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Table Des Matières

Table des Matières

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6. Select the appropriate limb(s) of suture(s) from either

the implanted suture anchor or the sutures threaded

through tissue. Thread the free ends through the suture

threading loop, remove the suture threader from the

shaft of the insertion device, and pull to feed the sutures

through the anchor.

WARNING: Do not remove the retention suture

from the inserter before the anchor is properly

secured in the insertion site. The retention suture

can be used to retrieve the anchor should it

disengage prior to being inserted into the bone.

7. Slide the loaded suture anchor either percutaneously or

through a cannula, depending on technique preference.

Minimize suture entanglement by removing excess

suture slack and advance the anchor to the prepared

bone site. If desired, secure the free ends of the suture

using the features located on the inserter handle. Do not

attempt to tension the suture(s) at this time.

8. Orient the anchor such that the free limb sutures

entering the anchor are facing the tissues and the

sutures are not twisted around the anchor.

9. Establish and maintain axial alignment of the suture

anchor to the prepared insertion site, and place

the tip of the anchor into the prepared hole. Use

the Smith & Nephew mallet (sold separately) to tap

the inserter handle until the laser mark is flush with

the cortical bone. This places the suture anchor

approximately 1 mm below the bone surface.

10. Unhook the retention suture from the inserter handle

and pull one end to remove the suture from the handle.

Discard the retention suture. The retention suture must

be removed prior to applying tension.

11. Apply tension and lock the suture.

WARNING: Rotate the torque limiter

counterclockwise only enough to allow the

sutures to slide easily. Excessive counterclockwise

rotation can unscrew the inner anchor plug from

the anchor implant, possibly resulting in a damaged

anchor or the inner plug falling off the inserter and

into the joint.

a) Maintain slight downward pressure on the inserter

handle and remove the free ends of the suture(s)

from the inserter handle. Manually pull suture(s)

(individually or together) to apply the desired tension.

b) If desired, secure the free ends of the suture using

the features located on the inserter handle. Maintain

slight downward pressure on the inserter, locate the

knob on the proximal end of the inserter handle and

rotate it clockwise. Continue rotating the knob until a

click is heard.

c) Check the final repair. If the final tension on

the suture is not adequate, rotate the knob

counterclockwise until the suture can slide easily.

Repeat steps "a" and "b" to apply appropriate tension

and lock the suture. Repeat as necessary to achieve

the desired repair.

d) Prior to removing the inserter, rotate the torque

limiter knob counterclockwise one quarter turn, until

a click is heard. This will help ease the release of the

inserter from the anchor.

12. Slowly disengage the suture anchor from the inserter

by pulling straight back or tapping the distal end with

a mallet. Do not wiggle the handle to disengage the

anchor. Discard the insertion device and cut the excess

suture.

Warranty

For single use only. This product is warranted to be free from

defects in material and workmanship. Do not reuse.