KYRA MEDICAL Comfort Stirrups KYRA3000 Manual Del Usuario página 7

INSTRUCTIONS FOR USE
4. The curve in the stirrup support structure should be positioned parallel to the patient's femur and the
stirrup ball joint should be in alignment with the femoral head.
5. WARNING: Once the stirrup is in the desired position, the blade clamps should be tightened in the
clamping mechanism. It is important that the clamps be tightened and tested for security.
6. Loosen the boot adjustment clamp, to slide boot along support rod until the calf portion of the boot is
located near the patient's calf. Tighten the boot adjustment clamp on the boot securely such that
boot cannot be moved. Repeat for the opposite stirrup.
7. Position stirrups to be level with the table by turning the handle while moving the stirrups into place.
For best results, the OR Table pad should be 3" (7.6 cm) thick or more.
Patient Positioning:
Position the patient onto the operating room table according to the requirements of the surgeon and
facility protocol.
1. Pre-position stirrup boots as described in Section 3.3 above. Confirm the boot-clamping mechanism
is secure and the boot is positioned properly. Confirm stirrup blade clamp is secure to the OR rail.
2. Safe patient positioning requires at least two staff members. Each staff member will simultaneously
place the patient's legs into a stirrup. Grasp the patient's heel in one hand and place the other hand
under the patient's knee. Gently flex the patient's knee while supporting the leg with both hands.
Each clinician should simultaneously transfer a leg into the stirrup boot.
3. Check that the patient's heels are fully seated into the heel section of the boot and the leg is
securely in place. Close the boot pad by using the medial to lateral closure system with optional
™
Secure-Lok Closure Straps or VELCRO
4. 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. There should be a 10-degree bend in the patient's knee.
5. Proper initial leg flexion includes the following safe guidelines:
When using LOW LITHOTOMY, do not hyper-extend the leg while achieving desired abduction.
When using MEDIUM OR HIGH LITHOTOMY, use minimal amounts of leg flexion/abduction
initially as these will increase as the legs are moved into higher positions.
6. Ensure that the toe/ankle, knee, and opposite shoulder are maintained in alignment during
positioning. The foot and thigh are typically abducted at the same angle. Use the alignment markings
on the rod for assuring symmetry.
7. In order to adjust the boot position and change the flexion angle, the boot should be supported in
one arm and with the other hand, or with the help of an assistant, the boot adjustment clamp should
be loosened by turning the handle on the boot clamping mechanism until the boot can be realigned
to the proper position. Retighten the boot adjustment clamp securely to the rod.
8. To articulate the patient's legs into high or low lithotomy, twist the handle at the distal end of the
stirrup rod and raise or lower both legs simultaneously. Release the handle to lock the stirrups in
place.
9. The boot has a self-adjusting design to protect the calf during raising or lowering of the legs. It is free
floating and moves with the patient's leg as needed.
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straps. Confirm the pads are secured.
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IFU Document Number: 03-0125-REV-G