INSTRUCTIONS FOR USE
6. To pre-position leg holder boots, loosen boot-locking
mechanism and slide boot along rod until top end (calf
portion) of boot is located approximately at patients'
mid-calf. Tighten Boot Locking Mechanism securely.
Repeat above procedure for the other legholder.
7. Position Leg Holder to be level with the table by
twisting the release handle and moving legholder
downward.
Positioning Patient in Legholder:
8. Ensure patient is positioned on O.R. table in accordance with procedure and
surgeon requirements.
9. Pre-position legholder boots. Loosen boot-clamping mechanism and slide boot
along rod until top end (calf portion) of boot is approximately at patient's mid-
calf. Tighten clamp.
NOTE: For larger patients a padded arm shield can be used to protect the wrist,
hand, and arm.
10. Positioning patient should be performed by two staff members. Support each
of the patient's legs by grasping the heel in one hand and the underside of the
knee with the other. Gently flex the knees and simultaneously transfer both legs
into the boots. Ensure patient's heels are securely seated in the heels of the
boots. As shown in figure below.
11. Observe following general guidelines regarding proper initial leg flexion: When
using LOW LITHOTOMY, take care not to hyperextend the leg while achieving
desired abduction. When using MEDIUM OR HIGH LITHOTOMY, use minimal initial
leg flexion and abduction as both will increase as legs are raised.
12. The ankle, knee, and opposing shoulder should be maintained in a relatively
straight-line during positioning. Notice that for a typical patient, the thigh and
foot are abducted at approximately the same angle
Document Number: 80028260
Version: B
Page 13
Issue Date: 20 MAR 2020
Ref Blank Template: 80025118 Ver. E