Complete Solutions for Hip Arthroscopy

Introduction

For over 150 years, Smith & Nephew has been a pioneer in surgical techniques and instrumentation for minimally-invasive joint access. Over the past two decades, the company has collaborated with leading surgeons to develop cutting-edge techniques and instruments for hip arthroscopy. Smith & Nephew is now the global market leader in hip arthroscopy, driven by technological advancements and a strong focus on education. They offer a comprehensive program including lab-based courses and access to industry experts, aiming to provide innovative solutions that improve patient lives.

INVENTURES™ Program

This program offers surgeons the opportunity to collaborate with Smith & Nephew engineers on new techniques or instruments. For more information, contact a sales representative or visit www.smith-nephew.com/inventures/.

Hip Arthroscopy Educational Video Library

Educational videos are available on the Smith and Nephew Hip Repair channel at www.SNhiparthroscopyvideos.com. Topics include:

• Patient Selection, Physical Examination and Imaging of the Hip and Pelvis by Dr. Chris Larson
• Hip Arthroscopy: From Fundamentals to FAI and Labral Repair by Dr. J.W. Thomas Byrd
• Arthroscopic Gluteus Medius Repair Featuring the HEALICOIL™ Suture Anchor by Dr. J.W. Thomas Byrd
• Labral Reconstruction featuring the OSTEORAPTOR™ Suture Anchor by Dr. Marc J. Philippon

Patient Positioning

Hip Positioning System with Active Heel™ Technology

This system provides a universal hip distractor for lateral and supine patient positioning. It features the Active Heel Traction Boot, designed for security, minimal heel lift, and quick disconnect for intraoperative assessment. Key features include:

• Unique patented ball joint system for extensive range of motion.
• Orange control knob for easy flexion, abduction, or adduction.
• Adjustable carriage for fine and gross traction control.
• Active Heel Technology conforms to patient anatomy for secure hold.
• Accommodates a wide range of foot sizes.
• Military-grade buckles to minimize heel lift.
• Quick-disconnect handle for dynamic range of motion assessment.
• C-arm compatible.
• Attaches easily to standard OR tables.

References: 1 Design Validation Protocol and Report: 15001898, 2 Design Verification Protocol and Report: 15001897.

Portal Placement and Access

ARTHROGARDE™ Hip Access Cannulas

These high-strength, atraumatic cannulas are designed for hip arthroscopy. They feature:

• Unique, rounded ends for smooth tissue protection.
• High-strength design to prevent bending or wear.
• Available in sizes 4.5mm, 5.0mm, and 5.5mm.

ARTHROGARDE Slotted Cannula

This versatile, patent-pending cannula offers:

• Rounded, smooth edges for optimal safety.
• High-strength design for durability.
• Ergonomic handle for maneuverability.
• Angled profile.

CROSSTRAC™ Hip Guide System

This system facilitates accurate trajectories, providing easy access to the hip joint. It features:

• Unique, triangulated design and needle point accuracy for consistent trajectory alignment and portal placement.
• Designed for use with standard 4 mm arthroscopes and ARTHROGARDE Hip Access Cannulas.

Portal Placement & Access (Continued)

J-SNAP Quick Release Irrigation Extender

A next-generation irrigation extender for hip arthroscopy with a new secure connection mechanism. It offers an easy-to-use, snap-in locking mechanism for engagement/disengagement with ARTHROGARDE cannulas and bridges. The locked bridge ensures improved flow dynamics and high flow rates, preventing release during rotational movements.

Single Use Accessories: Disposable Hip Pac

Includes: 3 nitinol guidewires (1.2mm x 18") and 2 arthroscopy needles (17 gauge, 6").

Visualization: VideoArthroscopes

Extra-long, high-definition videoarthroscopes with sealed scope design and one-handed light post rotation, ideal for hip arthroscopy. Available in 30° and 70° Direct View and compatible with various camera heads.

Pathologies

Synovial Disease

DYONICS™ EFLEX™ Radiofrequency Probes: Can deflect up to 100°, providing access to difficult hip joint areas. Features an easy-to-pull trigger, ergonomic handle, and integrated power cable. EFLEX probes are available for various applications. They offer a flexible tip, multiple tip configurations for hip joint access, and an extra-long shaft fitting through 5.5mm cannulas.

DYONICS EFLEX LIGAMENT CHISEL™ Probe

DYONICS EFLEX ABLATOR™ Probe

DYONICS EFLEX TAC-S Probe

DYONICS EFLEX™ ABLATOR™ Probe: Delivers RF precisely. Features a rounded convex tip for tissue ablation and smoothing, and a malleable shaft for flexibility.

Loose Body Excision

Smith & Nephew's ACUFEX™ brand instruments provide superior performance. The ACUFEX line includes punches, graspers, probes, and knives known for maneuverability, sharpness, precision, and strength. They are manufactured with ACUFEX patented, pinless hinge design for strength and cutting efficiency.

ACUFEX PITBULL™ and ACUFEX Alligator Max Graspers

These handheld graspers offer:

• Broad selection of procedure-specific tip configurations.
• Maximum grasping capability.
• Easy access.

Note: DYONICS EFLEX probes are used with the Smith & Nephew VULCAN Generator. Contact sales representative or Customer Service at +1 800 343 5717 (U.S.) for more information.

Pathologies (Continued)

Capsulotomy

Smith & Nephew's hip-specific instruments provide precision tools for capsulotomies.

SABER™ 30 COBLATION™ Wand*

Features a single, hook electrode for simultaneous cutting and coagulation of the hip capsule.

Debridement

DYONICS™ INCISOR™ PLUS ELITE™ Shaver Blade

Available in an extra-length curved version for hip arthroscopy. Features an outer blade with sharp teeth for enhanced cutting and reduced tissue tearing. Offers fast, accurate tissue resection and precise sharpening.

DYONICS 4.5mm BONECUTTER™ Blade

Provides efficient bone resection and soft tissue removal with a single blade. Features proprietary SURILLIUM™ coating to reduce friction and maintain cutting efficiency.

DYONICS EFLEX LIGAMENT CHISEL*

Delivers RF for precise resection of dense, soft tissue such as the labrum.

Note: DYONICS Blades and Burrs are used with Smith & Nephew DYONICS POWER and DYONICS POWER II Control Systems. Contact sales representative or Customer Service at +1 800 343 5717 (U.S.) for more information. COBLATION Wands are used with the QUANTUM™ 2 System.

Debridement (Continued)

MULTIVAC™ 50 XL COBLATION Wand

• 50° angle and multiple suction ports for efficient ablation and suction.
• Long shaft designed to improve hip joint access.

TURBOVAC™ 90 XL COBLATION Wand

• 90° angle and multiple suction ports for efficient ablation and suction.
• Long shaft designed to improve hip joint access.
• Slim shaft compatible with 5.5mm cannula.

PARAGON T2™ COBLATION Wand

• Recessed electrode for controlled excision.
• T2 technology provides visual indication of local temperature.

Labral Repair: Cannula System

CLEAR-TRAC™ COMPLETE Disposable Hip Cannula System

Designed for hip arthroscopy, providing necessary visualization for repair procedures. Features a partially-threaded design for easy insertion and excellent retention. Includes:

• Integrated triple-seal design.
• Transparent body for easy visualization.
• Reusable obturators.

Pathologies (Continued)

Suture Manipulation

Smith & Nephew ACUFEX™ hand instruments for suture manipulation are extra-long for hip access, featuring ergonomic handles and working lengths compatible with CLEAR-TRAC Cannula Systems.

ARTHRO-PIERCE® XL*

• Ideal suture passer with extra-long working length.
• Enables suture passage through soft tissue.

ARTHRO-ROUND XL*

• Ideal suture grasper with rounded beak.
• Enables suture manipulation without tissue penetration.

Suture Cutter XL*

• Ergonomic, easy to use, and extra-long for hip joint access.
• Ideal for use with knotted suture anchors, leaves a tail for knot security.

Suture Cutter Flush XL*

• Ergonomic, easy to use, and extra-long for hip joint access.
• Ideal for use with knotless suture anchors, does not leave a tail.

ACCU-PASS™ DIRECT CRESCENT XL

• Suture loop with flat nitinol wire grasping tongue for simplified retrieval and management.
• Atraumatic 1.6 mm labral repair solution for knotless users.

SPEEDSTITCH™ Suture Passer

• Integrated grasping and suturing for precise and quick placement.
• Simplifies the suture process by eliminating the need to shuttle sutures in the joint.

Note: * Included in the HIPSTRUMENTS Hip Arthroscopy Repair System.

Suture Anchors

Smith & Nephew offers a diverse range of suture anchors for hip repair, providing unparalleled choices in materials, sizes, and options for knotted and knotless repairs.

SUTUREFIX ULTRA XL Suture Anchor

A small, strong, all-suture, soft anchor for hip labral repair, allowing fine-tuning of the labral seal. It outperforms traditional devices in pull-out strength, offers reliable anchor deployment, and confirms deployment with an audible "Click".

Q-FIX™ All-Suture Anchor

This next-generation all-suture implant technology provides mechanical performance comparable to or better than traditional anchors. It features a radial expansion implant design for consistent deployment and a simple, streamlined technique.

SPEEDLOCK™ HIP Knotless Suture Anchor

Combines independent bone lock, suture lock, and incremental, reversible tissue transitioning for precise control over hip labrum repairs. Offers a stable construct and streamlined technique for simplicity and stability, with consistent and precise placement and short drill depth.

References: Data on file: 15002059, 15002128, 15002113, 15001952, 15002112, 49193-01 Rev. A; 51963-01 Rev. A; 54231-01 Rev. A.

Suture Anchors (Continued)

BIORAPTOR™ Knotless Suture Anchor

An easy-to-use, time-saving approach for labrum repairs. Features an inner plug that allows tension-ability and security of sutures within the anchor, enabling control of anchor tension after insertion. Eliminates knot-tying and provides controlled, adjustable suture tension.

BIORAPTOR 2.3 PK Suture Anchor

These knotted anchors offer radiolucency with high-strength PEEK-OPTIMA® polymer from Invibio®. They are small, easy to deploy, and preloaded with high-strength ULTRABRAID Suture.

OSTEORAPTOR™ 2.3 PLLA/HA and 2.9 PLLA/HA Suture Anchors

These knotted anchors incorporate the natural biocompatibility of hydroxyapatite (HA). They are available in sizes that allow precise positioning of repairs and are preloaded with high-strength ULTRABRAID™ Suture.

HIPSTRUMENTS Hip Arthroscopy Repair System

Smith & Nephew's HIPSTRUMENTS Hip Arthroscopy Repair System offers a robust selection of longer and stronger instruments for addressing hip pathologies. The system is designed and sized for effective hip arthroscopy procedures.

XL Microfracture Pick 90°

The 90-degree pick delivers force directly in the direction of the mallet strike, minimizing skiving and iatrogenic damage.

Microfracture Picks

Ideal for microfracturing chondral defects. Available in various angles (30°, 45°, and 60°).

Curettes

Used to remove damaged cartilage and expose boney surfaces. Available in 4.5mm and 6.0mm (open reverse cut) sizes.

Rasp XL

Used to create a bleeding bed in subchondral bone.

Elevator XL

Aids in managing and protecting soft tissue, particularly during labrum mobilization.

The HIPSTRUMENTS Hip Arthroscopy Repair System tray includes:

• 3 Microfracture Picks (30°, 45°, and 60°)
• 2 Curettes (4.75 mm and 6 mm reverse cut)
• Suture Cutter XL
• Suture Cutter Flush XL
• Elevator XL
• Rasp XL
• Banana Blade
• ARTHRO-ROUND XL
• ARTHRO-PIERCE® XL
• Knot Pusher XL
• Crochet Hook

DYONICS HIGH VISIBILITY Hip Burrs

These burrs feature an outer, narrow-neck sheath for improved visualization of anatomical landmarks. They include:

• Unique Flat Top or end-cut design for sculpting acetabular overhang while protecting the labrum.
• Abrader outer sheath edges rounded to minimize damage to surrounding tissues.
• Barrel Burr with an aggressive side-cutting and gentle end-cutting flute design for refined resection.

Hip Arthroscopy Catalog - Product Listings

The following sections detail various product categories with part numbers and descriptions.

Patient Positioning

System Upgrades – Active Heel™ Traction Boot Retrofit Kits

Advanced Supine Hip Positioning System*

Traditional Supine Hip Positioning System**

Supine Rail Clamps

Patient Positioning (Continued)

Traditional Lateral Hip Positioning System

Lateral Rail Clamps

Single-use Disposables

Accessories

Replacement Parts

Note: Adapters allow use with standard fracture tables including those on Maquet, Mizuho OSI, TRUMPF and Amsco.

Portal Placement & Access

CROSSTRAC™ Hip Guide System

ARTHROGARDE Access Cannulas

ARTHROGARDE Access Cannulas (continued)

Irrigation Extender

Hip Pac

VISUALIZATION: VideoArthroscopes

ARTHROSCOPY and HAND INSTRUMENTS

Probes

Switching Sticks

Knives

Handheld Instruments

RESECTION & RADIOFREQUENCY

EFLEX® and COBLATION

DYONICS Shaver Blades, 18 cm Working Length**

DYONICS Shaver Burrs, 18 cm Working Length**

Notes: Radiofrequency probes are used with the Smith & Nephew VULCAN Generator. COBLATION Wands are used with the QUANTUM 2 System. DYONICS Blades and Burrs are used with Smith & Nephew DYONICS POWER and DYONICS POWER II Control Systems. For more information, contact sales representative or Customer Service at +1 800 343 5717 (U.S.).

REPAIR ANCHORS, INSTRUMENTS & CANNULAS

SUTUREFIX ULTRA XL Suture Anchors

Drill Guides and Obturators for SUTUREFIX ULTRA XL

Q-FIX® All-Suture Anchor

SPEEDLOCK HIP Knotless Suture Anchor

Drill Guides and Obturators for SPEEDLOCK® HIP

Reference: P/N 49193-01 Rev. A

REPAIR ANCHORS, INSTRUMENTS & CANNULAS (continued)

BIORAPTOR Suture Anchors

Drill Guides and Obturators for 2.3 mm Anchors

BIORAPTOR Knotless

Drill Guides and Obturators for 2.9 mm and Knotless Anchors

OSTEORAPTOR Suture Anchors

ULTRABRAID High-strength Sutures

ACCU-PASS™ Disposable Suture Shuttles, #1 Monofilament 48" Included

REPAIR ANCHORS, INSTRUMENTS & CANNULAS (continued)

ACCU-PASS DIRECT Crescent XL Suture Passer

SPEEDSTITCH Suture Passer Reusable Suturing Device with Disposables

CLEAR-TRAC COMPLETE Hip Cannulas

Fluid Seal Adapter

INSTRUMENTS

HIPSTRUMENTS Hip Arthroscopy Repair System

Microfracture Pick XL

Open Curette XL

Reusable Banana Blade Knife

Elevator XL

Rasp XL

Knot Pusher XL

ARTHRO-PIERCE® XL

ARTHRO-ROUND XL

Suture Cutter Flush XL

Crochet Hook

HIPSTRUMENTS Tray

INSTRUMENTS (continued)

Additional HIPSTRUMENTS