Curette, One Side Cut, 5.4 mm Ring, 220 mm Shaft

Ringkürette, 220 mm, Ø 5.4 mm, einseitige Schneide, mit Handgriff

Curette, Ø 5.4 mm ring, 220.0 mm one side cutting

Cureta, anillo de Ø 5.4 mm, 220 mm, una cara de corte

Cureta, anel Ø 5.4 mm, 220 mm corte de um lado

Finished Product

AR-20030

Hip Arthroscopy Hand Instrumentation Set

Serie I Handinstrumenten Set für Hüftarthroskopie

Juego de instrumental para artroscopia de cadera

Conjunto de instrumentos manuais para artroscopia da anca

Hip Arthroscopy Master Instrument Set

Hüftarthrsoskopie Master Instrumenten Set

Hip Arthroscopy Master Instrumentation Set

Shoulder

Product

Arthrex Ring Curettes are available in a variety of shaft and tip configurations for specific arthroscopic bone resection indications. Lightweight, ergonomic handles provide excellent tactile control and feature an identifier that indicates tip direction and position.

Ring Curettes

Child (D)

Knee

Hand instruments for the knee have state-of-the-art quality, durability, a precise tactile feel, and an extremely low-profile tip. These features facilitate easier access to pathology in tight joint spaces with precision cutting edges and precise resection control. EDM manufacturing technology with stainless steel edges provides maximum sharpness and durability that rarely require resharpening or repair.&nbsp;
Arthrex arthroscopy instruments exemplify our uncompromising quality in products and services focused exclusively on the special needs of the arthroscopic surgeon.&nbsp;

Vic Goradia, MD, (Houston, TX) demonstrates the latest innovations in meniscal resection. In this cadaveric demonstration of a posterior horn medial meniscectomy, Dr. Goradia reviews the benefits related to the Arthrex MegaBiter manual instrument and the Torpedo shaver blade.

Not Hidden

English  - en

video

Meniscectomy Using the MegaBiter™ and Torpedo™ Shaver Demonstration

application/pdf

Handheld Arthroscopy Instruments P R O D U C T M A N A G E M E N T K N E E A N D H I P P L A Y B O O K Reinhold Schmieding Founder and President | 2 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. COACH’S CORNER Arthrex’s history began with hand instruments 36 years ago, so selling instruments brings back great memories for me. I designed the first basket forcep with a ramped tip to slide easily under the meniscus. They were handcrafted by “elves” in the Black Forest region of Germany where we started manufacturing. They could not keep up with demand and quality requirements so we founded Arthrex California, Inc. in Walnut, CA, led by industry-leading engineer in hand instruments, Bob Weber. Over the years, ACI has grown into the leading designer and manufacturer of handheld instruments in the world for Arthrex with incredible designs, quality and reliabilility no competitor can match with lifetime guarantees. Today, I am proud to carry a MegaBiter™ tool, curved scissors or new 2 mm diameter Basket Forceps in my coat pocket to put into the hands of surgeons during dinner. Together with our novel curved Torpedo™ shaver and meniscal repair options, Series 1 hand instruments provide you an exciting day with your surgeon to evaluate leading products for meniscal resection and repair. A set of hand instruments can give you a real financial pop and will delight your surgeons and staff every day during meniscal and tissue resection procedures. Own the meniscus business in your territory, the most common procedure in orthopedics! WHAT’S INSIDE THIS TOOL? This playbook is a guide to help build understanding of the product and its position in the market. It is not a script to memorize or a step-by-step process to follow. This tool is simply a resource to better understand Arthrex’s selling strategy for the product. It will serve as a reference to help in preparation for sales calls or to help answer questions customers may have. TABLE OF CONTENTS Product Strategy........................................................................... 3 Market Overview.......................................................................... 4 Targeting....................................................................................... 5 Introducing the Product.............................................................. 6 Probing Questions....................................................................... 7 Handling Objections.................................................................... 8 Competition.................................................................................. 9 Arthrex Warranty and Replacement Policy............................... 10 Surgical Technique.................................................................... 11 Sales Tools.................................................................................... 12 | 3 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. PRODUCT STRATEGY New product innovation in arthroscopic surgery is the heart and soul of Arthrex. Our goal is to make technically demanding procedures easier, safer and reproducible. Each instrument is precision manufactured to the highest quality standards in the US at Arthrex California, Inc. and is backed by a lifetime warranty on materials and workmanship. These instruments have state-of-the-art quality, durability, precise tactile feel and an extremely low-profile tip. These features facilitate easier access to pathology in tight joint spaces with precision cutting edges and precise resection control. EDM manufacturing technology with stainless steel edges provides maximum sharpness and durability that rarely require sharpening or repair. Less than 1% of all Arthrex arthroscopy instruments require sharpening after 2 years of surgical usage — an unprecedented achievement for fine surgical instruments in orthopedics. Arthrex arthroscopy instruments exemplify our uncompromising quality in products and services focused exclusively on the special needs of the arthroscopic surgeon. LESS THAN 1% OF ALL ARTHREX ARTHROSCOPY INSTRUMENTS REQUIRE SHARPENING AFTER 2 YEARS OF SURGICAL USAGE. | 4 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. MARKET OVERVIEW The market for arthroscopic hand instruments in the United States is estimated to be $47.8 million and growing. This market is supported by the increasing number of facilities being opened, the increasing volumes of surgeries being performed and the need for new features as techniques evolve. Hand instruments play an integral part in orthopedic surgeries. Although they could be considered a commodity item, Arthrex strives to provide surgeons with an instrument for every need.1 Click on the graphic to view the reference. Below is a chart representing the total market for handheld arthroscopy instruments. While it is a large market, there are only 3 main players: Arthrex, Smith & Nephew, and ConMed Linvatec. See page 9 for sell-against information. MARKET SHARE Arthrex 33% Smith & Nephew 27% ConMed Linvatec 16% Karl Storz 8% Depuy Mitek 7% Stryker 4% Richard Wolf 2% Biomet 1% Others 2% 1. iData Research. U.S. market for arthroscopic devices. Available at: https://www.idataresearch.com/ product/us-market-for-arthroscopic-devices-2014-medsuite/. Accessed August 14, 2017. | 5 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. TARGETING With the largest availability of hand instruments on the market, understanding who to target is important. A Great Target: The Sterile Processing Department The Sterile Processing Department (SPD) is a great target for selling hand instruments because of their involvement with the cleaning, processing and replacement of hand instruments. When a hand instrument needs to be replaced, SPD typically places the order for a replacement. The SPD has an annual budget to replace and update instruments. Call on your SPD manager to introduce Arthrex handheld arthroscopic instruments. A Good Target: Ortho Coordinators The Ortho Coordinator is a good target because they are typically responsible for acquiring each surgeon’s desired instrumentation before a case. Discuss with them the features and benefits Arthrex® hand instruments offer. Ask them for an opportunity to trial the instruments in their facility. A Hard Target: Surgeons Surgeons rarely see a need to change the hand instruments they are currently using. Arthrex offers hundreds of choices for hand instruments that our competitors do not. When a surgeon is compromising because the instrument the facility has does not meet his or her needs, this is a great opportunity to sell Arthrex hand instruments. With the numerous options available, surgeons’ specific needs can be met with Arthrex instrumentation. ARTHREX OFFERS HUNDREDS OF CHOICES FOR HAND INSTRUMENTS THAT OUR COMPETITORS DO NOT. | 6 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. INTRODUCING THE PRODUCT Arthrex offers the largest portfolio of handheld instruments on the market with over 300 different style options to choose from. Our instruments are made from a custom 455 stainless steel material at the tip (the standard is 17-4 SS), making them tougher and more resistant to corrosion than our competitors’ products. By using the higher quality stainless steel, our products are able to keep a sharper edge longer. The shaft is also made of a harder material to prevent bending. Most competitors’ mechanisms pull to close or cut but Arthrex’s actuator rod pushes, rarely resulting in a broken tip. The shear pin is also in the handle of the mechanism and will break if trying to resect or grab something too hard, which may prevent the tip from breaking and becoming a loose body in the joint. Arthrex handheld instruments come in 2 different styles: straight or WishBone™ handle. We offer different instrument cases that can be sold with a selection of popular hand instruments, or à la carte. The cases are also offered in distal extremity sets and a hip arthroscopy set. We also offer a loaner program for our Master Instrument Set. This is a great way to introduce the product to your accounts. The loaner program allows your account to try our hand instruments for 30 days with no charge. The set comes with 20 different instruments including a variety of punches, graspers and MegaBiter™ instruments. BY USING THE HIGHER QUALITY STAINLESS STEEL, OUR PRODUCTS ARE ABLE TO KEEP A SHARPER EDGE LONGER. Master Hand Instrument Case - AR-2200CS | 7 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. PROBING QUESTIONS The art of asking good questions is crucial to uncovering the customers’ needs, concerns and preferences with current technology. Probing questions should take you deeper than just what your surgeons are using and how they use it. These questions allow you to understand WHY they use the product. Below is a list of basic questions to help get the discussion rolling. When talking to the sterile processing department: What happens when an instrument is reported broken or dull? (Goal is to point out our lifetime warranty) What is the warranty for the hand instruments you use? (Goal is to point out our lifetime warranty) Do surgeons complain that the instruments they are provided don’t match their needs? (Goal is to showcase all the angles and styles we have to offer. This could also be used as an opportunity to bring up our 2 different handle options.) If talking to a hip surgeon, mention that we offer cases specifically for those instruments. WishBone™ Handle Ring Handle | 8 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. HANDLING OBJECTIONS It is critical to sales that you are prepared to handle any objections that your customers may have. Keep in mind that objections are not a bad thing. They often show that the customer is interested in your solution but has concerns that need to be addressed. This provides you with an opportunity to build credibility and trust. Customer: I’m sorry, but we already have hand instruments and don’t need any more. Arthrex: Do your current instruments meet the surgeons’ needs? Have your current instruments previously been sharpened? What is the procedure for replacing worn or old instruments? Customer: We have a sales representative that we buy our instruments from. Arthrex: If I can provide a trial of our instruments for your use, would you provide feedback about how they compare to your current instrumentation? Customer: Hand instruments are expensive. Arthrex: We are competitive with other companies’ pricing and offer a lifetime warranty and reduced cost, no-questions-asked replacement policy. Devices are replaced with new instruments (not refurbished or remanufactured) and carry the same lifetime warranty as initially offered. | 9 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. COMPETITION Arthrex has 2 main competitors in the handheld arthroscopy instrument market: Smith & Nephew and ConMed Linvatec. In order to serve our customers better and properly position our products, we need a better understanding of the competition. Smith & Nephew owns 27.3% of the hand instrument market. With only a little over 60 styles, they have nowhere near the variations Arthrex can offer. They also offer a “lifetime” warranty but only in specific scenarios and once you cash in on the warranty, the warranty for the new device is reduced to 90 days. If the device breaks outside of the warranty, you can send it back and they will assess the repair and charge the account accordingly. ConMed Linvatec owns the third largest market share at 16%. While they do offer double what S&N offers, 112 options, they still come nowhere close to Arthrex. Their instruments come with a 1-year manufacturer’s warranty. After that year, if something goes wrong, the account can pay to send it back and have it fixed. The reworked part comes with a 90-day warranty but only on the service or repair work that was done on the device. | 10 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. WARRANTY AND REPLACEMENT POLICY Arthrex offers a lifetime warranty on its hand instruments against breakage or failure due to defects in material or workmanship for as long as the product is owned by the original purchaser. No other company offers this same warranty for the entire lifetime of the product. Arthrex also offers an affordable instrument replacement program if the instrument is damaged or wears beyond the scope of the lifetime warranty coverage. If the list cost of the instrument is between $500 and $3000, the replacement cost is $495. If the list cost of the instrument is over $3000, the replacement cost is $750. | 11 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. SURGICAL TECHNIQUE The most important thing to remember when it comes to Arthrex handheld arthroscopy instruments, is to not sharpen them. Sharpening reduces the structural integrity of the jaw, changes the tolerance of the biter’s jaw and drastically decreases the biters effectiveness. Our instruments are engineered to make a clean cut with precision manufactured jaws. When you sharpen metal, you are slowly shaving metal off the bite of the jaws and creating a larger tolerance. The best way to recognize a sharpened instrument is in surgery. If you notice the doctor bite down on tissue followed by a small tug, then you know the instrument has been sharpened. THE MOST IMPORTANT THING TO REMEMBER WHEN IT COMES TO ARTHREX HANDHELD ARTHROSCOPY INSTRUMENTS, IS TO NOT SHARPEN THEM. | 12 THE INFORMATION CONTAINED IN THIS DOCUMENT IS CONFIDENTIAL AND PROPRIETARY TO ARTHREX, INC. IT IS PROVIDED/INTENDED SOLELY FOR INTERNAL ARTHREX USE. IT IS NOT INTENDED FOR GENERAL DISTRIBUTION. ANY UNAUTHORIZED REVIEW, USE, RETENTION, DISCLOSURE, DISSEMINATION, FORWARDING, PRINTING OR COPYING OF THIS INFORMATION IS STRICTLY PROHIBITED. SALES TOOLS Below is a list of some of the key handheld instrument tools and resources. Please click on the thumbnail to view the asset. Product Brochure The product brochure is available in PDF and hard copies to share with your surgeons and their clinical staff. This brochure contains a comprehensive list of the individual hand instrument products and sets we have available. Product and Technique Highlights The product and technique highlights give a comprehensive overview for our sales representatives. These are the keys to making successful handheld instrument sales. LB1-0410-EN LS1-00001-EN VID1-0005-EN The blue marks shown on the bottom right corner of the photos show the bite size of that instrument. Surgical Technique Video The surgical technique video is a great way to introduce your audience to our handheld instruments. This video highlights one of our more popular instruments, the MegaBiter™ resector and Torpedo™ shaver. The information contained in this document is confidential and proprietary to Arthrex, Inc. It is provided/intended solely for internal Arthrex use. It is not intended for general distribution. Any unauthorized review, use, retention, disclosure, dissemination, forwarding, printing or copying of this information is strictly prohibited. © 2017 Arthrex, Inc. All rights reserved. LB1-00119-EN_A

Handheld Arthroscopy Instruments Playbook

The Handheld Arthroscopy Instruments feature superior feel and improved ergonomics that facilitate inverted and retrograde usage with either hand. A comprehensive variety of tip styles, angles and sizes with a selection of shaft diameters are designed specifically for arthroscopic surgical procedures.

Handheld Arthroscopy Instruments

Knee Hand Instruments

Procedure

Removal of the Cam or Pincer lesion with or without takedown and repair of the acetabular labrum. This may also include removal of the Cam lesion.

Asheesh Bedi, MD, (Ann Arbor, MI) describes a technique for retracting the capsule during arthroscopic cam resections using the new angled open half-pipe cannula.

Capsular Management and Retraction for Cam Resection

Bruce A. Levy, MD, (Rochester, MN) outlines a surgical technique for using the Arthrex® Flexible Arthroscopic Retractor to retract the distal leaflet of capsule after an interportal capsulotomy has been made during a hip arthroscopy procedure. In this cadaveric video, he outlines the retractor insertion steps and demonstrates the increased exposure and visualization of viewing down the distal femoral neck to perform an osteochondroplasty procedure for cam impingement.

Arthroscopic Retraction of Hip Capsule Featuring the Flexible Arthroscopic Retractor

Retractable Hood Round Burr Concave Curved Round Burr Straight Round Burr Bone Cutter Convex Curved SabreTooth Excalibur Torpedo™ Blade ™ CoolCut Specialty Series Hip-Length Shaver Blades and Burrs SynergyResection™ System The SynergyResection system’s complete arthroscopic tissue and bone resection portfolio provides innovative solutions designed to meet surgeons’ needs. Bright Screen Readable in a bright OR Easy-toUse Console Power to console, plugin handpiece Multiuse Up to two different footswitches can be used simultaneously Multiuse Use up to two different shavers, a drill, or saw handpieces at one time This versatile SynergyResection system was designed for multiple orthopedic procedures and operates like two consoles in one chassis. It can simultaneously operate two accessory handpieces completely independent of each other. Operators can also use one or two foot pedals to control each of the accessory handpieces. Shaver handpieces offer three oscillating modes depending on the application or surgeon‘s preference: standard, efficient, or aggressive. Intuitive User Interface With an easy-to-navigate menu When the SynergyResection console is integrated with the Arthrex DualWave™ or Continuous Wave™ 4 arthroscopy pump, the pump detects the shaver handpiece status and automatically compensates for the loss of distention by increasing the pressure while the shaver is active. Product Description Resection Synergy Console Item Number AR-8305 Resection console with a Integration of the Synergy Synergy video management system enables the heads-up display feature and allows for easy visibility of the shaver system settings on the monitor. Footswitches Low-Profile Footswitch Low-Profile Footswitch Ergonomic design for less fatigue during use (d) The low-profile footswitch minimizes user fatigue while maintaining control of all functions. Control direction and speed by pressing the appropriate pad. Press the toggle dome-switch to change control between the console’s dual channels if two handpieces are plugged in. If one handpiece is plugged in, the toggle dome-switch will toggle between the three oscillation modes. (e) Multifunction/Wireless Radio frequency, wireless communication without line-of-sight concerns Digital on/off or analog gas pedal operation Multifunction/Cable Digital on/off or analog gas pedal operation Cabled for secure operation Wireless and Corded Multifunction Footswitches The wireless and corded multifunction footswitches feature a user-selectable function mode of either the low-profile footswitch or the gas pedal footswitch. All speed, direction, cruise, and toggle controls are accessible on either of these user-friendly accessories and the active mode is displayed on the console. Product Description Item Number Low-Profile Footswitch (d) AR-8310 Resection (f) Wireless Footswitch (e) Synergy Corded Gas Pedal Footswitch (f) AR-8315W AR-8315C Handpieces Hand Control Multifunction buttons - Change speed - Change direction - Turn on/off (a) Arthrex’s unique double-sealed shaver handpieces are robust and reliable with a light ergonomic feel and come with or without touch-control options. These high-speed, high-torque handpieces feature a snap-lock collet that accepts standard, hip-length, and small joint blades and burrs, making it one of the most versatile handpieces available. With high-performance motors and constructed of cutting-edge materials, SynergyResection™ shaver handpieces are a great addition to the OR. Hand-Control Shaver Handpieces Hand Control (Backhand) Multifunction buttons - Change speed - Change direction - Turn on/off - Suction opposite from button controls (b) Featuring ergonomic multifunction buttons that place control of speed and direction at your fingertips, the hand-control shaver handpieces are available in standard and backhand models. Foot-Control Shaver Handpiece With the same lightweight, high-performance features as our hand-operated handpieces, the footswitch shaver handpiece provides another option for control. Foot Control Lightweight Control via footswitch (c) (e) (d) (f) Product Description Item Number Shaver Handpiece, hand control (a) Shaver Handpiece, hand control, backhand (b) Shaver Handpiece, footswitch control (c) AR-8332H AR-8332RH AR-8330F Replacement Valve Assembly for AR-8330F, AR-8330H, and AR-8330RH Handpieces (d) Replacement O-rings for AR-8330V Valve Assembly (pack of 10) (e) Replacement O-rings for F-style Soaker Cap (pack of 5) (f) Replacement O-rings for T-style Soaker Cap (pack of 5) AR-8330V AR-8330VO AR-8330FO AR-8330TO AR-6420EX 1 AR-6420CEX AR-6420XEX2 Torpedo™ Blade Tapered tip and scissor-like cutting action facilitate precise and aggressive soft-tissue resection AR-6420TD AR-6420CTD1 SabreTooth Aggressive, all-purpose blade ideally suited for extensive soft-tissue debridement AR-6420CST1 Bone Cutter Designed for aggressive general tissue debridement when run in oscillate mode and bone when run in the forward direction Dissector Best choice for aggressive resection of synovium, cartilage, and plica AR-6420ST AR-6420CBC1 AR-6420XBC2 AR-6420CDS1 AR-6420XDS2 (4.0 mm) 1. Curved, concave 2. Curved, convex (Color bars reflect family color shown on the adapter) (5.0 mm) (5.5 mm) Retractable Hood Round Burrs Acetabular preparations can be made with the hood in place to protect the labrum and surrounding tissues when AR-6400RRBE AR-6500RRBE AR-6550RRBE performing a hip labral repair procedure. When necessary, the hood can be retracted to allow full burr head exposure to address other hip pathologies, such as a CAM lesion Curved Round Burrs Ideally suited for hard-toreach areas of bone as well as soft-tissue, osteochondral and osteophyte resection or bony site preparation AR-6420BC AR-6420DS Description 8-flute Excalibur Most aggressive option, designed for extensive soft-tissue debridement (4.2 mm) Least aggressive Description Most aggressive Hip-Length Shaver Blade Options and Hip-Length Burr Options Straight Round Burrs Ideally suited for softtissue, osteochondral and osteophyte resection or bony site preparation AR-6500VBE1) AR-6400RBE AR-6500RBE 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 Arthrex, Inc. All rights reserved. LB1-000001-en-US_E

CoolCut™ Specialty Series - Hip-Length Shaver Blades and Burrs

BenjaminDomb, MD (Chicago, IL) describes his rationale and surgical techniques foraddressing bony pathology related to femoroacetabular impingement (FAI). Dr. Domb references his preoperative X-raysand multiple fluoroscopic images to demonstrate an arthroscopic surgicaltechnique used to treat the bony morphology associated with FAI.

Treating FAI Surgical Technique

Travis Menge, MD (Grand Rapids, MI), demonstrates an arthroscopic cam resection using a curved hip burr, the ApolloRF® H50 probe, and DualWave™ outflow tubing.

Cam Resection Using a Curved Hip Burr, the ApolloRF® H50 Probe, and DualWave™ Outflow Tubing

Femoral Neck Osteochondroplasty for Cam Impingement

Osteoplasty

Depending on surgeon preference, a shaver or curette is utilized to debride damaged or diseased articular cartilage surrounding the site of the chondral defect.

AutoCart™ Procedure in the Hip: Applications and Technique With the GraftNet™ Collector

Removal of Cartilage

Tears of the gluteus medius tendon are a common source of lateral hip pain and a cause of greater trochanteric pain syndrome (GTPS). These tendons are sometimes referred to as the “rotator cuff of the hip.” Partial and full-thickness tears can be repaired in an open or endoscopic fashion with techniques similar to those used in shoulder surgery.

Benjamin G. Domb, MD (Chicago, IL), demonstrates the repair of a partial-thickness gluteus medius and minimus tear using the 2.6 Knotless FiberTak® soft anchors and a minimally invasive transtendinous approach. In this cadaveric demonstration, Dr. Domb outlines the surgical steps for repairing partially torn hip abductor tendons with a tendon compression bridge created between the all-suture anchors.

Videos - OP-Anleitung

Vídeos — Técnicas cirúrgicas

Videos de técnicas quirúrgicas

Surgical Technique Videos

Partial-Thickness Gluteus Medius Repair Using the 2.6 Knotless FiberTak® Soft Anchor

This animation demonstrates the repair of a partial-thickness gluteus medius tear using the Gluteus Medius Tendon Repair Implant System.

OP-Anleitung Animationen

Animações — Técnica cirúrgica

Animaciones de técnicas quirúrgicas

Surgical Technique Animations

Knotless Compression Bridge Technique for Repair of an Undersurface Tear of the Gluteus Medius

Carlos A. Guanche, MD, (Van Nuys, CA) demonstrates an endoscopic double‐row knotless repair using a SpeedBridge™ repair technique with ArthroFLEX®* allograft augmentation for a full‐thickness abductor tendon tear. In this cadaveric demonstration, he outlines his technique for repairing tears off the superolateral facet of the greater trochanter.
*ArthroFLEX is a registered trademark of LifeNet Health.

Endoscopic SpeedBridge™ Abductor Tendon Repair With ArthroFLEX® Allograft Augmentation

Benjamin G. Domb, MD (Chicago, IL), discusses a full-thickness gluteus medius repair with augmentation using a Knotless SwiveLock® anchor and an ArthroFlex dermal allograft after a total hip arthroplasty procedure. Dr. Domb outlines the surgical steps to perform the repair and describes various treatment options for pathology associated with abductor tendons.

Vídeos apresentações de casos

Video presentaciones de casos

Case Presentation Videos

Gluteus Medius Tendon Augmentation With Allograft

OP-Anleitungen

Guias de técnicas cirúrgicas

Guías de técnicas quirúrgicas

Surgical Technique Guides

Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System Surgical Technique Introduction The hip abductor tendon compression bridge technique is intended for partial-thickness undersurface tears of the gluteus medius tendon. This bridging technique enhances footprint compression to maximize tendon to bone healing.1 Surgical Technique 1 Establish a distal anterior lateral accessory (DALA) portal for viewing and insert a shaver through either an anterior lateral (AL) or posterior lateral (PL) portal. Excise the trochanteric bursa to clearly view the intertrochanteric space and gluteus medius tendon. Once AL and PL portals are established, insert two flexible Trim-It™ custom hip cannulas (a). This will improve suture management and reduce the chance of soft-tissue bridges when passing sutures. (a) 02 I Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System 2 Insert the drill guide and obturator through the PL cannula and then directly through the gluteus medius tendon and down to bone. Option: Prior to placing the drill guide through the tendon, use a PowerPick™ instrument or chondro pick to create small micropunctures for bone marrow stimulation to promote tendon to bone healing. 3 3a While keeping the drill guide tip firmly against the bone, remove the obturator from the guide and insert the drill bit. Prepare a 2.6 mm bone socket by drilling until the collar of the drill impacts the back of the drill guide (3a). Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System I 03 (a) 4 Insert the anchor through the drill guide with gentle impaction until the inserter handle meets the drill guide with a positive stop (a). Take care to avoid impacting the drill guide into the bone, which could compromise the cortex and lead to poor fixation. (b) Pull the black suture release tab and remove the inserter and drill guide. Lightly pull on the sutures to set the 2.6 FiberTak® soft anchor (b). 5 Repeat the same process through the AL portal to insert the anterior anchor. 04 I Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System 6 7 Once both anchors have been implanted, retrieve the blue repair suture from the anterior anchor through the PL cannula and the blue repair suture from the posterior anchor through the AL cannula. 8 Note: Prior to loading the repair suture into the loop of the TigerLink™ suture, clear the repair suture and looped end of the Tigerlink suture with a retriever. This will improve suture management during shuttling of the sutures. 9 Transfer the repair suture by pulling the SutureTape side of the white/black shuttle suture until light resistance is felt. Complete a series of light tugs until the repair suture passes through the knotless anchor mechanism and back out of the cannula. Repeat the same process through the PL cannula, and once both sutures have been fed through the knotless anchor mechanism, equally tension the repair sutures until adequate compression of the tissue has been applied. Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System I 05 10 (a) Tension the construct and cut the repair suture limbs using the included knotless suture tensioner/cutter (a). 11 Final fixation. 11a Add additional implants as deemed necessary based on the extent of the partial tear. (a) 06 I Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System Ordering Information Product Description Item Number Gluteus Medius Repair Implant System AR-2941GM-CP 2.6 Knotless FiberTak® Anchors, qty. 2 Drill Guide and Obturator 2.6 FiberTak Anchor Drill Knotless Suture Tensioner/Cutter Products may not be available in all markets because product availability is subject to the regulatory approvals and medical practices in individual markets. Please contact your Arthrex representative if you have questions about the availability of products in your area. Reference 1. Hartigan DE, Mansor Y, Perets I, Walsh JP, Mohr MR, Domb BG. Knotless “suture staple” technique for endoscopic partial thickness abductor tendon repair. Arthrosc Tech. 2018;7(10):e975-e980. doi:10.1016/j. eats.2018.06.002 Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair 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 © 2021 Arthrex, Inc. All rights reserved. LT1-000181-en-US_C

Knotless Compression Bridge Technique Using the Gluteus Medius Tendon Repair Implant System

Gluteus Medius Repair

Gluteus Medius Repair Implant System

TRIM-IT Cannula Switching Stick, Cannulated, 4 mm

TRIM-IT-Hüftkanüle, Wechselstab, kanüliert, 4 mm

TRIM-IT Cannula Switching Stick, Cannulated, 4 mm

TRIM-IT, ferramenta para transformar a inserção inic ial da cânula, canulada, 4 mm

TRIM-IT Cannula Obturator, Detachable

TRIM-IT, obturador da cânula, destacável

TRIM-IT, obturador da cânula, destacáve

The Hip Arthroscopy Hand Instruments were designed with the discriminating surgeon in mind. They offer the same high standard of quality and tactile feel as all of the Arthrex Series I Instruments. Our manufacturing facility has over 20 years of arthroscopic hand instrument design, development and manufacturing experience. The Hip Arthroscopy Hand Instruments have a 220 mm working length. The punches are offered in a variety of angled tips and shafts to reach the furthest recesses of the hip joint. The graspers were designed for large loose body retrieval commonly encountered in hip arthroscopy. The NR Series Graspers have nonlocking handles for ease of use from difficult hand positions encountered during surgery. The SR Series Graspers feature a self-releasing lock mechanism that is easily disengaged as needed by simply moving the handles apart.

Hip Next Generation in Soft-Tissue Repair and Reconstruction 2022

Hip Arthroscopy Hand Instrument Set

The Hip Arthroscopy Master Instrument Set was designed with functionality in mind to complement the vast array of arthroscopic procedures being performed in the hip. It contains a full complement of joint access, tissue resection, grasping, microfracture and suture management instruments. All of the necessary instruments are now at your fingertips when performing diagnostic hip arthroscopy, loose body removal, tissue and bone resection, labral repair, microfracture, capsulotomy, and osteoplasty for femoroacetabular impingement (FAI).

Curette, One Side Cut, 5.4 mm Ring, 220 mm Shaft

AR-20030

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AR-20030 is a Set Item Of (2)

AR-6511S

AR-6517S

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