Bioknotless 锚钉

12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(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”.