There are many heat sources on the earth, and those heat sources radiate heat continuously. When integrated with the CUT, EP-3DM has minimum impact to the layout of the CUT. A slidable inner member has a pair of diametrically opposed, suture engaging fingers for pushing the captured suture from the tubular member and for rotating it to form a loop between the fingers. The pixel electrode is arranged in a pixel area which is defined on the substrate, and is connected to an output electrode of the switching element. The shoes travel radially inward and outward with the die carriers between positions in which the shoes define minimum and maximum openings, respectively, of the die carrier assembly. The second output-side electromagnetic coupling element forms a feedback circuit, through which the electrical status at the output side is fed back to the system side via the electromagnetic coupling device.