Electrosurgery. DYONICS RF-S WHIRLWIND 90 Probe. DYONICS EFLEX Radiofrequency Probes. Powerful high-flow suction aids in rapid tissue removal

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1 Electrosurgery DYONICS RF-S WHIRLWIND 90 Probe Powerful high-flow suction aids in rapid tissue removal Provides unobstructed image Indicated for multiple procedures DYONICS EFLEX Radiofrequency Probes Enable access to multiple zones in the hip joint Probes can deflect up to 100 Multiple configurations facilitate access

2 Electrosurgery I-1 DYONICS RF Arthroscopy System DYONICS RF System DYONICS RF System Smith & Nephew is proud to present a variety of RF options to meet the specialized needs of today s arthroscopist. The DYONICS RF Radiofrequency System is designed for arthroscopic surgeons who need to rapidly resect and sculpt soft tissue and coagulate bleeding vessels. Patented bipolar technology emphasizes a high degree of control, while maximizing speed and efficiency of tissue removal * DYONICS RF System System includes: DYONICS RF generator, foot pedal and power cord Accessories * Foot pedal Accessory Kit includes IFU and US power cord Accessory Kit includes IFU and European standard 2-prong power cord Biomedical Output Test Part (for use with biomedical test procedure) NOTE: Only compatible with DYONICS RF System and DYONICS RF System Probes * Item shown Call (U.S.) or contact your local representative.

3 I-2 Electrosurgery DYONICS RF Arthroscopy System DYONICS RF System Probe Indications High-performance DYONICS RF probes are designed to deliver rapid resection and precision sculpting of soft tissue. Large surface areas ensure quick tissue removal and cutting, while the patented bipolar technology delivers precisely focused energy to the targeted tissue. Probes are available in a variety of angle and electrode configurations, ideal for shoulder and knee procedures. SUCTION PROBES NON-SUCTION PROBES DYONICS RF-S WHIRLWIND 90 Probe DYONICS RF-S DYNAMO 90 Probe DYONICS RF-S CROSS 50 Probe DYONICS RF BROADNOSE 90 Probe DYONICS RF ABLATION 90 Probe DYONICS RF ROUND 60 Probe DYONICS RF CURVE 45 Probe DYONICS RF HEDGEHOG 45 Probe DYONICS RF HOOK 30 Probe DYONICS RF SLICE 20 Probe DYONICS RF CONTRACT 30 Probe Shoulder Subacromial decompression Frozen shoulder Synovectomy Ligament removal Ligament/ tendon coagulation Knee Meniscectomy ACL/PCL debridement Lateral release Ligament removal Capsular/ligament/ tendon coagulation NOTE: For use with the DYONICS RF System

4 Electrosurgery I-3 DYONICS RF Arthroscopy System DYONICS RF System Bipolar Probes Suction Probes These powerful RF suction probes are equipped with a grated suction design that helps trap large debris before potentially causing a blockage DYONICS RF-S WHIRLWIND 90 Probe, 3.75 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF-S DYNAMO 90 Probe, 3.5 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF-S CROSS 50 Probe, 3.0 mm shaft diameter, 5.5 mm minimum cannula size Non-suction Probes DYONICS RF BROADNOSE 90 Probe, 4.5 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF ABLATION 90 Probe, 3.5 mm shaft diameter, 6.5 mm minimum cannula size DYONICS RF ROUND 60 Probe, 2.5 mm shaft diameter, 6.5 mm minimum cannula size DYONICS RF CURVE 45 Probe, 3.0 mm shaft diameter, 4.5 mm minimum cannula size DYONICS RF HEDGEHOG 45 Probe, 2.5 mm shaft diameter, 4.5 mm minimum cannula size DYONICS RF HOOK 30 Probe, 3.0 mm shaft diameter, 8.5 mm minimum cannula size DYONICS RF SLICE 20 Probe, 3.3 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF CONTRACT 30 Probe, 3.0 mm shaft diameter, 5.5 mm minimum cannula size NOTE: For use with the DYONICS RF System Call (U.S.) or contact your local representative.

5 I-4 Electrosurgery DYONICS RF Arthroscopy System DYONICS RF System Probe Indications Canada Only Part Numbers High-performance DYONICS RF probes are designed to deliver rapid resection and precision sculpting of soft tissue. Large surface areas ensure quick tissue removal and cutting, while the patented bipolar technology delivers precisely focused energy to the targeted tissue. Probes are available in a variety of angle and electrode configurations, ideal for shoulder and knee procedures. Shoulder Subacromial decompression Frozen shoulder Synovectomy Ligament removal Ligament/ tendon coagulation Knee Meniscectomy ACL/PCL debridement Lateral release Ligament removal Capsular/ligament/ tendon coagulation DYONICS RF-S WHIRLWIND 90 Probe DYONICS RF-S DYNAMO 90 Probe DYONICS RF-S CROSS 50 Probe DYONICS RF BROADNOSE 90 Probe DYONICS RF ABLATION 90 Probe DYONICS RF ROUND 60 Probe DYONICS RF CURVE 45 Probe DYONICS RF HEDGEHOG 45 Probe DYONICS RF HOOK 30 Probe DYONICS RF SLICE 20 Probe SUCTION PROBES NON-SUCTION PROBES Canada Only Part Numbers DYONICS RF CONTRACT 30 Probe NOTE: For use with the DYONICS RF System

6 Electrosurgery I-5 DYONICS RF Arthroscopy System DYONICS RF System Bipolar Probes Canada Only Part Numbers DYONICS RF System System includes DYONICS RF generator, foot pedal and power cord Accessories Foot Pedal Accessory Kit (includes IFU and US power cord) Suction Probes These powerful RF suction probes are equipped with a grated suction design that helps trap large debris before potentially causing a blockage. Non-suction Probes DYONICS RF-S WHIRLWIND 90 Probe, 3.75 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF-S DYNAMO 90 Probe, 3.5 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF-S CROSS 50 Probe, 3.0 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF BROADNOSE 90 Probe, 4.5 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF ABLATION 90 Probe, 3.5 mm shaft diameter, 6.5 mm minimum cannula size DYONICS RF ROUND 60 Probe, 2.5 mm shaft diameter, 6.5 mm minimum cannula size DYONICS RF CURVE 45 Probe, 3.0 mm shaft diameter, 4.5 mm minimum cannula size DYONICS RF HEDGEHOG 45 Probe, 2.5 mm shaft diameter, 4.5 mm minimum cannula size Canada Only Part Numbers DYONICS RF HOOK 30 Probe, 3.0 mm shaft diameter, 8.5 mm minimum cannula size DYONICS RF SLICE 20 Probe, 3.3 mm shaft diameter, 5.5 mm minimum cannula size DYONICS RF CONTRACT 30 Probe, 3.0 mm shaft diameter, 5.5 mm minimum cannula size NOTE: For use with the DYONICS RF System Call (U.S.) or contact your local representative.

7 I-6 Electrosurgery VULCAN RF Arthroscopy System VULCAN RF Arthroscopy System The Smith & Nephew VULCAN Arthroscopy System is designed to help improve procedure efficiency and outcome with a complete line of RF products for knee, shoulder, hip and extremity procedures. Flexible Monopolar, bipolar, temperature control and impedance monitoring capabilities aid in optimizing energy delivery to produce the desired tissue effect. Simple All Smith & Nephew RF probes are available with integrated cables which increases staff efficiency by eliminating cable sterilization and storage requirements. Convenient Autoprobe recognition takes the guesswork out of selecting power settings. Troubleshooting is facilitated with audible alarms and error message displays. VULCAN RF Arthroscopy System Systems include VULCAN generator, power cord, footswitch and manual VULCAN Generator System, US VULCAN Generator System, Europe VULCAN Generator System, UK VULCAN Generator System, Australia VULCAN Generator System, India VULCAN Generator System, South Africa VULCAN Generator System, Italy Accessories VULCAN Generator only VULCAN Extension Cables (for use only with original version of EFLEX Probes) VULCAN Footswitch Split Electrode Pads, 1 each Probe Tip Bender Software NOTE: For use with the VULCAN RF System

8 Electrosurgery I-7 VULCAN RF Arthroscopy System VULCAN RF System Probe Indications The Smith & Nephew VULCAN Arthroscopy System includes the most versatile line of RF probes in the industry. Please refer to the following pages for more detail on each of these products. SAPHYRE, ABLATOR, SCULPTOR * DYONICS GLIDER TAC * LIGAMENT CHISEL * DYONICS ELECTROBLADE Resector Shoulder Subacromial decompression Capsular release Capsulorrhaphy Synovectomy CA Ligament removal Knee Meniscectomy ACL/PCL debridement Chondroplasty Medial plication Lateral release Hip Acetabular labrum resection Synovectomy Loose body excision Tendon resection and release Thermal capsulorrhaphy Tissue smoothing Ligamentum teres treatment Capsular resection Chondroplasty Wrist/Elbow/Ankle TFCC debridement Scar tissue excision Chondroplasty Capsulorrhaphy NOTE: For use with the VULCAN RF System * Includes EFLEX models Call (U.S.) or contact your local representative.

9 I-8 Electrosurgery VULCAN RF Arthroscopy System SAPHYRE Biopolar Ablation Probes SAPHYRE Ablation Probes SAPHYRE Ablation Probes deliver powerful, consistent RF energy for vigorous soft tissue ablation and hemostasis. The jewel-cut electrodes deliver focused energy to target tissue with reduced current output requirements, generating less heat than competitive ablation probes. In addition, the SAPHYRE Bipolar Ablation Probe Coolback Shaft reduces the risk of secondary tissue heating at the return electrode site. Shaft Color SAPHYRE Ablation Probe, 90 Pewter SAPHYRE Ablation Probe, 60 Pewter SAPHYRE Ablation Probe, 90 high profile Pewter SAPHYRE II Ablation Probes The SAPHYRE II Bipolar Ablation Probes have integrated suction for enhanced visualization in the sterile field. Shaft Color SAPHYRE II Ablation Probe with suction, 90 Pewter SAPHYRE II Ablation Probe with suction, 60 Pewter SAPHYRE II Ablation Probe with suction, 90 high profile Pewter SAPHYRE II Ablation Probe with suction, 40 Pewter NOTE: For use with the VULCAN RF System

10 Electrosurgery I-9 VULCAN RF Arthroscopy System ABLATOR and SCULPTOR Monopolar Ablation Probes ABLATOR Monopolar Ablation Probes The ABLATOR monopolar probes provide a wide scope of probe styles for arthroscopic applications in the shoulder, knee and small joint. Features such as the power pocket electrode high-flow extractor lumen on suction probes help optimize tissue ablation, coagulation and visualization of the surgical site ABLATOR Ablation Probe, 90 Black ABLATOR-S Ablation Probe, 90 with suction Black ABLATOR Ablation Probe, 60 Black ABLATOR-S Ablation Probe, 60 with suction Black ABLATOR Ablation Probe, 90 high profile Black ABLATOR-S Ablation Probe, 90 high profile with suction Black ABLATOR Ablation Probe, 60, 2.0 mm Black ABLATOR-S Ablation Probe, 60, 2.0 mm with suction Black ABLATOR Ablation Probe, 30 Black Micro ABLATOR Probe, 60 Black Micro ABLATOR-S Probe, 60 with suction Black EFLEX ABLATOR Probe with integrated cable Black SCULPTOR Monopolar Ablation Probes SCULPTOR Monopolar Probes combine the power of monopolar ablation with consistent, vigourous, predictable soft tissue removal and hemostasis SCULPTOR Probe, 90 Black SCULPTOR-S Probe, 90 with suction Black SCULPTOR Probe, 90 high profile Black SCULPTOR-S Probe, 90 high profile with suction Black SCULPTOR Probe, 60 Black SCULPTOR-S Probe, 60 with suction Black NOTE: For use with the VULCAN RF System Call (U.S.) or contact your local representative.

11 I-10 Electrosurgery VULCAN RF Arthroscopy System DYONICS GLIDER Monopolar Articular Cartilage Probe Designed exclusively for treatment of chondromalacia, indicated specifically for chondroplasty. The DYONICS GLIDER monopolar probe debrides and smooths diseased cartilage along the contoured surfaces of the joint while limiting the depth of chondrocyte death to 150 microns or less. Articular Cartilage Probe The GLIDER probe is an early-intervention tool for treatment of articular cartilage disease. Through controlled application of RF energy on Grade II and III chondromalacia, the GLIDER probe is designed to maximize preservation of healthy cartilage tissue while restoring a smooth gliding surface. Creates a smooth cartilage surface In vitro studies have demonstrated the DYONICS GLIDER probe creates a smooth cartilage surface with a superficial layer of cell death. Low-mass electrode to debride tissue and precisely control penetration depth Pivoting head that maintains tissue contact over articular cartilage surface Flexible nitinol wires to enhance and facilitate consistent application of pressure Sliding oversheath simplifies insertion, withdrawal and navigation in the joint Shaft Color * DYONICS GLIDER Articular Black Cartilage Probe (requires 3.71 software) Optional Reuseable slotted cannula * Item shown Data on file at Smith & Nephew, NOTE: For use with the VULCAN RF System

12 Electrosurgery I-11 VULCAN RF Arthroscopy System Temperature Control Monopolar Probes TAC Probes The Smith & Nephew TAC monopolar probes are indicated for ligament shrinkage in the shoulder as well as coagulation of soft tissue in the knee, hip and small joints. Each TAC probe tip contains a sensor that relays tissue temperature back to the generator, enabling automatic selection and control of tissue temperature during treatment. All TAC probes incorporate a malleable shaft for added flexibility. Shaft Color TAC-S Probe, angled Blue TAC-C II Probe Blue TAC-S Probe Blue Mini TAC-S Probe Blue Micro TAC-S Probe, angled Blue Micro TAC-S Probe Blue EFLEX TAC-S Probe Blue with integrated cable NOTE: For use with the VULCAN RF System Call (U.S.) or contact your local representative.

13 I-12 Electrosurgery VULCAN RF Arthroscopy System LIGAMENT CHISEL Monopolar Probes LIGAMENT CHISEL Probes The LIGAMENT CHISEL probes provide focused and precise resection, ablation and hemostasis of dense soft tissue in the shoulder, knee, hip and small joints. All probes incorporate a malleable shaft for added flexibility and access to difficult-to-reach areas. Shaft Color LIGAMENT CHISEL Probe, curved Green LIGAMENT CHISEL Probe, angled Green LIGAMENT CHISEL Probe, hook Green LIGAMENT CHISEL Probe, straight Green Micro LIGAMENT CHISEL Probe, hook Green Micro LIGAMENT CHISEL Probe, angled Green Micro LIGAMENT CHISEL Probe, curved Green EFLEX LIGAMENT CHISEL Probe Green with integrated cable NOTE: For use with the VULCAN RF System

14 Electrosurgery I-13 Single-use Blades DYONICS ELECTROBLADE Resector DYONICS ELECTROBLADE Resectors simultaneously resect tissue and coagulate bleeding vessels, to help increase procedure efficiency and maintain visual clarity throughout the procedure. In addition, the bipolar design eliminates the need for a ground pad. The BONECUTTER ELECTROBLADE Resector is the first all-in-one device for subacromial decompression. A unique SURILLIUM coating maintains blade durability and cutting efficiency throughout a procedure. Resector operates at speeds up to 8,000 RPM. DYONICS ELECTROBLADE Resectors Packaged 3 per box, sterile Latch Color mm DYONICS BONECUTTER ELECTROBLADE Yellow mm DYONICS BONECUTTER ELECTROBLADE Orange Resector compatible with the VULCAN Generator (requires the VULCAN Generator Adapter) and the Erbe Generator VULCAN Generator Adapter (required to operate , packaged non-sterile, reusable) mm Full Radius, Valleylab Generator-compatible Yellow Compatible with the Valleylab*, Erbe and VULCAN Generators (when used with the VULCAN Generator Adapter) mm Full Radius, VULCAN Generator-compatible Yellow mm ELITE, Full Radius, Valleylab Generator-compatible Maroon Compatible with the Valleylab*, Erbe and VULCAN Generators (when used with the VULCAN Generator Adapter) mm ELITE, VULCAN Generator-compatible Maroon * Valleylab Generator models are the Valleylab Force FX and Force 2 Erbe Generators are the Erbe 300 and 350. Requires Erbe Adaptor # available through Erbe. Call (U.S.) or contact your local representative.

15 I-14 Electrosurgery Monopolar Hip Probes VULCAN RF System Probe Hip Indications LIGAMENT CHISEL Probe ABLATOR Probe TAC-S Probe LIGMENT CHISEL Probe DYONICS GLIDER Articular Cartilage Probe Hip Acetabular labrum resection Synovectomy Loose body excision Tendon resection and release Thermal capsulorrhaphy Tissue smoothing Ligamentum teres treatment Capsular resection Chondroplasty Source: Schenker, ML & Phillipon MJ. The Role of Flexible Radiofrequency Energy Probes in Hip Arthroscopy Techniques in Orthopaedics (1):37-44 Information in this chart is intended as a suggestion only. Surgeons should use their medical judgement when selecting a probe for a patient s procedure. DYONICS EFLEX Monopolar Radiofrequency Probes DYONICS EFLEX probes can deflect up to 100º, enabling access into areas of the hip joint that are difficult to reach with conventional rigid probes. Tip deflection is actuated by an easyto-pull trigger system, with an ergonomically designed handle and palm grip. EFLEX probes are also available with an integrated power cable, eliminating the need to purchase and re-sterilize separate cables. Insulated shaft reduces RF effect on surrounding tissue Low-profile 3.5 mm diameter shaft fits a 5.5 mm cannula Robust mechanical design ensures reliable performance Extra long 240 mm shaft improves joint access Up to 100 tip flexion allows greater access, with three different tip configurations Comfortable handle with finger indents and shaped palm rest provide a sure grip; trigger actuator pulls easily for tip flexion Integrated cable attaches directly to generator NOTE: For use with the VULCAN RF System

16 Electrosurgery I-15 Monopolar Hip Probes VULCAN RF System Probes DYONICS EFLEX Monopolar Radiofrequency Probes DYONICS EFLEX LIGAMENT CHISEL Probe with integrated cable DYONICS EFLEX ABLATOR Probe with integrated cable DYONICS EFLEX TAC-S Probe with integrated cable LIGAMENT CHISEL Monopolar Probe LIGAMENT CHISEL Probe, hook DYONICS GLIDER Monopolar Articular Cartilage Probe The DYONICS GLIDER probe is an early-intervention tool for treatment of articular cartilage disease. Through controlled application of RF energy on grade II and III chondromalacia, the GLIDER probe is designed to maximize preservation of healthy cartilage tissue while restoring a smooth gliding surface DYONICS GLIDER Articular Cartilage Probe Call (U.S.) or contact your local representative.

17 I-16 Electrosurgery VULCAN RF Arthroscopy System Extremity Radiofrequency Probes Smith & Nephew offers a versatile and comprehensive selection of radiofrequency probes for use in a variety of small joint arthroscopic procedures. All probes are bendable, increasing ability to access small spaces Micro ABLATOR -S Probe offers the only small joint suction probe on the market Monopolar design ensures tissue treatment only occurs where the probe is applied Shaft Color Micro ABLATOR Probe, 60 Black Micro ABLATOR-S Probe, 60 with suction Black Micro LIGAMENT CHISEL Probe, hook Green Micro LIGAMENT CHISEL Probe, angled Green Micro LIGAMENT CHISEL Probe, curved Green Mini TAC-S Blue Micro TAC-S, angled Blue Micro TAC-S, probe Blue Split Electrode Pads, 1 each NOTE: For use with the VULCAN RF System

18 Electrosurgery I-17 Arthroscopic Electrodes, Probes and Switchpens Arthroscopic Electrodes Insulated for use in all fluids Electrode, 90 L-hook tip, 170 mm working length, for use with REF Switchpen or standard Valleylab TM Switchpen (10 per box) Electrode, 45 tip, 170 mm working length, for use with REF Switchpen or standard Valleylab Switchpen (10 per box) Electrode, 90 flat tip, 170 mm working length, for use with REF Switchpen or standard Valleylab Switchpen (10 per box) Electrode, 90 L-hook tip, short, 126 mm working length, for use with REF Switchpen or standard Valleylab Switchpen (10 per box) Complete Probe and Pen Kit Insulated for use in all fluids Switchpen with L-hook electrode, for use in fluid media (5 per box) Switchpen Insulated for use in all fluids Switchpen, monopolar, leakproof, anti-rotating interface allows electrode positioning in eight fixed orientations, for use with REF , , and (5 per box) Call (U.S.) or contact your local representative.

19 I-18 Electrosurgery Notes

20 Electrosurgery I-19 Notes Call (U.S.) or contact your local representative.

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