Arthrex has the most comprehensive offering of suture management devices, which are designed to allow for easy handling of all suture management tasks with instruments that surpass industry standards for quality and durability. The selection includes a wide variety of suture passers, retrievers and cutters that can accommodate various surgical techniques and suture management preferences. Our goal is to make technically demanding procedures easier, safer and more reproducible.

Elbow

Product

The back grasper is a simple but effective arthroscopic tool to aid introducing grafts, implants, and instruments into the body. The reverse articulating jaw design allows “pulling” rather than “pushing” grafts, flexible cannulas, etc into the body.

Back Grasper

The CrabClaw uses an opening jaw design to simplifyarthroscopic knot tying and suture management. The jaw can be opened to graspthe suture strand anywhere along its length, avoiding the time consuming taskand “fiddle factor” associated with threading suture onto conventional knotpushers. The opening jaw is particularly useful when checking suture strandsfor tangles and for quickly changing the suture posts when tying arthroscopicknots. It is also possible to pre-tie multiple half-hitch knots and advanceeach one down the cannula quickly and efficiently, securing an arthroscopicknot.

CrabClaw

The Crochet Hook is a simple tool that performs well in tight spaces to retrieve suture loops during arthroscopic Bankart, SLAP, rotator cuff, or any suturing procedure. The smooth tip prevents abrasion of suture strands and the ergonomic knurled handle facilitates instrument manipulation in the wet arthroscopic environment. The Push/Pull Crochet Hook was designed to push suture knots and/or retrieve suture with the same instrument.

Crochet Hooks

The FiberChain Grasper is a modified Rotator Cuff Grasper with a hole in the jaws. It allows easy tensioning of FiberChain cinch stitches during SwiveLock rotator cuff repair procedures. It can also be used with the SpeedBridge Rotator Cuff Repair technique to help ensure that all slack FiberTape has been removed from under the rotator cuff.

FiberChain® Grasper

The FiberTape® Retriever has a wide jaw specifically designed for easy FiberTape management during a SpeedBridge™ or SpeedFix™ procedure. The roller pin in the upper jaw allows FiberTape to slide freely. The tip is serrated to also allow its use as a grasper to securely grab a suture.
A Mini FiberTape Retriever is also available with the same features except in a smaller scale. The smaller design allows the Mini FiberTape Retriever to fit through the 4.5 mm inner diameter of the 2.9 PushLock® Percutaneous Insertion Kit's metal cannula and the reusable metal cannula. The Mini FiberTape Retriever may be used in labral or rotator cuff repair.

FiberTape® Retriever

The FiberWire® Grasper is designed to grasp and retrieve multiple strands of FiberWire. The fully toothed design and long jaw assembly provides a substantial working range to easily grab suture within the glenohumeral or subacromial joint space.

FiberWire® Grasper

With the uniquely designed jaws of the KingFisher grasper, surgeons are able to perform multiple tasks during arthroscopic surgery with one instrument. The KingFisher grasper/retriever is the optimal tool for arthroscopic tissue grasping/reduction, foreign body removal, and suture retrieval/management. The distal serrated tip of the jaws functions as a tissue and suture grasper, while the proximal section of the jaws facilitates slide-through suture retrieving.
The FiberTape® KingFisher instrument combines the suture-grasping ability of a KingFisher retriever and jaw curvature similar to the FiberTape retriever. Combining these features makes it easier to manipulate suture and tissue during arthroscopic procedures.
The Mini KingFisher retriever combines the dexterity of a standard retriever, superior handling of tape retrievers, and grasping ability of the KingFisher instrument, all in a compact size that fits into tight spaces and through our smallest percutaneous cannulas.

KingFisher® Retriever/Graspers

The Rotator Cuff Grasper features a long shaft and a wide, deep jaw that allows for superior purchase when grasping tissue during rotator cuff surgery. 

 
The SR Series Graspers feature a self-releasing lock mechanism that is easily disengaged by simply moving the handles apart. The NR series Graspers have non-locking handles for ease of use in difficult hand positions encountered during surgery. The WishBone Series Graspers feature a ratcheting lock mechanism that can be disengaged for non-locking operation.

Rotator Cuff Grasper

The Suture Retriever is designed for atraumatic suture retrieval and manipulation during arthroscopic procedures. The jaws create a closed loop which allows the suture to slide freely during suture extraction. The uniquely designed tip is made to spread parallel strands of suture to facilitate retrieval. Its small diameter and low profile allow access into the tightest joint spaces.

Suture Retriever

The Transosseous Suture Passer features a malleable shaft, a durable Nitinol capture loop, comfortable handle, and is available sterile. The Nitinol loop is a robust design resulting in a reliable instrument allowing for multiple suture passes without failure. The applications for this instrument are well established and include any passing of grafts or suture through bony sockets and tunnels. With a ten-inch overall length this device is an attractive and economically minded alternative to the Hewson Suture Retriever.

Transosseous Suture Passer

Graspers and Retrievers

Human

Arthrex has a comprehensive offering of products designed to simplify suture and tissue management tasks. The selection includes a variety of reusable tissue graspers, suture retrievers and crochet hooks that can accommodate various surgical techniques. Our goal is to make technically demanding procedures easier, safer and more reproducible with state-of-the-art quality and durability.

Secondary (C)

The FingerShield is a woven polyester sleeve with an embedded radiopaque blue marker designed to reduce pressure induced lacerations to the digits of the hand caused by repetitive knot tying during surgery. They slip right over sterile gloves when needed. The tips are left open to allow pinch grasp of suture strands, while still protecting the IP joint area of each digit. The soft, finger-conforming weave will stand up to repetitive hand tying during a case without constraining the fingers. Suture slides over the FingerShield smoothly and effortlessly.

FingerShield

Arthrex offers several options:
 
The Single-Hole Knot Pusher provides a simple method to advance sliding knots and half-hitches. This closed-end knot pusher has a modified handle that provides an ergonomic feel. The distal tip has also been modified for easier advancement of slipknots and half-hitches. 

 
The 6th finger was designed to tie the surgeon's knots and allows the surgeon to apply and maintain tension to the first throw while advancing subsequent throws. 

 
The CrabClaw incorporates an opening jaw to allow intra-articular capture of suture.

Knot Pushers

Knot Tying

After an acute glenohumeral dislocation, the glenoid labrum and the ligaments attached to it may avulse from their bony attachments. Alternatively, in cases of chronic instability/MDI, the labrum and surrounding ligaments may be stretched to the point where they no longer support the glenohumeral joint. SLAP tears resulting in chronic pain and dysfunction, particularly in athletes, can also be addressed through arthroscopic labral surgery. In any scenario, the labrum/ligaments can be secured back to their attachments (either glenoid or humerus) by a series of sutures/suture anchors (knot-tying or knotless) resulting in normal shoulder function.
Please note that certain bio (PLLA) anchors and screws are not available for sale in EMEA.

The Suture Cutters were designed to facilitatearthroscopic cutting of FiberWire and braided suture. The uniquely designedcutting jaws remain sharp throughout repeated use. The Suture Cutters are available in a closed and open end, left notch version. The closed end SutureCutter allows the surgeon to leave a 3 mm suture tail without the possibilityof cutting the knot. The open end, left notch version facilitates suturecutting inside the joint without having to top load the cutter. The FiberTapeCutter was designed to allow for flush cutting of two FiberTapes.

Arthroscopic Suture Cutters

The FiberWire® Scissor was designed to cut any size or style suture, especially FiberWire, in open surgical cases where an arthroscopic suture cutter is not necessary. With its specially designed cutting edges, it can cut FiberWire cleanly and effortlessly without frayed edges. The color coded handle facilitates instrument differentiation in large instrument packs.

FiberWire® Scissors

Suture Cutters

Arthrex has a comprehensive offering of open andarthroscopic suture cutters designed specifically for use with FiberWire orFiberTape sutures. The uniquely designedjaws remain sharp through repeated use. Multiple cutters are available withopen or closed ends, standard ring or WishBone handles and flush cut orknot-preserving suture tail options.

Suture Management

Graspers and Retrievers

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Knot Tying

Suture Cutters