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A differentiated treatment for massive irreparable rotator cuff tears (MIRCTs)

The InSpace subacromial balloon spacer* is designed to restore the subacromial space without sutures or fixation devices and offers patients a minimally invasive, shorter procedure time compared to partial repair. Successful results begin with patient selection. InSpace is recommended for patients¹ 65+ years old who have:

• Massive, irreparable full thickness rotator cuff tear ≥5cm in diameter
• Involves ≥2 tendons
• Mild – moderate glenohumeral arthritis
• Functional deltoid muscle
• Intact subscapularis
• Intact coracoacromial ligament
• Preserved passive range of motion
• No known neurovascular disease, blood coagulation disorders, or any other condition that would compromise healing

InSpace has a long history of changing practice and changing lives across the globe with more than 75,000 patients treated worldwide and 75+ peer-reviewed clinical articles including multiple long-term studies that demonstrated potential sustained benefits at a minimum of 5 years^2-3.

InSpace is the industry’s only minimally invasive biodegradable subacromial balloon spacer for MIRCTs backed by level 1 clinical evidence.

The Level 1 Pivotal Study demonstrated¹:

InSpace fills a gap within the continuum of care for eligible patients with MIRCTs who do not have significant osteoarthritis, have preserved range of motion, and should not undergo a more invasive procedure.

In order of least invasive to most invasive, the shoulder continuum of care can include conservative treatment, debridement, InSpace, partial repair, tendon transfer, SCR, and reverse total shoulder arthroplasty.