INSTRUCTIONS FOR USE
3. Position the blade clamp adjacent to the patient's hip. The longer lateral fin of each stirrup boot
should be positioned on the lateral side of the patient leg. Insert the blade of the stirrup fully into
the table clamp. Tighten the clamp by turning the knob clockwise.
4. The curve in the stirrup support structure should be positioned parallel to the patient's femur and
the stirrup ball joint should be in alignment with the femoral head.
5. WARNING: Once the stirrup is in the desired position, the blade clamps should be tightened in
the clamping mechanism. It is important that the clamps be tightened and tested for security.
6. Loosen the boot adjustment clamp, to slide boot along support rod until the calf portion of the
boot is located near the patient's calf. Tighten the boot adjustment clamp on the boot securely
such that boot cannot be moved. Repeat for the opposite stirrup.
7. Position stirrups to be level with the table by turning the handle while moving the stirrups into
place.
For best results, the OR Table pad should be 3" (7.6 cm) thick or more.
Patient Positioning:
Position the patient onto the operating room table according to the requirements of the surgeon and
facility protocol.
1. Pre-position stirrup boots as described in Section 3.3 above. Confirm the boot-clamping
mechanism is secure and the boot is positioned properly. Confirm stirrup blade clamp is secure
to the OR rail.
2. Safe patient positioning requires at least two staff members. Each staff member will
simultaneously place the patient's legs into a stirrup. Grasp the patient's heel in one hand and
place the other hand under the patient's knee. Gently flex the patient's knee while supporting the
leg with both hands. Each clinician should simultaneously transfer a leg into the stirrup boot.
3. Check that the patient's heels are fully seated into the heel section of the boot and the leg is
securely in place. Close the boot pad by using the medial to lateral closure system with optional
™
Secure-Lok
Closure Straps or VELCRO
4. 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. There should be a 10-degree bend in the patient's
knee.
5. Proper initial leg flexion includes the following safe guidelines:
When using LOW LITHOTOMY, do not hyper-extend the leg while achieving desired
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 positions.
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 clamping mechanism until the boot can be
realigned to the proper position. Retighten the boot adjustment clamp securely to the rod.
®
straps. Confirm the pads are secured.
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IFU Document Number: 03-0123-REV-E