Instruments Set for ACL or PCL Reconstruction System – Arthroscopic Tunnel Drilling and Fixation

<p>The Instruments Set for ACL or PCL Reconstruction System from Peak Surgicals (SKU: PS-OP-5848, PS-600 series) is a complete arthroscopic ligament reconstruction instrumentation set in stainless steel, designed for the intraoperative workflow of anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) tunnel creation, graft passage, and graft fixation — covering tibial and femoral tunnel targeting with a Main Zig (PS-600.01), Elbow Aimer (PS-600.02), PCL Tibial Guide (PS-600.03), PCL Femoral Guide (PS-600.04), and Angle Bullate (PS-600.05); graft passage wire placement with a Graft Passing Pin (PS-600.06) and Drill Bit (PS-600.07); tibial tunnel reaming with Cannulated Tibial Reamers from 6.0mm to 11.0mm (PS-600.08 series); femoral tunnel reaming with Cannulated Femoral Flowertip Reamers (PS-600.09 series); tunnel depth measurement with a Depth Gauge (PS-600.11); tunnel expansion with Tunnel Dilators 7mm, 8mm, and 9mm (PS-600.14 series) and a T-Handle (PS-600.15); bioabsorbable interference screw fixation with a Cannulated Screwdriver for BioLoc Screws (PS-600.16); spiked staple fixation with an Impactor for Spiked Ligament Staple (PS-600.17); and back-table graft preparation with a Graft Prep Station (PS-600.20), Graft Sizing Block (PS-600.21), and Tendon Strippers in 6mm and 7mm (PS-600.22 and PS-600.23), all in an aluminium box. It is used by orthopaedic surgeons and sports medicine surgeons performing arthroscopic ACL and PCL reconstruction in hospital operating theatres and ambulatory surgery centres.</p>

<h2>ACL and PCL Reconstruction: Tunnel Creation and Fixation Workflow</h2>
<p>ACL and PCL reconstruction involves replacing the torn ligament with a tendon graft placed through bone tunnels drilled in the tibia and femur at the anatomical insertion sites of the native ligament. The tibial tunnel is drilled from the anteromedial tibial cortex to the tibial ACL footprint in the intercondylar eminence, guided by the tibial aimer at the correct angle and position. The femoral tunnel is drilled from either the tibial tunnel through the notch (transtibial technique) or from an anteromedial portal or outside-in approach (anatomic technique), guided by the femoral aimer into the native ACL femoral footprint on the posterior medial wall of the lateral femoral condyle. For PCL reconstruction, the tibial and femoral tunnels are drilled at the PCL footprint positions — the tibial tunnel exits in the posterior tibial fossa between the tibial plateau edges, and the femoral tunnel is positioned in the anterolateral or posteromedial PCL femoral footprint on the medial femoral condyle. The PS-600 Instruments Set for ACL or PCL Reconstruction provides the dedicated guide systems for both ACL and PCL tunnel positions, both tibial and femoral, with the complete reaming, sizing, passage, and fixation instruments for the full intraoperative sequence.</p>

<h2>Tunnel Targeting: Main Zig, Elbow Aimer, PCL Guides, and Angle Bullate</h2>
<p>The Main Zig (PS-600.01) is the primary tibial tunnel guide — it engages the tibial cortex at the anterior tibial starting point and directs the guide wire to the tibial footprint of the ACL at the set angle (typically 55–60° for ACL tibial tunnels). The guide wire angle and position determine the tunnel's length, the exit point in the tibial footprint, and the tunnel's relationship to the posterior cortex of the tibial plateau — the tunnel must exit at the correct position in the footprint and must not violate the posterior cortex, which lies between the tunnel exit and the popliteal vessels. The Elbow Aimer (PS-600.02) provides the arthroscopic femoral aimer for the transtibial or anteromedial portal femoral tunnel approach, positioning the guide wire at the correct clock-face position and depth in the native ACL femoral footprint. The PCL Tibial Guide (PS-600.03) and PCL Femoral Guide (PS-600.04) are the dedicated targeting guides for PCL reconstruction — the PCL tibial tunnel aims to the posterior tibial attachment with a steeper angle and a longer tunnel than the ACL tibial guide, and the PCL femoral guide positions the wire at the medial femoral condyle footprint. The Angle Bullate (PS-600.05) provides additional angular adjustment and confirmation of the guide wire trajectory before reaming begins.</p>

<h2>Graft Passing Pin, Drill Bit, and Cannulated Tibial and Femoral Reamers</h2>
<p>The Graft Passing Pin (PS-600.06) advances the graft passage suture or wire through the completed tunnels from the tibial to the femoral side in preparation for graft pull-through. The Drill Bit (PS-600.07) is used for the initial cortical entry at the tibial starting point before the guide wire is advanced. The Cannulated Tibial Reamers (PS-600.08 series: 6.0–11.0mm in 0.5mm or 1mm increments) drill the tibial bone tunnel over the tibial guide wire to the final tunnel diameter, which is matched to the graft diameter confirmed on the back table using the Graft Sizing Block (PS-600.21). The Cannulated Femoral Flowertip Reamers (PS-600.09 series) are specifically designed for femoral tunnel reaming — the flowertip configuration (a fluted reamer tip) provides controlled cutting in the confined space of the intercondylar notch where standard reamers risk inadvertent notch wall damage, and the cannulated design is advanced over the femoral guide wire under arthroscopic vision. All reamers are cannulated to advance over the guide wires, and the Depth Gauge (PS-600.11) measures the tunnel depth at the femoral and tibial exits before the final graft is passed, confirming that the tunnel is of sufficient length to accommodate the graft fixation device at each end.</p>

<h2>Tunnel Dilators, T-Handle, and Fixation Instruments</h2>
<p>The Tunnel Dilators (PS-600.14 series: 7mm, 8mm, 9mm) expand the completed tunnels progressively to the final graft diameter — tunnel dilation is used in some reconstruction techniques as an alternative to or following reaming to compact the tunnel walls and improve bioabsorbable screw purchase in cancellous bone. The T-Handle (PS-600.15) drives the dilators and other rotating instruments through the tunnels. The Cannulated Screwdriver for BioLoc Screws (PS-600.16) drives bioabsorbable interference screws (BioLoc or equivalent) over the guide wire into the graft-tunnel interface at the tibial and femoral tunnel openings — the interference screw is advanced between the graft and the tunnel wall, creating a frictional interference fit that fixes the graft in the tunnel. The Impactor for Spiked Ligament Staple (PS-600.17) drives spiked staples that fix the graft suture ends to the tibial cortex as a supplementary or primary fixation method at the tibial tunnel exit, providing immediate cortical-level fixation that resists graft pullout during the early rehabilitation period before biological tunnel-graft integration is established.</p>

<h2>Back-Table Instruments: Tendon Strippers, Graft Prep Station, and Graft Sizing Block</h2>
<p>The two Tendon Strippers — 6mm (PS-600.22) and 7mm (PS-600.23) — harvest the semitendinosus and gracilis tendons for hamstring autograft preparation. The tendon stripper is passed over the free end of the harvested tendon after the musculotendinous junction is divided, and advanced along the tendon with a rotating motion to strip the remaining muscle attachment from the tendon body and cut the tendon at its proximal musculotendinous junction in the posteromedial compartment of the knee, completing the harvest through a small anteromedial incision. The 6mm stripper is matched to the gracilis tendon diameter and the 7mm to the semitendinosus. The Graft Prep Station (PS-600.20) provides the back-table work surface for tendon assembly after harvest. The Graft Sizing Block (PS-600.21) calibrates the final assembled graft diameter before the tunnels are drilled, ensuring the tunnel diameter drilled by the reamers matches the graft diameter and avoiding the mismatch of a graft that is too small for the tunnel (producing graft-tunnel motion and impaired healing) or too large (preventing graft passage).</p>

<h2>CE Mark, ISO 13485, and FDA Certification for ACL/PCL Reconstruction Instrumentation Procurement</h2>
<p>The Instruments Set for ACL or PCL Reconstruction System is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and production consistency for orthopaedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US-based hospitals, sports medicine surgery centres, and orthopaedic departments requiring verified regulatory documentation.</p>

<h2>Product Specifications</h2>
<table>
  <tbody>
    <tr><th>SKU</th><td>PS-OP-5848</td></tr>
    <tr><th>Product Name</th><td>Instruments Set for ACL or PCL Reconstruction System</td></tr>
    <tr><th>Price</th><td>$1,387.09 USD</td></tr>
    <tr><th>Instrument Series</th><td>PS-600</td></tr>
    <tr><th>Instrument Category</th><td>Orthopaedic — ACL/PCL Ligament Reconstruction Surgical Instrumentation</td></tr>
    <tr><th>Procedure</th><td>Arthroscopic ACL reconstruction, PCL reconstruction, hamstring tendon harvest</td></tr>
    <tr><th>Targeting Guides</th><td>Main Zig (PS-600.01), Elbow Aimer (PS-600.02), PCL Tibial Guide (PS-600.03), PCL Femoral Guide (PS-600.04), Angle Bullate (PS-600.05)</td></tr>
    <tr><th>Passage Wire</th><td>Graft Passing Pin (PS-600.06), Drill Bit (PS-600.07)</td></tr>
    <tr><th>Tibial Reamers</th><td>Cannulated Tibial Reamers 6.0–11.0mm (PS-600.08 series)</td></tr>
    <tr><th>Femoral Reamers</th><td>Cannulated Femoral Flowertip Reamers (PS-600.09 series)</td></tr>
    <tr><th>Measurement</th><td>Depth Gauge (PS-600.11)</td></tr>
    <tr><th>Tunnel Expansion</th><td>Tunnel Dilators 7mm, 8mm, 9mm (PS-600.14 series), T-Handle (PS-600.15)</td></tr>
    <tr><th>Fixation Instruments</th><td>Cannulated Screwdriver for BioLoc Screws (PS-600.16), Impactor for Spiked Ligament Staple (PS-600.17)</td></tr>
    <tr><th>Back-Table Instruments</th><td>Graft Prep Station (PS-600.20), Graft Sizing Block (PS-600.21), Tendon Stripper 6mm (PS-600.22), Tendon Stripper 7mm (PS-600.23)</td></tr>
    <tr><th>Container</th><td>Aluminium Box</td></tr>
    <tr><th>Certifications</th><td>CE Mark, ISO 13485, FDA</td></tr>
    <tr><th>Warranty</th><td>1 Year</td></tr>
    <tr><th>MOQ</th><td>1 Set</td></tr>
    <tr><th>OEM / Custom Orders</th><td>Available</td></tr>
    <tr><th>After-Sale Service</th><td>Return and Replacement</td></tr>
  </tbody>
</table>

<h2>Frequently Asked Questions</h2>

<p><strong>What is the difference between the ACL and PCL guide systems in this set?</strong><br>
The ACL tibial tunnel is drilled at a shallower angle (typically 55–60° to the tibial plateau) aiming to the native ACL footprint in the anterior intercondylar eminence — a position that creates a longer tibial tunnel with a more oblique trajectory. The Main Zig (PS-600.01) and Elbow Aimer (PS-600.02) are the primary instruments for this ACL tunnel geometry. The PCL tibial tunnel must exit in the posterior tibial fossa — between the posterior tibial plateau margins — at a steeper angle and with a longer intraosseous tunnel length to safely clear the posterior cortex and popliteal neurovascular structures. The PCL Tibial Guide (PS-600.03) is specifically configured for this steeper, more posterior trajectory. The PCL femoral tunnel targets the anterolateral or posteromedial PCL femoral footprint on the medial femoral condyle — a different position from the ACL femoral footprint on the lateral femoral condyle — and the PCL Femoral Guide (PS-600.04) is specifically aimed at this medial condyle position. A single instrument set cannot safely serve both ACL and PCL tunnel positions without dedicated guide systems for each, which is why this set includes separate guide instruments for each ligament.</p>

<p><strong>What is the Cannulated Femoral Flowertip Reamer and why is it used for the femoral tunnel?</strong><br>
The Cannulated Femoral Flowertip Reamer (PS-600.09 series) is a cannulated reamer with a flowertip (multi-fluted) cutting head that advances over the femoral guide wire under arthroscopic vision to drill the femoral bone tunnel. The flowertip design provides controlled cutting in the confined space of the intercondylar notch — the narrow anatomical space between the medial and lateral femoral condyles where the femoral tunnel entry is located. Standard single-fluted reamers in this confined space risk inadvertent contact with the medial femoral condyle articular surface or the posterior cruciate ligament during reaming. The multi-fluted flowertip distributes the cutting forces and debris evacuation more evenly around the reamer circumference, reducing the side-cutting force on the surrounding notch structures. The cannulated shaft allows it to be advanced coaxially over the guide wire under fluoroscopic or arthroscopic control.</p>

<p><strong>How does this set differ from the Graft Preparation Board (PS-100 series) also available from Peak Surgicals?</strong><br>
The two sets address different phases of the same ACL/PCL reconstruction procedure and are used simultaneously in the operating theatre. The Instruments Set for ACL or PCL Reconstruction System (PS-OP-5848, PS-600 series, $1,387.09) is the surgical tunnel and fixation set — used by the primary surgeon at the joint for guide wire placement, tibial and femoral tunnel drilling, depth measurement, tunnel dilation, and graft fixation with interference screws and staples. The Graft Preparation Board (PS-OP-5858, PS-100 series, $1,403.59) is the back-table graft preparation set — used by the scrub nurse or assistant surgeon at the sterile back table for graft stripping (using the Tendon Strippers in the PS-600 set), tubularisation, suturing, sizing with the Slotted Sizing Block, loop management, and pre-tensioning with the Suture Vise with Tensiometer. Sports medicine centres performing ACL/PCL reconstruction benefit from having both sets available.</p>

<p><strong>What types of graft fixation does this set support?</strong><br>
This set supports two complementary fixation methods. The Cannulated Screwdriver for BioLoc Screws (PS-600.16) drives bioabsorbable interference screws — the screw is advanced between the graft and the tunnel wall at the femoral and/or tibial tunnel openings, creating a frictional interference fit that holds the graft in the tunnel through compression between the screw, the graft, and the tunnel wall. This is the most widely used primary fixation method for both femoral and tibial fixation in ACL reconstruction. The Impactor for Spiked Ligament Staple (PS-600.17) drives cortical spiked staples that fix the graft suture tails to the tibial cortex at the tunnel aperture — this method is used as a supplementary tibial fixation to augment the interference screw, or as the primary tibial fixation method in revision cases or when the interference screw purchase is inadequate. The combination of intra-tunnel interference screw fixation and cortical staple backup provides the redundant fixation needed during the early rehabilitation period before biological tunnel-graft integration matures.</p>

<p><strong>What certifications does this set carry?</strong><br>
The Instruments Set for ACL or PCL Reconstruction System is manufactured under CE Mark, ISO 13485, and FDA compliant quality standards. ISO 13485 certification confirms Peak Surgicals operates a documented quality management system covering design control, material traceability, and manufacturing consistency for orthopaedic surgical instruments. CE Mark confirms conformity with European medical device regulations, and FDA compliance supports procurement for US hospitals, sports medicine surgery centres, and orthopaedic departments requiring verified regulatory documentation.</p>