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Anterior Cervical Set Up Tips + Tricks Bilateral: Rail Clamps
Angled Arms
Placement
Placement
The rail clamps should be attached to the bed rail on either side of the patient, in line with the top of patient’s head.
Position arms “low and wide” creating a low profile working area and ensuring enough distance for handle retraction.
TIP: If no rail space is available near the patient’s head, utilize a rail extender. ( See below. )
TIP: Keep arms level with the incision. Placing too low may interfere with imaging.
Unilateral:
Rail Clamp
Crossbar
Angled Arms
Placement
Placement
Placement
The rail clamp should be attached to the bed rail in line with the top of the patient’s head.
The crossbar should be positioned 2-3 fingers, level, above the patients head.
TIP: If the rail clamp height is in the way, consider using the Bilateral Anterior Cervical System. ( #SL91039 )
TIP: If more space is needed above the patient, the crossbar may be rotated upward.
Position arms “low and wide” creating a low profile working area and ensuring enough distance for handle retraction.
TIP: The rail clamp may be positioned on either side of the table if obstructing the surgeon or assistant’s movements.
TIP: When accessing uppermost cervical levels, an extension arm ( #44014HS ) can be added to the crossbar to help facilitate the appropriate angles of retraction. ( See below. )
TIP: If no rail space is available near the patient’s head, utilize a rail extender. ( See below. )
TIP: Keep arms level with the incision. Placing too low may interfere with imaging. TIP: When securing the arms to the crossbar, ensure the cam handle on the joint is in the same plane as the arms and not over the center of the crossbar taking up real-estate for the handles to be attached.
Frame Product Solutions / Add-Ons:
Table Adapter ( #41927 )
Rail Extender ( #5844 )
Extension Arm ( #44014HS )
If using a Jackson spine table, the Jackson Frame Adapter may be connected to the table to add a standard bed rail to attach the Thompson frame.
If the OR table rail does not extend past the patient’s head, a rail extender may be attached to the OR table rail to add length to the rail where needed. The rail clamp can then be secured to the rail extender.
If desired, an extension arm may be added to the crossbar or angled arm to help facilitate additional upward angles of retraction.
THOMPSON RETRACTOR ANTERIOR CERVICAL TIPS + TRICKS
QUESTIONS OR ADDITIONAL INFORMATION: 1.800.227.7543 / THOMPSONSURGICAL.COM
THOMPSON RETRACTOR ANTERIOR CERVICAL TIPS + TRICKS
Retractors: Handles
A
B
C
Placement
Handles can be clipped on to the arms or the crossbar at any location. TIP: Use the S-Lock® feature to lock blades securely in place, while moving the retractor handle out of the way on the surgeon’s access side.
TIPS: Utilizing S-Lock® technology, blades are easily placed by locking the blade in place on the handle and using in the same manner as a hand-held retractor to position (A). Once in place, the handle may be clipped onto the frame and secured (B). After clipping to the frame, blade angle may be further adjusted by using fingers or wrench to tow in or out (C).
NOTICE: Release tension on retractors every 20 minutes to ensure proper blood flow.
Blades Placement
Blades may be positioned in the head and toe direction as well as medially and laterally. Blades may be positioned for 1-4 levels of exposure from upper to lower cervical regions. TIP: Most often, the need for toothed blades is eliminated through the use of a table mount. NOTE: All anterior cervical blades shown below are radiolucent.
Concave
Medial / Lateral 35mm - 80mm
Concave Tapered Medial / Lateral 35mm - 70mm
Micro
Microdiscectomy 35mm - 80mm
Longitudinal
Longitudinal 30mm - 70mm
Midline
Mandible Left + Right
MIS Tapered
Medial / Lateral 35mm - 75mm
Odontoid
Odontoid / Longitudinal Cephalad
Malleable
Longitudinal Cephalad Multiple sizes available
Retractor Product Solutions / Add-Ons:
Manipulator Handle ( #42228 )
Hand Held Adapter ( #SL42128F )
Cervical Distractors
Can be used in addition to a Thompson Retractor Handle to make controlled retraction adjustments to the S-Lock blade position after the blade has been placed and attached to the frame.
Quickly and easily allows any Thompson S-Lock blade to become a hand held retractor. Ideal for when initial exposure requires hand held retractors or when retractors must be constantly repositioned.
Thompson Surgical now offers Left and Right Caspar Distractors, as well as distraction screws and screwdriver, for anterior cervical spine surgery.
EC
10341 East Cherry Bend Road Traverse City, Michigan 49684 phone: 231.922.0177 fax: 231.922.0174 thompsonsurgical.com
For a Free Trial Call 1-800-227-7543 * * Free trial valid for U.S. customers only. Customers outside the U.S.A., please call +1-231-922-0177 for availability. © 2017 Thompson Surgical Instruments, Inc. Traverse City, Michigan. ® S-Lock®
, PLA®, and the Thompson “T Circle” logomark
are Registered Trademarks of Thompson Surgical Instruments, Inc.
Patents: US4971038, US5025780, US5888197, US5897087, US5902233, US5984865, US6033363, US6416465, US6511423, US7338442, US7749163, US8257255, US8360971, US8617064 Other patents pending.
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