BIOFIBER ™ Absorbable Biologic Scaffolding Solutions BIOFIBER™ IS ONLY THE BEGINNING BIOFIBER - CM ™ What is BIOFIBER™ – CM? BIOFIBER™ – Collagen Matrix is comprised of the same P4HB material with the addition of a type 1 bovine collagen coating which increases vascularization and cell density at the site of repair. • Provides long-term support while serving as a biocompatible scaffold for host tissue in-growth • Distributes tissue loads during the healing process while allowing for return of natural tendon attachment to bone • Provides support during healing to permit return to normal joint mechanics • Designed to provide support to damaged soft tissue to maintain structural integrity Reinforces the suture-tendon interface What is BIOFIBER™? An advancement in orthopedic absorbable polymers, BIOFIBER™ is the first orthopedic soft tissue scaffold that: • Reinforces the suture-tendon interface • Mechanically reinforces tendons repairs • Made from P4HB – A non-synthetic fermented polymer that breaks down into natural occurring metabolites that allow healing without additional inflammation • Increases suture line load sharing • Creates a cell friendly environment for rapid incorporation of soft tissue Humeral Bone BIOFIBER™ is woven out of a high-strength, biologically derived material that resorbs over time. Tendon • Designed for tissue in-growth utilizing an improved biocompatible polymer • Creates a cell-friendly environment for rapid incorporation of soft tissue with full scaffold resorption at 12-18 months BIOFIBER™ Tendon Tendon in-growth within scaffold STRENGTHEN REPAIRS High tensile and suture retention strength Resorbable, biologically derived fiber Dense, bi-layer weave designed to provide mechanical properties in all directions Ability to “wick” and hold blood Why Reinforce? •H igh failure rates for older patients or patients with thin, weak tendons • High failure rates for larger tears • Patients with comorbid conditions • Suture line tears • Tissue that forms post repair is mechanically weaker than native tissue Suture Retention** Suture Retention Strength (N) BioFiber Reinforced Tendon: 73% Increase in Suture Retention vs. Control 120 300 100 250 110.0 80 216 182 100 65.1 50 20 0 229 150 60 40 200 Control BIOFIBER™ A verage suture retention strength for BIOFIBER™ reinforced tendons was 110 N and the control tendons were 65 N which is an increase of 73 ± 37% (p < 0.0001) 0 GraftJacket™ MaxForce Extreme BIOFIBER™* GraftJacket MaxForce Data on file at Tornier, Inc. Barber, A. et al. Tendon augmentation grafts: biomechanical failure loads and failure patterns. Arthroscopy: The Journal of Arthroscopic and Related Surgery. 2006; 22-5: 534-538. * BIOFIBER™ (3 cm x 3 cm) **Mattress stitch 5 mm or more from an edge Special leno weave designed to prevent fraying High strength yet elastic to share the load with in-growing tissue Edges ultrasonically cut for strength and consistency Porous design to encourage tissue in-growth Biomechanical Reinforcement Overlay Grommet support Mid-substance reinforcement BIOFIBER™ Applications BIOFIBER™ is available in multiple shapes and sizes which allows for a wide range of indications and repairs using a simple and fast surgical technique. Shoulder Foot/Ankle Knee Hip • Rotator cuff repair • Small tears • Medium tears • Subscapularis repair • Achilles tendon repair • Retrocalcaneal enthesiopathy • Lateral ankle instability • Quadriceps tendon repair • Patellar tendon repair • Hip abductor tendon repair BIOFIBER™ Product Codes BIOFIBER™ Facility Reimbursement Product Item No. HCPCS Code – Hospital Product Description Discs: 8 mm each (2 discs/unit box) BFR100101 Box of 1 BBF0008DU Box of 4 Q4100 Skin substitute, not otherwise specified HCPCS Code – Ambulatory Surgery Center L8699 Prosthetic implant, not otherwise specified Strips: 13 mm x 23 mm (1 strip/unit box) BFR100201 Box of 1 BBF1323SU Box of 4 Strips: 20 mm x 30 mm (1 strip/unit box) BFR100301 Box of 1 Strips: 25 mm x 50 mm (1 strip/unit box) BFR100401 Box of 1 BIOFIBER™ - CM Product Codes Product Item No. Product Description Strips: 20 mm x 30 mm (1 strip/unit box) BFR100302 Box of 1 Indications: • Temporary wound support required to reinforce soft tissues where weakness exists or for the repair of hernia or other fascial defects that require the addition of a reinforcing material to obtain the desired surgical result. •R einforcement of soft tissues, in conjunction with sutures and/or suture anchors during tendon repair surgery; including the reinforcement of rotator cuff, patellar, achilles, biceps and quadriceps tendons. •B ioFiber is intended for single patient, one time use only • BioFiber is not intended for use as a replacement for normal body structures or to provide the full mechanical strength to support structures. Contraindications: A complete list of contraindications can be found in the “instructions for use“ packaged with the implants. 1023 Cherry Road Memphis, TN 38117 800 238 7117 901 867 9971 www.wright.com 10801 Nesbitt Avenue South Bloomington, MN 55437 888 867 6437 952 426 7600 www.tornier-us.com BIOFIBER™ is a trademark or registered trademark of Tornier in the U. S. and other countries. ™Trademarks and ®Registered marks of Wright Medical Technology, Inc. ©2016 Wright Medical Technology, Inc. All Rights Reserved. CAW-5601 Rev B ECN 160069 11-Jan-2016
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