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Positioning made easy.Improving access to virtually every joint space.

Complete Solutions for Patient Positioning

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Hip Positioning

Hip Positioning System with Active HeelTM TechnologyThe Hip Positioning System was designed in collaboration with many of the world’s leading hip arthroscopists to create the first dedicated positioning system for hip arthroscopy.

Demonstrating convenience and ease-of-use with over eight years of clinical use, the Hip Positioning System is the only arthroscopic positioning system to offer a universal hip distractor for both the supine and lateral positions. Featuring the Active Heel Traction Boot which conforms to the patient’s anatomy for added security, minimal heel lift, and a quick disconnect for intraoperative dynamic assessment.1,2

No matter which joint space you need to access, there’s a Smith & Nephew patient positioning system for you. From knees, shoulders and hips to elbows, ankles and wrists, our positioning systems give you unimpeded access to compliment your technique.

1 Design Validation Protocol and Report: 150018982 Design Verification Protocol and Report: 15001897

Exceptional range of motion• Unique patented ball joint system for greatest

range of motion

• One easy-to-use control knob allows the hip to be easily flexed, abducted or adducted eliminating the hassle of adjusting more than one individual control for limb positioning

• Fine and gross traction controlled by adjustable carriage

Easily attaches to most standard OR tables

Lateral System Lateral and Supine Systems available to meet your hip arthroscopy technique requirements

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Security and simplicity of the Active HeelTM Traction Boot

• Active Heel Technology conforms to the patient’s anatomy to securely hold the patient2

• Accommodates a wide range of foot sizes2

• Military-grade buckles minimize heel lift during procedures1

• Quick-disconnect handle for dynamic range of motion assessment1

Convenient• C-arm compatible

• Attaches easily to most standard OR tables

Used by surgical teams around the world, each is designed to provide a versatile, easy-to-use solution for you and your surgical staff. So you can focus on what you do best, instead of worrying about positioning. And we’ll continue to innovate by working with surgeons and OR staff worldwide, developing solutions that meet your evolving needs.

Adjustable carriage for gross traction and fine traction

A turn of the knob allows OR staff to easily adduct, abduct, flex and extend the leg

Unique, patented ball joint provides the greatest range of motion

Fits both right and left feet No double-checking that the correct traction boot is on each hip positioning leg

Military-grade buckles and strapsEasy to secure the patient prior to the case and release the patient’s foot following the case1

Quick-disconnect featureEasy attachment and detachment from the system1. Ability to load patient’s foot into the boot prior to positioning. Design minimizes constraint during dynamic assessment of bony work for FAI procedures.

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Adjustable Lateral Support

Intubation Pad

Non-operative Arm Board

Shoulder Positioning

T-MAX Beach Chair PositionerOperating with confidence, the T-MAX Beach Chair Positioner affords the entire operating room staff the tools needed to position patients for beach chair shoulder arthroscopy and open procedures with ease. Offering a dual ball and socket head rest, adjustable lateral supports, sliding shoulder pads and more, the T-MAX is a one-of-a-kind beach chair positioner that benefits surgical staff, anesthesiologists and surgeons. Equipped with adjustable table legs and a variety of rail clamps, OR table fit is one less worry for your customer.

AccessOptimize access to the repair site. T-MAX slides laterally on the frame to either side of the OR

table bringing the patient closer to the surgeon. The sliding shoulder pad laterally adjusts with ease to maximize exposure or fully support the posterior aspect of the operative shoulder.

VersatilitySuitable for arthroscopic and total shoulder procedures the T-MAX Beach Chair Positioner attaches to a variety of OR tables and offers multiple accessories for intubation, well arm positioning, body support and more.

StabilitySecurely holds the patient while positioning and re-positioning between 0 and 90 degrees. Built-in lateral supports provide sturdy counter traction when distracting the operative arm. Suitable for patients up to 350 lbs.*

Head Rest Our unique double ball and socket joint head rest offers infinite tilt and rotation possibilities. Adjustable head rest height and forward extension features accommodate head positioning for kyphotic patients and patients of varying height.

Intubation Tree Attached to the head rest and holds intubation tubing.

Lateral Support Secures patient within the T-MAX Beach Chair Positioner throughout the procedure and provides and counter traction when needed. Adjustable height and width accommodate a variety of patient sizes.

Shoulder Pads Lateral sliding shoulder pad easily moves to expose the operative shoulder for arthroscopic procedures or can be used as support in arthroplasty procedures.

*Data on file: table test calculations document updated 8/19/2014

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Universal Clamp This easy-to-maneuver system can be used with all types of surgical beds while eliminating the need for adaptors.

Increased Rigidity* System maintains a steady position from start to finish.

Battery Powered Surgery is no longer dependant on supplied air pressure; this chargeable battery provides power suited for use in domestic or international facilities.

Optional Foot Pedal Activation

Advanced Sterile Drape with Distal Activation Switch

An integrated patient-positioning switch is located on the sterile drape

for easy access. The distal activation switch eliminates

the need for a foot pedal.

Traction Accessory

90° Connector

Piggy Back

SPIDER2 Limb PositionerThe SPIDER2 Limb Positioner is a second generation positioner is based on years of feedback from customers like you. Advanced features custom to the SPIDER2 take patient positioning to an entirely new level and enable an even more intuitive positioning.

Leave your hands free to do what they do best; the SPIDER2 Limb Positioner provides you with a steady starting position, while the integrated positioning switch aids you with manual adjustments and readjustments during surgery.

Ideal positioning for your arthroscopic and open shoulder proceduresOffering instantaneous repositioning, the SPIDER2 Limb Positioner delivers exceptional control of abduction,

rotation and forward flexion in both beach chair and lateral decubitus positions as well as forward and downward traction.

Beach Chair Position with T-MAX

• Easy maneuverability; can attach to T-MAX or OR table rail; ideal positioning for humeral nails and fx fixation

• Unimpeded access to the shoulder

• Stability of torso throughout procedure

• Control of head position

Beach Chair Position with SPIDER2• Full control

Lateral Decubitus• Control of internal/external rotation

• Measured traction without weights

• Enhanced ability to control abduction, forward flexion and rotation

• Secondary humeral distraction with the Lateral JACK, to gain space in glenohumeral joint for instability repairs

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Shoulder Positioning, continued

Lateral Jack

For secondary humeral head distraction in the lateral decubitus position.The Lateral JACK is designed for use with the SPIDER2 Limb Positioner for shoulder surgery in the Lateral Decubitus position when additional distraction is required. The Lateral JACK lifts the head of the humerus to create more working space in the shoulder joint during instability repairs.

• Low Profile Does not interfere with portal placement

• Rotation JACK can be swung in and out of the surgical field based on the surgeon’s need for distraction

• Hydraulic lift Allows for easy distraction, and greater surgeon control

Shoulder Holder

Take the complexity out of shoulder positioning.Designed for ease of use and convenience, the Smith & Nephew Shoulder Holder offers ideal limb positioning solutions for shoulder arthroscopy procedures.

Providing you with easy set-up and minimal components, the Shoulder Holder allows you to add the amount of weight you desire for optimal traction during lateral decubitus procedures.

Shoulder Holder

Shoulder Stabilization Kit

Lateral Jack

Ankle Positioning

Elbow Positioning

Wrist Positioning

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Extremities Positioning

SPIDER2 Limb Positioner

Easy access to tight places. Positioning for extreme access.The SPIDER2 Limb Positioner brings measurable traction and unimpeded access to your ankle, wrist and elbow procedures. Hands-free multipositioning means easy traction and trouble-free positioning.

Ankle• Quick and simple setup

• Measurable traction using the Traction Accessory

• Ideal positioning for any angle of knee flexion, including horizontal

• Unobstructed support from underneath operative foot

• Requires counter traction support: FerkelTM Thigh Holder

Wrist• Offers unimpeded access to the surgical wrist

• Delivers measured traction without weights

• Provides exceptional control of both supination and pronation positioning

• Facilitates ideal positioning for pinning and fracture work

Elbow• Allows unimpeded access to the elbow joint

• Enables easy positioning of elbow in extended or flexed position

• Delivers full control of supination or pronation position with 90° Connector

• Facilitates ideal positioning for supine elbow arthroscopy or open elbow procedures

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Wrist TowerThe Smith & Nephew Wrist Tower is design to be an easy to use standalone wrist tower that attaches to most OR tables and is accessible from within the sterile field. With adjustable traction and flexible positioning options the Wrist Tower provides exceptional access and stability.

• Flexible Design Low-profile design ensures excellent C-arm access

• Traction Measurable traction without the interference of cumbersome weights

• Positioning Ulnar and radial deviation and full rotation of patient’s arm

• Convenient Simple to set up, break down and store; easily sterilized: fully autoclavable

Compatible with our Wrist Stabilization Kits offered in small, medium and large sizes, patient size is not a factor in successfully positioning patients for wrist arthroscopy.

Extremities Positioning, continued

Western Elbow Positioner

Access to Operative SiteThe Western Elbow Positioner fits into a Clark Clamp and provides positioning options for lateral and prone elbow procedures.

• Low profile device provides exposure to the operative elbow. The slim design of the pad allows for easy draping

• Support Bar can be positioned close to the patient’s chest which provides more room around the elbow to work

• The Bicep Strap secures the patient’s arm to the support pad

Wrist Tower


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Extremities Positioning, continued

GUHL™ Non-Invasive Ankle DistractorThe GUHL Non-Invasive Ankle Distractor provides a cost-effective approach to non-invasive ankle distraction, without compromising quality or versatility.

• Designed for arthroscopic foot and ankle applications, include Ankle Arthrodesis and Lateral Ankle Ligament Staple Repair

• Easy to set up and access all portals

• Easy to control, adjust force, maintain and monitor during distraction, for a variety of ankle set-ups

• Facilitates gross distraction within the sterile field

FERKELTM Thigh HolderSuccessful ankle distraction requires counter traction – a force opposite to the mechanical pull. The FERKEL Thigh Holder provides the necessary counter traction needed for ankle arthroscopy procedures, and stabilizes the thigh. Designed to complement the GUHL Non-Invasive Ankle Distractor, the FERKEL Thigh Holder clamps to the bedrail of a surgical table and is used with disposable pads for easy cleanup.

• Clamps to bedrail for easy setup

• Holds leg securely to provide necessary counter traction and prevent leg movement

• Uses disposable pads for quick and easy cleanup

• Allows non-invasive ankle distraction, with simple setup and precise force adjustment

GUHL Non-Invasive Ankle Distractor

FERKEL Thigh Holder

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Knee Positioning

SPIDER2 Limb PositionerSimplified hands-free positioning. Positioned for success.

Versatile and controlled, the SPIDER2 Limb Positioner allows for a full range of motion in arthroscopic and total knee procedures. Position yourself for success using a positioning system based on years of surgeon feedback.

Leg Accessory• The SPIDER Leg Accessory provides a full range of

motion with easy manipulation to attain neutral, hyper-flexed, or extended positions for knee procedures

• Easy disconnection and reconnection of boot during surgery

• Ability to make subtle changes to internal/external rotation

• Stable positioning for meniscal repairs, including modified figure-four position

Knee Positioning, Neutral

Knee Positioning, Hyperflexed

Distal Thigh HolderThe Distal Thigh Holder attaches to the patient’s operative thigh allowing the lower leg to hang freely from the knee. This provides control of the thigh while allowing for easy manipulation of the lower leg.

Once attached to the SPIDER, the Distal Thigh Holder can be repositioned from within the sterile field to accommo-date desired knee positioning needs.

• Stable positioning for multiple knee procedures that do not require traction

• Easily disconnects and reconnects from the SPIDER intra-operatively for dynamic assessment

Distal Thigh Holder

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SURGICAL ASSISTANT Leg Holder

Knee Positioning, continued

Meniscal PostThe Meniscal Post provides a pivot point for levering the operative leg increasing access to the medial joint space during arthroscopic knee procedures.

• Attaches to the OR table rail for simple set up

• Ability to raise and lower the post for versatile positioning

• Designed to accommodate all adjustments from within the sterile filed

Leg HoldersStabilizing a patient’s thigh has never been easier.

Offering two standalone leg holder positioning solutions, Smith & Nephew provides you with the ability to customize your knee positioning requirements to fit your knee procedure techniques. The Leg Holder and SURGICAL ASSISTANT™ Leg Holder attach directly to the OR table and provide both height and width adjustments to accommodate patients of varying sizes. These stabilizing and clinically proven leg holder offerings take the instability out of knee positioning.

Meniscal Post

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Ordering Information

1. Note: Two (2) Universal Hip Distractors are required for the advanced set-up.

Hip Positioning System featuring the Active Heel TM Traction Boot

Reference # Description

Advanced Supine Hip Positioning System*

722039901 Active Heel Traction Boot with Universal Hip Distractor (Leg 1)

722039901 Active Heel Traction Boot with Universal Hip Distractor (Leg 2)

72201725 Supine Table Attachment with Pad

72200631 Perineal Post

Traditional Supine Hip Positioning System**

72203990 Active Heel Traction Boot with Universal Hip Distractor

72203991 Active Heel Traction Boot with Well Leg Holder

72201725 Supine Table Attachment with Pad

72200631 Perineal Post

Supine Rail Clamps

72200636 US Rail Clamps (2)

72200670 EU/UK Rail Clamps (2)

72200671 Denyer Rail Clamps (2)

72200672 Japanese Rail Clamps (2)

72200673 Swiss Rail Clamps (2)

*Do not exceed the advanced supine hip positioning system’s 330 lb/150 kg patient weight limit. **Do not exceed the traditional supine hip positioning system’s 400 lb/181 kg patient weight limit.

Traditional Lateral Hip Positioning System

72203990 Active Heel Traction Boot with Universal Hip Distractor

72201364 Lateral Table Attachment with Perineal Post Pad

Lateral Rail Clamps

72200643 US Rail Clamps (2)

72200675 EU/UK Rail Clamps (2)

72200676 Denyer Rail Clamps (2)

72200677 Swiss Rail Clamps (2)

Disposables, Accessories, & Replacement Parts

Single-use Disposables

72200634 Perineal Post Pad – Supine

72200635 Boot Insert Pad (2)

System Upgrades

Active Heel Traction Boot Retrofit Kits

72203992 Active Heel Traction Boot Retrofit Kit for Universal Hip Distractor

72203993 Active Heel Traction Boot Retrofit Kit for Well Leg Holder

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Accessories

72200637 Patient Transfer Assembly (for use with supine system only)

72200669 Storage Cart

72203800 Active HeelTM Traction Boot Knee Holder

Replacement Parts

72202682 Active Heel Traction Boot

72203275 Active Heel Traction Boot Replacement Kit – Center Strap Assembly

72203345 Active Heel Traction Boot Replacement Kit – Toe Strap Assembly

72204017 Active Heel Traction Boot Replacement Kit – Calf Strap Assembly

72204018 Replacement Carriage (black sliding mechanism on the boom compatible with Active Heel Traction Boot)

72204677 Active Heel Traction Boot Replacement Kit – Pads Only (includes boot calf pad, boot sole pad and strap pads)

72200630 Supine Table Attachment Pad

72200639 Patient Transfer Board Pad

72200718 Perineal Post Pad – Lateral (multi-use)

T-MAX Beach Chair Positioner


7210551 T-MAX Beach Chair Positioner

Includes:

Chair and Pad Assembly

Head Positioning Assembly

Table Leg Assembly

Knee Bolster

Lateral support (2 Units)

Disposable Accessories

7210559 Disposable Face Masks (case of 8)

T-MAX Table Rail Clamps and Leg Kits

7210554 North American Rail Clamps (2 Units)

7211099 European Square Rails Clamps (2 Units)

7211096 JE Adaptor Leg Kit

7211097 JE Rail Clamps (2 Units)

7211098 DE Adapter Leg Kit

7211100 Denyer Rail Clamps (2 Units)

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T-MAX Accessories

7210552 Adjustable Arm Board

7210553 T-MAX Cart

7210560 Knee Bolster

7210563 Drape Bar

7210564 Lateral Support Knobs (2 Units)

7210555 Intubation Pad

7210556 Gel Face Mask

7210557 Extended Lateral Support (2 Units)

7210558 Mask Straps (pair)

72201184 T-MAX Body Strap

72203415 Non-Operative Arm Board

72203318 Adjustable Lateral Support

SPIDER2Reference # Description

72203299 SPIDER2 Limb Positioner

72203300 Switch Drape (case of 20)

72203301 SPIDER2 Battery Pack

72203840 SPIDER2 Battery Charger

7210570 Piggy Back Connector (2 per box, required for all sterile procedures)

SHOULDER

Beach Chair Shoulder

7210571 Shoulder Connection Bar (2 units)

Disposable Kits

7210573 Shoulder Stabilization Kit (case of 12)

Lateral Decubitus Shoulder

7210576 Lateral Shoulder Connection Bar (2 units)

7210577 Traction Accessory

Disposable Kits

7210573 Shoulder Stabilization Kit (case of 12)

KNEE

Leg Accessories

72203235 SPIDER Leg Accessory (left)

72203236 SPIDER Leg Accessory (right)

72203239 3D SPIDER Connector (one required for each Leg Accessory)

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Disposable Kits

72203238 SPIDER Leg Stabilization Kit (case of 10)

Meniscal Post

72204353 Meniscal Post

Distal Thigh Holder

72204133 Distal Thigh Holder

Disposable Kits

72204134 Thigh Stabilization Kit (case of 10)

ELBOW

7210572 Elbow Connection Bar (2 units)

7210749 90° Connector

Disposable Kits

7210574 Elbow Stabilization Kit (case of 12)

WRIST

72200660 Wrist Arthroscopy Accessory


72200664 Wrist Counter Traction Post

Disposable Kits

72201550 Small Wrist Stabilization Kit (case of 5)

72201551 Medium Wrist Stabilization Kit (case of 5)

72201552 Large Wrist Stabilization Kit (case of 5)

ANKLE

72202932 Ankle Arthroscopy Accessory (2 units)


72201812 FERKELTM Thigh Holder

Disposable Kits

72202931 Ankle Stabilization Kit (case of 6)

Miscellaneous

72200918 SPIDER Cart

Lateral JACK for Lateral Decubitus Shoulder Positioning


72201428 Lateral JACK

Disposable Kits

72202466 Lateral JACK Sterile Cover (case of 25)

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Shoulder Holder


7207340 Shoulder Holder

Replacement Parts:

354009 S-hook

354001 Traction Rope

354008 Slide Bar

Disposable Kits

72200195 Disposable Shoulder Suspension Kit (case of 6)



7210575 Western Elbow Positioner

Wrist Tower


72202056 Wrist Tower System

System Includes:

72202114 Wrist Tower


72200660 Wrist Arthroscopy Accessory

Disposable Kits

72201550 Small Wrist Stabilization Kit (case of 5)

72201551 Medium Wrist Stabilization Kit (case of 5)

72201552 Large Wrist Stabilization Kit (case of 5)

Knee Leg Holder


012310 Leg Holder (Table Clamp not included)

013227 Table Clamp

012311 Replacement Lateral Leg Pad (included with REF 012310)

354010 Faucet Knob

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*The Table Clamp is designed to be clamped onto a draped surgical table. This allows for gross distraction to be accomplished by the surgical scrub team.

SURGICAL ASSISTANT™ Leg Holder

7209451 SURGICAL ASSISTANT Leg Holder

System Includes:

7209450 SURGICAL ASSISTANT T-Bar

7209452 SURGICAL ASSISTANT Replacement Cross Bar

7209456 SURGICAL ASSISTANT Reusable Foam Insert, grey, 1 ea

Disposable Kits

7209457 SURGICAL ASSISTANT Disposable Foam Insert, blue, box of 20

7209458 SURGICAL ASSISTANT Disposable Foam Insert, white, box of 20

FERKELTM Thigh Holder


72201812 FERKEL Thigh Holder includes 1 foam pad, the thigh holder and support bar.

Disposable Kits

72201813 Foam pad (Box of 1)

72201814 Foam pads (Box of 5)

GUHL™ Non-invasive Ankle Distractor


Reusable Components

7207079 GUHL Non-Invasive Ankle Distractor System

System Includes:

7207023 GUHL Non-Invasive Ankle Distractor

014459 Support Bar

013227 Table Clamp*

7207032 Sterilization Tray

Disposable Kits

014407 Sterile Ankle Distractor Foot Straps (Box of 6)*

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Notes

Smith & Nephew, Inc.150 Minuteman RoadAndover, MA 01810 USA

™ Trademark of Smith & Nephew. Certain marks Reg. US Patent and Trademark Office. All Trademarks acknowledged. ©2015 Smith & Nephew. All rights reserved. Printed in USA. 03024 V1 03/15

www.smith-nephew.comT +1 978 749 1000 US Customer Service: +1 800 343 5717International Customer Service: +1 978 749 1140

positioning made easy. - surgical devices and advanced ... · positioning made easy. ... the t-max...

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