acufex meniscal repair system

Asik M, Sen C, Erginsu M. Arthroscopic meniscal repair using T-fix. Onsite or virtual inspection available. Cannon WD Jr, Vittori JM. Designed to freshen the edge of the meniscal tear prior to repair. Our initial search was very broad and included the following MESH headings: (meniscus OR meniscal) AND (device OR all inside repair). acufex meniscal repair system. The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint. Anatomic ACL Reconstruction is a new interactive technique guide, that will review the latest innovations in anatomic ACL reconstructions. Available in two styles: Acufex is a registered trademark of that corporation. And the devices used to fix these repairable tears continue to evolve. According to Warrens zone system for the classification of meniscal tears. Circular saw blade WOOD UNIVERSAL HW 260x2,5x30 SMITHCO SX2 LEAD The lack of randomized clinical trials prohibits one from making recommendations on using one particular all-inside meniscus repair device versus another. Careers. Tubing The stability of the repaired meniscus should be confirmed after placement of any meniscal repair device using a probe. The FasT-Fix device compares favorably to vertical mattress sutures for maximum force at failure in human meniscus, and it showed the least deformity of fixation when studied in vitro:5, 6. Arthroscopy. Prequalify now Description Body solid home gyms are of . Your message has been successfully sent to your colleague. The FasT-Fix utilizes two nonabsorbable polymer retention bars; the meniscus fastener is supplied in a nonabsorbable polypropylene form. Endoscopic meniscus repair using the T-Fix suture device (Acufex Microsurgical, Inc, Mansfield, MA) allows ease of suture placement for meniscus stability without the problems associated with . Clin Sports Med 1991;10:529547. Oper Orthop Traumatol. Cruz-Lpez F, Trueba C, Almazn A, Sierra L, Francisco P, Villalobos-Cordova E, Ibarra C. Sports Med Arthrosc Rev. This is a used Cybex Freeweight Package. Philadelphia: Lippincott-Raven, 1996: 299315, 4 Caborn D. Technique and Illustrated Guide for the FasT-Fix Meniscal Suture System. acufex meniscal repair system. Remove needle and pass the Arrow through the cannula by using the blunt obturator. Techniques for meniscal repair include open or arthroscopic techniques. The ZoneNavigator System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Used ACUFEX Meniscal Repair Kit Acufex Meniscal Repair Kit With Sterilization Tray Surgical Instruments For Sale - DOTmed Listing #2335491: Acufex Meniscal Repair Kit With Sterilization Tray Kit . Body Solid EXM3000LPS Home Gym -2 Stack Multi Gym. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval. Surgical Technique Videos | 09:15 | English | 03/30/2017 | VID1-00943-EN B, Presentation Videos | 09:03 | English | 05/11/2020 | VID1-000979-en-US A, 06:43 | English | 09/27/2021 | VID1-002665-en-US B, 09:15 | English | 03/30/2017 | VID1-00943-EN B, 02:48 | English | 12/23/2016 | VID2-00955-EN A, 02:03 | English | 06/09/2021 | AN1-00392-EN B, English | 07/28/2021 | FL2-000306-en-US F, 05:42 | English | 08/29/2022 | VID1-003498-en-US A, 01:08 | English | 07/25/2019 | pAN1-00392-EN A, 09:03 | English | 05/11/2020 | VID1-000979-en-US A, 12:28 | English | 03/29/2019 | VID1-000234-en-US A, 11:16 | English | 03/26/2018 | VPT1-00798-EN C, 04:50 | English | 12/11/2018 | VID1-000019-en-US A, English | 02/14/2023 | evBR1-002467-en-US B, English | 07/19/2022 | DOC1-000605-en-US C. CE Mark 2009 Jul;22(3):180-6. doi: 10.1055/s-0030-1247746. Maintain the cannula position and pass the driver-screw assembly through the cannula to the repair site. Arthroscopic meniscal repair using the BioStinger. Loose devices should be removed and replaced. Search for used meniscus repair. This device is developed for all-inside meniscal suture. Al-Othman AA. 18. (B) The fastener is loaded onto a delivery needle. Knee flexion and weight bearing are advanced as tolerated after 4 weeks. The incidence of healing in arthroscopic meniscal repairs in anterior cruciate ligament-reconstructed knees versus stable knees. This scatter chart shows the trend of increasing failure rates with longer followup for the T-fix device. (B) Placement of the driver into the cannula to facilitate screw delivery. Unauthorized use of these marks is strictly prohibited. Pass the appropriate cannula through the portal and make certain that the obliquely angled tip makes full contact with the meniscus surface. Perpendicular repair is critical to achieve the necessary engagement of the devices barbs. In addition a lateral meniscal repair is described using Smith and Nephew's FastFix 360 system and coblation of the retropatellar articular cartilage. Posterior horn tears are approached from the ipsilateral portal, and middle third and anterior tears are approached from the contralateral portal. Arthroscopic meniscal repair with an all-inside suture system. Available in two styles: Catalog #. We did not search EMBASE or other databases. Blue Bell, PA: Bionix, 1998, 9 Albrecht-Olson P, Lind T, Kristensen G, Falkenberg B. If a substantial portion of the tip can be palpated, use a 10 mm Arrow. Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH. Prospective comparison of arthroscopic medial meniscal repair technique: inside-out suture versus entirely arthroscopic arrows. The Global Unique Device Identification Database (GUDID) contains key device identification information submitted to the FDA about medical devices that have Unique Device Identifiers (UDI). Unable to load your collection due to an error, Unable to load your delegates due to an error. PASSER (3) Fastener, fixation, biodegradable, soft tissue (2) 23. Meniscus arrows, by far the most studied device, had a failure rate between 5% to 43.5%.24,38 Though at first glance this may seem like a very high failure rate, it is worth noticing more than half of these studies had a failure rate less than 15%. See Guidelines for Authors for a complete description of levels of evidence. The distance of the tissue penetration of a . 17. Innovasive 7223 Orthopedic Meniscal Repair System Gray Left Up Cannula. Expiration Date 28. With the rising popularity of these new all-inside meniscal repair devices, it is necessary to assess the effectiveness of various all-inside surgical interventions used in the treatment of meniscal tears. (C) Approximating the meniscal tear. This device comes in 6 and 8 mm sizes with either a 27- or 34-degree delivery needle (Fig. Most of the identified studies consisted of case series in which no comparison group existed. 8600 Rockville Pike Seventy-seven percent of identified studies were case series; 10% were retrospective comparative studies; 6.5% were prospective comparative studies; and 6.5% were prospective randomized studies. $1,299.99 + $96.05 shipping. Manual searching of the reference lists of these articles yielded 1 additional manuscript. Bohnsack M, Borner C, Schmolke S, Moller H, Wirth CJ, Ruhmann O. FOIA Arthroscopy 1997;13:296300, 14 Hechtman K, Uribe J. Cystic hematoma formation following the use of biodegradable arrow for meniscus repair. If the split cannula is used, the curve of the needle must be inserted at a 90-degree angle to the split, The inner fragment of the tear is pierced with the needle and advanced to the depth set by the limiter for horizontal repair or through the outer fragment for vertical repair. The failure rates ranged from 0 to 43.5%. These tears may be treated with rasping or shaving to stimulate healing. We also found no notable differences in the reported failure rates of various devices with the length of fol-lowup. Haas AL, Schepsis AA, Hornstein J, Edgar CM. The type, location, size, and vascularity of the meniscus tear are evaluated and noted. In addition a lateral meniscal repair is described using Smith and Nephews FastFix 360 system and coblation of the retropatellar articular cartilage. Clipboard, Search History, and several other advanced features are temporarily unavailable. Epub 2013 Oct 10. Never insert the driver inside the cannula until the cannula is inside the joint due to the risk of bending the tip of the needle, The flexible needle is a guide for the screw and should be advanced through the proximal fragment until the screw tip touches the meniscus. Koukoulias N, Papastergiou S, Kazakos K, Poulios G, Parisis K. Clinical results of meniscus repair with the meniscus arrow: a 4- to 8-year follow-up study. In general, tears repaired with all-inside devices were longitudinal, vertical tears greater than 10 mm (Table 1). History and physical exam can often accurately predict the presence of a meniscus tear but typically are not helpful in determining whether a particular tear is amenable to repair. Lastly, clinical studies were gathered using a PubMed search and additional information was found through cross-referencing. The Meniscal Root Repair System from Smith & Nephew is designed to support one- or two-tunnel arthroscopic knee procedures. Not for use with plastic cannulae. National Library of Medicine Type The site is secure. Based upon our review we cannot make any conclusions regarding which devices have the lowest failure rates. (C) Intraoperative photo of the repair device approximating the tear. Endoscopic meniscus repair using the T-Fix suture device (Acufex Microsurgical, Inc, Mansfield, MA) allows ease of suture placement for meniscus stability without the problems associated with ancillary incisions such as neurovascular compromise. The new device, designed for intuitive use, works with only one thumb slide actuation and no complex components. Auction Alert - Live Now: ZRG Medical Surplus Auctions March 10th, Auction Alert - Live Now: Tekyard Medical Surplus Auctions March 8th, Not finding the equipment you need? Arthroscopic scissors may also be used. You can drill independent and diverging bone tunnels on the femoral and tibial side of the knee joint with consistent, reproducible separation. The screw can be viewed through the cannula window. Nonetheless the meniscal repair market, which dates back a long way, but probably started in anger with the Acufex system of the early nineties, continues to grow. 5.6m width expanded, Flatbed Digital Cutting Tables & Plotters, Vertical Form Fill Sealing Machines (VFFS), Coordinate Measuring & Video Measuring Machines, Medical Masks & Respiratory Protection Manufacturing. Meniscal repair devices. Covidiens system is in essence a throwback to the all-suture, twin needle Acufex device, the company clearly nailing its colours to the mast by avoiding the hard plastic implants that have characterised many systems in the interim. This site needs JavaScript to work properly. Annandale T. An operation for displaced semilunar cartilage. MRI is not a good predictor of clinical healing in menisci that have already undergone repair. Letters, biomechanical studies, animal studies, in vitro studies, duplicate studies and non-English language papers were excluded. Designed to freshen the edge of the meniscal tear prior to repair. Screws may be advanced or removed if desired. Clinical Orthopaedics and Related Research455:134-141, February 2007. Chondral injury, foreign-body reaction, and hematoma formation are also of concern with the use of all-inside meniscal repair devices. Steenbrugge F, Verdonk R, Hurel C, Verstraete K. Arthroscopic meniscus repair: inside-out technique vs. Biofix meniscus arrow. 90 Rasp. The Clearfix Screw (Mitek, Norwood, MA) is a meniscal repair device that uses a threaded, cannulated screw to obtain fixation across tears. Prequalify now $5,229.00 Sale Price: $4,778.00 Starting at $167/mo with Affirm. It is ideal for the central posterior horn tears that are difficult using conventional techniques. Request PDF | Proximity of the Neurovascular Bundle During Posterior-Lateral Meniscal Repair: A Comparison of the Transpatellar, Anteromedial, and Anterolateral Portals | Purpose: To compare the . Barrett GR, Treacy SH, Ruff CG. Each author certifies that he has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Again, a bleeding surface should be readily visible on the synovial side of the tear. 20. Subscribe to get full access to this operation and the extensive Knee Surgery Atlas. Shop by category. With an all-suture method of fixation, the AS Meniscal Repair Device eliminates any migration risk of broken tacks or anchors which could cause damage inside the knee and may lead to increased operative time during removal. Accessibility Each meniscus is divided into radial thirds represented by the letters A to F. The meniscus is then subdivided into circumferential thirds represented by 1, 2, or 3. This activates the spring mechanism. For application, measure the distance across the meniscus tear. Cannulas attach to the handle to efficiently target specific zones of the meniscus. New In Box . Barber and Herbert11 report a pullout strength similar to that of the meniscal Arrow, which is approximately half the strength of a single vertical suture. Clearfix Meniscal Screw Surgical Technique Guide, 2001, 11 Barber F, Herbert M. Meniscal repair devices. Moatshe G, Cinque ME, Godin JA, Vap AR, Chahla J, LaPrade RF. 24 ), Pin/Wire Racks ( We found no substantial differences in the failure rates among various meniscus devices. A running program (treadmill) is employed at about 4 months. acufex meniscal repair system Menu crave frozen meals superstore. Sarimo J, Rantanen J, Tarvainen T, Harkonen M, Orava S. Evaluation of the second-generation meniscus arrow in the fixation of bucket-handle tears in the vascular area of the meniscus: a prospective study of 20 patients with a mean follow-up of 26 months. Business & Industrial; Agriculture & Forestry; Construction; Electrical & Test Equipment; Fuel & Energy; Healthcare, Lab & Life Science; Dental; Imaging & Aesthetics . In his presentation he covers the biomechanics of the meniscus, indications for this technique and meniscal repair, complications that may occur and how to avoid them, technique and he presents outcome data from this technique. It is ideal for the central posterior horn tears that are difficult using conventional techniques. vladislav doronin ekaterina doronina. Shop by category. Prospective long-term followup is important to determine the failure rates of all-inside meniscus repair devices. (From Mitek Meniscal Repair System Instructional Brochure, 2000. Complete radial tears are typically not suitable for repair because the circumferential collagen bundles of the meniscus have been disrupted and there is little hope of functional restoration. The Mitek meniscus fastener is a double T-shaped device (polypropylene or PLA) that is delivered via a loaded needle and gun system. Midterm results of meniscal repair using the BioStinger meniscal repair device. Deteriorating outcomes after meniscal repair using the Meniscus Arrow in knees undergoing concurrent anterior cruciate ligament reconstruction: increased failure rate with long-term follow-up. 33. Figure 3-1 The zone system of meniscal tears. Article Title: Arthroscopic Meniscal Repair With Second-Generation Platelet-Rich Fibrin Clot Augmentation Journal: Arthroscopy Techniques doi: 10.1016/j.eats.2022.05.001 Catalog Number: 014549/014550. Click to enlarge. Meniscal repair using the Polysorb Meniscal Stapler XLS. Once located, the tear(s) should be measured and probed for depth and configuration. 19. Barber FA, Herbert MA. The patient is restricted from high-demand activities for 5 to 6 months. HHS Vulnerability Disclosure, Help On the contrary, Koukoulias et al24 reported a 5% failure rate with the same device at 73 months. Free shipping for many products! Biodegradable arrows for arthroscopic repair of meniscal tears. Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. 72201252 ACUFEX DIRECTOR Anatomic ACL Guide System, 72202437 Anatomic ACL Double Bundle Instrument Tray. Results of all-inside meniscal repair with the FasT-Fix meniscal repair system. A biomechanical evaluation of all-inside 2-stitch meniscal repair devices with matched inside-out suture repair. Andover, MA: Smith & Nephew, 2001, 5 Becker R, Schroder M, Starke C, Dietmar U, Nebelung W. Biomechanical investigations of different meniscal repair implants with horizontal sutures on human meniscus. (B) Delivery of first implant. Indications and Techniques for Meniscus Repair, Primary Repair of Posterior Cruciate Ligament Tears, Posterolateral Corner Hamstring Figure-Eight Reconstruction, Arthroscopic Treatment of Lateral Tibial Plateau Fractures, Repair and Reconstruction of Acute and Chronic Patellar Tendon Rupture, Patients with peripheral meniscus tears are the best candidates for repair. Thanks to its preloaded implants, pre-tied sliding knot, and innovative pusher/cutter device, this innovative system lets you deploy two implants vertically or horizontally on either side of the meniscus, tighten the suture, and trim the excess. 26. Select the proper-length Arrow for each part of the tear and arrange on the back table before proceeding. hellcat vs p938; simple small front yard landscaping ideas low maintenance; jenny's super stretchy bind off in the round; senate democratic media center In: McGinty J, Caspan R, Jackson R, et al., eds. 2009;25(9):951-958. doi:10.1016/j.arthro.2009.03.018, Implant System, Meniscal Root Repair with BioComposite SwiveLock, Implant System, Meniscal Root Repair with PEEK SwiveLock, FiberLink SutureTape, 0.9 mm, with Loop (White/Black), TigerLink SutureTape, 0.9 mm, with Loop (White/Black), 2-0 FiberStick, 2-0 FiberWire, 50" (blue) one end stiffened, 12", Locking Guide for Meniscal Root Marking Hook. This package includes a(n) (2) Adjustable Incline Bench, For warranty information please visit our FAQ page. The barbed meniscal repair devices available include the Dart (Arthrex, Naples, FL) and the Arrow (Bionix, Blue Bell, PA). Warranty Power Supply Voltage 014550. ACUFEX Anatomic ACL Guide System for double bundle ACL reconstruction lets you restore the anatomic footprints of the AM and PL bundles. 36. Covidien has announced the launch of the AS Meniscal Repair Device which the company says enables orthopedic surgeons to perform all-inside, minimally invasive arthroscopic surgery to repair a torn meniscus in the knee using what it calls the gold standard all-suture method of fixation. Has some marks. Recorded at: ESSKA Congress Figure 3-2 (Continued) (D) Insertion of second implant. Correspondence to: C. Benjamin Ma, MD, University of California, San Francisco, Department of Orthopaedic Surgery, 500 Parnassus Avenue, MU 320W, San Francisco, CA 94143. Meniscus tears less than 1.5 cm in length and less than half the depth of the meniscus often do not require repair. Kurzweil PR, Tifford CD, Ignacio EM. Arthroscopy 2001;17:7780, 16 Menche D, Phillips G, Pitman M, Steiner G. Inflammatory foreign body reaction to an arthroscopic bioabsorbable meniscal arrow repair. After the tear has been prepared, the FasT-fix delivery needle is inserted into the appropriate portal through either a 5 mm 55 mm cannula (Acufex, Mansfield, MA) or a split cannula (Smith and Nephew). 2012 Jun;20(2):101-5. doi: 10.1097/JSA.0b013e3182515d79. Thus, the final study population consisted of 31 manuscripts. Add 3 to 5 mm to that measurement plus 1 mm for capsule penetration. Insert the cannula into the joint with the obturator in. The decision to proceed with meniscal repair is made following a thorough arthroscopic assessment of the knee joint. barrel until the threads touch the gun barrel. Device failure for all of the all-inside meniscus repair devices ranged from 0% to 43.5%28,38 (Table 2). The Bionix Meniscal Arrow is a sharp-tipped, barbed polylactic acid (PLA) device with a head. 9. Repair of meniscus tears in ACL-deficient knees has a much higher failure rate than patients undergoing meniscal repair with stable knees. Registered in England and Wales No. Arthroscopy 1997;13:183187, 10 Johnson & Johnson. Moreover, difference in clinical failures may also be influenced by how failure was defined in the study. We also found no substantial differences in failure rates with length of followup. Probes are marked at 10, 12, and 14 mm. Please contact me with any questions. Longitudinal tears that are greater than 5 mm from the peripheral rim are considered avascular and are poor candidates for repair without healing enhancement techniques such as the use of a fibrin clot or the creation of vascular access channels (trephination). In the EU contact: ema.europa.eu, 2023 | Arthroscopic meniscal repair: a comparative study between three different surgical techniques. For Arthroscopic bankart and SLAP lesion repair. Arthroscopy. Starting at $104/mo with Affirm. A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. Disclaimer. Distance From Tip To Bend 13.6m long outside broadcast triple expanding trailer coachbuilt by Allen key SW 6 Next, insert the cannula and obturator into the joint through the anteromedial or anterolateral portal, according to tear morphology and location. ), Differential Diagnosis and Concomitant Injuries. your express consent. They are designed to approximate the sides of meniscus tears and resist pullout or deformation through mechanical engagement of barbs in the meniscus tissue. Common signs of a meniscus tear include joint line tenderness, effusion, lack of knee extension, positive McMurray test, and patient apprehension noted with hyperflexion of the affected knee. Instructional Brochure, 2000, 13 Dervin G, Downing K, Keene G, McBride D. Failure strengths of suture vs. biodegradable arrow for meniscal repair: an in vitro study. Operative Arthroscopy, 2nd ed. The ZoneNavigator System revolutionizes inside-out meniscal repair with single-handed control of needle placement. Year of Manufacture. 3-7A, B). Reduce the tear with the needle and advance the screw by carefully turning the driver knob counterclockwise. As our understanding of meniscus function has improved, it is now thought many torn menisci can and should be repaired. After visual assessment, probe the tear and measure for proper Arrow length. Arthroscopy 2000;16:749753, 18 Ross G, Grabill J, McDevitt E. Chondral injury after meniscal repair with bioabsorbable arrows. Acufex - 013382 - MPN: 013382 Insert additional Darts as needed in 5 mm increments. Because numerous all-inside meniscal repair devices have been developed, a review of their failure rates was undertaken to assist the clinician in choosing such a device. With the development of a plethora of all-inside meniscal repair devices touting simpler surgical techniques, shorter surgical times, and reduced surgical risk, the clinician has more devices at his disposal to repair tears previously thought irreparable.