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1. Pass the narrow end of the catheter (pulley dilation tube) from the finger wound into the palm through the pulley system.

2. Dilate the pulley system gently by pulling the catheter back and forth.

3. Cut the tube at the proximal and distal ends of the pulley system 1 -2 cm from the skin.

4. Place the cross-lock in the proximal tendon using the PONTiS stainless steel suture. Cut off the needles. Thread the suture through the large diameter end of the funnel and then directly through the small diameter end. Slide the funnel over the end of the tendon to completely cover the tendon end.

PASSAGE OF THE TENDON WITH PONTiS FUNNEL AND CATHETER

1. 3. 2. 4.

TIPS •  When passing the funnel and catheter clamp the suture at the far cut end of the catheter. This will securely hold the tip of

the funnel inside the lumen of the catheter - then pull on the suture and catheter to pass the tendon. •  As the tendon enters the pulley pull slowly and watch the tendon enter the pulley system.

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5. Thread the PONTiS suture through the lumen of the catheter. Place the tip of the funnel, with the tendon inside the funnel, in the proximal lumen of the catheter

6. Clamp the PONTiS suture at the distal end of the catheter at the point that the suture exits the catheter. This holds the funnel tip inside the proximal end of the catheter. Pull the suture and catheter as one, to deliver the tendon. Carefully observe the funnel as it enters the pulley system.

7. Remove the catheter and funnel.

PASSAGE OF THE TENDON WITH PONTiS FUNNEL AND CATHETER

7. 6. 5.