skill, dedication,static.orthoconnect.com/files/338-1349196918.pdfskill, dedication, and the depuy...
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Skill, Dedication,
and
The DePuy Mitek solutions you know and trust.
Now for hip arthroscopy.
Getting your patients back to their passion is our passion.
TM
The number of hip arthroscopy procedures performed in the last
five years has more than doubled1 due to growing interest among
surgeons in helping to preserve hip health and function within an increasingly
aware and active patient population.
Advances in technique and technology have evolved hip
surgery from an open procedure to an arthroscopic procedure, and have
increased the complexity of conditions that can be treated in the central and
peripheral compartments as well as the peritrochanteric space. Innovation
will undoubtedly continue to advance the treatment of patients with
hip pain and injuries.
DePuy Mitek introduces the EndurAncE TM Hip Platform, delivering
excellence in arthroscopy to the hip. Whether you are new to hip arthroscopy
or experienced in this anatomy, the EnDurancE Hip Platform provides
innovative products, and excellence in education and service – for a comprehensive hip arthroscopy solution. With the
EnDurancE Hip Platform, you can focus with confidence on getting your patients back to their passion.
Delivering Confidence in Hip Arthroscopy
ENDURANCE TM Overview
Continued on reverse side
Hip Procedure System
• 190-mm working length
• Curves of varying angles: up, right, and left to reach difficult-to-access areas in the hip
• Tools for the standard procedure and for handling unexpected events
GryPHon™ Anchor with Hip Drill Guide
• Anchor available in both Biocryl® RApide™ Biocomposite Material and peeK
• GRYpHON Hip drill guide, offering extra working length for the hip
• ORTHOCORd® HiGH-STReNGTH SuTuRe with a pdS component has less mass postoperatively
Hip Access Kit
• A comprehensive kit that enables confident entry into the hip
• Needles are nickel free and have a robust metal hub and tip designed to provide sensitive control during insertion
• Nitinol guidewires provide the flexibility you need when entering the hip joint
EnDUrAnCE overview
Getting your patients back to their passion is our passion.
Continued on reverse side
TM
VAPr® VUE™ radiofrequency System
• proprietary COOLpuLSe® Technology, with unique power pulses, enables 20.4% faster ablation than the leading competitor at equal or lower heat levels2
• Smaller tip size and shaft diameter allow easy access to smaller spaces and greater maneuverability
• Minimal bubbles generated and clogging significantly minimized compared to leading competitor*
*As compared to Arthrocare® Super TurboVac® during in vitro testing3
FMS DUo®+ System
• enables optimal visibility by managing both inflow and outflow
• Reduces risk of extravasation in hip arthroscopy through independent control of pressure and flow
• Simplifies setup and minimizes prep time for greater operating-room efficiency
Clear Cannulas
• disposable cannulas with disposable obturator (reusable obturator available)
• Available in both 90 mm and 110 mm. The 110-mm length offers access to the deeper hip joint while maintaining visibility of tools
• Combine with depuy Mitek FMS duO®+ Fluid Management System for optimal performance
CA #8140
Getting your patients back to their passion is our passion.
TM
Access
Hip Procedure System
The depuy Mitek Hip procedure System is an extensive offering of precision instruments that have been designed for hip arthroscopy. This wide range of tools puts the appropriate solutions in your hands every step of the way—with hip-joint access and tissue and suture management solutions—and much more. The Hip procedure System brings you optimal ergonomics and tip designs along with:
• 190-mm working length
• Curves of varying angles: up, right, and left to reach the hard-to-access areas in the hip
• Tools for the standard procedure as well as unexpected moments
The Hip procedure System is delivered in its own tray, designed in partnership with OR personnel to ensure optimized procedural flow. The tray also provides for a convenient central location for additional instruments.
• 4.0, 4.5, 5.0, 5.5, and 6.0 Hip Cannulated SwitchStick
• Handle, Hip SwitchStick
• Hip Suture Passer, Straight and 15o Up
• Hip CordCutter
• Hip Knot Manipulator
• Hip Curette, 20o
• Hip TissLib Blade, 20o Down
• Hip Probe, 90o
• 5.5 and 6.0 Hip Slotted Cannula
• Hip Grasper 20o right, 20o Left, and Straight
• Hip Biter Straight and 15o Up
• Hip Suture Manipulator
Getting your patients back to their passion is our passion.
TM
CA #8140
Visibility
The FMS duO+ System lets you focus on your patient and the procedure—not on operating the pump. Complications from extravasation in hip arthroscopy are well documented.4,5 With FMS duO+ System, you’re in control when conditions change, allowing you to adjust pressure or flow at a moment’s notice with a clear field of vision.
• enables optimal visibility by managing both inflow and outflow, and delivering smooth, continuous flow
• Controls pressure and flow to address extravasation concerns in hip arthroscopy
• Simplifies setup and minimizes prep time for greater operating-room efficiency
Features and Benefits
• Controls pressure and flow independently for extravasation prevention
• Red pedal—pressure control to bleeding
• Blue pedal—flow control to clear debris without increasing pressure
• enhances operating room efficiencies by helping to shorten procedure times, decrease patient traction time, and lower costs
FMS DUO®+ Fluid Management System
Getting your patients back to their passion is our passion.
TM
CA #8140
repair
The Clear Cannula System
The Clear Cannula System: your Clear Choice
• disposable cannula with both disposable and reusable obturator available
• Available in both 90 mm and 110 mm; the 110-mm length offers access to the deeper hip joint while maintaining visibility
• Combine with depuy Mitek FMS duO®+ Fluid Management System for optimal performance
Triple-Seal Dam
• provides fluid retention with minimal leakage—key in arthroscopy
• Allows easy passage of suture and instruments
• The first step in fluid management in your arthroscopic hip procedures
Getting your patients back to their passion is our passion.
TM
CA #8140
Product Code Quantity UnitProduct name
213042 GRYpHON Hip Guide, Sawtooth 1 each213044 GRYpHON Hip Guide, Fishmouth 1 each210812 GRYpHON T BR Anchor w/ORTHOCORd 1 each210811 GRYpHON T BR dS Anchor w/ORTHOCORd 1 each210814 GRYpHON p BR Anchor w/ORTHOCORd 1 each210813 GRYpHON p BR dS Anchor w/ORTHOCORd 1 each210031 GRYpHON peeK Anchor w/ORTHOCORd 1 each210030 GRYpHON peeK dS Anchor w/ORTHOCORd 1 each211038 GRYpHON Obturator 1 Box211036 GRYpHON drill Bit 1 Box211035 GRYpHON Tap 1 Box211041 GRYpHON Blunt Obturator 1 Box
260002 Hip Access Kit, without Straight Blade 1 Box Surgical Marker, Violet Surgical Rule, 6" Guidewire, .045 x 16" Round end Hip 17G x 6" Needle, Bevel Tip Syringe, 30 cc
215503 Hip procedure System 1 Set215509 Hip Sterilization Case 1 each215510 Lid, Hip Sterilization Case 1 each215507 Hip entry and Tissue Removal Tray 1 each215504 Hip Slotted Cannula Tray 1 each215505 Hip Tissue and Suture Management Tray 1 each215508 Hip Labral Repair Tray 1 each215506 Hip entry Tray pin Mat Accessory 1 each
214110 Threaded 5.5 x 90 mm 5 Box214122 Threaded 8.5 x 90 mm 5 Box214112 partially Threaded 7 x 110 mm 5 Box214109 5.5 x 90-mm Reusable Obturator 1 each214121 8.5 x 90-mm Reusable Obturator 1 each214111 7 x 110-mm Reusable Obturator 1 each
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Ordering Information
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Getting your patients back to their passion is our passion.
TM
Product Code Quantity UnitProduct name
214155 Hip procedure System and instruments 1 Set214134 4.0 Hip-Cannulated SwitchStick 1 each214153 4.5 Hip-Cannulated SwitchStick 1 each214154 5.0 Hip-Cannulated SwitchStick 1 each214132 5.5 Hip-Cannulated SwitchStick 1 each214133 6.0 Hip-Cannulated SwitchStick 1 each214135 5.5 Hip-Slotted Cannula 1 each214136 6.0 Hip-Slotted Cannula 1 each214139 Hip Biter—Straight 1 each214137 Hip Biter—15 up 1 each214144 Hip Grasper—20 Right 1 each214143 Hip Grasper—20 Left 1 each214147 Hip Grasper—Straight 1 each214013 Hip Suture passer—Straight 1 each214009 Hip Suture passer—up 1 each214146 Hip Suture Manipulator 1 each214138 Hip CordCutter 1 each214145 Hip Knot Manipulator 1 each214142 Hip Curette 20 1 each214148 Hip TissLib Blade-20 down 1 each214131 Hip probe 90 1 each214151 Handle, Hip SwitchStick 1 each
228146 COOLpuLSe® 90 (without hand controls) 1 each228147 COOLpuLSe 90 (with hand controls) 1 each227204 p90 1 each225021 VApR® 3 1 each225024 VApR® Vue™ Generator 1 each227214 VApR Vue Wireless Footswitch 1 each225023 VApR Wired Footswitch 1 each225005 VApR power Cord 1 each
284580 FMS® duO®+ 1 each284172 FMS duO+ 2-Way Foot pedal-Board 1 each284590 FMS SOLO® irrigation pump 1 each284171 FMS SOLO 1-Way Foot pedal-Board 1 each284504 irrigation Tube Sets also for One day Setup (inflow for FMS SOLO/FMS duO+) pK/24 1 each284510 FMS duO+ disposable patient Set (NO Check Valve) pK/24 1 each284549 FMS duO+ Reusable patient Set (with Check Valve) pK/24 1 each281103 intermediary Tubing, disposable Setup (NO Check Valve) pK/24 1 each281142 intermediary Tubing, Reusable Setup (with Check Valve) pK/24 1 each
Hip
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CA #8140
Getting your patients back to their passion is our passion.
TM
Access
Hip Access Kit
Start your procedure confidently—from portal placement to capsule entry. The depuy Mitek Hip Access Kit provides you with the tools you need to fully access the hip joint.
• A comprehensive kit that enables confident entry into the hip
• Needles are nickel free and have a robust metal hub and tip designed to provide sensitive control during insertion
• Nitinol guidewires provide the flexibility you need when entering the hip joint
• Rounded guidewire tips provide less aggressive contact with the cartilage
Getting your patients back to their passion is our passion.
TM
CA #8140
Visibility
CooLPULSE Technology
The VApR Vue System with COOLpuLSe Technology is the next-generation radiofrequency system that provides clear and sustained visibility, enhanced procedural efficiency, and exceptional flexibility.
proprietary COOLpuLSe Technology provides quicker tissue ablation while generating equal or less heat.*
Features and Benefits
• unique power pulses enable faster and more rapid ablation while generating equal or less heat
• Targeted ablation minimizes risk of accidental damage to healthy tissue
• easy and quick adjustment of ablation and coagulation settings over a wide power range to optimize probe performance based on anatomical considerations
The VAPR® VUE™ System with COOLPULSE® Technology
*As compared to ArthroCare® Super TurboVac® during in vitro testing3
Getting your patients back to their passion is our passion.
TM
CA #8140
GRYPHON™ Anchor Hip System
GryPHon Hip System
• Available in both Biocryl® RApide™ Biocomposite Material and peeK
• GRYpHON Hip drill guide, offering extra working length for the hip
• Single or double loaded with ORTHOCORd® Suture
orTHoCorD Suture
ORTHOCORd Suture is designed to help minimize the amount of suture and knot mass, which could potentially interfere with the labral function6 in a hip repair
• partially (62% pdS) absorbable with a reduction of knot profile over time (approximately 3 months to begin absorption and 6 months to complete3)
• Smaller knot profile with high knot-retention force7,8
repair
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Getting your patients back to their passion is our passion.
TM
BIoCryL® rAPIDE™
BiOCRYL RApide is a second-generation composite material consisting of 30% osteoconductive β-TCp and 70% pLGA. A proprietary microparticle dispersion (Mpd) manufacturing process ensures a homogenous dispersion of the composite materials, reducing the incidence of stress risers, and ensuring that osteoconductive β-TCp is in close apposition with the surrounding bone tissues during the absorption process.9
in long-term human CT imaging studies, BiOCRYL RApide has been shown to resorb and promote bone formation.10,11
PLLA• Image taken ~7 years post-op• Screw appears fully absorbed• No observed bony replacement in
screw profile
• Image taken ~3 years post-op• Screw appears fully absorbed• Bony replacement in screw profile11
ß-TCP/PLGA
Long-term CT Images of PLLA vs MILAGRO® BR (ß-TCP/PLGA) Interference Screws11
CA #8140
Getting your patients back to their passion is our passion.
TM
Getting your patients
back to their passion
is our passion.
TM
References:
1. u.S. Market for Orthopedic Soft Tissue repair and Sports Medicine. iData research Inc. 2011.
2. Oslan a, Martini n, Barry D, Tissington B. comparative study of in vitro ablation rate and temperature increases for arthroscopic radiofrequency probes. DePuy Mitek, Inc. white paper. 2010.
3. Data on file. DePuy Mitek, Inc.
4. Verma M, Sekiya JK. Intrathoracic fluid extravasation after hip arthroscopy. Arthroscopy. 2010;26(9 Suppl):S90-94.
5. Sampson TG. complications of hip arthroscopy. Clin Sports Med. 2001;20(4):831-835.
6. Field rE, rajakulendran K. The labro-acetabular complex. J Bone Joint Surg Am. 2011;93 Suppl 2:22-27.
7. Wright PB, Budoff JE, Yeh ML, Kelm ZS, Luo Z-P. Strength of damaged suture: an in vitro study. Arthroscopy. 2006;22(12):1270-1275.
8. Ilahi Oa, Younas Sa, Ho DM, noble Pc. Security of knots tied with ethibond, fiberwire, orthocord, or ultrabraid. Am J Sports Med. 2008;36(12):2407-2414.
9. Suchenski M, Mccarthy MB, chowaniec D, Hansen D, et al. Material properties and composition of soft tissue fixation. Arthroscopy. 2010;26(6):821-831.
10. Barber Fa, Dockery WD, Hrnack Sa. Long-term degradation of a poly-lactide co-glycolide/β-tricalcium phosphate biocomposite interference screw. Arthroscopy. 2011;27(5):637-643.
11. Barber Fa, Hurley Ja. clinical update: imagining and in vivo absorption of β-TcP/PLGa interference screws used in acL reconstruction. DePuy Mitek, Inc. white paper. 2009.
Getting your patients back to their passion is our passion.
DePuy Mitek Inc.325 Paramount Driveraynham, Ma 02767uSa
Tel: +1 (800) 382 4682
www.depuy.com
Printed in uSa©2012 DePuy Mitek, Inc. all rights reserved.
The third-party trademarks used herein are the trademarks of their respective owners.
P/n 901171 05/12 aDDB/LP ca #8140
TM