acufex meniscal repair system

Frosch KH, Fuchs M, Losch A, Sturmer KM. 34. Search for used meniscus repair. My Blog acufex meniscal stitcher set Remove needle and pass the Arrow through the cannula by using the blunt obturator. 2012 Jun;20(2):101-5. doi: 10.1097/JSA.0b013e3182515d79. Quinby JS, Golish SR, Hart JA, Diduch DR. All-inside meniscal repair using a new flexible, tensionable device. Use the needle catcher to guide needles away from neurovascular structures. Zone 0 is the meniscosynovial junction. Anatomic ACL Reconstruction is a new interactive technique guide, that will review the latest innovations in anatomic ACL reconstructions. view more. Tap the Arrow in place with a mallet. view more, Acufex 013351 Orthopedic Surgical Driver. Complete knotless fixation of the sutures with the 4.75 mm PEEK SwiveLock anchor. One disadvantage of the barbed devices is their relatively low pullout strength compared with vertical mattress suture repair in cadaver and porcine menisci. 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. A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. 3-7A, B). Failure strengths of different meniscal suturing techniques. Instructional Brochure, 2000, 13 Dervin G, Downing K, Keene G, McBride D. Failure strengths of suture vs. biodegradable arrow for meniscal repair: an in vitro study. Moatshe G, Cinque ME, Godin JA, Vap AR, Chahla J, LaPrade RF. The AS Meniscal Repair Device has improved my operative efficiency by delivering a high level of reliability and success., Covidien is setting new standards for consistency and reliability with this innovative, new design, said Peter Marshall, Director of R&D, Covidien. An alternative depth limiter (white plastic sheath) is also available that can be modified or trimmed according to tear morphology. Wolters Kluwer Health Tsai AM, McAllister DR, Chow S, Young CR, Hame SL. 16. FOIA Any meniscal repair system needs to deliver high-strength fixation in order to optimize the biologic healing potential, said Bryan M. Huber, MD, Board Certified Orthopedic Surgeon at Mansfield Orthopaedics in Stowe, Vermont. (B) Delivery of first implant. MeSH Bethesda, MD 20894, Web Policies Circular saw blade WOOD UNIVERSAL HW 260x2,5x30 SMITHCO SX2 LEAD Laprell H, Stein V, Petersen W. Arthroscopic all-inside meniscus repair using a new refixation device: a prospective study. Dimensions l x w x h (inches): 54 x 16 x 78 | Weight (lb): 620 | Showroom aisle: 004 | Showroom Commercial Body Solid EXM 3000LPS Multi Gym CLAIMS . Clinical evaluations of these devices consisted largely of case series. (B) The fastener is loaded onto a delivery needle. Patient outcomes following T-Fix meniscal repair and a modifiable, progressive rehabilitation program, a retrospective study. Cruz-Lpez F, Trueba C, Almazn A, Sierra L, Francisco P, Villalobos-Cordova E, Ibarra C. Sports Med Arthrosc Rev. The operating surgeon should be prepared to perform several meniscal repair techniques including all-inside and traditional, suture-based repairs. Hechtman and Uribe. From the *University of California, San Francisco School of Medicine; and the University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco, CA. Arthroscopy 1999;15:770772, 17 Anderson K, Marx R, Hannafin J, Warren R. Chondral injury following meniscal repair with biodegradable arrow. how long can you live with a coiled aneurysm? The Mitek meniscus fastener is a double T-shaped device (polypropylene or PLA) that is delivered via a loaded needle and gun system. The device with the longest average followup is the meniscus arrow with Lee and Diduch27 reporting an average followup of 79.2 months. Hurel C, Mertens F, Verdonk R. Biofix resorbable meniscus arrow for meniscal ruptures: results of a 1-year follow-up. See Guidelines for Authors for a complete description of levels of evidence. Buy electronics, fashion apparel, collectibles, sporting goods, digital cameras, baby items, and everything else from Korean eBay sellers Sound Level, Db Barber FA, Johnson DH, Halbrecht JL. Needles are available in two configurations, curved and straight, to meet surgeons diverse repair needs. Linvatec Zone Specific II Meniscal Repair System. hellcat vs p938; simple small front yard landscaping ideas low maintenance; jenny's super stretchy bind off in the round; senate democratic media center Choose a Specification Clinical failure rates of available all-inside devices range from 0 to 43.5%. For application, measure the distance across the meniscus tear. Success rates may differ according to the size and location of the lesions. 33. 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. (B) The red safety trigger is depressed, and then the main trigger is pressed to deliver the dart across the tear. Clin Sports Med 1991;10:529547. Request PDF | Proximity of the Neurovascular Bundle During Posterior-Lateral Meniscal Repair: A Comparison of the Transpatellar, Anteromedial, and Anterolateral Portals | Purpose: To compare the . The lack of randomized controlled studies does not allow us to make any definitive suggestions on the use of various all-inside meniscal repair devices. Manufacturer: Body Solid. Year of Manufacture. Thirty-one clinical manuscripts were identified that studied the following all-inside meniscus repair devices: the meniscus arrow,1,2,13,16,19,20,24,25,27,29,33,35,36,38 T-Fix (Acufex Microsurgical, Inc, Mansfield, MA)4,9,10,14,21,38 and FasT-Fix (Smith & Nephew Endoscopy, Boston, MA)17,23 devices, the meniscus screw,11,15,18,37 the Biostinger (Linvatec, Largo, FL),6,8 the RapidLoc (DePuy Mitek, Norwood, MA) device,18,31 a meniscal repair system26 and a meniscal stapler.28 The most studied device was the meniscus arrow with 14 studies looking at clinical outcomes. Article Title: Arthroscopic Meniscal Repair With Second-Generation Platelet-Rich Fibrin Clot Augmentation Journal: Arthroscopy Techniques doi: 10.1016/j.eats.2022.05.001 The failure rates ranged from 0 to 43.5%. Arthroscopic meniscal repair using the BioStinger. Frequency (Hz) This chapter summarizes the form and mechanism of action of selected meniscus repair devices and demonstrates their surgical applications. 0 . From this initial search we were able to narrow our search using the following MESH headings: (meniscus) AND (arrow OR t-fix OR fasT-fix OR screw OR biostinger OR staple OR mitek OR biostinger OR tack). Shop by category. Meniscus arrows, by far the most studied device, had a failure rate between 5% to 43.5%. SECTION I: SYMPOSIUM: Evidence-based Medicine in Sports Medicine, Demographic Data for All-inside Devices Included in Systematic Review, Results of Clinical Studies for All-inside Devices Included in Systematic Review. We presumed all-inside meniscal repair devices would have equal failure rates that would increase with longer followups. 2006 Dec;18(5-6):411-23. doi: 10.1007/s00064-006-1186-y. Kocabey Y, Nyland J, Isbell WM, Caborn DN. Some error has occurred while processing your request. Accessibility National Library of Medicine Next, insert the cannula and obturator into the joint through the anteromedial or anterolateral portal, according to tear morphology and location. A running program (treadmill) is employed at about 4 months. Unable to load your collection due to an error, Unable to load your delegates due to an error. Background:The cross-sectional area (CSA) of the anterior cruciate ligament (ACL) and reconstructed graft has direct implications on its strength and knee function. In addition a lateral meniscal repair is described using Smith and Nephew's FastFix 360 system and coblation of the retropatellar articular cartilage. After visual assessment, probe the tear and measure for proper Arrow length. Scott GA, Jolly BL, Henning CE. Operative Arthroscopy, 2nd ed. Tip Diameter To assess the vascularity of a tear, the tourniquet (if applied) should be deflated. Repair of meniscus tears in ACL-deficient knees has a much higher failure rate than patients undergoing meniscal repair with stable knees. Instrument Sets (178), Individual Pieces (7721), Knee/Leg Holders & Positioners (47), Shoulder Holders & Positioners (14), Arm/Elbow/Hand (5), Hip (9), Ankle (2), Pre-Owned Clark Sockets/Clamps (5), Other (8), Repair & Loaner Program/Trade-Ins (), Hip (7), Plates (21), Spinal (17), Staples (15), Screws (35), Wires/Cables/Pins (36), Other (52), Awls (24), Calipers (3), Cannulas (22), Chisels (21), Clamps (36), Curettes (31), Cutters (28), Dilators (6), Distractors (8), Drill Bits (134), Drivers/Inserters (92), Elevators (45), Extractors (68), Forceps (122), Gauges/Measuring Devices (38), Gouges (28), Guides (152), Guide Wires (24), Hooks (28), Impactors (30), Mallets (25), Obturators/Trocars (33), Organization & Storage (46), Osteotomes (61), Pliers (27), Probes (12), Punches (38), Rasps/Files (31), Reamers (45), Retractors (323), Rongeurs (32), Rush Instruments (8), Screwdrivers (82), Scissors (15), Skids (6), Slap Hammers (15), Spreaders (15), Suture Instruments (14), Tensioners/Tighteners (18), Tamps (8), Taps (39), Trephines (22), Wrenches (32), Other (233), Spinal Frames & Pads (5), Instruments (115), Zimmer ATS (9), Kidde (1), Instrumed/Stryker (1), DePuy/Stille/Scandmed (2), Inflomatic (3), Instaflate (1), Medi-Quet (1), ElectroMedics (1), Smith & Nephew (1), Repair & Loaner Program (), Adapters/Accessories (16), 3M (14), Aesculap (1), Codman (8), Dyonics (3), MicroAire (6), Rodal (7), Stryker (36), Surgiquip (2), Zimmer/Hall/Linvatec (27), Other (5), Dermatome Blades / Graft Carriers (5), Sterilization Trays/Cases ( Arthroscopy. (From Mitek Meniscal Repair System Instructional Brochure, 2000. Common signs of a meniscus tear include joint line tenderness, effusion, lack of knee extension, positive McMurray test, and patient apprehension noted with hyperflexion of the affected knee. Insert the cannula into the joint with the obturator in. There should be a vascular bed on the synovial side of the tear. The remaining devices had either one or two studies looking at clinical outcomes. Blue Bell, PA: Bionix, 1998, 9 Albrecht-Olson P, Lind T, Kristensen G, Falkenberg B. There have been many advances in meniscal repair since Thomas Annandale performed the first meniscus repair in 1883.3 Historically, a total meniscectomy was the primary treatment for a torn meniscus, but a better understanding of the function of the meniscus has led to the development of new meniscus-preserving interventions. We did not search EMBASE or other databases. Dr. Cassandra Lee completes an all-soft tissue quadriceps tendon ACL reconstruction featuring the Smith+Nephew ULTRABUTTON QUAD and Ultrabutton TIB Devices. Summary: This investigation documented the locations of endoscopically applied T-Fix suture devices (Acufex Microsurgical, Mansfield, MA) placed in si Use the ergonomic handle to advance and retract 2-0 SutureTape with meniscal repair needles in 1 cm increments. Koukoulias N, Papastergiou S, Kazakos K, Poulios G, Parisis K. Clinical results of meniscus repair with the meniscus arrow: a 4- to 8-year follow-up study. 27. Combined posterior incision and arthroscopic intra-articular repair of the meniscus: an examination of factors affecting healing. As our understanding of meniscus function has improved, it is now thought many torn menisci can and should be repaired. In tears where the vascularity is not readily obvious, clinical judgment must be made as to the appropriateness of the tear for repair. CE Mark Al-Othman AA. Andover, MA: Smith and Nephew, 2001.). Arthroscopy 2000;16:E17, 20 Kumar A, Malhan K, Roberts SN. Body Solid EXM3000LPS Home Gym -2 Stack Multi Gym. For the meniscus arrows, Gill and Diduch16 presented an initial clinical success rate of 91% at a mean followup of 2.3 years that dropped to a 71% success rate at 6.6 years.27 However, when grouping the studies regarding the length of followup, all-inside meniscus devices have a failure rate of 10%, 18%, 12% and 15% for followup periods of 0-1 years, 1-2 years, 2-3 years and greater than 3 years. Tekyard Medical closeout auctions take place on DOTmed.com. The new device, designed for intuitive use, works with only one thumb slide actuation and no complex components. Injury of the anterior cruciate ligament (ACL) can lead to knee instability associated with damage to other knee structures and the increased risk of degenerative joint disease.This has led to the frequent use of intra-articular tissue grafts for ACL reconstruction tissue grafts for ACL reconstruction Potential market for new meniscus repair strategies: evaluation of the MOON cohort. Arthroscopic techniques include inside-out repairs, outside-in repairs, and all-inside repairs. Arthroscopy 2001;17:439444, 6 Coen M, Caborn D, Urban W, Nyland J, Johnson D. An anatomic evaluation of T-fix suture device placement for arthroscopic all-inside meniscal repair. This scatter chart shows the trend of increasing failure rates with longer followup for the meniscus arrow. Tears can only be repaired if they are not deformed and easily reducible. Tears with a 3 to 5 mm rim range and no definitive sign of vascularity should be repaired based on the physicians clinical judgment. Arthroscopy 2000;16:749753, 18 Ross G, Grabill J, McDevitt E. Chondral injury after meniscal repair with bioabsorbable arrows. Penetrate the tissue with the delivery needle until the collar abuts the tissue. The Global Unique Device Identification Database (GUDID) contains key device identification information submitted to the FDA about medical devices that have Unique Device Identifiers (UDI). official website and that any information you provide is encrypted Anteroposterior, lateral, Merchants, and intercondylar notch radiographs should be performed to rule out other joint derangements. Knee flexion and weight bearing are advanced as tolerated after 4 weeks. Enter your search keyword. 5. Tears within this zone are known as red-on-red tears, where both sides of the tear are vascular. The concave, curved retractor efficiently retracts tissue and directs the needles for easy retrieval. If a substantial portion of the tip can be palpated, use a 10 mm Arrow. Prospective comparison of arthroscopic medial meniscal repair technique: inside-out suture versus entirely arthroscopic arrows. This scatter chart shows the trend of increasing failure rates with longer followup for the T-fix device. 28. Each of these 31 articles was reviewed independently by two authors (JL and CBM) who separately extracted data on the following categories: number of meniscal tear repairs, average patient age, meniscal tear characteristics (length, zone, type, medial versus lateral tear), simultaneous ACL repair, average followup, percent failures, definition of failure and level of evidence of articles. The basic method of repair and our approach to these different types of tears is presented. Shop by category. united methodist church global methodist. Asik M, Sener N. Failure strength of repair devices versus meniscus suturing techniques. A complete system for meniscal root repair includes the meniscal root marking hooks, the Knee Scorpion suture passer, and meniscal root repair kit with PEEK SwiveLock anchor. For all other tears place the first Arrow in the center of the tear initially. Covidien has announced the launch of the AS Meniscal Repair Device which the company says enables orthopedic surgeons to perform all-inside, minimally invasive arthroscopic surgery to repair a torn meniscus in the knee using what it calls the gold standard all-suture method of fixation. The end result is a single loop of suture with a clever self-locking knot on the meniscal surface. The T-fix technique for endoscopic meniscus repair: technique, complications, and preliminary results. It also serves to stop small cartilage fragments from flaking off are causing a reactive effusion. The over-the-back marking hook sits securely over the back of the tibia to allow stable . Recorded at: ESSKA Congress It is ideal for the central posterior horn tears that are difficult using conventional techniques. Albrecht-Olsen P, Kristensen G, Burgaard P, Joergensen U, Toerholm C. The arrow versus horizontal suture in arthroscopic meniscus repair: a prospective randomized study with arthroscopic evaluation. Limited weight bearing, with two crutches, is employed over the first 4 weeks. (C) Intraoperative photo of the repair device approximating the tear. Again, a bleeding surface should be readily visible on the synovial side of the tear. The incidence of healing in arthroscopic meniscal repairs in anterior cruciate ligament-reconstructed knees versus stable knees. This introduces bias because previous studies have reported substantial increases in success rates of meniscal repairs performed concomitantly with ACL reconstruction, compared to isolated meniscal repairs.12 For this review, studies ranged from 5% to 100%14,16 of the meniscal repairs performed in conjunction with an ACL reconstruction. Sarimo J, Rantanen J, Tarvainen T, Harkonen M, Orava S. Evaluation of the second-generation meniscus arrow in the fixation of bucket-handle tears in the vascular area of the meniscus: a prospective study of 20 patients with a mean follow-up of 26 months. Insert the sheath onto the driver opposite the end of the points and together slide into the front end of the barrel until seated. 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 . It is made of PLA and is delivered via a flexible square nitinol needle-tipped driver. Lastly, clinical studies were gathered using a PubMed search and additional information was found through cross-referencing. Featured: - FIRSTPASS MINI Family of Suture Passers- NOVOSTITCH PRO Meniscal Repair System- FAST-FIX 360 Meniscal Repair SystemIncluded in portfolio image: -. Lee GP, Diduch DR. We are sorry but you must be a DOTmed user to save searches. Picture 1 of 6. For more information, please refer to our Privacy Policy. Distance From Tip To Bend ZRG Medical closeout auctions take place on DOTmed.com. All-inside meniscus repairs are becoming more common with the invention of meniscal arrows, darts, screws, staples, and other suture devices. Release the triggers and turn the knob until tight. The decision to proceed with meniscal repair should be based on arthroscopic findings (tissue quality, vascularity). Quantity Am J Sports Med. Repair of meniscal tears with the absorbable Clearfix screw: results after 1-3 years. - We are temporarily unable to ship medical products to the state of California. Sold as pictured. (C) First implant and tensioned suture construct after release. Copyright 2014 BMT Medical Devices. Available in two styles: Catalog #. The surfaces of the tear should be freshened with a meniscal rasp or small-diameter shaver. Remove the driver, and the screw will remain in place. We also found no substantial differences in failure rates with length of followup. From basic science and clinical outcome studies, a tear in the red-red zone has higher healing potential than a tear in the white-white zone because of the limited vascularity in this area.12,34 All of these variables are not accounted for when comparing different clinical studies.

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