Arthrex bietet mit dem 3-Punkt-Armhalter und STaR™ Sleeve sowie dem 
TRIMANO-Armhalter spezielle Armpositioniersysteme für eine unkomplizierte Patientenpositionierung, einen einfachen Zugang und Anpassbarkeit.

Shoulder

Product

Der Armhalter für die Seitenlage ermöglicht Abduktion, Elevation und Zug bei arthroskopischen und offenen Schultereingriffen. Zwei separate Kurbeln ermöglichen ein schnelles und einfaches intraoperatives Justieren des Armhalters. Der Armhalter kann an alle gängigen OP-Tische montiert werden. Durch einen Universal-Karabinerhaken ist das System mit allen STaR™ (Shoulder Traction and Rotation) Sleeves kompatibel. Bei Nichtgebrauch kann er praktisch zusammengeklappt werden und nimmt dann nur wenig Platz im OP ein.

Armhalter für die Seitenlage

Human

Child (D)

Dieses vielseitige System ermöglicht eine sichere, effektive und einfache Positionierung des Patienten bei arthroskopischen oder offenen Eingriffen an der Schulter in Seitenlage. Der Arm wird in einer STaR (Shoulder Traction and Rotation)-Armmanschette platziert, die anschließend mit dem multidirektionalen Armhalter verbunden wird. Der multidirektionale Armhalter mit Lateralzug ermöglicht eine ideale Positionierung der Schulter für einen besseren Zugang zum Glenohumeralgelenk. Bei arthroskopischen Routineeingriffen kann jeder beliebige Abduktionswinkel über nur einen Zug eingestellt werden, indem am dritten Zugkabel Gewichte angebracht werden. Der multidirektionale Armhalter lässt sich einfach an Standard-OP-Tischschienen montieren und verfügt über farblich markierte Kabelenden zur einfachen Identifikation beim Wechseln der Gewichte.

Multidirektionaler Armhalter

Das Schultersuspensionssystem für die Seitenlage ermöglicht aufgrund der einfachen, intuitiven Funktionen eine optimale arthroskopische Sicht bei allen Schultereingriffen.
Durch die unter sterilen Bedingungen einfach durchzuführende intraoperative Kontrolle der Abduktion, Innen- und Außenrotation und des lateralen Zugs wird ein Höchstmaß an direkter Kontrolle erzielt. Der Armhalter ist leicht und lässt sich einfach zusammenfalten, sodass er unkompliziert zu lagern und aufzubauen ist.

The Arthrex® Shoulder Suspension System (S3) for lateral decubitus positioning combines a simple design with intuitive functionality while providing surgeons with optimal visualization during arthroscopic shoulder procedures. The S3 provides control of abduction, rotation, and direct lateral distraction from within the sterile field for more efficient shoulder procedures. The lightweight tower folds into a compact vertical footprint for easy storage and setup by the clinical staff. Addressing complex shoulder pathology can be easier and more efficient with the Arthrex Shoulder Suspension System.&nbsp;

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Arthrex Shoulder Suspension System (S3) Highlights

The Arthrex® Shoulder Suspension System enables surgeon-controlled abduction, traction, and direct lateral joint distraction with a simple, lightweight, and compact tower system for easier and more efficient shoulder procedures in the lateral decubitus position.

Arthrex Shoulder Suspension System (S3) Tutorial

The Arthrex shoulder suspension system for lateral decubitus positioning combines a simple design with intuitive functionality, while providing surgeons with optimal visualization during arthroscopic shoulder procedures. Attach the tower to the O.R. bed by sliding on the rail clamp and secure it at the rail end by tightening both knobs. Lift the longer lever to change the forward flexion adjustment. Dock the base of the tower into the rail clamp by using the handles and approaching the rail clamp at a slight angle. Pull the safety knob out and raise the handle unfolding the tower. Push the upper boom forward until the locking mechanism is engaged. Attach the weight hanger and add additional weights in 2.5 pound increments if needed. Two additional weights are equivalent to 15 pounds, including the weight hanger, and would be ideal to start for most cases. Move the tower abduction position to position 1 or 2, depending on the surgeon's preference for the range of abduction. Safely open the sterile, disposable arm sleeve and keep it on the back table for instability cases where joint visualization and access are required. Open the lateral distraction sling as well. Both the arm sleeve and distracting sling come packaged with a sterile disc barrier. Attach each disc barrier to the autoclavable connectors. Place the patient's forearm into the sterile arm sleeve and their hand in a gentle fist, and wrap the Velcro tabs around snugly in sequence, resulting in a secure attachment for arm suspension. Hook the autoclave arm sleeve connector with a circular, sterile disc barrier onto the cable trolley, and advance the blue coupling screw in a clockwise direction to secure the connector to the cable trolley. Snap the arm sleeve into the arm sleeve connector, effectively suspending the arm on the opposite end. Rotate the gray part of the connector counterclockwise until it is tight to hold internal external rotation adjustments. Stable arm abduction and internal and external rotation adjustments can be altered on the fly in a sterile manner to produce unparalleled arthroscopic visualization. Without outside help taking the arm out of suspension. Intraoperatively is achieved simply by depressing the tabs holding the arm sleeve to the connector to easily and quickly check the range of motion or access. Pathology. Direct lateral distraction of arthroscopic joint visualization is achieved using the Autoclaved lateral distraction sling connector with a circular sterile disc barrier. Attach the sling connector to the upper extension boom of the tower. Apply the sterile lateral distraction sling to the patient's upper arm and secure it with the buckle. Connect the sling to the gray hook portion of the lateral distraction sling connector and pull the strap down, creating an effective joint distraction force. After removing the weights and weight hanger, fold the tower for removal and storage by returning it to the home position and pulling down on the blue handle to release the locking mechanism. While supporting the boom, slide the upper boom straight back and then pull down to collapse into a vertical structure. To press the blue safety lever at the bottom of the tower while tilting the tower back, and then lift it from the rail clamp at 16 pounds. The tower is light enough for any staff member to maneuver from the Or table to the storage car easily.

The Arthrex® Shoulder Suspension System enables surgeon-controlled abduction, traction and direct lateral joint distraction with a simple and compact shoulder tower system for easier and efficient shoulder procedures.

Arthrex® Shoulder Suspension System

Addressing complex shoulder pathology can be easier and more efficient with the new Arthrex shoulder suspension system, enabling surge and controlled abduction, traction and direct lateral joint distraction in a simple and compact tower. The tower is attached to the Or bed by sliding on the rail clamp and securing it a few inches from the rail end by tightening both knobs. The longer lever is lifted to change the forward flexion adjustment. The base of the tower is docked into the rail clamp by using the handles and approaching the rail clamp at a slight angle as shown. The safety knob is pulled out and the handle is raised, unfolding the tower. The upper boom is pushed forward until the locking mechanism is engaged. The weight hanger is attached and additional weights in two and a half pound increments are added, including the weight hanger. A total of three weights is the equivalent of 15 pounds and would be ideal for most cases. The sterile disposable arm sleeve is opened in a sterile manner to the back table with instability cases where joint visualization and access are required. The lateral traction sling can also be opened. Both of these are packaged with a sterile disc barrier, which are then attached to the autoclaved connectors by the scrub nurse as shown. A common approach to sterile application of the arm sleeve is to first apply a roll on sock to a prepped arm, and finish by applying sterile koban. The forearm is placed into the sterile arm sleeve, and the Velcro tabs are then wrapped around in sequence, resulting in a secure attachment for arm suspension. The autoclaved arm sleeve connector with circular barrier is hooked onto the cable trolley, and the coupling screw is advanced in a clockwise fashion to secure the connector to the cable trolley. The arm sleeve can then be snapped into the arm sleeve connector, effectively suspending the arm on the opposite end. The silver gray part of the connector is rotated counterclockwise until tied to hold internal external rotation adjustments. The tower abduction position is then moved from the home position to position one by the circulating nurse. Stable arm abduction, as well as internal and external rotation, can now be altered on the fly by the surgeon to produce unparalleled arthroscopic visualization without outside help. Taking the arm out of suspension intraoperatively is achieved by simply depressing the tabs holding the arm sleeve to the connector, allowing the surgeon to easily and quickly check range of motion or access pathology, such as peel back in a slap tear or engaging Hill-Sachs lesions. Direct lateral traction of arthroscopic joint visualization is achieved using the autoclaved lateral traction sling connector with a circular barrier, which is attached to the upper extension boom of the tower. The sterile lateral traction sling is then applied to the patient's upper arm and secured with the buckle. The sling is then connected to the hook portion of the lateral traction sling connector, and the strap is pulled down, creating an effective joint distraction force. Unparalleled joint visualization and access to the low 6:00 position is easily achieved for bankart lesions anteriorly and posteriorly. Slap repair visualization is outstanding, allowing quick and efficient repairs, as demonstrated with percutaneous suture passing with a lasso and insertion of a small diameter PushLock knotless anchor. After removing the weights and weight hanger, the tower can be folded for removal and storage by pulling down on the blue handle, sliding the upper boom straight back, and then pulling down to collapse it into a vertical structure. A blue safety lever at the bottom of the tower is depressed, while the tower is tilted back, and then lifted from the rail clamp. At 16 pounds, the tower is light enough for any staff member to easily maneuver from the ore bed to the storage cart.

application/pdf

Arthrex Shoulder Suspension System

Shoulder Suspension System Quick Setup Guide

Imaging and Resection

Arthrex Armour Technology Protection

Schultersuspensionssystem (S3)

Der TRIMANO FORTIS-Gelenkarm dient dem OP-Team als zusätzlicher Operationsassistent, denn sie hält den Arm des Patienten bei arthroskopischen und offenen Schulteroperationen, die in der Beach Chair-Position durchgeführt werden, zuverlässig und sicher in jeder gewünschten Position. Der kompakte und leichte Haltearm lässt sich leicht an jede OP-Tischschiene montieren und ist sofort einsatzbereit. Es sind keine zusätzlichen Strom- und Luftanschlüsse erforderlich. Der Arm des Patienten kann durch einfaches Drücken des Entriegelungsgriffs in jede Richtung bewegt werden. Der TRIMANO wird in der gewünschten Position arretiert, indem der Entriegelungsgriff losgelassen wird. Das praktische TRIMANO-Schulterset enthält eine sterile Abdeckung für den Haltearm, eine ergonomisch geformte Schaumstoffarmauflage und eine selbsthaftende Cobanbinde*, die eine schnelle und einfache Patientenvorbereitung ermöglicht und gleichzeitig den operativen Arm schützt.
*Coban ist eine eingetragene Marke der 3M

This video highlights the one-handed, easy-to-use TRIMANO FORTIS® patient positioning system, which allows critical OR staff to optimize workflows and frees them to focus on the procedure.
TRIMANO FORTIS is a registered trademark of Maquet GmbH.

TRIMANO FORTIS® Patient Positioning System Highlights

The TRIMANO FORTIS® support arm acts as an additional surgical assistant by securely and safely holding the patient’s limb in any desired position during arthroscopic or open procedures for shoulder, elbow, hand and wrist, and knee. As the surgical team’s “third hand,” the support arm allows critical OR staff to focus on the procedure and not patient positioning. The compact and lightweight device easily attaches to any OR table rail and is ready for immediate use.
TRIMANO FORTIS is a trademark of Maquet GmbH.

TRIMANO FORTIS® System Tutorial

The Arthrex TRIMANO Fortis support arm provides an innovative ergonomic solution by eliminating the need to manually hold the patient's extremity during surgery, allowing critical or staff to focus on the procedure. Open the fixation screw of the clamp completely. Do not open past the stopping point. This may damage the screw. Place the TRIMANO in the mounting position. Place the clamp on the Or side. Rail with the fixation screw pointing upward. Tighten the fixation screw. The clamp will auto adapt to a variety of or rail sizes. Check proper seating. Separate the closed side of the sterile sheath at the perforation when aligning the terminal adapter. Note that the direction arrow on the terminal adapter points down. Insert the adapter into the sterile drape. Tape the beginning of the sterile drape to the center area of the adapter using the adhesive tape. Do not cover the release buttons by the adhesive tape. Ensure that the adhesive tape is properly attached and completely surrounds the adapter so that fluid cannot ingress. Fit the adapter in the direction of the arrow to the pin of the support arm and turn. The locking device engages with an audible click. Both release buttons should protrude when the adapter is fully engaged. With the support arm in the neutral position fully extended towards the ceiling. Hold the sterile sheath at the bottom and slide fully over the arm until the side rail is reached. Ensure that the non sterile area is completely covered by the sterile sheath. The non sterile end should be Should be appropriately covered during sterile draping. The surgeon can precisely position the patient's extremity by simply pressing and holding the quick release handle. The limb can easily be released to check range of motion, by pushing the upper release buttons of the adapter simultaneously to unlock. Once the sterile drape has been removed, push the two lower release buttons of the adapter simultaneously to unlock. Remove the adapter from the support arm. Place the TRIMANO in the mounting position. Open the fixation screw of the clamp completely. Remove the TRIMANO from the side rail.