The sutures are detached one-by-one, in sequential order and applied to the sewing ring of the artificial heart valve. Then the needles are cut and all the sequential sutures in the holder are lifted up to maneuver the heart valve into the proper position.  Then without any strings hanging below, the sutures are tied and cut. 


The Sequential Suture Holder is an aluminum, steel and plastic model of the Vijay-Robinson Sequential Suture Holder. This innovative patent pending instrument is contracted through GerMedUSA for global distribution.