Name: CapsuleClose Scorpion™ Suture Passer
Uploaded: 2016-02-29T00:00:00Z
Channel: Arthrex

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VID1-00708-EN | A | CapsuleClose Scorpion™ Suture Passer

John Gualdoni

Human

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CapsuleClose Scorpion™ Suture Passer

I'm going to demonstrate the Arthrex CapsuleCut Scorpion for arthroscopic capsular management and repair. At the end of arthroscopic hip procedure, the capsule closed. Scorpion is a reusable handle with a disposable stainless steel needle component. The needle is disposed after each case to ensure its sharpness during the procedure. To load the needle through the handle, you simply feed it through the inner cannulation and lock it on the back barb of the device. There is a compressive feature that allows you to compress your capsular tissue before you take your bite of tissue. Once you're happy with your amount of bite you've achieved, you'll simply squeeze the back of your handle to push the needle through the distal jaw to capture your suture. To load a suture through the capsule closed Scorpion, you'll take your number two FiberWire. And load it in the distal jaw notch. To do that, you'll make a loop with the suture and slide it until you feel it. Click in and engage in that distal jaw. You can slide the suture to control how much you want to want to have through the lower portion of the device during your passing. Once you load your suture, you're ready to pass. The device will fit through an 8.25mm cannula and can be used for either an inner portal capsulotomy or a T capsulotomy. It's recommended to compress your jaws and squeeze your front trigger before you enter the dam of your cannula, to avoid any damage to the cannula and the suture. You'll slide that through your portal. You'll hook this lower jaw underneath one limb of your tissue. The device, when fully engaged, will give you a 4.5mm bite from the edge of the tissue that you've cut. You'll simply compress with that front trigger. You'll squeeze to push the needle through the tissue. You'll hear a click to know that you're fully engaged. You'll then release your handle. Come out and now you've got your first strand of suture. Pass through your capsular tissue to release the suture from the needle. You'll simply apply some downward pressure to the suture and squeeze the back of the handle without squeezing the squeezing the front trigger. Pull the suture down and it'll be released from the needle inside the device. Next, outside your portal, you'll load your other side of suture in the same manner we did earlier. You'll simply loop your suture, load it in the lower jaw. Again, you'll feel it click and engage in that jaw to know it's fully seated. You can slide to control how much suture you want to have through that lower jaw. You'll then slide that back down your portal and grab the other side of capsule that you want to close to bring together. Again, you'll get a 4.5mm bite. You'll compress with that front trigger. You'll squeeze the back of your hand to push the needle through underneath the tissue. That will then capture the suture. You'll then pull that outside of your cannula. And now you've got your inverted mattress stitch. Past that, you'll then tie off for your capsular closure. You can continue to pass sutures for subsequent closure until you're happy with the amount of closure you've achieved.

CapsuleClose Scorpion™ Suture Passer

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