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For more information, contact your local Smith & Nephewrepresentative, or visit www.smith-nephew.com.

Smith & Nephew, Inc.150 Minuteman RoadAndover, MA 01810 USA

www.smith-nephew.comT +1 978 749 1000US Customer Service: +1 800 343 5717

™Trademark of Smith & Nephew.©2016 Smith & Nephew. All rights reserved.Printed in USA. 04425 V1 04/16

Supporting healthcare professionals for over 150 years

Ordering Information

Reference # Description

ULTRA FAST-FIX™ Meniscal Repair System

72201491 ULTRA FAST-FIX, Curved72201492 ULTRA FAST-FIX, Reverse Curved72201494 ULTRA FAST-FIX AB, Curved72201495 ULTRA FAST-FIX AB, Reverse Curved72201537 Knot Pusher/Suture Cutter7210977 Slotted Cannula, reusable72201490 ULTRA FAST-FIX, Straight72201493 ULTRA FAST-FIX AB, Straightl

FAST-FIX 360 Meniscal Repair System

72202467 FAST-FIX 360, straight72202468 FAST-FIX 360, curved72202469 FAST-FIX 360, reverse curved72202674 Straight Knot Pusher/Suture Cutter

and Slotted Cannula Set, single use72202675 Curved Knot Pusher/Suture Cutter

and Slotted Cannula Set, single useAccessories:015186 Meniscal Depth Probe, reusable014549 45° Diamond Rasp, reusable014550 90° Diamond Rasp, reusable7210977 Slotted Cannula, reusable7210450 Suture Funnel, sterile, box of 107209950 Suture Threaders, sterile, box of 10

MENISCUS MENDER II Repair System

7209485 MENISCUS MENDER II Disposable Set

MENISCAL STITCHER Repair System

012600 MENISCAL STITCHER Set

MENISCAL ROOT Repair System

7193J001 MENISCAL ROOT Repair SystemSystem includes:71935072 ACUFEX™ DIRECTOR MRR Angled Bullet71935073 ACUFEX DIRECTOR MRR Drill Guide Handle71935071 Open Curettes71935076 MENISCAL ROOT Repair Offset Guide71935074 Aimer Guide Curve – Left71935075 Aimer Guide Curve – RightDisposable Kits:71935070 MENISCAL ROOT Repair Pack with ULTRABRAID™71935068 MENISCAL ROOT Repair Pack with ULTRATAPE™71935360 MENISCAL ROOT Repair Instruments Pack

Chart a course for meniscal preservation

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For more information, contact your local Smith & Nephewrepresentative, or visit www.smith-nephew.com.

™Trademark of Smith & Nephew.©2016 Smith & Nephew. All rights reserved.Printed in USA. 04425 V1 04/16

Chart a course for meniscal preservation

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A number of studies have been published that clearly define the benefits of preservingas much functional meniscus as possible to help restore the loading profiles of thejoint and to potentially minimize the risk of degenerative disease such as osteoarthritis.Removal of meniscal tissue has been shown to cause increased contact stress andresult in degeneration of the articular cartilage over the long term. In recent years,arthroscopic repair techniques have become more prevalent and are widely acceptedfor the treatment of meniscal tears. Arthroscopy can provide easier access to the kneeand potentially avoid the risks of open surgical procedures.1

The clearly defined value ofmeniscal preservation

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Meniscal repair products from Smith & Nephew directly support meniscal repairand preservation techniques. Our portfolio is extensive, providing solutions for avariety of procedure types. When it comes to meniscal repair, look to the pioneerin meniscal preservation.

All-inside ULTRA FAST-FIX™ Meniscal Repair System and FAST-FIX 360Meniscal Repair System

Outside-in MENISCAL MENDER II Repair SystemInside-out MENISCAL STITCHER Repair SetRoot repair MENISCAL ROOT Repair SystemMAT Meniscal Allograft Transplantation – Smith & Nephew Solutions

Complete support for meniscalpreservation techniques

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When the original FAST-FIX Meniscal Repair System was introduced,it set the benchmark for non-invasive, all-inside repairs. Thanks toits preloaded implants, pre-tied sliding knot, and innovative pusher/cutter device, this innovative system lets surgeons deploy twoimplants vertically or horizontally on either side of the meniscus,tighten the suture, and trim the excess.

Building on the success of the original FAST-FIX system,the ULTRA FAST-FIX System was designed.

Tried and true all-insidemeniscal repair

Fast and easyUnlike conventional suture-based repair systems, theULTRA FAST-FIX system is animplant system with a pre-tied,self-sliding knot designedto eliminate the need forintra-articular knot tying.

StrongSystem provides a strong,reproducible and reliablemeniscal repair.

Contains no harddevice headsDesigned to minimize traumato articular cartilage.

Easy knot sliding withULTRABRAID™ SutureThis suture offers advantagesover traditional polyester suture.

Choice of implantsImplants available inPEEK-OPTIMA® or PLLA.

Curved and reversecurved needlesCurved needles promote safeand easy access to a multitudeof tear sites. The reverse-curvedneedle is designed for repairingtears on the inferior surface.Because the needle’s point ison the opposite side of thecurve, it is designed to enter theinferior area without skiving themeniscus or the tibial plateau.

ALL-INSIDE REPAIR

ULTRA FAST-FIX™Meniscal Repair System

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First we set the standard; then we raised the bar. We set the standardfor minimally invasive, all-inside repairs with our FAST-FIX and ULTRAFAST-FIX Meniscal Repair Systems.

The FAST-FIX 360 System improves on those standards byraising the bar with new features and benefits that include:

Easier, faster, all-insidemeniscal repair

FAST-FIX™360Meniscal Repair System

Curved and reversecurved needlesCurved needles promote safeand easy access to a multitudeof tear sites. The reverse-curvedneedle is designed for repairingtears on the inferior surface.Because the needle’s point ison the opposite side of thecurve, it is designed to enter theinferior area without skiving themeniscus or the tibial plateau.

One-handed, fast-click,active implant deployment

The unique 360° actuationdesign enables you to deployimplants in any hand position –vertically, horizontally on eitherside of the meniscus – with afast, smooth advancing motion.This spring-action designfacilitates the advancement ofeach implant into the capsule.

Minimal disruptionto the meniscusSmaller implants and pre-tied,self-sliding knot made ofULTRABRAID™ 2-0 Suturecreate smaller needle insertions,designed to reduce disruptionto the meniscus.

Low profile withimproved controlLow-profile, stiffer needle shaftimproves control and is designedto enable access and visibilityto hard-to-reach areas of themeniscus.

Built-in adjustabledepth penetrationSet needle depth penetrationfrom 10mm to 18mm with thesimple push of a button.

Strong with clinicallyproven FAST-FIX MeniscalRepair TechnologyLike its predecessor, theFAST-FIX 360 System hasbiomechanical properties thatbest reproduce the verticalmattress suture technique.2

You can count on a strong,reproducible and reliablemeniscal repair.

ALL-INSIDE REPAIR

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The Meniscus Mender II System is designed for repairing the meniscusunder arthroscopic visualization and is ideally suited for anterior horntears and middle-third tears. The system allows surgeons to work fromthe outside of the knee into the joint, instead of starting sutures insidethe capsule and exiting less predictably out the back.

The MMII system utilizes curved and straight needles and a patentedsuture capture loop. Depending on the patient’s anatomy, the surgeonmay use a combination of curved or straight needles in order to bestaccess the tear. These components allow the surgeon to use theoutside-in approach, to help minimize the risk of damage toneurovascular structures during meniscal repair.

Outside-in accessto anterior tears

OUTSIDE-IN REPAIR

MENISCUS MENDER IIRepair System

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Classic inside-out techniques remain a viable solution for the repairof many kinds of meniscal tears. Providing the versatility to addressa variety of tear patterns, the ability to deliver sutures with smallerneedles, and with proven long-term results, inside-out techniqueshave been considered the gold standard for arthroscopic meniscusrepair.3

Designed specifically for inside-out procedures and to becustomized to the unique needs of each procedure, the MeniscalStitcher Set features several straight and curved double lumencannulas, as well as a posterior access cannula, thimble andbending tool. The set is completed with its own sterilization trayand is complimented by a variety of disposable needles.

Inside-out delivery withsmaller needle diameter

MENISCAL STITCHERRepair Set

INSIDE-OUT REPAIR

INSIDE-OUT REPAIR

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A meniscus root tear can be defined as either an avulsion of themeniscal root from its attachment point or a radial root tear within1cm of the root attachment.

The Meniscal Root Repair System features aimers designed tomaneuver around the tibial eminence and the system has beendesigned to support one- or two-tunnel procedures. The includedguide has offsets of between 5-8mm which allow it to be positionedin a manner which facilitates the ideal location of the secondtunnel. When used with Smith & Nephew tibial fixation devicesand sutures, a strong and reliable repair can be achieved.

Reproduce the anatomical footprint

ROOT REPAIR

MENISCAL ROOTRepair System

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Meniscal allograft transplantation can be used for the reconstructionof large meniscal defects or when the meniscal rim is deficient andthe meniscus is no longer functional.

Smith & Nephew provides a complete suite of meniscal repairsolutions designed for arthroscopic meniscal allograft transplantationprocedures. Each of the product families here can be utilized insupport of these types of cases. Additionally, technique guidanceand instruction from leading surgeons is also available. Some of theseeducational resources can be found at the end of this document.

Solutions and surgical technique

TRANSPLANTATION

TRANSPLANTATION

MATMeniscal Allograft Transplantation

MENISCUSMENDER II

Repair System

ULTRA FAST-FIX™Meniscal Repair

System

FAST-FIX 360Meniscal Repair

System

MATMeniscal AllograftTransplantation

MENISCALSTITCHERRepair Set

MENISCAL ROOTRepair System

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For a complete array of meniscal repair resources, please visit Smith & Nephew’sEducation and Evidence website at www.smith-nephew.com/education.Register to be the first to know about upcoming webinars and courses!

Surgical techniques and resourcesSupported by leading surgeons in Orthopaedics, Trauma, Sports Medicine andWound Management, Education and Evidence is a powerful, online knowledgeresource created to enable peer to peer sharing of the latest surgical experienceand knowledge around the world.

Join the experts today and gain accessto 1,500 content items including:

• Clinical, workshop and lecture videos

• Scientific literature andsurgical technique guides

• Course and personalizedtraining opportunities

RESOURCES

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Item #: 10600542B

Search “Smith & Nephew”,“MAT” in the iBook store todownload

Item #: 04745 V1

Navigating meniscal preservationThe following surgical technique information and educationalmaterials are available from Smith & Nephew:

ULTRA FAST-FIX™Item #: 01160 V1All-Inside Meniscal Repairwith the ULTRA FAST-FIXMeniscal Repair SystemBrochure

Item #: 10600342AEvaluation of the MechanicalProperties of the ULTRA FAST-FIXMeniscal Repair Systemin a Bovine Meniscus ModelWhite Paper

FAST-FIX 360Item #: 04745 V1FAST-FIX 360 MeniscalRepair System Brochure

Item #: 10600658AFAST-FIX 360 MeniscalRepair System, SurgicalDemonstrations DVD– Technique Animation– Product Overview by

Surgeon– Surgical Technique

Demonstration onSawbone Menisci Model

– Surgical TechniqueDemonstration (Bioskills)

– Tips and Pearls– Other Techniques and

Information

Item #: 10600542BAll-Inside Meniscal Repairwith the FAST-FIX 360Meniscal System SurgicalTechnique Guide

Item #: 10600596AThe Biomechanical Performanceof the FAST-FIX 360 MeniscalRepair System White Paper

1 Konan S and Haddad F, “Outcomes of Meniscal Preservation Using All-inside Meniscus Repair Devices,” Clin Orthop Relat Res 468 (2010):1209-1213.2 Data on file at Smith & Nephew: ITR 4080, “FAST-FIX 360 System vs. Competitors,” (2010).3 Nelson C and Bonner K, “Inside-Out Meniscus Repair,” Arthroscopy Techniques 2 no. 4 (2013):453-460.

Contact your local sales representative for more information and to order these resources.For detailed product information, including indications for use, contraindications, effects, precautions and warnings,please consult the product’s Instructions for Use (IFU) prior to use.

Meniscus Mender IIItem #: 1061511BMeniscal Repair Using theSmith & Nephew MeniscusMender II Repair SystemBrochure

Meniscal Root RepairItem #: 05486 V1Technique Guide

MAT – Meniscal AllograftTransplantationKnee Repair iBookSurgical Technique GuideSearch “Smith & Nephew”, “MAT”in the iBook store to download

Optimal Performance.The only device that clicks on so many levels.

FAST-FIX™360Meniscal Repair System

Ordering InformationReference # Description

72202467 FAST-FIX 360, straight72202468 FAST-FIX 360, curved72202469 FAST-FIX 360, reverse curved72202674 Straight Knot Pusher/Suture Cutter

and Slotted Cannula Set, single use72202675 Curved Knot Pusher/Suture Cutterand Slotted Cannula Set, single use

Accessories:

015186 Meniscal Depth Probe, reusable014549 45° Diamond Rasp, reusable014550 90° Diamond Rasp, reusable7210977 Slotted Cannula, reusable7210450 Suture Funnel, sterile, box of 107209950 Suture Threaders, sterile, box of 10 Reusables

FAST-FIX™ 360 curved, reversed curve, straight

Insert needle and push 360°actuation trigger to deploy T1.A click confirms deployment.

The technique shown above is for informational and educational purposes only. It is not intended to serve as medical advice. It is the responsibility of treating physicians todetermine and utilize the appropriate products and techniques, according to their own clinical judgment, for each of their patients. For more information on the FAST-FIX 360Meniscal Repair System, including its indications for use, contraindications, and product safety information, please refer to the product’s label and the Instructions for Usepackaged with the product.

The Smith & Nephew FAST-FIX 360 Meniscal Repair System is intended for use as a suture retention device to facilitate percutaneous or endoscopic soft tissue procedures.The FAST-FIX 360 System is indicated for use in meniscal repairs and allograft transplant procedures. The FAST-FIX 360 System is intended to be used for anchoring theallograft to the meniscal rim during allograft transplant procedures.

Retract needle and repeat previousstep to deploy T2. A click confirmsdeployment.

Pull on the suture to advance thepre-tied sliding knot and reducethe tear.

Recess the knot into the meniscuswith knot pusher/cutter, and trimexcess suture.

The Technique

Knot Pusher/Suture Cutter and Slotted Cannula

Enhanced Knot Pusher/Suture Cutter andSlotted Cannula – one convenient single-use setOur enhanced Knot Pusher/Suture Cutter combines twoinstruments in one, allowing you to advance the knot to achievethe desired tension and trim the excess suture. It featuresa v-notch design for improved cutting of the ULTRABRAID™Suture. The low-profile slotted cannula introduces the deliveryneedle into the joint easily. It also provides greater accessibilityto tear sites.

Smith & Nephew, Inc.150 Minuteman RoadAndover, MA 01810 USA

www.smith-nephew.comT +1 978 749 1000US Customer Service: +1 800 343 5717

™Trademark of Smith & Nephew. Certain marks Reg.US Patent and Trademark Office. All Trademarksacknowledged. ©2015 Smith & Nephew. All rightsreserved. Printed in USA. 04745 V1 11/15

Supporting healthcare professionals for over 150 years

KNE15_04745_V1_FASTFIX360_Updated_BRO_F1.indd 1-2 11/17/15 1:36 PM

KNEE

HIP

SHOULDER

EXTREMITIES

FAST-FIX™ 360 Meniscal Repair SystemAll-Inside Meniscal Repair

KNEE TECHNIQUE GUIDE

*smith&nephew

Charles H. Brown, Jr., MD, Nicholas Sgaglione, MD

10600542B FAST-FIX Tech Guide_F.indd 1 11/16/12 10:32 AM