Took them 4 months to replace it.

I had already called Zero and had a case number before going to the dealership. Have you tried contacting Zero directly? It only took my dealership a week to update all software and pull logs, send to zero, and hear back from them saying they were replacing it.

After my dealer contacted zero and send them all the logs. Today I confirmed getting a new battery

As noted earlier this tie is to be used with pop off sutures or silk ties. I agree it is not appropriate if you still have a needle attached.

Looks like a STORZ DOESEL-HUZLY Bronchoscope, with proximal illumination. The prismatic light deflector with a light cable would allow you to look with the naked eye down the barrel. The other light source is for the Hopkins telescope rod that a camera can be attached to.

That’s why pop offs were invented

Sorry it’s not entirely clear...this knot is used for needless suture (pop offs or ties). It can be done if there is a needle attached but you run the risk of getting stuck if you are not super careful. With a needle still on, an instrument tie with a double loop is a better option.

Sorry if it was misleading...you do need two hands to tie this knot, but the technique employed in each hand is the standard one-handed technique, it just occurs simultaneously such that the result is two throws.

Oh I see know. Great work tho I am impressed.

@@MrGstrub This was misleading. I tried this on my surgery rotation when they said to show them a one handed tie. Got kicked out of the OR, told to go practice.

@@dakotanollner if you listen to this video, it clearly states that you must have mastered both a right and left, handed one-handed tie, prior to tackling this simultaneous left and right, handed one-handed throw.

Alex Joseph You don't use this technique with sure attached to s driver. You use it with free ties. Learn the knot before bashing and you'll appreciate it's elegance as well as economy if motion.

If you are using free ties, you're tying off a vascular pedicle. You should never use a one handed knot on a pedicle. I don't expect you to understand this as you're an obstetrician (and would probably just use a ligasure).

Well Alex Joseph, thank you for sharing your wit and knowledge. I am an otolaryngologist (which I believe I state in the video, but perhaps you ignored that in order to make your snarky opening seem relevant). I can only deduce from your comments that you are not a "keener medical student" or ER resident, but I will not insult other physicians by stereotyping you into an obviously disgruntled specialty that I am sure brings joy to your co-workers on a daily basis. We otolaryngologists know the type. This technique is not meant to replace the needle driver technique you describe. The video describes a method to simultaneously throw, using both hands as you keenly point out, two "one handed" knots so that the net result is a traditional "surgeon's knot." Your comment that it should not be used for a vascular tie is incorrect, as it produces the same knot that a traditional two-handed surgeon's knot produces, but with more elegance and economy of motion (despite your claim to the contrary). This is a specialized knot to be used in the appropriate situations. For example, if I am insetting a radial forearm flap, I use dozens of pop-off vicryl ties. I also use pop-offs for closing the deep layers of large incisions. In these circumstances I employ this knot and can perform these tasks in nearly half the time. I'm sorry if you have no use for this technique, but I can assure you it does have its applications when used correctly.

@@AlexJoseph-jy5bc Alex you're a PA right?

Yes, you use two hands and employ the standard "one handed" technique in each hand.

Yes, this technique is best used with pop-off sutures. If you are leaving the needle on, very likely you will instrument tie and then you can just throw two loops to achieve the same result. I rarely hand tie with a needle on.

exactly...the neddle