smith&nephew T-MAX Modo De Empleo página 4

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• Tilt and flexion of O.R. table must be avoided once patient is loaded
into T-MAX. Ensure that the table top is parallel to the floor.
• Non-operative arm can be loosely secured to the arm board to
ensure the arm remains in place during procedure.
• Surgical site access should be checked by surgeon prior to
administering anesthesia.
• Face Mask should only be tightened when patient is in final sitting
position.
• Possible complications such as pressure alopecia can occur from
prolonged surgical procedures. Please take appropriate actions if
prolonged procedures occur such as periodically repositioning the
patient's head throughout the procedure.
• Contact Smith & Nephew for a complete list of T-MAX compatible
O.R. tables.
• The straps on the back of the surgical headset are not disposable.
Instructions for Use
Lower foot section and position O.R. table to allow access to
anesthesia equipment. Bend foot section of O.R. table down and place
T-MAX over O.R. table rails on main body of table so lower frame abuts
O.R. table pad.
1. Place T-MAX Square Rail Clamps (Fig. 1) on O.R. table rails 18" from
end of rails.
2. Hook left fixed leg under left rail and slide right sliding leg under
right rail. T-MAX legs should be flush against O.R. rails. Slide TMAX
forward onto O.R. table rails as far as possible.
3. Slide T-MAX Square Rail Clamps over T-MAX legs (Fig. 2). Tighten
in place. T-MAX Square Rail Clamps do not support weight; they
prevent T-MAX legs from moving laterally off O.R. table rails.
4. Slide Lower Frame to operative side of table leaving 2–3" (5–7 cm)
space from frame to side of table.
5. Ensure table pad is securely placed on table. If table is reversed,
reverse table pad so it covers cut out in O.R. table.
6. Prior to patient loading, push Slide Pad away from operative side to
allow maximum exposure of operative shoulder.
7. Remove Lateral Support from side of table that patient will load
from. Lateral Support pads are offset from metal bar to allow
positioning for tall or short patients.
8. If Intubation Pad is used, remove Surgical Headset and replace with
intubation pad.
9. Position patient's buttocks as close to base of T-MAX Lower Back
Pad as possible to prevent patient from sliding down T-MAX during
surgery.
10. Insert Lateral Supports and tighten in place.
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29-99-01 Rev. C
Fig. 1 T-MAX Square Rail Clamp
a. T-MAX AM Clamp #7210554
b. T-MAX EU Clamp #7211099
c. T-MAX JE Clamp #7211097
d. T-MAX DE Clamp #7211100
11. Place Knee Bolster under knees and slide it proximally to wedge
patient's back against Lower Back Pad. Pad should sit directly on
O.R. table and not on a sheet.
12. Secure the patient with the Body Strap over the patient's legs, the
Knee Bolster and table to prevent legs from spreading apart and to
secure the patient to table during surgery.
13. Place Clark clamp on table rail on non-operative side. Place
adjustable arm board into Clark clamp parallel to table. This is used
to support non-operative arm during surgery.
14. Ensure medial border of scapula hangs off Slide Pad to allow easier
access to anterior portal for arthroscopic procedures.
15. Position Headset Pad to ensure patient's head rests in middle of
Pad.
Intubation
The black Intubation Tree is used to hold tubing during surgery and can
be rotated out of the way when not in use.
Procedures depend on whether preference for intubating is with the
Intubation Pad or the Surgical Headset.
If using the Intubation Pad
The Intubation Pad is inserted into headset Forward Slide Collar prior to
patient loading. Hex bar shaft of Intubation Pad fits into Forward Head
Adjustment Collar. Tighten in place so pad runs continuous with Slide
Pad. For very tall patients the Intubation Pad may be raised with a gap
between pads.
1. To position for intubation, after the initial positioning, lower patient
to supine using Lift System Release Handle.
2. During intubation the patient's arms can be secured by placing
arms alongside the body inside the lateral supports. For wider
patients Extended Lateral Supports are an optional accessory.
3. Patient is intubated as on a regular O.R. table. Pillows can be
placed under the neck on the headset.
Fig. 2 T-MAX Assembly
T-MAX Beach Chair Instructions for Use