Design The CoNextions TR® Tendon Repair System is designed for the repair of severed or lacerated tendons Novel stainless steel and ultra high tenacity polyethylene implant ensures a strong and flexible repair Implant is designed for the repair of tendons 1.5 - 4.0mm in thickness and 3.0 mm to 9.0 in width The CoNextions TR Implant is designed to fit anatomically in intra- and extra- synovial tendons Pioneering implant allows surgeons to consistently produce tendon repairs that outperform suture 2 times stronger repairs than suture 3.1 times faster repairs than suture 2.2 times smoother tendon gliding than suture repair Indications CoNextions TR Tendon Repair System is indicated for the repair of severed or lacerated tendons in adults (22 years of age or older) The product is intended for the following indications: Digital Flexor Tendons Digital Extensor Tendons Proximal to the metacarpophalangeal joints (Zones 6-8) Approach Approach the lacerated tendon using a preferred surgical technique Create an access point in the sheath by creating a two-centimeter incision over the laceration Receive tendon ends using a standard technique and approximate the ends using two epitendineous corner sutures or a preferred alternative approximation technique Technical Specifications Comprised of 316 LS stainless steel and Ultra High Molecular Weight Polyethylene (UHMWPE) fiber Designed for tendons at 3 to 9 mm in width and 1.5 to 4 mm in thickness and requires at least 20 mm of surgical site access When deployed, the CoNextions TR Implant is 18 mm in length and 2.8 mm wide Technique Assess injured tendon 1.5 to 4.0 mm in thickness At least 3.0 to 9.0 mm in width 20 mm of access (10 mm on either side of injury) Prepare injured tendon Approximate tendon ends by placing epitendinous suture loops across the severed tendon Place implant mechanism at repair site Insert the tendon cradle under the tendon and position the tendon repair site in the center of the cradle in both the lateral and anterior/posterior plane Advance the cartridge by turning the thumb wheel clockwise. Optimal tendon compression is indicated by an audible clicking sound. Observe the front and back of the tendon through viewing window to ensure proper positioning Turn thumb wheel counter clockwise to retract cartridge and adjust tendon position as needed Pull back on spring Slide top of the implant mechanism to the tip of the deployment mechanism Connect deployment mechanism to implant mechanism Caution: Do not rotate deployment mechanism once it is attached to the implant mechanism Deploy implant Fully pull the Deployment Mechanism lever to deploy the implant. Complete deployment is confirmed when the lever of Deployment Mechanism automatically releases to original position Remove retention wire and implant mechanism Remove retention wire from Tendon Cradle Turn Thumb Wheel counter clockwise to remove Tendon Cradle from the repair site Final repair