Pre-procedural Preparation

• Perform femoral angiogram
• Re-prep groin
• Perform nick and spread

"CLICK" 1

Connect Exchange Sheath to Clip Applier

"CLICK" 2

Locator Wing Deployment

Pull back 3 to 4 cm to split Sheath above skin.

"CLICK" 3

Sheath Split

Maintain the device at the angle of the tissue track, continue to stabilize the device with the left hand on the Stabilizer.

Step 1 – Pull back until tactile resistance is felt.

Step 2 – Advance Thumb Advancer.

"CLICK" 4 (Close)

Clip Deployment

Raise device to 60 to 75', maintain contact with the artery and deploy the Clip.

Use of Safety Release

• If excessive resistance is felt while advancing the Thumb Advancer, pull back the Thumb Advancer.
• Slide the Safety Release forward to collapse the Locator Wings.
• Check that the number "2" on the Plunger exits the number window completely.
• Gently push down on the patient's body with the left hand. Remove the Clip Applier with the right hand without rocking or twisting.

Use of Access Ports

• If resistance is felt upon removal of the Clip Applier, insert the Dilator (or an 18-gauge thin-wall needle) into the Access Ports, one at a time, to unlock the Thumb Advancer.
• A "CLICK" should be heard to confirm release. Check that the number "3" on the Thumb Advancer exits the number window completely.
• Pull back the Thumb Advancer.
• Slide the Safety Release to collapse the Locator Wings. Check that the number "2" on the Plunger exits the number window completely.
• Gently push down on the patient's body with the left hand. Remove the Clip Applier with the right hand without rocking or twisting.