Bilateral Frame User Manual - Thompson Surgical Instruments
Contents
1. Bilateral System User Manual Thompson Retractor t e OBESITY e LIVER RESECTION e LIVER TRANSPLANT Uncompromised Exposure BILATERAL SYSTEM USER MANUAL Bilateral Crossbar Angled Arms Elite Il Rail Clamps Secure the Elite II Rail Clamp to the table rail over the sterile drape CAUTION Angling If the patient is obese avoid compressing the ulnar nerve Handles When necessary use a wider OR table or add 2 1 2 to the width of the table by using our Rail Extender 41917 4 Non Angling N Handles CLEAN ALL COMPONENTS Do not allow blood to dry on components Ultrasonic cleaning is recommended however hand washing with a brush is acceptable LUBRICATE ALL THREADED AND CAM COMPONENTS BEFORE AUTOCLAVING Be certain that all Cam Joints are in FULL OPEN POSITION during autoclaving STERILIZE GRAVITY STEAM W d eins rappe 30 minutes 121 C 250 6 1 1kg em A Adjust angle of retractor handle blade before applying retraction HIGH SPEED GRAVITY FLASH peng 5 minutes 132 C 270 F 30psi or 132 2kg cm B Compress the arm toward the incision while simultaneously retracting the blade PREVACUUM STEAM Wrapped CH atantlockoni 4 minutes 132 C 270 F ave assistant IOCK JOINT Spring of frame holds retractor in place CAUTION Relax retractors periodically to ensure proper blood flow A Position the crossbar 41900F in the rail clamp s universal joints2. and adjust its height 8 to 10cm over the patient s chest B Lock the bar in the joints with a flip of the cam handle grasp the upright arm for leverage ADD RETRACTORS A Press the plunger and insert blade into the handle B Cam should be in unlock position C Place blade in site D Clip joint onto arm E Retract and lock joint A Turn knob to fine tune retraction B Use the swivel feature to position handles out of the team s way and to retract where there are no framing arms A Secure extension arms in the second joint on the rail clamps Add retractors as needed B Secure an additional extension arm if needed Ensure the extension arms are positioned low and wide to efficiently retract WE RECOMMEND RELAXING TENSION ON RETRACTORS EVERY 20 MINUTES TO ENSURE PROPER BLOOD FLOW BILATERAL SYSTEM USER MANUAL OPTIONAL SETUP A Position the upper abdominal crossbar in the rail clamps A Attach an Elite II Rail Clamp to the patient s right side of the table universal joint and secure it 8 to 10cm depending on desired elevation of the costal margin above the patient s chest B Add a rail clamp to the opposite side at the patient s thigh B Position the lower abdominal crossbar in the rail clamp s lower universal joint and position it just above the patient s pubic bone 1 S A 1 S a X Add retractors as needed A Place the la
3. teral arm in the top joint of the lower abdominal rail clamp WE RECOMMEND RELAXING TENSION ON RETRACTORS B Interconnect its distal end with that of the upper abdominal s EVERY 20 MINUTES TO ENSURE PROPER BLOOD FLOW crossbar using 1 2 x 1 2 framing joint 42110C Thompson SURGICAL INSTRUMENTS 10170 East Cherry Bend Road Traverse City Michigan 49684 phone 231 922 0177 fax 231 922 0174 www thompsonsurgical com 121613 bum1213 C 0297 C 2013 Thompson Surgical Instruments Inc Traverse City Michigan Printed in U S A
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