complete solutions for knee arthroscopy

KNEE SOLUTIONS

Complete Solutions for Knee Arthroscopy

As a global leader in arthroscopic knee repair, Smith & Nephew’s Advanced Surgical Devices Division offers

comprehensive, reproducible and easy to use knee repair solutions

designed to improve patient outcomes. We work directly with knee

arthroscopists to develop and innovate techniques and technologies

that will enable every surgeon to repair even the most complex

knee injuries in a minimally invasive, uncomplicated and reproducible

manner. This booklet features our extensive line of knee repair

offerings and is organized by procedure, making it convenient to

navigate the comprehensive knee repair solutions we offer you.

“Smith & Nephew has been a pioneer in knee repair for many years, developing innovative product lines such as the FAST-FIX™ Meniscal Repair System and ENDOBUTTON™ Fixation Devices, which enable surgeons to better treat their patients with easy-to-use devices. They continued this innovation through their early support of the movement to new techniques associated with reconstructing the native anatomy of the ACL.

Smith & Nephew has an acute understanding of the challenges associated with this concept; they recognize its importance to the orthopedic surgeon community and work directly with thought leaders to develop products and procedures that help simplify these techniques. With their continued support, Smith & Nephew helps the surgeon community provide the best possible care for their patients and promote the proliferation of healthy knees.”

– Darren L. Johnson, MD Professor and Chairman

Department of Orthopaedic Surgery Director of Sports Medicine University of Kentucky School of Medicine

1

How to use this product guideThis product guide has been developed to introduce you to our complete range of repair solutions. Products are organized by procedure, with detailed product information in the front of the brochure and ordering information in the back.

Table of Contents

Knee Ligament Repair 5

General Products Used for Ligament Repair 5

Anterior Cruciate Ligament (ACL) Repair 6

Posterior Cruciate Ligament (PCL) Repair 8

Fixation Devices 11

ENDOBUTTON™ Family of Fixation Devices 11

Other Fixation Devices 12

Meniscal Repair and Resection 15

Cartilage Repair 19

Ordering Information 23

General Ligament Repair 23

Fixation Devices 27

Meniscal Repair and Resection 30

Cartilage Repair 31

3

KNEE LIGAMENT REPAIR

“After 25 years of my surgical career, I finally found a system that allows me to restore the correct anatomy of the knee. Depending on the patient, I

can choose whether to perform an inside-out or outside-in procedure and

see the correct positioning of the tunnel(s) before I drill them. The ACUFEX™

PINPOINT Anatomic ACL Guide System is truly a breakthrough in the

effectiveness of our interventions and the satisfaction of our customers.”

– Luigi Pederzini, MD, Director of Orthopaedic and Arthroscopic Surgery

Departments, New Hospital Sassuolo (MO), Italy

“The CLANCYTM Anatomic Cruciate Guide Flexible Drill System allows me to drill femoral and tibial tunnels independent of each other to consistently reproduce the anatomy of the ACL footprint. Since I don’t have to hyperflex the knee, it allows me to pick my tunnel placement, deliver my guide pin and drill my femoral tunnel under direct visualization.”

– Richard D. Parker, MD Chairman & Professor, Department of Orthopaedic Surgery

Orthopaedic Rheumatologic Institute The Cleveland Clinic Foundation, Cleveland, Ohio

“I’m excited about the ACUFEX DIRECTOR PCL Guide System. I can simplify the procedure and it allows me to place the tunnel where I want it in complete safety. The guide allows me to be fast and efficient and my patients and staff are very happy.”

– Alessandro Lelli, MD Villa Laura Hospital, Bologna, Italy

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Quick-release adjustable sliding base holds system components and easily locks into place with latching mechanism.

Sizing block is easily mounted on the board for convenient graft sizing.

BTB Holder securely facilitates bone-tendon-bone preparation and drilling.

Tissue grasper has serrated jaws to provide a secure grip on the graft and acts like an extra set of hands when suturing grafts.

Knee Ligament Repair

General Products Used for Ligament Repair

The procedures and techniques used to repair ligament tears in the knee continue to advance. Smith & Nephew offers repair solutions that meet the ever-changing demands of the arthroscopic surgeon, with improved reproducibility through the development of easy-to-use, accessible products focused on reproducing the anatomy.

GRAFTMASTER™ III Graft Preparation System Built to be versatile, the system can be used for preparing multiple grafts for soft-tissue or bone-tendon-bone (BTB) repairs.

WHIPKNOT™Soft Tissue Cinch Used in the harvest, preparation and placement of soft-tissue grafts.

• Preassembled in a sterile pack.

• Includes disposable cannula.

ULTRABRAID™ Suture1 This non-absorbable suture is composed of a special ultra-high molecular weight (UHMW) polyethylene fiber and features a unique braided configuration.

• Higher knot-breaking strength against leading competitors.

• Increased lubricity.

• Stronger resistance to fraying.1. ITR 2928-C. Data on file at Smith & Nephew.

Cruciate Accessory PacsMakes it easy to order the disposables you need for knee ligament reconstruction – from femoral and tibial fixation to guidewires and passing pins – in convenient pacs.

• Sterile. • Single-use.

Ligament Repair

RAP-PAC™Comprehensive cruciate accessory pacs for knee reconstruction. Sterile, single-use.

1.2 RAP-PAC A, latex freeContains 1 each of the following:

• 2.4 mm x 12" Drill Tip Guidewire.• 2.7 mm Drill Tip Passing Pin.• 1.2 mm x 12" Guidewire.• Cannulated Bone Tunnel Plug, latex free.• TRUKOR™ Gauge.

1.2 RAP-PAC B, latex freeContains 1 each of the following:

• 2.4 mm x 12" Drill Tip Guidewire.• 2.4 mm x 15" Drill Tip Passing Pin• 1.2 mm x 12" Guidewire (5 per package).• Cannulated Bone Tunnel Plug, latex free.• TRUKOR Gauge.

1.2 RAP-PAC CContains 1 each of the following:

• 2.4 mm x 12" Drill Tip Guidewire.• 2.4 mm x 15" Drill Tip Passing Pin.• 1.2 mm x 18" Guidewire (5 per package).• Cannulated Bone Tunnel Plug, latex free.• TRUKOR Gauge.

1.2 ENDOBUTTON™ CL ULTRA PAC Contains 1 each of the following:

• ENDOBUTTON CL Sizing Chart.• Cannulated Endoscopic Drill, 4.5 mm.• 2.4 mm Drill Tip Guidewire.• 2.7 mm x 15" Drill Tip Passing Pin.• 1.2 mm x 12" Guidewire (5 per package).• Cannulated Bone Tunnel Plug, latex free.• TRUKOR Gauge.

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Ligament Repair

Mark intended femoral tunnel location with microfracture awl.

Capture lateral x-ray image from C-arm.

Use touchscreen or mouse to select the three key anatomic landmarks on the condyle i.e.• Blumensaat’s line –

anterior.• Blumensaat’s line –

posterior.• Notch on condyle.

ACUFEX™ DIRECTOR APPLICATION Anatomic Guide automatically generates overlay.1. Zhang, Xudong Ph.D., “Validation of a Fluorscopic Imaging

Overlay System for Intra-operative Identification of Cruciate

Ligament Insertion Sites.” Department of Orthopaedic Surgery,

University of Pittsburgh.

ACUFEX™ DIRECTOR APPLICATION Anatomic Guide The ACUFEX DIRECTOR APPLICATION Anatomic Guide is a software application that was designed to assist clinicians in achieving more anatomic, consistent cruciate ligament tunnel placement.1 The versatile and easy-to-use interface seamlessly adapts to various procedures and patient types.

This system helps you to:

• Gain insight into the anatomy of the insertion site on the femur and tibia.

• Overcome skeletal variation among patients.

• Evaluate anatomic accuracy of tunnel placement before, during and after a procedure.

• Obtain more anatomic and consistent cruciate ligament tunnel placements.1

Anterior Cruciate Ligament (ACL) Repair

Anatomic ACL reconstruction techniques represent an approach to reproducing the native anatomy of the ACL at its anatomic attachment sites on both the tibia and the femur. Accuracy achieved through these anatomically correct techniques may be critical to the success of ACL reconstruction.1 Smith & Nephew provides a wide array of instruments and techniques to aid clinicians in the anatomic repair of the ACL.

DYONICS™ RF-S WHIRLWIND 90° Probe This powerful, bipolar radiofrequency suction probe is equipped with a grated suction design that helps trap large debris before it potentially causes a blockage. Use to mark the anatomic footprint for accurate tunnel placement.

• Powerful high-flow suction aids in rapid tissue removal.

• Provides unobstructed image.

• Indicated for multiple procedures.

DYONICS BONECUTTER™ PLATINUM 4.5 and 5.5 mm BladesThe original multitasking blade, the BONECUTTER PLATINUM Blade resects soft tissue and bone with one blade. Use to shave down tissue at the ACL insertion/footprint site.

• Eliminate the need to switch from a blade to a burr.

• PLATINUM manufacturing technology utilizes a new fortified alloy that allows operating speeds up to 10,000 RPM2, providing aggressive bone resection.

• 16% less vibration than the standard BONECUTTER Blade.3

1. Zantop T, et al. Tunnel positioning of anteromedial and posterolateral bundles in anatomic anterior cruciate ligament reconstruction:

Anatomic and radiographic findings. The American Journal of Sports Medicine 2007. DOI: 10.1177/0363546507308361.

2. Required with the POWERMAX™ ELITE™ Handpiece.

3. DHF 018, 15000784. Data on file at Smith & Nephew.

TRUKOR™ Depth GaugeDepth gauge allows for the easy estimation of the native dimensions of the ACL.

7

Ligament Repair

Tibial and Femoral Drill Guide Systems

ACUFEX™ DIRECTOR ELITE™ Drill Guide SystemComplete system of instruments for single-bundle ACL reconstruction.

• Provides accurate placement and drilling of tibial and femoral tunnels.1

• System components are sized for both bone-tendon-bone and soft tissue grafts.

ACUFEX DIRECTOR ELITE Anatomic ACL Guide SystemThis complete system for double-bundle ACL reconstruction helps to restore the anatomic footprints of the AM and PL bundles.

• Drill independent and divergent bone tunnels on the femur and tibia.1. Validation Report, 1500612. Data on file at Smith & Nephew.

Femoral Drill Guide Systems

ACUFEX PINPOINT Anatomic ACL Guide SystemThe ACUFEX PINPOINT Anatomic ACL Guide System is versatile and easy to use. The system enables visualization of the size and placement of femoral tunnel(s) in the native anatomic location, prior to drilling.

• Facilitates reproducible and accurate tunnel placement without the need for bony landmarks.1

• Determines position of AM and PL bundles.

• Complete system accommodates both single- and double-bundle reconstructions.

• Addresses different technique preferences for drilling, including inside-out and outside-in.

• Features multiple sizes to reproduce the dimensions of the native footprint.1. ITR 15001388, Data on file at Smith & Nephew.

CLANCYTM Anatomic Cruciate Guide/Flexible Drill SystemFeaturing flexible reamers and 42° femoral guide, the CLANCY system offers improved condyle avoidance and visualization while drilling.

• Reach more inferior and anterior sites on the lateral condyle than conventional instrumentation.

• No need to hyperflex the knee while drilling, allowing for easier positioning and avoidance of fat pad ingress.

• 90° of flexion provides optimal visualization of femoral anatomic insertion sites.

• Achieve longer tunnel lengths than can be attained with straight, rigid instrumentation.1

1. Silver, A, Karr, S, Grisell, M, et al “Comparison Between Rigid and Flexible Systems for Drilling the Femoral Tunnel Through an Anteromedial Portal in

Anterior Cruciate Ligament Reconstruction” Arthroscopy; Vol 26, No 6 (June), 2010: 790-795 (annotation- abstract p. 790).

Single Flute Drill Bits (endoscopic, cannulated)Unlike traditional femoral drill bits, the unique design allows for one smooth side of the tip which helps to avoid damage to the femoral condyle during introduction.

• Single cutting flute.

• Comprehensive set of drills ranging in size from 5.5 - 13 mm.

Tibial Coring/Reaming System

HEALICORE™ Trephine System1

This efficient tibial tunnel reaming and coring system allows for the harvesting of tibial bone that is traditionally removed with standard reaming drills.

• Accommodates a variety of arthroscopic ligament reconstruction techniques and compliments preferred repair and tibial fixation methods.

• Provides the versatility to backfill harvested bone during ACL and PCL reconstruction such as patella tendon and quad-tendon donor sites.

1. Available for sale in 2013.

8

Ligament Repair

Posterior Cruciate Ligament (PCL) Reconstruction

A successful operative technique for PCL reconstruction requires meticulous attention to graft harvesting technique, tibial tunnel technique and placement, femoral PCL footprint identification and femoral tunnel placement. Smith & Nephew provides a wide range of products to aid clinicians in completing PCL reconstructions.

DYONICS™ INCISOR™ Plus PLATINUM™ 4.5 and 5.5 mm BladesPrecision-sharpened, tooth-to-tooth design, allowing for our most efficient resection rate yet. In laboratory tests, it outperformed leading competitive blades in resection rate and clogging.1

• Reduces clogging: during soft-tissue resection, the INCISOR Plus PLATINUM Blade had significantly fewer clogs than leading competitive blades.

• Retains sharpness throughout the intended procedure.1. DHF 018, 15001110, 15001313 Data on file at Smith & Nephew.

ACUFEX™ DIRECTOR Drill Guide/PCL Reconstruction SystemUnique system of instrumentation. Facilitates a reproducible technique for PCL reconstruction adaptable to various surgical approaches, including endoscopic, arthroscopic, open and assisted.

PCL Elevator with Wire CatcherIndispensable 3-in-1 PCL Accessory Instrument that is inserted through the notch to carefully free the posterior capsule and recreate normal capsular recess behind the PCL.

• Sharp elevator tip elevates the PCL and periosteum from the bone when used in the fore/aft plane.

• Blunt elevator sides open the posterior compartment when used in a rotational motion.

• Wire capture hole secures the wire while reaming the tibial tunnel, protecting the neurovascular structures from the drill tip as it exits the posterior cortex.

TUNDRA™ PCL Aimer SystemUses a backstop or “catcher” that limits the risk of contact with the posterior neurovascular structures of the knee while swiftly guiding placement of the tibial tunnel at the desired anatomic location.

• Helps to conduct a transtibial PCL reconstruction, automatically guarding the knee’s posterior structures as the tibial tunnel is being drilled.

• Limits passage of the guidewire and drill.

• Limits trephine advancement.

• Efficient and easy to use.

ACUFEX SMOOTHER Crucial Tool A two-in-one instrument for simple tunnel preparation and graft passage.

• Removes operative debris and leads graft into tunnels.

• Wire braids gently smooth rough bone surfaces after drilling and rasping.

• Flexible body glides through bone tunnels.

FIXATION DEVICES

“The ENDOBUTTON™ CL ULTRA 10 mm Fixation Device has been a great addition to the ACL product line of Smith & Nephew. With the advent of shorter femoral tunnels placed in a more anatomic position, it allows more graft to be placed in the tunnel. I have found that this size is now being used most often for my reconstructions.”

– David C. Flanigan, MD Associate Professor, Department of Orthopaedics

The Ohio State University

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Fixation Devices

Fixation Devices

ENDOBUTTON™ Family of Fixation Devices

Smith & Nephew offers a wide range of femoral and tibial fixation devices, suitable for various types of ligament reconstruction. These devices include our gold standard ENDOBUTTON family of suspensory fixation devices, as well as a broad range of interference screws designated to accommodate personal preferences of material, size and technique.

ENDOBUTTON™ CL ULTRA Fixation DeviceENDOBUTTON CL ULTRA is the trusted choice for femoral fixation among surgeons who perform ACL reconstruction.

• The ENDOBUTTON technology has nearly 20 years of clinical success.

• Ideal for anatomic or traditional ACL reconstruction techniques.

• Tactile “flipping” feedback helps to ensure proper seating of device.

• Available in 10 mm to 60 mm loop lengths.

ENDOBUTTON DIRECT Fixation DeviceTitanium ENDOBUTTON device maximizes the amount of graft in the tunnel and offers an ideal solution for shorter femoral tunnels that can result from more anatomic techniques.

• Maximizes graft in tunnel.

• Utilizes one-step drilling, minimizing the steps required.

• Employs standard ENDOBUTTON flipping technique.

• Available in 5 mm to 10 mm sizes, with or without suture.

ENDOBUTTON™ CL BTB Fixation DeviceProvides dependable fixation and 360° graft-to-bone contact for bone-tendon-bone ACL reconstruction procedures.

• Provides total graft-to-bone contact at the tunnel aperture.

• Eliminates complications associated with interference screw fixation, screw divergence, tendon graft laceration and minimizes the impact of posterior blowout.

• Available in 15 mm to 60 mm loop lengths.

XTENDOBUTTON™ Fixation Device The Smith & Nephew XTENDOBUTTON Fixation Device, used in conjunction with any Smith & Nephew ENDOBUTTON device, allows a 6 mm to 10 mm femoral tunnel to be covered.

• Effective solution for revision surgery and cortical blowouts.

• May reduce surgical time by eliminating procedural steps.

• Low-profile fixation for outside-in and pediatric cases.

ENDOBUTTON INDICATOR Selection Device Used outside-in, over a guide pin, this device helps to easily determine the appropriate size of ENDOBUTTON CL ULTRA Fixation Device to use.

• Takes into account femoral tunnel length, graft depth and drilling depth.

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Fixation Devices

Other Fixation Devices

BIOSURE™ SYNC Tibial Fixation Device Fixation Device Designed to increase graft fixation strength on the tibia – an acknowledged weak link in ACL repair.1

• Compresses the graft against the tunnel walls for 360° graft-to-bone contact. (See diagram.)

• Accommodates both single- and double-bundle reconstruction procedures as well as primary and revision surgeries.

• Available in four sizes to accommodate graft diameters from 5 mm to 12 mm.1. Brand JC Jr, Pienkowski D, Steenlage E, Hamilton D, Johnson DL, Caborn DNM. Interference Screw Fixation Strength of a Quadrupled Hamstring Tendon Graft is

Directly Related to Bone Mineral Density and Insertion Torque. The American Journal of Sports Medicine 28[5], 705-710. 2000.

BIOSURE HA and PK Interference ScrewsVersatility, durability and safety1 for all graft fixation needs.

• Used for single- or double-bundle procedures, tibial or femoral fixation, and soft-tissue or BTB grafts.

• Broad range of sizes: 6 x 20 mm to 12 x 35 mm.

• Proven biocompatibility.1. Material safety data on file at Smith & Nephew.

BIORCI™ and BIORCI-HA Screw SystemThe BIORCI–HA Screw System provides graft fixation for ligament reconstruction procedures. BIORCI-HA Screws use standard BIORCI instruments and are offered in 23 screw sizes.

• Rounded threads help to protect graft during endoscopic insertion.

• Hemispherical head was designed to reduce interfiber stress and compress the graft against the aperture of the femoral tunnel.1

• Available in PLLA and PLLA-HA. 1. Weiler, A. M.D., et al., “Hamstring Tendon Fixation Using Interference Screws: A Biomechanical Study in Calf Tibial Bone”,

Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 14, No 1, 1998 pp29-37.

SOFTSILK™ 1.5 Fixation ScrewsWith a proven history of clinical utility, our SOFTSILK Screws provide excellent fixation for ligament reconstruction procedures.

• Titanium.

• 1.5 mm cannulation.

• Round head, corkscrew tip and soft threads for less trauma to graft tissue; sterile.

• Available in sizes 7 x 20 mm to 9 x 30 mm.

RCI Screws• Titanium 2.0 mm cannulation screw with blunt threads, 3.5 mm hex drive.

• Available with standard (7 mm) and enlarged (8 mm) heads.

• Available in sizes 7 x 25 mm to 11 x 35 mm.

MENISCAL REPAIR AND RESECTION

“I consider the goal of all soft tissue knee surgery to be to delay the onset of osteoarthritis. This makes meniscal preservation paramount. In my practice, I believe the FAST-FIX™ Meniscal Repair System has been the foremost meniscal repair device offering me a shorter, more elegant surgery with improved safety features and fixation strength equal to vertical mattress.1,2

I think the FAST-FIX 360 Meniscal Repair System takes meniscal repair to the next level. The narrower, stiffer needle allows me more accurate suture placement on both surfaces of the meniscus with reduced chance of chondral damage and allows me to repair posteriorly even in the tightest knees.”

1. ITR 4836. Data on File at Smith & Nephew. 2. Doc 10600596. Data on file at Smith & Nephew.

– Richard PB von Bormann, MD Cape Town, South Africa

15

Meniscal Repair and Resection


Solutions for Repair of the Meniscus

Smith & Nephew offers complete solutions for the repair and resection of the meniscus, supporting all-inside, inside-out and outside-in procedures.

FAST-FIX™ 360 Meniscal Repair System The innovative FAST-FIX 360 system, with built-in depth limiter, is our most versatile all-inside meniscal repair device.

• 360º active deployment delivers fast and easy implant deployment at any hand position, with minimal needle exposure behind the capsule.

• Stiffer, low-profile needle shaft for enhanced control.

• Superior fixation strength compared to other all-inside hybrid devices.1

• Compared to the ULTRA FAST-FIX device and some competitor devices, the FAST-FIX 360 system offers smaller implants and ULTRABRAID™ 2-0 Suture, which minimize disruption to the meniscus.2

1. Data on File at Smith & Nephew ITR-4080, 2010.

2. ITR 4836. Data on File at Smith & Nephew.

ULTRA FAST-FIX™ Meniscal Repair System This unique all-inside implant system, offers the fixation strength of an open-vertical mattress stitch without the invasive surgical procedure normally required for suture-based repairs.1

• Pre-tied, self-sliding knot eliminates the need for intra articular knot tying.

• Innovative system lets you deploy two implants vertically or horizontally on either side of the meniscus, tighten the suture and trim the excess.

• Complete with PEEK-OPTIMA® high-strength non-absorbable, polymer implants, PLLA absorbable implants and ULTRABRAID suture.

1. ITR 4080. Data on File at Smith & Nephew.

Meniscus Mender IIAn outside-in suture technique that is designed for repairing the meniscus under direct arthroscopic monitoring.

• Ideal for anterior horn and middle-third tears.

Meniscal Stitcher SetFor inside-out meniscal repair.

DYONICS™ RF-S CROSS 50° ProbeHigh-performance DYONICS RF probes are designed to deliver rapid resection and precision sculpting of soft tissue.

• 50° suction probe provides a crossed electrode face at the distal tip for precise tissue removal, combined with a slim-line shaft design for ease of insertion into the knee.

• Indicated for use in meniscectomies.

• 50° shaft angle, 3.0 mm shaft diameter, 5.5 mm minimum cannula.

DYONICS RF HEDGEHOG 45° ProbeThis probe has a versatile cutting angle in a slim-line design for ease of insertion.

• 45° angle ensures optimal meniscal access and is sized for precise treatment areas.

• Indicated for use in meniscectomies.


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DYONICS™ SYNOVATOR™ PLATINUM 4.5 and 5.5 mm BladesDYONICS SYNOVATOR PLATINUM Blades are used for precise removal of damaged meniscal tissue and other areas where sparing adjacent tissue is desired.

• Acute, beveled blade edges.

• Dual cutting windows.

ACUFEX™ Handheld Instruments ACUFEX Handheld Instruments are synonymous with performance, dependability and durability. Over the years this extensive line of punches, scissors and graspers has earned a worldwide reputation for sharpness, maneuverability, precision and strength.

Our extensive line of punches, scissors and graspers has been specifically designed to provide easy access to all areas of the knee.

Narrowline Family (posterior meniscal tears) The small aggressive tip design and narrow shaft provides excellent maneuverability and multiple plane-cutting capability in the posterior horn of the meniscus, even in the tightest joint.

DUCKLING™ Family (posterior and/or middle meniscal tears)Combining the wide-bite horizontal cutting capability of the DUCKBILL™ Punch with the thinnest possible tip provides optimum maneuverability under the condyle.

Oval Punch Family (posterior, middle and anterior meniscal tears)The lowest profile tip with the largest bite in our portfolio. The curved saw design enables smooth contouring of the meniscus.

Basket Punches – 90° RotaryThese punches offer an effective angle for trimming the difficult-to-access anterior meniscus. The unique design of the tip allows for successive bites, ideal for balancing the meniscal rim.

Left or Right Swept and Oval Punches are also indicated for use in the anterior of the meniscus.

ACUFEX Pro ergonomic handle: featured on select punches, scissors and graspers.

Traditional loop-style handle: featured on scissors, basket punches and graspers.

Cigar handle: available on all rotary basket punches and scissors.

ACUFEX grasper handle: infinite position, locking handle design featured on all ACUREX graspers.

CARTILAGE REPAIR

“It is clear that precise placement and harvesting of osteochondral transplants is crucial in achieving good results. The MOSAICPLASTY™ instrumentation has been critical in optimizing my results following both autologous and allograft osteochondral transplantation for articular cartilage defects. The precision that it allows me to harvest and deliver transplants is unparalleled.”

– Anthony Miniaci, MD FRCSC Professor Surgery, CCLCM

Director Cleveland Clinic Sports Health Center Cleveland Clinic

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Cartilage Repair

Cartilage Repair

Cartilage Repair Devices

DYONICS™ RF CONTRACT 30° ProbeThe DYONICS CONTRACT 30° Probe is designed for controlled RF treatment of capsular tissue and ligaments in large joints.

• Indicated for use in capsular, ligament and tendon coagulation in the knee.


DYONICS GLIDER™ Monopolar Articular Cartilage Probe1 (for use with the VULCAN™ RF System)Designed exclusively for treatment of chondromalacia, indicated specifically for chondroplasty.

• Debrides and smooths diseased cartilage along the contoured surfaces of the joint while limiting the depth of chondrocyte death to 150 microns or less.

• Designed to maximize preservation of healthy cartilage tissue while restoring a smooth gliding surface.

• In vitro studies have demonstrated that the DYONICS GLIDER probe creates a smooth cartilage surface with a superficial layer of cell death.2

1, 2. Lotto, M, et al “Ex Vivo Comparison of Mechanical Versus Thermal Condroplasty: Assessment of Tissue Effect at the Surgical Endpoint,” Arthroscopy:

The Journal of Arthroscopic and Related Surgery, 2008. Data on file at Smith & Nephew.

DYONICS SYNOVATOR™ PLATINUM 4.5 and 5.5 mm Blades These blades allow shallow cuts for precise, focused resection, while sparing adjacent healthy tissue.

• Acute, beveled blade edges.

• Dual cutting windows.

MOSAICPLASTY™ Autogenous Osteochondral Grafting (AOCG)The MOSAICPLASTY procedure has a proven history of restoring chondral defects.

• Indicated for the treatment of focal, full-thickness, cartilage lesions of up to 9 cm in the knee.

• Procedure is easy to learn and use with its systematic, color-coded approach.

• Instruments permit the flexibility of an arthroscopic or open technique in the knee and ankle.

• Most components are reusable or multiple-use, and the procedure can be performed in a single operation.

ORDERING INFORMATION

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Knee Arthroscopy CatalogOrdering

Information

General Ligament Repair

GRAFTMASTER™ III SystemInstruments for graft preparation

Reference # Description

72202788 GRAFTMASTER III System

System includes

72202452 GRAFTMASTER III Preparation Board

72202316 GRAFTMASTER III Sliding Base (2)

72202315 GRAFTMASTER III Tissue Grasper (2)

72202317 GRAFTMASTER III Cutting Strip

72202453 GRAFTMASTER III BTB Holder

72202319 GRAFTMASTER III Slotted Sizing Block

72202441 GRAFTMASTER III System Tray

014415 ENDOBUTTON™ Holder

014413 Suture Vise

Additional components

7209951 ENDOBUTTON™ Adjustable Knob for Depth Probe

015185 ENDOBUTTON Depth Probe

3134301 Cannulated Depth Probe

WHIPKNOT™ Soft Tissue CinchReference # Description

7211015 WHIPKNOT, #5 Soft Tissue Cinch, Sterile (1 per box)

ULTRABRAID™ SutureReference # Description

72200886ULTRABRAID #2 White Suture, 38", Sterile (10 per package)

72200887ULTRABRAID #2 COBRAID Suture, 38", Sterile (10 per package)

1.2 RAP-PAC™ A Reference # Description

72202796 1.2 RAP-PAC A, Latex Free

Contains 1 each of the following

7207221 2.4 mm x 12" Drill Tip Guidewire

72202009 2.7 mm Drill Tip Passing Pin

7211138 1.2 mm x 12" Guidewire

014477 Cannulated Bone Tunnel Plug, Latex Free

72200948 TRUKOR™ Gauge

1.2 RAP-PAC BReference # Description

72202797 1.2 RAP-PAC B Latex Free



7208678 2.4 mm x 15" Drill Tip Passing Pin

7211138 1.2 mm x 12" Guidewire (5 per package)


72200948 TRUKOR Gauge

1.2 RAP-PAC CReference # Description

72202798 1.2 RAP-PAC C Latex free







1.2 ENDOBUTTON CL ULTRA PAC Reference # Description

72202799 1.2 ENDOBUTTON CL ULTRA PAC

Contains 1 each of the following ENDOBUTTON CL Sizing Chart

013184 Cannulated Endoscopic Drill, 4.5 mm

7207221 2.4 mm Drill Tip Guidewire





ACUFEX™ DIRECTOR APPLICATION Anatomic GuideReference # Description

72203260 ACUFEX DIRECTOR Application, Anatomic Guide System*

System includes

72203204ACUFEX DIRECTOR Application Touchpanel, Software and Keyboard Tray

72203203 Adjustable-height Rolling Monitor Stand

DYONICS™ RF-S WHIRLWIND 90° Probe Reference # Description

72202139DYONICS RF-S WHIRLWIND 90° Probe, 3.75 mm shaft diameter, 5.5 mm minimum cannula size

DYONICS BONECUTTER™ PLATINUM 5.5 mm BladeReference # Description Latch Color

72202530 5.5 mm BONECUTTER PLATINUM Blade Orange

TRUKOR Depth GaugeReference # Description

72200948 TRUKOR Depth Gauge

ACUFEX DIRECTOR ELITE Drill Guide SystemReference # Description

72201746 ACUFEX DIRECTOR ELITE ACL Drill Guide System

System includes

7205517 ACUFEX DIRECTOR Drill Guide

Requires: 1 Aimer and 1 Bullet (not included)

7205518 ACUFEX DIRECTOR ACL Elbow Aimer

7205519 ACUFEX DIRECTOR ACL Tip Aimer

24


Information

General Ligament Repair (continued)

ACUFEX™ DIRECTOR ELITE Drill Guide System (cont.)Reference # Description

7205524 ACUFEX DIRECTOR Angled Bullet

7205525 ACUFEX DIRECTOR 4-Point Bullet

013498 5 mm Cannulated Drill

7207491 5.5 mm Cannulated Drill











7208686 5 mm Endoscopic Drill

7207482 5.5 mm Endoscopic Drill











72201732 Universal EndoFemoral Aimer Handle

72201737 EndoFemoral Aimer, No Offset

72201713 3 mm Offset EndoFemoral Aimer





7205521 2–5 mm Offset Guide

7205622 NOTCHMASTER™ 8.0 mm Curette

7209214 Slotted Sizing Block

72201731Sterilization Tray for ACUFEX DIRECTOR ELITE ACL Drill Guide System

Optional Accessories

013522 6 mm Graft Sizing Tube







72201735 5–6 mm Bone Tunnel Plug

72201733 5 mm Half-round rasp

72201734 6 mm Half-round rasp

72201883 Chondral Pick, Small, 20°

72201884 Chondral Pick, Large, 20°


72201886 Chondral Pick, Large, 40°


ACUFEX DIRECTOR ELITE Anatomic ACL Guide SystemReference # Description

72202423 ACUFEX DIRECTOR ELITE Anatomic ACL Guide System

System includes

72201240 PL Femoral Aimer Handle

72201974 5 mm PL Femoral Aimer Post

72201975 5.5 mm PL Femoral Aimer Post








72201245 PL Tibial Aimer Handle, Left

72201246 PL Tibial Aimer Handle, Right

72201969 5 mm PL Tibial Aimer Post

72201970 5.5 mm PL Tibial Aimer Post








6900854 Non-cannulated Drill Bit, 4.5 mm

72202437 Anatomic ACL Double Bundle Instrument Tray

72202547 Locking Wrench

ACUFEX PINPOINT Anatomic ACL Guide SystemReference # Description

72203449 ACUFEX PINPOINT Anatomic ACL Guide System

System includes

72203433 6 mm Single-bundle Guide





72203438 5-6 mm Double-bundle Guide, Left





25


Information


ACUFEX™ PINPOINT Anatomic ACL Guide System (cont.)Reference # Description

72203443 5-6 mm Double-bundle Guide, Right





72203425 Outside-in Aimer Arm, Left

72203426 Outside-in Aimer Arm, Right

72203432 Inside-out Handle

72203427 5-6 mm Double-bundle Bullet Support





72203448 System Sterilization Tray

72203453 ACUFEX Insertion Site Marking Awl, 45°

72203450 4-point Bullet, 6.5"

ACUFEX PINPOINT Anatomic ACL Single-bundle Guide SystemReference # Description

72203452ACUFEX PINPOINT Anatomic ACL Single-bundle Guide System

System includes






72203425 Outside-in Aimer Arm, Left

72203426 Outside-in Aimer Arm, Right

72203432 Inside-out Handle

72203451 Single-bundle System Sterilization Tray

72203453 ACUFEX Insertion Site Marking Awl, 45°

72203450 4-point Bullet, 6.5"

CLANCYTM Anatomic Cruciate Guide/Flexible Drill SystemReference # Description

72203086 CLANCY Anatomic Cruciate Guide Flexible Drill System A

System includes

72202971 4.5 mm CLANCY Flexible Drill



72202594 6 mm CLANCY Flexible Drill













72203170 CLANCY Curved Femoral Guide, 42°

72203168 BIOSURE™ Flexible Driver

7207707 Ratcheting Handle with Hudson Adapter

72203252 6 mm BIOSURE Flexible Tap





72203085 CLANCY Instrument Tray System

CLANCY Anatomic Cruciate Guide/Flexible Drill SystemReference # Description

72203087 CLANCY Anatomic Cruciate Guide Flexible Drill System B

System includes

















72203170 CLANCY Curved Femoral Guide, 42°

Accessories

722015942.4 mm Flexible Passing Pins, Sterile (5 per package)

Single Flute Drill Bits, Endoscopic, CannulatedReference # Description

3134179 5.5 mm Single Flute Drill Bit

3134180 6 mm Single Flute Drill Bit









26

Ordering Information Knee Arthroscopy Catalog

Ordering Information


Single Flute Drill Bits, Endoscopic, Cannulated (cont.)Reference # Description







HEALICORE™ Trephine System* Reference # Description

72203642 HEALICORE Trephine System

*Available for sale in 2013.

System includesTrephine Drill Adapters

72203065 6 mm Trephine Drill Adapter

72203067 6.5 mm Trephine Drill Adapter








72203095 Plunger, 6 mm and 7 mm

72203096 Plunger, 8 mm, 9 mm and 10 mm

72203093 Compaction Pliers

72203316 Instrument Tray

Trephine K-wire Mandrels

72203064 6 mm

72203066 6.5 mm

72203068 7 mm

72203070 7.5 mm

72203072 8 mm

72203074 8.5 mm

72203076 9 mm

72203078 9.5 mm

72203080 10 mm

HEALICORE Disposable, Single-use TrephinesReference # Description

72203058 6 mm Trephine Drill, sterile

72203059 6.5 mm Trephine Drill, sterile








27


Information

Fixation Devices

ENDOBUTTON™ CL Ultra Fixation DeviceReference # Description

72203331 10 mm ENDOBUTTON CL ULTRA











ENDOBUTTON DIRECT Fixation DeviceReference # Description

72201206 5 mm ENDOBUTTON DIRECT

72202980 5 mm ENDOBUTTON DIRECT with suture











72201212 ENDOBUTTON DIRECT Holder

72201600 ENDOBUTTON DIRECT Scale

ENDOBUTTON CL BTB Fixation DeviceReference # Description

72203330 15 mm ENDOBUTTON BTB

7210080 20 mm ENDOBUTTON CL BTB









XTENDOBUTTON™ Fixation DeviceReference # Description

72200134 XTENDOBUTTON Fixation Device

014868 ENDOBUTTON Tape

7207315 Cannulated Drill 4.5 mm

015185 ENDOBUTTON Depth Probe

7209216 ENDOBUTTON CL Pac

ENDOBUTTON CL DeviceReference # Description

72200839 CL Device 25 mm






013186 ENDOBUTTON, 40 mm x 12 mm

ENDOBUTTON Indicator Selection DeviceReference # Description

72202544 ENDOBUTTON Indicator

The Indicator can be used with any of the following pins:

014508 Drill Tip passing pin, 2.7 mm x 15", sterile, (6 per box)

7208678 Drill Tip passing pin, 2.4 mm x 15", sterile, single use

7207220TROCAR-Tip passing pin, 2.4 mm x 17", sterile, single use

72201594 2.4 mm flexible passing pins, sterile (5 per package)

BIOSURE™ SYNC Tibial Fixation DeviceReference # Description

72202744 BIOSURE SYNC Device 5 mm - 6 mm




72202843 BIOSURE SYNC Instrument SystemIncludes 1 each of the following

72202752 BIOSURE SYNC Inserter

72202754 BIOSURE SYNC Tensioner

72202755 BIOSURE SYNC Dilator 5 mm - 6 mm



72202758 BIOSURE SYNC Dilator 11 mm -12 mm

72202753 BIOSURE SYNC Instrument Tray

BIOSURE SYNC Interference ScrewReference # Description

72202260 BIOSURE PK Screw 6 mm x 25 mm






72201201 Guidewire 1.2 mm x 18", box of 5, sterile

28


Information

Fixation Devices (continued)

BIOSURE™ HA (PLLA-HA)BIOSURE PK (PEEK-OPTIMA)

Interference Screw Interference ScrewReference # Description Reference #

72201768 6 mm x 20 mm 72202259

72201769 6 mm x 25 mm 72202260

722017706 mm x 25 mm, Reverse Thread

72202261

72201771 7 mm x 20 mm 72202262

72201772 7 mm x 25 mm 72202263


72202264

72201774 7 mm x 30 mm 72202265

72201775 8 mm x 20 mm 72202266

72201776 8 mm x 25 mm 72202267


72202268

72201778 8 mm x 30 mm 72202269

72201779 8 mm x 35 mm 72202270

72201780 9 mm x 20 mm 72202271

72201781 9 mm x 25 mm 72202272

72201782 9 mm x 30 mm 72202273

Interference Screw Interference ScrewReference # Description Reference #

72201783 9 mm x 35 mm 72202274

72201784 10 mm x 20 mm 72202275

72201785 10 mm x 25 mm 72202276

72201786 10 mm x 30 mm 72202277

72201787 10 mm x 35 mm 72202278

72201788 11 mm x 25 mm 72202279

72201789 11 mm x 30 mm 72202280

72201790 11 mm x 35 mm 72202281

72201791 12 mm x 35 mm 72202282 BIOSURE Guidewires

7211137 Guidewire, 1.2 mm x 9" Box of 5 Sterile



BIOSURE Drivers

72201887 BIOSURE Driver

72201888 BIOSURE Ratchet Driver

(Requires Part Number 7207707)

7207707 Ratcheting Handle with Hudson Adaptor

BIOSURE Tap System

72201889 BIOSURE Tap 6 mm






BIOSURE EASY Tap System

72201190 BIOSURE EASY Tap 6 mm






72201888 BIOSURE Ratchet Driver

7207707 Ratcheting Handle with Hudson Adaptor

BIORCI, BIORCI-HA (PLLA-HA) and RCI Interference ScrewsBIORCI Interference Screw


7207916 7 x 20 mm BIORCI Screw

7207554* 7 x 25 mm BIORCI Screw

72076077 x 25 mm reverse thread BIORCI Screw with an 8 mm head


7207557 7 x 25 mm BIORCI Screw with an 8 mm head

7207558 7 x 30 mm BIORCI Screw with an 8 mm head



7207608* 8 x 25 mm reverse thread BIORCI Screw





7207924 9 x 25 mm reverse thread BIORCI Screw




7207581 10 x 25 mm reverse thread BIORCI Screw






29


Information

Fixation Devices (continued)

BIORCI-HA™ (PLLA-HA) Interference ScrewReference # Description

7207686 BIORCI-HA 7/7 x 20 mm

7207674 BIORCI-HA 7/7 x 25 mm

7207677 BIORCI-HA 7/7 x 30 mm

7207675 BIORCI-HA 7/8 x 25 mm

7207676 BIORCI-HA 7/8 x 30 mm

7209012 BIORCI-HA 8 x 20 mm








7209016 BIORCI-HA 10 x 25 mm

7209017 BIORCI-HA 10 x 30 mm

7209018 BIORCI-HA 10 x 35 mm

7209014 BIORCI-HA 11 x 30 mm

7209022 BIORCI-HA 11 x 35 mm

7209015 BIORCI-HA 12 x 35 mm

7209023 BIORCI-HA 7/8 x 25 mm, reverse thread

7209021 BIORCI-HA 8 x 25 mm, reverse thread



0148591.5 mm x 12" (30 cm) Guidewire, sterile, package of 1

RCI Interference ScrewReference # Description

7207030 7 x 25 mm RCI Screw with 8 mm head

7207247 7 x 25 mm RCI Screw reverse thread with 7 mm head




7209410 8 x 25 mm RCI Screw reverse thread with 7 mm head










SOFTSILK 1.5 Screw SystemReference # Description

7207077 SOFTSILK 1.5 Screw System Sterile Screws (3 of each size included with system)

72202428 Instrument Tray

014815 3.5 mm Hex Driver, 1.5 mm cannulation

014851 TRAILBLAZER™, 1.5 mm cannulation

014545 CANNU-FLEX™ Screw Guidewire, 1.5 mm x 12" (30 cm) (6 per package)

Optional

72077043.5 mm Hex Driver, 1.5 mm cannulation, with Hudson Adapter, requires REF 7207707 Ratcheting Handle with Hudson Adapter

SOFTSILK™ 1.5 Fixation Screws

Reference # Screw only

Reference #Sheathed inCLEAR-TRAC™ Screw Cannula; latex free

Reference #Sheathed in CLEAR-TRACScrew Cannula;latex free Description

7207001 7205640 72101317 x 20 mm SOFTSILK 1.5

7207002 7205643 72101327 x 25 mm SOFTSILK 1.5

7207003 7205644 72101337 x 30 mm SOFTSILK 1.5

7207004 7205641 72101348 x 20 mm SOFTSILK 1.5

7207005 7205645 72101358 x 25 mm SOFTSILK 1.5

7207006 7205646 72101368 x 30 mm SOFTSILK 1.5

7207007 7205642 72101379 x 20 mm SOFTSILK 1.5

7207008 7205647 72101389 x 25 mm SOFTSILK 1.5

7207009 7205648 72101399 x 30 mm SOFTSILK 1.5

30


Information

Meniscal RepairMeniscal Repair and Resection

DYONICS™ RF ProbesReference # Description

72202140DYONICS RF-S CROSS 50° Probe; 3.0 mm shaft; 50° shaft angle

72202144DYONICS RF HEDGEHOG 45° Probe; 2.5 mm shaft; 45° shaft angle

DYONICS SYNOVATOR™ PLATINUM 4.5 mm BladeReference # Latch Color Description

72203523 Green 4.5 mm SYNOVATOR PLATINUM Blade

Basket Punches - Narrowline Family

ACUFEX™ Pro Handle ACUFEX Loop HandleReference # Reference # Description

7207053 012052 Straight

7207052 012051 Upbiter

7207658 012053 Upbiter, Curved Left

7207660 012054 Upbiter, Curved Right

7207659 012055 Upswept

7208679 45° Tip, Left

7208685 45° Tip, Right

(MTO) 7207552Upswept, with larger finger and thumb loops

Basket Punches - DUCKLING™ Family

ACUFEX Pro Handle ACUFEX Loop HandleReference # Reference # Description

7207049 012044 Straight

7207050 012046 Curved Left

7207051 012047 Curved Right

7207668 014765 Elevator

7207000 012045 Upbiter

7207672 012048 Upswept

Basket Punches - Oval Punch Family


7207083 7207200 Upbiter

7207181 7207201 Straight

7207294 Curved Left

7207295 Curved Right

7207296 Upswept

(MTO)3134238 Curved Left at 40 mm from tip

(MTO)7207533Upbiter, with larger finger and thumb loops

Basket Punches - 90° Rotary


010912 010906 2.2 mm, Left

010913 010907 2.2 mm, Right

010900 3.4 mm, Left

010901 3.4 mm, Right

FAST-FIX™ 360 Meniscal Repair SystemReference # Description

72202467 FAST-FIX 360 straight

72202468 FAST-FIX 360 curved

72202469 FAST-FIX 360 reverse curved

72202674FAST-FIX 360 Straight Knot Pusher/Cutter and Slotted Cannula sets

72202675FAST-FIX 360 Curved Knot Pusher/Cutter and Slotted Cannula sets

ULTRA FAST-FIX Meniscal Repair SystemReference # Description

72201491 ULTRA FAST-FIX, curved

72201492 ULTRA FAST-FIX, reverse curved

72201494 ULTRA FAST-FIX AB, curved

72201495 ULTRA FAST-FIX AB, reverse curved

72201490 ULTRA FAST-FIX, straight

72201493 ULTRA FAST-FIX, AB, straight

72201537 Knot Pusher/Suture Cutter, straight

360 Probe, Rasp and Accessories

ULTRA FAST-FIX and FAST-FIXReference # Description

015186 Meniscal Depth Probe

014549 45° Diamond Rasp

014550 90° Diamond Rasp

011703 Sterilization Tray, 9.25" W x 3" L x 1.5" H

7210977 Slotted Cannula

7209950 Suture Threaders, sterile (10 per box)

7210450 Suture Funnel, sterile (10 per box)

Meniscus Mender IIReference # Description

7209485 Meniscus Mender II Disposable Set

Meniscal Stitcher SetReference # Description

012600 Meniscal Stitcher Set

Set includes

012601 Double Lumen Cannula, curved up-right

012602 Double Lumen Cannula, curved up-left

012603 Double Lumen Cannula, straight

012604 Double Lumen Cannula, curved left/right

012605 Double Lumen Cannula, curved up/down

012606 Single Cannula (2 included with set)

012609 Thimble

012610 Posterior Access Cannula

012612 Bending Tool

011702 Sterilization Tray for Meniscal Stitcher Set

Disposables

012608 Needles, straight, non-sterile (6 per package)

31


Information

Cartilage Repair

DYONICS™ RF CONTRACT 30° ProbeReference # Description

72202147DYONICS RF CONTRACT 30° Probe; 3.0 mm shaft; 30° shaft angle

DYONICS GLIDER Articular Cartilage ProbeReference # Description Shaft Color

7210438*DYONICS GLIDER Articular Cartilage Probe (requires 3.71 software)

Black

Optional

7210977 Reusable slotted cannula

DYONICS SYNOVATOR™ PLATINUM 4.5 mm BladeReference # Description Latch Color

722035234.5 mm SYNOVATOR PLATINUM Blade

Green

MOSAICPLASTY™ Complete SystemReference # Description

7205532 MOSAICPLASTY Complete System

Graft HarvestingTubular Chisels (five to ten patient uses)


7207099 2.7 mm Tubular Chisel





Chisel GuardsReference # Description

7207208 2.7 mm Chisel Guard





Harvesting TampsReference # Description

7207107 2.7 mm Harvesting Tamp





Optional – Graft Harvesting Trephines (for hard bone)


7207089 2.7 mm Trephine





7207103Trephine Adapter for 2.7 mm, 3.5 mm and 4.5 mm sizes

7205515 Trephine Adapter for 6.5 mm and 8.5 mm sizes

Graft PlacementDrill Guides (five to ten patient uses)


7207214 2.7 mm Drill Guide





DilatorsReference # Description

7205509 2.7 mm Dilator





Delivery TampsReference # Description

7207205 2.7 mm Delivery Tamp





Required – Disposables

Drill Bits (non-sterile)Reference # Description

72202818 2.7 mm Drill Bit

Disposable Harvesting SetsReference # Description

7209234 3.5 Disposable Harvesting Set




Cartilage Repair

32


Information

Notes

Smith & Nephew, Inc.150 Minuteman RoadAndover, MA 01810 USA

www.smith-nephew.comT +1 978 749 1000 US Customer Service: +1 800 343 5717International Customer Service: +1 978 749 1140

™ Trademark of Smith & Nephew. Certain marks Reg. US Patent and Trademark Office. All Trademarks acknowledged. ©2012 Smith & Nephew. All rights reserved. Printed in USA. 12/12 10601072 Rev. B

complete solutions for knee arthroscopy

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