DePuy Mitek Meniscal Fastener Anleitung Seite 6

5. Remove the fastener/needle, attached to the applier,
from the package.
INSERTION
1. Advance the fastener/needle through an arthroscopic
cannula which has been placed in the knee.
2. Align the delivery needle at the pre-measured spot
on the meniscus and penetrate the tissue with the
delivery needle until the collar abuts the tissue. (Fig. 5)
3. Apply pressure on the handle of the applicator to so
that the collar on the needle compresses the edges of
the tear together.
4. Pull the trigger mechanism with a slow deliberate
motion to advance the fastener through the tissue.
Be sure to maintain a forward pressure on the handle
of the applicator to keep the collar of the needle in
contact with the tissue. (Fig. 6)
5. Withdraw the delivery needle. (Fig. 7)
6. The Fastener will remain in the tissue for tissue
fixation and approximation. (Fig. 8)
7. Move the "Needle Lock Lever" on the applicator
upwards to retract the sleeve and unlock the needle.
8. Pull the needle off with forceps and dispose of the
needle in a "sharps" container.
PRECAUTIONS
1. Care should be taken to avoid damage when handling
the fasteners. Avoid the crushing or crimping of
the fasteners by the application of needle holders
or forceps.
2. A surgeon should not attempt clinical use of
the DePuy Mitek Meniscal Fasteners before
reviewing instructions for use and rehearsing the
installation procedure.
3. Users should exercise caution when handling surgical
needles to avoid inadvertent needle sticks.
4. Discard used needles in sharps containers.
WARNINGS
Users should be familiar with the arthroscopic surgical
procedures and techniques for repair of meniscal
tissue before using the meniscal fasteners for meniscal
tissue repair.
Always use a cannula to insert the fastener/needle
into the joint in an arthroscopic procedure. Failure to
do so may result in the fastener catching on tissue
during insertion.
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