Stage 1
- Anchor the suture around the area you want the knot to lie
- Pull the threads outside of the simulator to tie the knot using your hands
Stage 2
- Hold both ends of the suture in your respective palms
- Wrap the left side over your left thumb
- With your right hand take the suture around your left thumb and hold between your left index and middle fingers, leaving your right hand free
- There should be a gap between both threads
- With the end of the suture between your fingers wrap around the left thread twice working upwards.
- End the second wrap around in between the two threads and place over the right thread
- Wrap this end around the right thread ending in between both threads
- This end should be taken around the right thread ending in between both threads
- Wrap this end over the right end and pull down and through the hoop
- Pull the knot tight and slide the knot up and into the simulator
Stage 3
- This is how the knot should lie inside the simulator
- You can then pull on each side to make the knot tight and slide no longer
Stage 4
- With the knot pulled tight it should not move in any direction