PLA® System User Manual - Thompson Surgical Instruments
Contents
1. Add on retractors 60020 50000MSF Unique dilators pull out in one piece C 0297 Emergo Europe Molenstraat 15 2513 BH The Hague THE NETHERLANDS Sterile table mount and easy to use Articulating Arm oo OM mel MIS POSTERIOR LUMBAR ACCESS BLADE KITS PLA Caudal Cephalad Blade Kit 81022 Kit contains left and right blades from 40mm 120mm U PLA Hook Blade Kit SL81031 Kit contains left and right blades from 40mm 120mm V PLA Medial Lateral with Lip Blade Kit SL81033 Kit contains left and right blades from 40mm 120mm W PLA Medial Lateral with Fine Teeth Blade Kit SL81035 Kit contains left and right blades from 40mm 120mm Reusable JB Illuminated cable stays cool and visible Dual light emitting ends attach directly to bades PLA ILLUMINATION KIT QTY ITEM DESCRIPTION PART PLA Illumination Kit 40001 MIS amp 1 LED Light Source LLS 2000 YY 1 PLAMIS Retractor Lite LED 40002MIS MIS Retractor Lite LED fits in 501000MSF with MIS Spine Frame For cleaning sterilization and maintenance please refer to the Thompson Cleaning amp Sterilization Manual Made in the USA 2014 Thompson Surgical Instruments Inc Traverse City Michigan Printed in U S A S Lock PLA and the T Circle logo i are Registered Trademarks of Thompson Surgical Instruments Inc Rev D The One Step Dilator 01 01004 01 02015 01 01006 is manuf2. B Repeat steps to attach the blade marked R to the right arm 3lEFP o Press down the pawls located on each frame arm near the rack to slide the frame arms together Center the arms on the rack for maximum retraction potential TIP Ensure the blades are touching to enable a close fit with the dilators If blades are not aligned straight check to make sure the frame arms are not angled If the arms are angled locate the angling nut in Step 12 and turn in the opposite direction until blades meet center line www thompsonsurgical com THOMPSON RETRACTOR 3 PLA SYSTEM USER MANUAL OBTAIN EXPOSURE SEP Slide the caudal cephalad blades attached to the frame over the dilators and rotate the frame so that the frame rack runs parallel to the spine TIP Hold blades together at the neck during insertion over dilators for the smoothest step transition TIP Point the rack away from the surgeon for a larger working area SIEF G A Loosen the knurled knob on the distal end of the Articulating Arm B Loosen the black knob knob shown in step 9B on the Articulating Arm and pull the distal end of the arm toward the frame rack Unlock the cam joint on the rail clamp if needed Insert the distal end of the arm over the end of the frame rack C Tighten the knurled knob on the distal end of the arm to lock the frame to the table mount TIP Use an assistant to hold the frame and bl
3. Spine Frame Left Arm 1 MIS Spine Frame Right Arm 1 MIS Spine Frame U Bar Add on 1 MIS Spine Frame L Bar Add on 4 1 1 4 Side Clip x 1 4 Slide with Thumb Screw 1 S Lock Anging Handle 5 Q 1 S Lock Interchangeable Head with 1 4 Scissor Joint kK 2 T Handle 3 16 Hex Key 1 MIS Spine Frame Instrument Case not shown Caudal Cephlad and Medial Lateral retraction 81030B Basic MIS Spine Frame available Caudal Cephalad retraction only PLA SEQUENTIAL DILATOR KIT Sequential Dilators QTY ITEM DESCRIPTION PART PLA Dilator Kit 81010 1 Dilator 1 45831 M 1 Dilator 2 45832 M 1 Dilator 3 45833 1 Dilator 4 45834 PLA BLADE AND SEQUENTIAL DILATOR CASE PLA Instrument Case not shown 50000PLA PLA ONE STEP DILATOR KIT QTY ITEM DESCRIPTION PART One Step Dilator Kit 81012 1 One Step Dilator 22mm 01 01004 1 One Step Dilator THandle 01 02015 2 1 One Step Dilator Wrench 01 01006 1 One Step Dilator Connector 42163 PLA BLADE AND ONE STEP DILATOR CASE PLA and One Step Dilator Case 50000PLAO Thompson SURGICAL INSTRUMENTS 10170 East Cherry Bend Road Traverse City Michigan 49684 phone 231 922 0177 fax 231 922 0174 www thompsonsurgical com PART 81030 41902ACL 42138N 60010 60009 60008 47212 47213 47205T SL45002AS SL45012S MIS Spine Frame base Toa on frame attachments 7 Gear Handle optional replaces SL45002AS er i S S Lock Worm
4. can reach the site of operation with several inches of flexibility C Rotate the arm out of the working area until ready to be used and lock to the rail clamp by flipping the rail clamp joint handle to the locked position grasping the rail clamp for leverage TIP If a larger range of motion is needed move the rail clamp closer to operation site If arm is too close move the rail clamp farther from the operation site STEPS A After the incision is made insert the first dilator and sequentially add the next three dilators B Take note of the depth marked on the dilator that is closest to the skin for blade length selection TIP Use caution holding dilators to avoid dropping Do not use dilators if they are deformed or dented Thompson Retractor ir ASSEMBLE THE MIS SPINE FRAME STEP 4 press pawl with finger fi P Z r i fA A Assemble the frame beginning by B Slide the Left and Right Frame Arms C The left arm should be on the holding the rack with the toothed side on to the rack so that the buttons are assembler s left and the right arm should facing away pointing outward be on the assembler s right Ser oO A Select the Left and Right Caudal Cephalad C C Blade that corresponds with the depth noted in Step 3 Attach the blade marked L to the left frame arm by pressing the button on the arm and inserting the blade nipple into the arm then releasing button to secure connection
5. hooks may be added A If medial and lateral retraction is desired place the L Bar over the Frame Rack outside of the Frame Arms and secure by turning the knob B To add a lateral retractor place the U Bar Add on on to the L Bar rack by pressing the pawl on the U Bar Add on 6 PLA SYSTEM USER MANUAL STEP 14 Select the desired blade style s for retraction in the medial and or lateral direction in a depth that is 10 20mm longer than the depth used for the caudal cephalad blades A Insert the blade s in to the S Lock Cam II Angling Handle s by pressing the gold button on the handle B In the first groove 1 the blade will be allowed to swivel In the second groove 2 the blade will lock in position by mating with serrations on the handle SIEF T Slide the 1 4 x 1 4 Side Clip Slide joint over the end of the L Bar with the clip side of the joint and the knob on top as shown TIP Do not allow joint to slide off of the U or L Bar Tighten slightly to prevent it from sliding but do not tighten all the way down Thompson Retractor T STEP 16 A Insert the medial lateral blade into the incision and retract handle back by hand B Snap the handle into the clip joint and turn the knob with fingers or with T Handle to tighten TIP If the handle does not easily snap in the joint may need to be loosened first Ae ae A To add a lateral re
6. PLA System User Manual Thompson Retractor Uncompromised Exposure PLA SYSTEM USER MANUAL INTENDED USE The PLA retractor system is intended for posterior lumbar exposure for procedures such as Transforaminal Lumbar Interbody Fusion Posterior Lumbar Interbody Fusion Decompression and Pedicle Screw Fixation applications The system allows spine surgeons to accomplish minimal access with maximum visualization by utilizing a versatile frame platform and providing flexible independent retraction and angling from all directions while also allowing for controlled and stable exposure Prior to use inspect all parts for damage DO NOT use if any part has been deformed altered or damaged in any way TABLE MOUNT ay a 8 SEQUENTIAL DILATION 2 PLA SYSTEM USER MANUAL STEP 1 A Attach the Elite II Rail Clamp jaw to the table rail 18 24 away from the site of operation on either side of the table over the sterile drape B To secure turn the knob at the top of the rail clamp and utilize the attached hanging handles for added leverage when needed TIP Position so that the rail clamp will not interfere with imaging equipment CAUTION If patient is obese avoid compressing patient s body When necessary use a wider OR table or add to the width of the table using Rail Extender 41917 STEFA A Insert the Articulating Arm into the rail clamp joint B Ensure the distal end of the arm
7. actured by Thompson MIS and distributed by Thompson Surgical Instruments 051514 The MIS Retractor Lite LED 40002MIS and LED Light Source LLS 2000 are manufactured by Sunoptic Technologies and distributed by Thompson Surgical Instruments jc plaum0514
8. ades steady while attaching to the table mount SIEF Hold frame in position while an assistant A locks the joint on the rail clamp then B tightens the black knob TIP If adjustments are needed simply loosen the black knob to add flexibility to the arm Reposition the frame and then re tighten the black knob TIP Arch the section of the arm with the black knob upwards to add counter pressure to the frame and to allow for easy access to the knob if adjustments are needed 4 PLA SYSTEM USER MANUAL Thompson Retractor ir SIEF 10 Remove the dilators in one step by pulling up on the initial dilator Use caution handing dilators to avoid dropping TIP If friction occurs between the dilators and the blades hold the frame in position as the dilators are removed to prevent the frame from rising up AEP T Retract blades independently to the desired exposure by turning the nut closest to the frame rack labeled OPEN using the T Handle To reverse retraction press the pawl located on the frame arm as done in Step 6 SIEP lz Angle blades independently to the desired exposure by turning the nut labeled ANGLE using the T Handle To reverse the angle turn the T Handle in the opposite direction www thompsonsurgical com THOMPSON RETRACTOR 5 PLA SYSTEM USER MANUAL ADDING MEDIAL LATERAL RETRACTION EP To prevent muscle creep medial and lateral blades or
9. tractor attach the desired blade to the S Lock Interchangeable Head Insert the blade in to the incision and retract towards the U Bar B Snap the S Lock Interchangeable Head on to the U Bar If it does not easily snap on joint may need to be loosened with fingers or T Handle To lock use the T Handle to tighten the joint C To retract the lateral blade apply the T handle to the U Bar where it attaches to the L Bar SEP TS To angle medial lateral blades use fingers to rotate the knurled portion of the handle or if additional leverage is needed apply the Angling Wrench to the hexed portion of the handle REMOVAL To remove the retractor begin by returning all blades to a straight up and down position by unangling all blades Next remove the medial and lateral retractors by loosening the joints removing handles and blades and sliding them off of the U or L Bar Carefully return the caudal cephlad blades to the start position by pressing the pawl so that the blades can be pushed together Dismount the Articulating Arm from the frame and gently pull the frame and blades up to remove from the patient www thompsonsurgical com THOMPSON RETRACTOR 7 PLA SYSTEM USER MANUAL PLA System Part Identification MIS SPINE FRAME QTY ITEM DESCRIPTION MIS Spine Frame 1 Elite Il Rail Clamp with 1 Cam Joint 16 1 MIS Spine Articulating Arm 1 MIS Spine Frame Rack 200mm 1 MIs
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