ArthroTunneler™ TunnelPro™ System

ArthroTunneler™ TunnelPro™ System

ArthroTunneler Features & Benefits

ArthroTunneler Arthroscopic Transosseous Tunneling Device

The ArthroTunneler is the first device that allows surgeons to apply “gold standard” principles of transosseous rotator cuff repair in an all-arthroscopic fashion – without anchors.

“The ‘gold standard’ principles of open transosseous Rotator Cuff repair as described by Dr. Neer allow surgeons to restore Rotator Cuff footprint contact and compression, while enhancing biological healing with bone tunnel marrow elements. The ArthroTunneler™ allows surgeons to perform this same open transosseous repair technique in a minimally invasive all-arthroscopic fashion.”

— SUMANT G. “BUTCH” KRISHNAN, M.D.

Anatomically designed tip and hook allow tactile feel and reproducible positioning and placement within the tuberosity

Streamlined design allows for easy access directly into the shoulder through standard arthroscopy portals without a cannula

Robust nitinol loop allows reproducible suture passing

Retractable Anvil adapts to patient anatomy

TunnelPro Features & Benefits

TunnelPro Lateral Implants

“TunnelPro provides a biomechanical, cost-effective alternative for secure rotator cuff repair through a transosseous technique with no need for anchors.”

— JON JP WARNER, M.D.

Ribbed body for enhanced cortical fixation

Coarsely-threaded head for quick 1/2 turn removal

Smooth, tapered nose for easy hole location and insertion

4 anti-rotation fins for added stability inside the bone tunnel


TunnelPro Implant in situ

“I have rediscovered the gold standard of rotator cuff surgery with this system. The TunnelPro adds extra security to an already proven arthroscopic transosseous anchorless repair technique that yields reproducible results. This eliminates any concerns I had about sutures cutting through the bone.”

— PEDRO PIZA, M.D.

Surgical Techniques

ArthroTunneler Surgical Technique

Step 1
Drill medial tunnel(s) to a positive stop using the Drill Guide and 2.9 mm Drill - M. Drill additional tunnel(s) at this time depending on the size of tear and type of final repair construct desired.

Step 2
Insert tip of the Hook into the medial tunnel until the top bar of the Hook is flush and parallel with the footprint.

Step 3
Deploy the nitinol Loop into the medial tunnel. Insert the 2.5 mm Drill - L through the device and drill through the Loop to a positive stop.

Step 4
Remove the 2.5 mm Drill - L, then replace it with a loaded Suture Inserter.

Step 5
Remove the Suture Inserter, then retrieve the nitinol Loop to capture the suture loop.

Step 6
Retract the Anvil and remove the ArthroTunneler with the attached suture loop from the repair site.

Step 7
Remove the suture loop from the ArthroTunneler by deploying the nitinol Loop and pulling the device away from the suture.

Step 8
Pass the suture loop through the cuff and use it as a definitive repair suture, or, use the suture loop as a shuttle to pass multiple sutures through the intersecting bone tunnels.

Step 9
Repeat steps #2 through #8 for each additional tunnel. Pass sutures through tendon(s) using desired technique that is applicable to the patient’s anatomy. Tie and cut sutures to complete the repair.

TunnelPro Lateral Augmentation Technique

Step 1
Thread ForceFiber™ sutures exiting the lateral tunnel into the tip of the inserter

Step 2
Slide TunnelPro down sutures

Step 3
Insert into bone [with hand pressure or with a few mallet taps]

Step 4
Twist 1/2 turn counterclockwise and remove stick

Step 5
Pass sutures through cuff

Step 6
Final construct shown with knots pushed laterally over the TunnelPro implants

“ArthroTunneler transosseous suture repair construct is statistically equivalent to Suture Bridge techniques for gap formation.”

— A GREEN ET AL; AM J SPORTS MEDICINE, JAN 2012, 40(1) PP. 133-140.

Ordering Information

TunnelPro™ system, Individual Implants & Instruments

CAT#Description
SMB100101ArthroTunneler TunnelProT System - Includes: (1) ArthroTunneler plus (2) TunnelPro Lateral Implants
SMB100201(1) TunnelPro Lateral Implant
SMB000201Drill/Punch Guide
SMB000301Obturator
SMB0004012.9 Drill - M
SMB000501ArthroTunneler - 2.9 Punch - M
SMB0006012.5 Drill - L
SMB000701Suture Inserter
SMB000801Tray Base
SMB000901Tray Lid
SMB00105ArthroTunneler Instruments and Tray - Complete
Tornier is a registered trademark of Tornier.
The Tornier logo and TunnelPro are trademarks of Tornier.
Force Fiber is a registered trademark of Teleflex Incorporated.
ArthroTunneler is a registered trademark of T.A.G. Medical Products Corporation Ltd.

Force Fiber™ Suture

CAT#SizeLengthColorTippedNeedle
SMK100101Size 236"White/BlueNoN/A
SMK100201Size 236"White/BlackNoN/A
SMK100401Size 236"BlueNoN/A
SMS100101Size 236"White/BlueN/AK-Point
SMS100201Size 236"White/BlackN/AK-Point
SMS100301Size 3-436"White/BlueN/ADiamond-Point
SMS100401Size 3-436"White/BlackN/ADiamond-Point
SMS100501Size 236"White/BlueN/ATapered
SMS100601Size 236"White/BlackN/ATapered
SMS100701Size 3-436"White/BlueN/ATapered
SMS10801Size 3-436"White/BlackN/ATapered
SMS100901Size 236"White/BlueYesN/A
SMS101001Size 236"White/BlackYesN/A
SMS101101Size 3-436"White/BlueYesN/A
SMS101201Size 3-436"White/BlackYesN/A
SMS101501Size 3-436"WhiteYesN/A
SMS101601Size 536"White/BlueN/AK-60
SMS101701Size 536"White/BlackN/AK-60
SMS101801Size 536"WhiteN/AK-60

Indications

Indications:

  • The ArthroTunneler TunnelPro System is intended to be used for Rotator Cuff repair procedures.
  • The TunnelPro is intended to protect the suture/bone during transosseous fixation procedures.
  • The ArthroTunneler is intended for transosseous fixation of tendons to bone in the following applications: Rotator Cuff repair.

Contraindications:

The ArthroTunneler TunnelPro System is NOT intended for use in:

  • Pathological conditions of the soft tissue to be repaired or reconstructed which would adversely affect suture fixation.
  • Insufficient quantity and/or quality or cortical bone integrity that would impair the ability to securely fix the TunnelPro implants.
  • Compromised bone surface that would not allow secure fixation of the TunnelPro.
  • Patients with an active infection.
  • Physical conditions that would retard healing, such as blood supply limitation and infection.
  • Conditions which tend to limit the patient’s ability or willingness to follow instructions during the healing period.