AMATECH F-10057 Manuel D'instructions page 13

INSTRUCTIONS FOR USE
f. Positioning should be performed by at least two staff members. Support each
of the patient's legs by grasping the heel in one hand and the under-side of the
knee with the other. Gently flex the knees and simultaneously transfer both legs
into the Boots.
g. Ensure the patient's heels are securely seated in the heels of the Boots.
h. Observe the following general guidelines regarding proper initial leg flexion:
1. When using LOW LITHOTOMY, take care not to hyperextend the leg while
achieving desired abduction.
2. When using MEDIUM or HIGH LITHOTOMY, use minimal initial leg flexion
and abduction as both will increase as legs are raised.
3. 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.
i. To fine tune the Boot position and flexion, support Boot heel with one hand and,
with the other hand, loosen Boot Locking Mechanism. Use both hands to
support and adjust Boot to desired position. Tighten clamping mechanism
securely.
j. Perform a final check to ensure that the patient's heels are properly seated in
the heels of the Boots and that there are no pressure points on the calf. The leg
must be centered in the Boot to eliminate pressure on the peroneal nerve.
Secure the pad. Over tightening the Velcro strap serves no clinical benefit and
can cause damage to the strap/pad. Gently secure the strap to the boot,
never pulling it at an angle.
k. Grasp and twist Release Handles and simultaneously move legs slowly to
desired height, maintaining leg symmetry.
l. Once lithotomy level has been achieved, check for pressure points and, if
necessary, make appropriate adjustments.
NOTE: Patient leg position symmetry can be documented using leg length indicator
markings on the stirrup posts.
Document Number: 80028261
Version: B
Page 13
Issue Date: 20 MAR 2020
Ref Blank Template: 80025118 Ver. E