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the SMC nut or Samsung Medical Center not is a sliding locking knot this is Tied by first starting with the pulse limb in this instance the left hand color blue and your Loop limb in this instance in my right hand colored white we began by first pinching the two limbs between the index and thumb we then bring the loop limb over the top underneath over the top once more and then we bring our fingers through the two loops and then over again you see how we then have this Looper triangle that we have created we will pull the suture through this Looper triangle and then we have completed our knot you do not want to pull on this Loop limb as this will lock this type of knot we can dress the Knot Before we place it through the cannula and then we pull on the pull Slim in order to secure it against the tissue not Pusher May then be used in order to further push this against the tissue when we are ready to lock the knot we simply pull on the loop limb and this secures the locking mechanism th