Product Manual

84
X. instrument-tie technique square knot (1=1)
formation of the second throw
Step 5.
Position the Needle Holder
The needle holder releases the free suture
end. The right hand holding the needle
holder moves away from the surgeon to be
positioned perpendicular to and above the
fixed suture end. A second throw will be
formed by the left hand as it wraps the
fixed suture end over and around (arrow)
the needle holder jaws. If the surgeon were
to place the needle holder beneath the fixed
suture end, the ultimate knot construction
would be a granny knot (1x1).