Meniscal Preservation

Expanding the possibilities of Meniscal Preservation with the NOVOSTITCH^◊ PRO, FAST-FIX^◊ FLEX 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. For product availability specific to your country, please select your country location.

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

NOVOSTITCH PRO Meniscal Repair System is 510(k).

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

FAST-FIX^◊ FLEX Meniscal Repair System

All-zone All-inside meniscal repair

Smith+Nephew has extended the reach of all-inside meniscal repairs with FAST-FIX FLEX*. The unique guided needle and shaft flexibility allow access to all zones across the meniscus using a standard anterior portal.¹

+Enhance accessibility

FAST-FIX FLEX provides access to the posterior zone as well as the mid-body and anterior third of the meniscus, which has been shown to account for more than 40% of meniscal tears in stable adult knees^1-3

+Preserve Anatomy

~25% smaller needle insertion area and a ~20% stronger repair*^^4,5

+Increase Reliability*^1,6

360°active deployment confirmed through touch, sound and sight2

*Compared to predicate device +in stable adult knees ^as demonstrated in biomechanical testing

References:
1. Smith+Nephew 2021.Validation, FAST-FIX FLEX. Internal Report. 15010267 Rev A.
2. Smith+Nephew 2021.Validation, FAST-FIX FLEX.Attachment B. Internal Report. 15010267 Rev A.
3. Metcalf MH, Barrett GR. Prospective evaluation of 1485 meniscal tear patterns in patients with stable knees. AJSM. 2004;32(3):675-680.
4. Smith+Nephew 2021.Competitive, FAST-FIX FLEX Dimensional Analysis. Internal Report. 15010919 Rev A.
5. Smith+Nephew 2020.Biomechanical Testing, FAST-FIX FLEX. Internal Report. 15010180 Rev A.
6. Smith+Nephew 2021.FAST-FIX FLEX-Surgeon Surveys. Internal Memo.

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.

ULTRA FAST-FIX^◊ System

Tried and true all-inside meniscal repair

When the original FAST-FIX Meniscal Repair System was introduced, it set the benchmark for non-invasive, all-inside repairs. Thanks to its preloaded implants, pre-tied sliding knot and innovative pusher/cutter device, this system lets surgeons deploy two implants vertically or horizontally on either side of the meniscus, tighten the suture and trim the excess. The ULTRA FAST-FIX System was designed by building upon the success of the original FAST-FIX system.

Curved and reverse-curved needle

Curved needles are designed to provide easy access to a multitude of tear sites. The reverse-curved needle is designed for repairing tears on the inferior surface.

Passive implant deployment

The implant is deployed when it catches on the capsule.

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.

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. For product availability specific to your country, please select your country location.

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)

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 accessibility

These suture passers, which come in three versions, left-curved, straight and right-curved, are designed to help facilitate root repair procedures executed in tight spaces.

 

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.