S U R G I C A L T E C H N I Q U E

TORNIER

ARTHROTUNNELERTransosseous Rotator Cuff Repair

™

ARTHROTUNNELER™ Arthroscopic Transosseous Tunneling Device

The ARTHROTUNNELER™ is the first sterile, single patient use device that enables surgeons to arthroscopically place precise intersecting tunnels and pass multiple sutures through bone with the same instrument to facilitate a complete Arthroscopic Transosseous Rotator Cuff Repair – without anchors.

Retractable anvil adapts to patient anatomy

Streamlined design allows for easy access directly into the shoulder through standard arthroscopy

portals without a cannula

Anatomically designed tip and hook allow tactile feel and reproducible positioning and placement

within the tuberosity

Robust nitinol loop allows reproducible suture passing

True Transosseous Fixation

Consistent. Straightforward. Reproducible.

The ARTHROTUNNELER™ allows surgeons to apply “gold standard” principles of transosseous rotator cuff repair in an all-arthroscopic fashion.

• True transosseous fixation

• Anatomic footprint contact and compression

• Biologic enhancement with bone tunnel marrow elements

• Suture management clearly defined

Rotator Cuff Repair — Without Anchors

Two Tunnel X Box with Shuttle

Two Tunnel Locking Stitch

Two Tunnel Double Locking Stitch

Step 4Remove the 2.5 mm Drill - L, then replace it with a loaded Suture Inserter.

Step 7Remove the suture loop from the ARTHROTUNNELER™ by deploying the nitinol Loop and pulling the device away from the suture.

Step 1Drill medial tunnel(s) to a positive stop using the Drill Guide and 2.9 mm Drill - M. Drill additional tunnel(s) at this time depending on the size of tear and type of final repair construct desired.

Step 5Remove the Suture Inserter, then retrieve the nitinol Loop to capture the suture loop.

Step 8Pass the suture loop through the cuff and use it as a definitive repair suture, or, use the suture loop as a shuttle to pass multiple sutures through the intersecting bone tunnels.

Step 2Insert tip of the Hook into the medial tunnel until the top bar of the Hook is flush and parallel with the footprint.

Step 6Retract the Anvil and remove the ARTHROTUNNELER™ with the attached suture loop from the repair site.

Step 9Repeat steps #2 through #8 for each additional tunnel. Pass sutures through tendon(s) using desired technique that is applicable to the patient’s anatomy. Tie and cut sutures to complete the repair.

Step 3Deploy the nitinol Loop into the medial tunnel. Insert the 2.5 mm Drill - L through the device and drill through the Loop to a positive stop.

ARTHROTUNNELER™ Surgical Technique

Rotator Cuff Repair in its Original Form.

I have used the ARTHROTUNNELER™ with great success in the arthroscopic repair of both small and

large cuff tears, as well as for revision cases. This is a must-have for every arthroscopic surgeon’s toolbox.”

G A R Y M . G A R T S M A N , M . D .

“ The ‘gold standard’ principles of open transosseous Rotator Cuff repair as described by Dr. Neer allow surgeons to restore Rotator Cuff footprint contact and compression, while enhancing biological healing with bone tunnel marrow elements. The ARTHROTUNNELER™ allows surgeons to perform this same open transosseous repair technique in a minimally invasive all-arthroscopic fashion.”

S U M A N T G . “ B U T C H ” K R I S H N A N , M . D .

Indications:

The ARTHROTUNNELER™ Transosseous Tunneling System is intended for transosseous fixations of tendons to bone in Rotator Cuff Repair.

Contraindications:

The ARTHROTUNNELER™ Transosseous Tunneling System is not intended for use in:- Pathological conditions of the soft tissue to be repaired or reconstructed

which would adversely affect suture fixation- Physical conditions that would retard healing, such as blood supply

limitation or infection- Conditions that tend to limit the patient’s ability or willingness to follow

instructions during the healing period

ARTHROTUNNELER™ and Instruments

Item No. Description

SMB000101 ARTHROTUNNELER™

SMB100101ARTHROTUNNELER™ TunnelPro™ System: Includes (1) ARTHROTUNNELER™ and (2) TunnelPro™ Lateral Implants

SMB100201 TunnelPro™ Lateral Implant

SMB000201 Drill/Punch Guide

SMB000301 Obturator

SMB000401 2.9 Drill - M

SMB000501 ARTHROTUNNELER™ - 2.9 Punch - M

SMB000601 2.5 Drill - L

SMB000701 Suture Inserter

SMB000801 Tray Base

SMB000901 Tray Lid

SMB00105 ARTHROTUNNELER™ Instruments and Tray - Complete

ARTHROTUNNELER™ Suture Packs

Item No. Description

PRM

1010 SMS101101 Tipped White/Blue co-braid, size 3-4 (box of 12)

SMS101201 Tipped White/Black co-braid, size 3-4 (box of 12)

SMS101501 Tipped White, size 3-4 (box of 12)

PRM

1011 SMK100101 Nontipped White/Blue co-braid, size 2 (box of 12)

SMK100201 Nontipped White/Black co-braid, size 2 (box of 12)

SMK100401 Nontipped Blue, size 2 (box of 12)

PRM

1012

SMS101101 Tipped White/Blue co-braid, size 3-4 (box of 12)

SMS101201 Tipped White/Black co-braid, size 3-4 (box of 12)

SMS101501 Tipped White, size 3-4 (box of 12)

SMB000101 ARTHROTUNNELER™ (#6)

PRM

1013

SMK100101 Nontipped White/Blue co-braid, size 2 (box of 12)

SMK100201 Nontipped White/Black co-braid, size 2 (box of 12)

SMK100401 Nontipped Blue, size 2 (box of 12)

SMB000101 ARTHROTUNNELER™ (#6)

FORCE FIBER™ Suture

CAT# Size Length Color Tipped Needle

SMK100101 Size 2 36” White/Blue No N/ASMK100201 Size 2 36” White/Black No N/ASMK100401 Size 2 36” Blue No N/ASMS100101 Size 2 36” White/Blue N/A K-PointSMS100201 Size 2 36” White/Black N/A K-PointSMS100301 Size 3-4 36” White/Blue N/A Diamond-PointSMS100401 Size 3-4 36” White/Black N/A Diamond-PointSMS100501 Size 2 36” White/Blue N/A TaperedSMS100601 Size 2 36” White/Black N/A TaperedSMS100701 Size 3-4 36” White/Blue N/A TaperedSMS100801 Size 3-4 36” White/Black N/A TaperedSMS100901 Size 2 36” White/Blue Yes N/ASMS101001 Size 2 36” White/Black Yes N/ASMS101101 Size 3-4 36” White/Blue Yes N/ASMS101201 Size 3-4 36” White/Black Yes N/ASMS101501 Size 3-4 36” White Yes N/ASMS101601 Size 5 36” White/Blue N/A K-60SMS101701 Size 5 36” White/Black N/A K-60SMS101801 Size 5 36” White N/A K-60

1023 Cherry RoadMemphis, TN 38117800 238 7117901 867 9971www.wright.com

10801 Nesbitt Avenue SouthBloomington, MN 55437888 867 6437952 426 7600www.tornier.com

Proper surgical procedures and techniques are the responsibility of the medical professional. This material is furnished for information purposes only. Each surgeon must evaluate the appropriateness of the material based on his or her personal medical training and experience. Prior to use of any Tornier implant system, the surgeon should refer to the product package insert for complete warnings, precautions, indications, contraindications, and adverse effects. Package inserts are also available by contacting Wright. Contact information can be found in this document and the package insert.

™ and ® denote Trademarks and Registered Trademarks of Wright Medical Group N.V. or its affiliates. FORCE FIBER is a trademark of Teleflex. ARTHROTUNNELER is a trademark of T.A.G. ©2016 Wright Medical Group N.V. or its affiliates. All Rights Reserved.

CAW-2043 Rev D ECN 160665 23-Jun-2016