[Music] if the procedure needs to be restarted the puncture set can be reloaded do not reload if the voice prosthesis safety strap has been cut or damaged during the first placement attempt push the guide wire from the narrow end of the puncture dilator until it loosens from the wire lock reload the Vega voice prosthesis in the puncture dilator loop ensure that the safety strap is oriented towards the wire lock if needed the guide wire can be straightened to facilitate reinsertion proceed according to the instructions for primary or secondary puncture and prosthesis placement
