SHOULDER RESTORATION SYSTEM

Y-Knot® RC All-Suture Anchor

Overview


Soft Construct

•  With its all-suture design, Y-Knot RC Anchors will not leave any hard loose anchor bodies behind in the joint

Simple and Easy To Use

•  Eliminate a step by using the first and only self-punching all-suture anchor on the market

Strong and Secure Repair

•  The Y-Knot RC's 360º FormFit Fixation provides 58% higher pullout than Juggerknot 2.9*

Click here to learn more about how Allopatch HD® can be used in conjunction with our fixation products to improve outcomes in large, massive, and revision rotator cuff cases.


Y-Knot® RC All-Suture Anchor Ordering Information
Y-Knot RC Double-loaded w/ two #2 Hi-Fi suture
YRC02
Y-Knot RC Triple-loaded w/ three #2 Hi-Fi sutures
YRC03
Disposable Broach Punch, 2.8mm (sterile)
Y-DBP28
Reusable Broach Punch, 2.8mm
Y-BP28
Disposable Drill Bit, 2.8mm (sterile)
Y28D
Reusable Drill Guide
Y-DGRC
Reusable Drill Guide Obturator
Y-OBRC


* JuggerKnot 2.9 only available double-loaded. Y-Knot RC tested as double-loaded for this comparison in 15pcf bone model.

Product Details


Y-Knot RC soft tissue attachment

Surgical Procedures

Y-Knot® RC all-suture anchors are used to reattach soft tissue to bone in surgical procedures. Some common procedures will be:

•  Single row rotator cuff repair
•  Medial row in transosseous equivalent (double row) rotator cuff repair
•  Subscapularis repair
•  Biceps Tenodesis


Product Description

The Y-Knot® RC anchor utilizes a 32mm-long, 4mm-wide, flat-braided Hi-Fi® suture construct as an anchor body with two or three #2 Hi-Fi® sutures interwoven into the flat braid. The strong stainless steel driver allows the anchor to be inserted directly into the humeral head without creating a pilot hole. The #2 Hi-Fi suture limbs are then pulled back to set the anchor: it compresses vertically and expands laterally, and becomes seated in the bone. Unlike competing all-suture anchors, the Y-Knot RC anchor fixates circumferentially within the pilot hole for a more secure repair, even in soft bone.

Put Simply: Surgeons care about size, strength and simplicity. Our all-suture anchor inserts in one easy step and provides surprisingly strong fixation via 360° FormFit Fixation.

Y-Knot RC Soft Y-Knot RC Simple Y-Knot RC Secure

SOFT
(All-Suture)

SMALL
Self-punching

SECURE
(360° FormFit Fixation)

Instrumentation

The Y-Knot RC anchor is currently the only self-punching all-suture anchor on the market. However, if hard bone is encountered or suspected by the surgeon, a pilot hole should be created. The Y-Knot RC system includes both punch and drill bit options depending on surgeon preference.
NOTE: If anchor is not advancing after repeated mallet strikes, remove the Y-Knot RC anchor from the portal and create a 2.8mm pilot hole with the broaching punch or drill bit. (Ensure the anchor is not damaged after removing from the portal or cannula.)

Broaching Punch
There are two 2.8mm broaching punches for the Y-Knot RC that have identical tip designs.

•  The reusable broaching punch (Y-BP28) has a traditional black aluminum handle with "2.8mm" on the handle.
•  The disposable broaching punch (Y-DBP28) has a plastic (polycarbonate) handle similar to the CrossFT anchor and is packaged sterile, single patient use.

Drill Bit
The Y-Knot RC drill bit (Y28D) has a diameter of 2.8mm and a spade tip. It is specifically designed for use with the Y-Knot RC anchor and drill guide. The positive stop allows for 3mm over-drilling when used with the Y-Knot RC drill guide.

Drill Guide & Obturator
The drill guide was specifically designed for the shorter driver and instrumentation of the Y-Knot RC system. This flare-handle design allows for short working length while still able to adequately hold the guide. The distal tip of the guide has a sawtooth design with a small slot to aid in visualization of the distal laser line.

Features & Benefits


Feature Benefit Clinical Relevance
SOFT
Anchor is comprised entirely of Hi-Fi® Suture
No hard-loose bodies in the joint or subacromial space if anchor is pulled out
Stronger than polyester3
Less risk for soft tissue damage or impingement after surgery if anchor dislodges
More strength and resistance to breakage in the repair
SIMPLE
Self-punching
Enables efficient technique without searching for pilot hole •  May save time in the OR
•  Prevents surgeon from searching for pilot hole
•  Streamlines required instrumentation
SECURE
360º FormFit Fixation
High 575N pull-out strength1
2.8mm anchor deploys to 5.0mm
Lower pull-out risk results in higher probability of successful outcome
Strong fixation beneath cortical or trabecular bone
Small Size Requires less bone removal than traditional rotator cuff anchors*
More tissue-to-bone contact
•  Maintains structural integrity of humeral head
•  Preserves natural anatomy
•  Great for revisions where solid anchors are already in place
More bone for healing tendon to reattach
Leaves no metal behind Enjoy benefit of self-punching without tradeoff of leaving metal in the bone •  No MRI scatter
•  No metal in bone during revisions
•  Don’t have to tell patients they have metal in their bone
Hi-Fi® suture Double and triple-loaded options
Does not have a solid core (unlike Fiberwire)
Completely non-absorbable (unlike Orthocord)
•  Results in lower knot stacks, minimizing potential impingement on acromion
•  Less abrasive on surgeon hands and soft tissue4
Repair construct will not loosen after partial absorption of suture



1 Data on file. Porcine cortical bone testing
3 Data on file
4 Wust, Daniel M, et al. Mechanical and Handling Properties of Braided Polyblend Polyethylene Suture in Comparison to Braided Polyester and Monofilament Polydioxanone Sutures. Arthroscopy 2006; 22:1146-1153

Specifications


Features SOFT: All-Suture (Hi-Fi® suture, UHMWPE)
SIMPLE: Self-punching
SECURE: 360° FormFit Fixation
Technique
  1. Place anchor against bone
  2. Mallet in anchor
  3. Pull all suture strands with about 15 pounds (6.8kg) to deploy anchor
  4. Confirm suture slides before passing suture
NOTE: A pilot hole is required for hard bone (or if anchor is not advancing with repeated mallet strikes).
Instrumentation Options Disposable 2.8mm broaching punch (Y-DBP28)
Reusable 2.8mm broaching punch (Y-BP28)
Disposable 2.8mm drill bit (Y28D)
Drill guide & obturator (Y-DGRC & Y-OBRC)
Y-Knot RC (double-loaded) Y-Knot RC (triple-loaded)
Item Number YRC02 YRC03
Primary Technique Self Punching Self Punching
Punch/Drill Size 2.8mm 2.8mm
Pull-out strength 398N (porcine bone)1 575N (porcine bone)1
Sutures Two #2 Hi-Fi® (1 blue, 1 black/white) Three #2 Hi-Fi®(1 blue, 1 black/white, 1 blue/white)
Handle Color Black
Y-Knot RC Handle
Black
Y-Knot RC Handle



1 Data on file. Porcine cortical bone testing