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Hinged Ring Frame User Manual - Thompson Surgical Instruments

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Contents

1. Lock Hinged Ring Frame Kit S L90020 without unwanted movement amp 1 Elite Il Rail Clamp 18 41902AC 1 Extension Arm with Cam Latch Joint 16 44614LC 2 Ring Half Hinged 14 1 2 44218 2 Ring Extension 3 44220 5 Cami Clip on Angling 10 SL42126WAL 2 Micro Adjustable II Clip on Angling 10 SL45006CA 1 Angling Head Wrench 43032 4 1 Instrument Case 22 x 11 x 3 1 2 50000G with Pin Mat PLEASE REFER TO THE THOMPSON SURGICAL CLEANING AND STERILIZATION 1 alen o to 2 el Man MANUAL FOR COMPLETE CLEANING AND ue ovement STERILIZATION INSTRUCTIONS nor wanice PO RING FRAME USER MANUAL 5 Rev B 122214 rfum1214 Thompson SURGICAL INSTRUMENTS atal 10170 East Cherry Bend Road Traverse City Michigan 49684 phone 231 922 0177 fax 231 922 0174 thompsonsurgical com EC REP Emergo Europe Molenstraat 15 2513 BH The Hague THE NETHERLANDS Made in the USA C 0297 For a FREE TRIAL DEN mentee E call 1 800 227 7543 S Lock and the T Circle Logomark f are Registered Trademarks of Thompson Surgical Instruments Inc f Patents US4971038 US5025780 US5888197 US5897087 US5902233 US5984865 US6017008 US6033363 US6416465 Free trial valid for U S customers only US6511423 US7338442 US7749163 US8257255 US8360971 US8617064 Other patents pending International customers please call for more information
2. Hinged Ring Frame User Manual Thompson Retractor Uncompromised Exposure RING FRAME USER MANUAL UNILATERAL TABLE MOUNT 1 STEP 1 Secure the rail clamp to the OR table rail 10 20 superior or inferior to the incision site TIP Attach near area of expected heaviest retraction STEP 1a 1b Completely open rail clamp jaw by turning the knob at the top of the rail clamp counterclockwise Place the open rail clamp jaw over the sterile drapes STEP 1b Secure by turning the knob at the top of the rail clamp clockwise Utilize the two hanging handles for leverage when needed 1a CAUTION If patient is obese avoid compressing the patient s body When necessary use a wider OR table or add to the width of the table using a Rail Extender 41917 SIEP 2 Insert the extension arm into the rail clamp joint and temporarily lock in place by flipping the rail clamp joint handle to the locked position BILATERAL TABLE MOUNT OPTION NOT INCLUDED IN KIT If necessary for increased ring stability and especially for larger exposures such as liver transplant utilize a second rail clamp mounted on the opposite side of the table with an additional extension arm N RING FRAME USER MANUAL RING FRAME ASSEMBLY Select the appropriate sized ring frame based on the procedure size SMALL CIRCULAR RING Mate the ring so that the serrated faces hal
3. in Cam Il and Micro Adjustable II Clip on varieties with angling and S Lock handle options STEP 1 STEP 2 STEP 3 Select a retractor blade press With handle joint in Clip the joint to the ring the button on the head of the unlocked position frame by pushing the joint retractor handle and insert place blade in site Place down over the bar Keep the the blade nipple Release the unlocked handle joint on bulk of the joint positioned on button to secure the blade ring frame as shown in the outside of the frame into the retractor handle step 3 2 i STEP 4 STEP 5 Position the blade in the incision with your hand and retract Holding the blade in place flip back When using angling retractor handles use your the retractor handle to the locked fingers or the Angling Head Wrench 43032 to turn the position squeezing against the handle angling adjustment and tow the retractor blade as desired to secure the blade in the incision NOTE To prevent tissue necrosis release retractors every 20 minutes BLADE amp RETRACTOR HANDLE ADJUSTMENT TIPS To retract a blade after a To angle a locked amp retracted e To easily remove clip on joints Micro Adjustable Il Retractor blade an angling head wrench from Arms pinch the back Handle has been locked turn may be desired for increased of the joint using thumb and the knob to utilize microadjustab
4. le leverage Angling Head index finger Gently lift up off retraction as shown above Wrench 43032 of arm RING FRAME USER MANUAL 4 RING FRAME USER MANUAL Hinged Ring Frame ACCESSORIES AND TROUBLESHOOTING The Thompson Retractor offers exceptional versatility and can be set up to meet all your exposure needs Please use the following N accessories and troubleshooting tips TT for easiest set up If you have additional to build a circular frame for small questions please contact your account f procedures Hinge either side manager at 1 800 227 7543 Sterile mount Bi table attachment for multi planed retraction or to meet patient anatomy RAIL CLAMP DOES NOT FIT ON OR TABLE Call for an extender or if using a Jackson Frame Utilize with the ring frame halves Table a Jackson Frame to extend the ring into an oval i frame for larger procedures Adapter 41 927 is available If setting up the frame bilaterally two are required 0 THE RAIL CLAMP IS INTERFERING WITH THE PATIENT If a bigger bed cannot be used use our Rail Extender 41917 If setting up the frame bilaterally two are required HOW CAN OBTAIN RETRACTION PERPENDICULAR TO THE FRAME ARMS Our patented Cam II and Micro Adjustable ll HINGED RING FRAME KIT Handles allow the blade to swivel and retract in any direction as shown S Lock blades and QTY ITEM DESCRIPTION PART handles help secure blades in any orientation S
5. ves together meet each other Mate the ring halves and extensions together so that the serrated faces meet each other Rotate the 2 tightening screws clockwise to secure the ring halves together on each side The ring may be secured in a hinged or flat position Rotate the 4 tightening screws clockwise to secure the ring halves and ring extensions together The ring may be secured in a hinged or flat position NOTE Screw must be completely tightened and serrated faces must be fully seated together to ensure a secure attachment MOUNTING THE RING FRAME 1 STEP 1 Use an assistant if needed to position ring frame 2 above the patient s body surrounding the incision site 3 RING FRAME USER MANUAL STEP 3 Wrap the latch joint jaws around the ring frame shown top left and secure by flipping the latch joint handle to the locked position while grasping the extension arm for leverage shown bottom left STEP 2 Unlock the joint on the rail clamp to release the extension arm and slide extension arm toward the ring frame STEP 4 Once ring and extension arm are in place lock the joint on the rail clamp to secure RETRACTOR HANDLES BLADE PLACEMENT amp ADJUSTMENT Retractor handles lock to the ring frame to support retractor blades 10 retractor handles are available for use with the ring frame

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