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.
“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.
“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.
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.
Insert tip of the Hook into the medial tunnel until the top bar of the Hook is flush and parallel with the footprint.
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.
Remove the 2.5 mm Drill - L, then replace it with a loaded Suture Inserter.
Remove the Suture Inserter, then retrieve the nitinol Loop to capture the suture loop.
Retract the Anvil and remove the ArthroTunneler with the attached suture loop from the repair site.
Remove the suture loop from the ArthroTunneler by deploying the nitinol Loop and pulling the device away from the suture.
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.
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.
Thread ForceFiber™ sutures exiting the lateral tunnel into the tip of the inserter
Slide TunnelPro down sutures
Insert into bone [with hand pressure or with a few mallet taps]
Twist 1/2 turn counterclockwise and remove stick
Pass sutures through cuff
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.
|SMB100101||ArthroTunneler TunnelProT System - Includes: (1) ArthroTunneler plus (2) TunnelPro Lateral Implants|
|SMB100201||(1) TunnelPro Lateral Implant|
|SMB000401||2.9 Drill - M|
|SMB000501||ArthroTunneler - 2.9 Punch - M|
|SMB000601||2.5 Drill - L|
|SMB00105||ArthroTunneler Instruments and Tray - Complete|
The ArthroTunneler TunnelPro System is NOT intended for use in: