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Below is a collection of resources&nbsp;for you&nbsp;to&nbsp;learn more about the&nbsp;latest innovative products and techniques in minimally invasive orthopedics.

AAOS 2024 Annual Meeting: Synergy Imaging and Resection Feature Products

Imaging and Resection

This animation demonstrates the features and benefits of the ApolloRF® i90 probe.

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ApolloRF® i90 Probe

Experience the Synergy Vision™ imaging system. Integrating the capabilities of the SynergyID™ system and fluorescence into the next generation of visualization, this all-in-one system features 4K with an expanded field-of-view, compatibility with the NanoNeedle Scope, and picture-in-picture viewing to route multiple images onto a single monitor.

Synergy Vision™ Imaging System

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Synergy RF ™ Bipolar Ablation System RF® With Apollo i90 Probe Minimally Invasive System That Effectively Ablates and Coagulates Tissue in Arthroscopic Procedures ApolloRF® i90 Probe, Aspirating Ablator 90 (AR-9831) New electrode design Efficient. Dependable. Performance. Features and Benefits: Torpedo-shaped electrode promotes easy access into the joint and accurate tissue removal Optimized flow rate/flow path designed to efficiently remove bubbles for better visual clarity, reduced tissue clogging, and faster removal of warm fluid from the joint 1 Edge control for a defined plasma edge that enables greater precision and gentle ablation distally and on the sides of the electrode Unique electrode design that optimizes tactile feedback when gliding over bone or tissue interface Shorter working length of 140 mm Reference 1. Arthrex, Inc. Data on file (AR-9831 clog performance design verification). Naples, FL; 2021. Patent pending 02 I SynergyRF ™ Bipolar Ablation System With Apollo RF ® i90 Probe Synergy Integration SynergyRF ™ Console (AR-9800): Integrates with Synergy Imaging System or operates as a stand-alone unit Probe-recognition function identifies probe currently in use Metal proximity detection function suspends power when in close proximity to scope and metal instruments User-friendly LCD touchscreen interface Easy-to-adjust ablation and coagulation settings SynergyRF Footswitch (AR-9800-F): Separate ablation and coagulation pedals Central ablation-level-adjustment button Integrated carrying handle Ordering Information Product Description Item Number Apollo i90 Probe AR-9831 SynergyRF Console AR-9800 RF® RF Synergy Footswitch AR-9800-F SynergyRF ™ Bipolar Ablation System With Apollo RF ® i90 Probe I 03 APOLLO i90 ABLATE COAG This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level and/or outcomes. View U.S. patent information at www.arthrex.com/corporate/virtual-patent-marking arthrex.com © 2023-02 Arthrex, Inc. All rights reserved. LB1-000413-en-US_A

SynergyRF™ Bipolar Ablation System With ApolloRF® i90 Probe

SynergyResection™ System Resection Engineered With Biologics in Mind PowerPick™ Attachment Excalibur Shaver Blade Torpedo™ Shaver Blade Bone Cutter Shaver Blade PoweRasp™ Attachment GraftNet™ Autologous Tissue Collector The SynergyResection™ system offers a wide variety of shaver blades and specialty resection devices to perform a multitude of biological stimulating procedures. When connected to a SynergyResection arthroscopic shaver, the GraftNet device may be used to collect bone, cartilage, or soft tissue from a surgical site. The GraftNet autologous tissue collector makes gaining access to autograft tissue as simple as resect and collect. Harvested tissue is collected in the tissue collector BioACL™ Technique BioACL Technique Animation Bone Cutter Shaver Blade Bone Collection During ACL Reconstruction Resect: The Bone Cutter shaver blade is a dual-purpose blade designed for fast and aggressive ACL stump debridement when in oscillation mode and bone removal to prepare the notch when in forward or reverse. Collect: When performing a notchplasty or drilling tibial and femoral tunnels, the GraftNet™ autologous tissue collector can be used to collect bone to backfill the BTB harvest site or to make a composite graft to prefill ACL tunnels for a BioACL™ procedure. 5.5 mm Bone Cutter Patella grafting decreases anterior knee pain, kneeling pain, and extension loss compared to nongrafted defects1 GraftNet Autologous Tissue Collector Autograft Bone Collected Using the GraftNet Device Reference 1. Lameire DL, Abdel Khalik H, Zakharia A, Kay J, Almasri M, de Sa D. Bone grafting the patellar defect after bone-patellar tendon-bone anterior cruciate ligament reconstruction decreases anterior knee morbidity: a systematic review. Arthroscopy. 2021;37(7):2361-2376.e1. doi:10.1016/j.arthro.2021.03.031. Harvested Bone Stabilizing and Harvesting Articular Cartilage AutoCart™ Procedure Surgical Technique Torpedo™ and Bone Cutter Shaver Blades Cartilage Repair Thoroughly cleaning and preparing the cartilage defect is essential for optimum results. The SynergyResection™ system has resection attachments for arthroscopic cartilage debridement, harvesting articular cartilage, and marrow-stimulation procedures. The Torpedo shaver blade allows easy access into and around the joint space. The smooth window configuration assists in creating stable borders by leaving smooth, stable edges. The Bone Cutter's distal tip cuts efficiently, removing the calcified layer and creating a raw subchondral surface before applying microdrilling techniques. 4 mm Torpedo Shaver Supports AutoCart™ cartilage repair technique: Both the 4 mm Torpedo and 4 mm Bone Cutter shaver blades harvest medium-sized cartilage particulate while maintaining high cell viability (>80%)1 4 mm Bone Cutter 4 mm Torpedo Shaver Particulate Reference 1. Arthrex, Inc. LA1-000143-en_US. Naples, FL; 2022. 4 mm Bone Cutter Shaver Particulate Microdrilling Cartilage Defects Microdrilling With the PowerPick™ Device PowerPick™ XL Attachment Cartilage Repair Patient-reported outcomes were significantly improved for those treated with the PowerPick attachment vs conventional chondral picks1 Consistent 1.5 mm × 6 mm drill holes Additional 2 mm of drill depth compared to standard PowerPick attachments Single-handed technique Allows a single-handed technique that takes significantly less time than traditional chondral picks2 Improved bone marrow stimulation Drilling cleanly removes bone, allowing free access channels to the marrow space Conventional Microfracture 3 PowerPick Attachment Microdrilling References 1. Beletsky A, Naveen NB, Tauro T, et al. Microdrilling demonstrates superior patient-reported outcomes and lower revision rates than traditional microfracture: a matched cohort analysis. Arthrosc Sports Med Rehabil. 2021;3(3):e629-e638. doi:10.1016/j. asmr.2020.10.006 2. Arthrex, Inc. LA1-00103-EN. Naples, FL; 2018. 3. Kraeutler MJ, Aliberti GM, Scillia AJ, McCarty EC, Mulcahey MK. Microfracture versus drilling of articular cartilage defects: a systematic review of the basic science evidence. Orthop J Sports Med. 2020;8(8):2325967120945313. doi:10.1177/2325967120945313 PowerPick XL Attachment Biological Augmentation of RCR Biological Augmentation of Shoulder Repairs Scientific Update Excalibur Shaver Blade Biological Augmentation of RCR Subacromial bursa provides an easily accessed source of cellular tissue progenitor (CTP) cells when performing an arthroscopic RCR. The sharp-toothed Excalibur blade is our most efficient shaver for extensive soft-tissue debridement that maintains 87% CTP cell viability after harvest.1 Rotator cuffs augmented with CTP cells from subacromial bursa have shown greater healing potential and lower retear rates compared to those treated without augmentation.2 4 mm Excalibur Live/Dead Cell Assay1 Excalibur 0 Hours Competitor 3 Weeks 0 Hours Living cells are labeled with green immunofluorescence while dead cells are labeled with red immunofluorescence. References 1. Wellington IJ, Hawthorne BC, Messina JC, et al. Efficacy of arthroscopic shavers for the retrieval and processing of connective tissue progenitor cells from subacromial bursal tissue. J Clin Med. 2022;11(5):1272. doi:10.3390/jcm11051272 2. Hernigou P, Flouzat Lachaniette CH, Delambre J, et al. Biologic augmentation of rotator cuff repair with mesenchymal stem cells during arthroscopy improves healing and prevents further tears: a case-controlled study. Int Orthop. 2014;38(9):1811-1818. doi:10.1007/ s00264-014-2391-1 3 Weeks Preparing Tuberosity for RCR Preparing Tuberosity With PoweRasp™ and PowerPick™ Attachments PoweRasp™ Attachment for Decortication Preparing Tuberosity for RCR With 1.5 mm reciprocating motions, easily prepare the greater tuberosity and superior glenoid for RCR or superior capsule reconstruction. Removes osteophytes Creates bleeding bone surface to accelerate tendon-to-bone healing 1.5 mm reciprocating motion prevents wrapping of healthy soft tissue PoweRasp Attachment PowerPick™ Attachment for Microdrilling Crimson Duvet Procedure Bone marrow stimulation decreases retear rate after primary arthroscopic RCR1 Maximizes vascular channels by removing bone rather than compacting All-suture, anchor-friendly marrow stimulation technique leaves cortical layer intact PowerPick Attachment Reference 1. Ajrawat P, Dwyer T, Almasri M, et al. Bone marrow stimulation decreases retear rates after primary arthroscopic rotator cuff repair: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2019;28(4):782-791. doi:10.1016/j.jse.2018.11.049 Ordering Information PowerPick™ and PoweRasp™ Attachments 3.5 (Drill depth, mm) 4 (Drill depth, mm) PowerPick Attachment Initially designed to make quick work of microfracture procedures by using the shaver handpiece to power the Ø 1.5 mm drill tip, the 30° and 45° angled shafts facilitate use in a variety of other applications, including ACL femoral tunnel location and crimson duvet techniques in the shoulder AR-8150PP-30 (30°) AR-8150PX-45 AR-8150PP-45 (45°) AR-8400PR (45°) AR-8350PR PoweRasp Attachment Use for acromioplasties, distal clavicle resections, preparing the greater tuberosity, notchplasties, osteophyte resection, and other bony work 6 (Drill depth, mm) AR-8550PR Description Large Hub Options: Fit Large Shaver Handpieces Description 3.5 (Ø mm) Excalibur Sharp-toothed blade makes this the most aggressive shaver for extensive soft-tissue debridement Torpedo™ Blade Tapered tip and scissor-like cutting action allow easy access into joint space and rapid soft-tissue resection; outer oval window to limit tissue size and help reduce clogging Bone Cutter Dual-purpose blade designed for fast and aggressive tissue debridement when in oscillation mode and for bone removal when run in the forward or reverse direction 1. Hip length (19 cm), curved 2. Small joint length (7 cm), large hub 3.8 (Ø mm) 4 (Ø mm) AR-8380EX AR-8400CEX AR-8400EX (curved) 4.2 (Ø mm) AR-6420EX AR-6420CEX1 5 (Ø mm) 5.5 (Ø mm) AR-8500EX AR-8550EX AR-7400TD 2 AR-7350TD AR-8400TD AR-6420TD AR-8400CTD AR-6420CTD1 AR-8500TD (curved) AR-8400BC AR-8380BC AR-8400CBC (curved) AR-6420BC AR-6420CBC1 AR-8500BC AR-8550BC GraftNet™ Autologous Tissue Collector BioXpress™ Graft Delivery Device Product Description Item Number Product Description Item Number GraftNet autologous tissue collector ABS-1050 Blunt-tip cannula, 10 cm ABS-10053-10 Angled-tip cannula, 10 cm ABS-10053-10-45 Blunt-tip cannula, 15 cm ABS-10053-15 Angled-tip cannula, 15 cm ABS-10053-15-45 Optional Accessories Product Description Item Number Mixing and delivery kit, large joint ABS-1000-L Mixing and delivery kit, small joint ABS-1000-S Mixing and delivery kit, hip joint ABS-1000-H arthrex.com © 2023-06 Arthrex, Inc. All rights reserved. LB1-000403-en-US_B

SynergyResection™ System: Resection Engineered With Biologics in Mind

Arthrex provides an overview of specialty resection products.

Arthrex Specialty Resection Products Overview

Synergy RF ® Bipolar Ablation System RF® With Apollo Probes Minimally Invasive System That Effectively Ablates and Coagulates Tissue in Arthroscopic Procedures SynergyRF Console | AR-9800 Integrates with the Synergy imaging system or operates as a stand-alone unit Probe recognition function identifies probe currently in use Metal proximity detection function suspends power when in close proximity to the scope or metal instruments SynergyRF Footswitch | AR-9800-F Separate ablation and coagulation pedals Central ablation level adjustment button Integrated carrying handle User-friendly LCD touchscreen Ablation and coagulation settings are easy to adjust Uses controlled plasma-based bipolar RF technology with the Apollo probes ApolloRF® i90 Probe | AR-9831 Torpedo-shaped electrode designed for easy access into the joint and accurate removal of tissue Edge control for a defined plasma edge that enables greater precision and gentle ablation distally and on the sides of the electrode Optimized flow rate/improved flow path Shorter, 140 mm, working length for increased control ApolloRF MP90 Probe | AR-9811 and ApolloRF XL90 Probe | AR-9821 90° tip configured to access and ablate tissue rapidly Durable one-piece active electrode Easy-to-use ergonomic hand controls Multiple ports for efficient bubble removal ApolloRF XL90 probe has a 25% longer electrode than ApolloRF MP90 to remove more tissue per pass ApolloRF® Hook Probe | AR-9825 Generous hook size for easy tissue capture and rapid tissue resection and coagulation Durable one-piece active electrode Easy-to-use ergonomic hand controls Configured to access and reach tissue in various arthroscopic procedures Smooth radius at tip designed to access confined anatomy 360° edge control for precise ablation Dual aspiration slots for effective suction Lower ablation default setting for use around sensitive tissue For use in knee and shoulder procedures ApolloRF MP50 Probe | AR-9815 ApolloRF® H50 Probe | AR-9835 185 mm working length provides an extended reach into the hip joint Reinforced shaft and handle junction maintains device integrity during hip arthroscopy 360° edge control for precise ablation Dual aspiration slots for effective suction Flat electrode face for smooth contouring of tissues Optimal tip geometry for enhanced access to hip anatomy Reduced probe dimension with 110 mm working length and 3.3 mm diameter for ease of access in small joints 360° edge control for precise ablation Anatomic 50° tip configured to reach and ablate tissue efficiently Low default ablation setting (4) for reduced energy delivery Optimized aspiration to remove tissue particulate and maintain optimal fluid temperatures ApolloRF SJ50 Probe | AR-9845 This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. arthrex.com © 2023-03 Arthrex, Inc. All rights reserved. LS1-00047-en-US_B

SynergyRF® Bipolar Ablation System With ApolloRF® Probes

ApolloRF® SJ50 Probe for the Knee A Low-Profile RF Solution for Knee Arthroscopy and Nano Applications ApolloRF® SJ50 Probe AR-9845 The ApolloRF SJ50 probe is anatomically curved for optimized aspiration in the tight areas of the knee. Its 360° edge control and low default ablation setting is designed for precise ablation and coagulation while minimizing the effect on surrounding tissue. Features and Benefits Optimal RF solution for knee arthroscopy applications Shortened working length of 110 mm promotes maneuverability and control within the knee joint Smaller diameter of 3.3 mm allows access to tight joint spaces in the knee. Efficient and effective 360° edge control feature to clean up frayed tissue within the knee Smaller electrode face enables surgeons to mark precise anatomical locations as well as anchor locations Ordering Information Product Description Item Number ApolloRF SJ50 probe AR-9845 The ApolloRF SJ50 probe fits underneath the medial condyle to reach the posterior aspect of the meniscus to prepare for a meniscal root repair. Applications Precision Chondroplasty Meniscal Repair Effortlessly fits underneath and around the condyles to reach the periphery of the menisci Precise markings of anchor locations for meniscal root repairs on the tibial plateau near the meniscal root attachment Chondroplasty Efficient removal of damaged cartilage with a low default ablation setting of 4 ACL/PCL Repair Easier maneuverability around the walls of the femoral condyle and intercondylar area Effective removal of frayed tissue near the repair site with the 360° edge control feature Nano Techniques Optimize minimally invasive procedures through Nano arthroscopy Footprint Preparation: PCL Repair 360° edge control feature for precise contouring of any irregular cartilage surfaces Low-profile electrode design 3.3 mm diameter Anatomical 50° curve This description of technique is provided as an educational tool and clinical aid to assist properly licensed medical professionals in the usage of specific Arthrex products. As part of this professional usage, the medical professional must use their professional judgment in making any final determinations in product usage and technique. In doing so, the medical professional should rely on their own training and experience, and should conduct a thorough review of pertinent medical literature and the product’s directions for use. Postoperative management is patient-specific and dependent on the treating professional’s assessment. Individual results will vary and not all patients will experience the same postoperative activity level or outcomes. arthrex.com © 2023-11 Arthrex, Inc. All rights reserved. LB1-000461-en-US_A Arthrex Manufacturer, Authorized Representative and Importer information: elFU - Arthrex View U.S. patent information at arthrex.com/corporate/ virtual-patent-marking

ApolloRF® SJ50 Probe for the Knee

A scientific report from the Arthrex Orthopedic Research Department stating an objective, methods and materials, results, and discussion and conclusion.

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Comparison of Volumetric Removal Rate Between Arthrex ApolloRF® i90 Aspirating Ablator and Leading Market Competitors Arthrex Research and Development Introduction Figure 2. Outline of Ablation Zone to Be Analyzed During radiofrequency (RF) ablation procedures, effective and efficient tissue removal is critical to limit operation time. One key factor in overall ablation performance is the ability of a given probe to remove tissue. This testing aimed to evaluate the volume of tissue removed between the ApolloRF i90 aspirating ablator and the leading ablation devices, including Smith and Nephew Flow 90™, Smith and Nephew Super TURBOVAC® 90, Stryker 90-S Cruise, DePuy Synthes CoolPulse 90®, and DePuy Synthes VAPR® TRIPOLAR 90°. Figure 3. Example Topographical Scan (Left) and Sectioned View (Right) of Indentation Volume via Keyence VR-3200 Methods Each probe was secured in a fixture so the electrode was parallel to the rawhide, which was used to ensure a flat, reliable ablation surface. The RF probe was ablated in the fixture tank filled with a 0.9% saline solution. Each probe was connected to its respective console at default settings and run in a 3 × 4 grid where each strike consisted of dragging in tissue for 9 seconds at a speed of 2.3 in/min on the rawhide (Figure 1). After testing was complete, each zone was evaluated by the Keyence VR-3200, which uses a top-down optical 3D scan to determine the total volume of the indentation (Figures 2 and 3). (A) (B) (A) Arthrex Apollo RF i90 aspirating ablator (B) Smith and Nephew Super TURBOVAC 90 Results Table 1. Summary of Ablation Volume Testing Sample Total # of Ablations Average Volume Ablated (mm3) ApolloRF i90 probe 60 44.24 ± 6.84 Smith and Nephew FLOW 90 60 29.96 ± 7.24 Smith and Nephew Super TURBOVAC 90 60 16.41 ± 6.10 Stryker 90-S Cruise 60 23.92 ± 4.78 DePuy Synthes CoolPulse 90 60 36.63 ± 8.94 DePuy Synthes VAPR TRIPOLAR 90° 60 31.66 ± 9.43 Figure 1. Volumetric Ablation Test Setup Computer data collection RF ablation console Statistically significant difference from Apollo i90 probe (P < .001, α = .05) RF Probe Camera Vacuum pump Saline tank During the evaluation, each zone was considered an independent measurement. The ApolloRF i90 probes outperformed the DePuy CoolPulse 90 probes by 18.8% and the Smith and Nephew Flow 90 probes by 38.5%. A one-way ANOVA was performed using Minitab to check for statistically significant differences between the groups. The results of this testing indicate that the ApolloRF i90 probe has the greatest average volume ablated over a consistent pass compared to the competitor probes (P < .001). Figure 4. Comparison of Average Ablated Volume Between Arthrex Apollo RF® i90 Probe, Smith and Nephew Super TURBOVAC 90, DePuy Synthes CoolPulse 90, Smith and Nephew Flow 90, DePuy Synthes VAPR TRIPOLAR 90°, and Stryker 90-S Cruise Volume of Ablation Zone (mm3) 50 40 30 20 10 44.24 ± 6.84 0 29.96 ± 7.24 16.41 ± 6.10 31.66 ± 9.43 36.63 ± 8.94 Arthrex ApolloRF i90 Probe DePuy Synthes VAPR TRIPOLAR 90° Smith and Nephew Flow 90 DePuy Synthes CoolPulse 90 Smith and Nephew TURBOVAC 90 Stryker 90-S Cruise 23.92 ± 4.78 Conclusion At default settings, the ApolloRF i90 probe has the greatest average tissue removal rate when compared to the leading market competitors. A high removal rate is not only critical for efficiency, but it reduces time in the joint space.1 Decreased shoulder arthroscopy procedure time is associated with fewer adverse short-term outcomes.2 Reference 1. Arthrex, Inc. Data on file (PLM88807). Naples, FL; 2020. 2. Boddapati V, Fu MC, Schairer WW, et al. Increased shoulder arthroscopy time is associated with overnight hospital stay and surgical site infection. Arthroscopy. 2018;34(2):363-368. doi:10.1016/j.arthro.2017.08.243 arthrex.com © 2024-05 Arthrex, Inc. All rights reserved. LA1-000176-en-US_C

Comparison of Volumetric Removal Rate Between Arthrex ApolloRF® i90 Aspirating Ablator and Leading Market Competitors

This video discusses how the SynergyResection™ portfolio pairs with biologics for optimal results.

Blades and Biologics: Resection Engineered With Biologics in Mind

Christopher Cooke, MD (Detroit, MI), presents an overview of the benefits of the SurgeonVault® system.

Benefits of the Synergy Surgeon™ App and SurgeonVault® System

Imaging & Resection New Product & Technique Highlights Apollo Bipolar Ablation RF ® Optimized radio frequency waveform for effective tissue ablation 360° edge control for precise ablation around sensitive tissues Full line of probes with unique electrode designs and optimized aspiration to maintain superior visual clarity and evacuate tissue particulate The SynergyRF bipolar ablation system volumetrically ablates tissue and coagulates bleeding vessels to ease efforts during tissue resection. The ablation system is the first to integrate with the imaging monitor to include a heads-up display. Fluid Management and Containment The Synergy fluid management systems are designed to provide the highest levels of clarity and anatomic visualization, allowing everyone in the OR to focus on the patient. “The DualWave™ pump works extremely well at controlling intra-articular pressures. Now I experience consistently clear visual fields with much less bleeding, resulting in less overall fluid consumption and improved overall efficiency while keeping operating room costs down.” Gautam P. Yagnick, MD MIAMI, FL Mats promote a safe, comfortable, and efficient OR with antimicrobial properties that can aid in reducing the risk of cross contamination CoolCut™ series of shaver blades and burrs offers over 125 unique attachments, so you can always find the right device for the procedure Unique, doublesealed, highspeed handpieces offer a light, ergonomic feel with multifunction buttons and optional removable suction valve for easy cleaning Low-profile and multifunction/ wireless footswitches promote less fatigue and offer a customized approach to user preferences Shaver Systems The SynergyResection™ system provides a complete arthroscopic tissue and bone resection portfolio with innovative solutions designed to meet surgeons’ needs. 4K Imaging Technology The SynergyID™ and SynergyUHD4™ systems enable advanced visualization by combining state-of-theart 4K visualization with augmented reality features for surgeons to see more than ever before. Heads-up display keeps the surgeon in control of imaging, shaver, pump, and RF settings at all times Programmable camera head buttons provide customized functionality at surgeons’ fingertips 4K imaging, LED lighting, advanced image management, and integration from a single console Synergy.net™ data integration software seamlessly connects with your EHR, PACS, or vendor-neutral archive to share surgical worklists and intraoperative media The Synergy Matrix™ video integration system distributes 4K video to multiple displays in or out of the OR Synergy OR Command™ room status provides surgeons and staff with a centralized dashboard view of simultaneous video streams across all operating rooms Integration Arthrex redefined the OR experience with innovations designed to fully integrate with your hospital’s EHR, PACS, or information system to optimize visualization, and enhance workflow efficiencies. Quality products designed and serviced to maximize operating room uptime and support the Arthrex mission of Helping Surgeons Treat their Patients Better™ Flexible service plans meet a variety of service needs: choose from flexible agreements and payment terms Save money and ensure against costly, unbudgeted repairs while receiving priority service and unlimited replacements for the term of your agreement The Arthrex NanoSuite Expanding least invasive arthroscopic surgery from the OR to the treatment room without general anesthesia 93% 96% patients would recommend a Nano arthroscopy procedure1 patients returned to normal function within 4 weeks2 References 1. Murawski CD, Kennedy JG. Anteromedial impingement in the ankle joint: outcomes following arthroscopy. Am J Sports Med. 2010;38(10):2017-2024. doi:10.1177/0363546510369335 2. Colasanti CA, Mercer NP, Garcia JV, Kerkhoffs GMMJ, Kennedy JG. In-office needle arthroscopy for the treatment of anterior ankle impingement yields high patient satisfaction with high rates of return to work and sport. Arthroscopy. 2021;S0749-8063(21)00848-3. doi:10.1016/j.arthro.2021.09.016 synergy.arthrex.com © 2022 Arthrex, Inc. All rights reserved. LB1-000364-en-US_B 87% patients prefer a procedure room versus an OR under sedation2

Imaging & Resection: New Product & Technique Highlights

Gautam P. Yagnik, MD, (Miami, FL) describes why he prefers the DualWave™ arthroscopy pump.

DualWave™ Arthroscopy Pump Fluid Management System

PowerPick™ Instrument and Chondro Pick Comparison: Quantitative and Qualitative Arthrex Research and Development © 2018 Arthrex, Inc. All rights reserved. LA1-00103-EN_A Objective Determine the time required for an experienced orthopedic surgeon to complete a microfracture procedure using the Arthrex PowerPick instrument and the Arthrex 40° Chondro Pick. Also, directly compare the images of the condylar holes made with each device to evaluate their functional effectiveness. Methods and Materials Experienced orthopedic surgeons were recruited to take part in the testing. Each surgeon was instructed to remove a portion of articular cartilage, arthroscopically, from the medial and lateral condyles of a cadaveric knee, using a curette. The area of cartilage removed needed to be large enough such that 5 holes could be made using each pick device, for a total of 10 holes on each condyle. Beginning with the medial condyle, each surgeon selected which device they would like to use first and prepared to begin the microfracture process. Once the first hole was being arthroscopically created, a stopwatch was started, and the amount of time required to create 5 holes was determined. The process was repeated on the medial condyle with the second device, and both devices were used to complete the procedure on the lateral condyle. The knees were cleaned of soft tissue to allow direct visualization of the condyles, and the microfracture holes for each device were photographed under magnification for visual analysis. Results The results of the surgeon trials are listed in Table 1. A paired t test was used to compare differences between the 2 sample groups. The time needed to complete 5 microfractures with the PowerPick was significantly less than that with the Chondro Pick (P = .002). Table 1 - Time (seconds) to complete 5 microfracture holes with each device. Some representative images of the PowerPick holes and Chondro Pick holes in the subchondral bone are shown in Figures 1 and 2, respectively. Conclusion Surgeons created visibly cleaner microfracture holes in almost half the time using the PowerPick versus the 40° Chondro Pick. Surgeon 1 Medial 29 41 Surgeon 1 Lateral 25 61 Surgeon 2 Medial 40 69 Surgeon 2 Lateral 24 43 Surgeon 3 Medial 9 31 Surgeon 3 Lateral 15 30 Surgeon 4 Medial 12 18 Surgeon 4 Lateral 10 17 Average 20.5seconds 38.8 seconds SD 10.9seconds 18.8 seconds PowerPick Chondro Pick Figure 1: Two typical holes created using the PowerPick during the time trials, magnified to 3X. Figure 2: Two typical holes created using the Chondro Pick during the time trials, magnified to 3X.

PowerPick™ Instrument and Chondro Pick Comparison: Quantitative and Qualitative

This video highlights the key features of the SynergyID™ imaging system.

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SynergyID™ Near-Infrared Fluorescence

Patient feedback on their experience with Arthrex techniques.

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Benefits of Synergy Matrix™ 4K Integrated OR

The Synergy Operating Room Integration Suite is equipped with the latest in 4K imaging, integration and resection technology. This state‐of‐the‐art technology can increase efficiency, lower cost of ownership and positively impact the patient experience.

AAOS 2024 Annual Meeting: Synergy Imaging and Resection Feature Products