SlingShot™ Suture Manager

SlingShot™ Suture Manager
SlingShot allows customization of suture length delivery for quick and easy suture retrieval. SlingShot is designed for single portal
capsule plication, capsule closure and an anatomic restoration of the hip capsule. Used in tandem with the InJector II System, the Pivot
Medical Capsule Restoration System offers the tools to expose the peripheral hip compartment for optimized visualization, diagnosis,
removal of cam pathology and simple anatomic restoration of the hip capsule.
SURGICAL TECHNIQUE
SlingShot™ Suture Manager
Preparing SlingShot for use:
1
Extend the SlingShot thumbslide as shown in
figure 1 to expose the fingers. Leaving a 10 inch
tail, place the high strength #2 ZipLine Suture
within the fingers of the extended SlingShot.
(Figure 1)
•
•
Retract the SlingShot thumbslide as shown in
figure 2 to load the suture. (Figure 2) The further
the thumbslide is actuated proximally, the more
suture is drawn into the shaft.
Single portal technique for Capsular
Closure using SlingShot
Capsular Cuts
Interportal Cut: Using a Samurai blade begin
with an interportal capsulotomy connecting the
anterolateral and anterior portals.
The length of the interportal capsulotomy may vary
depending on the femoroacetabular impingement
pathology but may range between 15 – 40 mm. The
central compartment work may then begin.
2
3
T -Cut: Complete the central compartment work
and access the peripheral compartment. Place
the arthroscope in the anterior portal and release
traction. Flex the hip approximately 30° and identify
the interval between the Gluteus Minimus and
Iliocapsularis. Use the Samurai blade to create the
T-capsulotomy via the distal anterolateral accessory
(DALA) portal. The peripheral compartment work
may then begin.
Capsular Closure
T-Cut Closure: Working from base to apex of the T-cut,
begin the capsular closure with a single TransPort
Cannula in the DALA portal. (Figure 3) Deliver the
SlingShot, with ZipLine suture loaded, through the
DALA portal to fully penetrate the lateral leaflet of the
iliofemoral ligament (IFL) at a point appropriate to
accomplish the desired closure.
Note: Only the tip of the SlingShot needs to
SlingShot™ Suture Manager
penetrate the capsular tissue (Figure 4) allowing
the fingers to open freely without obstruction.
4
5
6
Extend the SlingShot thumbslide as shown in
figure 1 to release the suture between the medial
and lateral leaflets of the IFL. (Figure 5) Retract
the thumbslide as shown in figure 2 to close
the fingers. Remove SlingShot from the tissue.
Deliver SlingShot through the medial capsule flap
at a point appropriate to accomplish the desired
closure. Extend the SlingShot thumbslide to grab
the suture loop. Retract suture into the SlingShot.
While maintaining pressure on the thumbslide in
the retracted position, remove SlingShot from the
portal. (Figure 6)
•
•
Tie the ZipLine suture via the DALA portal with
standard arthroscopic knot tying techniques.
Repeat this process until the T-cut closure is
complete. (Figure 7)
Note: SlingShot allows for variable suture
placement to accomplish a standard capsule
closure or plication as pictured in figure 7.
7
SlingShot™ Suture Manager
Interportal Closure: Repeat the previous steps to close
the interportal capsulotomy using the SlingShot to
pass suture through the proximal and distal aspect
of the IFL until all stitches have been arthroscopically
passed and the interportal cut has been closed.
(Figure 8)
8
Precaution: Maintaining the SlingShot thumbslide
in the retracted position during delivery and
retrieval of the device helps avoid TransPort
Cannula seal damage and protects soft tissues
Caution: Do not extend fingers into cartilage or
surrounding tissue as this may cause damage.
Note: Portal selection is dependent on capsular cut
and location.
A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular
patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery.
The information presented is intended to demonstrate the breadth of Stryker product offerings. A surgeon must always refer to the package insert, product
label and/or instructions for use before using any Stryker product. Products may not be available in all markets because product availability is subject to the
regulatory and/or medical practices in individual markets. Please contact your Stryker representative if you have questions about the availability of Stryker
products in your area.
Pivot Medical, Inc.
A Stryker Sports Medicine Company
247 Humboldt Court
Sunnyvale, CA 94089 USA
Stryker Corporation or its divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: InJector,
Samurai, SlingShot, Stryker, The Movement in Hip Restoration, TransPort. All other trademarks are trademarks of their respective owners or holders.
PIVPRO-PG-1