INSTRUCTIONS FOR USE
5. Proper initial leg flexion includes the following safe guidelines.
When using LOW LITHOTOMY, do not hyper-extend the leg while achieving de-
sired abduction.
When using MEDIUM OR HIGH LITHOTOMY, use minimal amounts of leg flexion/
abduction initially as these will increase as the legs are moved into higher posi-
tions.
6. Ensure that the toe/ankle, knee, and opposite shoulder are maintained in alignment
during positioning. The foot and thigh are typically abducted at the same angle. Use
the alignment markings on the rod for assuring symmetry.
7. In order to adjust the boot position and change the flexion angle, the boot should be
supported in one arm and with the other hand, or with the help of an assistant, the
boot adjustment clamp should be loosened by turning the handle on the boot clamp-
ing mechanism until the boot can be realigned to the proper position. Retighten the
boot adjustment clamp securely to the rod.
8. To articulate the patient's legs into high or low lithotomy, twist the handle at the distal
end of the stirrup rod and raise or lower both legs simultaneously. Release the handle
to lock the stirrups in place.
9. The boot has a self-adjusting design to protect the calf during raising or lowering of
the legs. It is free floating and moves with the patient's leg as needed.
3.5 Device Removal:
1. Raise/Lower stirrups by squeezing the release handles and simultaneously move the
stirrups slowly to a horizontal level.
2. Gently remove patient's legs from stirrups.
3. Stirrups should be in a vertical position for removal from sockets. Loosen clamp/
socket and remove stirrups.
WARNING: Additional positioning devices should be used when using
the stirrup in Trendelenburg or reverse Trendelenburg.
Property of KYRA Medical, Inc. ©2023
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IFU Document Number: 03-0125-REV-J