The first cannulated retrograde drill providing precision and control from a guide wire. ACUFEX TRUNAV Retrograde Drill

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1 The first cannulated retrograde drill providing precision and control from a guide wire ACUFEX TRUNAV Retrograde Drill

2 ACUFEX TRUNAV Retrograde Drill Precise Tunnels I Exceptional Control I Superior Performance 1 Introducing the ACUFEX TRUNAV Retrograde Drill. Designed to provide precision and control over a 2.4mm guide wire, this cannulated drill has been shown to outperform a leading competitor. Offered as a convenient disposable kit, and combined with the supporting ACUFEX PINPOINT Pivoting Guide System, you ll have everything you need to execute the desired tunnel and socket. The ACUFEX TRUNAV System features a Retrograde Drill, Guide Wire and Suture Retriever all the tools necessary for a simple, reliable and reproducible technique. Precision Desired tunnel placement is facilitated with the 2.4mm guide wire and provides the ability to reposition if necessary 2 Preview accurate coverage of the ACL femoral footprint by using concentric single-bundle guides from the PINPOINT Pivoting Guide System Control Predictable circular tunnels during antegrade and retrograde drilling are achieved through the unique cannulated design 2 Ensure desired femoral tunnel trajectory by using the PINPOINT Pivoting Guide System to deliver the 2.4mm guide wire Unique cannulated design and 2.4mm guide wire facilitate precise tunnel planning and predictably circular tunnels Convenient finger grip supports easy and visual cutting blade actuation Handy orange depth tube assists with determination of bone bridge length when retrograde drilling Strong drill head and cutting blade deliver superior torque performance 1 1. Compared to Arthrex Flipcutter II in torque to failure testing (p=0.000). Data on file at Smith & Nephew, report Data on file at Smith & Nephew, reports and Compared to Arthrex ACL Tightrope RT, Biomet Toggleloc and Conmed Graftmax. Data on file at Smith & Nephew, PN: The results of in vitro simulation testing have not been proven to predict clinical performance. 4. Compared to BIOSURE HA Interference Screws. Data on file at Smith & Nephew, reports , , ,

3 ACL Reconstruction Technique Performance Superior strength is attained with the robust drill head and cutting blade that withstand high torsional forces 1 Transfer torsional stress off the cutting blade with the unique cannulated design that locks the guide wire within the cutting blade to result in statistically superior performance during retrograde drilling 1 1. Drill the 2.4mm guide wire to desired tunnel location using the ACUFEX PINPOINT Pivoting Guide and estimate total femoral tunnel length using corresponding laser marks. Superior Performance During Retrograde Drilling 24 Torque to Failure Testing 1 22 Torque (in-lbf) Drill the ACUFEX TRUNAV Retrograde Drill over the guide wire to create the 4.5mm tunnel SMITH & NEPHEW ACUFEX TRUNAV Drill Arthrex FLIPCUTTER II Denotes comparison relative to the ACUFEX TRUNAV Retrograde Drill is statistically significant Image shows drill head with guide wire locked within cutting blade 3. Deploy the cutting blade and lock the guide wire within the ACUFEX TRUNAV Retrograde Drill. The robust design and performance of the device contributes to the guide wire's support within the cutting blade. When deploying the cutting blade, position the drill head window out of the tunnel, rotate drill to view plus mark "+" for optimal visualization of the cutting blade, and pull the guide wire inside the tunnel to prevent obstructions.

4 Bone bridge length 4. Retrograde drill the socket, stopping at desired bone bridge length. A minimum bone bridge length of 6mm is recommended for use with the ULTRABUTTON Adjustable Fixation Device. 5. Unlock and remove guide wire. Retract the cutting blade back into the drill head. 6. Keep the ACUFEX TRUNAV Retrograde Drill in the tunnel and use the Suture Retriever to pass a monofilament loop in preparation for femoral fixation.

5 Reconstruct with confidence Optimal ACL reconstruction outcomes demand solutions that offer dependability and functionality. Smith & Nephew s portfolio of ACL reconstruction products deliver precise control, reliable performance and adaptive choices. Use these in conjunction with the ACUFEX TRUNAV Retrograde Drill. ACUFEX PINPOINT Pivoting Guide System* Customize femoral tunnel entry and exit locations Adapt guide trajectory to achieve desired femoral tunnel lengths and avoid anatomic landmarks, previously created tunnels, or fixation devices Estimate size and coverage of the native ACL footprint with concentric single-bundle guides Adjust placement of the guide on the condylar wall for stability and control during placement of the 2.4mm guide wire ULTRABUTTON Adjustable Fixation Device** Provides leading fixation strength and displacement properties 3 with a unique cradle design to help protect the graft during loop reduction. BIOSURE REGENESORB Interference Screw* The first interference screw made out of an advanced biocomposite material with an open-architecture design to allow for bone in-growth, while also providing the kind of performance expected with a solid absorbable interference screw. 4 ACUFEX PINPOINT Pivoting Guide System ULTRABUTTON Adjustable Fixation Device ACUFEX TRUNAV Retrograde Drill BIOSURE REGENESORB Interference Screw

6 For more information, contact your sales representative or visit Ordering Information ACUFEX TRUNAV Retrograde Drills* (Includes Retrograde Drill, 2.4mm Guide Wire and Suture Retriever) Reference # Description ACUFEX TRUNAV Retrograde Drill, 5.5mm ACUFEX TRUNAV Retrograde Drill, 6mm ACUFEX TRUNAV Retrograde Drill, 6.5mm ACUFEX TRUNAV Retrograde Drill, 7mm ACUFEX TRUNAV Retrograde Drill, 7.5mm ACUFEX TRUNAV Retrograde Drill, 8.0mm ACUFEX TRUNAV Retrograde Drill, 8.5mm ACUFEX TRUNAV Retrograde Drill, 9mm ACUFEX TRUNAV Retrograde Drill, 9.5mm ACUFEX TRUNAV Retrograde Drill, 10mm ACUFEX TRUNAV Retrograde Drill, 10.5mm ACUFEX TRUNAV Retrograde Drill, 11mm ACUFEX TRUNAV Retrograde Drill, 11.5mm ACUFEX TRUNAV Retrograde Drill, 12mm ACUFEX TRUNAV Retrograde Drill ACUFEX PINPOINT Pivoting Guide System* System includes: Reference # Description ACUFEX PINPOINT Adapter ACUFEX DIRECTOR Drill Guide ACUFEX DIRECTOR 4-Point Bullet ACUFEX PINPOINT Single-bundle Guide, 6mm ACUFEX PINPOINT Single-bundle Guide, 7mm ACUFEX PINPOINT Single-bundle Guide, 8mm ACUFEX PINPOINT Single-bundle Guide, 9mm ACUFEX PINPOINT Single-bundle Guide, 10mm Medium Sterilization Tray ACUFEX PINPOINT Pivoting Guide System Already have an ACUFEX DIRECTOR Tray? Order this! ACUFEX PINPOINT Adapter and Single Bundle Guides* System includes: Reference # Description ACUFEX PINPOINT Adapter ACUFEX PINPOINT Single-bundle Guide, 6mm ACUFEX PINPOINT Single-bundle Guide, 7mm ACUFEX PINPOINT Single-bundle Guide, 8mm ACUFEX PINPOINT Single-bundle Guide, 9mm ACUFEX PINPOINT Single-bundle Guide, 10mm ACUFEX PINPOINT Adapter Supporting healthcare professionals for over 150 years *Manufactured by: Smith & Nephew, Inc. 150 Minuteman Road Andover, MA USA **Manufactured by: ArthroCare Corporation 7000 West William Cannon Drive Austin, TX USA T US Customer Service: Trademark of Smith & Nephew Smith & Nephew. All rights reserved. Printed in USA V1 01/ Rev A

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