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Complete Solutions for Patient PositioningPositioning made easy.Improving access to virtually every joint space.

No matter which joint space you need to access, there’s aSmith & Nephew patient positioning system for you. From knees,shoulders and hips to elbows, ankles and wrists, our positioningsystems give you unimpeded access to compliment your technique.Hip PositioningHip Positioning System withActive Heel TM TechnologyThe Hip Positioning System was designed incollaboration with many of the world’s leading hiparthroscopists to create the first dedicated positioningsystem for hip arthroscopy.Demonstrating convenience and ease-of-use withover eight years of clinical use, the Hip PositioningSystem is the only arthroscopic positioning system tooffer a universal hip distractor for both the supine andlateral positions. Featuring the Active Heel TractionBoot which conforms to the patient’s anatomy foradded security, minimal heel lift, and a quickdisconnect for intraoperative dynamicassessment.1,2Exceptional range of motion Unique patented ball joint system for greatestrange of motion One easy-to-use control knob allows the hip to beeasily flexed, abducted or adducted eliminatingthe hassle of adjusting more than one individualcontrol for limb positioning Fine and gross traction controlledby adjustable carriageLateral SystemLateral and Supine Systems availableto meet your hip arthroscopytechnique requirementsEasily attaches to moststandard OR tables1 Design Validation Protocol and Report: 150018982 Design Verification Protocol and Report: 150018971

Used by surgical teams around the world, each is designed to provide a versatile,easy-to-use solution for you and your surgical staff. So you can focus on what you do best,instead of worrying about positioning. And we’ll continue to innovate by working withsurgeons and OR staff worldwide, developing solutions that meet your evolving needs.Security and simplicity of theActive Heel TM Traction BootConvenient Active Heel Technology conforms to thepatient’s anatomy to securely hold the patient2 Attaches easily to most standard OR tables C-arm compatible Accommodates a wide range of foot sizes2 Military-grade buckles minimize heel lift duringprocedures1 Quick-disconnect handle for dynamic rangeof motion assessment1Fits both right and left feetNo double-checking thatthe correct traction boot ison each hip positioning legQuick-disconnect featureEasy attachment and detachment fromthe system1. Ability to load patient’sfoot into the boot prior to positioning.Design minimizes constraint duringdynamic assessment of bony work forFAI procedures.Adjustable carriage for grosstraction and fine traction A turn of the knob allows ORstaff to easily adduct, abduct,flex and extend the legMilitary-grade buckles and strapsEasy to secure the patient prior to thecase and release the patient’s footfollowing the case1Unique, patented balljoint provides the greatestrange of motion2

Shoulder PositioningT-MAX Beach Chair PositionerOperating with confidence, the T-MAX Beach ChairPositioner affords the entire operating room staff thetools needed to position patients for beach chair shoulderarthroscopy and open procedures with ease. Offering adual ball and socket head rest, adjustable lateral supports,sliding shoulder pads and more, the T-MAX is a one-ofa-kind beach chair positioner that benefits surgical staff,anesthesiologists and surgeons. Equipped with adjustabletable legs and a variety of rail clamps, OR table fitis one less worry for your customer.AccessOptimize access to the repair site. T-MAX slides laterallyon the frame to either side of the ORtable bringing the patient closer to the surgeon.The sliding shoulder pad laterally adjusts with easeto maximize exposure or fully support the posterioraspect of the operative shoulder.VersatilitySuitable for arthroscopic and total shoulder proceduresthe T-MAX Beach Chair Positioner attaches to a variety ofOR tables and offers multiple accessories for intubation,well arm positioning, body support and more.StabilitySecurely holds the patient while positioning andre-positioning between 0 and 90 degrees. Built-in lateralsupports provide sturdy counter traction when distractingthe operative arm. Suitable for patients up to 350 lbs.*Intubation TreeAttached to the head restand holds intubation tubing.Head RestOur unique double ball and socketjoint head rest offers infinite tilt androtation possibilities. Adjustable headrest height and forward extensionfeatures accommodate headpositioning for kyphotic patientsand patients of varying height.Lateral SupportSecures patient within the T-MAXBeach Chair Positioner throughoutthe procedure and provides and countertraction when needed. Adjustableheight and width accommodate avariety of patient sizes.Shoulder PadsLateral sliding shoulder pad easily movesto expose the operative shoulder forarthroscopic procedures or can be usedas support in arthroplasty procedures.Non-operative Arm BoardIntubation Pad*Data on file: table test calculations document updated 8/19/2014Adjustable Lateral Support3

SPIDER2 Limb PositionerThe SPIDER2 Limb Positioner is a second generationpositioner is based on years of feedback from customerslike you. Advanced features custom to the SPIDER2take patient positioning to an entirely new level andenable an even more intuitive positioning.Leave your hands free to do what they do best; theSPIDER2 Limb Positioner provides you with a steadystarting position, while the integrated positioningswitch aids you with manual adjustments andreadjustments during surgery.rotation and forward flexion in both beach chair andlateral decubitus positions as well as forward anddownward traction.Beach Chair Position with T-MAX Easy maneuverability; can attach to T-MAXor OR table rail; ideal positioning for humeralnails and fx fixation Unimpeded access to the shoulder Stability of torso throughout procedure Control of head positionIdeal positioning for your arthroscopicand open shoulder proceduresBeach Chair Position with SPIDER2Offering instantaneous repositioning, the SPIDER2Limb Positioner delivers exceptional control of abduction,Lateral Decubitus Full control Control of internal/external rotation Measured traction without weights Enhanced ability to control abduction,forward flexion and rotationAdvanced Sterile Drape withDistal Activation SwitchAn integrated patient-positioningswitch is located on the sterile drapefor easy access. The distalactivation switch eliminatesthe need for a foot pedal.Increased Rigidity*System maintains a steadyposition from start to finish.Battery PoweredSurgery is no longerdependant on supplied airpressure; this chargeablebattery provides powersuited for use in domesticor international facilities. Secondary humeral distraction with theLateral JACK, to gain space in glenohumeraljoint for instability repairsPiggy BackUniversal ClampThis easy-to-maneuver systemcan be used with all types ofsurgical beds while eliminatingthe need for adaptors.90 ConnectorOptional Foot PedalActivationTraction Accessory4

Shoulder Positioning, continuedLateral JackShoulder HolderFor secondary humeral head distractionin the lateral decubitus position.Take the complexity out of shoulder positioning.The Lateral JACK is designed for use with theSPIDER2 Limb Positioner for shoulder surgeryin the Lateral Decubitus position when additionaldistraction is required. The Lateral JACK lifts the headof the humerus to create more working space in theshoulder joint during instability repairs.Designed for ease of use and convenience, theSmith & Nephew Shoulder Holder offers ideal limbpositioning solutions for shoulder arthroscopy procedures.Providing you with easy set-up and minimal components,the Shoulder Holder allows you to add the amount ofweight you desire for optimal traction during lateraldecubitus procedures. Low Profile Does not interfere with portal placement Rotation JACK can be swung in and out of the surgicalfield based on the surgeon’s need for distraction H ydraulic lift Allows for easy distraction, and greatersurgeon controlLateral JackShoulder Stabilization KitShoulder Holder5

Extremities PositioningSPIDER2 Limb PositionerEasy access to tight places. Positioning forextreme access.The SPIDER2 Limb Positioner brings measurable tractionand unimpeded access to your ankle, wrist and elbowprocedures. Hands-free multipositioning means easytraction and trouble-free positioning.Ankle Quick and simple setup Measurable traction using the Traction Accessory Ideal positioning for any angle of knee flexion,including horizontal Unobstructed support from underneathoperative foot Requires counter traction support:FerkelTM Thigh HolderAnkle PositioningElbow Allows unimpeded access to the elbow joint Enables easy positioning of elbow in extendedor flexed position Delivers full control of supination or pronationposition with 90 Connector Facilitates ideal positioning for supine elbowarthroscopy or open elbow proceduresElbow PositioningWrist Offers unimpeded access to the surgical wrist Delivers measured traction without weights Provides exceptional control of bothsupination and pronation positioning Facilitates ideal positioning for pinningand fracture workWrist Positioning6

Extremities Positioning, continuedWestern Elbow PositionerWrist TowerAccess to Operative SiteThe Smith & Nephew Wrist Tower is design to be aneasy to use standalone wrist tower that attaches to mostOR tables and is accessible from within the sterile field.With adjustable traction and flexible positioning optionsthe Wrist Tower provides exceptional access and stability.The Western Elbow Positioner fits into aClark Clamp and provides positioning optionsfor lateral and prone elbow procedures. Low profile device provides exposure to theoperative elbow. The slim design of the padallows for easy draping Support Bar can be positioned close to thepatient’s chest which provides more roomaround the elbow to work The Bicep Strap secures the patient’s armto the support pad F lexible Design Low-profile design ensuresexcellent C-arm access T raction Measurable traction without theinterference of cumbersome weights P ositioning Ulnar and radial deviation andfull rotation of patient’s arm C onvenient Simple to set up, break downand store; easily sterilized: fully autoclavableCompatible with our Wrist Stabilization Kits offeredin small, medium and large sizes, patient size is nota factor in successfully positioning patients for wristarthroscopy.Western Elbow PositionerWrist Tower7

Extremities Positioning, continuedGUHL Non-Invasive Ankle DistractorFERKELTM Thigh HolderThe GUHL Non-Invasive Ankle Distractor provides acost-effective approach to non-invasive ankle distraction,without compromising quality or versatility.Successful ankle distraction requires counter traction –a force opposite to the mechanical pull. The FERKEL ThighHolder provides the necessary counter traction neededfor ankle arthroscopy procedures, and stabilizes the thigh.Designed to complement the GUHL Non-Invasive AnkleDistractor, the FERKEL Thigh Holder clamps to the bedrailof a surgical table and is used with disposable pads foreasy cleanup. Designed for arthroscopic foot and ankle applications,include Ankle Arthrodesis and Lateral Ankle LigamentStaple Repair Easy to set up and access all portals Easy to control, adjust force, maintain and monitorduring distraction, for a variety of ankle set-ups Facilitates gross distraction within the sterile field Clamps to bedrail for easy setup Holds leg securely to provide necessary countertraction and prevent leg movement Uses disposable pads for quick and easy cleanup Allows non-invasive ankle distraction, with simplesetup and precise force adjustmentGUHL Non-Invasive Ankle DistractorFERKEL Thigh Holder8