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BioPlug 3.5 and 4.2for use in reconstructive surgery
A R T 2 6 1 6 . 1 0 9 / 2 0 1 5 - E
including DVD
“Anterior Instability”
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BioPlug 3.5 and 4.2for use in reconstructive surgeryBioPlug 3.5 and 4.2 are resorbable suture anchors from KARL STORZ. These anchors are characterized,inparticular,bytheirmaterial,excellentfixationstrengthandtheirpulloutresistance.
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 alreadybeenusedwithgreatsuccessintheMega Fix®-BandMega 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.
TheBioPlug3.5comesinauniquepackagealreadypreloadedwiththeMegaFibre® USP 2thread.TheMegaFibre® is a non-absorbable suture composed of a unique, ultra-high-molecular-weightpolyethylenefiber.Itoffersgreatertensilestrengththanpolyesterandpolyblend 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)
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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.2.7mm)forBioPlug3.5.The implant site is drilled through the inferior cannula until the mark of the respective drill.
Anatomic reconstruction of the labrum-capsule complexin the case of a Bankart lesion
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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.
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Tying of an arthroscopic slip knot (e.g. outback).
Positioning of further BioPlug 3.5 or 4.2 anchor sutures.
Insertion of the next BioPlug anchor and penetration of the labrum capsule complex with the carrier thread (as described above)
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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.Theanchorhastobeflushontheinserter
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Hold the package and just lift the inserter upwards. By tearing the paper starp on top youstarttounwindtheMegaFibre®.
SecuretheMegaFibre® 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.
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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°andObturators28229 BC/BT
28229 BC Obturator, blunt, forusewithArthroscopeSheaths28229 DS/S,color code: green-red-yellow
28229 BT Obturator, semisharp, for use with Arthroscope Sheaths 28229 DS/S,colorcode:green-red-yellow
28140 D Gasket Attachment, withcone,includingGasket28140 GUforusewith all arthroscope sheaths
28140 GU Gasket, for single use, unsterile, single-packaged, for use with GasketAttachment28140 D
28124 BX Changing Rod, length 23 cm, for use with arthroscope sheaths with inner diameter 4 mm
28229 DS
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28179 TB Drill, for preparation of the tunnel for suture anchor BioPlug 2870511 BP,withlasermarkingforthedepthofthedrillhole,diameter 3.7 mm, length 15 cm
28179 TI Inserter, with lateral thread guide and thread clip at the handle, working length 18 cm, for use with BioPlug2870411 BPand2870514 BP
28179 TK Inserter, with lateral thread guide and thread clip at the handle, working length 18 cm, for use with BioPlug2870310 BP
2870411 BP* BioPlug, bioresorbable suture anchor, diameter 4.2 mm, length 11 mm, sterile, for single use, forusewithInserter28179 TI
2870310 BP*BioPlug, bioresorbable suture anchor, diameter 3.5 mm, length10mm,withoneMegaFibre® USP 2 suture, sterile, for single use, for use with Inserter 28179 TK
* not for sale in the United States
28179 TD Drill, for preparation of the tunnel for suture anchor BioPlug 2870310 BP,withlasermarkingforthedepthofthedrillhole,diameter 2.7 mm, length 15 cm
28270 H Mallet, ergonomic handle, two plane faces, length 17 cm, color code: blue
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28179 KP Knot Pusher, working length 18 cm
28179 GG Glenoid Guide, working length 12.5 cm, for use with BIOPLUG 2870411 BP,2870310 BPand Drills28179 TB/TD
28179 I Crochet Hook, working length 15 cm
2870356 SC Suture Cutter, for cutting sutures size USP 2
NEW2870356 KP Knot Pusher and Suture Cutter,
for cutting sutures up to size USP 2
including: Insert and Blade Handle
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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, forusewithHALFPIPE®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 AGSNSILGRASP® 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 PGSNSILGRASP® Foreign Body Grasper, aggressive, with ratchet, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm
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28179 BB Elevator, width 4 mm, 15° curved upwards, working length 15 cm
28179BC Elevator, width 4 mm, 30° curved upwards, working length 15 cm
28179CB Glenoid Rasp, width 5.5 mm, curved upwards 30°, working length15cm
28179CC S.L.A.P. Rasp, width 5.5 mm, curved upwards 30°, working length15cm
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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
28180CC 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
28180DC 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
28180CE 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
28180CF Elevator, width 4 mm, curved downwards 15°, blade turned 180°, also curved downwards in sheath, working length 15 cm,forusewithcannulasinnerdiameter8.25mm
28180CJ Elevator, width 4 mm, curved downwards 30°, blade turned 180°, also curved downwards in sheath, working length 15 cm,forusewithcannulasinnerdiameter8.25mm
28180CL Rasp, for use as Glenoid or S.L.A.P. rasps, double-sided, 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
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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
reusablecannulas.ThreadedCannulas28179SA-SDforsingleusearesuppliedunsterile.
Recommended Sets
28179FB
28179FC 28179FP
28179 EB 28179 EO
28179EC 28179 EP
28179DF
28179FO
Positioning Needle Obturator
Guide Wire
28179 DG
Dilator
28179 OG
28179 SA/SB 28179SC/SD
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Portal Systems for Shoulder Arthroscopy
SPS – Secure Portal System
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,diameter4mm,forusewithHandle28179 EB 28179 SA Cannula, with thread, transparent, for single use
Optional: 28179 GS Set of Gaskets, 10x 2 sealing caps, sterile, for use with
ValveHousing28179 DG/OG 28179 GU Set of Gaskets, 10x 2 sealing caps, unsterile, for use with
ValveHousing28179 DG/OG 28179 OG Valve Housing,withoutLUER-Lock,forusewithCannulasand
SetofGaskets28179 GU/GS
2. For inner diameter 6.1 mm, working length 8.5 cm 28179 EC Handle, with integrated dilator
28179 EP Obturator,diameter4mm,forusewithHandle28179EC 28179 SB Cannula, with thread, transparent, for single use
3. For inner diameter 8.25 mm, working length 7 cm 28179FB Handle, with integrated dilator 28179FO Obturator,diameter4mm,forusewithHandle28179 FB 28179SC Cannula, with thread, transparent, for single use
4. For inner diameter 8.25 mm, working length 8.5 cm 28179FC Handle, with integrated dilator 28179FP Obturator,diameter4mm,forusewithHandle28179 FC 28179 SD Cannula, with thread, transparent, for single use
28179 E Basic Set for SPS – Secure Portal System
including: Positioning Needle Obturator Guide Wire, package of 6 Dilator Handle,forDilator28179 DL Valve Housing Set of Gaskets, unsterile, package of 10
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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, forusewithWheelAttachment28179 HR
28179 PA
28179 PA Suture Attachment, distal tip curved upwards, straight, 5 mm inheight,workinglength15cm,forusewithHandle28179 HG
28179 PB Suture Attachment, distal tip curved upwards, straight, 7 mm inheight,workinglength15cm,forusewithHandle28179 HG
28179PC 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 Handle28179 HG
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
28180 BG
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28179PE/PF
28179PE/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 28179SS/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
28179PF 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 28179SS/SL/BS/BL
28179 PH Suture Attachment, distal tip angled 30° to left, straight, 8 mm inheight,workinglength15cm,forusewithHandle28179 HG
28179 R1 Cleaning Adaptor, for use with Suture Attachments 28179 PA –PHand28728 NA–NG
28179 R2 Cleaning Adaptor, forusewithHandle28179 HG
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Notes
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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.
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KARL STORZEndoscopy-America,Inc. 2151 East Grand Avenue ElSegundo,CA90245-5017,USA Phone: +1 424 218-8100 Phone toll free: 800 421-0837 (US only) Fax: +1424218-8525 Faxtollfree: 800321-1304(USonly) E-Mail: [email protected]
KARL STORZGmbH&Co.KG Mittelstraße 8, 78532 Tuttlingen, Germany Postbox 230, 78503 Tuttlingen, Germany Phone: +49 (0)7461 708-0 Fax: +49(0)7461708-105 E-Mail: [email protected]
www.karlstorz.com
