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VID1-003544-en-US | A | MultiFire Scorpion

Pepper Murray

Human

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Surgical Technique Videos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

MultiFire Scorpion

Hi, this is doctor Pepper Murray from Mountain Orthopedics in Salt Lake City, Utah. I am pleased to demonstrate to you the features and pearls of the Multefire Scorpion, so you can readily experience the benefits of passing two FiberWire sutures independently with this suture device. Load the first suture to be passed into the slot on the bottom jaw of the multefire. Pull both suture strands back into the left and press the black thumb pad to capture and load the first suture. Load the second suture to be passed into the slot. Grab all four strands and pull back gently. Place your other hand on the handle of the device, avoiding the front lever. Gently squeeze the handles until you see the tip of the needle appear and release. The device is correctly loaded when the sutures are clearly separated, with the first suture loaded in front of the second. Always visualize and prepare your anchor sutures prior to loading the Scorpion to be sure they are free and not twisted. Hold tension on the sutures as you introduce the Scorpion through the cannula. Advance the Scorpion over the tendon before grasping it effectively. Pass pointing the tendon. This releases the sutures from the cannula dams to make it easier to pass the suture. Visualize the tendon tear and position the Scorpion to the desired pass location. Grasp the tendon with the front lever and fully squeeze the back end of the instrument with the palm of your hand, advancing the multiplier needle and FiberWire through the tissue. Retrieve the first passed suture from an accessory portal with a grasper and fully withdraw all suture slack. Back up the Scorpion to clear the first suture from the bottom jaw and reposition it for the second pass. The second suture can be passed, but I want to show you that the first suture is clear from the bottom jaw, and the second suture is ready to be passed. Here, I'll reposition the Scorpion to complete a horizontal mattress about 5 to 7mm away from my first past suture. Pass and retrieve the retrieve the second suture and then withdraw the Scorpion. I have found this a reliable and reproducible suture passing technique that I routinely use to pass two independent sutures without removing the Scorpion from the cannula. This technique increases my efficiency and creates a smooth rhythm that enhances my effectiveness. Intraoperatively. My number one pearl that I recommend to any user of the Multefire Scorpion is to practice loading and firing the device multiple times before using it in surgery. Load it and fire it to understand how this instrument works and where the cam engages. Also, pay attention to suture positioning so as not to cross your sutures. Intraoperatively. I have found that a one inch suture tale loaded tail down makes it easier to clear the bottom jaw. Always pass, point, or advance the Scorpion over the tenon to provide slack in the suture before passing. If you experience unreasonable pressure in attempting to advance the needle in the suture, drop your hand towards the foot of the patient. This will raise the jaws of the multefire away from the humerus, creating tension on the rotator cuff tendon and allowing an easier and smoother pass of the needle and loaded suture. Be sure to retrieve your past suture before withdrawing or reposition the Scorpion excess slack. In the past, suture can get in the way and be speared with the second pass of the needle when repositioning for a second pass. Slightly withdraw the Scorpion 1 to 2cm to clear the first pass suture from the bottom jaw. This is a reliable and reproducible suture passing procedure that I routinely use in the Or.