M AQ U E T

PATIENT POSITIONING HANDBOOK

5. z z z z PATIENT POSITIONING FOR GENERAL SURGER Y SURGERY MA QUET MAQUET MA QUET MAQUET MA QUET MAQUET MA QUET MAQUET Universal table top 1150.30 Alphamaxx 1133.02 (not shown) Alphastar 1132.11/12/13 (not shown) Betastar 1131.12 (not shown)

GENERAL SURGER Y SURGERY

CONTENTS

5.1 Lithotomy position using Goepel knee crutches 5.2 Rectal surgery position with positioning unit . for kidney operations) 5.3 Lateral position (e.g (e.g. . for pulmonary operations) 5.4 Lateral position (e.g (e.g. 5.5 Struma position with head plate 5.6 Struma position with connection fixture and horseshoe -shaped horseshoehead rest . for interventions at the shoulder) 5.7 Beach chair position (e.g (e.g. 5.8 Supine position with abducted leg plates (MIS / Minimally invasive surgery) 5.9 Supine position with table top in reverse T rendelenburg position Trendelenburg (e.g . for interventions at the stomach; gastric banding) (e.g. 5.10 Accessories

Note: All the positions shown and described here are basic configurations. Be sure to follow the operating instructions for the operating table and accessories!

01/2005 GB Copyright by MAQUET, Rastatt

5.1

Lithotomy position using Goepel knee crutches

3

M AQ U E T

2 3

Transfer board 1150.57B0

Required accessories

P ositioning the patient

1 2 3 4

Arm posturing device 1001.44D0 Plexus cushion 1000.6900 Goepel knee crutch 1001.65A0 Adapters for Goepel knee crutches 1150.56AC

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

6. 7. 8. ! 9.

Mount the Goepel knee crutches 3 in the adapters 4. Position, pad and secure the legs. Remove the transfer board. Check all screw and clamp connections.

10. Following surgery return the table top to the original position in reverse order. Then proceed as follows: : 1. After the induction phase the patient is in the supine position, with the buttocks at the edge of the seat plate. The head rests on a plexus cushion 2. The legs rest on a transfer board which 4. isattached at the adapters4 Shift the operating table top toward the foot end.
01/2005 GB Copyright by MAQUET, Rastatt

2. 3. 4. 5.

Position, pad and secure the arms on the arm posturing devices 1.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

5.2

Rectal surgery position with positioning unit

8 A 6

M AQ U E T

1 8 7

Required accessories

P ositioning the patient

1 5 6 7 8

Arm posturing device 1001.44D0 Prone head rest 4006.1900 PU cushion 1003.7400 Knee supports 1003.3300

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

8. 9.

Lay the cushion 6 and the prone head rest 5 on the table top. Mount the arm posturing devices 1 on the side rails at the seat plate.

10. Shift the patient, in the prone position, from the preparation table to the pre-configured positioning aids. 11. Position the head and arms.

Then proceed as follows: : Rectal positioning unit 1130.56A0 1. 2. 3. 4. 5. 6. 7. Put the operating table top in its flat and level position (0-position). Remove the leg plates and, if required, the upper back plate. Move the table top into the Trendelenburg position. Mount the rectal positioning unit 8 at the leg plate mounting point. Mount the knee supports 7. Mount the cross-connection element A. Mount the iliac cushion 8 on the crossconnection element A.

12. Position, pad and secure the legs on the knee supports 7. ! 13. Check all screw and clamp connections. 14. Following surgery return the table top to the original position in reverse order.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

01/2005 GB Copyright by MAQUET, Rastatt

5. 3

Lateral position (e.g . for kidney operations) (e.g.

14 16

M AQ U E T
+ 15
14

+ 15
3

13 18 12

14 1 30 9

11

or

10

Required accessories

P ositioning the patient

1 3 9 10 11 12 13 14 15 16 18 30

Arm posturing device 1001.44D0 Goepel knee crutch 1001.65A0 Radial setting clamp 1003.61A0 Radial setting clamp 1003.23C0 Back plate, standard 1150.31D0 Head plate with double articulation 1130.53B0 Gel head ring 4006.0200 Fixture for body supports 1002.19C0

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

7.

8. ! 9. 10. 12.

Then proceed as follows: : 1. After the induction phase the patient lies in the supine position, with the buttocks at the upper edge of the seat plate and the lower edge of the lower, motor-driven back plate. The head rests on a gel head ring 13 13, on a head plate with double articulation 12 12, which is attached to the back plate 11 11. Shift the operating table top as far as possible toward the head end. Mount the Goepel knee crutch 3, using a radial setting clamp 9 / 10 10, to the side rail on the back plate 11 11. The arm posturing devices 1 are mounted at the side rails at shoulder height. Pre-position the head plate with the double articulation 12 12. 13. 14. 15. 16. 17. 18. ! 19. 20.

2. Back-buttocks support 1002.11A0 3. Supporting roll 1002.11D0 Tunnel cushion 1000.77A0 Leg plates, pair 1150.54DC 4. 5. 6.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

01/2005 GB Copyright by MAQUET, Rastatt

Shift the patient into the lateral position with the lower arm on the arm posturing device 1, place the upper arm in a Goepel knee crutch 3 and then pad and secure. Use the FLEX button to move the table top into the operation configuration. Rest the head on a gel head ring 13 to keep the ear free. The patient lies near the rear edge of the operating table top. Mount the fixtures for body supports 14 together with the body supports themselves 16 / 15 at the side rails on the seat plate and support the symphysis/sacrum. Mount the fixture for body supports 14 14, together with the back support 15 15, at the side rail on the upper back plate and support the scapula. The body supports at the symphysis, sacrum, scapula and (if necessary) the sternum stabilize the patients position. Position a tunnel cushion 18 between the patients legs. Secure the legs and tunnel cushion with a body strap, if necessary. Remove the arm posturing device on the rear side. Put the head plate with double articulation 12 in the optimum position. Check all screw and clamp connections. Following surgery return the table top to the original position in reverse order.

5. 4

Lateral position (e.g . for operations on the lung) (e.g.

14 17

M AQ U E T
+ 15
14 + 15

13 18 12

14 30 9 1

19

or

10

Required accessories

P ositioning the patient

1 3 9 10 12 13 14 15 17 18 19 30

Arm posturing device 1001.44D0 Goepel knee crutch 1001.65A0 Radial setting clamp 1003.61A0 Radial setting clamp 1003.23C0 Head plate with double articulation 1130.53B0 Gel head ring 4006.0200 Fixture for body supports 1002.19C0 Back-buttocks support 1002.11A0 Pubis-sacrum-sternum support 1002.11B0 Tunnel cushion 1000.77A0 Head plate adapter 1150.36A0 Leg plates, pair 1150.54DC

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

7.

8. 9. 10. 11.

Then proceed as follows: : 1. After the induction phase the patient lies in the supine position, with the thorax at the upper edge of the seat plate and the lower edge of the lower, motor-driven back plate. The head rests on a gel head ring 13 13, on a head plate with double articulation 12 12, which is attached to the head plate adapter 19 19. Shift the operating table top as far as possible toward the head end. Mount the Goepel knee crutch 3, using a radial setting clamp 9 / 10 10, to the side rail on the lower, motor-driven back plate. The arm posturing devices 1 are mounted at the side rails at shoulder height. Pre-position the head plate with the double articulation 12 12. ! 12. 13. 14. 15. 16. 17. 18. 19.

2. 3. 4. 5. 6.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

01/2005 GB Copyright by MAQUET, Rastatt

Shift the patient into the lateral position with the lower arm on the arm posturing device 1, place the upper arm in a Goepel knee crutch 3 and then pad and secure. Use the FLEX button to move the table top into the operation configuration. Rest the head on a gel head ring 13 to keep the ear free. The patient lies near the rear edge of the operating table top. Mount the fixtures for body supports 14 together with the body supports 17 and 15 on the seat plate side rails and support the symphysis/ sacrum. Mount the fixtures for body supports 14 14, together with the back support 15 15, at the side rail on the upper back plate and support the scapula. The body supports at the symphysis, sacrum, scapula and (if necessary) the sternum stabilize the patients position. Position a tunnel cushion 18 between the patients legs. Secure the legs and tunnel cushion with a body strap, if necessary. Remove the arm posturing device on the rear side. Put the head plate with the double articulation 12 in the optimum position. Check all screw and clamp connections. Following surgery, return the table top to the original position in reverse order.

5. 5

Struma position with head plate

M AQ U E T

13 30 22 21 20

Required accessories

P ositioning the patient

13 20 21 22 30

Gel head ring 4006.0200 Head plate, gas-strut assisted (+30/-45) 1130.67C0 Back plate, short 1150.32D0 Arm protector 1002.25A0

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

5.

Position, pad and secure the arms along the body with arm protectors 22 mounted on either side. Alternative:

6. 7.

Position, pad and secure on an arm posturing device 1 the arm accepting the infusion. Move the table top into the Trendelenburg position. Raise the lower, motor-powered back plate. Lower the leg plates 30 under motor power.

Then proceed as follows: : Leg plates, pair 1150.54DC 1. 2. Patient lies in the supine position following the induction phase. The head rests on a gel head ring 13 13, on a gas-strut assisted head plate 20 20, which is attached to the short back plate 21 21. Shift the operating table top toward the head end as necessary. Shift the patient toward the foot end until the shoulders are slightly above the upper edge of the short back plate 21 21. !

8. 9.

10. Lower the gas-strut assisted head plate 20 and rest the head, positioned for the operation, on a gel head ring 13 13. 11. Secure the legs with a body strap, if necessary. 12. Check all screw and clamp connections. 13. Following surgery return the table top to the original position in reverse order.
01/2005 GB Copyright by MAQUET, Rastatt

3. 4.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

5. 6

Struma position with connection fixture and horseshoe -shaped head rest horseshoe-

M AQ U E T

25 21 22 23 24

30

Required accessories

P ositioning the patient

21 22 23 24 25 30

Back plate, short 1150.32D0 Arm protector 1002.25A0 Connection bracket 1130.54B0 Connnection fixture 1002.65A0 Horseshoe-shaped head rest, one-piece 1002.71A0 Leg plates, pair 1150.54DC

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

5.

Position, pad and secure the arms along the body with arm protectors 22 mounted on either side. Alternative:

6. 7.

Position, pad and secure on an arm posturing device 1 the arm accepting the infusion. Move the table top into the Trendelenburg position. Raise the lower, motor-powered back plate. Lower the leg plates 30 under motor power.

Then proceed as follows: : 1. 2. Patient lies in the supine position following the induction phase. The head rests on a gel head ring 13 13, on a gasstrut assisted head plate 25 25, which is attached to the short back plate 21 with a connection bracket 23 and a connection fixture 24 24. Shift the operating table top toward the head end as necessary. Shift the patient toward the foot end until the shoulders are slightly above the upper edge of the short back plate 21 21.

8. 9.

10. Make precision adjustment of the connection bracket 24 and place the head on the horseshoeshaped head rest 25 in position for the operation. 11. Secure the legs with a body strap, if necessary. 12. Check all screw and clamp connections. ! 13. Following surgery return the table top to the original position in reverse order.
01/2005 GB Copyright by MAQUET, Rastatt

3. 4.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

5. 7

Beach chair position (e.g . for operations at the shoulder) (e.g.

M AQ U E T
28

1 27

26

30

Required accessories

P ositioning the patient

1 26 27 28 30

Arm posturing device 1001.44D0 Lateral support T548.8000 Shoulder plate 1150.34D1 Head support for shoulder operations (helmet) 1002.05A0

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column! Then proceed as follows: : 1. After the induction phase the patient lies in the supine position, with the buttocks at the upper edge of the seat plate and the lower edge of the lower, motor-driven back plate. The head is positioned with the assistance of a head support for shoulder operations (helmet) 28 28, which is mounted on the back plate for shoulder operations 27 27. Shift the operating table top as far as possible toward the head end. !

7. 8. 9. !

Remove the shoulder segment on the side to be treated and remove the arm posturing device. Stabilize the patient with a lateral support 26 26, as required. Position, pad and secure on the arm posturing device the arm accepting the infusion 1.

10. Check all screw and clamp connections. 11. Following surgery, return the table top to the original position in reverse order.

Leg plates, pair 1150.54DC

2.

3. 4.

5. 6.

Lower the 4-part leg plates 30 under motor power. Precision adjustment of the head support 28 28.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

01/2005 GB Copyright by MAQUET, Rastatt

Use the REFLEX button to move the patient, gently and safely, into the desired beach chair position.

5. 8

Supine position with leg plates abducted (MIS / Minimally invasive surgery)
1

M AQ U E T

21

30

Required accessories

P ositioning the patient

1 2 21 30

Arm posturing device 1001.44D0 Plexus cushion 1000.6900 Back plate, short 1150.32D0 Leg plates, pair 1150.54DC

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column! !

6. 7. 8. 9.

Abduction of the 4-part leg plates 30 30. Position, pad and secure the legs. Check all screw and clamp connections. Following surgery return the table top to the original position in reverse order.

Then proceed as follows: 1. After the induction phase the patient is in the supine position, with the buttocks at the lower edge of the seat plate. The head rests on a plexus cushion 2. Shift the operating table top as far as possible toward the foot end.
01/2005 GB Copyright by MAQUET, Rastatt

2. 3. 4.

Position, pad and secure the arms on the arm posturing devices 1, which are mounted on the side rails at shoulder height. Position arms palm up and at max. 90 abduction.

5.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

5. 9

Supine position with table top in the reverse Trendelenburg position (e.g . for interventions (e.g. at the stomach; gastric banding)
1

M AQ U E T
2 21

30 29 29 30

Required accessories

P ositioning the patient

1 2 21 29 30

Arm posturing device 1001.44D0 Plexus cushion 1000.6900 Back plate, short 1150.32D0 Foot plate 1001.86B0 Leg plates, pair 1150.54DC

The patient can be positioned once preparations for anaesthesia and monitoring during surgery have been completed by the anaesthesia team. When using operating table systems, positioning the patient in a specific position in preparation for surgery may be started only after the table top is securely locked on the column!

6. 7. 8. 9.

Mount the foot plates 29 to the side rails at the leg plates 30 30. Abduct the 4-part leg plates 30 30. Position, pad and secure the legs. Attach special straps to the side rails at the seat plate in order to additionally secure the patient against sliding.

Then proceed as follows: : 1. After the induction phase the patient is in the supine position, with the buttocks at the lower edge of the seat plate. The head rests on a plexus cushion 2. Shift the operating table top as far as possible toward the foot end. Position, pad and secure the arms on the arm posturing devices 1, which are mounted on the side rails at shoulder height. Position arms palm up and at max. 90 abduction.

10. Move the table top into the reverse Trendelenburg position. 11. Correct the arm position as necessary. ! 12. Check all screw and clamp connections. 13. Following surgery, return the table top to the original position in reverse order.

2. 3. 4.

5.

We have omitted information regarding any additional padding required in the interest of decubitus prevention.

01/2005 GB Copyright by MAQUET, Rastatt

5. 10 Accessories

M AQ U E T

Arm posturing device 1001.44D0

Plexus cushion 1000.6900

Goepel knee crutch 1001.65A0

Adapters for Goepel knee crutches 1150.56AC

Prone head rest 4006.1900

PU cushion 1003.7400

Knee supports 1003.3300

Rectal positioning unit 1130.56A0

Radial setting clamp 1003.61A0

Radial setting clamp 1003.23C0

10

Standard back plate 1150.31D0

Head plate with double articulation 1130.53B0

Gel head ring 4006.0200

Fixture for body supports 1002.19C0

Back-buttocks support 1002.11A0

11

12

13

14

15

Supporting roll 1002.11D0

Pubis-sacrum-sternum support 1002.11B0

Tunnel cushion 1000.77A0

Head plate adapter 1150.36A0

Gas-strut assisted head plate 1130.53B0

16

17

18

19

20

Back plate, short 1150.32D0

Arm protector 1002.25A0

Connection bracket 1130.54B0

Connnection fixture 1002.65A0

Horseshoe-shaped head rest 1002.71A0

21

22

23

24

25

Lateral support T548.8000

Back plate for shoulder operations 1150.34D1

Head support for shoulder operations (helmet) 1002.05A0

Foot plate 1001.86B0

Leg plates, pair 1150.54DC

01/2005 GB Copyright by MAQUET, Rastatt

26

27

28

29

30

Note: The order numbers are those applicable on the publication date.