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12产品描述•生物可吸收免打结锚钉•适应症BankartSLAP•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(backedge)4锚钉尺寸OperativeLoop25mmlengthof#1PanacrylorEthibond5•Mouth-cutout-distalendoftheAnchor•AnchorLoop-#1Panacryl/EthibondsutureloopattachedtotheAnchor(“OperativeLoop”)•UtilityLoop-#2/0Green/WhiteETHIBONDsutureloopgoingthroughtheAnchorLoop(“ShuttleSystem”)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9BioKnotlessisperfectfortherepairofBankartandSLAPTearsBankartandSLAP损伤10韧带前方观InferiorSuperior11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-20ºUp&20ºDown13BioknotlessInstructionsForUse:Step1钻孔镊子标记笔VAPR14BioknotlessInstructionsForUse:Step22PortalTechnique15BioknotlessInstructionsForUseStep2“Pull”theUtilityLoop,don’tpushtheanchor.16BioknotlessInstructionsForUseStep3继续拉UtilityLoop直到看到OperativeLoop(Panacryl)17BioknotlessInstructionsForUseStep4BringtheforksoftheAnchortotheOperativeLoop.18BioknotlessInstructionsForUseStep5抓住OperativeLoop的一股19BioknotlessInstructionsForUseStep6把锚钉塞入钻孔中,把锚钉敲入孔中20BioknotlessInstructionsForUseStep7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UtilitySuture.21PreferredPassingMethodMitekSutureLeaders20ºStraight30ºRight,Left45ºRight,Left70ºRight,Left180ºRight,Left22TheMitek“2Device”SutureManagementTechniquePearlSutureLeaderloadedwithastrandofPROLENE®CrochetHook(for“hooking”thesuture)23BankartPearlsDr.LarryHiggins24IdealSutureGrasper25IdealSutureGrasper-GraspUtilitySuturejustbehindtheknotwiththeGrasperinthe“Closed”position.-MoveitintotheWorkingCannula.26IdealSutureGrasper-PasstheUtilitySuturethroughthetissueuntiltheknotisseen.27IdealSutureGrasper-MovetheGraspertothe“Open”positionandreleasethesuture.28IdealSutureGrasper-MovetheGraspertothe“Closed”positionbeforeremovingitfromthesofttissue.Itwillcatchthetissueifthesurgeondoesnotdothis.-PulltheUtilitySutureoutoftheoppositecannulaandcontinue.29AlternativePassingMethodsLinvatecSuturePunchUsing2/0Prolene,48”length30AlternativePassingMethodsLinvatecSuturePunch31AlternativePassingMethods32AlternativePassingMethodsLinvatecSpectrum33BioKnotlessInsertionVideo34SLAPTears(SuperiorLabrum,Anterior,Posterior)35操作过程一样,除了套管的入路.对于前方SLAPtears,交换前方两个入路的角色.对于后方SLAPtears,需要一个外侧入路.InferiorSuperiorLateralSLAPTears(SuperiorLabrum,Anterior,Posterior)36特性&好处•PLA锚钉•无需打结•没有结•ArthroscopicSuperInst.•重新创造“Bumper”•Panacryl•没有金属•简化手术•NothingsitsProud•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,SurgicalDynamics,ArthrexTissueTac,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“TheBioknotlessanchoristheonlydeviceonthemarketthat,byvirtueofit’sdesign,actuallyassiststhesurgeoninrecreatingtheanatomicLabralBumper”.
本文标题:Bioknotless 锚钉
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