When creating a new plaque model, begin by using your digital camera or flatbed scanner to create a frontal picture of the plaque with carrier inserted and a calibrating ruler. Orient the plaque as symmetrically as possible with the suture eyelets towards the top of the picture. Include a ruler with 1 mm increments along the top edge of the picture. The picture resolution should be at least 500x500 pixels. A good file format to use is ".jpg". Sample pictures of the COMS 10 and 22 mm plaques are included in the Plaque Simulator download. Bring the Plaque window to the front by clicking in the window or by selecting it in the Window menu. From the Plaque menu, select Load Plaque Picture and navigate to your picture file. The use of plaque pictures is cover in the Plaque Tutorial.