Amatech F-yfes 80028203 Finned Stirrups Instruction Manual

Finned Stirrups
Instructions for Use
Product No. F-YFES 80028203
Version A

F-YFES 80028203 Finned Stirrups

IMPORTANT NOTICES
Prior to using this or any other type of medical apparatus with a patient, it is recommended that you read the Instructions for Use and familiarize yourself with the product.

• Read and understand all warnings in this manual and on the device itself prior to use with a patient.
• The symbol is intended to alert the user to important procedures or safety instructions regarding the use of this device.
  The symbol on the labels is intended to show when the IFU should be referenced for use.
• The techniques detailed in this manual are only manufacturer’s suggestions.
  The final responsibility for patient care with respect to this device remains with the attending physician.
• Device function should be checked prior to each usage.
• This device should only be operated by trained personnel.
• All modifications, upgrades, or repairs must be performed by an authorized specialist.
• Keep this manual available for future reference.
• Any serious incident that has occurred in relation to the device should be reported to the manufacturer and the competent authority listed in this document.

General Information

AMATECH Corporation is a subsidiary of Allen Medical Systems, Inc. which is a subsidiary of Hill-Rom, Inc. (NYSE: HRC), a leading worldwide manufacturer and provider of medical technologies and related services for the health care industry. As an industry leader in patient positioning, our passion is improving patient outcomes and caregiver safety, while enhancing our customers’ efficiency. Our inspiration comes from providing innovative solutions to address our customers’ most pressing needs. We immerse ourselves in our customers’ world, to better address these needs and the daily challenges of their environment. Whether developing a solution to address patient positioning challenges or creating a system to offer safe and effective surgical site access for the surgical team, we are committed to providing products of exceptional value and quality.
1. 1 Copyright Notice:
Revision
© 2019 Allen Medical Systems Inc. ALL RIGHTS RESERVED.
No part of this text shall be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information or retrieval system without written permission from Allen Medical Systems, Inc. (Allen Medical).
The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Allen Medical.
1.2 Trademarks:
Trademark information can be found in www.allenmedical.com/pages/termsconditions.
Product may be covered by one or more patents. Please consult listing at www.hill-rom.com/patents for any patent(s).
1.3 Contact Details:
For complains or ordering information, please contact your supplier.
1.4 Safety Considerations:
1.4.1 Safety hazard symbol notice:
DO NOT USE IF PRODUCT SHOWS VISIBLE DAMAGE AND MATERIAL DEGRADATION.
1.4.2 Equipment misuse notice:
Do not use the product if package is damaged or unintentionally opened before use.
All modifications, upgrades, or repairs must be performed by an authorized specialist.
1.4.3 Notice to users and/or patients:
Any serious incident that has occurred in relation to the device should be reported using the contact details provided in section 1.3 of this Instruction for Use and to the
competent authority of the Member State in which the user and/or patient is established.
Note: Refer to the surgical table manufacturer’s user guide for instructions on use.
Always refer to the surgical table manufacturer’s weight limits.
NEVER EXCEED THE WEIGHT CAPACITY OF THE OPERATING ROOM TABLE
1.4.4 Safe disposal:
Customers should adhere to all federal, state, regional, and/or local laws and regulations as it pertains to the safe disposal of medical devices and accessories.
If in doubt, the users of the device shall first contact their supplier for guidance on safe disposal protocols.
1.5 Operating the system:
1.5.1 Applicable Symbols:

Symbol used	Description	Reference
	Indicates the device is a medical device	MDR 2017/745
	Indicates the medical device manufacturer	EN ISO 15223-1
	Indicates the manufacturer’s serial number. The device serial number is encoded as 1 YYWWSSSSSSS. •YY indicates the year of manufacture. i.e. 118WWSSSSSSS where 18 represents the year 2018. •WW indicates the number of the manufacturing week per a standard shop calendar. (Leading zeros included.) •SSSSSSS is a sequential unique number.	EN ISO 15223-1
	Indicates the medical device Global Trade Item Number	21 CFR 830 MDR 2017/745
	Indicates the date when the medical device was manufactured	EN ISO 15223-1
	Indicates the manufacturer’s lot code using the Julian Date yyddd, where yy indicates the last two digits of the year and ddd indicates the day of the year. i.e. April 4th, 2019 would be represented as 19094.	EN ISO 15223-1
	Indicates the manufacturer’s catalogue number	EN ISO 15223-1
	Indicates the need for the user to consult the instructions for use for important cautionary information such as warnings and precautions	EN ISO 15223-1

	Indicates the device do not contain natural rubber or dry natural rubber latex	EN ISO 15223-1
	Indicates the authorized representative in the European Community	EN ISO 15223-1
	Indicates the Medical Device complies to REGULATION (EU) 2017/745	MDR 2017/745
	Indicates a Warning	IEC 60601-1
	Intended to show when the IFU should be referenced for use	EN ISO 15223-1

1.5.2 Intended User and Patient Population:
Intended User: Surgeons, Nurses, Doctors, Physicians and OR healthcare professionals involved in the device intended procedure. Not intended for Lay persons.
Intended Populations:
This device is intended to be used with patients that do not exceed the weight the safe working load specified in product specification section 4.2.
1.5.3 Compliance with medical device regulations:
This product is a non-invasive, Class I Medical Device. This system is CE marked according to Annex VIII, Rule 1, of the Medical Device
Regulations (REGULATION (EU) 2017/745)
1.6 EMC considerations:
This is not an electromechanical device. Therefore, EMC Declarations are not applicable.
1.7 EC authorized representative:
HILL-ROM SAS B.P. 14 – Z.I. DU TALHOUET
56330 PLUVIGNER
FRANCE
TEL: +33 (0)2 97 50 92 12
1.8 Manufacturing Information:
ALLEN MEDICAL SYSTEMS, INC.
100 DISCOVERY WAY
ACTON, MA 01720 USA
800-433-5774 (NORTH AMERICA)
+1 978-266-4200 (INTERNATIONAL)

System

2.1 System components Identification:

2.2 Product Code and Description: F-YFES – Finned Stirrups
2.3 List of Accessories and Consumable Components Table:
The following list are accessories and components that may be used with this device

Note: Consult the corresponding IFU for the products mentioned in the above table.
CAUTION: Reuse of disposables will lead to patient cross contamination and/or device failure.
2.4 Indication for use:
The Finned Stirrups are used in a variety of surgical procedures including, but not limited to gynecology, urology, laparoscopy, general and robotic surgery. These devices are capable of being used with a broad patient population as determined appropriate by the caregiver or institution.
2.5 Intended use:
The Finned Stirrup are designed to position and support the patient’s foot, lower leg and upper leg in a variety of surgical procedures including, but not limited to gynecology, urology, laparoscopy, general and robotic surgery.
These devices are intended to be used by healthcare professionals within the Operating Room setting.
2.6 Residual risk:
This product complies with relevant performance, safety standards. However, patient harm from misuse, device, function or mechanical hazards cannot be completely excluded.

Equipment Setup and Use:

3.1 Prior to use:
a. Inspect the product looking for any visible damage or sharp edges that could be caused by a drop or impact during storage.
b. Make sure product has been properly cleaned and disinfected and wiped dry prior to each use.
3.2 Setup:
a. Prior to setting up the Stirrups, assess the patient for any pre-existing conditions that might contraindicate the use of leg positioning devices (e.g. recent hip surgery).
b. The Stirrups mount to the table rails using standard rail clamps.

c. Position these clamps adjacent to the patient’s hip. The boots are marked on the bottom for the patient’s left and right.

d. Insert blade on the Stirrups mount into rail Clamp.
e. Once the stirrup is placed in the rail clamp, tighten handle securely.
WARNING: The handle must be tightened securely before use.

f. To pre-position stirrup boots, loosen boot-locking mechanism and slide boot along rod until top end (calf portion) of boot is located approximately at patient’s mid calf. Tighten Boot Locking Mechanism securely. Repeat above procedure for the other stirrup.
g. Position stirrups to be level with the table by squeezing the release handle and moving stirrup downward.

Positioning Patient in Stirrups
h. Ensure the patient is positioned on O.R. table in accordance with procedure and surgeon requirements.
i. Pre-position stirrup boots. Loosen boot-clamping mechanism and slide boot along rod until top end (calf portion) of boot is approximately at patient’s mid-calf. Tighten clamp.
NOTE: For larger patients, a padded arm shield can be used to protect the wrist, hand and arm.
j. Positioning patient should be performed by two staff members. Support each of the patient’s legs by grasping the heel in one hand and the underside of the knee with the other. Gently flex the knees and simultaneously transfer both legs into the boots
k. Ensure patient’s heels are securely seated in the heels of the boots.
l. Observe following general guidelines regarding proper initial leg flexion:

• When using low lithotomy, take care not to hyperextend the leg while achieving desired abduction.
• When using medium or high lithotomy, use minimal initial leg flexion  and abduction as both will increase as legs are raised.

m. 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.

n. To fine tune boot position and flexion, support boot heel with one hand and, with the other, loosen the boot-clamping mechanism roughly ¼ turn. Use both hands to support and adjust boot to desired position. Tighten clamping mechanism securely.
o. 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. Close boot pad.
WARNING: Additional positioning devices should be used when using the stirrup in Trendelenburg or reverse Trendelenburg.
3.3 Device controls and indicators:

This Symbol Represent the Patient’s Right foot

This Symbol Represent the Patient’s Left foot

This Scale represents Lithotomy angle (For Reference only).

3.4 Storage, Handling and Removal Instructions:
Storage and Handling:
The product should be stored in a clean, safe environment to prevent product damage.
Removal: 
a. Lower stirrups by squeezing the release handles, and simultaneously downstage the legs slowly to the desired level.
b. Gently remove patient’s legs from stirrups.
c. Stirrups should be in a vertical position for removal from sockets. Loosen clamp/socket and remove stirrups.
3.5 Troubleshooting Guide:
Not Applicable.
3.6 Device Maintenance:
Make sure that all labels are installed and can be read. Replace labels as necessary by using a plastic scraper to remove the label. Use an alcohol wipe to remove any adhesive residue.
Contact us if you need to repair or replace the device by using the information from the contact details section (1.3).

Safety Precautions and General Information:

4.1 General Safety Warnings and Cautions:
WARNINGS
a. Do not use if product shows visible damage.
b. Prior to using this device, please read the instructions for equipment set up and use. Familiarize yourself with the product before application on a patient.
c. To prevent patient and/or user injury and/or equipment damage, examine the device and surgical-table side rails for potential damage or wear prior to use. Do not use the device if damage is visible, if parts are missing or if it does not function as expected.
d. To prevent patient and/or user injury and/or equipment damage, verify the device attaching clamps completely touch the table-side rails and are firmly in place. Test the locking mechanism to ensure no movement when elevated or pushed.
e. Product will be damaged, if it is cleaned with bleach.
f. Prior to using this or any other type of medical apparatus with a patient, it is highly recommended that you read the Instructions for Use and familiarize yourself with the product.
g. Do not use if the product shows visible damage.
h. Read and understand all warnings in this manual and on the device itself prior to use for patient.
i. Device function should be checked prior to each usage.
j. This device should only be operated by medically trained personnel.
k. Additional positioning devices should be used when using the stirrup in Trendelenburg or reverse Trendelenburg.
l. The patient’s toes may extend beyond the end of the stirrup boot.
m. The product with specified rail clamps.
n. Check for patient contact pressure points and consult the physician before use.
o. Warn the user against using non-approved padding.
p. To secure the patient’s legs in the boots prior to adjusting.
CAUTION:
a. Do not exceed safe working load shown in the product specification table.
b. Do not clean stirrup by immersing it in liquid or using high-pressure spray. Such action may damage product.
c. Do not raise the thigh closer to torso than 90º as patient may experience nerve damage.
d. To prevent patient and/or user injury and/or equipment damage: all modifications, upgrades, or repairs must be performed by an Allen authorized specialist. Failure to comply may void the warranty.
e. Keep patient and caregivers away from the area between the gas spring and the main support tube. Possible pinch point hazard when in extreme high lithotomy.
4.2 Product Specifications:

Note: Consult the corresponding IFU for the products mentioned in the above table.
4.3 Sterilization Instruction:
This device is not intended to be sterilized. Equipment damage may occur.
4.4 Cleaning and Disinfection Instruction:
WARNING:

• Do not use bleach or products that contain bleach to clean the device. Injury or equipment damage can occur.
• After each use, clean the device with alcohol-based wipes.
• Do not put the device into water. Equipment damage can occur.
• Use a cloth and a quaternary ammonium disinfecting/cleaning solution to clean and disinfect the device.
• Read and follow the manufacturer’s recommendation for low-level disinfection.
• Read and follow the cleaning product’s instructions. Use caution in areas where liquid can get into the mechanism.
• Wipe the device with a clean, dry cloth.
• Make sure that the device is dry before you store it or use it again.

CAUTION: DO NOT IMMERSE PADS IN ANY LIQUID
CAUTION: DO NOT USE BLEACH OR PHENOLICS ON PADS

List of Applicable Standards:

Document Number: 80028203
Version: A
Issue Date: 18 MAR 2020
Ref Blank Template: 80025118 Ver. E

References

• Patents | Hillrom