With the TK™ distal shaft on the closure site, maintain
sufficient suture tension to hold tissue in appropriate apposition, then:

SQUEEZE the red lever until it stops, HOLD it for one second.
TUG the suture to cut free both suture tails and RELEASE the red lever fully to release the crimped TITANIUM KNOT ®.
PLEASE NOTE:
While very rapidly squeezing and releasing of the red lever provides average suture holding forces above U.S.P. standards, this recommended SQUEEZE & HOLD / TUG & RELEASE technique takes only one second longer and assures extra knot suture holding force.