Device Description; Indications For Use - Smith & Nephew Wrist Tower Mode D'emploi

Device Description

The Smith & Nephew wrist tower works with the traction accessory and wrist
arthroscopy accessory to position a patient's arm for wrist procedures with the
patient in the supine position.

Indications for Use

The wrist tower is indicated for use during wrist and distal forearm procedures.
Warnings
• It is the responsibility of the surgeon to be familiar with the
appropriate surgical techniques prior to the use of this product.
• Do not exceed 30 lbs. (13.6 kg) of traction on the wrist tower.
• Do not grasp the traction accessory over the quick connect release
button as this can disengage the quick connect lock and disconnect
the limb from the wrist tower.
Care must be taken when applying the wrist stabilization components
•
to ensure sufficient circulation is maintained in the patient's hand and
fingers.
• To ensure the understanding of the safe use of the wrist tower for wrist
procedures, refer to the Wrist Tower, Traction Accessory and Wrist
Arthroscopy Accessory Instructions for Use.
• Always use the Smith & Nephew stabilization kits (Figure 1). Failure to
use the kits or improper use can cause injury to the patient.
• DO NOT reuse single use stabilization kits. Failure to comply may result
in patient injury and/or infection.
Precaution
U.S. Federal law restricts this device to sale by or on the order
of a physician.
Required components
A. T screws
B. Post clamps
C. Horizontal connection bars
D. Upper vertical post
E. Center vertical post
F. Lower vertical post
G. Counter traction bar
Wrist Tower Instructions for Use
Figure 1. Wrist stabilization kit
A. Spider drape (not required)
B. Wrist strap
C. Finger traps
Instructions for Use
1. The wrist tower is usually positioned vertically in a Clark clamp on the
operative side of the OR table, approximately 12 inches (30 cm) from the
patient's shoulder.
2. While the patient is being intubated, attach the sterile wrist plate to the
sterile wrist arthroscopy accessory on the sterile back table.
3. Test size of the patient's fingers with the non-sterile finger trap sizing ring in
order to select the appropriate wrist stabilization kit.
4. Open the appropriate sterile kit and insert the wrist strap from that kit into
the slot on the wrist plate.
5. Prep and drape the patient.
6. Insert the sterile lower vertical post into a Clark clamp on the operative side
of the table approximately 12 inches (30 cm) from the shoulder.
7. Wrap drape around the lower vertical post and clamp the drape in place.
8. Insert the center vertical post into the lower vertical post and tighten in
place.
9. Insert the upper vertical post into the center vertical post, and tighten.
10. Attach one post clamp high on the upper vertical post and one midway
down the lower vertical post.
11. Place the horizontal connection bar into the upper post clamp.
12. Insert the counter traction bar into the lower post clamp.
13. Align the counter traction bar over the biceps (and tourniquet) on the
operative arm.
14. Ensure the traction accessory is in the start position (****) and insert it into
the quick connect on the horizontal connection bar.
15. Insert the wrist accessory into the quick connect on the traction accessory.
Lock all the quick connects.
16. Place the appropriate sterile finger traps from the sterile wrist stabilization
kit on the patient's fingers and ensure that the black cones are facing the
palm side of the hand (Figure 2).
17. Align the wrist arthroscopy accessory vertically over the patient's elbow
and insert the finger trap cones into the grooves on the wrist arthroscopy
accessory (Figure 3).
18. To create initial gross traction, grasp the horizontal connection bar of the
wrist tower (near the upper vertical post), and the blue traction collar on
the traction accessory and pull vertically until the traction accessory reads
5 lbs (2 kg).
19. Lock the knobs on the post clamps to secure the proper height.
20. Secure the wrist strap across the hand.
English
135-99-01 Rev. E
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