SURGICAL TECHNIQUE

SURGICAL TECHNIQUE Prerequisites Once you have identified the tear, open the implant packaging in its entirety Follow the opening direction. Note: Locate chevron seal on packaging. Evaluate the insertion depth Using the provided meniscus rasp, create a bleeding surface and use the MENIX® probe to determine the desired insertion depth. Insert the MENIX® portal skid Insert the MENIX® Duo system Advance and insert the MENIX® portal skid through the portal and place it under the condyle of the compartment with the meniscus tear that needs to be repaired. Advance the MENIX® Duo meniscal suture system...

Insert the first MENIX® Duo anchor into the joint Slightly push the first button in order to show the tip of the pin out of the cannula and select your entry point. Note: The first mark is 17 mm from the tip of the pin. The second mark is 22 mm from the tip of the pin. Retract the button to its initial position without pulling on the handle. Note: Leave the device inside the joint. MENIX®Duo Surgical Technique | 3

SURGICAL TECHNIQUE Insert the second MENIX® Duo anchor Slightly push the second button in order to show the pyramidal tip of the pin out of the cannula and select your entry point. Advance the second button to the desired depth. Note: Entry point should be 5mm away from the 1st one. Retract the second button to its initial position without pulling on the handle, then remove the MENIX® Duo device from the joint. Note: You can block your finger on the button opposite to the one in use to keep the pin in the cannula. 4 | MENIX®Duo Surgical Technique

Tension the repair Alternately pull on the two sutures to tension the repair and control the system reduction. Use the probe to apply counterpressure on the meniscus when reducing the tear and to control suture tension. Evaluate the Meniscus repair Advance the suture cutter into the joint and cut the suture tails. Make sure the fixation is adequate ; if necessary complete the repair with another MENIX® anchor. Note: Prefer vertical insertion of the suture cutter. MENIX®Duo Surgical Technique | 5

PORTFOLIO MENIX® Menlscal suture system with anchorsReference Description MEN0201902 MENIX® Meniscal suture system with one anchor MEN0201901 MENIX® Duo Meniscal suture system with two anchors Non-absorbable sutures HS FIBER* Reference Description HS286 Passing Loop Suture Tape - WHITE/BLUE - 1.4 mm - Non-needled - L 60 cm (3 cm loop Size) HS287 Passing Loop Suture Tape - BLUE - 1.4 mm - Non-needled - L 60 cm (3 cm loop Size) *Additional non-absorbable sutures recommended for meniscus repair. 6 | MENIX® Duo Surgical Technique

MENIX® Complete instrumentation set References MENIX® Portal skid MENIX® Suture cutter MENIX® 90 degree arthroscopic probe MENIX® Knot pusher MENIX® Twister MENIX® Arthroscopic scissors MENIX® Rasp Reusable instrumentation Carefully read the instructions on the package leaflet that accompanies the medical device or on the label given to the healthcare provider. MENIX® and MENIX® Duo: class IIb medical device. MENIX® Instrumentation: class I medical devices. Manufacturer: S.B.M. SAS HS FIBER sutures: class IIb medical device. Manufacturer: RIVERPOINT - Distributor: S.B.M. SAS Ref.: MGMENTOEN02_0426...

S.B.M. SAS ZI du Monge, 65100 Lourdes, FRANCE 383 791 118 R.C.S Tarbes Tel : (+33) 5 62 42 32 12 www.scienceandbiomaterials.com French manufacturer