uattro Bolt - Cayenne Medical

1 | 1-888-229-3661uattro BoltTenodesis ScrewProximal Biceps Repair Surgical technique GuideLocking technique through an all-arthroscopic approach delivers efficient, secure BoltTenodesis Screw1 Load the tail of the TRU-LOOP suture loop into the Lock-Stitch or quattro GT Suture the TRU-LOOP Suture2 Once the suture is loaded into the passer, pull the loop section of the TRU-LOOP over the top of the passer shaft, so that the shaft is inside the loop with the top of the loop resting on the hand piece of the passer. 3 Place a tag stitch with the TRU-LOOP suture in the tendon using the Suture Passer several millimeters directly superior to the intended tenodesis site.

2 Retrieve the suture limbs. Surgeon preference will determine tenodesis location. Repeat previous step with another TRU-LOOP suture, tagging the tendon in the opposite orientation from the first stitch. Retrieve the suture limbs. Tag the TendonQuattro bolt Tenodesis ScrewCayenne Medical Measure the diameter of the biceps tendon at the intended tenodesis site. This will determine the size of the pilot hole and implant to use. Prepare the Tenodesis Site5 Retract the biceps tendon with the TRU-LOOP sutures and freshen the bone at the intended tenodesis site.

3 6 Drill the bone socket while continuing to retract the tendon away from the tenodesis site. Drill the socket a few millimeters deeper than the length of the screw size being used (ie: Drill to a depth of ~20mm for the 8x16mm bolt screw). After creating the bone socket, clear surrounding soft tissue for easy screw insertion. Note: The TRU-LOOP suture will create an instantaneous cinching loop in the biceps tendon. 7 Cut the tendon approximately 2-3mm superior to the TRU-LOOP stitches. 8 Tenotomize the tendon at its labral insertion site and remove remaining : For required fixation, the threads of the quattro bolt Tenodesis Screw must engage bone in the bone socket on the cut tendon end.

4 This description of technique is an educational tool and clinical aid to assist properly licensed Medical professionals in the usage of specific Cayenne Medical products. Tendon SizePilot Hole SizeScrew Size5mm6mm7mm6mm7mm8mm7mm8mm9mmPlease refer to the recommended sizing : Hard bone may require a larger hole Biceps Repair Surgical technique | 1-888-229-36619 Load the TRU-LOOP suture tails through the snare of the quattro bolt Tenodesis Screw. Pull the snare ring from the proximal end of the driver to load the sutures into the screw. Sutures will now be exiting the proximal end of the driver.

5 Anchor Insertion10 Feed the sutures through the quattro bolt Tenodesis Driver until the screw tip contacts the tendon. Secure the suture tails into the suture cleat of the driver to lock the tendon into : There should be no suture slack in between the tendon and the Insert the quattro bolt Tenodesis Screw and tendon into the bone socket: 12 Release the suture tails from the suture cleat on the driver and pull back on the driver to disengage from the Trim the excess suture. Repair is Using forward pressure, turn the screw driver clockwise to advance the screw into the socket until the screw head is flush with the bone surface.

6 11a Mallet proximal end of driver until screw threads of the anchor contact the bone surface. Suture CleatNote: For required fixation, the threads of the quattro bolt Tenodesis Screw must engage bone in the bone socket on the cut tendon end. The Medical professional should rely on their own training and experience and should conduct a thorough review of pertinent Medical literature as well as the product s Instructions For bolt Tenodesis Screw (Sterile)CM-9505 quattro bolt Tenodesis Screw, 5mm x 10mmCM-9506 quattro bolt Tenodesis Screw, 6mm x 12mmCM-9507 quattro bolt Tenodesis Screw, 7mm x 14mmCM-9508 quattro bolt Tenodesis Screw, 8mm x 16mmCM-9509 quattro bolt Tenodesis Screw, 9mm x 16mmThe Lock-Stitch SystemCM-9010 LSLock-Stitch Suture PasserCM-9500 Lock-Stitch Procedure Kit with 1-suture needle, 2-TRU-LOOP Size 2 Suture Loops (sterile) Accessory Drill Kits (Sterile)

7 CM-9540 Accessory Drill Kit, 4mmCM-9550 Accessory Drill Kit, 5mmCM-9560 Accessory Drill Kit, 6mmCM-9570 Accessory Drill Kit, 7mmCM-9580 Accessory Drill Kit, 8mm Cayenne Medical is a trademark of Cayenne Medical Inc. These products are covered by one or more patents pending. 16597 North 92nd St, Suite 101 | Scottsdale, AZ 85260 | Copyright 2015 Cayenne Medical , Inc. All rights reserved. 40228 Rev. BSurgical technique developed in conjunction with Gregory Gilot, , Weston, at | 1-888-229-3661 Contact Cayenne Medical for order informatio