Suture Anchor Technique Guide Pack Addition

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OSSIOfiber® Suture Anchor

Surgical Technique Guide

Safety Unmatched
Bio-Integrative OSSIO昀椀ber®
A 昀椀rst-of-its-kind material technology that delivers peace
of mind through predictable implant integration without
encapsulation or adverse in昀氀ammation.

SUPERIOR PULL-OUT RESISTANCE


Initial Pull-Out Strength (N)

+32%
Strength Unrivaled 300

Have confidence knowing OSSIOfiber® Suture Anchors


provide superior initial pull-out resistance and maintain
250 290N
strength vs the leading biocomposite anchor.
200

150 220N
100
Market Leader OSSIOfiber
Design Features
OSSIOfiber® Suture Anchor

OSSIO昀椀ber® Suture Eyelet


Enlarged eyelet for additional
suture options
OSSIO昀椀ber® 4.75mm Suture Anchor
Improved strength and pull-out

High-Strength Suture Tape


High-strength UHMWPE suture
tape and #2 round suture for custom
suture constructs

Suture Organizer
DURAlink™ Safe and easy suture/needle
Coupling Technology management.
Designed to increase construct
stability and minimize suture
slippage, our proprietary Suture Cleat
DURAlink™ technology couples Additional suture management
the OSSIO昀椀ber® eyelet to the
anchor, creating a single
stable unit.

Two-Piece Insertion Handle


Ef昀椀cient, stable anchor insertion

Release Tab
Easy anchor disconnection

3.5mm Drill Sleeve 3.5mm Drill Bit


Surgical Technique

1 2

Incision (Central Splitting Technique): Haglund’s Removal


With the patient in the prone position, a posterior Using the appropriate sagittal saw and osteotome,
midline incision is carried-out down to the Achilles remove the Haglund’s deformity taking care to take
tendon insertion point of the calcaneus. The away any prominent bony formation that could cause
tendon is split at the midline and released from the soft tissue irritation.
calcaneus, ensuring that the medial and lateral
attachments are maintained if possible.

Bone Preparation
Using the 3.5mm drill bit and associated soft tissue protector, drill down until the shoulder
on the drill bit contacts the opening on the tissue protector. The hole should be drilled 1cm
proximal to the insertion point of the Achilles tendon.
Take care to avoid damage to surrounding soft tissue and neurovascular structures and
that the drill trajectory and location provide sufficient bone structure for adequate fixation.

Tip: To ensure the required drill depth, it is very important to ensure that the shoulder on
the drill bit meets the drill sleeve.
4 5

Insert the eyelet of the 4.75mm OSSIOfiber® Suture While holding the stabilization handle of the
Anchor in the prepared bone hole. Using a surgical mallet, driver stationary with the non-dominant hand,
gently tap the end of the suture anchor handle until the first turn the driver handle in a clockwise direction
thread of the anchor is below the surface of the with the dominant hand to drive the OSSIOfiber®
cortical bone. suture anchor into the bone.
While applying axial pressure, continue to turn
the handle until the anchor is fully seated in
the bone.

Remove the suture organizer from the driver by grasping on both ends of the spool
and pulling away from the driver.
Unwind the suture from the suture organizer and remove the needles with a standard
needle driver. Suture can be laid to the side of the foot or held by the suture cleats.
7

To disengage the driver from the suture anchor, first remove the suture release tab from
the handle by grasping firmly and pulling perpendicularly away from the driver handle.
Once the pull-tab is removed, the driver can be disengaged from the anchor.

As the driver is removed, a #1 round suture used to hold the eyelet to the driver will be
exposed. This suture can be removed from the construct by pulling on one end until fully
detached. Alternatively, the #1 round suture can be used for additional fixation of the
tendon.
Tip: After the driver is removed, the hex-shaped portion of the driver can be reengaged
into the anchor if further adjustment is needed.
9 10

Repeat anchor insertion steps for the opposite side Using a standard needle driver, pass the needles
of the tendon attached to the suture through the midpoint of both
the medial and lateral potions of the divided
Achilles tendon.
Both the suture tape and/or the #2 round suture
can be used in the fixation construct
Once the Achilles has been properly sutured, cut
the needles from the end of each suture tail.

11 12

Following the drilling technique previously described, Grabbing one end of the lateral side suture and one
prepare two additional bone holes in-line with the end from the medial side suture, thread both ends
proximal holes and just distal to the Achilles insertion. though the stand-alone suture anchor snare.
Pull the snare handle away from the anchor, pulling
both suture ends through the anchor eyelet.
13 14

Adjust tension to the anchor before insertion to ensure no Insert the distal anchors per the technique
laxity exists between the two anchor points. previously described.

15

Cut the ends of all sutures to be flush with the bone and finish with the
appropriate suturing of the Achilles incision.
Intelligent Healing For Achilles Tendon Repair

OSSIO昀椀ber® OSSIO昀椀ber® OSSIO昀椀ber®


4.75mm Suture Anchor 4.75mm Suture Anchor 4.75mm Suture Anchor
Black/White Tape w/ needles, Black Tape w/ needles, w/ Snare
#2 sutures w/ needles #2 sutures w/ needles No Suture
P/N OF1034753S P/N OF1034752S P/N OF1034751S

Ordering Information

Description Product Code Achilles 2-Pack


1x OSSIO昀椀ber® 4.75mm Suture Anchor,
Standalone #2 round solid blue suture, box of 12 OF1032003S
Black Tape w/ needles
Standalone #2 round white blue suture, box of 12 OF1032004S 1x OSSIO昀椀ber® 4.75mm Suture Anchor,
Black/White Tape w/ needles
Standalone 1.8mm solid black tape suture, box of 12 OF1032005S
1x Standard Instrument Set (drill bit & drill guide)
Standalone 1.8mm black/white tape suture, box of 12 OF1032006S P/N OF2034756S
Standalone OSSIO Drill Bit & Drill Guide Pack For
THN00201
4.75 Suture Anchor
Indication for Use
The OSSIO昀椀ber® Suture Anchors are indicated for 昀椀xation of suture (soft tissue) to bone in
the shoulder, foot/ankle, knee, hand/wrist, and elbow in the following procedures:
• Shoulder: Rotator Cuff Repair, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis,
Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction.
• Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction,
Mid-foot Reconstruction, Metatarsal Ligament Repair/Tendon Repair and Bunionectomy.
• Knee: Anterior Cruciate Ligament Repair (4.75-5.5 Anchors Only), Medial Collateral Ligament Repair,
Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, Illiotibial
Band Tenodesis and Quadriceps Tendon Repair. Secondary or adjunct 昀椀xation of ACL/PCL reconstruction
or repair (4.75 – 5.5 Anchors only).
• Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar or Radial Collateral Ligament Reconstruction.
Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction, Lateral Epicondylitis
repair (Tennis Elbow).

1. Data on File at OSSIO.

Refer to the product Instructions for Use for warnings, precautions, indications, contraindications, and technique.

DOC-0002263 Rev02 03/2023


® OSSIO and OSSIO昀椀ber are registered trademarks of OSSIO Ltd. All rights reserved.
OSSIO Inc. 300 Tradecenter Drive, Suite 3690, Woburn, MA 01801
For more on OSSIO and OSSIO昀椀ber®, please visit ossio.io or call 833-781-7373

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