ART 26 16.1 09/2015-E BioPlug 3.5 and 4.2 for use in reconstructive surgery including DVD Anterior Instability
BioPlug 3.5 and 4.2 for use in reconstructive surgery BioPlug 3.5 and 4.2 are resorbable suture anchors from KARL STORZ. These anchors are characterized, in particular, by their material, excellent fixation strength and their pullout resistance. BioPlug 4.2 has a drill hole of 3.7 mm, BioPlug 3.5 of 2.7 mm. The material is an amorphous stereocopolymer poly-(l-co-d,l-lactide) 70:30, which has already been used with great success in the Mega Fix -B and Mega Fix -P products. This special material, and thus the BioPlug 3.5 and 4.2, degrade (bio resorb) slowly and without any resorption reactions. It remains amorphous during the entire degradation process. The complete instrument set for use with the BioPlug is not only reusable but has also been produced in line with the accustomed KARL STORZ high quality standards, and thus meets even the toughest demands. The BioPlug 3.5 comes in a unique package already preloaded with the MegaFibre USP 2 thread. The MegaFibre is a non-absorbable suture composed of a unique, ultra-highmolecular-weight polyethylene fiber. It offers greater tensile strength than polyester and polyblend sutures as well as increased lubricity and superior knot break strength. The BioPlug 4.2 is supplied in sterile packaging and without thread. KARL STORZ is a partner of DVSE (German Association of Shoulder and Elbow Surgery) 2
Anatomic reconstruction of the labrum-capsule complex in the case of a Bankart lesion Diagram of a Bankart lesion. Tear of the middle glenohumeral ligament (MGHL) and of the anterior part of the inferior glenohumeral ligament (IGHL). Anterior-superior, anterior-inferior portal, positioned with the SPS system. Mobilization of the labrum-capsule complex with a sharp raspatory. Insertion of glenoid guide and drilling of implant site with drill 28179 TB (dia. 3.7 mm) for BioPlug 4.2 and drill 28179 TD (dia. 2.7 mm) for BioPlug 3.5. The implant site is drilled through the inferior cannula until the mark of the respective drill. 3
Insertion of the BioPlug 3.5 or 4.2 suture anchor through the inferior cannula. Removal of the inferior thread through the anterior-superior cannula. Penetration of the labrum-capsule complex with the suture hook and guiding out of the carrier thread through the anterior-inferior cannula. Extracorporeal knot tying with the anchor strand that has been pulled out previously. Pulling of the thread through the labrum-capsule complex. 4
Tying of an arthroscopic slip knot (e.g. outback). Insertion of the next BioPlug anchor and penetration of the labrum capsule complex with the carrier thread (as described above) Positioning of further BioPlug 3.5 or 4.2 anchor sutures. 5
How to use the package of the preloaded BioPlug 3.5 Open the primery sterile pouch and take the package out Hold it like it is shown in the picture. The blue triangle indicates where the BioPlug is located. The black arrow indicates the direction for the inserter Push the inserter (28179 TK) into the BioPlug 3.5 with the groove (retaining area for the thread) facing sideways. Push the inserter all the way onto the BioPlug 3.5. The anchor has to be flush on the inserter 6
Hold the package and just lift the inserter upwards. By tearing the paper starp on top you start to unwind the MegaFibre. Secure the MegaFibre thread by using the thread clips at the side of the handle. All BioPlug anchors are resorbable push anchors. Do not twist the Inserter in order to release him. This could damage the anchor. Pull the Inserter straight back. 7
28229 DS 28229 DS High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 6.5 mm, working length 13.5 cm, two stopcocks, rotatable, for use with HOPKINS Telescopes 0, 30, 70 and Obturators 28229 BC/BT 28229 BC Obturator, blunt, for use with Arthroscope Sheaths 28229 DS/S, color code: green-red-yellow 28229 BT Obturator, semisharp, for use with Arthroscope Sheaths 28229 DS/S, color code: green-red-yellow 28140 D Gasket Attachment, with cone, including Gasket 28140 GU for use with all arthroscope sheaths 28140 GU Gasket, for single use, unsterile, single-packaged, for use with Gasket Attachment 28140 D 28124 BX Changing Rod, length 23 cm, for use with arthroscope sheaths with inner diameter 4 mm 8
2870411 BP* BioPlug, bioresorbable suture anchor, diameter 4.2 mm, length 11 mm, sterile, for single use, for use with Inserter 28179 TI 2870310 BP* BioPlug, bioresorbable suture anchor, diameter 3.5 mm, length 10 mm, with one MegaFibre USP 2 suture, sterile, for single use, for use with Inserter 28179 TK * not for sale in the United States 28179 TB Drill, for preparation of the tunnel for suture anchor BioPlug 2870511 BP, with lasermarking for the depth of the drill hole, diameter 3.7 mm, length 15 cm 28179 TD Drill, for preparation of the tunnel for suture anchor BioPlug 2870310 BP, with lasermarking for the depth of the drill hole, diameter 2.7 mm, length 15 cm 28179 TI Inserter, with lateral thread guide and thread clip at the handle, working length 18 cm, for use with BioPlug 2870411 BP and 2870514 BP 28179 TK Inserter, with lateral thread guide and thread clip at the handle, working length 18 cm, for use with BioPlug 2870310 BP 28270 H Mallet, ergonomic handle, two plane faces, length 17 cm, color code: blue 9
28179 I Crochet Hook, working length 15 cm 28179 KP Knot Pusher, working length 18 cm NEW 2870356 KP Knot Pusher and Suture Cutter, for cutting sutures up to size USP 2 including: Insert and Blade Handle 2870356 SC Suture Cutter, for cutting sutures size USP 2 28179 GG Glenoid Guide, working length 12.5 cm, for use with BIOPLUG 2870411 BP, 2870310 BP and Drills 28179 TB/TD 10
28179 GH HALF PIPE long, working length 95 mm, for use with Obturator 28179 OB 28179 GK HALF PIPE short, working length 80 mm, for use with Obturator 28179 OB 28179 OB Obturator, for use with HALF PIPE 28179 GH/GK 28171 SGN SILGRASP Suture Grasper, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm 28171 AGN SILGRASP Alligator Grasping Forceps, surgical, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 12 cm 28171 AGSN SILGRASP Alligator Grasper, surgical, with ratchet, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 12 cm 28171 PGN SILGRASP Foreign Body Grasping Forceps, aggressive, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm 28171 PGSN SILGRASP Foreign Body Grasper, aggressive, with ratchet, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm 11
28179 BB Elevator, width 4 mm, 15 curved upwards, working length 15 cm 28179 BC Elevator, width 4 mm, 30 curved upwards, working length 15 cm 28179 CB Glenoid Rasp, width 5.5 mm, curved upwards 30, working length 15 cm 28179 CC S.L.A.P. Rasp, width 5.5 mm, curved upwards 30, working length 15 cm 12
28180 CB Elevator, width 4 mm, curved downwards 15, also curved downwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 28180 CC Elevator, width 4 mm, curved downwards 30, also curved downwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 28180 DC Glenoid Rasp, width 4.5 mm, curved upwards 30, also curved upwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 28180 CE S.L.A.P. Rasp, width 4.5 mm, curved downwards 30, also curved downwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 28180 CF Elevator, width 4 mm, curved downwards 15, blade turned 180, also curved downwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 28180 CJ Elevator, width 4 mm, curved downwards 30, blade turned 180, also curved downwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 28180 CL Rasp, for use as Glenoid or S.L.A.P. rasps, doublesided, width 4.5 mm, curved downwards 30, also curved downwards in sheath, working length 15 cm, for use with cannulas inner diameter 8.25 mm 13
Recommended Sets 28179 EB 28179 EO 28179 EC 28179 EP 28179 FB 28179 FO 28179 FC 28179 FP Positioning Needle Obturator Guide Wire Dilator 28179 DG 28179 OG 28179 SA/SB 28179 SC/SD 28179 DF Optional: The sets include Handle 28179 DH, which makes it easier to introduce Dilator 28179 DL. Transparent plastic cannulas for single use, sterile, package of 10, are available as an alternative to reusable cannulas. Threaded Cannulas 28179 SA-SD for single use are supplied unsterile. 14
Portal Systems for Shoulder Arthroscopy SPS Secure Portal System 28179 E Basic Set for SPS Secure Portal System including: Positioning Needle Obturator Guide Wire, package of 6 Dilator Handle, for Dilator 28179 DL Valve Housing Set of Gaskets, unsterile, package of 10 A workable instrument set requires the following supplementary sets: 1. For inner diameter 6.1 mm, working length 7 cm 28179 EB Handle, with integrated dilator 28179 EO Obturator, diameter 4 mm, for use with Handle 28179 EB 28179 SA Cannula, with thread, transparent, for single use 2. For inner diameter 6.1 mm, working length 8.5 cm 28179 EC Handle, with integrated dilator 28179 EP Obturator, diameter 4 mm, for use with Handle 28179 EC 28179 SB Cannula, with thread, transparent, for single use 3. For inner diameter 8.25 mm, working length 7 cm 28179 FB Handle, with integrated dilator 28179 FO Obturator, diameter 4 mm, for use with Handle 28179 FB 28179 SC Cannula, with thread, transparent, for single use 4. For inner diameter 8.25 mm, working length 8.5 cm 28179 FC Handle, with integrated dilator 28179 FP Obturator, diameter 4 mm, for use with Handle 28179 FC 28179 SD Cannula, with thread, transparent, for single use Optional: 28179 GS Set of Gaskets, 10x 2 sealing caps, sterile, for use with Valve Housing 28179 DG/OG 28179 GU Set of Gaskets, 10x 2 sealing caps, unsterile, for use with Valve Housing 28179 DG/OG 28179 OG Valve Housing, without LUER-Lock, for use with Cannulas and Set of Gaskets 28179 GU/GS 15
Suture Instruments 28179 HG Handle, for use with monofilament threads size USP 2-0 to 2, for use with Suture Attachments 28179 PA PH, 28728 NA NG and Wheel Attachment 28179 HR 28179 HR Wheel Attachment, for use with monofilament threads size USP 2-0 to 2, for use with Handle 28179 HG and Wheel 28179 R 28179 R Wheel, for use with monofilament threads size USP 2-0 to 2, for use with Wheel Attachment 28179 HR 28180 BG 28180 BG Suture Catcher, with inserter, sterile, package of 10, for use with Suture Attachments 28179 PA PH and 28728 NA NG, Wheel Attachment 28179 HR and Handle 28179 HG 28179 PA 28179 PA Suture Attachment, distal tip curved upwards, straight, 5 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 PB Suture Attachment, distal tip curved upwards, straight, 7 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 PC Suture Attachment, distal tip curved upwards, straight, 8 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 PD Suture Attachment, hook-shaped distal tip curved upwards, straight, 8 mm in height, working length 15 cm, for use with Handle 28179 HG 16
28179 PE/PF 28179 PE/PF 28179 PE Suture Attachment, hook-shaped distal tip curved upwards, straight, 8.7 mm in height, working length 15 cm, for use with Handle 28179 HG and not for use with Cannulas 28179 SS/SL/BS/BL 28179 PF Suture Attachment, hook-shaped distal tip curved upwards, straight, 10 mm in height, working length 15 cm, for use with Handle 28179 HG and not for use with Cannulas 28179 SS/SL/BS/BL 28179 PG Suture Attachment, distal tip angled 30 to right, straight, 8 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 PH Suture Attachment, distal tip angled 30 to left, straight, 8 mm in height, working length 15 cm, for use with Handle 28179 HG 28179 R1 Cleaning Adaptor, for use with Suture Attachments 28179 PA PH and 28728 NA NG 28179 R2 Cleaning Adaptor, for use with Handle 28179 HG 17
Notes 18
DVD is missing? Please call KARL STORZ for your free copy! It is recommended to check the suitability of the product for the intended procedure prior to use. 19
KARL STORZ Endoscopy-America, Inc. 2151 East Grand Avenue El Segundo, CA 90245-5017, USA Phone: +1 424 218-8100 Phone toll free: 800 421-0837 (US only) Fax: +1 424 218-8525 Fax toll free: 800 321-1304 (US only) E-Mail: info@ksea.com KARL STORZ GmbH & Co. KG Mittelstraße 8, 78532 Tuttlingen, Germany Postbox 230, 78503 Tuttlingen, Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: info@karlstorz.com www.karlstorz.com 96152023 ART 26 16.1 09/2015/EW-E