General Surgery

MAQUET

PPPPPAAAAATIENT POSITIONING HANDBOOKTIENT POSITIONING HANDBOOKTIENT POSITIONING HANDBOOKTIENT POSITIONING HANDBOOKTIENT POSITIONING HANDBOOK GENERAL SURGERGENERAL SURGERGENERAL SURGERGENERAL SURGERGENERAL SURGERYYYYY

5.5.5.5.5. PPPPPAAAAATIENT POSITIONING FOR GENERAL SURGERTIENT POSITIONING FOR GENERAL SURGERTIENT POSITIONING FOR GENERAL SURGERTIENT POSITIONING FOR GENERAL SURGERTIENT POSITIONING FOR GENERAL SURGERYYYYY

MAMAMAMAMAQUET Universal table top 1150.30QUET Universal table top 1150.30QUET Universal table top 1150.30QUET Universal table top 1150.30QUET Universal table top 1150.30MAMAMAMAMAQUET Alphamaxx 1133.02 (not shown)QUET Alphamaxx 1133.02 (not shown)QUET Alphamaxx 1133.02 (not shown)QUET Alphamaxx 1133.02 (not shown)QUET Alphamaxx 1133.02 (not shown)MAMAMAMAMAQUET Alphastar 1132.11/12/13 (not shown)QUET Alphastar 1132.11/12/13 (not shown)QUET Alphastar 1132.11/12/13 (not shown)QUET Alphastar 1132.11/12/13 (not shown)QUET Alphastar 1132.11/12/13 (not shown)MAMAMAMAMAQUET Betastar 1131.12 (not shown)QUET Betastar 1131.12 (not shown)QUET Betastar 1131.12 (not shown)QUET Betastar 1131.12 (not shown)QUET Betastar 1131.12 (not shown)

CONTENTS

5.15.15.15.15.1 Lithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutches

5.25.25.25.25.2 Rectal surgery position with positioning unitRectal surgery position with positioning unitRectal surgery position with positioning unitRectal surgery position with positioning unitRectal surgery position with positioning unit

5.35.35.35.35.3 LLLLLateral position (e.gateral position (e.gateral position (e.gateral position (e.gateral position (e.g. for kidney operations). for kidney operations). for kidney operations). for kidney operations). for kidney operations)

5.45.45.45.45.4 LLLLLateral position (e.gateral position (e.gateral position (e.gateral position (e.gateral position (e.g. for pulmonary operations). for pulmonary operations). for pulmonary operations). for pulmonary operations). for pulmonary operations)

5.55.55.55.55.5 Struma position with head plateStruma position with head plateStruma position with head plateStruma position with head plateStruma position with head plate

5.65.65.65.65.6 Struma position with connection fixture and horseshoeStruma position with connection fixture and horseshoeStruma position with connection fixture and horseshoeStruma position with connection fixture and horseshoeStruma position with connection fixture and horseshoe-----shapedshapedshapedshapedshapedhead resthead resthead resthead resthead rest

5.75.75.75.75.7 Beach chair position (e.gBeach chair position (e.gBeach chair position (e.gBeach chair position (e.gBeach chair position (e.g. for interventions at the shoulder). for interventions at the shoulder). for interventions at the shoulder). for interventions at the shoulder). for interventions at the shoulder)

5.85.85.85.85.8 Supine position with abducted leg plates (MIS / MinimallySupine position with abducted leg plates (MIS / MinimallySupine position with abducted leg plates (MIS / MinimallySupine position with abducted leg plates (MIS / MinimallySupine position with abducted leg plates (MIS / Minimallyinvasive surgery)invasive surgery)invasive surgery)invasive surgery)invasive surgery)

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

5.105.105.105.105.10 AccessoriesAccessoriesAccessoriesAccessoriesAccessories

Note:Note:Note:Note:Note:All the positions shown and described here are basic configurations.

Be sure to follow the operating instructions for the operating table and accessories!Be sure to follow the operating instructions for the operating table and accessories!Be sure to follow the operating instructions for the operating table and accessories!Be sure to follow the operating instructions for the operating table and accessories!Be sure to follow the operating instructions for the operating table and accessories!

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MAQUET5.15.15.15.15.1 Lithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutchesLithotomy position using Goepel knee crutches

Required accessor iesRequired accessor iesRequired accessor iesRequired accessor iesRequired accessor ies

Arm posturing device 1001.44D0

Plexus cushion 1000.6900

Goepel knee crutch 1001.65A0

Adapters for Goepel knee crutches1150.56AC

11111

22222

33333

PPPPPosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ient

The patient can be positioned once preparationsfor anaesthesia and monitoring during surgeryhave been completed by the anaesthesia team.

When using operating table systems, positioningthe patient in a specific position in preparation forsurgery may be started only after the table top issecurely locked on the column!

Then proceed as follows:::::

1. After the induction phase the patient is in thesupine position, with the buttocks at the edge of

the seat plate.

2. The head rests on a plexus cushion 22222.

3. The legs rest on a transfer board whichisattached at the adapters44444.

4. Shift the operating table top toward thefoot end.

5. Position, pad and secure the arms on the armposturing devices 11111.

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

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6. Mount the Goepel knee crutches 33333 in theadapters 44444.

7. Position, pad and secure the legs.

8. Remove the transfer board.

9. Check all screw and clamp connections.

10. Following surgery return the table top to theoriginal position in reverse order.

!!!!!

22222

11111

33333

33333

44444

44444

Transfer board 1150.57B0

MAQUET5.25.25.25.25.2 Rectal surgery position with positioning unitRectal surgery position with positioning unitRectal surgery position with positioning unitRectal surgery position with positioning unitRectal surgery position with positioning unit



Prone head rest4006.1900

PU cushion 1003.7400

Knee supports 1003.3300

Rectal positioning unit 1130.56A0

11111

55555

66666

77777





1. Put the operating table top in its flat and levelposition (“0-position“).

2. Remove the leg plates and, if required, theupper back plate.

3. Move the table top into the Trendelenburgposition.

4. Mount the rectal positioning unit 88888 at the legplate mounting point.

5. Mount the knee supports 77777.

6. Mount the cross-connection element AAAAA.

7. Mount the iliac cushion 88888 on the cross-connection element AAAAA.


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8. Lay the cushion 66666 and the prone head rest 55555on the table top.

9. Mount the arm posturing devices 11111 on the siderails at the seat plate.

10. Shift the patient, in the prone position, fromthe preparation table to the pre-configuredpositioning aids.

11. Position the head and arms.

12. Position, pad and secure the legs on the kneesupports 77777.



!!!!!

88888

11111

66666

55555

77777

88888

88888

AAAAA

MAQUET55555.....33333 LLLLLateral positionateral positionateral positionateral positionateral position(e.g(e.g(e.g(e.g(e.g. for kidney operations). for kidney operations). for kidney operations). for kidney operations). for kidney operations)




Radial setting clamp 1003.61A0

Radial setting clamp 1003.23C0

Back plate, standard1150.31D0

Head plate with double articulation1130.53B0

Gel head ring 4006.0200

Fixture for body supports 1002.19C0

Back-buttocks support 1002.11A0

Supporting roll 1002.11D0

Tunnel cushion 1000.77A0

Leg plates, pair 1150.54DC

11111





1. After the induction phase the patient lies in thesupine position, with the buttocks at the upperedge of the seat plate and the lower edge of thelower, motor-driven back plate.

2. The head rests on a gel head ring 1313131313, on a headplate with double articulation 1212121212, which isattached to the back plate 1111111111.

3. Shift the operating table top as far as possibletoward the head end.

4. Mount the Goepel knee crutch 33333, using a radialsetting clamp 99999 / 1010101010, to the side rail on the backplate 1111111111.

5. The arm posturing devices 11111 are mounted at theside rails at shoulder height.

6. Pre-position the head plate with the double ar-ticulation 1212121212.


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33333

7. Shift the patient into the lateral position with thelower arm on the arm posturing device 11111, placethe upper arm in a Goepel knee crutch 33333 andthen pad and secure.

8. Use the FLEX button to move the table top intothe operation configuration.

9. Rest the head on a gel head ring 1313131313 to keep theear free.

10. The patient lies near the rear edge of theoperating table top.

12. Mount the fixtures for body supports 14 14 14 14 14 togetherwith the body supports themselves 1616161616 / 1515151515 atthe side rails on the seat plate and support thesymphysis/sacrum.

13. Mount the fixture for body supports 1414141414, togetherwith the back support 1515151515, at the side rail on theupper back plate and support the scapula.

14. The body supports at the symphysis, sacrum,scapula and (if necessary) the sternum stabilizethe patient’s position.

15. Position a tunnel cushion 1818181818 between thepatient’s legs.

16. Secure the legs and tunnel cushion with a bodystrap, if necessary.

17. Remove the arm posturing device on the rearside.

18. Put the head plate with double articulation 1212121212in the optimum position.

19. Check all screw and clamp connections.20. Following surgery return the table top to the

original position in reverse order.

!!!!!

!!!!!

1414141414

11111

1414141414

33333

1414141414

1313131313

1212121212

1111111111

99999

1818181818

16161616161515151515+++++

1515151515+++++

1010101010ororororor3030303030

99999

1010101010

1111111111

1212121212

1313131313

1414141414

1515151515

1616161616

1818181818

3030303030

MAQUET55555.....44444 LLLLLateral positionateral positionateral positionateral positionateral position(e.g(e.g(e.g(e.g(e.g. for operations on the lung). for operations on the lung). for operations on the lung). for operations on the lung). for operations on the lung)

Required accessor iesRequired accessor iesRequired accessor iesRequired accessor iesRequired accessor ies PPPPPosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ient




1. After the induction phase the patient lies in thesupine position, with the thorax at the upper edgeof the seat plate and the lower edge of the lower,motor-driven back plate.

2. The head rests on a gel head ring 1313131313, on a headplate with double articulation 1212121212, which is at-tached to the head plate adapter 1919191919.


4. Mount the Goepel knee crutch 33333, using a radialsetting clamp 99999 / 1010101010, to the side rail on the lower,motor-driven back plate.

5. The arm posturing devices 11111 are mounted at theside rails at shoulder height.

6. Pre-position the head plate with the doublearticulation 1212121212.


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!!!!!

1414141414

11111

1414141414

33333

1414141414

1313131313

1212121212

1919191919

99999

1818181818

17171717171515151515+++++

1515151515+++++

7. Shift the patient into the lateral position with thelower arm on the arm posturing device 11111, placethe upper arm in a Goepel knee crutch 33333 andthen pad and secure.

8. Use the FLEX button to move the table top intothe operation configuration.

9. Rest the head on a gel head ring 1313131313 to keep theear free.

10. The patient lies near the rear edge of theoperating table top.

11. Mount the fixtures for body supports 1414141414 togetherwith the body supports 1717171717 and 1515151515 on the seatplate side rails and support the symphysis/sacrum.

12. Mount the fixtures for body supports 1414141414, togetherwith the back support 1515151515, at the side rail on theupper back plate and support the scapula.

13. The body supports at the symphysis, sacrum,scapula and (if necessary) the sternum stabilizethe patient’s position.

14. Position a tunnel cushion 1818181818 between thepatient’s legs.

15. Secure the legs and tunnel cushion with a bodystrap, if necessary.

16. Remove the arm posturing device on the rearside.

17. Put the head plate with the double articulation1212121212 in the optimum position.

18. Check all screw and clamp connections.19. Following surgery, return the table top to the

original position in reverse order.

3030303030

or or or or or 1010101010



Radial setting clamp 1003.61A0

Radial setting clamp 1003.23C0

Head plate with double articulation1130.53B0


Fixture for body supports 1002.19C0


Pubis-sacrum-sternum support1002.11B0


Head plate adapter 1150.36A0


11111

33333

99999

1010101010

1212121212

1313131313

1414141414

1515151515

1919191919

3030303030

1717171717

1818181818

MAQUET55555.....55555 Struma position with head plateStruma position with head plateStruma position with head plateStruma position with head plateStruma position with head plate



Head plate, gas-strut assisted(+30°/-45°) 1130.67C0

Back plate, short 1150.32D0

Arm protector 1002.25A0


1313131313





1. Patient lies in the supine position following theinduction phase.

2. The head rests on a gel head ring 1313131313, on agas-strut assisted head plate 2020202020, which isattached to the short back plate 2121212121.

3. Shift the operating table top toward the headend as necessary.

4. Shift the patient toward the foot end until theshoulders are slightly above the upper edge ofthe short back plate 2121212121.


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!!!!!

1313131313

2121212121

20202020202222222222

5. Position, pad and secure the arms along the bodywith arm protectors 2222222222 mounted on either side.

Alternative:

6. Position, pad and secure on an arm posturingdevice 11111 the arm accepting the infusion.


8. Raise the lower, motor-powered back plate.

9. Lower the leg plates 3030303030 under motor power.

10. Lower the gas-strut assisted head plate 2020202020 andrest the head, positioned for the operation, ona gel head ring 1313131313.

11. Secure the legs with a body strap, if necessary.



3030303030

2020202020

2222222222

2121212121

3030303030

MAQUET55555.....66666 Struma position with connection fixtureStruma position with connection fixtureStruma position with connection fixtureStruma position with connection fixtureStruma position with connection fixtureand horseshoeand horseshoeand horseshoeand horseshoeand horseshoe-----shaped head restshaped head restshaped head restshaped head restshaped head rest

Required accessor iesRequired accessor iesRequired accessor iesRequired accessor iesRequired accessor ies PPPPPosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ientosi t ioning the pat ient




1. Patient lies in the supine position following theinduction phase.

2. The head rests on a gel head ring 1313131313, on a gas-strut assisted head plate 2525252525, which is attached tothe short back plate 2121212121 with a connection bracket2323232323 and a connection fixture 2424242424.

3. Shift the operating table top toward the head endas necessary.

4. Shift the patient toward the foot end until theshoulders are slightly above the upper edge ofthe short back plate 2121212121.


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5. Position, pad and secure the arms along the bodywith arm protectors 2222222222 mounted on either side.

Alternative:

6. Position, pad and secure on an arm posturingdevice 1 1 1 1 1 the arm accepting the infusion.


8. Raise the lower, motor-powered back plate.

9. Lower the leg plates 3030303030 under motor power.

10. Make precision adjustment of the connectionbracket 2424242424 and place the head on the horseshoe-shaped head rest 2525252525 in position for the operation.

11. Secure the legs with a body strap, if necessary.



!!!!!

30303030302222222222

21212121212323232323 2424242424

2525252525


Arm protector 1002.25A0

Connection bracket 1130.54B0

Connnection fixture 1002.65A0

Horseshoe-shaped head rest, one-piece1002.71A0


2222222222

2121212121

3030303030

2323232323

2424242424

2525252525

MAQUET55555.....77777 Beach chair positionBeach chair positionBeach chair positionBeach chair positionBeach chair position(e.g(e.g(e.g(e.g(e.g. for operations at the shoulder). for operations at the shoulder). for operations at the shoulder). for operations at the shoulder). for operations at the shoulder)



Lateral support T548.8000

Shoulder plate 1150.34D1

Head support for shoulder operations(helmet) 1002.05A0


11111

2626262626





1. After the induction phase the patient lies in thesupine position, with the buttocks at the upperedge of the seat plate and the lower edge ofthe lower, motor-driven back plate.

2. The head is positioned with the assistance of ahead support for shoulder operations (helmet)2828282828, which is mounted on the back plate forshoulder operations 2727272727.


4. Use the REFLEX button to move the patient,gently and safely, into the desired beach chairposition.

5. Lower the 4-part leg plates 3030303030 under motorpower.

6. Precision adjustment of the head support 2828282828.


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2727272727

2828282828

3030303030

!!!!!

!!!!!

11111

3030303030

2828282828

2727272727

2626262626

7. Remove the shoulder segment on the side to betreated and remove the arm posturing device.

8. Stabilize the patient with a lateral support 2626262626,as required.

9. Position, pad and secure on the arm posturingdevice the arm accepting the infusion 11111.


11. Following surgery, return the table top to theoriginal position in reverse order.

MAQUET55555.....88888 Supine position with leg plates abductedSupine position with leg plates abductedSupine position with leg plates abductedSupine position with leg plates abductedSupine position with leg plates abducted(MIS / Minimally invasive surgery)(MIS / Minimally invasive surgery)(MIS / Minimally invasive surgery)(MIS / Minimally invasive surgery)(MIS / Minimally invasive surgery)






11111

22222




Then proceed as follows:

1. After the induction phase the patient is in thesupine position, with the buttocks at the loweredge of the seat plate.


3. Shift the operating table top as far as possibletoward the foot end.

4. Position, pad and secure the arms on the armposturing devices 11111, which are mounted on theside rails at shoulder height.

5. Position arms palm up and at max. 90°abduction.


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!!!!!

11111

11111

22222

3030303030

2121212121

6. Abduction of the 4-part leg plates 3030303030.




2121212121

3030303030

MAQUET55555.....99999 Supine position with table top in the reverseSupine position with table top in the reverseSupine position with table top in the reverseSupine position with table top in the reverseSupine position with table top in the reverseTTTTTrendelenburg position (e.grendelenburg position (e.grendelenburg position (e.grendelenburg position (e.grendelenburg position (e.g. for interventions. for interventions. for interventions. for interventions. for interventionsat the stomach; gastric banding)at the stomach; gastric banding)at the stomach; gastric banding)at the stomach; gastric banding)at the stomach; gastric banding)





Foot plate 1001.86B0


11111

22222





1. After the induction phase the patient is in thesupine position, with the buttocks at the loweredge of the seat plate.


3. Shift the operating table top as far as possibletoward the foot end.

4. Position, pad and secure the arms on the armposturing devices 11111, which are mounted on theside rails at shoulder height.

5. Position arms palm up and at max. 90°abduction.


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!!!!!

11111

11111

22222

6. Mount the foot plates 2929292929 to the side rails atthe leg plates 3030303030.

7. Abduct the 4-part leg plates 3030303030.


9. Attach special straps to the side rails at theseat plate in order to additionally secure thepatient against sliding.

10. Move the table top into the reverseTrendelenburg position.

11. Correct the arm position as necessary.


13. Following surgery, return the table top to theoriginal position in reverse order.

2121212121

2929292929

2121212121

30303030303030303030

29292929292929292929

3030303030

MAQUET55555.....1010101010 AccessoriesAccessoriesAccessoriesAccessoriesAccessories

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

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Arm protector 1002.25A0 Connnection fixture 1002.65A0

99999

Connection bracket 1130.54B0

Arm posturing device1001.44D0

Radial setting clamp1003.61A0 Radial setting clamp 1003.23C0

43333311111 55555

13131313131212121212

Fixture for body supports1002.19C0

Pubis-sacrum-sternum support1002.11B0



Goepel knee crutch1001.65A0

1111111111

66666 77777

22222

88888 1010101010

1414141414 1515151515

Horseshoe-shaped head rest1002.71A0

181818181817171717171616161616 1919191919 2020202020

232323232322222222222121212121 2424242424 2525252525

282828282827272727272626262626 2929292929 3030303030


Head plate adapter 1150.36A0

Adapters for Goepel kneecrutches 1150.56AC Prone head rest 4006.1900

PU cushion 1003.7400 Knee supports 1003.3300Rectal positioning unit1130.56A0

Standard back plate1150.31D0

Head plate with doublearticulation 1130.53B0 Gel head ring 4006.0200

Supporting roll 1002.11D0Gas-strut assisted head plate1130.53B0


Head support for shoulderoperations (helmet) 1002.05A0

Back plate for shoulderoperations 1150.34D1 Foot plate 1001.86B0 Leg plates, pair 1150.54DCLateral support T548.8000

Documents

General Surgery