Fixed Handle SlapDriver for 6 mm x 20 mm Screws

Finished Product

AR-4019SD

Knee

Product

The SlapDriver interference screwdriver family was designed to combine the technology and reliability of the hexalobe, trilobe, and quick connect ratcheting screwdrivers with the convenience of a built-in slap hammer mechanism to make driver removal easier and faster.

SlapDriver

Child (D)

Procedure

Arthrex offers a comprehensive selection of fixation devices for a variety of bone-patella tendon-bone (BTB) graft techniques. These options include adjustable, continuous-loop suspensory fixation, and interference screws in a variety of materials. The TightRope® implant, which has been used in 2 million procedures globally,1 simplifies ACL reconstruction and facilitates advanced techniques such as the GraftLink® technique. FastThread™ BioComposite interference screws allow for faster screw insertion, better graft protection, and are made of time-tested material with more than a decade of clinical success and implantation.2
References
1. Arthrex, Inc. Data on file (sales data as of September 18, 2018). Naples, FL; 2018.
2. Arthrex, Inc. LA1-0199-EN_E. Naples, FL; 2018.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

ACL BTB Graft Fixation

Schraubendreher Handgriff mit Quick-Lock-Konnektierung

The ACL/PCL Cortical Fixation Case is a system that incorporates a variety of fixation options. The set includes low-profile 4.5 mm cortical, 6.5 mm cortical, and 6.5 mm cancellous screw options. It also includes low-profile spiked washers and ligament staples. The screws have extremely low profile heads to reduce soft tissue irritation. A step drill with laser depth marking countersinks the screw head flush to bone when used as a suture fixation post. The smooth shank with suture groove orients the sutures safely under the head during screw insertion. The optional, low profile spiked washer may be used in conjunction with the cancellous screw for fixation of soft tissue or tendons directly to bone. The instrumentation set includes a 2.5 mm Drill for Bi-Cortical Post to broach the cortical bone, while the depth device is used to obtain accurate sizing information. Although the post has a self-tapping feature, a tap is included for those who prefer the “drill-measure-tap” insertion technique. Ligament staples, with a low profile bridge, reduce the frequency of secondary removal due to patient discomfort caused by soft tissue irritation. The cobalt chrome spiked fixation staple has sharp leg points for easier penetration into cortical bone without predrilling. The Staple Driver with attachable impactor/extractor allows complete impaction since the staple driver tip is flush with the staple bridge. The Staple Seating Punch may be used for further impaction. All staples are 20 mm in length.

ACL/PCL Cortical Fixation Instrument Set

Screw, Cancellous, Low Profile, 6.5 mm x 25 mm

Low Profile-Spongiosaschraube, tibial, Titan, 25.0 mm, steril, IM

Low Profile Cancellous Screw, 6.5 x 25.0 mm

Tornillo Low Profile Screw para hueso esponjoso, Ø 6.5 mm x 25 mm

Parafuso de baixo perfil para osso esponjoso, 6.5 mm x 25 mm

Screw, Cancellous, Low Profile, 6.5 mm x 30 mm

Low Profile-Spongiosaschraube, Titan, 30.0 mm, steril, IM

Low Profile Cancellous Screw, 6.5 x 30.0 mm

Tornillo Low Profile Screw para hueso esponjoso, Ø 6.5 mm x 30 mm

Parafuso de baixo perfil para osso esponjoso, 6.5 mm x 30 mm

Screw, Cancellous, Low Profile, 6.5 mm x 35 mm

Low Profile-Spongiosaschraube, Titan, 35.0 mm, steril, IM

Low Profile Cancellous Screw, 6.5 x 35.0 mm

Tornillo Low Profile Screw para hueso esponjoso, Ø 6.5 mm x 35 mm

Parafuso de baixo perfil para osso esponjoso, 6.5 mm x 35 mm

Screw, Cancellous, Low Profile, 6.5 mm x 40 mm

Low Profile-Spongiosaschraube, Titan 40.0 mm, steril, IM

Low Profile Cancellous Screw, 6.5 x 40.0 mm

Tornillo Low Profile Screw para hueso esponjoso, Ø 6.5 mm x 40 mm

Parafuso de baixo perfil para osso esponjoso, 6.5 mm x 40 mm

Drill for Low Profile Cancellous Screws, 25 mm

Drill for Low Profile Cancellous Screw, 25 mm length

Broca para Low Profile Screw para hueso esponjoso, 25 mm de longitud

Broca para parafuso de baixo perfil para osso esponjoso, 25 mm de comprimento

Spiked Washer for Cancellous Screw, 14 mm

Titan Unterlegscheibe mit Zähnen, 14.0 mm, steril, IM

Spiked Washer for Cancellous Screw, 18 mm

Titan-Unterlegscheibe mit Zähnen, 18.0 mm, steril, IM

Suture Washer for Cancellous Screw, 14 mm

Titan-Unterlegscheibe, 14.0 mm, steril, IM

Suture Washer for Cancellous Screw, 18 mm

Titan-Unterlegscheibe, 18.0 mm, steril, IM

Noncannulated Short Screwdriver Shaft, 2.5 mm Hex, 5.5 mm x 17 cm

Schraubendreher Wechselschaft, kurz, 13.4 mm, 2.5 mm Hex

Noncannulated Short Screwdriver Shaft, 2.5 mm Hex, Ø 5.5 mm x 13.4 cm long

Vástago de destornillador corto no canulado, hexagonal de 2.5 mm, Ø 5.5 mm x 13.4 cm

Haste de chave de parafusos curta não canulada, 2.5 mm sextavada, Ø 5.5 mm x 13.4 cm de comprimento

Arthrex offers a comprehensive selection of soft-tissue fixation devices for a variety of techniques. Innovative designs and cutting-edge materials allow surgeons to achieve strong, less invasive anatomic ACL reconstructions with soft-tissue grafts.

ACL Soft-Tissue Graft Fixation

The ACL ToolBox was designed to fit the needs of modern ACL reconstructions. The streamlined three layer case contains all the reusable instruments needed to complete the majority of common ACL procedures and contains an additional "pin mat" area for customization. The ACL ToolBox now contains the RetroConstruction™ Guide System with commonly used ACL marking hooks such as the footprint guides for femoral ACL drilling. Variable drill sleeves are included for all techniques and can be used with standard 2.4 mm pins, 3.0 mm RetroDrill® Pins and the 3.5 mm FlipCutters®. Everything needed to complete an ACL reconstruction can be found in this case including graft harvesting, notch preparation, tunnel drilling, graft passing and fixation.

ACL ToolBox

Once the minimally invasive or open incision is made and proper soft-tissue windows are established, use the fibular, tibial, and/or femoral collateral marking hooks for anatomic precision and osseous measurements when drilling the appropriate reconstruction tunnels. Using the femoral collateral marking hook with the parallel drill guide will increase anatomic femoral drilling efficiency by significantly reducing convergent tunnels and allowing for accurate guide pin placement at multiple incremental distances. During tunnel creation, use the spooned ends of the collateral ligament retractor to protect the neurovascular structures and the collateral ligament rasp to chamfer the aperture of the completed reconstruction tunnels. Then use FiberWire® or FiberStick™ suture to pass the prepared grafts and tension to the desired position prior to graft fixation.

Anatomic Collateral Ligament Reconstruction

The 4.5 mm diameter Bi-Cortical Post has an extremely low profile head to reduce soft tissue irritation. A 2.5 mm Drill for Bi-Cortical Post is used to broach the cortical bone, while the Depth Device is used to obtain accurate sizing information. Although the post has a self-tapping feature, a tap is included for those who prefer the “drill-measure-tap” insertion technique. The optional low profile, spiked washer may be used in conjunction with the Bi-Cortical Post for fixation of soft tissue tendons directly to bone. The posts and washers are manufactured using titanium ASTM F-136 alloy. The smooth, concave-shaped washer option is used to securely trap attached sutures and bulky suture knots atraumatically under the low profile washer to eliminate potential soft tissue irritation. The spiked washer option facilitates direct soft tissue or ligament fixation to bone.

Bi-Cortical Post and Washer

The Bi-Cortical Bio-Post® and Washer System offers a bioabsorbable PLLA screw for suture or soft tissue fixation in ligament repair or reconstruction. The nontapered 6.5 mm diameter screw has a unique hybrid thread that is designed to provide maximum fixation in bone. The screw comes in one length, 70 mm, and can be easily cut to size intraoperatively using the Screw Cutting Guide and Screw Cutting Forceps. The unique one-size-fits-all feature may also help reduce the number of screw product codes maintained in inventory.

Bio-Posts and Washer System

Multiple collateral ligament reconstruction techniques, from aperture fixation using the BioComposite SwiveLock® tenodesis system with biocomposite interference screws to suspensory fixation using TightRope® technology, are available.
FiberTak® soft anchors and biocomposite suture anchors, which come preloaded with needles, are part of a comprehensive line of anchor fixation devices supporting primary or hybrid collateral ligament repair and reconstruction techniques.

Collateral Ligament Graft Fixation

Zieldraht mit Bohrgewinde, 2.4 mm x 310.0 mm

BioComposite FastThread interference screws are designed with a prominent leading and large thread pitch to facilitate screw engagement and advancement. Optimized screw threads improve pullout strength vs longer screws of the same diameter.1 Vented sidewalls and screw geometry decrease material by 22% without losing insertion or fixation strength.2,3 Arthrex’s proprietary biocomposite material has withstood the test of time with more than a decade of clinical use and millions of implantations.4 Rounded thread and head design may reduce damage to graft on insertion and cycling. Fewer screw heads reduce turns, twisting, and possible graft abrasion. The 20 mm screws are packaged with an insertion sheath.
PEEK FastThread screws offer a nonmetallic fixation option that can be placed without a tap, have a similar modulus as bone and will not affect future visualization with MRI.1,2 PEEK FastThread screws are available in 20 mm and 30 mm lengths.
References
1. Arthrex, Inc. Data on file (APT 3585). Naples, FL; 2018.
2. Arthrex, Inc. Data on file (Engineering department calculation of volume). Naples, FL; 2018.
3. Arthrex, Inc. LA1-00099-EN_A. Naples, FL; 2018.
4. Arthrex, Inc. LA1-0199-EN_E. Naples, FL; 2018.

FastThread™ Interference Screws

The Knee Obturator has been specially designed to simplify the location and creation of posterior knee portals as well as introduction of a working cannula. Posterior portals are often necessary for several common procedures such as; loose body removal, PCL reconstruction, meniscal root avulsion repair, and popliteal cyst debridement. Current “outside-in” techniques can be time consuming and put posterior structures at risk of damage with sharp spinal needles and scalpels. The Knee Obturator lets surgeons quickly create the portal from the inside-out. The unique curvature fits around the cruciate ligaments and around the back of the femoral condyles. The tapered eyelet tip facilitates insertion of a PassPort Button Cannula with a traction suture or acts as a switching stick for cannula insertion.

Knee Obturator for Posterior Portals

The cancellous screw has an extremely low profile head to reduce soft tissue irritation. A step drill with laser depth marking countersinks the screw head flush to bone when used as a suture fixation post. The smooth shank with suture groove orients the sutures safely under the head during screw insertion. The optional, low profile spiked washer may be used in conjunction with the cancellous screw for fixation of soft tissue or tendons directly to bone. The 6.5 mm diameter screw and washer are manufactured using titanium ASTM F-136 alloy.

Low Profile Cancellous Screw and Washer

Create minimally invasive inside-out sockets with the FlipCutter drill, an innovative all-in-one guide pin and reamer. The FlipCutter drill provides a whole new level of freedom in socket positioning and is ideal for hard-to-reach areas, such as tibial socket creation for PCLR, anatomic femoral socket creation for ACLR, socket creation for meniscal allograft, and meniscal root avulsion. Retrograde sockets may be accurately placed in diameters ranging from 6 mm to 13 mm using the RetroConstruction drill guide system.
Femoral and tibial RetroConstruction marking hooks allow reproducible placement of pins and drills into the anatomic footprints. Also included in the set are double-bundle femoral drill guides, curved instruments for tibial preparation, a knee obturator for safe and easy posterior portal placement, the curving suture passer, tunnel plugs, drills, screwdrivers, notchers, and other accessories. This toolbox facilitates standard transtibial PCL reconstruction as well as modern techniques, such as the arthroscopic inlay and GraftLink® all-inside PCL technique.

PCL RetroConstruction™ System / FlipCutter® III Drill

Knee Obturator for Posterior Portal

Knie Obturator für das posteriore Portal

Obturador de rodilla para portal posterior

Obturador de joelho para portal posterior

The streamlined PCL ToolBox contains all the necessary instruments for performing a variety of modern PCL reconstruction techniques. The set includes the RetroConstruction™ Drill Guide System with drill sleeves for use with the FlipCutter® reamer, RetroDrill® reamer, and standard 2.4 mm guide pins.
 
 
Femoral and tibial RetroConstruction marking hooks allow safe, reproducible placement of pins and drills into the anatomic footprints. Also included in the set are double-bundle femoral drill guides, curved instruments for tibial preparation, a knee obturator for safe and easy posterior portal placement, tunnel plugs, drills, screwdrivers, notchers, and other accessories. This toolbox facilitates standard transtibial PCL reconstruction as well as modern techniques such as the arthroscopic inlay and GraftLink® all-inside PCL technique.

PCL ToolBox

The streamlined PCL ToolBox contains all the necessary instruments for performing a variety of modern PCL reconstruction techniques. The set includes the RetroConstruction™ Drill Guide System with drill sleeves for use with the FlipCutter® reamer, RetroDrill® reamer, and standard 2.4 mm guide pins.
Femoral and tibial RetroConstruction marking hooks allow, reproducible placement of pins and drills into the anatomic footprints. Also included in the set are double-bundle femoral drill guides, curved instruments for tibial preparation, a knee obturator for safe and easy posterior portal placement, the "worm" graft passer, tunnel plugs, drills, screwdrivers, notchers, and other accessories.

Transtibial PCL Reconstruction

Drill Tip Guide Pin 3.5 mm x 311 mm

Zieldraht mit Bohrgewinde, 3.5 mm x 311 mm, steril

Aguja guía con punta de broca, Ø 3.5 mm x 311 mm

The ACL ToolBox is a comprehensive system that allows surgeons to drill using medial portal, transtibial, or RetroDrill® techniques. Achieve accurate and reproducible tunnel preparation with this set, which contains marking hooks, drill guides, offset reference guides, dilators, and reamers.

Fixed Handle SlapDriver for 6 mm x 20 mm Screws

AR-4019SD

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