The Winchester Model 1200 is a 20-inch, 12-gauge, manually operated, slide action shotgun.
The patient was slid out the gantry to insert the biopsy needle manually (titanium 18-gauge, fully automatic, core-needle, double-shot biopsy gun with needle length of 175, sampling length of 17 mm (Invivo, Schwerin, Germany).
The femoral medullary canal was reamed manually with sequentially larger-gauge needles for the stainless steel implant, starting with a 26-gauge needle.
The suspension was prepared by manually pushing through a 22 gauge syringe coupling piece (3038068 Omnilabo International, Breda, The Netherlands) at +20C° for twenty up and down strokes.
After locating the femoral intercondylar notch (Figure 1B), the femoral intramedullary canal was manually reamed with a 25 gauge needle (Figure 1C).
For quantitative evaluation, we used a force gauge with the moment arm manually held, but manually applied power generates an inaccurate torque.
In a steady-state of the BPI (20 25 min after injection), a transanal puncture of the colonic wall was manually given with an 18-gauge intravenous needle to induce hemorrhage into the abdominal cavity.
We obtained retrograde CT images through the 18-gauge needle by manually injecting 5 ml of contrast medium (Iopamiron300; Schering Japan, Osaka) to visualize the mesenteric varices and extravasation into the small bowel (Fig. 3).
