FAQ & Troubleshooting
Issue : The sleeve tore during use.
Q . Was the sleeve adequately hydrated during preparation?
1. Select an additional appropriately sized sleeve and thoroughly moisten the inner surface of both stages.
2. During Position and Twist step (#6), ensure the implant can smoothly exit the sleeve with minimal friction before placing into incision and pocket.
Q . Were there any barriers to implant passage?
1. Inspect the implant path to exclude any physical obstructions.
2. Reposition sleeve to ensure a straight line path into pocket.
3. Minimize any excessive advancement into incision which may kink or collapse smaller end of sleeve preventing egress of the implant.
Q . Was the proper sleeve size selected for the given implant volume?
1. If the above measures have been instituted, select a larger sized sleeve.
Issue : The implant doesn’t move easily through sleeve at placement.
Q . Was the sleeve adequately hydrated during preparation?
1. Select another appropriately sized sleeve and thoroughly moisten inside.
2. During Position and Twist step (#6), ensure the implant can smoothly exit the sleeve with minimal friction before placing into incision and pocket.
Issue : Surgeon finds it easier to place implant on one side vs the other.
Q . Is this related to surgeon’s hand dominance?
1. When performing a trans-axillary approach for implant placement:
- RIGHT HAND DOMINANT SURGEON: Place right-sided implant by positioning surgeon above arm and left-sided implant from belowthe arm.
- LEFT HAND DOMINANT SURGEON: Place right-sided implant by positioning surgeon below arm and left-sided implant from above the arm.
2. When performing most bilateral implant placement procedures: - HAND DOMINANCE OF SURGEON: Place either implant by positioning surgeon on the surgeon’s dominant side of patient.