Trenguard Dynamic Frame
Quick start guide
Install Frame
Open the rail clamps fully and mount them on the torso section of the surgical table, angled toward the head. Do not mount on the head section.
Holding the mounting posts and frame plate, adjust the post distance to center the frame across the table. Insert both posts into the clamps simultaneously for easier installation.
Install the frame before patient transfer. Swivel posts allow positioning out of the way. Do not tighten clamps or lock levers yet.
Ensure the frame is centered with black levers toward the foot of the table. Check the label for proper orientation.
Attach Cervical Notch Bolster to Frame
Place the bolster onto the depression in the frame, centered
Ensure the short extension is toward the foot of the table and the curved portion extends over the frame by a finger thickness (at least 0.5 in | 1.3 cm). NOTE: Long extension of the bolster pad assists in supporting patient’s head.
Press the bolster firmly to the support frame to ensure full contact of Velcro.
Adjust Frame and Bolster Position
Lift patient’s head.
Slide the TrenGuard Dynamic Patient Support Frame toward the patient until the curve of the bolster is placed securely against the trapezius muscle, in direct contact with skin.
Lower patient’s head.
Visually confirm that the leading edge of the curve is nesting into the cervical notch, secure against the trapezius muscle in direct contact with skin.
If the bolster is not properly positioned, lift the head and slide the frame further forward to snug the curved portion against the trapezius muscle
Securely tighten both rail clamps and lock posts in place
Hand-tighten rail clamps to secure the frame onto OR table.
Turn black levers inward to lock the angle of the posts.
NOTE: Locks will maintain appropriate angle of posts for use in extreme Trendelenburg. If black levers are in unlocked position and they collide with the frame, remove frame, turn it around so the label on frame is aligned with how the patient is positioned.
Place Head Stabilizing Pillow
Lift and slide pillow under the occiput.
WARNING: Do not compress patient's ears. To avoid risk of pressure injury, maintain 2-finger space (1in | 2.6cm).
Install Lateral Stabilizing Pillows
Lift the Shoulder.
Angle the pillow to avoid contact with the hook and loop fastener, and position pillow under the shoulder.
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Maintain an initial gap of a hands-width (2 in | 5 cm) between pillow and patient’s shoulder.
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Soft, non-structural Lateral Stabilizing Pillows control body mass shift during the transition from supine
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to extreme Trendelenburg.
Lower the shoulder to engage Velcro on pillow to the frame.
Repeat on other side.
Confirm installation
Re-confirm that the rail clamps are tightened and the posts are locked.
Confirm pillows are secured to frame.
DO NOT tilt table until verifying components are secure.
Conduct Patient Tip Test
Move the OR table to the maximum degree of Trendelenburg anticipated for the procedure.
Hold the position for a 5 second count.
Return the table to level.
