-Aspirating Ablation Probes (b) (f) CoolCut 90NA (e) AR CoolCut 50NA (f) AR CoolCut 30NA (g) AR (c) (g) CoolCut XLNA (h) AR Meniscal Probes (d) (h) CoolCut Meniscectomy 45 (i) CoolCut Meniscectomy 90 (j) AR-9802M-45 AR-9802M-90 Meniscal Probes Ball Probes Ball Probes (i) (k) CoolCut Tip (k) CoolCut Tip 45 (l) AR-9808 AR (j) Hook Tip Probe Hook Tip Probes (l) CoolCut Hook (m) AR I Arthrex CoolCut (m)

21 Arthrex CoolCut The next generation of Radio Frequency Ablation Device (e) (a) (b) (c) (d) Small Joint CoolCut Ablation Wands CoolCut Accessory Devices CoolCut SJ Ball (a) AR-9808SJ Arthrex Pencil Kit (e) AR-9610 CoolCut SJ Ball 45 (b) AR-9808SJ-45 Split Ground Pad (f) AR-9610SGP CoolCut SJ 45 (c) AR-9809SJ-45 CoolCut SJ 90 (d) AR-9809SJ-90 (f) Arthrex CoolCut I 21

22 Arthrex Power System 600 Quality you can trust, Performance you can count on The new Arthrex 600 Power system will give you the power, speed, versatility, reliability and performance you need. Our goal is to improve your surgical experience and make the surgery more efficient. The powerful motor makes drilling, reaming and cutting precise and efficient. The PEEK housing provides a lightweight, well balanced handpiece which is durable and reduces fatigue for consistent performance. State-of-the-art lithium-ion technology provides you with excellent longevity, running times and short charging cycles for your convenience. Li-Ion Battery Technology One year warranty on all batteries State-of-the-art technology No memory-effect Maximum power during entire running time Maximum charging time: one hour The New Large Bone Arthrex Power System Modular design is cost efficient Minimal weight and maximum power Excellent balance and ergonomics PEEK-housing durable and lightweight Lithium-ion technology very long battery life Machine washable Intuitive handling Handpiece AR-600 Battery Housing AR-600LBH Aseptic Transfer Kit AR-600TK Battery, unsterile, Li-Ion AR-600L 22 I Arthrex Power System 600

23 Arthrex Power System 600 Quality you can trust, Performance you can count on (q) Attachments Sagittal Saw Adapter (a) AR-600SAG Sagittal Saw Adapter mini (b) AR-600SAGS Reciprocating Saw Adapter (c) AR-600SR Drill Jacobs Chuck, keyless, mm (d) AR-600DK Drill Jacobs Chuck, AO / Trinkle, Drills up to Ø 12 mm (e) AR-600DAOT Drill Adapter Chuck, Zimmer / Hudson (f) AR-600DZH (a) (i) Drill Adapter Chuck, Large AO/Protek (g) Drill Keyed Jacobs Chuck, mm, Burr shank up to Ø 6.5 mm, Drills up to Ø 12 mm (h) AR-600DAOP AR-600DJ Drill Adapter Chuck, Standard AO, Drills up to Ø 12 mm (i) AR-600DAO Reamer Adapter, Zimmer / Hudson (j) AR-600RZH (b) (j) Reamer Adapter, Standard AO Protek (k) Reamer Jacobs Chuck, keyless, mm, Burr shank up to Ø 7.4 mm, Current acetabulum reamer (l) AR-600RAOP AR-600RJ (c) (k) Reamer Keyed Jacobs Chuck, mm, Burr shank up to Ø 6.5 mm, Current acetabulum reamer (m) Wire Driver Adapter, mm AR-600RK AR-600WD-2 Wire Driver Adapter, mm (n) AR-600PD-2 (d) (l) Accessories (e) (m) Charging station + Cable for AR-300L and / or AR-600L (o) AR-300/600 Autoclave basket (p) V-600T (f) Arthrex 600 Sterilisation tray to apply AR-600T (q) AR-600GC (n) (p) (g) (h) Arthrex Power System 600 I 23

24 Arthrex Power System 300 Quality you can trust, Performance you can count on The smallest and lightest battery driven handpiece on the market will provide you with precision, power, versatility and a well-balanced design. Made especially for surgery on small joints the new Power system 300 stands for performance and simplicity. The PEEK handpiece is very lightweight and easy to handle. Its excellent ergonomic design allows for superb balance in the surgeon s hand. Change of burrs or blades is easy and fast. State-of-theart lithium-ion technology provides you with excellent longevity, running times and short charging cycles for your convenience. Li-Ion Technology One year warranty on all batteries State-of-the-art technology No memory-effect Maximum power during entire running time Maximum charging time: one hour The New Small Bone Arthrex Power System Modular design is cost efficient Excellent balance and ergonomics PEEK-housing durable and lightweight Lithium-ion technology very long battery life Machine washable Easy to handle Battery, unsterile, Li-Ion AR-300L Handpiece AR-300 Aseptic Transfer Kit AR-300ATK Battery Housing AR-300LBH 24 I Arthrex Power System 300

25 Arthrex Power System 300 Quality you can trust, Performance you can count on Attachments Sagittal Saw Adapter (a) AR-300SAG Reciprocating Saw Adapter (b) AR-300SR Burr Adapter, Ø 2.35 mm (c) AR-300B Drill Adapter AO, Drills up to Ø 6 mm (d) AR-300DAO-2 (l) Drill keyed, Keyed Jacobs Chuck, 0-4 mm (e) Reamer Adapter AO, Drills up to Ø 8 mm, Reamer up to Ø 20 mm (f) AR-300DJ AR-300RAO (a) (f) Reamer keyed Chuck, 0-4 mm (g) Pin driver Adapter, Pins mm (h) Pin driver Adapter, Pins mm (i) AR-300RJ AR-300WD16 AR-300PD24 (b) (g) Accessories (c) (h) Charging station and cable AR-300L and / or AR-600L (j) Autoclave basket (k) Arthrex 300 sterilization tray (l) AR-300/600 V-300T AR-300C (d) (i) (e) (k) (j) Arthrex Power System 300 I 25

26 Synergy HD3 Synergized Advancement in Arthroscopy HD Video Imaging, High Output LED Light Source and Image Management System, synergized in one... Simply controlled from a tablet Synergy HD3 imaging is a commanding imaging platform offered by Arthrex featuring a true 1080p HD programmable camera head, a LED xenon-bright light source and an image management system all in one tablet-controlled device. The networked-based system allows live video streaming from any authorized remote viewer. Synergy HD3 Physician App Arthrex s Synergy HD3 physician ipad application provides physicians with tools to manage stills, video recordings, and patient education. Utilizing an ipad, physicians can review, edit, annotate and tag stills and video recordings, as well as create and instantly transmit images, videos and educational postoperative reports to patients. image management with an intuitive tablet controller. One console and one unique tablet interface simplifies use, and programmable individual surgeon preferences enhance the user experience. Synergy HD3 Consoles Synergy HD3 Console, with Multi Lightguide Port Turret, with Tablet (a) Synergy HD3 Tablet AR T AR Synergy HD3 Tablet Controller Our unique and innovative remote tablet interface allows the user to remotely and efficiently enter patient information, surgeon preferences and image management settings only one time. The tablet can be draped in a cover for use in the sterile field. Synergy HD3 will help reduce cost, OR time and increase efficiency. Synergy HD3 Imaging Platform Synergy HD3 integrates three consoles into one and revolutionizes endoscopic visualization and image management. The Synergy HD3 combines the latest technology, true 1080p HD cameras, LED lighting, and (a) 26 I Synergy HD3

27 Synergy HD3 Synergized Advancement in Arthroscopy (c) (b) (d) (a) Camera Head Sheathless Arthroscope The Synergy HD3 camera head provides true 1080p HD resolution in a comfortable, ergonomic design. The autoclavable programmable head is designed and optimized with an integrated LED light source and image management system to produce the best and most consistent image available. High resolution, high dynamic range and depth of field are not just words they are now the standard. Camera Head, HD, 1080p, 3-Chip, autoclavableb (a) AR The Arthrex Sheathless Arthroscope will revolutionize the way arthroscopic procedures are performed. By eliminating bulky scope sheathes, obturators, switching sticks, and maintaining fluid inflow through operative cannulas, viewing portal changes are quick and efficient. Fluid extravasation due to repeated portal changes is minimized by maintaining operative cannulas in all portals. The Sheathless Arthroscope is designed and constructed with additional structural support along its length to stand up to normal stresses without a sheath. The Sheathless Arthroscope will reduce surgical times by expediting portal changes and eliminating distention loss. High Definition Monitors High Definition (HD) Medical Display Widescreen, full HD resolution Picture-in-picture and side-by-side display modes Versatile multi-format signal support 4 mm Sheathless Arthroscopes Sheathless HD Arthroscope, 30, 4x134 mm (c) Sheathless HD Arthroscope, 70, 4x138 mm Light Guides AR AR High Definition Monitor (b) AR High Definition LCD Monitor AR High Definition OLED Monitor PVM-2551MD Light Guides of highest quality are fused at proximal and distal end, which maximizes light transmission. The unique handle increases durability and prevents misuse during removal. Light Guide, 3.5 mm x 2.7 m, blue Light Guide, 5 mm x 2.7 m, blue (d) Light Guide, 5 mm x 4 m, blue AR AR AR Synergy HD3 I 27

28 Synergy HD3 Synergized Advancement in Arthroscopy Arthroscopes and Sheath Systems Sheaths and Obturators for 3 mm Arthroscopes Arthrex offers a full complement of high quality scopes and sheaths for visualization of multiple joint types and for surgeon preference. Scope sizes range from 1.9 mm 4 mm with short, standard, or long lengths to get into hard to access joints. 4 mm Arthroscopes (c) (b) (a) Sheath System*, single stopcock for 3 mm scope Sheath System*, double stopcock for 3 mm scope Sharp Trocar for 3 mm scope sheath system Hi-flow Sheath System*, single stopcock for 3 mm scope Hi-flow Sheath System*, double stopcock for 3 mm scope Hi-flow Sheath System*, fenestrated, single stopcock for 3 mm scope Hi-flow Sheath System*, fenestrated, double stopcock for 3 mm scope Sharp Trocar for hi-flow 3 mm scope sheath system 2.7 mm Short Arthroscopes Arthroscope, 30, 2.7 x 72 mm Arthroscope, 70, 2.7 x 75 mm AR AR AR AR AR AR AR AR AR AR HD Arthroscope, 30, 4 x mm (a) HD Arthroscope, 70, 4 x mm HD Arthroscope, 30, 4 x mm,reverse light post AR AR AR R 2.4 mm Short Arthroscopes Arthroscope, 30, 2.4 x 72 mm Arthroscope, 70, 2.4 x 75 mm AR AR Sheaths and Obturators for 4 mm Arthroscopes Sheaths and Obturators for 2.4 mm and 2.7 mm Arthroscopes Sheath System*, single stopcock for 4 mm scope AR Sheath System*, double stopcock for 4 mm scope AR Sheath System*, single stopcock for 2.4 mm scope AR Hi-flow Sheath System*, fenestrated, single stopcock for 4 mm scope AR Sheath System*, double stopcock for 2.4 mm scope Sharp Trocar for 2.4 mm scope sheath system AR AR Hi-flow Sheath System*, fenestrated, double stopcock for 4 mm scope (b) Sharp Trocar for 4 mm scope sheath system Blunt Obturator for 4 mm scope sheath system AR AR AR Sheath System*, single stopcock for 2.7 mm scope Sheath System*, double stopcock for 2.7 mm scope Sharp Trocar for 2.7 mm scope sheath system AR AR AR mm Arthroscopes HD Arthroscope, 30, 3 x 138 mm AR mm Arthroscope Arthroscope, 30, 1.9 x 58 mm AR HD Arthroscope, 70, 3 x 140 mm AR * Sheath Systems include Conical Obturator 28 I Synergy HD3

29 Synergy HD3 Synergized Advancement in Arthroscopy Sheaths and Obturators for 1.9 mm Arthroscope Sheath System*, single stopcock for 1.9 mm scope AR Sheath System*, double stopcock for 1.9 mm scope AR Sharp Trocar for 1.9 mm scope sheath system AR Sheath, double stopcock, tapered, fenestrated for Dyonics Blunt Obturator for AR Sheath Hip Arthroscope AR AR-3316 Sheaths for Competitive Scopes 30 Hip Arthroscope, 4 mm x 225 mm 70 Hip Arthroscope, 4 mm x 225 mm AR AR Sheath, continuous flow, double stopcock, rotatable for Storz AR-3300 Hip Sheaths Blunt Obturator for AR-3300 Sheath Sheath, double stopcock, tapered, fenestrated for Stryker Blunt Obturator for AR Sheath AR-3301 AR AR-3311 Sheath, hip, double stopcock, tapered, fenestrated, rotatable for Storz AR Trocar for AR Sheath AR-3312 Obturator, hip, cannulated w/handle for AR-3210 AR-3211 Accessory Replacement Components 4 mm Scope Accessory Replacement Parts Hi-flow Sheath Body, fenestrated, 4 mm scope sheath system Sheath Body, 4 mm scope sheath system Conical Obturator, 4 mm scope sheath system (c) 3 mm Scope Accessory Replacement Parts AR AR AR Stopcock Replacement Stopcock, single, spare for Synergy HD3 sheath AR Stopcock, double, spare for Synergy HD3 sheath AR Small Joint Scope Accessory Replacement Parts Sheath Body, 2.7 mm scope sheath system AR Sheath Body, 3 mm scope sheath system AR Conical Obturator, 2.7 mm scope sheath system AR Conical Obturator, 3 mm scope sheath system AR Sheath Body, 2.4 mm scope sheath system AR Sheath Body, fenestrated, hi-flow 3 mm scope sheath system AR Conical Obturator, 2.4 mm scope sheath system AR Sheath Body, hi-flow 3 mm scope sheath system AR Sheath Body, 1.9 mm scope sheath system AR Conical Obturator, hi-flow 3 mm scope sheath system AR Conical Obturator, 1.9 mm scope sheath system AR Laparoscopes Laparoscope, 0, 5.5 mm x 365 mm AR Laparoscope, 0, 10 mm x 405 mm AR Laparoscope, 30, 5.5 mm x 365 mm AR Laparoscope, 30, 10 mm x 405 mm AR Laparoscope, 45, 5.5 mm x 365 mm AR Laparoscope, 45, 10 mm x 405 mm AR Laparoscope, extended length, 0, 5.5 mm x 480 mm AR L Laparoscope, extended length, 0, 10 mm x 526 mm AR L Laparoscope, extended length, 30, 5.5 mm x 480 mm AR L Laparoscope, extended length, 30, 10 mm x 526 mm AR L Laparoscope, extended length, 45, 5.5 mm x 480 mm AR L Laparoscope, extended length, 45, 10 mm x 526 mm AR L Synergy HD3 I 29

30 Canine Arthroscopy Set Containing three removable trays The Main Instrument Tray includes a Cup Curette, Banana Knife, a large obturator for dilating portals and three probes. The Canine Cannula Tray contains a unique cannula system that allows precise one-step placement of the first cannula by using a cannulated obturator that inserts directly over the initial guide needle. Beveled changing rods allow easy portal dilation and switching to two larger cannula sizes. This tray also includes a fenestrated outflow cannula with stopcock and Switching Sticks designed for the stifle. A specialized Hand Instrument Tray secures a Series I Grasper and a Slender Punch in an upright position for easy accessibility. The tray also has space for additional hand instruments. Arthrex offers a lifetime guarantee on materials and workmanship on every Series I instrument. For further information, please refer to your sales representative. The compact, lightweight, expandable and anodized Canine Arthroscopy Set contains the most popular instruments as determined by leading canine arthroscopic surgeons. The aluminum autoclave case holds the instruments securely in slotted, laser labelled silicone pads for proper protection and easy identification during use and repacking. 30 I Canine Arthroscopy Set

31 Canine Arthroscopy Set Containing three removable trays Main Instrument Tray Canine Arthroscopy Set, VAR-30000S (a) (b) Main Instrument Tray Hand Instrument Tray Small Cup Curette, 2.5 mm diameter VAR-3008 Blunt Obturator for Bridge Cannula, 4.5 mm (a) VAR Banana Knife, 2.5 mm diameter VAR-3009 Blunt Obturator for Bridge Cannula, 5.5 mm AR Graduated Black Probe, 1.5 mm Tip VAR-5021 Hand Instrument Tray Graduated Black Probe, 2.5 mm Tip AR-5007 Grasper, Alligator Hook Tip VAR-11600SR Probe, Stainless Steel VAR Punch, Slender Straight Tip (b) VAR Canine Cannula Set, VAR-3002S (h) (e) (f) (c) (g) (d) Canine Cannula Tray Cannulas (2.9 mm) (c) VAR Switching Stick, 3.7 mm VAR Cannulas (3.7 mm) VAR Dilation Needles, qty. 5 (f) VAR-3005 Cannulas (4.3 mm) VAR Stifle Outflow Cannula (g) VAR-3006 Cannulated Obturator (d) VAR-3003 Stifle Outflow Obturator (h) VAR-3007 Switching Stick, 2.9 mm (e) VAR Canine Arthroscopy Set I 31

32 ArthroCart Custom designed and robust Articulating monitor arm (optional) Arm for tablet (optional) Integrated power column Earth leakage guard Storage shelves 500 mm width Pull out shelf for arthroscopy pump Isolating transformer Anti-static rollers with cable guards Configuration ArthroCart with CableGuards; Version: Synergy Standard ArthroCart w/o CableGuards; Version: Synergy Standard Component Part Central Monitor Mount Articulating Monitor Arm Arm for Tablet Printer Sony Printer Instrument Tray Video Instrument Tray AR STI AR STI AR-5995CMM AR-5995SAS-FP30 AR-5995SAT UP-DR80MD AR-3101C Anti-static roller set with cable guards, 125 mm 2 rollers lockable Isolating Transformer 2000 VA with earth leakage guard 5 storage shelves in total 1 storage shelf extendable, approx. 150 mm 1 storage shelf with handle Drawer Lockable back-door Cable winding aid Foot pedal holder Camera holder Fluid bag holder Tubing clamp Power column with 10x power outlets and Equipotential bonding cables 32 I Canine Arthroscopy Set

33 Arthroscopy Instruments Smaller & Stronger With over 100 tip configurations, curves and diameters, in either WishBone or Series I ring handle styles, Arthrex offers the most comprehensive options for manual resection instruments in the industry. Made to the highest quality requirements in the world by Arthrex California Inc, we are proud to offer a lifetime guarantee on all Arthrex arthroscopy instruments. 440 grade carbon steel cutting edges with vindictive sharpness, are smaller and stronger, and sensitive enough to allow a surgeon actual, tactile feel of tissue quality prior to resection. You will feel the difference in your hands. Arthrex Arthroscopy Instruments are available in two handle configurations: WishBone The WishBone Series Arthroscopy Instruments feature superior feel and improved ergonomics that facilitate inverted and retrograde usage with either hand. A comprehensive variety of tip styles, angles and sizes with a selection of shaft diameters are designed specifically for arthroscopic surgical procedures. WishBone Instruments are marked with a W at the end of the item number. Series 1 The traditional Series 1 Arthroscopy Instruments feature comfortable and ergonomic finger loops that help you precisely control the instrument in a number of hand positions and tissue resection operations. Canine Arthroscopy Set I 33

34 Arthroscopy Instruments Meniscal Probes, Canine Stifle Distractors, Meniscal Knives Meniscal Probes (a) (b) The meniscal probes provide the surgeon with an excellent tool to assess the meniscus or soft tissue. A number of different sizes and lengths are offered for your convenience. (c) Small Hook Probe, w/black handle (a) Graduated Black Probe, 1.5 mm Tip Graduated Black Probe, 2.5 mm Tip (b) Stainless Steel Probe (c) VAR VAR-5021 VAR-5007 VAR Canine Stifle Distractors (e) Meniscal tears are very common among CCL-deficient dogs, so the respective examination is especially critical. Whatsoever, many tears go undetected due to lack of exposition. Arthrex developed an arthroscopically usable instrument which creates both subluxation and distraction, so both menisci can easily be examined without repositioning of the instrument. In short, it is a necessary tool for every surgeon dealing with CCL ruptures in the canine stifle. Stifle Distractor, Canine, 13 mm Stifle Distractor, Canine, 20 mm Stifle Distractor, Canine, 27 mm (e) VAR VAR VAR (f) Meniscal Knives (g) (h) The meniscal knives are great tools for dealing with meniscal tears or soft tissue resection. These precision-crafted knives are must have items. Offered are the Banana Knife, Hook Knife and Push Knife designs. A reusable handle also provides better gripping in wet environments. (i) Banana Knife (f) Push Knife (g) Hook Knife (h) Handle (i) VAR-5001 VAR-5003 VAR-5005 VAR I Canine Arthroscopy Set

35 Arthroscopy Instruments Probe Cutter, Suture Cutters (a) (b) Probe Cutter The probe cutter is an innovative 2in1 tool; the instrument has a bent up tip for meniscal defect detection, and in its cannulation, there slides a blade to allow for instant partial resection. Blade advancement is controlled via thumb handle and the integrated spring system eliminates the danger of accidental cutting and soft tissue harming by the blade during instrument insertion. Usable with one hand, the new probe cutter is the ideal tool for meniscus assessment and best used in conjunction with the stifle distractor. Probe Cutter Handle (a) Probe Cutter Blade (b) VAR-4001 VAR-4000 Suture Cutters (f) (c) The Suture Cutter s precision jaws prevent knot cutting by leaving a length of reproducible suture tail, 3 mm for the 4.2 mm outer diameter cutter and 1 mm for the 2.75 mm outer diameter cutters, without direct visual control. These cutters have a special locking device to prevent premature suture cutting. The blunt tip of the cutter is excellent for knot pushing. The open ended Suture Cutter was designed to speed up cutting which is done under direct visual control. The FiberTape cutters were designed to cut two strands of FiberTape flush to the anchor site without direct visual control. (d) Suture Cutter, 4.2 mm, straight (c) Suture Cutter, 4.2 mm w/wishbone Handle, straight AR AR-12250W (e) 2-0 Suture Cutter, 2.75 mm, straight (d) VAR Suture Cutter, 2.75 mm, 15 up curve (e) VAR (g) Suture Cutter, Open Ended, Left Notch (f) Suture Cutter, open ended, left notch w/wishbone Handle FiberTape Cutter (g) FiberTape Cutter w/wishbone Handle VAR-11794L VAR-11794LW AR AR-13250W Canine Arthroscopy Set I 35

36 Arthroscopy Instruments Suture Cutters & Scissors (e) (a) (b) (c) (d) No arthroscopy instrument line would be complete without top-of-the-line quality instruments like Suture Cutters and arthroscopic Scissors. Suture Cutter, open-ended, left notch (any suture size) (a) VAR-11794L CrabClaw Knot Pusher/Suture Retriever (b) AR Scissor, straight, serrated, 3.4 mm shaft diameter (c) VAR For 2-0 suture only, meniscus repair Suture Cutter, straight, 2.75 mm shaft diameter VAR Suture Cutter, 15 up curve VAR Suture Cutter, straight, 4.2 mm shaft diameter (d) AR Curved Scissor, right (e) VAR Curved Scissor, left, 3.4 mm shaft diameter VAR I Canine Arthroscopy Set

37 Arthroscopy Instruments Graspers (a) (b) (c) (d) (e) (f) Graspers are available in 2.75 mm, 3.4 mm and 4.2 mm shafts. Series 1 NR Graspers are made with non-ratcheting handles and are nonlocking. Series 1 SR Graspers feature a self-releasing locking mechanism. All WishBone Graspers feature a ratcheting lock mechanism that can be disengaged for nonlocking operation. ACL/PCL Graft Passing Forceps (c) Series 1 WishBone Shaft 4.2 mm shaft diameter AR NR (SR) AR W Straight Blunt Grasper Tips (a) Pointed Grasper Tips (d) Series 1 WishBone Shaft 2.75 mm shaft diameter VAR NR (SR) VAR W Straight VAR NR (SR) VAR W 15 up Curved 3.4 mm shaft diameter AR NR (SR) AR W Straight AR NR (SR) AR W 15 up Curved 4.2 mm shaft diameter AR NR (SR) AR W Straight Series 1 WishBone Shaft 2.75 mm shaft diameter VAR NR (SR) VAR W Straight VAR NR (SR) VAR W 15 up Curved 3.4 mm shaft diameter VAR NR (SR) AR W Straight AR NR (SR) AR W 15 up Curved Mini-Graspers (e) Alligator Grasper/Hook Tips (b) Series 1 WishBone Shaft 2.75 mm shaft diameter VAR NR (SR) VAR-11600W Straight VAR NR (SR) VAR-11610W 15 up Curved 3.4 mm shaft diameter AR NR, VAR SR VAR-12600W Straight AR NR (SR) AR-12610W 15 up Curved 4.2 mm shaft diameter AR NR (SR) AR W Straight Series 1 WishBone Shaft 2.75 mm shaft diameter, straight Tip VAR NR (SR) VAR W Straight VAR NR, AR SR VAR W 15 up Curved KingFisher Suture Retriever Tissue Grasper (f) Series 1 WishBone Shaft 4.2 mm shaft diameter AR NR (SR) AR W Straight Canine Arthroscopy Set I 37

38 Arthroscopy Instruments Punches (a) (b) (c) (d) (e) (f) Straight Tip Punches are available in three bite sizes with a 2.75 mm shaft and four bite sizes with a 3.4 mm shaft. Slender Punch Tips (a) Standard Punch Tips (d) Series 1 WishBone Shaft 2.75 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved 3.4 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR AR W 30 L Curved Series 1 WishBone Shaft 2.75 mm shaft diameter AR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved 3.4 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved Medium Punch Tips (b) Standard Punch, 15 Up Tips (e) Series 1 WishBone Shaft 3.4 mm shaft diameter AR AR W Straight AR AR W 15 up Curved AR AR W 30 R Curved AR AR W 30 L Curved Medium Punch, 15 Up Tips (c) Series 1 WishBone Shaft 3.4 mm shaft diameter AR AR W Straight AR AR W 15 up Curved AR AR W 30 R Curved AR AR W 30 L Curved Series 1 WishBone Shaft 2.75 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved 3.4 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved 38 I Canine Arthroscopy Set

39 Arthroscopy Instruments Punches Large Punch Tips (f) Bite Size Series 1 WishBone Shaft 2.75 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved 3.4 mm shaft diameter AR AR W Straight AR AR W 15 up Curved AR AR W 30 R Curved AR AR W 30 L Curved 2.75 mm Shaft 3.4 mm Shaft slender mm slender mm standard mm standard mm medium mm large mm large mm Large Punch, 15 Up Tips Series 1 WishBone Shaft 2.75 mm shaft diameter VAR VAR W Straight VAR VAR W 15 up Curved VAR VAR W 30 R Curved VAR VAR W 30 L Curved Canine Arthroscopy Set I 39

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41 Cartilage Repair Cartilage Repair I 41

42 SynACART Joint Resurfacing (a) (b) (c) SynACART is a synthetic osteochondral cartilage plug for treating osteochondral defects in the elbow, shoulder, fetlock, hock, carpal joint and stifle. It is made from a biodurable polycarbonate urethane to overcome surface degradation and fusion molded onto a titanium meshed base to allow for bony ingrowth. This product allows for a quick repair of defects without worry about sufficient donor cartilage or donor site morbidity. SynACART, 8 mm x 8 mm (a) VAR SynACART Cannulated Drill, 25 mm VAR DC SynACART, 10 mm x 8 mm VAR SynACART Guide, 8 mm (c) VAR SynACART, 20 mm x 8 mm VAR SynACART Guide, 10 mm VAR SynACART, 25 mm x 8 mm VAR SynACART Guide, 20 mm VAR SynACART Instrument Case VAR-2500C SynACART Guide, 25 mm VAR SynACART Cannulated Drill, 8 mm (b) VAR DC SynACART Implant Holder, 8 mm VAR SynACART Cannulated Drill, 10 mm VAR DC SynACART Implant Holder, 10 mm VAR SynACART Cannulated Drill, 20 mm VAR DC MRI scan of osteochondritis dissecans lesion of the medial condyle of the canine stifle the pervasive subchondral bone marrow lesion is often underestimated on standard radiography Photos courtesy of Dr. Noel Fitzpatrick, Fitzpatrick Referrals, UK CT scan of osteochondritis dissecans lesion of the medial condyle of the canine stifle documentation of the geographic extent of the lesion assists pre-operative planning CT scan postoperatively after placement of the SynACART implant for joint resurfacing note the metallic base for osseous ingrowth and the reconstruction of the articular surface topography 42 I SynACART

43 OATS Osteochondral Autograft Transfer System Osteochondral autografting has been reported successful in canine, equine and human cases. Autografting has been used to treat osteochondrosis, trauma, cystic lesions and other articular defects in a variety of joints. Without treatment, these conditions are typically associated with pain, lameness, decreased range-of-motion, and progressive osteoarthritis. The OATS (Osteochondral Autograft Transfer System) facilitates templating of the defect, harvesting of 6, 8, and/ or 10 mm cylindrical osteochondral autografts, and preparation of the recipient socket(s) for press-fit fixation of one or more grafts. The size-specific system includes a marking pen w/ruler, guide pin, Cannulated Headed Reamer, dual-sided Alignment Rod, Donor Harvester with Core Extruder, clear graft delivery tube, oversized Tamp, optional graft driver for tap-in insertion, and core extractor for removal and revision or replacement of the graft. Two critical aspects of the OATS procedure involve the careful harvest of the graft from the optimal donor sites and accurate recipient bed preparation. Donor site choice is based on availability of nonarticulating, nonweight-bearing hyaline cartilage with adequate thickness and surface contour. The cylindrical graft is harvested and then trimmed to its optimal depth (at least 8 mm). Recipient sockets are prepared with a guide pin and size-matched cannulated reamer to the exact depth of the graft. Small Joint OATS Set, 6 mm Small Joint OATS Set, 8 mm Small Joint OATS Set, 10 mm AR S AR S AR S OATS I 43

44 Canine Unicompartmental Elbow (CUE) Arthroplasty System (a) (b) Arthroscopic image of severe MCD Meshed titanium base promotes bone ingrowth Arthroscopic image of CUE 7 months post-op Post-op cranial-caudal radiograph showing CUE implants in place The Canine Unicompartmental Elbow is a safe and effective option for the treatment for Medial Compartment Disease (MCD) for dogs in which arthroscopic treatment and nonsurgical options are no longer successful. By focusing on the specific area of disease (the medial compartment), the CUE implant provides a less invasive, bone-sparing CUE Instrument Set VAR-7020S includes option for resurfacing the bone-on-bone medial compartment while preserving the dog s own good cartilage in the lateral compartment. This medial resurfacing procedure was created to reduce or eliminate the pain and lameness that is caused by the bone-on-bone grinding. Implants CUE Humerus Template, medium large VAR-7001-M -L CUE Humerus Trial, medium large VAR-7002-M -L CUE Humerus Implant, medium large (a) VAR-7000-M -L CUE Ulna Implant, medium large (b) VAR-7005-M -L CUE Humerus Implant Holder, medium large VAR-7003-M -L Corkscrew FT II, 5.5 mm x 16 mm, w/three # 2 FiberWire AR-1928SF-3 CUE Humerus Tamp VAR-7004 Low Profile Screw, 3.5 mm x 24 mm, titanium AR CUE Humerus Drill, medium large VAR-7011-M -L CUE Humerus Drill Stop, medium large VAR-7012-M -L CUE Ulna Trial, medium large VAR-7006-M -L CUE Ulna Implant Holder, medium large VAR-7007-M -L CUE Ulna Drill, medium large VAR-7014-M -L CUE Ulna Guide, medium large VAR-7015-M -L Low Profile Screw, 3.5 mm x 26 mm, titanium Low Profile Screw, 3.5 mm x 28 mm, titanium Low Profile Screw, 3.5 mm x 30 mm, titanium Low Profile Screw, 3.5 mm x 32 mm, titanium Low Profile Screw, 3.5 mm x 34 mm, titanium Low Profile Screw, 3.5 mm x 36 mm, titanium AR AR AR AR AR AR CUE Ulna Tamp VAR-7016 Low Profile Screw, 3.5 mm x 38 mm, titanium AR CUE Instrument Set Case VAR-7020C Low Profile Screw, 3.5 mm x 40 mm, titanium AR Accessories Disposables Cannulated Driver Handle with AO Connector VAR-13221AOC Drill Tip Guide Pin, 2.4 mm (required) AR-1250L-1 T15 Hexalobe Driver VAR-8941DH Curved Cruciate Needle VAR-5000 Drill Bit, 2.5 m VAR Bone Tap, 3.5 mm AR-8935T 44 I Canine Unicompartmental Elbow (CUE)

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47 Biologics Biologics I 47

48 Arthrex ACP Double Syringe System ACP - Autologous Conditioned Plasma Rotor with Buckets (b) (a) Autologous blood products have created a growing interest for use in a number of therapies. The healing effects of plasma are supported by growth factors released by activated platelets. These growth factors are known to induce a healing process in a variety of tissue types and 1, 2, 3 they appear to work synergistically. ACP/Double Syringe with Cap (a) Centrifuge (b) Cart for Centrifuge (c) Bucket and Cap VABS VABS AR-5995-ABS01 VABS-0022 Major effects of growth factors Induce proliferation and differentiation of various cell types (e.g. osteoblasts, chondroblasts) 4 Enhance production of matrix (e.g. collagen, proteoglycan production) Stimulate angiogenesis and chemotaxis Features and Benefits Two in one - unique system for the preparation of Autologous Conditioned Plasma ACP preparation with the Arthrex ACP Double Syringe can be performed within minutes The ACP System can be used in a clinic or under sterile conditions in an OR setting, as the whole preparation process takes place in a closed system The Double Syringe design allows for easy, convenient and safe handling White blood cells are not concentrated using the ACP 5, 6, 7 Double Syringe and the described spin regime Counterbalance VABS ACP has been used to enhance bone healing in fractures, wounds, tendon and ligament injuries, pain relief, osteoarthritis, and reduced scaring (c) 1. Borzini P, Mazzucco L: Tissue Regeneration and in Loco Administration of Platelet Derivates: Clinical Outcomes, Heterogeneous Products, and Heterogeneity of Effector Mechanisms. Transfusion. 2005; 45: Edwards D, et al: Transforming Growth Factor Beta Modulates the Expression of Collagenase and Metalloproteinase Inhibitor. The EMBO Journal. 1987; 6(7): Lynch S, et al: Role of Platelet-derived Growth Factor in Wound Healing: Synergistic Effects with other Growth Factors. Proc. Natl. Acad. Sci. USA. 1987; 84: Graziani F, et al: The In Vitro Effect of Different PRP Concentrations on Osteoblasts and Fibroblasts. Clin Oral Implants Res. 2006; 17(2): Sundman E, Cole B, Fortier L: Growth Factor and Catabolic Cytokine Concentrations Are Influenced by the Cellular Composition of Platelet-Rich Plasma. American Journal of Sports Medicine. 2011; 39(10): Kisiday J, et al: Effects of Platelet-Rich Plasma Composition on Anabolic and Catabolic Activities in Equine Cartilage and Meniscal Explants. Cartilage. 2012; 3: Mazzocca A, et al: Platelet-rich plasma differs according to preparation method and human variability. Journal of Bone & Joint Surgery.2012; 94(4): I Arthrex ACP

49 Arthrex ABPS Autologous Blood Processing System (a) (b) (c) Defects in articular cartilage can induce osteoarthritis by causing molecular changes in the synovial fluid. Research in molecular biology discovered the major inducer of osteoarthritis was the general inflammatory cytokine interleukin-1 (IL-1) which plays a key role in accelerating tissue destruction and the repair mechanisms. In a healthy joint, IL-1 and interleukin-1 receptor antagonist (IL-1Ra) are in balanced concentrations. In cases of osteoarthritis, there is not sufficient IL-1Ra produced to block the destructive effects of the increased IL-1. The result is inflammation, joint pain, and eventually cartilage destruction. In the Arthrex ABPS, monocytes (a type of white blood cell) bind to the glass beads. The cells are then stimulated to produce regenerative and anti-inflammatory proteins without the addition of drugs. This process takes place over an incubation period of hours. ABPS Equipment Arthrex ABPS (a) Kit contains one Arthrex ABPS device with dual ports, one 60 ml syringe and one butterfly cannula Labnet Mini Incubator, compact general purposes 230V Centrifuge Hettich Rotofix 32A, 220 V (b) VAR-1011 VAR-1040 VABS In osteoarthritis, IL-1 is produced in large amounts and binds to receptor sites on the cartilage signaling cell destruction. Introduction of Arthrex ABPS serum into the joint. Incubation-Rack for Arthrex ABPS available upon request. In the Arthrex ABPS System, monocytes bind to the beads stimulating the regenerative and anti-inflammatory proteins during incubation. The Arthrex ABPS serum has high concentrations of regenerative and inhibitory proteins that block the effects of destructive proteins like IL-1, by filling the receptors on the cartilage with IL-1Ra. Hettich Fixed Angle Rotor 1620A for Centrifuge Rotofix 32A ABPS Counterweight for Centrifugation (c) Adaptor for bucket 38/80 VAR-1021 VAR VABS Arthrex ABPS I 49

50 Arthrex Quickset Injectable Macroporous Calcium Phosphate Dual-Chambered Syringe 7G Cannula (b) (a) Pushrod Arthrex Quickset is a macroporous, resorbable and injectable bone substitute that can be used to fill bone voids that are not intrinsic to the stability of the bony structure and to fill surgically created osseous defects or traumatic injury to the bone. Features and Benefits All-in-one device Easy and fast Closed mixing system No heat-generating reaction Injectable Osteoconductive and fully resorbable Radio-opaque Design and Properties Dual-chambered syringe as mixing system containing a powder and liquid Powder: mixture of calcium phosphates and an organic polysaccharide polymer Liquid: sodium phosphate solution End product after mixing: calcium-deficient apatite similar to the mineral phase of bone (biocompatible) Global porosity of 70 % (24 hours after implantation) Microporosity (<10 μm) 88 % Mesoporosity ( μm) 2 % Macroporosity (>100 μm) 10 % Arthrex Quickset, 5 cc Arthrex Quickset, 8 cc Arthrex Quickset, 16 cc Arthrex Quickset - MultiGun (a) Arthrex Quickset - Delivering gun (b) 1 μm Crystallization process beginning 1 μm Crystallization process completed 1 mm ABS-3005-EH ABS-3008-EH ABS-3016-EH ABS-3002-EH ABS-3001-EH Mechanical compressive strength of 24 MPa (24 hours after implantation) Crystallization process completed showing presence of porosity Excellent cohesiveness, which prevents wash out by biological fluids 50 I Arthrex Quickset