JuggerKnot and JuggerKnotless Soft Anchor. All-Inclusive Brochure
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1 JuggerKnot and JuggerKnotless Soft Anchor All-Inclusive Brochure
2 One Surgeon. One Patient. Over 1 million times per year, Biomet helps one surgeon provide personalized care to one patient. The science and art of medical care is to provide the right solution for each individual patient. This requires clinical mastery, a human connection between the surgeon and the patient, and the right tools for each situation. At Biomet, we strive to view our work through the eyes of one surgeon and one patient. We treat every solution we provide as if it s meant for a family member. Our approach to innovation creates real solutions that assist each surgeon in the delivery of durable personalized care to each patient, whether that solution requires a minimally invasive surgical technique, advanced biomaterials or a patient-matched implant. When one surgeon connects with one patient to provide personalized care, the promise of medicine is fulfilled. 2
3 JuggerKnot Soft Anchor The Leader in All-Suture Anchors 1 Biomet has completely redefined how soft tissue repair is performed with the design of the JuggerKnot Soft Anchor. An article published by PRWeb in March 2013 stated, There are currently two major developments in the U.S. orthopedic device market that are making drastic impacts, both in the soft tissue and orthopedic biomaterials market. Due to technological innovations by the market leader Biomet, patients with shoulder labrum tears or rotator cuff damage from sports or age-related injuries can now expect better quality restoration. 1 The award winning JuggerKnot Soft anchor began with a 1.4 mm diameter, 100% suture based anchor system and has quickly evolved into a family of anchors that offer sizing options for many different procedures. 3
4 JuggerKnot and JuggerKnotless Soft Anchor Multiple Indications: JuggerKnot Soft Anchor Shoulder Bankart lesion repair SLAP lesion repair Acromio-clavicular repair Capsular shift / capsulolabral reconstruction Deltoid repair Rotator cuff tear repair Biceps tenodesis Elbow Ulnar or radial collateral ligament reconstruction Lateral epicondylitis repair Biceps tendon reattachment Hand and Wrist Collateral ligament repair Scapholunate ligament reconstruction Tendon transfers in phalanx Volar plate reconstruction Hip Acetabular labral repair Knee Extra-capsular repair: MCL, LCL, and posterior oblique ligament Iliotibial band tenodesis Patellar tendon repair VMO advancement Joint capsule closure Foot and Ankle Medial / lateral repair and reconstruction Mid- and forefoot repair Hallux valgus reconstruction Metatarsal ligament/tendon repair or reconstruction Achilles tendon repair JuggerKnot Mini Soft Anchor Shoulder Bankart repair Hand and Wrist Ulnar or lateral collateral ligament reconstruction Repair/reconstruction of collateral ligaments Flexor and extensor tendon at the PIP, DIP, and MCP joints for all digits. Scapholunate ligament reconstruction Foot and Ankle Midfoot reconstruction Hallux valgus reconstruction JuggerKnotless Soft Anchor Shoulder Acromio-clavicular Separation Anterior Shoulder Instability Repair Bankart lesion repair Biceps tenodesis Capsule Repair or Capsulolabral Reconstruction Deltoid Repair Rotator Cuff Repair S.L.A.P Lesion Repair Elbow Biceps Tendon Reattachment Biceps Tendon Reconstruction Lateral/Medial Repairs Lateral Epicondylitis Repair (Tennis Elbow Repair) Ulnar & Radial Collateral Ligament Reconstruction Hand and Wrist Collateral Ligament Repair (Gamekeeper s Thumb) Scapholunate Ligament Reconstruction Tendon Transfers in Phalanx Volar Plate Reconstruction Hip Labral Knee Iliotibial Band Tenodesis Joint Capsule Closure Lateral/Medial Collateral Ligament Repair Patellar Ligament Repair Patellar Tendon Repair Patellar Realignment/Repair Posterior Oblique/Ligament Repair VMO Advancement Foot and Ankle Medial / lateral stabilization repairs and reconstruction Mid- and forefoot reconstruction/repairs Hallux valgus reconstruction Achilles tendon repair/reconstruction Contraindications Infection. Patient conditions including blood supply limitations and insufficient quantity or quality of bone or soft tissue. Patients with mental or neurologic conditions who are unwilling or incapable of following post operative care instructions or patients who are otherwise unwilling or incapable of doing so. Foreign Body sensitivity. Where material sensitivity is suspected, testing is to be completed prior to implatation of device. 4
5 All-Suture Technology They re Small JuggerKnot 1.4 mm Drill Hole The volume of bone that is removed with a 3.0 mm drill is equivalent to four JuggerKnot 1.4 mm anchor drill holes 9 Reduces the removal of bone Smaller diameter drill size reduces the likelihood of intersecting anchor tunnels when placing multiple anchors Allows for multiple points of fixation when repairing soft tissue to bone Typical 3.0 mm Drill Hole They re Strong Strength is equal or greater than some anchors two or three times larger 2 High pullout strength 3,4 They re All-Suture Soft anchor deployment system with no rigid component Eliminates the possibility of rigid material loose bodies in the joint Allows blood to repair site Facilitates revision surgery And Now They re Knotless Ability to control anchor tension Built on the clinical history of the JuggerKnot Soft Anchor No hand tied knots JuggerKnotless demonstrated 57 lbs of pullout strength 5 5
6 JuggerKnotless Soft Anchor First All-Suture Knotless Anchor The clinical experience of the JuggerKnot Soft Anchor and innovative knotless design of the ZipLoop Technology has paved the foundation for the development of the JuggerKnotless Soft Anchor. The JuggerKnotless Soft Anchor is designed for the reattachment of soft tissue to bone without the hassle of tying surgical knots. It is the first all-suture knotless anchor on the market. The design of the anchor allows surgeons the ability to control the tension of the anchor with their hands. In addition, this design provides for a one size fits all option, which may reduce the need to carry multiple sizes in inventory. 6
7 JuggerKnotless Soft Anchor 2.1 mm Most Commonly Used JuggerKnotless Soft Anchor Inserter 57 lbs anchor pullout strength 5 Loaded with a #1 MaxBraid Suture Custom braid polyester sleeve Surgical Technique available for Labral Repair Instrumentation and Ordering Information for JuggerKnotless Soft Anchor 2.1 mm can be found on pages
8 JuggerKnot Soft Anchor 1.4 mm Most Commonly Used JuggerKnot Soft Anchor Inserters 54 lbs anchor pullout strength 3 Loaded with a #1 MaxBraid Suture #5 polyester sleeve Surgical Technique available for Labral Repair Curved Delivery for Bankart/SLAP Lesion Repair Percutaneous Instrumentation for Low Profile/Trans-Cuff SLAP Repair 8 Instrumentation and Ordering Information for JuggerKnot Soft Anchor 1.4 mm can be found on pages
9 JuggerKnot Soft Anchor 1.5 mm Most Commonly Used 65 lbs anchor pullout strength 2 JuggerKnot Soft Anchor Inserters Loaded with a #2 MaxBraid Suture #6 polyester sleeve Surgical Technique available for Curved Delivery for Bankart/SLAP Lesion Repair Percutaneous Instrumentation for Low Profile/Trans-Cuff SLAP Repair Percutaneous Instrumentation for Low Profile/Trans-Cuff PASTA Repair Instrumentation and Ordering Information for JuggerKnot Soft Anchor 1.5 mm can be found on pages
10 JuggerKnot Soft Anchor 2.9 mm JuggerKnot Soft Anchor Inserters Most Commonly Used 117 lbs anchor pullout strength 2 Double loaded with #2 MaxBraid Suture Custom braid polyester sleeve Surgical Technique available for Arthroscopic and Mini-Open Rotator Cuff Repair 10 Instrumentation and Ordering Information for JuggerKnot Soft Anchor 2.9 mm can be found on pages
11 JuggerKnot Soft Anchor mm mm with with Needles Most Commonly Used JuggerKnot Soft Anchor Inserters Tapered or cutting needles 117 lbs anchor pullout strength 2 Double loaded with #2 MaxBraid Suture Custom braid polyester sleeve Surgical Technique available for Arthroscopic and Mini-Open Rotator Cuff Repair Instrumentation and Ordering Information for JuggerKnot Soft Anchor 2.9 mm with Needles can be found on pages
12 JuggerKnot Soft Soft Anchor Anchor mm mm Mini Mini JuggerKnot Soft Anchor Inserters Most Commonly Used 26 lbs anchor pullout strength with #2-0 suture 4 Loaded with a #2-0 or #3-0 MaxBraid Suture 20 lbs anchor pullout strength with #3-0 suture 4 #1 polyester sleeve Surgical Technique available for Scapholunate Ligament Repair Ulnar Collateral Ligament Repair 12 Instrumentation and Ordering Information for JuggerKnot Soft Anchor 1.0 mm Mini can be found on pages
13 JuggerKnot Soft 1.45 Anchor mm Long 2.9 mm Soft with Anchor Needles 70 lbs anchor pullout strength with #2 suture 7 JuggerKnot Soft Anchor Inserters 49 lbs anchor pullout strength with #1 suture 7 Most Commonly Used Loaded with a #1 white/blue or #2 blue MaxBraid Suture #6 polyester sleeve Surgical Technique available for Hip Acetabular Labral Repair Instrumentation and Ordering Information for JuggerKnot 1.45 mm Long Soft Anchor can be found on pages
14 JuggerKnot Soft Soft Anchor Anchor mm mm Short Short JuggerKnot Soft Anchor Inserters Most Commonly Used 54 lbs anchor pullout strength 3 #5 tapered needles #5 polyester sleeve Loaded with a #1 MaxBraid Suture Surgical Technique available for Lateral Epicondylitis Repair Midfoot Repair Lateral Ankle Repair Anchilles Tendon Repair 14 Instrumentation and Ordering Information for JuggerKnot Soft Anchor 1.4 mm Short can be found on pages
15 JuggerKnot Soft Anchor 1.45 mm Short Rigid Most Commonly Used JuggerKnot Soft Anchor Inserters 52 lbs anchor pullout strength with #1 suture 8 78 lbs anchor pullout strength with #2 suture 8 #5 tapered needles #5 polyester sleeve Loaded with a #1blue/white or #2 blue MaxBraid Suture Instrumentation and Ordering Information for JuggerKnot Soft Anchor 1.45 mm Short Rigid can be found on page
16 JuggerKnotless Soft Anchor Instrumentation 2.1 mm 2.1 mm Disposable Kit JuggerKnotless Disposable Kit JuggerKnotless Soft Anchor Instrumentation 2.1 mm Reusable Instruments Reusable Low Profile Obturator Reusable Low Profile Trocar Reusable Low Profile Four-Prong Guide Reusable Low Profile Fishmouth Guide Four-Prong Guide Fishmouth Guide 16
17 Ordering Information JuggerKnotless Soft Anchor 2.1 mm JuggerKnotless SS Implant JuggerKnotless SS Implant 10pk JuggerKnotless Disposable Low Profile Drill Bit (Sterile) JuggerKnotless Disposable Kit JuggerKnotless Reusable Low Profile Fishmouth Guide JuggerKnotless Reusable Low Profile Obturator JuggerKnotless Reusable Low Profile Trocar JuggerKnotless Reusable Low Profile Four-Prong Guide 17
18 JuggerKnot Soft Anchor Instrumentation 1.4 mm and 1.5 mm 1.4/1.5 mm Curved Instrumentation 23 curvature Ability to drill a hole perpendicular to bone surface at anchor site Allows anchor to be placed through interval portals without compromising the rotator cuff. Kit also available with Straight Guide JuggerKnot Soft Anchor Instrumentation 1.4/1.5 mm Percutaneous Instrumentation Allows anchor to be inserted into the skin through a 2.4 mm diameter guide, minimizing tissue trauma Allows for multiple access points for labral tear repair No need for cannula Percutaneous Guide Straight Guide Centering Sleeve Guide Centering Sleeve Insert 1.4/1.5 mm Centering Sleeve Instrumentation Assists with consistant anchor placement via the curved guide by centering anchors in the drill hole Centering Sleeve Drill Bit 18
19 Ordering Information JuggerKnot Soft Anchor 1.4 mm JuggerKnot Soft Anchor- 1.4 mm 2 Implant Pk (Guide, Drill Bit) JuggerKnot Soft Anchor- 1.4 mm Single Loaded Implant JuggerKnot Soft Anchor- 1.4 mm 10Pk Reusable Guide Reusable Trocar R Rigid Drill Bit Reusable Obturator P Percutaneous Trocar C Reusable Curved Guide C Flexible Trocar Flexible Drill Bit C Flexible Obturator Sterile Single Flexible Drill Bit Disposable Kit (Guide, Flex Drill Bit) R Disposable Kit (Guide, Rigid Drill Bit) C Disposable Curved Kit (Curved Guide, Flex Drill Bit) P Percutaneous Kit (Guide, Drill Bit) C 1.4 mm Centering Sleeve Kit (Curved Guide with Drill Sleeve) mm Centering Sleeve Kit (Flex Drill Bit with Drill Sleeve) JuggerKnot Soft Anchor 1.5 mm JuggerKnot Soft Anchor-1.5 mm - Single JuggerKnot Soft Anchor-1.5 mm - 10pk Straight Reusable Guide R Rigid Drill (Gold) C Curved Reusable Guide Flex Drill (Black) Straight Disposable Kit (Guide, Large Shank Drill) C Curved Disposable Kit (Guide, Drill Bit) C 1.5 mm Centering Sleeve Kit (Curved Guide with Drill Sleeve) mm Centering Sleeve Kit (Flex Drill Bit with Drill Sleeve) 19
20 JuggerKnot Soft Anchor Instrumentation 2.9 mm and 2.9 mm with Needles 2.9 mm/2.9 mm with Needles Instrumentation 2.9 mm and 2.9 with Needles In Guide Punch 2.9 mm with Needles Reusable Short Guide JuggerKnot Soft Anchor Instrumentation 2.9 mm Instrumentation 2.9 mm Disposable Guide 2.9 mm Reusable Guide 2.9 mm Disposable Kit 20
21 Ordering Information JuggerKnot Soft Anchor 2.9 mm JuggerKnot Soft Anchor-2.9 mm Double Loaded #2 MaxBraid Suture BL/WH-BL-Single Loaded JuggerKnot Soft Anchor-2.9 mm Double Loaded #2 MaxBraid Suture BL/WH-BL-10pk G Reusable Drill Guide Sterile Disposable Drill Bit G Reusable Obturator G Reusable Trocar Reusable In-Guide Punch Disposable Instrument Kit (Guide, Obturator, Drill bit) JuggerKnot Soft Anchor 2.9 mm with Needles JuggerKnot Soft Anchor- 2.9 mm with Needles w/ Cutting Needles JuggerKnot Soft Anchor-2.9 mm with Needles w/ Tapered Needles JuggerKnot Soft Anchor-2.9 mm with Needles w/ Cutting Needles 10pk JuggerKnot Soft Anchor-2.9 mm with Needles w/ Tapered Needles 10pk Drill Bit Short Shaft Sterile Pk Short Punch Reusable Short Guide 21
22 JuggerKnot Soft Anchor Instrumentation 1.0 mm Mini and 1.45 mm Long Anchor 1.0 mm Mini Instrumentation Drill Bit JuggerKnot Soft Anchor Instrumentation 1.45 mm Long Anchor Instrumentation Straight Guide Flexible Drill Bit Rigid Drill Bit (Large Shank) 1.45 mm Long Anchor Curved Instrumentation Curved Guide Centering Sleeve 22
23 Ordering Information JuggerKnot Soft Anchor 1.0 mm with 2-0 & 3-0 Needles JuggerKnot Soft Anchor-1.0 mm w/ 2-0 Needles w/ Drill JuggerKnot Soft Anchor-1.0 mm w/ 2-0 Needles 10pk Mini Step Drill JuggerKnot Soft Anchor-1.0 mm w/ 3-0 Needles w/ Drill JuggerKnot Soft Anchor-1.0 mm w/ 3-0 Needles 10pk Mini Step Drill JuggerKnot 1.45 mm Long Soft Anchor JuggerKnot Long Soft Anchor #1 Single Loaded JuggerKnot Long Soft Anchor #1 10pk JuggerKnot Long Soft Anchor #2 Single Loaded JuggerKnot Long Soft Anchor #2 10pk Reusable Fishmouth Guide Reusable Curved Guide Reusable Straight Four-Prong Guide Disposable Flex Drill Disposable Rigid Drill Reusable Flex Trocar Reusable Flex Obturator Disposable Straight Guide Kit (Guide and Rigid Drill) Disposable Flex Drill with Centering Sleeve 23
24 JuggerKnot Soft Anchor Instrumentation 1.4 mm Short and 1.45 mm Short Rigid 1.4 mm Short Instrumentation Reusable Slotted Guide JuggerKnot Soft Anchor Instrumentation Disposable Slotted Guide 1.45 mm Short Rigid Instrumentation No guide allowing surgeon the ability to control depth of anchor insertion. Drill Bit 24
25 Ordering Information JuggerKnot Soft Anchor 1.4 mm Short JuggerKnot 1.4 mm Short #1 Single Loaded JuggerKnot 1.4 mm Short #1 10 pk Sterile Disposable Drill Bit Reusable guide Disposable Kit with Guide, Drill Bit Disposable Kit with Implant and Guide JuggerKnot Soft Anchor 1.45 mm Short Rigid JuggerKnot Rigid #1 Implant with Drill Bit JuggerKnot Rigid #2 Implant with Drill Bit JuggerKnot Rigid #1 Implant 10 pk JuggerKnot Rigid #2 Implant 10 pk JuggerKnot Rigid 1.45 mm Drill 5 pk 25
26 References 1. PRWeb. Biomet, Terumo, and Arteriocyte Trail Blaze in US Orthopedic Device Markets, Claiming Nearly Entire Market Share Reports idata Research. March 13, prweb htm. Bench test results are not necessarily indicative of clinical results. 2. Barber FA, M.D, Herbert MA, Ph.D. Cyclic Loading Biomechanical Analysis of the Pullout Strengths of Rotator Cuff and Glenoid Anchors: 2013 Update. Arthroscopy 2013, Article in Press. Bench test results are not necessarily indicative of clinical results. 3. Barber FA, Herbert MA, Hapa O. Rapley JH. Barber CA, Bynum JA, Hrnack SA. Biomechanical Analysis of Pullout Strength of Rotator Cuff and Glenoid Anchors Update. Arthroscopy Bench test results are not necessarily indicative of clinical results. 4. Data on file at Biomet Sports Medicine. Test Report BSM03. Bench test results are not necessarily indicative of clinical results. 5. Data on File at Biomet Sports Medicine. Biomechanical Evaluation of the Biomet Sports Medicine JuggerKnotless Soft Anchor. BMET Bench test results are not necessarily indicative of clinical results. 6. Data on file at Biomet Sports Medicine. Test Report AT47D. Bench test results are not necessarily indicative of clinical results. 7. Data on file at Biomet Sports Medicine. Test Report BSM4. Bench test results are not necessarily indicative of clinical results. 8. Data on file at Biomet Sports Medicine. Test Report BSM17. Bench test results are not necessarily indicative of clinical results. 9. Chain Data on file at Biomet Sports Medicine. Bench test results are not necessarily indicative of clincal results. 26
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28 This material is intended for health care professionals and the Biomet sales force only. Distribution to any other recipient is prohibited. All content herein is protected by copyright, trademarks and other intellectual property rights owned by or licensed to Biomet Inc. or its affiliates unless otherwise indicated. This material must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of Biomet. Check for country product clearances and reference product specific instructions for use. For complete product information, including indications, contraindications, warnings, precautions, and potential adverse effects, see the package insert and Biomet s website. Not for distribution in France. Legal Manufacturer Biomet Sports Medicine 56 East Bell Drive P.O. Box 587 Warsaw, Indiana USA Authorised Representative Biomet UK Ltd. Waterton Industrial Estate Bridgend, South Wales CF31 3XA UK Biomet Sports Medicine Form No. BMET GBLA4 REV1014
Labral Repair. Surgical Protocol by Ronald Glousman, M.D. and Nicholas Sgaglione, M.D.
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