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Loading the Endo Stitch is outlined in Figure 2.29. Loading and use of the device is depicted in Video 2.7. Knot tying with Endo Stitch is depicted in Video 2.8.

All videos cited in this chapter can be found on the book's companion website at www.wiley.com/go/fransson/laparoscopy.

Figure 2.29 Loading the EndoStitch device with suture. (A). A variety of suture materials are available for this device. The suture is swaged onto a bidirectional needle and comes in a specially designed cartridge (B). The reel is positioned with the label down showing the groove intended for securing the instrument tip. (C). The end of the device is placed in the groove with the jaws open. (D) The jaws are closed by squeezing the handles. (E). The black button on the handle (black arrow) is pushed by simulaneus pressure applied on the blue buttons until the red marks are no longer visible, which engages the needle. The blue button is used for toggling the needle from jaw to jaw during suturing by pressing one at a time (red arrow). (F). Tension on the suture during removal from the cartridge, and while suturing, is applied with the needle stabilized by both jaws.