Instruments for use in ACL reconstruction Semitendinosus ... · 2 Instruments for use in ACL reconstruction Semitendinosus and/or gracilis tendon KARL STORZ offers an impressive product

Instruments for use in ACL reconstruction Semitendinosus and/or gracilis tendon

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Instruments for use in ACL reconstruction Semitendinosus and/or gracilis tendon

KARL STORZ offers an impressive product range of instruments and implants for use in anterior cruciate ligament (ACL) surgery.

In close cooperation with renowned surgeons, KARL STORZ has developed an instrument series which meets and satisfi es the demands posed by contempora ry ACL surgery. It enables an anatomical, biological and functional cruciate ligament reconstruction using semitendinosus and/or gracilis tendon.

Advantages:

• Variability of instruments• Different fi xation techniques can be used• Reproducible technique• Coordinated instrument set

Harvesting and preparation of grafts

KARL STORZ has developed a range of tendon strippers for the harvesting of tendons, which can be adapted to the individual, anatomical particulars of the patient.

Differences in size, length and condition of harvested tendons demand an instrument set which allows the surgeon to prepare a number of different graft types.

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The tendon board offers an all-in-one solution for these demands. Whether you are operating using semitendinosus tendons or semitendinosus and gracilis tendons double, triple or even quadruple folded, the tendon board provides you with the perfect workstation for all methods.

The instrument set for tendon preparation is complemented by a measuring block for accurate dimensioning of the graft. The measuring block offers simple handling, joins equal and unequal diameters and can be used on a graft held by the tendon board.

The tendon board allows precise preparation of the graft and minimizes any calculation diffi culties for graft dimensioning.

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Drill tunnels: Positioning and drillingFemoral and tibial target guides ensure the anatomically correct positioning of drill tunnels.

The unique tip design is what makes the tibial target guide special as it ensures secure positioning of the drill tunnel. In addition, the length of the tibial drill tunnel can be defined in advance with the help of the target guide.

A robust design offering extremely high precision nicely rounds off the special features of the tibial target guide.

1. Positioning of tibial drill tunnel

2. Positioning of femoral drill tunnel

A range of different target guides with various offsets are available for use in positioning the femoral drill tunnel.*

These are selected depending on the diameter of the graft and applied in the ‘over-the-top’ position.

Following the anatomically correct positioning of the tunnels, they can then be enlarged to the required diameter with the help of coring reamers, drills or dilators.

*Information on the new Medial Portal Aimer is available in ENDOWORLD® ART 43.

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Implants for graft fi xationKARL STORZ offers a wide variety of implants for graft fi xation using different techniques. This includes FLIPPTACK® and ENDOTACK® for extracortical fi xation and the products of the MEGA FIX® range for joint line fi xation of tendons.

AccessoriesDifferent fi xation techniques require different instruments. The KARL STORZ portfolio features an extensive range of accessories for use in ACL reconstruction.

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Instruments

28729 AB Tendon Stripper, graduated, diameter 7 mm, length 30 cm

28729 SH Tendon Hook

28729 D Drilling Wire, spiral shape, with eyelet, diameter 2.4 mm, length 38 cm, for use with Bone Drills 28729 BA – BH, Collar Burrs 28729 BKC – BKF/BLC – BLF and Drills 28729 GA – GE

28729 AC Open Tendon Stripper, graduated, diameter 7.5 mm, length 30 cm

28729 DG Guide Sleeve, for the correction of the tibial tunnel, with concentric holes for a 2.4 mm guide wire, realignement possible from 3 – 9 mm

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28729 S Tendon Thickness Tester, for determination of tendon thickness size 6 – 10 mm at intervals of 1 mm

28729 SA Tendon Thickness Tester, for determination of tendon thickness size 6 – 10.5 mm at intervals of 0.5 mm

28729 SU Tendon Thickness Tester, for determination of tendon thickness size 6.5 – 10.5 mm at intervals of 1 mm

28729 SE Tendon Thickness Tester, for determination of tendon thickness size 7 – 12 mm at intervals of 0.5 mm

28729 SD Tendon Thickness Tester, for determination of tendon thickness size 4 – 7 mm at intervals of 0.5 mm

Instruments

28729 SA 28729 SE

28729 SB Tendon Board, including FLIPPTACK® retainer 28729 SC

28729 SC FLIPPTACK® Retainer

28729 P Tissue Forceps, 1 x 2 teeth, medium, distal curved to left, length 14.5 cm

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28729 FT FLIPPTACK®, extracortical fixation button, 4 x 12 mm, sterile

28729 ZA Tibial Target Guide, for ACL reconstruction

Instruments

28729 FK Thread Clip

28729 L Length Gauge, for cruciate ligament reconstruction, graduated, working length 23 cm

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Instruments

28729 E Larding Wire, pyramidal tip, diameter 2.4 mm, length 32 cm, package of 10, for use with Bone Drills 28729 BA – BH, Collar Burrs 28729 BKC – BKF/BLC – BLF and Drills 28729 GA – GE

28729 ZC Femoral Target Guide, for ACL reconstruction, graduated, 5.5 mm offset, for drilling diameter 9 and 10 mm

28729 ZD Same, 4 mm offset, for drilling diameter 7 and 8 mm

28729 ZE Same, 3 mm offset, for drilling diameter smaller than 7 mm

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28729 BKC Collar Burr, femoral, cannulated, collar diameter 7.5 mm, diameter 6 x 23 mm

28729 BKK Same, collar diameter 8 mm, diameter 6.5 x 23 mm

28729 BKD Same, collar diameter 8.5 mm, diameter 7 x 23 mm

28729 BKL Same, collar diameter 9 mm, diameter 7.5 x 23 mm

28729 BKE Same, collar diameter 9.5 mm, diameter 8 x 23 mm

28729 BKM Same, collar diameter 10 mm, diameter 8.5 x 23 mm

28729 BLC Collar Burr, tibial, cannulated, collar diameter 7.5 mm, diameter 6 x 43 mm

28729 BLK Same, collar diameter 8 mm, diameter 6.5 x 43 mm

28729 BLD Same, collar diameter 8.5 mm, diameter 7 x 43 mm

28729 BLL Same, collar diameter 9 mm, diameter 7.5 x 43 mm

28729 BLE Same, collar diameter 9.5 mm, diameter 8 x 43 mm

28729 BLM Same, collar diameter 10 mm, diameter 8.5 x 43 mm

28729 BLF Same, collar diameter 10.5 mm, diameter 9 x 43 mm

Instruments

28729 BA Bone Drill, cannulated, diameter 4.5 mm

28729 BC Same, diameter 6 mm

28729 BD Same, diameter 7 mm

28729 BE Same, diameter 8 mm

28729 BF Same, diameter 9 mm

28729 BG Same, diameter 10 mm

28729 BH Same, diameter 11mm

28729 BI Same, diameter 5.5 mm

28729 BK Same, diameter 6.5 mm

28729 BL Same, diameter 7.5 mm

28729 BM Same, diameter 8.5 mm

28729 BN Same, diameter 9.5 mm

28729 BO Same, diameter 10.5 mm

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28729 TT ENDOTACK®, tibial fixation button, 10 x 16 mm, sterile

Implants and Instruments

28729 TM Tensiometer, gauge for measuring and controlling the tension of the graft

28729 ST Positioning Device, for use with ENDOTACK® 28729 TT

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28729 KK Knot Holder, small, 1 x 1 mm, working length 14.5 cm

28729 MS Button Wrench, for use with ENDOTACK® 28729 TT


28789 SK CROSSDRIVE® Screwdriver, cannulated, size 8 – 11, for use with bioresorbable MEGA FIX® screws diameter 8 – 11 mm

28770 SK Same, cannulated, size 7, for use with MEGA FIX® screws diameter 7 mm

28760 SK Same, cannulated, size 6, for use with MEGA FIX® screws diameter 6 mm

28789 CD CROSSDRIVE® Plus Screwdriver, cannulated, for use with all MEGA FIX® titanium interference screws

28789 GW Nitinol Guide Wire, diameter 1.1 mm, length 38.5 cm

28789 KW Nitinol Guide Wire, short, diameter 1.1 mm, length 25.5 cm

28789 FW Nitinol Guide Wire, diameter 2 mm, length 38.5 cm

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28729 N Notcher, with fine-like blade to assist screw insertion, working length 15 cm


28171 SGN SILGRASP® Suture Grasper, straight jaws, sheath diameter 3 mm, straight, handle with cleaning connector, working length 14 cm

28729 FF Thread Catcher, for cruciate ligament reconstruction, working length 23 cm

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28729 NN Bone Wedge Chisel, to create a bone wedge in cruciate ligament surgery, with wide handle, working length 13 cm

28729 NO Notch Chisel, curved downwards 15°, working length 13 cm

174800 Metal Mallet, with NYLON replacement, length 22.5 cm

Instruments

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Implants

2870619 C MEGA FIX® C, bioresorbable composite interference screw, diameter 6 mm, length 19 mm, sterile

2870623 C Same, diameter 6 mm, length 23 mm









MEGA FIX® C

2870619 B MEGA FIX® B, bioresorbable interference screw, diameter 6 mm, length 19 mm, sterile

2870623 B Same, diameter 6 mm, length 23 mm









MEGA FIX® B

2870823 P MEGA FIX® P, bioresorbable interference screw, perforated, diameter 8 mm, length 23 mm, sterile

2870828 P Same, diameter 8 mm, length 28 mm







MEGA FIX® P

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2870723 T MEGA FIX® T, titanium interference screw, diameter 7 mm, length 23 mm, for cruciate ligament reconstruction with semitendinosus transplant, sterile

2870728 T Same, length 28 mm

2870823 T Same, diameter 8 mm, length 23 mm, sterile








MEGA FIX® T

Titanium Interference Screws for ST-Technique

Implants

2870823 CP MEGA FIX® CP, bioresorbable composite interference screw, perforated, diameter 8 mm, length 23 mm, sterile

2870828 CP Same, diameter 8 mm, length 28 mm







MEGA FIX® CP

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39351 J Plastic Container for Sterilizing and Storage, perforated, with transparent lid, with silicone mat, for two-level storage, for use with 16 forceps and 8 instruments, external dimensions (w × d × h): 520 mm × 250 mm × 145 mm

28188 D Arthroscopy Leg Holder, including Release clamp 25 mm, Neopren cushion and Closure stripe

Sterilization Container and Leg Holder

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Additional Literature

• ENDOWORLD®:– MEGA FIX®: The bioresorbable interference screw (ART 19)– MEGA FIX®-P: The bioresorbable interference screw with perforations (ART 22) – Instrument set for anterior cruciate ligament reconstruction: Double bundle technique

(ART 36)– Bone-Tendon-Bone-Instruments: Tendon harvesting and preparation (ART 37) – Instruments for PCL reconstruction (ART 40)– MEGA FIX®-Composite (ART 41)– Medial Portal Aimers – For anatomic femoral tunnel placement in ACL reconstructions using

the medial portal technique (ART 43)– UNIDRIVE® S III ARTHRO – Your Complete Solution for Arthroscopy (ART 46)

• DVD: KS707: A. Weiler: Reconstruction of the anterior cruciate ligament with the 4-fold semitendinosus

tendon

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It is recommended to check the suitability of the product for the intended procedure prior to use.

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KARL STORZ Endoscopy-America, Inc. 2151 East Grand Avenue El Segundo, CA 90245-5017, USA Phone: +1 424 218-8100 Phone toll free: 800 421-0837 (US only) Fax: +1 424 218-8525 Fax toll free: 800 321-1304 (US only) E-Mail: [email protected]

KARL STORZ GmbH & Co. KG Mittelstraße 8, 78532 Tuttlingen, Germany Postbox 230, 78503 Tuttlingen, Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: [email protected]

www.karlstorz.com

Documents

Instruments for use in ACL reconstruction Semitendinosus ... · 2 Instruments for use in ACL reconstruction Semitendinosus and/or gracilis tendon KARL STORZ offers an impressive product