INSTRUCTIONS FOR USE
j.
Positioning patient should be performed by two staff members. Support each
of the patient's legs by grasping the heel in one hand and the underside of the
knee with the other. Gently flex the knees and simultaneously transfer both legs
into the boots
k. Ensure patient's heels are securely seated in the heels of the boots.
l.
Observe following general guidelines regarding proper initial leg flexion:
When using low lithotomy, take care not to hyperextend the leg while
achieving desired abduction.
When using medium or high lithotomy, use minimal initial leg flexion and
abduction as both will increase as legs are raised.
m. The ankle, knee and opposing shoulder should be maintained in a relatively
straight-line during positioning. Notice that, for a typical patient, the thigh and
foot are abducted at approximately the same angle.
n. To fine tune boot position and flexion, support boot heel with one hand and,
with the other, loosen the boot-clamping mechanism roughly ¼ turn. Use both
hands to support and adjust boot to desired position.
mechanism securely.
o. Perform a final check to ensure that the patient's heels are properly seated in
the heels of the boots and that there are no pressure points on the calf. The leg
must be centered in the boot to eliminate pressure on the peroneal nerve. Close
boot pad.
p. Place an Allen Safety Drape over each leg to permit continuous monitoring of
leg position during the procedure.
WARNING: Additional positioning devices should be used when using the
stirrup in Trendelenburg or reverse Trendelenburg.
Document Number: D-720402
Version: D
Page 16
Tighten clamping
Issue Date: 18 MAR 2020
Ref Blank Template: 80025117 Ver. F