Bioknotless_锚钉

1、 1 2 产品描述 生物可吸收免打结锚钉 适应症 Bankart SLAP 操作线圈 Panacryl可吸收缝线 锲型锚钉 挤压固定 PLA 锚钉体 3 锚钉尺寸 9mm (length) 2.8mm (nose) 3.9mm (back edge) 4 锚钉尺寸 Operative Loop 25mm length of #1 Panacryl or Ethibond 5 Mouth - cutout - distal end of the Anchor Anchor Loop - #1 Panacryl/Ethibond suture loop attached to the Anchor

2、 (“Operative Loop”) Utility Loop - #2/0 Green/White ETHIBOND suture loop going through the Anchor Loop (“Shuttle System”) 6 打结的困惑 技术要求高 废时 穿线困难 拉软组织困难 滑结固定存在疑问 7 产品定位 产品定位 与带线锚钉竞争 提供坚强，稳固，可重复的修复 重新创造解剖 “Bumper” 8 侧卧位 9 BioKnotless is perfect for the repair of Bankart and SLAP Tears Bankart and SLAP

3、损伤 10 韧带前方观 Inferior Superior 11 手术位点的准备 组织剥离刀 创伤型/非创伤型 12 手术位点的准备 锉刀 - 20 Up & 20 Down 13 Bioknotless Instructions For Use: Step 1 钻孔 镊子 标记笔 VAPR 14 Bioknotless Instructions For Use: Step 2 2 Portal Technique 15 Bioknotless Instructions For Use Step 2 “Pull” the Utility Loop, dont push the anchor.

4、16 Bioknotless Instructions For Use Step 3 继续拉Utility Loop 直到看到 Operative Loop (Panacryl) 17 Bioknotless Instructions For Use Step 4 Bring the forks of the Anchor to the Operative Loop. 18 Bioknotless Instructions For Use Step 5 抓住Operative Loop的一股 19 Bioknotless Instructions For Use Step 6 把锚钉塞入钻孔中

5、， 把锚钉敲入孔中 20 Bioknotless Instructions For Use Step 7 继续操作，直到 “Bumper” 重新被创 造 始终用探针检查 松开植入手柄 (逆时 针) 移除Utility Suture. 21 Preferred Passing Method Mitek Suture Leaders 20 Straight 30 Right, Left 45 Right, Left 70 Right, Left 180 Right, Left 22 The Mitek “2 Device” Suture Management Technique Pearl Sut

6、ure Leader loaded with a strand of PROLENE Crochet Hook (for “hooking” the suture) 23 Bankart Pearls Dr. Larry Higgins 24 Ideal Suture Grasper 25 Ideal Suture Grasper -Grasp Utility Suture just behind the knot with the Grasper in the “Closed” position. -Move it into the Working Cannula. 26 Ideal Sut

7、ure Grasper -Pass the Utility Suture through the tissue until the knot is seen. 27 Ideal Suture Grasper -Move the Grasper to the “Open” position and release the suture. 28 Ideal Suture Grasper -Move the Grasper to the “Closed” position before removing it from the soft tissue. It will catch the tissu

8、e if the surgeon does not do this. -Pull the Utility Suture out of the opposite cannula and continue. 29 Alternative Passing Methods Linvatec Suture Punch Using 2/0 Prolene, 48” length 30 Alternative Passing Methods Inferior Cannula Superior Cannula Linvatec Suture Punch 31 Alternative Passing Metho

9、ds 32 Alternative Passing Methods Linvatec Spectrum 33 BioKnotless Insertion Video 34 SLAP Tears (Superior Labrum, Anterior, Posterior) 35 操作过程一样，除了套 管的入路. 对于前方SLAP tears, 交换前方两个入 路的角色. 对于后方SLAP tears, 需要一个外侧入 路. Inferior Superior Lateral SLAP Tears (Superior Labrum, Anterior, Posterior) 36 特性 & 好处 PLA 锚钉 无需打结 没有结 Arthroscopic Super Inst. 重新创造 “Bumper” Panacryl 没有金属 简化手术 Nothing sits Proud 没有新的工具 解剖修复 软组织愈合期保持80%的 拉力，然后逐渐降解 37 目标客户 主要是镜下技术熟练的医生 不是刚开始做关节镜的医生 竞争Tack 用户 (Suretac, Surgical Dynamics, Arthrex Tissue Tac, Bionix, etc.) 用竞争带线锚钉的做肩关节镜医生 那些因为打结困难放弃镜下修复的医生. 38 “The