Surgical Robotics Technology

Smith+Nephew to showcase latest technologies at AAOS 2021 Annual Meeting

smith-nephew-orthopaedic-technologies

Smith+Nephew has announced it will showcase its latest Sports Medicine innovations for joint repair and arthroscopic enabling technologies during the American Academy of Orthopaedic Surgeons 2021 Annual Meeting being held in San Diego, CA.

The latest technologies include:

FAST-FIX FLEX Meniscal Repair System: The only device to offer a surgeon-guided, bendable needle and shaft providing access to all zones of the meniscus. 1-3 Improving access leads to a greater opportunity to repair the meniscus rather than remove it, resulting in long-term benefits to the patient.4-6 

INTELLIO Connected Tower: Uses a centralized app to wirelessly connect and control the major components of an arthroscopy surgical tower from outside the sterile field, helping to streamline procedure support. Recent advancements to the connected tower include a new pump and 4K optimized scopes. 

  • DOUBLEFLO Inflow/Outflow Pump: Designed to be simple, effective and connected, the DOUBLEFLO Pump is able to respond to a surgeon’s needs in diverse clinical situations.7,8 It can be controlled remotely by the LENS Connected Tower App and offers heads-up display projection on the arthroscopic tower, allowing surgeons to focus on the patient rather than equipment. 
  • 4KO (Optimized) Arthroscopes and Laparoscopes: Expands 4K surgical imaging portfolio for multi-specialty centers. Designed with improved image quality, the 4KO Direct View (DV) Arthroscopes have a 30% minimum increase in resolution compared to Smith+Nephew HD DV arthroscopes9. And by offering C-mount and Direct View coupling, surgeons have the flexibility to choose the scope that works best for them based on procedure type and surgical preference. 

WEREWOLF FASTSEAL 6.0 Hemostasis Wand: Using low temperature thermal energy10, the WEREWOLF FASTSEAL 6.0 Hemostasis Wand delivers hemostatic sealing (via coagulation) during open orthopaedic procedures such as total joint arthroplasty (TJA) – such technology has shown to significantly reduce total blood loss*11 as well as significantly shortening procedure time.**12 

REGENETEN Bioinductive Implant: Supports the body’s natural healing response by inducing the growth of new tendon-like tissue13-16 to biologically augment the existing tendon and disrupt disease progression.13-17 Delivered arthroscopically through a small incision over the location of the rotator cuff tendon injury, the implant is about the size of a postage stamp and is completely resorbed within six months.***15,18  A new study shows how REGENETEN is setting a new standard of recovery for partial-thickness rotator cuff tears. 

CAP-FIX Suture Passer: A direct style passer designed specifically for the passage and retrieval of suture through the hip capsule to facilitate capsular closure. The tip and hook geometry have been optimized for strength, sharpness, trajectory, and suture throw and are available in 45 and 70 degree angles.19-20 It is compatible with Vicryl™ Size #2 (a specific absorbable suture) as well as other Smith+Nephew standard suture offerings.20  

SPORTPORT® Cannula: A soft, flexible cannula designed to accommodate a surgeon’s access and range-of-motion in the joint space with easy insertion and a cannulated disposable obturator. The cannula’s flexibility streamlines the surgeon’s procedure by facilitating access to anatomy. Available in two sizes, it is designed to adjust to a surgeon’s diverse clinical needs.

To learn more about these ground-breaking Sports Medicine innovations, please stop by the Smith+Nephew booth (#1735) during AAOS 2021.

*compared to monopolar electrocautery for THA using an anterolateral approach (p=0.0001, n=50)

**compared to monopolar electrocautery for infected revision total knee arthroplasty (TKA)(p=0.044, n=80)

***On human biopsy (n=1) and in-vivo sampling

References

  1. Smith+Nephew 2021.Validation, FAST-FIX FLEX. Internal Report. 15010267 Rev A.
  2. Smith+Nephew 2021.Validation, FAST-FIX FLEX. Attachment B. Internal Report. 15010267 Rev A.
  3. Smith+Nephew 2021.FAST-FIX FLEX- Surgeon Surveys. Internal Memo.
  4. Pengas IP, Assiotis A, Nash W. et al. Total Meniscectomy in Adolescents: A 40 Year Follow-up. JBJS 2012;94-B:1649-54
  5. https://journals.sagepub.com/doi/abs/10.1177/0363546520935453
  6. Lee, WQ, Gan JZW, Lie, TTD. Save the meniscus- Clinical outcomes of meniscectomy versus meniscal repair. Journal of Orthopaedic Surgery. 2019;27(2):1-6.
  7. Hemodia 2020.Verification Test Report – Response Time After Volume Modification. Internal Report. HP3-RAP-053-B.
  8. Hemodia 2020.Verification Test Report – Response Time Shaver Activation & Deactivation. InternalReport. HP3-RAP-051-B.
  9. Smith+Nephew 2020. Arthroscope Resolution Comparison Tech Report. Internal Report. 15010420 Rev A.
  10. Smith+Nephew 2021.Report, Peak Temperature Comparative Study, FASTSEAL 6.0 and Aquamantys 6.0. Internal Report. 110180-02 Rev A.
  11. Marulanda GA, Ulrich SD, Seyler TM, Delanois RE, Mont MA. Reductions in blood loss with a bipolar sealer in total hip arthroplasty. Expert Rev Med Devices. 2008;5(2):125-131.
  12. Derman PB, Kamath AF, Lee GC. Saline-coupled bipolar sealing in revision total knee arthroplasty for infection. Am J Orthop (Belle Mead NJ). 2013;42(9):407-411.
  13. Bokor DJ, Sonnabend D, Deady L, et al. Evidence of healing of partial-thickness rotator cuff tears following arthroscopic augmentation with a collagen implant: a 2-year MRI follow-up. Muscles, Ligaments Tendons J. 2016;6(1):16-25.
  14. Schlegel TF, Abrams JS, Bushnell BD, Brock JL, Ho CP. Radiologic and clinical evaluation of a bioabsorbable collagen implant to treat partial-thickness tears: a prospective multicenter study. J Shoulder Elbow Surg. 2018 27(2):242-251.
  15. Van Kampen C, Arnoczky S, Parks P, et al. Tissue-engineered augmentation of a rotator cuff tendon using a reconstituted collagen scaffold: a histological evaluation in sheep. Muscles Ligaments Tendons J. 2013;3(3):229-235.
  16. Bokor DJ, Sonnabend DH, Deady L, et al. Healing of partial-thickness rotator cuff tears following arthroscopic augmentation with a highly porous collagen implant: a 5-year clinical and MRI follow-up. Muscles, Ligaments Tendons J. 2019;9(3):338-347.
  17. McElvany MD, McGoldrick E, Gee AO, Neradilek MB, Matsen FA, 3rd. Rotator cuff repair: published evidence on factors associated with repair integrity and clinical outcome. Am J Sports Med. 2015;43(2):491-500.
  18. Arnoczky SP, Bishai SK, Schofield B, et al. Histologic Evaluation of Biopsy Specimens Obtained After Rotator Cuff Repair Augmented With a Highly Porous Collagen Implant. Arthroscopy. 2017;33(2):278-283
  19. Smith+Nephew 2021.CAP-FIX Suture Passer Claims Testing Part 2 (Design Validation). Internal Report. 15011184 Rev A.
  20. Smith+Nephew 2021.CAP-FIX Suture Passer Claims Testing Part 1 (Design Verification). Internal Report. 15011185 Rev A.

Source: Smith+Nephew.

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