
4.
When in position, exert additional forward force in line with the shaft prior to and during needle
deployment. Slowly deploy the needle by simultaneously squeezing Levers A and B (see Figure 1
above) until Lever B is fully advanced. Forward pressure on the device prior to and during
deployment will prevent the tissue from migrating distally. Distal tissue migration during
deployment may lead to suture misfire.
5.
During deployment, the suture outside of the access port should be observed advancing in tandem
with the needle-trigger advancement. If the suture does not advance, or if the suture breaks, the
suture may be pinched between the device and cannula seal. If this occurs, after reloading the device
with suture consider advancing the device beyond the tear in order to introduce slack in the suture
prior to positioning within the tear.
6.
Release both Levers A and B and then retract the lower jaw by pushing down Lever C. Engage Lever
A and remove the device. Keep Lever A engaged when withdrawing the device from the joint in
order to keep the upper jaw parallel with the shaft. Remove the suture end from the upper jaw by
pulling in the proximal direction, parallel to the upper jaw.
7.
If the 2-0 or 0 suture is being passed to subsequently shuttle #2 suture, create a loop in the suture
limb that exits on the glenoid side of the labral tissue and use that loop to shuttle the desired suture
through the labral tissue. If a loop is created prior to loading the suture, the free (non-looped) end
should be loaded into the device. This will ensure that the loop is positioned on the glenoid side of
the tear.
8.
Complete the procedure as usual.
GENERAL USE
Bench deployment testing has demonstrated that the device can be reloaded with suture and fully
actuated 14 times. Cycling the device in excess of 14 deployments may impact needle integrity and
compromise performance.
Immediately discard the Ceterix NovoStitch Disposable Suture Passer after completion of the surgery.
The device is
SINGLE USE ONLY
.
STORAGE
Store in a cool, dry area.
P/N: LBL-0012 Rev: E
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