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NOTE: Be sure the operating table foot rail does
not have excess material draped over it. The clamp
of the table post is designed to hold no more than
two double thicknesses of cotton drapes.
Attachment of the Post Coupling, Horizontal
Flex Bar and Pelvic Retractor Ring
NOTE: For convenience and correct orientation of
the ring, it is recommended that the pelvic ring be
positioned with the 20 degree break at the level of
the posterior vaginal wall while the patient is in the
high lithotomy position.
Slide the horizontal flex bar into either of the holes
in the post coupling. Slide the post coupling and
horizontal bar assembly over the top of the table
post, to its approximate location, and lightly tighten
the coupling with the post coupling lever (Figure 5).
The position of the post coupling lever on the table
post must be convenient to the surgeon. Make any
final positioning adjustments before tightening the
post coupling.
Place the pelvic retractor ring into the vise clamp
of the horizontal flex bar. Tighten the knob of the
clamp to secure the ring at the 5 or 7 o'clock
position on the horizontal flex bar (Figure 6). This
will depend on whether the table post is attached
to the right or left side of the surgeon.
CAUTION: The serrated teeth of the ring must slide
past the lips of the clamp on the horizontal flex bar
to ensure a proper fit (Figure 7).
Loosen the post coupling lever and reposition the
horizontal flex bar in order to center the ring over
the operative site (Figure 8). Make sure the serrated
teeth of the post coupling are fully disengaged
before attempting any movement. Hold the ring in
position and tighten the post coupling lever to lock
in place. Make any final positioning adjustments
with the ring applied over the vulva.
CAUTION: Never tighten the post coupling unless
it is attached to the table post and the horizontal
flex bar. Tightening the post coupling while not
attached to these bars can cause damage to
the instrument.
Adjustment of the Angle of the Pelvic
Retractor Ring (catalog no. 50-4690)
To adjust the angle of the pelvic retractor ring,
release the universal joint lever on the horizontal
flex bar (Figure 9) by turning the lever in a
counterclockwise direction. Relaxing the universal
joint assembly results in a variety of positioning
options. Retighten the lever by turning clockwise.
206060-001- .indd 3 206060-001-C.indd 3 D
Adjustment of the Angle of the Segmented
Pelvic Retractor Ring (catalog no. 50-4689)
NOTE: When removing or adjusting the segmented
pelvic retractor ring, turn the locking screw
counterclockwise until the serrated teeth of the
fittings disengage. Adjust the segment as required
and retighten the locking screw.
CAUTION: Before fully tightening the locking
screw, always be certain that the serrated teeth of
the ring segment fittings mesh. Failure to do so can
damage fittings. To remove the screw from a ring
segment for cleaning, pull the screw through the
fitting until it engages the threads. Unscrew and
remove by turning clockwise.
Attachment of the Retractor Blade
Attach the retractor blade to a tilt ratchet
mechanism by inserting the retractor blade
handle through the rectangular opening in the
ratchet mechanism. Make sure the toothed side
of the blade handle faces the ratchet release
so that advancement of the blade generates
a clicking sound.
NOTE: The ratchet mechanisms are designed to fit
on any retractor blade.
Grasp the vagina with the retractor blade and pull
the blade until the tilt ratchet mechanism connects
onto the pelvic retractor ring. Figure 10 depicts
connection of the tilt ratchet to the ring.
To adjust the blade, press in the ratchet release
and push or pull blade to desired setting. To use
the lifting capability of the tilt ratchet mechanism,
simply depress the tilt ratchet thumb lever and
adjust the elevation.
WARNING: The retractor system can exert a great
amount of force on the wound edges and on
tissues. Release the retractor for short periods
of time or shift the blades to relieve the pressure
on any one point.
Reprocessing Instructions
Refer to Symmetry Surgical Instructions for Use
#204233 for updated information regarding
reprocessing of the instrument. See CAUTIONS below.
Copies of this instruction sheet are available by
requesting IFU #204233 from Symmetry Surgical
Customer Service at:
Telephone: 800 251 3000
Fax: +1 615 964 5566
E-mail:
ssi-customerservice@symmetrysurgical.com
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