ART 38 11.3 02/2018-E Titanium Anchors 3.0 and 5.0/6.5 for use in reconstructive surgery
Titanium Anchors 3.0 and 5.0/6.5 for use in reconstructive surgery KARL STORZ offers high quality titanium anchors in 3.0, 5.0 and 6.5 mm diameter for reconstructive surgery. The titanium anchors come sterilized with two preloaded MEGAFIBRE #2 sutures, loaded on a disposable inserter. The special MEGAFIBRE suture is a braided, non-absorbable, ultra-high molecular weight polyethylene suture. Characterized by low tissue drag and its flat design, this suture offers increased knot strength compared to other sutures made of polyester or polyblend. Accessories for use with titanium anchors are reusable and produced in typical KARL STORZ quality and thus meet highest demands. Special characteristics: Preloaded disposable inserter Use of the special MEGAFIBRE suture Patented suture eyelet and single suture guidance for maximum suture stability Orientation aids for suture position Special anchor for patients with osteoporosis 2
Titanium Anchors 3.0 The titanium anchor 3.0 comes with two preloaded MEGAFIBRE #2 sutures. Thanks to its unique thread design and its patented suture eyelet, maximum suture stability is ensured. Self-cutting anchor 3.0: To permit safe placement of the anchors and optimal gliding of MEGAFIBRE, the disposable inserters include orientation aids. Two laser-etched marks at the distal end identifiy the position of the MEGAFIBRE. 3
Titanium Anchor 3.0 Anatomical reconstruction of the labrum-capsule complex in a Bankart injury BCT SGHL Labrum MGHL Diagram of a Bankart lesion. Tear of the middle glenohumeral ligament (MGHL) and of the anterior part of the inferior glenohumeral ligament (IGHL). Glenoid PIGHL Subscapularis tendon AIGHL Bankart lesion After positioning the SPS-Secure Portal System in the anterior-superior and anterior-inferior portals, the labrumcapsule complex is mobilized using a sharp elevator 28179 BB or BC. 4
Titanium Anchor 3.0 Anatomical reconstruction of the labrum-capsule complex in a Bankart injury Insertion of the glenoid guide and preparation of the implant bed with the threaded drill 28179 TT (The selftapping anchor does not require this step). Insertion of the 3.0 titanium anchor via the inferior cannula to the laser mark on the disposable inserter. 5
Titanium Anchor 3.0 Anatomical reconstruction of the labrum-capsule complex in a Bankart injury Retrieval of the white and blue-white sutures located superiorly via the anterior-superior cannula and retrival of the white an blue-white sutures via the anterior-inferior cannula. Puncture of the labrum-capsula complex with a suture hook and forwarding of a shuttle suture. The blue shuttle suture is exited via the anterior-interior cannula and tied extracorporeally with the blue-white anchoring suture of the inferior cannula. Passing of the blue-white suture the blue support suture through the labrumcapsule complex and exiting the suture through the anterior-superior cannula. Again puncturing of the labrum-capsule complex with a suture hook via the anterior-inferior cannula. Passing of the shuttle suture through the anteriorsuperior cannula and extracorporeal taying of the white anchoring suture. Passing of the white anchoring suture through the labrum-capsule complex and exiting the suture through the anterior-inferior cannula. 6
Titanium Anchor 3.0 Anatomical reconstruction of the labrum-capsule complex in a Bankart injury Preperation of arthroscopic sliding knots and placement of additional titanium anchors. Reconstructed Bankart injury. 7
Titanium Anchor 5.0 and 6.5 The 5.0 and 6.5 titanium anchors were developed for use in reconstructive rotator cuff surgery. Both anchors come with two pre-loaded MEGAFIBRE #2 sutures. The disposable inserters of these two anchors also feature laser marks for orientation purposes. Equipped with a self-tapping screw thread, these two anchors require no preparatory measures whatsoever. However, the 28179 KS bone punch can be used to facilitate insertion, if desired. The titanium anchor 6.5 was developed especially for the treatment of patients with osteoporosis and features larger thread wings, which ensure better support in lower bone quality. 8
Titanium Anchor 5.0 and 6.5 Anatomical reconstruction of an L-shaped tear in the rotator cuff Lateral view: Dorsal and ventral portals are placed. Puncture of the longitudinally ruptured rotator cuff. a) Retrieval of monofilament support suture b) Extracorporeal tying of the support suture with a multifilament suture Passing support suture through rotator cuff tear. Retrieval of the suture and knotting of the first side-toside suture. Application of further side-toside sutures. Support suture thread retrieved dorsally Preparation of the supraspinatus tendon insertion/ footprint. If desired, an acromionizer burr may be used, which minimizes bleeding a Placing of the titanium anchor in the area of the footprint (b). If desired, a pilot hole can be prepared with the 28179 KS bone punch (a) to facilitate screwing in the anchor (b). b 9
Titanium Anchor 5.0 and 6.5 Anatomical reconstruction of an L-shaped tear in the rotator cuff Removal of disposable inserter and arranging of the sutures (Lateral arthroscopic view): Knotting and passing the After one of the suture is support suture with the suture retrieved dorsally with a through the rotator cuff suture catcher, the rotator cuff is punctured from ventrally and the support suture is exited dorsally The same is now repeated with the remaining pair of sutures Complete reconstruction of an L-shaped rotator cuff tear 10
Instruments 28136 CR High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 6 mm, working length 13.5 cm, two stopcocks, rotatable, for use with HOPKINS telescopes 0, 30, 70 and Obturators 28126 BC/BT/BS, 28134 O, color code: red 28126 BT Obturator, semisharp, for use with Arthroscope Sheaths 28229 DR, 28129 CR, 28126 CR/R/B, 28136 CR, 28135 CR and 28136 EC, color code: green-red-yellow 28124 BX Changing Rod, length 23 cm, package of 6, for use with arthroscope sheaths with inner diameter 4 mm NEW 2870309 ST Titanium Suture Anchor, diameter 3 mm, length 9 mm, with two MegaFibre sutures USP 2, pre-assembled, self-tapping, with inserter, sterile, for single use 2870514 TI Titanium Suture Anchor, diameter 5 mm, length 12.5 mm, with 2 MEGAFIBRE threads USP 2, pre-assembled, self-tapping, with inserter, sterile, for single use 2870614 TI Titanium Suture Anchor, diameter 6.5 mm, length 12.5 mm, with 2 MEGAFIBRE threads USP 2, pre-assembled, self-tapping, with inserter, sterile, for single use 11
Instruments 28179 KS Bone Punch, for use with Titanium Suture Anchors 2870514 TI, 2870614 TI and 2870309 ST 28179 I Crochet Hook, working length 15 cm NEW 2870356 KP Knot Pusher and Suture Cutter, for cutting sutures up to size USP 2, including: Insert and Blade Handle 28179 KP Knot Pusher, working length 18 cm 2870356 SC Suture Cutter, for cutting sutures size USP 2 28179 GG Glenoid Guide, working length 12.5 cm, for use with BioPlug 2870411 BP and 2870310 BP and Drills 28179TB/TD 12
Instruments 28179 GH HALF PIPE, long, working length 9.5 cm 28179 OB Obturator, for use with 28179 GK/GH 28171 SGN SILGRASP Suture Grasping Forceps, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm 28171 AGN SILGRASP Alligator Grasping Forceps, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 12 cm 28171 AGSN SILGRASP Alligator Grasping Forceps, straight jaws, serrated, with ratchet, sheath diameter 3 mm, straight, handle with cleaning connector, working length 12 cm 28171 PGN SILGRASP Foreign Body Grasping Forceps, aggressive, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm 28171 PGSN SILGRASP Foreign Body Grasping Forceps, aggressive, with ratchet, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm 13
Instruments 28179 BB Elevator, width 4 mm, 15 curved upwards, working length 15 cm 28179 BC Elevator, width 4 mm, 30 curved upwards, working length 15 cm 28179 CB Glenoid Rasp, width 5.5 mm, 30 curved upwards, working length 15 cm 28179 CC S.L.A.P Rasp, width 5.5 mm, 30 curved downwards, working length 15 cm 14
Instruments 28184 WH WONDERHOOK Handle, complete, for transporting monofilament threads up to size USP 1 including: Transport Cassette NEW NEW NEW NEW NEW 28184 NG WONDERHOOK Suture Attachment, for use with monofilament threads up to size USP 1, straight, working length 15 cm, for use with Handle 28184 WH, color code: blue 28184 NGL Same, long 28184 NA WONDERHOOK Suture Attachment, for use with monofilament threads up to size USP 1, distal tip slightly curved upwards, working length 15 cm, for use with Handle 28184 WH, color code: gold 28184 MR WONDERHOOK Suture Attachment, for use with monofilament threads up to size USP 1, distal tip curved 25 right, working length 15 cm, for use with Handle 28184 WH, color code: green 28184 ML Same, distal tip curved 25 left NEW NEW 28184 NR WONDERHOOK Suture Attachment, for use with monofilament threads up to size USP 1, distally strongly curved to right, working length 15 cm, for use with Handle 28184 WH, color code: red 28184 NL Same, distally strongly curved to left 28184 RA Cleaning Adaptor, for use with Suture Attachments 28184 NR/NL/MR/ML/NA/NG/NGL 15
Instruments 33136 P Handle, with thumb release, with 4 locking positions, for use with Suture Attachments 28180 LA/LC/LL/LR/LRG 28180 LA SHOULDER PRO Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, curved upwards, working length 15 cm, for use with Handle 33136 P, color code: black 28180 LC SHOULDER PRO Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, straight, working length 15 cm, for use with Handle 33136 P, color code: blue 16
28180 LL SHOULDER PRO Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, curved to left, also curved to left in sheath, working length 15 cm, for use with Handle 33136 P, color code: red 28180 LR SHOULDER PRO Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, curved to right, also curved to right in sheath, working length 15 cm, for use with Handle 33136 P, color code: green 28180 LRG SHOULDER PRO Suture Attachment, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, retrograde opening, also curved upwards in sheath, working length 15 cm, for use with Handle 33136 P, color code: white 17
SPS Secure Portal System Recommended Set 28179 EB 28179 EO 28179 EC 28179 EP 28179 FB 28179 FO 28179 FC 28179 FP 28179 DB 28179 DO 28179 DW 28179 DL 28179 DG 28179 OG 28179 SA/SB 28179 SC/SD 28179 DF Optional: For the respective sets, Handle 28179 DF is available to facilitate the insertion of the Dilator 28179 DL. 18
SPS Secure Portal System Recommended Set 28179 E Basic Set for SPS Secure Portal System including: Positioning Needle Obturator Guide Wire, package of 6 Dilator Handle, for Dilator 28179 DL A workable instrument set requires the following supplementary sets: 1. For inner diameter 6.1 mm, working length 7 cm 28179 EB Dilator, with handle 28179 EO Obturator, diameter 4 mm, for use with Dilator 28179 EB 28179 SA Cannula, with thread, transparent, for single use 2. For inner diameter 6.1 mm, working length 8.5 cm 28179 EC Dilator, with handle 28179 EP Obturator, diameter 4 mm, for use with Dilator 28179 EC 28179 SB Cannula, with thread, transparent, for single use 3. For inner diameter 8.25 mm, working length 7 cm 28179 FB Dilator, with handle 28179 FO Obturator, diameter 4 mm, for use with Dilator 28179 FB 28179 SC Cannula, with thread, transparent, for single use 4. For inner diameter 8.25 mm, working length 8.5 cm 28179 FC Dilator, with handle 28179 FP Obturator, diameter 4 mm, for use with Dilator 28179 FC 28179 SD Cannula, with thread, transparent, for single use Optional: 28179 GS Set of Gaskets, 10x 2 sealing caps, sterile, for use with Valve Housing 28179 DG/OG 28179 GU Set of Gaskets, 10x 2 sealing caps, unsterile, for use with Valve Housing 28179 DG/OG 28179 OG Valve Housing, without LUER-Lock, for use with Cannulas and Set of Gaskets 28179 GU/GS 19
Instruments 28180 BG Suture Catcher, with inserter, sterile, package of 10, for use with Suture Attachments 28179 PA PH and 28728 NA NG, Wheel Attachment 28179 HR and Handle 28179 HG 28179 HG Handle, for use with monofilament threads size USP 2-0 to 2, for use with Suture Attachments 28179 PA PH, 28728 NA NG, and Wheel Attachment 28179 HR and Wheel 28179 R 28179 HR Wheel Attachment, for use with monofilament threads size USP 2-0 to 2, for use with Handle 28179 HG and Wheel 28179 R 28179 R Wheel, for use with monofilament threads size USP 2-0 to 2, for use with Wheel Attachment 28179 HR 20
28179 PA 28179 PA Suture Attachment, distal tip curved, straight, 5 mm in height, working length 150 mm, for use with Handle 28179 HG 28179 PB Same, 7 mm in height 28179 PC Same, 8 mm in height 28179 PD Same, distal tip curved hook like, 8.0 mm in height 28179 PE/PF 28179 PE/PF 28179 PE Suture Attachment, hook-shaped distal tip, straight, 8.7 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 PF Same, 10 mm in height 28179 PG Suture Attachment, distal tip angled 30 to right, straight, 8 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 PH Same, distal tip angled 30 to left 28179 R1 Cleaning Adaptor, for use with Suture Attachments 28179 PA PH and 28728 NA NG 28179 R2 Cleaning Adaptor, for use with Handles 28179 HG 21
Additional Literature: ENDOWORLD : BioPlug 3.5 and 4.2 for use in reconstructive surgery (ART 26) BioPlug 5.2 SPS Secure Portal System For use in reconstructive shoulder surgery on the humeral head (ART 27) ARTHROPUMP Power The Clever System for Arthroscopic Fluid Management (ART 42) UNIDRIVE S III ARTHRO Your Complete Solution for Arthroscopy (ART 46) ENDOGRAM: WONDERHOOK New Suture Shuttle System for Shoulder Arthroscopy (ART 4 09/2014) Doctor to Doctor Manuals: G. Lajtai, G. Aitzetmüller, G. Pörtsch, H. Panger: Shoulder Arthroscopy Part I Positioning and Approaches, Part II Instabilities and their Treatment, Part III Subacromial Impingement Syndrome and its Treatment DVD: Shoulder: Arthroscopy and Anatomy (KS 664) The Shoulder Anatomical Knowledge Update (KS 705) The Shoulder Anatomical Update 2010 (KS 724) Anterior Instability Repair (KS 629) 22
Notes It is recommended to check the suitability of the product for the intended procedure prior to use. 23
KARL STORZ SE & Co. KG Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany Postbox 230, 78503 Tuttlingen/Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: info@karlstorz.com www.karlstorz.com 96152035 ART 38 11.3 02/2018/EW-E