acufex meniscal repair system

Background:A bridge-enhanced anterior cruciate ligament (ACL) repair (BEAR) procedure places an extracellular matrix implant, combined with autologous whole blood, in the gap between the torn ends . In his presentation he covers the biomechanics of the meniscus, indications for this technique and meniscal repair, complications that may occur and how to avoid them, technique and he presents outcome data from this technique. A torn meniscus is one of the most common injuries to the knee with reportedly more than 840,000 injury-related procedures performed annually in the United States, albeit most of these will be meniscectomies rather than repairs. We note several limitations. Fetzer GB, Spindler KP, Amendola A, Andrish JT, Bergfeld JA, Dunn WR, Flanigan DC, Jones M, Kaeding CC, Marx RG, Matava MJ, McCarty EC, Parker RD, Wolcott M, Vidal A, Wolf BR, Wright RW. Open techniques are infrequently used because arthroscopic approaches to meniscus repair have reduced the risks associated with open surgery, led to shorter operating times, and enabled surgeons to repair portions of the meniscus which were difficult to reach with an open approach. Consequently, the repair of certain types of meniscus tears is theoretically preferable to partial meniscus excision. This scatter chart shows the trend of increasing failure rates with longer followup for the meniscus arrow. With the development of a plethora of all-inside meniscal repair devices touting simpler surgical techniques, shorter surgical times, and reduced surgical risk, the clinician has more devices at his disposal to repair tears previously thought irreparable. Data is temporarily unavailable. If a substantial portion of the tip can be palpated, use a 10 mm Arrow. The entire superior surface of the lateral meniscus is typically visible. The patient may unlock the brace while sitting. Clin Sports Med 1991;10:529547, 2 DeHaven K. Meniscus repair. Barber FA, Coons DA. 1. For example, some studies look at meniscal repairs occurring in a knee with concurrent ACL reconstruction. Cannulas attach to the handle to efficiently target specific zones of the meniscus. The point-to-point guide allows surgeons to directly target their drill location at the meniscal root footprint. Quinby JS, Golish SR, Hart JA, Diduch DR. All-inside meniscal repair using a new flexible, tensionable device. Probes are marked at 10, 12, and 14 mm. Bid today on 246 lots of medical equipment. Designed to freshen the edge of the meniscal tear prior to repair. Tubing 11. A computer system, comprising: a computer processor; and a non-transitory computer-readable storage medium storing processor-executable instruction that, when executed by the processor, cause the processor to perform a method of determining a condition of a tissue of a patient, the method comprising: determining, using a first trained statistical classifier, a . Device failure for all of the all-inside meniscus repair devices ranged from 0% to 43.5% 28,38 ( Table 2 ). Arthroscopic pull-out suture repair of posterior root tear of the medial meniscus: radiographic and clinical results with a 2-year follow-up. As such, the preservation of meniscal function is critical to long-term knee function. Sound Level, Db Remove needle and pass the Arrow through the cannula by using the blunt obturator. Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country. Common symptoms of meniscus tear include knee pain, catching, locking, giving way, and swelling. Reduce the tear with the needle and advance the screw by carefully turning the driver knob counterclockwise. BR9305860A - Aparelho e processo para a fixao de sutura - Google Patents 3-7A, B). In the USA contact: fda.gov Each author certifies that he has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Higher Physiologic Platelet Counts in Whole Blood Are Not Associated Operative Arthroscopy, 2nd ed. The remaining all-inside meniscal repair devices are listed along with failure rates (according to available clinical studies): meniscal stapler (0% failure rate), Biostinger (5- 9% failure rate), FasT-Fix (10-14% failure rate), Mitek Meniscal Repair System (13.5% failure rate), meniscus screw (10-25% failure rate), RapidLoc device (9-35%) and T-Fix (2-43% failure rate). Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. may email you for journal alerts and information, but is committed STRYKER 67-80MM ACETABULAR REAMERS SET TRAY. Business & Industrial; Agriculture & Forestry; Construction; Electrical & Test Equipment; Fuel & Energy; Healthcare, Lab & Life Science; Dental; Imaging & Aesthetics . All-inside meniscus repair techniques were designed to eliminate the potential risks and morbidity of the inside-out and outside-in repair methods, such as nerve injury, and the need for additional knee incisions. Branch offices at Vijayawada, Vizag, and Tirupathi for effective coverage of territory Our principals are smith & nephew, Adler, Eucare, DOU, TriCell Bio, Star, etc. My Blog acufex meniscal stitcher set Before Wolters Kluwer Health Picture 1 of 6. Nonetheless the meniscal repair market, which dates back a long way, but probably started in anger with the Acufex system of the early nineties, continues to grow. The operating surgeon should be prepared to perform several meniscal repair techniques including all-inside and traditional, suture-based repairs. 34. Two-year follow-up of meniscal repair using a bioabsorbable arrow. Blue Bell, PA: Bionix, 1998, 9 Albrecht-Olson P, Lind T, Kristensen G, Falkenberg B. Little is known regarding how th. 15. Remove the obturator and grab the central portion of the tear with the top teeth of the cannula or stilt on the straight cannula. Rimmer MG, Nawana NS, Keene GC, Pearcy MJ. 2014 Jan;42(1):194-9. doi: 10.1177/0363546513505190. The entire inferior surface of both medial and lateral menisci extending to the meniscosynovial junction is evaluated. You can drill independent and diverging bone tunnels on the femoral and tibial side of the knee joint with consistent, reproducible separation. Our e-learning platform contains high resolution images and a certified CME of the Meniscal repair using Smith and Nephew fast-fix 360 system and knee arthroscopy surgical procedure. Because numerous all-inside meniscal repair devices have been developed, a review of their failure rates was undertaken to assist the clinician in choosing such a device. Kind Of Pump In general, tears repaired with all-inside devices were longitudinal, vertical tears greater than 10 mm (Table 1). Please contact me with any questions. Central, avascular meniscus tears have poor prognosis for healing. Submit a, ACUFEX 013382 SURETAC and TAG Systems Shoulder Accessory Kit For Sale, ACUFEX 013351 Suretac Surgical Driver For Sale, Access and use of this site is subject to the terms and conditions of our. The end result is a single loop of suture with a clever self-locking knot on the meniscal surface. Tears with a 3 to 5 mm rim range and no definitive sign of vascularity should be repaired based on the physicians clinical judgment. National Library of Medicine 8. In: McGinty J, Caspan R, Jackson R, et al., eds. See Guidelines for Authors for a complete description of levels of evidence. 7. Find many great new & used options and get the best deals for Linvatec Zone Specific II Meniscal Repair System at the best online prices at eBay! polymer bars and a zero polyester nonabsorbable suture that has a pre-tied sliding knot that can be tensioned with arthroscopic assistance. 3-6-584/F, Near Sai Baba Temple Lane, Prospective comparison of arthroscopic medial meniscal repair technique: inside-out suture versus entirely arthroscopic arrows. To more fully evaluate a tear of the superior surface of the medial meniscus, a posteromedial portal or a 70-degree arthroscope placed through the intercondylar notch can be used. After probing the tear, select the appropriate curved or straight insertion sheath that will allow perpendicular placement of the Dart. Potential market for new meniscus repair strategies: evaluation of the MOON cohort. Find many great new & used options and get the best deals for Acufex Meniscal Stitcher at the best online prices at eBay! New In Box . Clinical Orthopaedics and Related Research, Get new journal Tables of Contents sent right to your email inbox, The Association of Bone and Joint Surgeons, All-inside Meniscus Repair: A Systematic Review, Articles in Google Scholar by Jesus Lozano, BS, Other articles in this journal by Jesus Lozano, BS, Privacy Policy (Updated December 15, 2022). In addition a lateral meniscal repair is described using Smith and Nephew's FastFix 360 system and coblation of the retropatellar articular cartilage. Attach the sheath to the front of the Dart gun handle; pull back the T section until a click is heard. 38. (From Caborn D. Illustrated Guide for the FasT-Fix Meniscal Suture System. Barrett GR, Treacy SH, Ruff CG. Arthroscopic meniscal repair using the BioStinger. For all other tears place the first Arrow in the center of the tear initially. Given the paucity of randomized controlled studies comparing different all-inside meniscal repairs, no definite conclusions can be made regarding the difference in clinical outcomes of various all-inside meniscal repair devices. According to Warrens zone system for the classification of meniscal tears. Kohn D, Siebert W. Meniscus suture techniques: a comparative biomechanical cadaver study. Not for use with plastic cannulae. Perpendicular repair is critical to achieve the necessary engagement of the devices barbs. This device is developed for all-inside meniscal suture. J Knee Surg. Institution: The Worcestershire Acute NHS Trusts, Uk. Smith And Nephew Endoscopy - Smith And Nephew Footprint Ultra PK Review of the clinical results of arthroscopic meniscal repair. Available in two styles: Catalog #. An official website of the United States government. The low-profile Knee Scorpion instrument simplifies suture passing in tight recesses of the knee. In the UK contact: gov.uk All rights reserved. Laprell H, Stein V, Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. . Tears can only be repaired if they are not deformed and easily reducible. Reduce the tear and maintain the position of the cannula with the flat dimension of the cannula parallel to the joint line. Bionx Meniscus Arrow Inserter Kotsovolos ES, Hantes ME, Mastrokalos DS, Lorbach O, Paessler HH. The device with the longest average followup is the meniscus arrow with Lee and Diduch27 reporting an average followup of 79.2 months. This package includes a(n) (2) Adjustable Incline Bench, For warranty information please visit our FAQ page. Meniscus arrows, by far the most studied device, had a failure rate between 5% to 43.5%.24,38 Though at first glance this may seem like a very high failure rate, it is worth noticing more than half of these studies had a failure rate less than 15%. S/N 28. The second and third most popular studied devices included the T-Fix and the meniscal screw, which respectively had six and four clinical studies apiece. The surfaces of the tear should be freshened with a meniscal rasp or small-diameter shaver. We are distributor of medical Devices. Auction Alert - Live Now: ZRG Medical Surplus Auctions March 10th, Auction Alert - Live Now: Tekyard Medical Surplus Auctions March 8th, Not finding the equipment you need? Coblation is a technique that uses radio-frequency to create highly-energised particular vibration to stabilise articular cartilage and prevent fissuring of the joint surface. Width ACUFEX Meniscal Root Repair (3) GMDN Term. Loose repair devices may detach from meniscal tissue. Insert additional Darts as needed in 5 mm increments. Manufacturer: Body Solid. Clearfix Meniscal Screw Surgical Technique Guide, 2001, 11 Barber F, Herbert M. Meniscal repair devices. The Bionix Meniscal Arrow is a sharp-tipped, barbed polylactic acid (PLA) device with a head. Based upon our review we cannot make any conclusions regarding which devices have the lowest failure rates. Deteriorating outcomes after meniscal repair using the Meniscus Arrow in knees undergoing concurrent anterior cruciate ligament reconstruction: increased failure rate with long-term follow-up. Patient outcomes following T-Fix meniscal repair and a modifiable, progressive rehabilitation program, a retrospective study. Release the triggers and turn the knob until tight. Generally, all-inside devices require simpler surgical techniques and shorter surgical times, and have reduced surgical risk because accessory incisions are not necessary. Figure 3-6 (A) The Clearfix screw is can nulated with a square hole that mates with the square nitinol needle on the driver. Maintain the cannula position and pass the driver-screw assembly through the cannula to the repair site. $1,299.99 + $96.05 shipping. Your message has been successfully sent to your colleague. Posterior horn tears are approached from the ipsilateral portal, and middle third and anterior tears are approached from the contralateral portal. Am J Sports Med. Business & Industrial; Agriculture & Forestry; Construction; Electrical & Test Equipment; Fuel & Energy; Healthcare, Lab & Life Science; Dental; Imaging & Aesthetics .