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4. To load the EXPRESSEW II or EXPRESSEW III
Suture Needle into the Flexible Suture Passer,
insert the sharp end of the needle into the rear
of the instrument (near handle) with the flag up.
5. Engage the needle by aligning the notch in the
needle to the nub on the suture passer.
6. With the jaw closed, actuate the needle
deployment lever ONCE to confirm that the
needle deploys and retracts.
DIRECTIONS FOR USE
1. Open the jaw of the EXPRESSEW III Flexible
Suture Passer by pressing the Jaw Release
Button and load the suture into the tip of the
device being sure the suture is pulled completely
to the proximal end of the slot at the tip of the
device. Even though it is not required suture
management may be improved if one of the tails
is 1 to 2cm long.
CAUTION: Use only 2-0 to #2 braided Surgical
Suture with the EXPRESSEW III Flexible Suture
Passer and EXPRESSEW II or EXPRESSEW III
Suture Needle.
If using the device in open surgery wet the distal
end of the forcep with sterile water. Also, if being
used in an open procedure, omit the following
references to the arthroscopic cannula.
2. With the suture loaded and the jaw of the
Flexible Suture Passer closed and the needle
retracted (not showing), pass the Flexible Suture
Passer through the cannula into the surgical site
under direct visualization. Hold the suture slightly
taut to ensure that the suture does not become
entangled on itself or in the Flexible Suture
Passer as it is passed through the cannula.
NOTE: The EXPRESSEW III Flexible Suture
Passer should be used with a 5mm or
larger cannula.
3. When ready to pass the suture, open the jaw
and position the jaws of the Flexible Suture
Passer at the desired location to pass the
suture. Close the jaw with a secure but GENTLE
GRASP. If too much force is used to grasp
tissue, passage of the needle and suture will be
impeded. Note: If more room is required to open
the jaw pull the cannula proximally once the
device is inside the bursa.
4. To deploy the needle, pull the needle deploy-
ment lever. This will advance the needle/suture
through the tissue. If significant force is required
to pass the needle, loosen the grip on the tissue
and try again. Note: If a false start occurs and
the needle is partially deployed, the device may
need to be removed and the suture reloaded.
5. After passing the suture, release the needle
deployment lever allowing the needle to fully
retract. Open the Jaw, grasp the loop of suture
that has already passed through tissue with a
hook or grasper from another portal or using the
hook on the EXPRESSEW III. Then remove the
suture passer from the cannula.
CAUTION: If the needle is not fully retracted,
the passer will be difficult to remove from
the tissue.
6. Immediately remove and discard the disposable
suture needle after completion of the surgery.
"NEEDLE – SINGLE USE ONLY". The needle
is easier to remove if it is in a partially
deployed position.
STORAGE
Store in a cool, dry area.
3
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