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4. Once patient is anesthetized, remove arms from inside Lateral

Supports. Anesthetist will control head as patient is raised to

sitting position.

5. Intubation pad is removed and replaced with Surgical Headset

which is adjusted to attain ideal head positioning by adjusting

height (Vertical Adjustment Knob,) head angle (Ball and Socket

Knob,) and forward translation (Headset Forward Slide Knob.) To

remove Intubation Pad the anesthetist must control the patient's

head. Loosen Double Ball and Socket and tilt pad back as far as

possible. Loosen Forward Slide Knob and remove Intubation Pad,

replace with Surgical Headset, adjust position and tighten headset.

Once positioning is complete, patient's head is secured in place

using the Face Mask. The Face Mask provides pressure to the

forehead and chin to secure the head in place during surgery. This

head positioning ensures the head and airways will be in a neutral

position throughout the surgical case. Face mask attaches into

two clips on each side of the Surgical Headset. Position mask and

tighten mask by pulling straps.

If using Surgical Headset:

1. Lower Surgical Headset so pad is behind patient's neck. Loosen

Forward Slide Knob and slide Surgical Headset as far back as

possible. Lower patient to supine and the head will slide down

headset to the center of the pad.

2. Ball and Socket can be loosened to allow the anesthetist to

manipulate Surgical Headset for optimal positioning. Anesthetist is

also free to use any usual techniques for intubation including use of

pillows under head and shoulders.

3. Once anesthetized, control patient's head while raising to a sitting

position. Place Face Mask on patient and tighten straps. Adjust

head position as required.

4. Once positioned the patient can be draped. When an anesthetic

block is used the Drape Bar attaches to the Surgical Headset and

keeps the drape off the patient's face.

5. Positioning is not generally adjusted during the surgery, but can be

adjusted under the drape if necessary. Extra care must be taken to

ensure pressure is not created on patient's head or neck structures

during adjustments.

6. Following the procedure, remove draping.

7. Release Face Mask and lower headset pad behind patient's neck.

8. Use Lift System Release Handle to slowly lower patient to supine

position.

9. Remove Lateral Support from transfer side before moving patient

from the Beach Chair to a stretcher.

10. Smith & Nephew's SPIDER Limb Positioner can be used to intra-

operatively position the operative arm during surgery. When using

the T-MAX, the SPIDER is attached to the Attachment Bar on the

back of the T-MAX Beach Chair.

For additional information please see SPIDER Limb Positioner and

Beach Chair Shoulder Bar Instructions for Use.

T-MAX Beach Chair

Instructions for Use

Cleaning

• Wipe pads with mild detergent/disinfectant following each case.

• Avoid moisture contact on Hex Shaft of T-MAX.

• Dry off Hex Shaft after use.

• Disposable foam masks should be discarded after each surgery.

Storage

The T-MAX is stored on its own cart for transportation and storage.

To place T-MAX on cart, move Headset forward. Lift T-MAX by the Lift

System Release Handle and place Lift System Release Handle over

front hook on cart. Bottom of cylinders rest against cylinder rests.

Intubation pad goes between slide pad and knee bolster. Arm board

post sits on side storage hook on cart. Clamp post at bottom of cart

holds both Square Rail Clamps. Knee Bolster is wedged between

Lateral Supports and tightened in place.

Warranty

This product has a standard 12-month parts and labor warranty against

manufacturing defects.