c.
While maintaining light proximal tension on the loop, slightly squeeze Lever B so that
the needle moves forward about 1 mm within the lower jaw (see Figure 4), then release
Lever B. Do not fully advance Lever B at this stage. The suture strand will be locked in
the lower jaw by the needle.
Figure 4: Slightly squeeze Lever B to advance needle approximately 1mm.
d.
Retract the lower jaw by pushing down on Lever C (see Figure 1), the lower jaw
retractor.
e.
The suture is now loaded for passing suture through soft tissue.
3.
With the suture loaded and the lower jaw in the retracted position, pass the device into the surgical
site under arthroscopic visualization. Use Lever A to position the upper jaw parallel to the shaft
during insertion of the device.
B. DIRECTIONS FOR USE PASSING SUTURE THROUGH MENISCAL TISSUE
1.
Ensure portal placement and preparation is appropriate to access the region of the meniscus to be
sutured.
2.
Advance the upper jaw along the superior surface of the meniscus following the radius of the
femoral condyle. Release Lever A as the upper jaw is positioned between the superior surface of the
meniscus and the femoral condyle.
3.
When the upper jaw is in position, with all fingers on the white handle (not on Lever A) fully advance
the lower jaw by squeezing Lever B (see Figure 1 above). Ensure that the lower jaw slides
underneath the meniscus, then release Lever B.
4.
When both upper and lower jaws are in position, simultaneously squeeze Lever A and apply slight
forward pressure to prevent the tissue from migrating distally. Arthroscopically observe upper jaw
movement. Lack of upper jaw compression during upper jaw clamping is a sign that the tissue is too
P/N: LBL-0012 Rev: E
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