Rotator Cuff Repair ICONN Answer PEEK Suture Anchor 4.75/5.5. Surgical Protocol by Geoffrey Connor, 4.75/5.5 MD of D1 Sports Medicine

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1 Rotator Cuff Repair ICONN Answer PEEK Suture Anchor 4.75/5.5 Surgical Protocol by Geoffrey Connor, 4.75/5.5 MD of D1 Sports Medicine

2 ICONN s revolutionary approach is to drive value into every aspect of our business; from product design and engineering to distribution and delivery and every step in between. 1

3 ICONN Orthopedics 400 Union Hill Drive, Suite 150 Birmingham, AL TABLE OF CONTENTS Suture/Anchor/Driver Assembly Arthroscopic Preparation Anchor Pilot Hole Preparation Anchor Insertion Secure Torn Tissue Implant And Instrument List

4 STEP 1 SUTURE/ANCHOR/DRIVER ASSEMBLY 01 Load Sutures Remove two (4.75MM or 5.5MM anchor) or three (5.5MM anchor only) ICONN HS Fiber Sutures (HSe-XX-NN) depending on surgeons preferred number and color combination of sutures. Depress red button on top of the ICONN Answer Suture Loader (247505) and place sutures in channel at mid-point of sutures. Release button and verify sutures are captured in the suture lock rods. 02 Anchor/Driver Attachment Remove ICONN Answer 4.75MM (147500) or 5.5MM (155000) Suture Anchor from sterile packaging and place onto ICONN Answer 4.75/5.5MM Suture Anchor Driver (247501). 03 Suture/Anchor/Driver Attachment Take ICONN Answer Suture Loader with sutures attached and push onto tip of anchor, making sure sutures are held within channel on outside of anchor. Make sure the orientation of the suture loader in relation to the driver is correct (large red button on top of loader should be facing up, along with the ICONN logo on the driver handle). 1 MKT-004 Rev B

5 04 Suture/Anchor/Driver Attachment Advance suture loader up the driver shaft towards handle of driver and clip loader onto driver handle. A slight amount of force may be required to initiate the process. Make sure suture loader does not rotate as it advances up the driver shaft. 05 Excess Suture Wrap Wrap excess suture around knob on bottom of driver handle. 06 Excess Suture Attachment Depress small red button on bottom of suture loader and place exess suture in the slot. Release button to lock sutures. 2 MKT-004 Rev B

6 STEP 2 ARTHROSCOPIC PREPARATION 07 Portal Placement Standard posterior and anterior portals are utilized for instrument passage and diagnostic arthroscopy. Arthroscope is placed in subacromial space through posterior portal to visually assess pathology. 3 MKT-004 Rev B

7 08 Reduce Cuff With tissue grasper, reduce cuff to lateral aspect of tuberosity to determine medial-to-lateral mobility of defect. 4 MKT-004 Rev B

8 STEP 3 ANCHOR PILOT HOLE PREPARATION 09 Select Desired Anchor Position Place ICONN Answer 4.75/5.5MM Suture Anchor Awl (247502) at a 45⁰ on desired anchor location. 5 MKT-004 Rev B

9 10 Prepare Pilot Hole Mallet awl to approprate depth (front of laser line for the 4.75MM anchor and back of laser line for the 5.5MM anchor). For hard bone, further prepare the pilot hole using the ICONN Answer 4.75/5.5MM Suture Anchor Tap (247503). 6 MKT-004 Rev B

10 STEP 3 ANCHOR INSERTION 11 Insert Anchor Remove awl/tap and insert anchor/driver assembly into pilot hold and screw approprately sized anchor into bone by hand. Continue to advance anchor until the back of the anchor is 1-3mm below the surface of the bone. Make sure the sutures are facing the tear when fully inserted. 7 MKT-004 Rev B

11 12 Remove Driver Depress both red buttons on suture loader and pull back on driver/loader to detach from the anchor. Make sure sutures are free to slide off of driver/loader and are not pulled from the anchor. Confirm anchor is fully seated by direct visualization. 8 MKT-004 Rev B

12 STEP 3 SECURE TORN TISSUE 13 Secure Sutures Pass suture(s) through torn tissue using surgeon s preferred method. Secure torn tissue using standard arthroscopic knot tying techniques. 9 MKT-004 Rev B

13 Repeat 14 Repeat previous steps until desired number of anchors are inserted and torn tissue is fully secured. Upon completion close arthroscopic incisions. 10 MKT-004 Rev B

14 IMPLANT AND INSTRUMENT LIST PART NUMBER DESCRIPTION ICONN Answer 4.75MM Suture Anchor ICONN Answer 5.5MM Suture Anchor & ICONN Answer Instrument Tray Base and Lid ICONN Answer 4.75/5.5MM Suture Anchor Driver ICONN Answer 4.75/5.5MM Suture Anchor Awl ICONN Answer 4.75/5.5MM Suture Anchor Tap HSe-2C-NN HS Fiber White/Blue #2 Suture HSe-2K-NN HS Fiber White/Black #2 Suture HSe-2G-NN HS Fiber White/Green #2 Suture HSe-2XC-NN HS Fiber Blue #2 Suture 11 MKT-004 Rev B

15 We are designing products, and even more so, a company which is equally as innovative from a performance standpoint as from a cost-reduction standpoint. 1

16 ICONN Orthopedics 400 Union Hill Drive, Suite 150 Birmingham, AL

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