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Arthrex’s contribution to shoulder innovation starts with our unique mission of Helping Surgeons Treat Their Patients Better™. As a privately held corporation, we are dedicated to patients’ clinical outcomes. When surgeons ask for our assistance in solving surgical problems, Arthrex responds with cutting-edge technology, creative innovation, and a sense of urgency while serving as trustworthy partners in evidence-based treatment solutions that make a difference.

When You Treat Shoulder Injuries…Think Arthrex!

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This animation provides an overview of the features and benefits of the Knotless 1.8 FiberTak® soft anchor for the treatment of shoulder instability.

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A general overview including the relevant steps of an Arthrex surgical technique. These animations always include a voice-over explaining the process.

Eine allgemeine Übersicht, einschließlich der relevanten Schritte einer Arthrex Operationsanleitung. Diese Animationen enthalten immer Voice-Overs, die den Prozess erklären.

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Visão geral incluindo as etapas relevantes de uma técnica cirúrgica Arthrex. Essas animações sempre incluem uma narração explicando o processo.

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Descripción general que incluye los pasos relevantes de una técnica quirúrgica de Arthrex. Estas animaciones siempre incluyen una voz en off que explica el proceso.

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Knotless 1.8 FiberTak® Soft Anchor for Shoulder Instability Repair

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A step-by-step demonstration of how a product would (or could) be used in a surgical technique.

Eine schrittweise Demonstration, wie ein Produkt in einer Operationsanleitung verwendet werden würde (oder könnte).

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Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair Surgical Technique Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair This tensionable knotless suture anchor combines the benefits of soft anchors with knotless soft-tissue fixation. Use the curved drill guide and 1.8 mm drill to precisely create a pilot hole on the glenoid rim. Insert the suture anchor through the drill guide, maintaining the same portal and drill trajectory. Once the suture is passed and shuttled into the locking mechanism, tension can be controlled and adjusted under direct visualization. Advantages Knotless Simple Stitch 52 lb of secure, low-profile knotless suture fixation1 No risk of knot impingement or loosening 1.8 mm drill to minimize bone removal Premium instrumentation with additional stability, available in curved and straight options for full access around the glenoid Simple, reproducible insertion and passing techniques similar to knot-tying anchors Tension and retension until repair is complete Knotless Mattress Stitch Precise Tension Control Knotless 1.8 FiberTak Soft Anchor With Self-Locking Technology Just pass it, cinch it, cut it 02 | Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair Knotless 1.8 FiberTak® Soft Anchor The Knotless 1.8 FiberTak soft anchor is the latest in knotless technology for instability. This design combines trusted knotless technology with the latest in suture innovation, optimized for consistent and reliable fixation. Implant Features The implant handle features a centering stability sleeve, which increases insertion consistency by eliminating extra movement that can occur during impaction. The repair suture has a tapered tail for smooth conversion through knotless mechanism. Instrument Features The scallop on the handle of the curved guide identifies the concavity of the distal end. The laser line on the distal tip of the spear indicates the concave curve direction. The flexible drill has a tri-flat design for drill hub connection, a positive stop for consistent drill depth, and a centering stability sleeve for accuracy while using the drill guide. Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair | 03 Knotless 1.8 FiberTak® Implant System (AR-3637) The instability repair convenience system provides an all-in-one option to treat shoulder instability. This option provides three Knotless 1.8 FiberTak implants and instrumentation for secure, reproducible repairs. Implant Features Three unique repair suture color options are available. The shuttle link for each anchor is the same. Having three distinct suture colors simplifies suture management for final tensioning, especially during complex procedures. Instrument Features A tapered curved guide A complete percutaneous disposable instrument set (a) is provided. solution, including a needle (b), K-wire (c), cannula obturator (d), and cannula (e), is provided. The curved guide provides easier access around the glenoid. The 5 mm, low-profile, (d) The tapered opening (a) of the drill guide centralizes the drill and implant for consistent insertion alignment. (c) (b) (e) 04 | Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair tapered cannula can be inserted with a cutting-tipped obturator for easier percutaneous insertion. Percutaneous Cannula Kit: Portal Placement Percutaneous implant insertion enables precise anchor placement in hard-to-reach areas of the inferior glenoid, ensuring optimal fixation even in challenging anatomies. Insert a 17-gauge needle to precisely localize the portal trajectory. Remove the needle trocar and insert a 1.1 mm K-wire through the needle. Once the K-wire is inserted, remove the needle. Make a small 4 mm skin incision to introduce the cannula. With the low-profile cannula on the obturator, insert the cannula obturator over the K-wire. Rotate clockwise and advance the obturator until the cannula is fully inserted to the desired depth. The low-profile, 5 mm percutaneous cannula is compatible with multiple instruments critical to completing instability repairs: Straight and curved FiberTak® instrumentation (not compatible with tight-curved drill guide) Crescent SutureLasso™ suture passer Mini-suture cutter Suture retriever Mini KingFisher® suture retriever Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair | 05 = Laser line location (a) (b) 01a 01b Mobilize the labrum and create a bleeding bed to enhance tissue healing to bone. Pass the drill guide and place it on the glenoid rim. Fully advance the drill through the spear until the drill or collar contacts the spear’s handle. It is recommended that the laser line aim toward the center of the glenoid (a) to avoid intersecting drill holes or perforating the glenoid medially (b). Note: Drilling in very hard bone may require cycling the drill while maintaining consistent alignment of the spear. 1.9 mm hard-bone drills are also available for use. Recommended implant orientation with curved guide 02 03 Insert the anchor through the spear and into bone by gentle impaction until the inserter handle is flush with the back of the spear. Remove the inserter handle and spear, then pull on all three suture tails to confirm the anchor is set in the cortical bone. Note: If insertion resistance is encountered, do not impact harder. Remove the implant and repeat the drilling/insertion process. Avoid excessive impaction as this could lead to inserter damage and/or breakage. See WARNING NOTE on back page for additional information. Note: A slow, steady pull is recommended to allow the anchor to properly deploy. A fast, aggressive pull could lead to improperly setting the anchor. 06 | Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair 04 05 Retrieve the blue repair suture through the anterosuperior cannula using a suture retriever. Insert a curved SutureLasso™ suture passer into the anteroinferior cannula and pass it through the capsulolabral tissue inferior to the anchor. Advance the nitinol wire loop into the joint. Retrieve the wire loop through the anterosuperior cannula using the KingFisher® retriever. Load the blue repair suture tail through the nitinol wire loop. Retract the wire loop through the SutureLasso suture passer to pull the suture to the distal end of the suture passer inside the joint. Remove the suture passer and wire loop together to shuttle the repair suture through the labral tissue. 06 Retrieve the blue repair suture and round-looped side of the blue/black shuttle suture through the anterosuperior portal. Load the repair suture through the loop of the shuttle suture. Fold the repair suture tail at the purple mark and crease the suture with your fingers. Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair | 07 07 08 Pull the SutureTape side of the blue/black shuttle suture to transfer the repair suture back into the anchor through the same portal where the anchor was inserted. Pull the free end of the repair suture until the desired repair tension is achieved. A tissue grasper can be used to position the labrum while applying tension on the repair. Cut the suture flush using an open-end suture cutter. Advance the shuttle suture with repeated light tugs until the repair suture is passed through the suture splice locking mechanism and back out of the cannula. 09 Repeat steps to insert additional anchors to complete the final repair construct. 08 | Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair Ordering Information Implant Knotless 1.8 FiberTak® soft anchor, blue repair suture AR-3636 Knotless 1.8 FiberTak implant system AR-3637 Disposable Instruments Percutaneous instrument kit for Knotless FiberTak soft anchor, w/ 1.8 mm rigid drill AR-3610PK-3 Knotless FiberTak disposable kit, w/ tapered curved spear, 1.8 mm flexible drill, and sharp obturator AR-3610DC-3 Knotless FiberTak disposable kit, w/ curved spear, 1.8 mm flexible drill, and blunt obturator AR-3638DC Knotless FiberTak disposable kit, w/ straight spear, 1.8 mm rigid drill, and blunt obturator AR-3638DS 1.8 mm flexible drill w/ hub, trocar obturator, sterile AR-3610ND-2 1.9 mm flexible drill w/ hub, trocar obturator, sterile, hard bone AR-3610ND-4 1.8 mm rigid drill, sterile AR-3600D-2 1.9 mm rigid drill, sterile, hard bone AR-3600D-4 1.8 mm flexible ShaverDrill™ device AR-3610NSD-2 Low-profile cannula percutaneous kit AR-6548PK Standard Reusable Spear Options Short Depth Reusable Spear Options Curved spear w/ trocar obturator (a) AR-3610CTC Curved spear, short (b) AR-3610CTCS Tight-curved spear w/ trocar obturator AR-3610CTC-2 Tight-curved spear, short AR-3610CTCS-2 Fishmouth spear (c) AR-3610F Fishmouth spear, short AR-3610FS Spear w/ circumferential teeth (d) AR-3610CT Spear w/ circumferential teeth, short AR-3610CTS Slotted spear (e) AR-3610ST Slotted spear, short AR-3610STS Reusable trocar, short AR-3610RTS Note: “Short” indicates a 5 mm shallower drill depth. Fishmouth Spear (c) Spear With Circumferential Teeth (d) Slotted Spear (e) Curved Spear (a) Curved Spear, Short (b) Short guides feature a longer working length for earlier drill stop engagement “S” laser mark near tip for extra indicator when in joint Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair | 09 Ordering Information Knotless 2.6 FiberTak® Soft Anchor With the same tensionable knotless technology as the smaller Knotless 1.8 FiberTak soft anchor, the Knotless 2.6 FiberTak soft anchor includes a larger blue repair suture. This anchor option combines the benefits of a soft anchor with a broader soft-tissue repair option. Using a drill guide and 2.6 mm drill, create a pilot hole and insert the anchor through the straight drill guide. Once the repair suture is passed through tissue, shuttle it into the knotless suture mechanism. Suture repair tension can be controlled and adjusted under direct visualization. Implant Knotless 2.6 FiberTak soft anchor, w/ blue repair suture AR-3641 Disposable Instruments Disposables kit, w/ spear, obturator, and 2.6 mm drill AR-3650DS 2.6 mm drill AR-3657 2.6 mm ShaverDrill™ device AR-3657SD Reusable Instruments Blunt-tip obturator for spear (a) AR-3658B Trocar-tip obturator for spear (b) AR-3658T Circumferential teeth spear, 2.6 FiberTak soft anchor (c) AR-1941CT Fishmouth spear, 2.6 FiberTak soft anchor (d) AR-1941DGF Blunt-Tip Obturator (a) Trocar-Tip Obturator (b) 10 | Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair Spear With Circumferential Teeth (c) Fishmouth Spear (d) Instability Express Instrument System Efficient—Just the instruments needed for a given procedure. The instrument layout has been carefully considered to allow maximum flexibility with a minimal footprint. Customizable—Accommodates individual preferences and needs Light and Compact—Half the height of the full-size Shoulder Arthroscopy Instrument System case Instability Instrument System (Instrumentation Recommendations) Case AR-8405CIN Extra-long switching stick, 4 mm, qty. 2 AR-3026 Kirk mallet AR-2966 Quick-connect handle, qty. 2 AR-2005NR Elevator, 15° AR-1345SE-15 Elevator, 30° AR-1345SE-30 System Layout Debridement rasp AR-1345-DR Pic. Description Max Qty. Ring curette AR-1345-RC A Mallet 1 Obturator for 8.25 mm cannulas, yellow AR-6531Q AR-6549Q B Hand instruments 4 Obturator for 7 mm cannulas, purple C Quick-connect handles 2 Suture retriever, 3.4 mm, straight AR-12540 D Tissue prep attachments 4 Mini suture cutter, 3.4 mm, straight AR-13255 E Cannula obturators 2 Open cutter AR-11794L F Scissors G Switching sticks H I 1 ® Mini KingFisher suture retriever/tissue grasper AR-13972NR 2 Curved FiberTak® guide w/ trocar AR-3610CTC Trocars 2 Slotted FiberTak guide AR-3610ST Guides 4 FiberWire® scissor AR-11796 Optional: Labral Scorpion™ suture passer + 3 instruments A B I H G E F C D Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair | 11 Reference 1. Arthrex, Inc. Data on file (APT 3531). Naples, FL; 2017. WARNING! TO HELP AVOID INSERTER BREAKAGE AND POTENTIAL PATIENT INJURY: Avoid excessive impaction as this could lead to inserter damage and/or breakage. If insertion resistance is encountered, do not impact harder. Replace the implant and repeat the drilling/ insertion process. Visually inspect the inserter for potential breakage after each implantation. See image below for reference (a). (a) This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. Arthrex manufacturer, authorized representative, and importer information (Arthrex elFUs) US patent information © 2026-03 Arthrex, Inc. All rights reserved. LT1-000002-en-US_H arthrex.com

Knotless 1.8 FiberTak® Soft Anchor for Glenoid Labrum Repair

FiberTak® SpeedBridge™ Rotator Cuff Repair Surgical Technique FiberTak® SpeedBridge™ Repair As the next evolution of knotless rotator cuff repair, the FiberTak SpeedBridge technique is completed with 2.6 FiberTak RC soft anchors on the medial row and FiberTape ® sutures fixated laterally with trusted SwiveLock® anchors. This knotless repair creates a quick, secure construct in as few as three suture-passing steps. The small size of the 2.6 FiberTak RC anchors allows for three points of medial-row fixation where previously only two fixation points could be achieved. Advantages Biomechanical repair strength is comparable to traditional SpeedBridge repair 1 Multiple fixation points and additional FiberTape sutures increase tendon-to-bone compression2 Contact area of the tendon-to-footprint interface increased 14% compared to traditional hardbodied anchors2 Secure lateral fixation with trusted SwiveLock anchors Enhancements Knotless 2.6 FiberTak RC anchors are adaptable and can conform to traditional repair techniques while providing the additional benefits of tensionable knotless technology for incorporating biologics or increasing medial-row compression. Double-Pulley Rip-Stop With ArthroFLEX® Dermal Allograft Augmentation Canopy Augmentation With ArthroFLEX Dermal Allograft Independent Mattress Rip-Stops Independent Mattress Stitches ArthroFLEX is a registered trademark of LifeNet Health. 02 | FiberTak® SpeedBridge™ Rotator Cuff Repair 2.6 FiberTak® RC Soft Anchors These anchors are available with fixed 1.7 mm FiberTape ® suture—with joined tails for simplified suture-passing—and the option of a sliding SutureTape or tensionable knotless mechanism. 2.6 FiberTak RC Soft Anchors Knotless 2.6 FiberTak RC Soft Anchors Sliding 1.3 SutureTape Incorporate sliding SutureTape for knotted medial-row compression variations or remove if it is not needed for the repair. Tensionable Knotless Mechanism With the tensionable knotless mechanism, complete a variety of medial-row compression variations and easily incorporate biologics. Self-Punching Inserters All 2.6 FiberTak anchors are loaded on self-punching inserters, which eliminate the need to predrill or prepunch a socket for anchor insertion, reducing surgical steps. Use these inserters with or without a guide; drills and punches are available for hard bone. SwiveLock Lateral-Row Anchors Trusted fixation with more than 10 million anchors used since 20063 Available with #2 suture for tensionable knotless dog- Joined FiberTape Suture Tails Simplified suture-passing Shuttle both limbs of FiberTape suture with one pass ear or cable fixation FiberTak® SpeedBridge™ Rotator Cuff Repair | 03 FiberTak® SpeedBridge™ Technique: Medial Row 04 | FiberTak® SpeedBridge™ Rotator Cuff Repair FiberTak® SpeedBridge™ Technique: Medial Row 1 2 While viewing through a posterolateral portal, prepare the rotator cuff footprint and identify the posteromedial anchor insertion point. Using a mallet, insert and advance the 2.6 FiberTak RC anchor into bone; stop at the insertion zone laser line. If hard bone is encountered, use a punch or drill to create a socket to ease anchor insertion. Once the anchor is fully inserted, remove the suture retention ring and inserter. Grasp all limbs of the suture and pull slowly to set the anchor. Repeat steps 1 and 2 for middle and anterior medial-row anchors. Once the anchors are inserted, remove the sliding SutureTape. 3 4 Load the single end of FiberTape ® suture onto a Scorpion™ suture passer and advance through the rotator cuff. Pull the suture to smoothly lead both FiberTape suture limbs through the tissue. Cut off the joined suture tail, allowing each suture limb to be separated for lateral fixation. Tension each suture limb independently to remove any potential slack beneath the tendon. Note: Drilling in very hard bone may require cycling the drill while maintaining consistent alignment of the drill guide. Increased size, hard bone drills are also available for use. FiberTak® SpeedBridge™ Rotator Cuff Repair | 05 FiberTak® SpeedBridge™ Technique: Lateral Row 06 | FiberTak® SpeedBridge™ Rotator Cuff Repair FiberTak® SpeedBridge™ Technique: Lateral Row 1 2 Retrieve one FiberTape ® suture tail from each medial anchor and preload them through the SwiveLock® anchor eyelet. Using a punch, prepare a bone socket about 5-10 mm lateral to the edge of the tuberosity. Bring the eyelet of the implant to the edge of the bone socket and remove slack from each of the FiberTape suture limbs individually. Apply tension to the FiberTape sutures so that the tissue is reduced and compressed to the bone. Note: Use a hemostat to secure sutures in place while preparing a bone socket. 3 4 5 Completely advance the driver into the bone socket, beyond the first laser line and until the anchor body contacts bone. Evaluate suture tension. If tension is not adequate, back the driver out and readjust the tension. Make sure the tip of the anchor body is in contact with bone. Hold the thumb pad steady and rotate the driver handle in a clockwise direction to insert the anchor body until it is flush with the bone. Cut the FiberTape suture tails with a FiberTape cutter. Repeat these steps for the second lateral anchor. Note: Do not attempt to apply tension to the sutures with the eyelet in the bone socket. FiberTak® SpeedBridge™ Rotator Cuff Repair | 07 FiberTak® SpeedBridge™ Technique: Lateral-Row SP Fixation 08 | FiberTak® SpeedBridge™ Rotator Cuff Repair FiberTak® SpeedBridge™ Technique: Lateral Row With SP SwiveLock® Anchors 1 2 Retrieve one FiberTape ® suture tail from each medial anchor and preload them through the self-punching SwiveLock anchor eyelet. With the eyelet of the implant above bone, remove slack and tension each suture to reduce the tissue and compress it to bone. Note: If hard bone is encountered, use a punch to break the cortex before inserting the anchor. Be sure the eyelet and driver are perpendicular to the bone prior to malleting. 3 4 5 With the eyelet perpendicular to the bone, completely advance the driver into the bone socket, beyond the first laser line and until the anchor body contacts bone. Evaluate suture tension. Make sure the tip of the anchor body is in contact with bone. Hold the thumb pad steady and rotate the driver handle in a clockwise direction to insert the anchor body until it is flush with the bone. Cut the FiberTape suture tails with a FiberTape cutter. Repeat these steps for the second lateral anchor. Note: Do not attempt to apply tension to the sutures with the eyelet in the bone socket. FiberTak® SpeedBridge™ Rotator Cuff Repair | 09 FiberTak® SpeedBridge™ Technique: Knotless Double-Pulley Rip-Stop 10 | FiberTak® SpeedBridge™ Rotator Cuff Repair FiberTak® SpeedBridge™ Technique: Knotless Double-Pulley Rip-Stop Tendon reduction under direct visualization and tensionable knotless medial fixation can be achieved with the knotless double-pulley. Shuttle the tensionable knotless sutures through the cuff with a separate pass to help prevent the construct from twisting beneath the rotator cuff. 1 2 Once the FiberTape ® sutures are passed, use a FiberLink™ shuttle suture to pass the knotless sutures. Using the Scorpion™ suture passer, load the single end of a FiberLink suture and pass it lateral and outside of the anterior and posterior 2.6 FiberTak RC anchors to form the double-pulley rip-stop. Retrieve the tail of the FiberLink suture from a superior portal to improve the shuttling angle through the tissue. Retrieve the sutures of the knotless mechanism, load them into the loop of the FiberLink shuttle suture, and pass the FiberLink suture through the rotator cuff. Repeat the same steps for the posterior anchor. Note: For this technique, cut out the middle anchor’s knotless mechanism; the tensionable knotless mechanisms of the anterior and posterior anchors will be linked together in steps 4 and 5. (d) (c) (b) (a) (f) (e) (g) 3 Posterior Anchor a. TigerLink™ shuttle stitch Middle Anchor d. 1.7 mm FiberTape sutures Anterior Anchor e. FiberLink shuttle stitch b. Blue repair stitch f. Blue/black repair stitch c. 1.7 mm TigerTape™ sutures g. 1.7 mm black FiberTape sutures FiberTak® SpeedBridge™ Rotator Cuff Repair | 11 (b) (e) 4 Retrieve the posterior blue repair suture (b) and the anterior looped end of the white/blue shuttle suture (e) from the lateral cannula. Feed the end of the repair suture through the shuttle suture loop and fold it at the ink-mark indicator. Pull the tape suture tail of the white/blue shuttle suture (e) to shuttle the repair suture into the knotless mechanism. Note: Tension the repair suture, but do not tighten it completely until the second repair suture is shuttled. (a) (f) 5 Repeat the previous steps using the anterior blue/black repair suture (f) and the posterior looped end of the white/black shuttle suture (a). 12 | FiberTak® SpeedBridge™ Rotator Cuff Repair 6 Tension the two repair sutures, reducing and fixating the tendon to the bone. Tension the FiberTape ® suture limbs independently to remove any potential slack beneath the tendon. Cut the repair sutures flush once adequate fixation is achieved. Note: Refer back to the lateral-row fixation technique to complete repair. FiberTak® SpeedBridge™ Rotator Cuff Repair | 13 FiberTak® SpeedBridge™ Technique: Dog-Ear or Cable Fixation 14 | FiberTak® SpeedBridge™ Rotator Cuff Repair FiberTak® SpeedBridge™ Technique: Dog-Ear Reduction Suture Achieve anterior and posterior lateral tissue fixation with the repair stitches from Knotless SwiveLock® anchors. 1 2 Retrieve the knotless sutures from the lateral cannula. Load the blue repair suture onto a Scorpion™ suture passer and advance through tissue. Feed the end of the repair suture through the shuttle suture loop and fold it at the ink-mark indicator. Pull the tape shuttle suture tail to shuttle the repair suture into the tensionable knotless mechanism. 3 4 Tension the repair suture, reducing and fixating the tendon to the bone. A suture cutter can be used to hold the anchor steady during tensioning. Cut the repair suture once adequate fixation is achieved. Double-Pulley Rip-stop With Dog-Ear or Cable Fixation Note: If using Knotless SwiveLock anchors and additional lateral fixation is not required, pull one end of the shuttle stitch to remove and cut the repair stitch and FiberTape ® sutures with a FiberTape suture cutter. FiberTak® SpeedBridge™ Rotator Cuff Repair | 15 Ordering Information 2.6 FiberTak® RC Soft Anchor With 1.7 mm TigerTape™ Loop (white/black) and 1.3 mm SutureTape (white/blue), self-punching, qty 5 AR-3652SP With 1.7 mm FiberTape Loop (blue) and 1.3 mm SutureTape (white/black), self-punching, qty 5 AR-3652TSP With 1.7 mm FiberTape Loop (black/blue) and 1.3 mm SutureTape (blue), self-punching, qty 5 AR-3652TTSP Knotless with 1.7 mm TigerTape Loop (white/black) and blue repair suture, self-punching, qty 5 AR-3653SP Knotless with 1.7 mm FiberTape Loop (blue) and white/black repair suture, self-punching, qty 5 AR-3653TSP Knotless with 1.7 mm FiberTape Loop (black/blue) and blue/black repair suture, self-punching, qty 5 AR-3653TTSP Biocomposite SwiveLock® anchor Knotless, 4.75 mm × 24.5 mm w/ blue repair suture, SP PEEK eyelet AR-2324KBCSP 4.75 mm × 24.5 mm w/ 1.3 mm SutureTape (white/blue), SP PEEK eyelet AR-2324BCSP 4.75 mm × 24.5 mm, SP titanium eyelet AR-2324BCM Knotless, 5.5 mm × 24.5 mm w/ blue repair suture, SP PEEK eyelet AR-2323KBCSP 5.5 mm × 24.5 mm w/ 1.3 mm SutureTape (white/blue), SP PEEK eyelet AR-2323BCSP 5.5 mm × 24.5 mm, SP titanium eyelet AR-2323BCM PEEK SwiveLock anchor Knotless, 4.75 mm × 24.5 mm w/ blue repair suture, SP PEEK eyelet AR-2324KPSP 4.75 mm × 24.5 mm w/ 1.3 mm SutureTape (white/blue), SP PEEK eyelet AR-2324PSP 4.75 mm × 24.5 mm, SP titanium eyelet AR-2324PSLM Knotless, 5.5 mm × 24.5 mm w/ blue repair suture, SP PEEK eyelet AR-2323KPSP 5.5 mm × 24.5 mm w/ 1.3 mm SutureTape (white/blue), SP PEEK eyelet AR-2323PSP 5.5 mm × 24.5 mm, SP titanium eyelet AR-2323PSLM FiberTape® Suture Instruments Mini FiberTape suture retriever w/ self-release (SR) handle AR-12974SR Mini FiberTape suture retriever w/ nonratcheting (NR) handle AR-12974NR Mini FiberTape suture retriever w/ WishBone™ handle AR-12974W FiberTape suture retriever w/ SR handle AR-13974SR FiberTape suture retriever w/ NR handle AR-13974NR FiberTape suture retriever w/ WishBone handle AR-13974W KingFisher FiberTape suture retriever/grasper w/ SR handle AR-13971SR KingFisher FiberTape suture retriever/grasper w/ NR handle AR-13971NR KingFisher FiberTape suture retriever/grasper w/ WishBone handle AR-13971W Penetrator™ FiberTape suture retriever, 15˚ up curved AR-2167-3 Penetrator FiberTape suture retriever, straight AR-2167ST-3 Penetrator FiberTape suture retriever w/ WishBone handle, 15˚ up curved AR-2167W-3 Penetrator FiberTape suture retriever w/ WishBone handle, straight AR-2167STW-3 FiberTape suture cutter AR-13250 FiberTape suture cutter w/ WishBone handle AR-13250W ® 16 | FiberTak® SpeedBridge™ Rotator Cuff Repair Instruments for 2.6 FiberTak® Anchors Disposable kit Includes angled circumferential teeth spear, sharp obturator, and drill AR-3650DS Instruments for 2.6 FiberTak Anchors Angled spear w/ circumferential teeth AR-3655 Blunt obturator for AR-3655 AR-3658B Sharp obturator for AR-3655 AR-3658T Circumferential teeth spear w/ sharp obturator AR-1941CT Fishmouth spear w/ sharp obturator AR-1941DGF Drill, 2.6 mm AR-3657 2.6 mm shaver drill AR-3657SD Punch AR-3656 FiberTak® SpeedBridge™ Implant Sytems FiberTak SpeedBridge Implant System Three 2.6 FiberTak RC Self-Punching anchors w/1.7 FiberTape® loop and 1.3 mm SutureTape (1 white/black, white/blue, 1 blue, white/black, and 1 black/blue, blue), two 4.75 Knotless BioComposite SwiveLock® SP anchors, HD Scorpion™ needle, and MegaLoader AR-2600FSB-1 Knotless FiberTak SpeedBridge Implant System Three 2.6 Knotless FiberTak RC Self-Punching anchors w/ 1.7 mm FiberTape loop and repair suture (1 white/black, blue, 1 blue, white/black, and 1 black/blue, blue/black), two 4.75 Knotless BioComposite SwiveLock SP anchors, HD Scorpion needle, and MegaLoader AR-2600FSB-2 FiberTak SpeedBridge Implant System Three 2.6 FiberTak RC Self-Punching anchors w/1.7 FiberTape loop and 1.3 mm SutureTape (1 white/black, white/blue, 1 blue, white/black, and 1 black/blue, blue), two 5.5 Knotless BioComposite SwiveLock SP anchors, HD Scorpion needle, and MegaLoader AR-2600FSB-3 Knotless FiberTak SpeedBridge Implant System Three 2.6 Knotless FiberTak RC Self-Punching anchors w/ 1.7 mm FiberTape loop and repair Suture (1 white/black, blue, 1 blue, white/black, and 1 black/blue, blue/black), two 5.5 Knotless BioComposite SwiveLock SP anchors, HD Scorpion needle, and MegaLoader AR-2600FSB-4 FiberTak SpeedBridge Implant System Two 2.6 FiberTak RC Self-Punching anchors w/ 1.7 FiberTape loop and 1.3 mm SutureTape (1 blue, white/black and 1 black/blue, blue), two 4.75 Knotless BioComposite SwiveLock SP anchors, HD Scorpion needle, and MegaLoader AR-2600FSB-5 FiberTak SpeedBridge Implant System Three 2.6 FiberTak RC Self-Punching anchors w/ 1.7 FiberTape loop and 1.3 mm SutureTape (1 white/black, white/blue, 1 blue, white/black, and 1 black/blue, blue), two 4.75 BioComposite SwiveLock anchors, HD Scorpion needle, and MegaLoader AR-2600FSB-6 FiberTak® SpeedBridge™ Rotator Cuff Repair | 17 References 1. Arthrex, Inc. Data on file (APT-05242). Naples, FL; 2021. 2. Arthrex, Inc. Data on file (APT-05350). Naples, FL; 2021. 3. Arthrex, Inc. Sales Data. Naples, FL; 2024. 18 | FiberTak® SpeedBridge™ Rotator Cuff Repair Notes FiberTak® SpeedBridge™ Rotator Cuff Repair | 19 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. An HCP must always refer to and comply with the relevant product labels and Directions For Use, including cleaning and sterilisation instructions, before using an Arthrex product. This information provided is intended for healthcare professionals (HCPs) only. Arthrex, as the creator and distributor of its products, does not practice medicine, is not rendering medical or professional advice, and does not recommend any surgical techniques for use on a particular patient. Arthrex strongly recommends that HCPs are trained in the use of an Arthrex product before using it in a procedure or surgery. The HCP who performs any surgical procedure is responsible for determining and using the appropriate techniques for surgical procedures on each individual patient. Arthrex manufacturer, authorized representative, and importer information (Arthrex elFUs) US patent information © 2026-09 Arthrex, Inc. All rights reserved. LT1-000204-en-US_G arthrex.com

FiberTak® SpeedBridge™ Rotator Cuff Repair

Justin W. Griffin, MD (Virginia Beach, VA), demonstrates a new innovative technique, biologic tuberoplasty, for irreparable rotator cuff tears. He uses this simple technique to fixate the ArthroFlex dermal allograft to the tuberosity, providing a protective covering that may prevent humeral-acromial contact for pain relief in low-demand patients.&nbsp; 

 
ArthroFLEX® is a registered trademark of LifeNet Health.

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

Surgical Technique Videos

Tensionable Knotless Biologic Tuberoplasty Technique

Today we're going to be demonstrating biologic tuberoplasty, which is a new technique for management of irreparable rotator cuff tears. Here we have everything we need for performing the procedure in a fast and efficient way. We're going to be using two medial row self-punching knotless FiberTaks. And then laterally we'll use 4.75 SwiveLock for our graft. We have a three millimeter dermal allograft. So here we have a right shoulder. We have several different portals that are important for doing the procedure. I always start from my posterior portal when I'm doing my intra-articular work. We'll be working from a more lateral viewing portal, and then our anterior superior portal is going to be our working portal for placement of the graft. Our suture anchors will be placed percutaneously just off the acromial edge. And then finally we have our anterior portal, which can be helpful for suture management. So this represents our typical appearance of a massive irreparable tear. You can see in the back there's some preserved infraspinatus that we can use to repair to our graft at the end. With side to side sutures. You can see the tuberosity is bare and in the front are subscapularis is intact. So we have two options for how to measure for our graph. So once we get a sense of where the graft is supposed to be, typically I will be decorticating just a little bit on the tuberosity for graft healing. In many cases I'll medialis the footprint just slightly to allow for maximal graft coverage. So we're going to go ahead and measure for our graft. We can place our measuring device here. And we can see that we're measuring approximately 30. Because we know the graft is going to stretch when we place it. We're going to undersize this and cut our graph to 25. So then we're going to get a sense for what our lateral to medial coverage needs to be. For the tuberosity you can see that it's around 20 to 25. We're going to undersize this to 20 which is very typical for this procedure. So while I'm working on placing my medial row anchors, my assistant can prepare the prepare the graft on the back table. Here I'm going to place two luggage tag sutures through the lateral aspect of the graft. Medially we're going to utilize links for passing our repair sutures. This allows us to do all of our suture management more on the back table, as opposed to having to do this up at the side of the patient. So this is really all the preparation that's needed for your graft. So next we'll place our anchors percutaneously. So first we're going to place our Anteromedial anchor. This is our Self-punching Knotless FiberTak. So we can just set this and then leave it. Percutaneously placed there and move on to placement of our posterior anchor. So you can see we have a nice distance between our anchors to get maximum tuberosity coverage. So next I'll retrieve the repair suture as well as the shuttle suture from our anterior anchor. It's important to make sure that we keep these separated more anteriorly in the passport. And then the more posterior. I'm going to stay towards the back side of my passport when I retrieve that. So we've brought our graph to the patient. Next I'll take my anterior repair suture. Just making sure that I'm not twisting anything here. And we'll place this very easily through the link. So our anterior repair sutures through our graft. We'll do the same thing posteriorly. So next we'll convert our anterior knotless FiberTak repair suture. We're going to pull it up to the line. So we'll provisionally tension these. We've got both of our repair sutures out our percutaneous portals so that we're not putting a lot of tension on these. So while we're placing this tension and bringing our graft in, your assistant is placing tension on these lateral cinches so that the graph naturally folds on itself, which allows for easy insertion. So we can progressively tension this in anteriorly and posteriorly. Sometimes you just need to take a little grasper to get this through your your 12 passport here. But it slides in pretty easily. We have very nice coverage of that medial tuberosity. So our next step is to place our lateral row anchors. So typically for placing my anterior anchor I find the biceps groove. And then I move just posterior to that. And that's going to be a good spot for our anterior anchor. Alright. So we're going to punch for our anterior anchor. And this will be our final anchor. So we have our final tuberosity coverage here. This is our tuberoplasty. You can see we have very nice anterior coverage. We've covered all the way up to the remaining infraspinatus. So we can place our side to side sutures. And we've retained our medial repair sutures so we can final tension these. Now as you can see there's very nice coverage here. So we're going to do some final tensioning just to make sure that everything's nice and solid medially. But we really don't have much that we need to take out here. I think everything's tensioned really well. As a final step, we have the option of placing a few side to side sutures through not only our infraspinatus, but also the subscapularis if possible. With the tuberoplasty, I'll keep my patients in a sling for approximately six weeks with passive range of motion, and let them begin active range of motion after coming out of the sling, and begin strengthening at eight weeks. Postoperatively.

Orthobiologics

Raffy Mirzayan, MD (Los Angeles, CA), shares his experience using ArthroFlex dermal allograft to perform a biologic tuberoplasty for patients with massive irreparable rotator cuff tears. Dr. Mirzayan discusses the lessons he learned from using Superior Capsular Reconstruction (SCR), which led him to this unique approach of covering the humeral head with ArthroFlex dermal allograft to provide a protective biologic cushion between the humerus and acromion.&nbsp;
ArthroFLEX® is a registered trademark of LifeNet Health.

Surgeons presenting one or more clinical cases

Chirurg:innen präsentieren einen oder mehrere klinische Fälle

Videos von Fallpräsentationen

Cirurgiões que apresentam um ou mais casos clínicos.

Vídeos apresentações de casos

Cirujanos que presentan uno o más casos clínicos.

Video presentaciones de casos

Case Presentation Videos

Patient Selection and Outcomes With Biologic Tuberoplasty for Massive Irreparable Rotator Cuff Tears Using ArthroFLEX® Dermal Allograft

Hi, I'm Rafi Mirzaian from Los Angeles, and I'd like to present a case of biologic tuberoplasty for the treatment of massive rotator cuff tears. When I started doing superior capsule reconstructions over seven years ago, I was routinely getting post-operative MRIs at six months. And what I noticed is that not all the grafts healed. And there were two distinct tear patterns, one where the graph was torn from the glenoid side, but leaving the tuberosity covered. And those patients clinically did well. They regained full range of motion. They had no pain, they were able to sleep through the night and they were satisfied with the procedure. And there was patients who had a tear from the tuberosity side leaving the tuberosity bare. And those patients did not do as well, and they were not satisfied with the procedure. And we published on this and coined the term biologic tuberoplasty effect. And we felt that the ArthroFLEX was acting as a biologic tissue and preventing bone to bone contact between the tuberosity and the acromion. I'd like to take a step back and ask, where is the pain coming from in patients with massive cuff tears? We all know that bursitis and synovitis and even biceps tendinitis can cause pain. But I'd like to submit to you that bone to bone contact occurs in patients with massive cuff tears, and is possibly a large source of their pain. This can be seen in plain radiographs. The one on the left is a patient who has an intact cuff with a ten degree active abduction view. You can see how the supraspinatus has rolled the humeral head and gotten the greater tuberosity underneath the acromion without contact. The case on the right is a patient with a massive cuff tear at rest, and then when he actively abducts There is abutment of the greater tuberosity against the acromion. This has also been shown in lab in a rotator cuff tear model, where activation of the deltoid causes superior migration of the humeral head and leads to bone to bone contact between the tuberosity and the bone. And clinically, we've all seen this in patients who have a sorceress or acetabular acromion. And there's bone to bone contact as soon as the deltoid is activated and causes the erosion of bone. We all know that bone to bone contact is painful. Therefore, I believe in biologic tuberoplasty in that securing the ArthroFLEX to the greater tuberosity acting as a biologic tissue that's permanent and may prevent bone to bone contact and alleviate the patient's pain. The case is a 78 year old gentleman who's right handed. He's retired. He has right shoulder pain for many years. He has uncontrollable psoriasis. He's had multiple cortisone injections through the shoulder without relief, and he insists on having surgery for pain relief. He also has multiple medical problems, so he's not the most ideal surgical candidate. On examination, he has full active elevation, but with pain there's atrophy of the supra and infraspinatus. He has four plus over five strength with jobe testing, but he has negative liftoff in Napoleon signs and he has active psoriatic lesions. Plain radiographs show that there's no glenohumeral joint arthritis. This is a coronal MRI showing a massive retracted rotator cuff tear. The sagittal oblique shows atrophy and degeneration of the muscles, as well as the massive rotator cuff tear, and the axial view shows that he has a biceps rupture and a thinned out but intact subscapularis tendon. The treatment options he's failed non-operative treatment. He is insisting on surgery. Obviously a reverse shoulder would be the best option at his age. However, with the active psoriatic lesions, I was concerned about infection and he's too old and has multiple medical problems and cannot undergo lengthy procedure or a lengthy rehab. And that's why I chose to do a biologic tuberoplasty in this patient. The technique has been published in arthroscopy techniques and this is the final repair construct with the ArthroFLEX covering the tuberosity, which may prevent bone to bone contact between the tuberosity and the acromion and alleviate pain. My post-operative protocol is significantly different from an SCR. I placed them in a sling for 2 to 3 weeks. They can start active and active assist range of motion at three weeks. They have no restriction in the range of motion, and strengthening can be started at 3 to 4 weeks when the surgical pain has subsided. This is an example of another patient three months post-operatively. You can see that the graft is incorporated onto the tuberosity and is still present at three months postoperatively. So in patients with massive irreparable rotator cuff tears, I still look to do an SCR. That is my first primary objective is to do the CRx has shown us elegantly that it restores the glenohumeral joint kinematics, and that is what I strive to do. However, there is a small subset of patients who are older. All they're looking for is for pain relief. They want a quicker rehab, and biologic tuberoplasty can play a role in those patients. Thank you very much for your time.

CuffMend™ Rotator Cuff Augmentation System

FiberTak® SpeedBridge™ repair is the next evolution of knotless rotator cuff repair using self-punching 2.6 FiberTak RC soft anchors for the medial row and trusted Knotless SwiveLock® suture anchors for lateral fixation. The FiberTak RC anchors feature a fixed FiberTape® suture with swedged suture tails for simplified suture passing and the option of a tensionable knotless mechanism or sliding SutureTape.&nbsp;

FiberTak® SpeedBridge™ Repair

Suprapectoral Biceps Tenodesis With the Knotless FiberTak® Biceps Anchor Surgical Technique Knotless FiberTak® Biceps Implant System The Knotless FiberTak Biceps Implant System offers a knotless, all-suture anchor solution for performing an onlay proximal biceps tenodesis at any location, depending on surgeon preference. The implant uniquely integrates two individual tensionable knotless mechanisms within a single FiberTak sheath. The blue FiberWire® repair suture passes around the biceps tendon, while the white suture loop is retrieved through the tendon. The blue repair suture is retrieved through the loop and both are tensioned to complete the tenodesis. Retrieve the blue repair suture (b) under the biceps tendon. (a) (c) (d) (a) White, preconverted suture loop (b) Blue repair suture (c) Blue repair suture shuttle link (d) White suture loop-tensioning limb Retrieve the white preRetrieve the blue repair converted suture loop (a) suture (b) through the through the biceps tendon. white preconverted suture loop (a). 02 I Knotless FiberTak® Biceps Implant System (b) Load the blue repair suture (b) into the blue repair shuttle link (c). Shuttle the tail through the anchor and tension around the biceps. Tighten the white suture loop-tensioning limb (d) to compress the tendon. Surgical Technique The biceps can be cut or left intact before tenodesis is completed depending on the surgeon’s preference. The Knotless FiberTak® biceps anchor can be used in any traditional location for proximal biceps tenodesis, also based on surgeon preference. Technique steps are presented for suprapectoral biceps tenodesis. Suprapectoral Repair Region 1 Place the drill guide at the desired tenodesis location and drill the pilot hole using the 3 mm drill. 3 Remove the inserter and guide. Gently pull on the suture limbs to set the anchor in the bone. 04 I Knotless FiberTak® Biceps Implant System 2 Leave the guide in place and insert the knotless FiberTak® biceps anchor through the guide. Tap on the handle until the inserter is flush with the drill guide. Remove the tab to release the sutures. 4a 4b Using the suture retriever, shuttle the solid blue FiberWire® suture under the biceps to the opposite side. 5a 5b Insert the Loop ‘N’ Tack™ SwiftStitch™ suture passer through the biceps at the location of desired tenodesis and retrieve the white tensionable suture loop through the tendon. Knotless FiberTak® Biceps Implant System I 05 6 Retrieve the blue FiberWire® suture through the white tensionable suture loop on top of the biceps tendon. 8 Tighten the white tensionable suture loop to lock the blue suture to the tendon and provide additional compression. Pull each limb sequentially to ensure both sutures are secure. 06 I Knotless FiberTak® Biceps Implant System 7 Load the blue FiberWire suture tail into the shuttle link and fold at the purple mark. Shuttle the tail through the anchor and tighten the suture around the biceps. 9 Once secured, cut both suture limbs flush to complete the repair. (Make sure to cut and remove the marked portion of the white suture.) Excise and remove the excess tendon. Ordering Information Knotless FiberTak® Biceps Implant System Product Description Item Number Knotless FiberTak Biceps Implant System Drill, 3 mm Drill Guide Loop 'N' Tack™ SwiftStitch™ Suture Passer AR-3688 Knotless FiberTak Biceps Implant AR-3687 3 mm Drill for 2.9 mm PushLock Anchor, hard bone, reusable AR-1923DT Blunt Obturator for 2.6 FiberTak and RC Anchor Spear, reusable AR-3658B Sharp Obturator for 2.6 FiberTak and RC Anchor Spear, reusable AR-3658T Circumferential Teeth Spear AR-1941CT Fishmouth Spear AR-1941DGF Knotless FiberTak® Biceps Implant System I 07 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level and/or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking arthrex.com © 2022-11 Arthrex, Inc. All rights reserved. LT1-000251-en-US_B

Suprapectoral Biceps Tenodesis With the Knotless FiberTak®  Biceps Anchor

Arthrex’s contribution to shoulder innovation starts with our unique mission of Helping Surgeons Treat Their Patients Better™. As a privately held corporation, we are dedicated to patients’ clinical outcomes. When surgeons ask for our assistance in solving surgical problems, Arthrex responds with cutting-edge technology, creative innovation, and a sense of urgency while serving as trustworthy partners in evidence-based treatment solutions that make a difference.