Tendovis Hyaluronic Acid Syringe Tendon Infiltrations 1% 1.2ml

EndoVis is a sterile, clear solution of 1% sodium hyaluronate in phosphate buffered saline and contained in a ready-to-use pre-filled syringe suitable for periarticular injection into soft tissues surrounding tendons and ligaments. Sodium hyaluronate is a long polysaccharide chain composed of repeating disaccharide units, which are normally found in the human body.

TendoVis has a pH and osmolarity that are biocompatible with soft tissue. 1.2 ml of TendoVis, sterilized by filtration, is contained in a disposable glass syringe, ready for use. The syringe is in turn contained in a blister, packaged in a cardboard box.

Ankle Sprain: 1.2 ml of TendoVisTM should be injected preferably within 48 hours of the injury and the second 1.2 ml injection should be performed within 2-3 days of the first; a 27 G needle is recommended. Periarticular injections should be performed through a single needle insertion site along the talofibular ligament using anatomical landmarks. The injection should be performed following 3 planes: from the anteroposterior, median and lateral to the proximal ligament.

Lateral epicondylitis: One injection of 1.2 ml of TendoVisTM into the lateral epicondyle of the elbow, followed by an injection one week after the first; a 27 gauge needle is recommended. Identify the softest point of the epicondyle by gentle palpation. Position the needle at 45 degrees at the point of maximum tenderness in the lateral epicondyle. After insertion of the needle into the skin, position the needle parallel to the skin and insert it at the point of maximum tenderness in the lateral epicondyle. Inject half of the contents while withdrawing the needle, but without withdrawing it from the injection site. Rotate the needle 180 degrees (opposite direction) and insert the needle parallel to the skin towards the point of maximum tenderness in the lateral epicondyle. Inject the remaining contents while withdrawing the needle outward. Remove the needle from the skin insertion site. Flex and extend your elbow five times and then rotate it internally and externally five times.

Rotator cuff tendinopathy: One injection of 1.2 ml of TendoVisTM into the subacromial space of the shoulder just above the tendon, followed by a second injection 14 days later; a 22 gauge needle is recommended. Sit the patient upright, arm extended and externally rotated. Use of an ultrasound probe placed on the lateral side of the shoulder directed in the plane of the supraspinatus tendon is recommended to guide the injection. Locate the acromion, greater tubercle, humeral head and subacromial fissure. Insert the needle into the fissure 1 cm distal posterior and 2 cm to the lateral anterior-acromial border. Advance the needle horizontally and in a medial direction partly beneath the acromion process. When no resistance is felt from the plunger, inject TendoVisTM over the humeral head into the subacromial space taking care not to inject into the tendon.

TendoVis is intended to relieve pain and optimize the recovery of tendons and ligaments damaged by acute or chronic injuries. TendoVis Sodium Hyaluronate augments the sodium hyaluronate naturally present in the soft tissue surrounding damaged tendons and ligaments and provides support, lubrication and hydration to the affected site thus providing the ideal environment for the healing of the damaged tissue. TendoVisTM has been shown to relieve pain and optimize the recovery of function in the ankle following first or second degree sprains, to relieve chronic pain and disability of the elbow with lateral epicondylalgia and to relieve pain in symptomatic patients with rotator cuff tendinopathy.

Medical device
Use only by specialized personnel