Meniscal Preservation

Expanding the possibilities of Meniscal Preservation with the NOVOSTITCH^◊ PRO, FAST-FIX^◊ 360 and ULTRA FAST-FIX Meniscal Repair systems.

The NOVOSTITCH^◊ Pro Meniscal Repair System has been designed for access and safety in tight knee joints.

Simplify: Pre-loaded all-suture implant eliminates suture management with single insertion cartridge - available in size 2-0 and 0 suture

NOTE: For additional product information, you will be redirected to the US page as this product is only available in the US and New Zealand.

NOVOSTITCH PRO Resource
1. Saliman. Circumferential Compression Stitch for Meniscus Repair. Arthroscopy Tech. 2013; V2(3); e257-262.

NOVOSTICH PRO Meniscal Repair System is 510(k) cleared and available in US only

The NOVOSTITCH PRO Meniscal Repair System is manufactured by Ceterix Orthopaedics, Inc., 6500 Kaiser Drive, Suite 120, Fremont, CA 94555, USA.

FAST-FIX^◊ 360 Meniscal Repair System

One-handed, fast-click, active implant deployment
The unique 360° actuation design provides improved control, enabling you to deploy implants in any hand position - vertically or horizontally on either side of the meniscus - with a fast, smooth advancing motion. This spring-action design facilitates the advancement of each implant into the capsule.

Minimal disruption to the meniscus 
Low profile needle delivers smaller implants and pre-tied, self-sliding knot made of ULTRABRAID 2-0 Suture create smaller needle insertions, designed to reduce disruption to the meniscus.

Strong with clinically proven FAST-FIX Meniscal Repair Technology
Like its predecessor, the FAST-FIX 360 System has biomechanical properties that best reproduce the vertical mattress suture technique.¹

FASTFIX 360 Resources
1 Data on file at Smith & Nephew: ITR 4080, “FAST-FIX 360 System vs. Competitors,” (2010).

The ULTRA FAST-FIX ◊ System was designed to be fast, easy to use and strong.

Unlike conventional suture-based repair systems, the ULTRA FAST-FIX system is an implant system with a pre-tied, self-sliding knot that eliminates the need for intra-articular knot tying. The system provides a strong, reproducible and reliable meniscal repair with biomechanical properties equal to that of the open, vertical mattress stitch suture technique.

The FAST-FIX Ultra Syste contains no hard device heads and is available with ULTRABRAID^◊ suture and is offered with a choice of implants - PPEEK-OPTIMA® or PLLA

Curved and reverse curved needles
Curved needles are designed for safe and easy access to a multitude of tear sites. The reverse-curved needle is designed for repairing tears on the inferior surface. Because the needle's point is on the opposite side of the curve, it can enter the inferior area without skiving the meniscus or the tibial plateau.

Meniscus Mender II Repair Set: OUTSIDE-IN Access to Anterior Tears

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

The Meniscus Mender II Repair Set utilizes curved and straight needles and a patented suture capture loop.

Depending on the patient’s anatomy, the surgeon may use a combination of curved and straight needles in order to best access the tear. These components allow the surgeon to use the outside-in approach, which may help minimize the risk of damage to neurovascular structures during the meniscal repair.

MENISCAL STITCHER Repair System: INSIDE-OUT Delivery with Smaller Needle Diameter

Classic inside-out techniques remain a viable solution for the repair of many kinds of meniscal tears. Providing the versatility to address a variety of tear patterns and the ability to deliver sutures with smaller needles, with proven long-term results, inside-out techniques have been considered the gold standard for arthroscopic meniscus repair.¹

• Curved double-lumen cannulas
• Straight double-lumen cannulas 
• Posterior-access cannula
• Thimble
• Bending tool
• Sterilization tray
• Variety of disposable needles

Resources

1. Nelson C, Bonner K. Inside-Out Meniscus Repair. Arthroscopy Techniques. 2013;2(4):e453-e460.B.

NOVOCUT◊ Suture Manager: Suture Management Simplified

The NOVOCUT Suture Manager enables surgeons to tighten knots and cut suture with unique design features to simplify the knot-tying process.

ROOT REPAIR:

NOVOSTITCH^◊ Pro Meniscal Repair system

The NOVOSTITCH Pro Meniscal Repair System has been designed for access and safety in tight knee joints.

Simplify: Pre-loaded all-suture implant eliminates suture management with single insertion cartridge - available in size 2-0 and 0 suture

NOTE: For additional product information, you will be redirected to the US page as this product is only availale in the US.

NOVOSTITCH PRO Resource
1. Saliman. Circumferential Compression Stitch for Meniscus Repair. Arthroscopy Tech. 2013; V2(3); e257-262.

NOVOSTICH PRO Meniscal Repair System is 510(k) cleared and available in US only

The NOVOSTITCH PRO Meniscal Repair System is manufactured by Ceterix Orthopaedics, Inc., 6500 Kaiser Drive, Suite 120, Fremont, CA 94555, USA.

FIRSTPASS^◊ MINI Suture Passer

Designed for reliability, versatility and easy access.

 

NOTE: For additional product information, you will be redirected to the US page. For product availability specific to your country, please select your country location. 

MENISCAL ROOT Repair System: Reproduce the anatomical footprint

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

Our Meniscal Root Repair System features aimers designed to maneuver around the tibial eminence and is designed to support one- or two-tunnel procedures. The included guide has offsets of between 5-8mm, which allow it to be positioned in a manner that facilitates the ideal location of the second tunnel.

TRANSPLANTATION:

Meniscal Allograft Transplantation (MAT): Solutions and surgical technique

Meniscal allograft transplantation can be used for the reconstruction of large meniscal defects or when the meniscal rim is deficient and the meniscus is no longer functional. Smith & Nephew provides a complete suite of meniscal repair solutions designed for arthroscopic meniscal allograft transplantation procedures. Please see our resource page for additional information.

Prepare for unpredictability with quality and performance
The treatment path of a meniscal tear – repair or partial meniscectomy – is sometimes hard to predict until it can be visualized arthroscopically.

Our full portfolio includes everything from market-leading meniscal repair and handheld instruments solutions, to state-of-the-art DYONICS^◊ blades and COBLATION^◊ Wands for meniscal repair, contouring and resection.

Manual Resection with ACUFEX^◊ Handheld Instruments
Designed for easy access, our extensive line of ACUFEX Instruments includes punches, scissors and graspers, and are offered in a wide range of tips and handle configurations.

Narrowline Family: Small, aggressive tip design and narrow shaft are intended to provide excellent maneuverability and multiple plane-cutting capability in the posterior horn

DUCKBILL^◊ Basket Punch: Low-profile punches designed to produce a large, square bite. The wave-tooth design allows for the maximum amount of tissue to be smoothly resected in tight knees.

DUCKLING^◊ Basket Punch: Combines the wide-bite of the DUCKBILL-style punch with the thinnest possible tip, allowing optimum maneuverability under the condyle and greater posterior advancement.

STINGRAY^◊ Basket Punch: Back-biting capability is intended to offer the most direct access to the anterior horn.

90º Rotary Basket Punch: Designed to offer an effective angle for trimming the difficult-to-access anterior meniscus. The unique tip design allows for successive bites, making this instrument ideal for balancing the meniscal rim.

Mechanical Resection with DYONICS^◊ PLATINUM Blades
DYONICS PLATINUM Blades have been designed to provide surgical solutions that efficiently resect tissue and bone and effectively navigate hard-to-reach areas.

SYNOVATOR^◊ PLATINUM Blade: features acute, beveled blade edges and dual inner cutting windows to allow shallow cuts, designed to remove torn tissue while sparing adjacent healthy tissue.

INCISOR^◊ Plus PLATINUM Blade: designed for highly degenerated tears, this blade offers a precision-sharpened, tooth-to-tooth design for rapid resection.

DYONICS Full Radius Curved Blades: are designed to access especially tight knees.

DYONICS ORBIT^◊ Curved Blades: feature a unique cutting window that can be rotated up to 360° while in the joint. This allows for convex and concave blade orientation, and eliminates the need for removing and bending blades.

FIRSTPASS^◊ MINI Suture Passer:
With the goal of providing a reliable, versatile and eas-to-use system, this suture passer is designed to help facilitate procedures executed in tight spaces.

COBLATION^◊ WEREWOLF FLOW 50 Wand
The WEREWOLF FLOW 50 Wand enables surgeons to access and address all soft tissue types in the knee without compromise.

• Indicated for meniscus and all soft tissue in the knee.
• Combined COBLATION and FLOW~IQ™ technology to remove tissue with speed* and precision^1,2**
• Designed to provide optimal access to the posterior horn and root of the meniscus.

1. Amiel D, Ball ST, Tasto JP. Chondrocyte viability and metabolicactivity after treatment of bovine articular cartilage with bipolar radiofrequency: an in vitro study. Arthroscopy. 2004;20(5):503-510.
2. ArthroCare 2014.FLOW 50 Wand Vac ModeComparative Bench-Top Study Report. P/N 53303-01_A

 * In Vac mode the FLOW 50™ COBLATION Wandremoves free-floating tissue approximately four times faster than AMBIENT™ SUPER MULTIVAC50, in vitro.

** The controlled plasma field produced by COBLATION allows for precise removal of soft tissue with minimal damage(100 - 200 μm) evident in untargeted cartilage tissue ex vivo; Cell damage may vary depending on protocol used.

Visit http://www.smith-nephew.com/about-us/where-we-operate/  for more information.