Thompson Retractor User Manual - Thompson Surgical Instruments
Contents
1. Thompson dp SURGICAL INSTRUMENTS 10170 East Cherry Bend Road Traverse City Michigan 49684 phone 231 922 0177 fax 231 922 0174 www thompsonsurgical com Rev B 297 1211613 2013 Thompson Surgical Instruments Inc Traverse City Michigan Printed in U S A 0 um12132. To prevent tissue necrosis release retractors every 20 minutes SEPS 6 USER MANUAL TROUBLESHOOTING Thompson Retractor 1 Accessories and Troubleshooting The Thompson Retractor offers exceptional versatility and can be set up to meet all your exposure needs Please use the following accessories and troubleshooting tips for easiest set up If you have additional questions please contact your account manager at 1 800 227 7543 RAIL CLAMP DOES NOT FIT ON OR TABLE Call for an extender or if using a Jackson Frame Table a Jackson Frame Adapter 41927 is available THE RAIL CLAMP IS INTERFERING WITH THE PATIENT If a bigger bed cannot be used use our Rail Extender 41917 HOW CAN ADJUST THE BLADE ANGLE WITHOUT RELEASING THE RETRACTION When there is a lot of pressure on the blade during retraction an Angling Head Wrench 43032 will be helpful for additional leverage HOW CAN OBTAIN RETRACTION PERPENDICULAR TO THE FRAME ARMS Our patented Cam Il and Micro Adjustable _ Handles allow the blade to swivel and retract in any direction as shown IF MY RETRACTOR HANDLES ARE FULLY RETRACTED HOW CAN OBTAIN FURTHER RETRACTION Unlock the retractor handles to release the tension and adjust the frame arms by spreading them low and wide from the incision If further retraction is needed please contact your account manager longer handles may be necessary HOW CAN ADD
3. 41904AC 41905AC 41906AC 41907AC Non Angling AY Angling CAM Il HANDLES Clip on 8 non angling 42126WH Clip on 8 Angling 42126WA a Non Angling O MICRO ADJUSTABLE II NON ANGLING HANDLES Clip on 10 3 4 45006STC Clip on 8 3 4 45007STC Clip on 10 3 4 Bariatric 45006BTC Clip on 8 3 4 Bariatric 45007BTC Angling MICRO ADJUSTABLE II ANGLING HANDLES 45006CA 45007CA 45007STA Clip on Angling 10 Clip on Angling 7 3 4 Slide on Angling 7 3 4 ADJUSTABLE HEIGHT RAIL CLAMPS 13 22 33cm 55cm AHRC with 1 Adjustable Cam Joint AHRC with 2 Adjustable Cam Joints 41902ARC 41903ARC Serrated CAM SLIDE ON JOINTS Cam Serrated Slide on Joint 42112C Cam Slide on Joint AZ TOE TABLE ADAPTER Jackson Spine Frame Adapter 41927 RAIL EXTENDER Rail Extender 15 Single Clamp 5844 Rail Extender 14 long with 2 1 4 offset 41917 Dual Clamp helpful for obese patients Rail Extender 22 Dual Clamp 41929 Please use this Product Index to reference Thompson Retractor Frame components shown in this manual These products can be combined to create the Quick Frame or Bilateral Frame or can be used to modify an existing frame Thompson Retractor can also create custom frame components to meet any unique surgical needs Additionally we offer components that are compatible with Omni Bookwalter or Synthes products Additional product information can be found at our web site a
4. lock the frame arm flip the adjustable cam position when inserting frame arms joint handle into locked position while grasping the adjustable crossbar for leverage B FRAME ARM SET UP INSTRUCTIONS FOR BILATERAL FRAME STER Insert one or two frame arms into the bottom joint on the rail clamp and TE position around the incision If using the adjustable height rail clamp turn the pressure knob on the adjustable cam joint to your STER preferred resistance A Lock the frame arms to the rail clamp by flipping the rail clamp s cam joints handle into locked position while grasping the rail clamp for leverage To lock the crossbar flip the adjustable cam joint handle while grasping the adjustable height rail If using an adjustable height rail camp lock the frame arms with the clamp for leverage B adjustable cam joints as shown in the previous steps www thompsonsurgical com THOMPSON RETRACTOR 5 RETRACTOR HANDLES AND BLADES Retractor Handles Blade Placement amp Adjustment Retractor handles lock to the frame arms and crossbar to support retractor blades Retractor handles are available in Cam II and Micro Adjustable II varieties with angling handle options Micro adjustable handles provide retraction when extra leverage is needed Retractor blades can be infinitely adjusted to give you unlimited multi planed exposure STEPI SIEF Z2 With the retractor handle in the unlocked position clip the join
5. MORE ROOM TO THE FRAME FOR ADDITIONAL RETRACTOR HANDLES Additional arms such as the Straight Arm 44012N canbe applied to your frame and connected with the one piece cam frame joints Please see product index for additional arms HOW CAN I INCREASE FRAME STABILITY Frame can be enclosed by adding additional arms using the one piece cam frame joints as described in above solution Serrated www thompsonsurgical com THOMPSON RETRACTOR 7 SUGGESTED SETUPS Suggested Setups Please use the following diagrams to guide your set up for General Vascular Transplant Urology and GYN operations The Thompson Retractor has unlimited set up possibilities and each of these diagrams can be adjusted to meet your unique exposure needs Please see the index on page 2 for additional pictures of the components shown GENERAL VASCULAR SETUPS ABDOMINAL UPPER ABDOMINAL RADIOLUCENT ANTERIOR LUMBAR CAROTID SMALL INCISION COLON RECTAL LIVER TRANSPLANT RESECTION PEDIATRIC TRANSPLANT SETUPS KIDNEY TRANSPLANT MINI NEPHRECTOMY LIVER TRANSPLANT RESECTION Liver transplant resection systems may be modified as needed with different sized frame arms amp crossbars Additionally rail clamps may be staggered for a diagonal setup OT NECOLOGY SETUPS UROLOGY SETUPS N ABDOMINAL UROLOGY HARRIS PERINEAL
6. NS FOR USE WITH TWO RAIL CLAMPS STEPA Insert the bilateral crossbar into the top joint of the rail clamp making sure TE joints are fully open unlocked position on either side of the OR table If using the adjustable height rail clamp turn the Adjust the bilateral crossbar s height 8 to 10 cm over the patient pressure knob on the adjustable cam joint to your oreferred resistance A Ser 2 Lock the bilateral crossbar to rail clamp by flipping the rail clamp handle To lock the crossbar flip the adjustable cam joint into locked position and grasping the rail clamps for leverage A rigid handle while grasping the adjustable height rail crossbar 41900F may be used in place of the hinged bilateral crossbar clamp for leverage B 4 USER MANUAL ASSEMBLING THE FRAME Thompson Retractor Frame Arms The frame arms secure to the crossbar or to the rail clamp to support retractor handles FRAME ARM SET UP INSTRUCTIONS FOR QUICK FRAME Ser STEP Z TIP Insert the frame arms into the cam With the frame arm positioned flip If locking the frame arm to an adjustable crossbar joints on the crossbar and position the the cam joint handle into locked turn the pressure knob on the adjustable cam frame arms over the patient s body low position To secure each arm grasp joint to your preferred resistance A and wide around the operating space the crossbar for leverage All joints should be in unlocked To
7. Thompson Retractor User Manual Thompson Retractor FRAMES e QUICK FRAME e BILATERAL FRAME SET UPS e GENERAL e VASCULAR e TRANSPLANT e UROLOGY e GYNECOLOGY Uncompromised Exposure PRODUCT INDEX ELITE Il RAIL CLAMPS 11 25cm Tall with 1 1 2 Cam Joint 18 45cm Tall with 1 1 2 Cam Joint 18 45cm Tall with 2 1 2 Cam Joints 22 95cm Tall with 1 72 Cam Joint 22 55cm Tall with 2 1 2 Cam Joints 26 65cm Tall with 1 1 2 Cam Joint 26 65cm Tall with 2 1 2 Cam Joints CROSSBARS Crossbar with 2 Cam Joints 24 11 x 13 41900BC Crossbar with 2 Adjustable Cam Joints 24 41900BAC Crossbar with 2 Cam Joints 24 8 x 16 Angled Arm 24 11 x 13 41900BCW 44124W May be used as a crossbar see below for more options BILATERAL CROSSBARS Bilateral Crossbar 7 1 4 x 13 1 2 x 7 1 4 41900F Bilateral Crossbar Hinged 11 x81 2 x11 41900H Bilateral Crossbar Hinged 14 x 10 x 14 41900HL ANGLED LATERAL ARMS 26 6 x 20 15cm x 50cm 44126 2A le x13 Neem Soci 44124W 24 8 x 16 20cm x 40cm 44124N 1862 10 gt 20emineZ5em 44118N 12 6 x 6 15cm x 15cm 440145 STRAIGHT ARMS Straight Arm 12 30cm 44012N Straight Arm 20 50cm 44120N Straight Arm with 1 Cam Joint 20 50cm 44120C ED EXTENSION ARMS Extension Arm 12 with Cam Latch Joint 44014LC Hinged Extension Arm 12 x 12 44115 2 USER MANUAL 41902ACS 41902AC 41903AC
8. open by turning the knob at the top turn the knob at the top of the and sliding the post up or down to one of the five of the rail clamp Once open secure the rail rail clamp and utilize the attached set heights marked by the grooves on the post clamp by placing the open rail clamp jaw over four hanging handles for added the sterile drape on either side of the table leverage when needed B With the post positioned at the desired height release the grooved sleeve to lock the setting www thompsonsurgical com THOMPSON RETRACTOR 3 ASSEMBLING THE FRAME Crossbar The crossbar secures to the rail clamp to provide support for frame arms and retractor handles QUICK FRAME SET UP CROSSBAR SETUP INSTRUCTIONS FOR USE WITH ONE RAIL CLAMP STEP STEP 2 TIP Insert the crossbar into the rail clamp and Lock the crossbar to the rail clamp If using the adjustable height rail clamp turn position the crossbar approximately 3 to 5 by flipping the rail clamp cam joint the pressure knob on the adjustable cam cm above the patient Prior to inserting the handle into locked position and joint to your preferred resistance A crossbar the joint on rail clamp needs to be grasping the rail clamp for leverage fully open by flipping handle out into the To lock the crossbar flip the adjustable cam unlocked position joint handle while grasping the adjustable height rail clamp for leverage B BILATERAL SET UP CROSSBAR SETUP INSTRUCTIO
9. t to the After selecting a retractor blade press the button on the head of the frame arm or crossbar by pushing the joint down over the bar Keep the retractor handle and insert the blade nipple Release the button to bulk of the joint positioned on the outside of the frame Flip the handle to secure the blade to the retractor handle the locked position to secure the retractor handle STEF 3 STEP 4 Position the blade in the incision with your hand and retract back While retracting the blade utilize the spring of the frame to maintain When using angling retractor handles use your fingers or the Angling the desired amount of retraction To do this apply counter pressure Head Wrench 43032 to turn the angling adjustment and tow the to the frame arm or Crossbar that the retractor handle is attached to retractor blade as desired TIP Blades supported by angling retractor handles can be infinitely positioned in the incision to provide precise retraction BLADE amp RETRACTOR HANDLE ADJUSTMENT TIPS e To retract a blade after a Micro Adjustable II Angling Retractor Handle has been locked turn the knob to utilize microadjustable retraction as shown above Holding the blade and frame in place have your e To angle a locked amp retracted blade an angling head wrench may be assistant flip the retractor handle to the locked desired for increased leverage Angling Head Wrench 43032 position to secure the blade in the incision
10. t www thompsonsurgical com and can be ordered by calling Thompson Surgical at 800 227 7543 ASSEMBLING THE FRAME Thompson Retractor ir Rail Clamp The rail clamp is the base of the Quick Frame and Bilateral Frame it secures to standard OR tables to support the crossbar and or frame arms Rail clamps may have one or two joints depending on your preferred use If using an Adjustable Height Rail Clamp please see bottom of page for instruction ELITE II RAIL CLAMP SET UP INSTRUCTIONS l STEPI SIEF 2 To secure one Elite Rail Clamp to the table be sure the jaws of the rail To tighten the Elite Rail Clamp to the table turn the knob clamp are completely open by turning the knob at the top of the rail at the top of the rail clamp and utilize the attached two clamp Once open secure the rail clamp by placing the open rail clamp hanging handles for added leverage when needed jaw over the sterile drape on either side of the table CAUTION If the patient is obese avoid compressing the ulnar nerve When necessary use a wider OR table or add to the width of the table using our Rail Extender 41917 ADJUSTABLE HEIGHT RAIL CLAMP SET UP INSTRUCTIONS STEPI STEP2 STEP 3 To secure the Adjustable Height Rail Clamp to To tighten to the Adjustable A Adjust the height of the Adjustable Height Rail the table be sure the jaws of the rail clamp are Height Rail Clamp to the table Clamp post by pushing down on the grooved sleeve completely
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