FLAT SUTURE AND BIOABSORBABLE ANCHORS Rotator cuff repair

OSTEOCONDUCTIVE, BIOABSORBABLE AND VERY STRONG… FIXIT® is a line of ready-to-use anchors for tendinous tissue fixation in arthroscopic rotator cuff repair. Available in three different sizes and two versions : either with sutures or knotless. The system was designed to be quick and easy-to-use. The osteoconductive and bioabsorbable anchors are made exclusively of Duosorb® biocomposite material. They offer remarkable mechanical performances, when compared with other bioabsorbable anchors on the market2. The FIXIT® system promotes bone healing and facilitates revision surgery. This adaptable high...

... FOR ALL YOUR TECHNIQUES Easy insertion, High pull-out strength Available from size 4.5 mm Bioabsorbable threaded anchor Optimal adherence Side marks on each side (Suture orientation) Atraumatic threading Granules visible under arthroscopy Easy insertion Insertion depth mark Pre-loaded anchor Thread designed for optimal locking in end-position in cortical bone Buried eyelet Composed of a bioabsorbable anchor and two UHMWPE sutures, the system is pre-loaded on a disposable screwdriver which allows a quick and reproducible fixation. Smooth handling High strength POWERTEX® sutures are USP #2...

FIXIT® KNOTLESS ► Accomodates up to 4 suture strands ► Optimal tension maintained suture Reusable FIXIT® Knotless screwdriver Atraumatic threading Accommodates up to 4 suture strands Granules visible under arthroscopy Easy insertion Optimal suture retention Insertion depth mark Thread designed for optimal locking in end-position in cortical bone FIXIT” KNOTLESS is a bioabsorbable threaded anchor which allows a quick and easy reproducible implantation while maintaining optimal tension. ROTATOR CUFF REPAIR Surgical Technique

POWERTAPE®: Nonabsorbable flat suture The POWERTAPE® suture is made of polyethylene with a flat central portion that resembles a tape. This flat part helps better distribute the forces exerted on the tissues while guaranteeing their integrity. Total length: 99 cm Width of tape: 2 mm Length of tape: 19 cm COMPARISON WITH OTHERDES BRANDS ON1 THE MARKET 1 COMPARAISON MARQUES 900 Market leader Market leader Knot strength Résistance au noeud Linear strength Résistance linéaire A Comparative Analysis of SutureTape™ Braid. Construction and Mechanical Strength Performance. ROTATOR CUFF REPAIR Surgical...

PREREQUISITES Incision. Assess the type of shoulder injury. Arthroscopic evaluation. Clean the humeral head with a shaver. Drill a pilot-hole with the punch tap corresponding to the anchor size (punch tap 4.5 for anchor Ø 4.5; 5.5 for anchor Ø 5.5 and 6.5) then tap until the mark is inserted inside the bone. Note: When the bone is dense, tap successively several times to properly shape the pilot-hole. Remove the punch tap and insert a FIXIT® anchor up to the mark. Two Unlock the sutures from the screwdriver handle and pull out the screwdriver slowly. The sutures are now free. vertical marks are...

With the punch tap corresponding to the anchor size, mallet until the 1st thread on the punch tap is flush with the bone surface then tap until the laser mark is inserted inside the bone. Create a medial anchoring row by using two FIXIT® anchors. Pass the sutures through the cuff and tie knots. Note: When the bone is dense, tap successively several times to properly shape the pilot-hole. PREPARE THE FIXIT® KNOTLESS SCREWDRIVER Metal T-handle Handle Remove the anchor from the implant holder and place it on the FIXIT® Knotless screwdriver. Unscrew the metal T-handle by turning it clockwise until...

INITIAL ANCHOR INSERTION - TENSIONING THE SUTURES 2 While maintaining the same angle of insertion as the pilot-hole, push the nose of the anchor in the pilot-hole, then screw the implant a quarter of a turn by turning the screwdriver handle clockwise. Pass the screwdriver carrying the anchor through the lateral portal and position the anchor facing the pilot hole. FINALIZING THE INSERTION OF THE ANCHOR Finalize the insertion of the anchor by screwing in up to the mark, while maintaining the metal T-handle still and applying a pushing force on it. Careful : Apply maximum tension at that point,...

SINGLE ROW (SIMPLE TENSION BAND) SINGLE ROW 1 to 3 lateral tension bands Anchors implanted on the lateral face of the trochiter U-shaped sutures on the tendon PASS THE POWERTAPE® THROUGH THE CUFF Incision. Assess the type of shoulder injury. Arthroscopic evaluation. Clean the humeral head with a shaver. Pass one POWERTAPE® through two distinct points of the cuff. PREPARE THE FIXIT® KNOTLESS SCREWDRIVER T-handle Handle With the punch tap corresponding to the anchor size, mallet until the 1st thread on the punch tap is flush with the bone surface then tap until the laser mark is inserted inside...

PLACE THE IMPLANT ON THE SCREWDRIVER Pass the suture retriever pin (included in the instrumentation set) through the screwdriver so that the loop protrudes from the distal extremity of the anchor. Remove the anchor from its holder and place it on the FIXIT® Knotless screwdriver. PASS THE SUTURE THROUGH THE SCREWDRIVER Pass only a few centimeters of the two POWERTAPE® suture ends through the loop of the suture retriever pin and pull until the sutures traverse both the anchor and FIXIT® Knotless screwdriver. PASS THE SUTURE RETRIEVER PIN ANCHOR POSITIONNING TENSIONING OF FLAT SUTURES Pass the screwdriver...

SINGLE ROW Repeat these steps for as many tension bands as the type of lesion requires. Advantages of this technique : ► Only one anchor is required ► Anatomical fixation at the natural insertion of the rotator cuff ► Minimal shearing of tissues with POWERTAPE® ► Improved interference fixation stability 1 1 S.B.M. internal mechanical tests ROTATOR CUFF REPAIR Surgical Technique

FIXIT® Instruments FIXIT® - 1st + 2nd row with automatic grasper complete instrumentation set - EPA9000004 FIXIT® / ecoFIX® punch tap - Ø 4.5 mm For ø 4.5 anchor - EPA9000240 (green ring) FIXIT® / ecoFIX® punch tap - Ø 5.5 mm and 6.5 mm For ø 5.5 (yellow ring) and ø 6.5 (red ring) EPA9000241 Suture Manipulator Grasper 601200BS Sliding Suture Cutter 231200BS Clever Hook Right 328332BS FIXIT® / ecoFIX® mallet EPA9000247 Clever Hook Left 328342BS ROTATOR CUFF REPAIR Surgica