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Surgical Atlas

081010

The Thompson Retractor


Surgical Atlas

Published by Thompson Surgical Instruments, Inc.


In the United States of America
Copyright2010 Thompson Surgical Instruments, Inc.
All rights reserved.
Thompson Surgical Instruments, Inc.
10170 East Cherry Bend Road Traverse City, MI 49684

In memory of
Richard C. Thompson, MD
Albert W. Farley, Jr., MD
Richard Hoffman

Introduction
Better exposure of the operative field produces better clinical results
and spurs surgeons to try new surgical approaches.
Richard L. Saunders, MD, Professor of Neurosurgery (retired),
Dartmouth College

The Thompson Retractor is based on this philosophy.


Richard C. Thompson, MD, was born December 15, 1919, in Fresno, California. He grew up living
in a two-room house on a farm outside of Fresno with kerosene lamps to study by. Within the week
after graduating from high school, he hitched a ride to town (about 12 miles), removed his life
savings from the bank (about $60.00), and headed out to pursue his dream of becoming a doctor.
After attending the University of California at Berkeley for 3 years, he received his doctor of medicine
degree from Stanford Medical School and completed an internship at New Haven Hospital, Yale
University, New Haven, Connecticut. Next, he served a 2-year obligation with the Navy in the Pacific
theater, and in 1946 he started his residency in anesthesia.
Dr. Thompson served on the faculty at Standard University Hospital in San Francisco as an assistant
clinical professor. In 1951, he went into private practice joining the staff at Mills Hospital in San
Mateo, California. He practiced anesthesia for the next 30 years, retiring in 1980.
While on Christmas vacation in Hawaii in 1959, he watched several tonsillectomies. He observed a
technique for holding the McIvor mouth gag that seemed inappropriate, because the weight of the
elevated gag rested on the childs chest, depressing the chest wall with every inspiration. On another
case, the anesthesiologist had secured the McIvor gag to a towel with a Kelly clamp, thus freeing
both hands for other tasks. While working in the delivery room, he saw a nurse adjusting the stirrups
and realized that the universal joint on the operating table allowed them to be adjusted in virtually
any position.
Putting these two ideas together, he designed a system whereby the McIvor gag could be secured
by a 0.5-inch steel rod to the operating table via a universal joint. Approximately 1 month later,
in the early 1960s, he observed an excelled general surgeon get into difficulty when troublesome
bleeding arose deep along the undersurface of the liver during a cholecystectomy. It was only
with the assistance of a strong orthopedist holding the liver with a retractor that the bleeding was
controlled. Dr. Thompson realized that a retractor blade attached to his bar would have allowed the
surgeon to readily visualize the source of the bleeding. After a vascular surgeon colleague expressed
additional interest in such a system, Dr. Thompson had 10 sets of a table-fixed retractor system
manufactured for use by surgical colleagues. Thus, the first table-fixed retractor system was born.
A patent for this was awarded in 1965.

While continuing in practice as an anesthesiologist, he began manufacturing the retractor in his


garage and selling it to surgeons in California. Despite changing the universal joints from aluminum
to stainless steel, mechanical problems caused by stripped threads and lack of joints releasing
continued to interfere with the smooth functioning of his retractor. In a moment of desperation, he
called the Lockheed Aircraft Corporation and asked to speak to the chief metallurgical engineer, who
was an old boyhood friend.
After listening to Thompsons problems on the telephone, the engineer suggested that he change
to a particular type of stainless steel, similar to what they used in aircraft landing gear, and to have
them heat treated in a special way. After switching metals, instrument failure problems stopped and
his table-mounted retractor became a success.
In 1983, Dr. Thompson sold his company to Dan Farley. Dan Farleys father, Dr. Albert W. Farley, Jr.,
practiced neurosurgery in Saginaw, Michigan, and perceived that a table-fixed retractor would be
of value in neurosurgery. In 1972, Dr. Farley began using a rough prototype to improve exposure in
carotid artery surgery and anterior cervical spine surgery. He discussed these ideas extensively with
his son Dan, who majored in industrial design in college.
On the basis of these discussions, Dan developed a new prototype that his father began using in
1980. In the early 1980s, Dan Farley approached Dr. Thompson with his prototype, wanting him to
manufacture and distribute the retractor. Dr. Thompson was very impressed with the retractor and
with Dan Farley, but had begun thinking of retirement. Dr. Thompson suggested that Dan Farley buy
his company and use this as a stepping stone to further develop and market his retractor system.
Jump forward to the present and the Thompson Retractor has become a common tool in the
surgeons armamentarium. Like most surgical instruments, retractors have evolved. The earliest
devices were held by assistants. The fact that assistants tired from muscular fatigue led to less-thanideal exposure and occasional injuries to retracted tissues. The step up to self-retaining retractors
eliminated the problem of assistant tiring, however, these devices function to hold an wound open
by placing equal pressure on either side of the wound edges. Thus, the stability of a self-retaining
retractor comes from the force that it exerts against the wound edges. This can create problems,
especially when used in anterior cervical spine surgery. The fact that retractor stability derives from
the pressure against the retracted tissues poses a problem when delicate tissues are retracted. Selfretaining retractors also have a tendency to shift or rise up within the wound, losing exposure
and taking up time while re-positioning.
The key to designing retractor systems is surgeon input. Early on, Thompson began working with
a variety of specialties to provide the specific exposure surgeons need. With input from surgeons
of varying specialties, Thompsons retractor systems have continued to lead the way in providing
the visibility surgeons need to not only be successful but to give them the confidence to try new,
improved procedures.

Thompson Retractor Surgical Atlas


General Surgery..................................................................................................................................... 10

Thompson Elite II Quick Frame................................................................................................................................ 11
Abdominal.....................................................................................................................................................12-13

Lymph Node Dissection................................................................................................................................14-15.
Colon/Rectal.................................................................................................................................................16-17

Minimal Access..............................................................................................................................................18-20
Pediatric.........................................................................................................................................................21-23

Thompson Bilateral Frame....................................................................................................................................... 24.
Obesity............................................................................................................................................................25-26

Liver Transplant/Resection System...............................................................................................................27-31
Oncology System..........................................................................................................................................32-35

Transplant Surgery................................................................................................................................. 37
Liver Transplant/Resection System.....................................................................................................................38-42


Thompson Elite II Quick Frame................................................................................................................................ 43.
Kidney Transplant..........................................................................................................................................44-46

Minimal Access..............................................................................................................................................47-49

Vascular Surgery.................................................................................................................................... 50

Thompson Elite II Quick Frame................................................................................................................................ 51
Abdominal Vascular......................................................................................................................................52-54
Carotid............................................................................................................................................................55-56

Radiolucent Reverse Lip Anterior Lumbar..................................................................................................57-59

Radiolucent Anterior Lumbar.......................................................................................................................60-62

Spine Surgery......................................................................................................................................... 64

Thompson Spine Frame........................................................................................................................................... 65

Radiolucent Reverse Lip Anterior Lumbar..................................................................................................66-69
Anterior Lumbar.............................................................................................................................................70-73
Anterior Cervical............................................................................................................................................74-77

Saunders Anterior Cervical...........................................................................................................................78-80

C.C.A. Retractor...................................................................................................................................................81-82

Thalgott PL Retractor...........................................................................................................................................83-85

Posterior Lumbar System......................................................................................................................................86-88

Cardiothoracic Surgery........................................................................................................................ 89

Bolling Mitral Valve Retractor..............................................................................................................................90-91

Bariatric Surgery..................................................................................................................................... 93

Thompson Bilateral Frame....................................................................................................................................... 94.
Obesity............................................................................................................................................................95-96
Urology Surgery..................................................................................................................................... 98

Thompson Elite II Quick Frame................................................................................................................................ 99
Retropubic Prostatectomy.......................................................................................................................100-101
Perineal Prostatectomy............................................................................................................................102-103
Kidney Transplant......................................................................................................................................104-106

Minimal Access..........................................................................................................................................107-109

Gynecology Surgery........................................................................................................................... 111



Thompson Elite II Quick Frame.............................................................................................................................. 112
Gynecology...............................................................................................................................................113-116

Laparoscopic Surgery......................................................................................................................... 118


Laparoscopic....................................................................................................................................................119-120

Laparoscopic Elite II Setup..................................................................................................................................... 121

Plastic Surgery...................................................................................................................................... 122


Panniculectomy System..................................................................................................................................123-124

General Surgery
Thompson Elite II Quick Frame......................................................................... 11
Abdominal................................................................................................ 12-13.

Lymph Node Dissection........................................................................... 14-15.

Colon/Rectal............................................................................................ 16-17

Minimal Access......................................................................................... 18-20.

Pediatric.................................................................................................... 21-23
Thompson Bilateral Frame................................................................................ 24.
Obesity....................................................................................................... 25-26
Liver Transplant/Resection System.............................................................. 27-31
Oncology System.......................................................................................... 32-35

10

General Surgery Elite II Quick Frame


Thompson Elite II Quick Frame
Qty.

Part Number

90011B
Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Crossbar in position.

41900BC

Crossbar
w/2 Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Angled Arms in place
around the incision.
May also support retractor handles.

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

44124N

24 Angled Arm
8 x 16

Attaches to Crossbar on
either side of the incision.
Adjusted independently.
Supports retractor handles.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles retractor blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
retractor blades as needed. Provides
powerful micro-adjustments.

43032

Angling Head Wrench

Applies to the Angling


Retractor Handles as needed.

Blade Kits on the following pages are used with the Thompson Elite II Quick Frame.
11

General Surgery Abdominal

E
F

D
D

Suggested Setup

12

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46140

Balfour 70mm x 76mm (2 3/4 x 3)

46160

Harrington 64mm x 152mm (2 1/2 x 6)

46174

Deaver 51mm x 127mm (2 x 5)

46122

Malleable 51mm x 203mm (2 x 8)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

General Surgery Abdominal


General Blade Kit

91002L
Qty.

Part Number

Description

Application

46122

Malleable
51mm x 203mm
(2 x 8)

Soft tissue retraction.

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

Soft tissue retraction.

46129

Kelly
64mm x 76mm
(2 1/2 x 3)

Abdominal or incisional
wall retraction.

46130

Kelly
76mm x 89mm
(3 x 3 1/2)

Abdominal or incisional
wall retraction.

46136

Fence
102mm x 152mm
(4 x 6)

Lateral retraction of abdominal wall


on large procedures.

46140

Balfour
70mm x 76mm
(2 3/4 x 3)

Coastal margin or abdominal wall


retraction.

46151

Richardson
51mm x 127mm
(2 x 5)

Coastal margin or abdominal wall


retraction.

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

46174

Deaver
51mm x 127mm
(2 x 5)

Soft tissue retraction.

13

General Surgery Lymph Node Dissection

Suggested Setup

14

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

45006STC

Crank II Clip-on w/10 3/4 Handle

46125

Richardson 19mm x 30mm (3/4 x 1)

46125A

Richardson 19mm x 50mm (3/4 x 2)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

General Surgery Lymph Node Dissection


Carotid Small Incision Blade Kit
Qty.

Part Number

91006LL
Description

46125

Richardson
19mm x 30mm
(3/4 x 1 3/16)

46125A

Richardson
19mm x 50mm
(3/4 x 2)

46126

Richardson
25mm x 32mm
(1 x 1 1/4)

46213

Volkman Blunt
16mm x 13mm
(5/8 x 1/2)

Application

Muscle retraction for


exposure with small or
mini-incision.

Skin and shallow


muscle retraction.
1

46215

Murphy Blunt
25mm x 16mm
(1 x 5/8)

46149

Richardson
44mm x 51mm
(1 3/4 x 2)
Incisional wall retraction.

46150

Richardson
51mm x 102mm
(2 x 4)

15

General Surgery Colon & Rectal

Suggested Setup

16

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46170

Deaver 25mm x 127mm (1 x 5)

46188

St. Marks 64mm x 178mm (2 1/2 x 7)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

General Surgery Colon & Rectal


Colon/Rectal Retractor Blade Kit
Qty.

Part Number

91007L
Description

Application

46143

Fenestrated
44mm x 89mm
(1 3/4 x 3 1/2)

Abdominal or incisional
wall retraction.

46170

Deaver
25mm x 127mm
(1 x 5)

Soft tissue retraction.

46185

Hill-Ferguson
32mm x 76mm
(1 1/4 x 3)

Exposure for
hemorrhoid surgery.
46186

Hill-Ferguson
25mm x 64mm
(1 x 2 1/2)

46187

Rectal
13mm x 117mm
(1/2 x 4 3/5)

46187A

St. Marks
64mm x 178mm
(2 1/2 x 7)

46188

St. Marks
64mm x 178mm
(2 1/2 x 7)

46189

St. Marks
64mm x 140mm
(2 1/2 x 5 1/2)

Soft tissue retraction


to expose bowel.

Soft tissue retraction


to expose bowel deep
in the pelvis.

17

General Surgery Minimal Access

C
E

G
H

F
B

Suggested Setup

18

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on w/10 3/4 Handle

46118

Malleable 25mm x 203mm (1 x 8)

46156

MAS Richardson 51mm x 102mm (2 x 4)

46142P

Balfour 51mm x 57mm (2 x 2 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

General Surgery Minimal Access


Minimal Access Retractor Blade Kit
Qty.

Part Number

91051
Description

46118

Malleable
25mm x 203mm
(1 x 8)

46118A

Malleable
25mm x 254mm
(1 x 10)

Application

Soft tissue retraction.


1

46118B

Malleable
38mm x 254mm
(1 1/2 x 10)

46123

Malleable
28mm x 203mm
(1 1/2 x 8)

46119B

Concave Renal Vein


25mm x 140mm
(1 x 5 1/2)
Renal vein or vessel retraction.

46119C

Concave Renal Vein


25mm x 191mm
(1 x 7 1/2)

46140P

Balfour
76mm x 51mm
(3 x 2)

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

46154

Richardson
51mm x 76mm
(2 x 3)

Abdominal or incisional
wall retraction.

19

General Surgery Minimal Access


Minimal Access Retractor Blade Kit (contd.)
Qty.

Part Number

91051

Description

46155

MAS Richardson
51mm x 76mm
(2 x 3)

46156

MAS Richardson
51mm x 102mm
(2 x 4)

46157

MAS Richardson
51mm x 127mm
(2 x 5)

46158

MAS Richardson
51mm x 152mm
(2 x 6)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

46162P

Harrington
38mm x 127mm
(1 1/2 x 5)

Application

Muscle retraction for


exposure with small or
mini-incision.

Organ retraction.

20

46163

Harrington
64mm x 203mm
(2 1/2 x 8)

46165

Harrington
64mm x 102mm
(2 1/2 x 4)

46660

Double Angled
25mm x 76mm
(1 x 3)

Soft tissue retraction.

General Surgery Pediatric

D
F
A
D

C
C

Suggested Setup
A

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46118P

Malleable 25mm x 102mm (1 x 4)

46126

Richardson 25mm x 32mm (1 x 1 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

21

General Surgery Pediatric


Pediatric Retractor Blade Kit
Qty.

Part Number

Description

46115

Malleable
13mm x 64mm
(1/2 x 2 1/2)

46116

Malleable
13mm x 152mm
(1/2 x 6)

46117

Malleable
13mm x 203mm
(1/2 x 8)

46118P

Malleable
25mm x 102mm
(1 x 4)

46122P

Malleable
51mm x 102mm
(2 x 4)

46140P

Balfour
76mm x 51mm
(3 x 2)

46142

Balfour
25mm x 25mm
(1 x 1)

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

22

91009L
Application

Soft tissue retraction.

Abdominal or incisional
wall retraction.

General Surgery Pediatric


Pediatric Retractor Blade Kit (contd.)
Qty.

Part Number

91009L
Description

46127

Kelly
38mm x 51mm
(1 1/2 x 2)

46128

Kelly
51mm x 64mm
(2 x 2 1/2)

46125

Richardson
19mm x 25mm
(3/4 x 1)

Application

Abdominal or incisional
wall retraction.
46125A

Richardson
19mm x 51mm
(3/4 x 2)

46126

Richardson
25mm x 32mm
(1 x 1 1/4)

46150

Richardson
51mm x 102mm
(2 x 4)

46162P

Harrington
38mm x 127mm
(1 1/2 x 5)

Organ retraction.

46170

Deaver
25mm x 127mm
(1 x 5)

Soft tissue retraction.

23

General Surgery Bilateral Frame


Thompson Bilateral Frame
Qty.

90015A
Part Number

41905AC

Description

Application

Elite II Rail Clamp


w/2 Cam Joints 22

Attaches to the rail of the OR table


and holds the Bilateral Crossbar in
position.

Attaches to the Elite II Rail Clamps


and holds the retractor handles in
place around the incision.

41900H

Bilateral Crossbar Hinged


11 x 8 1/2 x 11

41900HL

Bilateral Crossbar Hinged


14 x 10 x 14

Attaches to the Elite II Rail Clamps


and holds the retractor handles in
place around the incision.

24 Angled Arm

Attaches to the Elite II Rail Clamp


and holds the retractor handles
in place around the incision.
Adjusted independently.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
blades as needed. Provides powerful
micro-adjustments as needed.

43032

Angling Head Wrench

Applies to the Angling Retractor


Handles as needed.

44124W

The Obesity Blade Kit is used with the Thompson Bilateral Frame.
24

General Surgery Obesity

D
D
E
B
H
G

E
C

A
I

Suggested Setup
A

41905AC

Elite II Rail Clamp w/2 Cam Joints 22

41900H

Bilateral Crossbar Hinged 11 x 8 1/2 x 11

44124W

24 Angled Arm

42126WA

Cam II Clip-on w/Angling Head 8

45006BTC

Crank II Clip-on w/10 3/4 Handle, Bariatric

46141F

Balfour 89mm x 160mm (3 1/2 x 6 1/4)

46141D

Balfour 83mm x 127mm (3 1/4 x 5)

46161

Harrington 114mm x 254mm (4 1/2 x 10)

46130

Kelly 76mm x 89mm (3 x 3 1/2)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

25

General Surgery Obesity


Obesity Blade Kit

91012L
Qty.

26

Part Number

Description

46119C

Concave Renal Vein


25mm x 191mm
(1 x 7 1/2)

46122A

Malleable
51mm x 254mm
(2 x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46124B

Malleable
102mm x 254mm
(4 x 10)

46130

46136A

Application

Renal vein or vessel retraction.

Soft tissue retraction.

Kelly
76mm x 89mm
(3 x 3 1/2)

Abdominal or incisional
wall retraction.

Fence
102mm x 203mm
(4 x 8)

Lateral retraction of abdominal wall


on large procedures.

46141

Balfour
83mm x 76mm
(3 1/4 x 3)

46141D

Balfour
83mm x 127mm
(3 1/4 x 5)

46141F

Balfour
89mm x 160mm
(3 1/2 x 6 1/4)

46153

Richardson
51mm x 178mm
(2 x 7)

46161

Harrington
114mm x 254mm
(4 1/2 x 10)

Coastal margin or abdominal wall


retraction.

Organ retraction.

General Surgery Liver Transplant/Resection

D
D
E

H
G

A
F

C
F

Suggested Setup
A

41903AC

Elite II Rail Clamp w/2 Cam Joints 18

41900H

Bilateral Crossbar Hinged 11 x 8 1/2 x 11

44124W

24 Angled Arm

42126WA

Cam II Clip-on w/Angling Head 8

45006CA

Crank II Clip-on w/Angling Head 10

46140C

Balfour w/o Lips 70mm x 76mm (2 3/4 x 3)

46122

Malleable 51mm x 203mm (2 x 8)

46191

Malleable Finger 6

46129

Kelly 64mm x 76mm (2 1/2 x 3)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

27

General Surgery Liver Transplant/Resection


Alternative Setup

E
J
D

B
F

G
H

D
A
I

Suggested Setup

28

41903AC

Elite II Rail Clamp w/2 Cam Joints 18

44124W

24 Angled Arm

44124N

24 Angled Arm 8 x 16

42126WA

Cam II Clip-on w/Angling Head 8

45006CA

Crank II Clip-on w/Angling Head 10

46141

Balfour 83mm x 76mm (3 1/4 x 3)

46141C

Balfour w/o Lips 83mm x 76mm (3 1/4 x 3)

46129

Kelly 64mm x 76mm (2 1/2 x 3)

46153

Richardson 57mm x 178mm (2 x 7)

42112C

Cam I Joint Serrated 1/2 x 1/2

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

General Surgery Liver Transplant/Resection


Liver Transplant/Resection System
Qty.

Part Number

41903AC

41900H

91034A
Description

Elite II Rail Clamp


w/2 Cam Joints 18

Bilateral Crossbar Hinged


11 x 8 1/2 x 11

41900F

Bilateral Crossbar

44118N

18 Angled Arm
8 x 10 @ 45

44124W

24 Angled Arm

44124N

24 Angled Arm
8 x 16

Application

Attaches to the rail of the OR table


and holds the Bilateral Crossbar in
position.

Attaches to the Elite II Rail Clamps


and holds the retractor handles in
place around the incision.

Attaches to the Elite II Rail Clamp


and holds the retractor handles
in place around the incision.
Adjusted independently.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
blades as needed. Provides powerful
micro-adjustments as needed.

43032

Angling Head Wrench

Applies to the Angling Retractor


Handles as needed.

29

General Surgery Liver Transplant/Resection


Liver Transplant/Resection System (contd.)
Qty.

Description

Cam I Joint - Serrated


1/2 x 1/2

42112C

46115

Malleable
13mm x 64mm
(1/2 x 2 1/2)

46116

Malleable
13mm x 152mm
(1/2 x 6)

46117

Malleable
13mm x 203mm
(1/2 x 8)

46118

Malleable
25mm x 203mm
(1 x 8)

46118P

Malleable
25mm x 102mm
(1 x 4)

46122

Malleable
51mm x 203mm
(2 x 8)

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46124B

Malleable
102mm x 254mm
(4 x 10)

46129

30

Part Number

91034A

46130

Kelly
64mm x 76mm
(2 1/2 x 3)
Kelly
89mm x 76mm
(3 1/2 x 3)

Application

Attaches Angled Arms, Straight


Arms, Extension Arms and Hinged
Arms for expanding the frame.

Soft tissue retraction.

Abdominal or incisional
wall retraction.

General Surgery Liver Transplant/Resection


Liver Transplant/Resection System (contd.)
Qty.

Part Number

91034A

Description

Application

46140C

Balfour w/o Lips


70mm x 76mm
(2 3/4 x 3)

46141

Balfour
83mm x 76mm
(3 1/4 x 3)

46141C

Balfour w/o Lips


83mm x 76mm
(3 1/4 x 3)

46142

Balfour
25mm x 25mm
(1 x 1)

46153

Richardson
57mm x 178mm
(2 x 7)

Abdominal or incisional
wall retraction.

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

46188

St. Marks
64mm x 178mm
(2 1/2 x 7)

Soft tissue retraction.

46191

Malleable Finger 6

Organ retraction.

46241A

Balfour
83mm x 57mm
(3 1/4 x 2 1/4)

46241B

Balfour
102mm x 57mm
(4 x 2 1/4)

46241C

Balfour
114mm x 57mm
(4 1/2 x 2 1/4)

50000G

Instrument Case
22 x 11 x 3 1/2

Abdominal wall retraction


and coastal margin retraction
on large procedures.

Abdominal wall retraction


and coastal margin retraction
on large procedures.

Stenciled instrument case that


allows for quick blade selection
and organization.

31

General Surgery Oncology

E
C
I

A
D

D
G

Suggested Setup

32

41903ARC

Adjustable Height Rail Clamp w/2 Adj. Cam Joints

44118N

18 Angled Arm 8 x 10 @ 45

44124N

24 Angled Arm 8 x 16

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on w/10 3/4 Handle

42110S

Cam II Slide-on Joint 1/2 x 1/2

46129

Kelly 64mm x 76mm (2 1/2 x 3)

46141C

Balfour w/o Lips 83mm x 76mm (3 1/4 x 3)

46140C

Balfour w/o Lips 70mm x 76mm (2 3/4 x 3)

46122

Malleable 51mm x 203mm (2 x 8)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

General Surgery Oncology


Oncology Retractor System
Qty.

80034ADJ

Part Number

Description

Adjustable Height
Rail Clamp w/2
Adjustable Cam Joints

Application

Attaches to the rail of the OR


table and holds the Crossbar
in position. Low profile design
allows for height adjustments.

41903ARC

44118N

18 Angled Arm
8 x 10 @ 45

44124N

24 Angled Arm
8 x 16

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
blades as needed. Provides powerful
micro-adjustments as needed.

43032

Angling Head Wrench

Applies to the Angling Retractor


Handles as needed.

42110S

Cam II Slide-on Joint


1/2 x 1/2

Attaches Angled Arms, Straight


Arms, Extension Arms and Hinged
Arms for expanding the frame.

Attaches to the Elite II Rail Clamp


and holds the retractor handles
in place around the incision.
Adjusted independently.

33

General Surgery Oncology


Oncology Retractor System (contd.)
Qty.

Part Number

80034ADJ
Description

46118

Malleable
25mm x 203mm
(1 x 8)

46122

Malleable
51mm x 203mm
(2 x 8)

Application

Soft tissue retraction.


1

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

46124A

Malleble
76mm x 254mm
(3 x 10)

46129

Kelly
64mm x 76mm
(2 1/2 x 3)
Abdominal or incisional
wall retraction.

34

46130

Kelly
76mm x 89mm
(3 x 3 1/2)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

General Surgery Oncology


Oncology Retractor System (contd.)
Qty.

Part Number

80034ADJ
Description

46125

Richardson
19mm x 30mm
(3/4 x 1 1/4)

46151

Richardson
51mm x 127mm
(2 x 5)

Application

Abdominal or incisional
wall retraction.
46140C

Balfour w/o Lips


70mm x 76mm
(2 3/4 x 3)

46141C

Balfour w/o Lips


83mm x 76mm
(3 1/4 x 3)

46174

Deaver
51mm x 127mm
(2 x 5)

46188

St. Marks
64mm x 178mm
(2 1/2 x 7)

46321

Weinberg
83mm x 133mm
(3 1/4 x 5 1/4)

50000G

Instrument Case
22 x 11 x 3 1/2

Soft tissue retraction.

Stenciled instrument case that


allows for quick blade selection
and organization.

35

36

Transplant Surgery
Liver Transplant/Resection System.............................................................. 38-42
Thompson Elite II Quick Frame......................................................................... 43.

Kidney Transplant..................................................................................... 44-46.

Minimal Access......................................................................................... 47-49

37

Transplant Surgery Liver Transplant/Resection

D
D
E

H
G

A
F

C
F

Suggested Setup

38

41903AC

Elite II Rail Clamp w/2 Cam Joints 18

41900H

Bilateral Crossbar Hinged 11 x 8 1/2 x 11

44124W

24 Angled Arm

42126WA

Cam II Clip-on w/Angling Head 8

45006CA

Crank II Clip-on w/Angling Head 10

46140C

Balfour w/o Lips 70mm x 76mm (2 3/4 x 3)

46122

Malleable 51mm x 203mm (2 x 8)

46191

Malleable Finger 6

46129

Kelly 64mm x 76mm (2 1/2 x 3)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Transplant Surgery Liver Transplant/Resection


Alternative Setup

E
J
D

B
F

G
H

A
I

Suggested Setup
A

41903AC

Elite II Rail Clamp w/2 Cam Joints 18

44124W

24 Angled Arm

44124N

24 Angled Arm 8 x 16

42126WA

Cam II Clip-on w/Angling Head 8

45006CA

Crank II Clip-on w/Angling Head 10

46141

Balfour 83mm x 76mm (3 1/4 x 3)

46141C

Balfour w/o Lips 83mm x 76mm (3 1/4 x 3)

46129

Kelly 64mm x 76mm (2 1/2 x 3)

46153

Richardson 57mm x 178mm (2 x 7)

42112C

Cam I Joint Serrated 1/2 x 1/2

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

39

Transplant Surgery Liver Transplant/Resection


Liver Transplant/Resection System
Qty.

41903AC

41900H

Description

Elite II Rail Clamp


w/2 Cam Joints 18

Bilateral Crossbar Hinged


11 x 8 1/2 x 11

41900F

Bilateral Crossbar

44118N

18 Angled Arm
8 x 10 @ 45

44124W

24 Angled Arm

44124N

24 Angled Arm
8 x 16

Application

Attaches to the rail of the OR table


and holds the Bilateral Crossbar in
position.

Attaches to the Elite II Rail Clamps


and holds the retractor handles in
place around the incision.

Attaches to the Elite II Rail Clamp


and holds the retractor handles
in place around the incision.
Adjusted independently.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
blades as needed. Provides powerful
micro-adjustments as needed.

43032

Angling Head Wrench

Applies to the Angling Retractor


Handles as needed.

40

Part Number

91034A

Transplant Surgery Liver Transplant/Resection


Liver Transplant/Resection System (contd.)
Qty.

Part Number

91034A

Description

Cam I Joint - Serrated


1/2 x 1/2

42112C

46115

Malleable
13mm x 64mm
(1/2 x 2 1/2)

46116

Malleable
13mm x 152mm
(1/2 x 6)

46117

Malleable
13mm x 203mm
(1/2 x 8)

46118

Malleable
25mm x 203mm
(1 x 8)

46118P

Malleable
25mm x 102mm
(1 x 4)

46122

Malleable
51mm x 203mm
(2 x 8)

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46124B

Malleable
102mm x 254mm
(4 x 10)

46129

46130

Kelly
64mm x 76mm
(2 1/2 x 3)
Kelly
89mm x 76mm
(3 1/2 x 3)

Application

Attaches Angled Arms, Straight


Arms, Extension Arms and Hinged
Arms for expanding the frame.

Soft tissue retraction.

Abdominal or incisional
wall retraction.

41

Transplant Surgery Liver Transplant/Resection


Liver Transplant/Resection System (contd.)
Qty.

Description

Application

46140C

Balfour w/o Lips


70mm x 76mm
(2 3/4 x 3)

46141

Balfour
83mm x 76mm
(3 1/4 x 3)

46141C

Balfour w/o Lips


83mm x 76mm
(3 1/4 x 3)

46142

Balfour
25mm x 25mm
(1 x 1)

46153

Richardson
57mm x 178mm
(2 x 7)

Abdominal or incisional
wall retraction.

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

46188

St. Marks
64mm x 178mm
(2 1/2 x 7)

Soft tissue retraction.

46191

Malleable Finger 6

Organ retraction.

46241A

Balfour
83mm x 57mm
(3 1/4 x 2 1/4)

46241B

Balfour
102mm x 57mm
(4 x 2 1/4)

46241C

Balfour
114mm x 57mm
(4 1/2 x 2 1/4)

50000G

Instrument Case
22 x 11 x 3 1/2

42

Part Number

91034A

Abdominal wall retraction


and coastal margin retraction
on large procedures.

Abdominal wall retraction


and coastal margin retraction
on large procedures.

Stenciled instrument case that


allows for quick blade selection
and organization.

Transplant Surgery Elite II Quick Frame


Thompson Elite II Quick Frame
Qty.

Part Number

90011B
Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Crossbar in position.

41900BC

Crossbar
w/2 Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Angled Arms in place
around the incision.
May also support retractor handles.

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

44124N

24 Angled Arm
8 x 16

Attaches to Crossbar on
either side of the incision.
Adjusted independently.
Supports retractor handles.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles retractor blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
retractor blades as needed. Provides
powerful micro-adjustments.

43032

Angling Head Wrench

Applies to the Angling


Retractor Handles as needed.

Blade Kits on the following pages are used with the Thompson Elite II Quick Frame.
43

Transplant Surgery Kidney Transplant

C
B

E
H
A

F
C

Suggested Setup

44

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on w/10 3/4 Handle

46118

Malleable 25mm x 203mm (1 x 8)

46150

Richardson 51mm x 102mm (2 x 4)

46142P

Balfour 51mm x 57mm (2 x 2 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Transplant Surgery Kidney Transplant


Kidney Transplant Blade Kit
Qty.

91045L

Part Number

Description

46118

Malleable
25mm x 203mm
(1 x 8)

46122

Malleable
51mm x 203mm
(2 x 8)

Application

Soft tissue retraction.


2

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46127

Kelly
38mm x 51mm
(1 1/2 x 2)

46128

Kelly
51mm x 64mm
(2 x 2 1/2)

46129

Kelly
64mm x 76mm
(2 1/2 x 3)

Abdominal or incisional
wall retraction.

45

Transplant Surgery Kidney Transplant


Kidney Transplant Blade Kit (contd.)
Qty.

Part Number

91045L
Description

46125

Richardson
19mm x 25mm
(3/4 x 1)

46125A

Richardson
19mm x 51mm
(3/4 x 2)

46126

Richardson
25mm x 32mm
(1 x 1 1/4)

46150

Richardson
51mm x 102mm
(2 x 4)

46151

Richardson
51mm x 127mm
(2 x 5)

46140P

Balfour
76mm x 51mm
(3 x 2)

Application

Coastal margin or
abdominal wall retraction.

Abdominal or incisional
wall retraction.

46

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

Transplant Surgery Minimal Access

C
E

G
H

F
B

Suggested Setup
A

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on w/10 3/4 Handle

46118

Malleable 25mm x 203mm (1 x 8)

46156

MAS Richardson 51mm x 102mm (2 x 4)

46142P

Balfour 51mm x 57mm (2 x 2 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

47

Transplant Surgery Minimal Access


Minimal Access Retractor Blade Kit
Qty.

Part Number

91051
Description

46118

Malleable
25mm x 203mm
(1 x 8)

46118A

Malleable
25mm x 254mm
(1 x 10)

Application

Soft tissue retraction.


1

46118B

Malleable
38mm x 254mm
(1 1/2 x 10)

46123

Malleable
28mm x 203mm
(1 1/2 x 8)

46119B

Concave Renal Vein


25mm x 140mm
(1 x 5 1/2)
Renal vein or vessel retraction.

48

46119C

Concave Renal Vein


25mm x 191mm
(1 x 7 1/2)

46140P

Balfour
76mm x 51mm
(3 x 2)

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

46154

Richardson
51mm x 76mm
(2 x 3)

Abdominal or incisional
wall retraction.

Transplant Surgery Minimal Access


Minimal Access Retractor Blade Kit (contd.)
Qty.

Part Number

91051

Description

46155

MAS Richardson
51mm x 76mm
(2 x 3)

46156

MAS Richardson
51mm x 102mm
(2 x 4)

46157

MAS Richardson
51mm x 127mm
(2 x 5)

46158

MAS Richardson
51mm x 152mm
(2 x 6)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

46162P

Harrington
38mm x 127mm
(1 1/2 x 5)

Application

Muscle retraction for


exposure with small or
mini-incision.

Organ retraction.
1

46163

Harrington
64mm x 203mm
(2 1/2 x 8)

46165

Harrington
64mm x 102mm
(2 1/2 x 4)

46660

Double Angled
25mm x 76mm
(1 x 3)

Soft tissue retraction.

49

Vascular Surgery
Thompson Elite II Quick Frame......................................................................... 51

Abdominal Vascular................................................................................. 52-54

Carotid....................................................................................................... 55-56

50

Radiolucent Reverse Lip Anterior Lumbar............................................. 57-59

Radiolucent Anterior Lumbar.................................................................. 60-62

Vascular Surgery Elite II Quick Frame


Thompson Elite II Quick Frame
Qty.

Part Number

90011B
Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Crossbar in position.

41900BC

Crossbar
w/2 Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Angled Arms in place
around the incision.
May also support retractor handles.

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

44124N

24 Angled Arm
8 x 16

Attaches to Crossbar on
either side of the incision.
Adjusted independently.
Supports retractor handles.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles retractor blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
retractor blades as needed. Provides
powerful micro-adjustments.

43032

Angling Head Wrench

Applies to the Angling


Retractor Handles as needed.

Blade Kits on the following pages are used with the Thompson Elite II Quick Frame.
51

Vascular Surgery Abdominal Vascular

H
A
F
I
D
E

Suggested Setup

52

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46140

Balfour 70mm x 76mm (2 3/4 x 3)

46124A

Malleable 76mm x 254mm (3 x 10)

46122

Malleable 51mm x 203mm (2 x 8)

46118

Malleable 25mm x 203mm (1 x 8)

46129

Kelly 64mm x 76mm (2 1/2 x 3)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Vascular Surgery Abdominal Vascular


General/Vascular Blade Kit
Qty.

91003L
Part Number

Description

46118

Malleable
25mm x 203mm
(1 x 8)

46122

Malleable
51mm x 203mm
(2 x 8)

Application

Soft tissue retraction.


1

46124

Malleable
64mm x 254mm
(2 1/2x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46119C

Renal Vein
25mm x 191mm
(1 x 7 1/2)

46125

Richardson
19mm x 30mm
(3/4 x 1)

46151

Richardson
51mm x 127mm
(2 x 5)

46134

Fence
102mm x 102mm
(4 x 4)

46135

Fence
102mm x 127mm
(4 x 5)

46136

Fence
102mm x 152mm
(4 x 6)

Renal vein retraction.

Abdominal or incisional
wall retraction.

Lateral retraction of
abdominal wall on
large procedures.

53

Vascular Surgery Abdominal Vascular


General/Vascular Blade Kit (contd.)
Qty.

Description

46129

Kelly
64mm x 76mm
(2 1/2 x 3)

46140

Balfour
70mm x 76mm
(2 3/4 x 3)

Application

Coastal margin or abdominal wall


retraction.

Abdominal or incisional
wall retraction.

46141

Balfour
83mm x 76mm
(3 1/4 x 3)

46143

Fenestrated
44mm x 89mm
(1 3/4 x 3 1/2)

Abdominal or incisional
wall retraction.

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

46174

Deaver
51mm x 127mm
(2 x 5)

Soft tissue retraction.

46188

St. Marks
64mm x 178mm
(2 1/2 x 7)

Soft tissue retraction


to expose bowel deep
in the pelvis.

46191

Malleable Finger 6

Soft tissue retraction.

46241A

Balfour
83mm x 57mm
(3 1/4 x 2 1/4)

46241B

Balfour
102mm x 57mm
(4 x 2 1/4)

46241C

Balfour
114mm x 57mm
(4 1/2 x 2 1/4)

54

Part Number

91003L

Abdominal or incisional
wall retraction.

Vascular Surgery Carotid Small Incision

B
E

C
A
G

Suggested Setup
A

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on 10 3/4 s

46125

Richardson 19mm x 30mm (3/4 x 1)

46125A

Richardson 19mm x 50mm (3/4 x 2)

46126

Richardson 25mm x 32mm (1 x 1 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

55

Vascular Surgery Carotid Small Incision


Carotid Small Incision Blade Kit
Qty.

Part Number

91006LL
Description

46125

Richardson
19mm x 30mm
(3/4 x 1 3/16)

46125A

Richardson
19mm x 50mm
(3/4 x 2)

46126

Richardson
25mm x 32mm
(1 x 1 1/4)

46213

Volkman Blunt
16mm x 13mm
(5/8 x 1/2)

Application

Muscle retraction for


exposure with small or
mini-incision.

Skin and shallow


muscle retraction.
1

46215

Murphy Blunt
25mm x 16mm
(1 x 5/8)

46149

Richardson
44mm x 51mm
(1 3/4 x 2)
Abdominal or incisional
wall retraction.

56

46150

Richardson
51mm x 102mm
(2 x 4)

Vascular Surgery Reverse Lip Anterior Lumbar

D
B

A
E

D
D
E

Suggested Setup
A

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46194RET

Reverse Lip ASA Rigid 25mm x 100mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

57

Vascular Surgery Reverse Lip Anterior Lumbar


Radiolucent Brau Anterior Lumbar Blade Kit
Qty.

Description

46192ET

Reverse Lip
ASA Malleable
25mm x 200mm

46193ET

Reverse Lip
ASA Malleable
32mm x 200mm

46194RET

Reverse Lip
ASA Rigid
25mm x 100mm

46195RET

Reverse Lip
ASA Rigid
25mm x 150mm

46196RET

Reverse Lip
ASA Rigid
25mm x 200mm

46197RET

Reverse Lip
ASA Rigid
32mm x 100mm

46198RET

Reverse Lip
ASA Rigid
32mm x 150mm

46199RET

Reverse Lip
ASA Rigid
32mm x 200mm

46200RET

Reverse Lip
ASA Rigid
25mm x 255mm

46201RET

Reverse Lip
ASA Rigid
32mm x 255mm

58

Part Number

91046N
Application

Engages at the lateral aspect of disc


and vertebral body to expose the
anterior lumbar spine. May also be
used for soft tissue retraction.

Vascular Surgery Reverse Lip Anterior Lumbar


Radiolucent Brau Anterior Lumbar Blade Kit (contd.)
Qty.

Part Number

Description

46195TET

Reverse Lip
ASA Tapered
25mm x 150mm

46196TET

Reverse Lip
ASA Tapered
25mm x 200mm

46119BET

Malleable Renal Vein


25mm x 140mm

46119CET

Malleable Renal Vein


25mmx 190mm

46119RET

Rigid Renal Vein


25mm x 140mm

46120RET

Rigid Renal Vein


25mm x 190mm

46121RET

Rigid Renal Vein


25mm x 255mm

91046N
Application

Engages at the lateral aspect of disc


and vertebral body to expose the
anterior lumbar spine. May also be
used for soft tissue retraction.

Instrument Case

Stenciled instrument case that


allows for quick blade selection
and organization.

51234

Suction for
Anterior Lumbar Surgery

Suction for disc space,


and as needed.

51236

Anterior Lumbar
Depth Gauge

Measures depth of incision


for blade selection.

50000RLT

59

Vascular Surgery Anterior Lumbar

D
B

A
E

D
D

G
D

Suggested Setup

60

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46120RET

Radiolucent Rigid Renal Vein 25mm x 190mm

46176ET

Radiolucent Deaver 76mm x 125mm

46122ET

Radiolucent Malleable 51mm x 200mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Vascular Surgery Anterior Lumbar


Radiolucent Anterior Lumbar Blade Kit
Qty.

Part Number

91035NT
Description

46119BET

Radiolucent
Malleable Renal Vein
25mm x 140mm

46119CET

Radiolucent
Malleable Renal Vein
25mm x 190mm

46119RET

Radiolucent
Rigid Renal Vein
25mm x 140mm

46120RET

Radiolucent
Rigid Renal Vein
25mm x 190mm

46121RET

Radiolucent
Rigid Renal Vein
25mm x 255mm

46140ET

Radiolucent
Balfour
65mm x 70mm

Application

Vessel or renal retraction.

Abdominal or incisional
wall retraction.
1

46141ET

Radiolucent
Balfour
83mm x 70mm

61

Vascular Surgery Anterior Lumbar


Radiolucent Anterior Lumbar Blade Kit (contd.)
Qty.

Description

Application

46122ET

Radiolucent
Malleable
51mm x 200mm

Soft tissue retraction.

46145ET

Radiolucent
Splanchnich
51mm x 115mm

Soft tissue retraction.

46160ET

Radiolucent
Harrington
64mm x 152mm

Organ retraction.

46176ET

Radiolucent
Deaver
76mm x 125mm

Soft tissue retraction.

51234

Suction for
Anterior Lumbar Surgery

Suction for disc space,


and as needed.

51236

Anterior Lumbar
Depth Gauge

Measures depth of incision


for blade selection.

Instrument Case

Stenciled instrument case that


allows for quick blade selection
and organization.

62

Part Number

91035NT

50000ALT

63

Spine Surgery
Thompson Spine Frame.................................................................................... 65.

Radiolucent Reverse Lip Anterior Lumbar............................................. 66-69

Anterior Lumbar........................................................................................ 70-73

Anterior Cervical....................................................................................... 74-77

Saunders Anterior Cervical...................................................................... 78-80

C.C.A. Retractor............................................................................................ 81-82


Thalgott PL Retractor.................................................................................... 83-85
Posterior Lumbar System.............................................................................. 86-88

64

Spine Surgery Spine Frame


Thompson Spine Frame

90003CS

Qty.

Part Number

Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Crossbar in position.

41900BC

Crossbar w/2
Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Angled Arms in place
around the incision.
May also support retractor handles.

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles retractor blades as needed.

45007CA

Crank II Clip-on
w/Angling Head 7 3/4

Attaches retractor blades to the


Crossbar or Angled Arm and angles
retractor blades as needed. Provides
powerful micro-adjustments.

43032

Angling Head Wrench

Applies to the Angling


Retractor Handles as needed.

Spine Blade Kits are used with the Thompson Spine Frame.
65

Spine Surgery Reverse Lip Anterior Lumbar

D
B

A
E

D
D
E

Suggested Setup

66

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46194RET

Reverse Lip ASA Rigid 25mm x 100mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Spine Surgery Reverse Lip Anterior Lumbar


Radiolucent Brau Anterior Lumbar Blade Kit
Qty.

Part Number

Description

46192ET

Reverse Lip
ASA Malleable
25mm x 200mm

46193ET

Reverse Lip
ASA Malleable
32mm x 200mm

46194RET

Reverse Lip
ASA Rigid
25mm x 100mm

46195RET

Reverse Lip
ASA Rigid
25mm x 150mm

46196RET

Reverse Lip
ASA Rigid
25mm x 200mm

46197RET

Reverse Lip
ASA Rigid
32mm x 100mm

46198RET

Reverse Lip
ASA Rigid
32mm x 150mm

46199RET

Reverse Lip
ASA Rigid
32mm x 200mm

46200RET

Reverse Lip
ASA Rigid
25mm x 255mm

46201RET

Reverse Lip
ASA Rigid
32mm x 255mm

91046N
Application

Engages at the lateral aspect of disc


and vertebral body to expose the
anterior lumbar spine. May also be
used for soft tissue retraction.

67

Spine Surgery Reverse Lip Anterior Lumbar


Radiolucent Brau Anterior Lumbar Blade Kit (contd.)
Qty.

68

Part Number

Description

91046N
Application

46195TET

Reverse Lip
ASA Tapered
25mm x 150mm

46196TET

Reverse Lip
ASA Tapered
25mm x 200mm

46119BET

Malleable Renal Vein


25mm x 140mm

46119CET

Malleable Renal Vein


25mmx 190mm

46119RET

Rigid Renal Vein


25mm x 140mm

46120RET

Rigid Renal Vein


25mm x 190mm

46121RET

Rigid Renal Vein


25mm x 255mm

50000RLT

Instrument Case

Organizes and holds blades


and frame components.

51234

Suction for
Anterior Lumbar Surgery

Suction for disc space,


and as needed.

51236

Anterior Lumbar
Depth Gauge

Measures depth of incision


for blade selection.

Engages at the lateral aspect of disc


and vertebral body to expose the
anterior lumbar spine. May also be
used for soft tissue retraction.

Spine Surgery Basic Reverse Lip Anterior Lumbar


Basic Radiolucent Brau Anterior Lumbar Blade Kit
Qty.

Part Number

Description

46192ET

Reverse Lip
ASA Malleable
25mm x 200mm

46193ET

Reverse Lip
ASA Malleable
32mm x 200mm

46196TET

Reverse Lip
ASA Tapered
25mm x 200mm

91046BAS
Application

Engages at the lateral aspect of disc


and vertebral body to expose the
anterior lumbar spine. May also be
used for soft tissue retraction.

69

Spine Surgery Anterior Lumbar

D
B

A
E

D
D

G
D

Suggested Setup

70

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46120RET

Radiolucent Rigid Renal Vein 25mm x 190mm

46176ET

Radiolucent Deaver 76mm x 125mm

46122ET

Radiolucent Malleable 51mm x 200mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Spine Surgery Anterior Lumbar


Radiolucent Anterior Lumbar Blade Kit
Qty.

Part Number

91035NT
Description

46119BET

Malleable Renal Vein


25mm x 140mm

46119CET

Malleable Renal Vein


25mm x 190mm

46119RET

Rigid Renal Vein


25mm x 140mm

46120RET

Rigid Renal Vein


25mm x 190mm

46121RET

Rigid Renal Vein


25mm x 255mm

46140ET

Balfour
65mm x 70mm

Application

Vessel or renal retraction.

Abdominal or incisional
wall retraction.
1

46141ET

Balfour
83mm x 70mm

71

Spine Surgery Anterior Lumbar


Radiolucent Anterior Lumbar Blade Kit (contd.)
Qty.

72

Part Number

Description

91035NT
Application

46122ET

Malleable
51mm x 200mm

Soft tissue retraction.

46145ET

Splanchnich
51mm x 115mm

Soft tissue retraction.

46160ET

Harrington
64mm x 152mm

Organ retraction.

46176ET

Deaver
76mm x 125mm

Soft tissue retraction.

51234

Suction for
Anterior Lumbar Surgery

Suction for disc space,


and as needed.

51236

Anterior Lumbar
Depth Gauge

Measures depth of incision


for blade selection.

50000ALT

Instrument Case

Organizes and holds blades


and frame components.

Spine Surgery Basic Anterior Lumbar


Basic Radiolucent Anterior Lumbar Blade Kit
Qty.

Part Number

Description

46119BET

Malleable Renal Vein


25mm x 140mm

46119CET

Malleable Renal Vein


25mm x 190mm

46119RET

Rigid Renal Vein


25mm x 140mm

46120RET

Rigid Renal Vein


25mm x 190mm

46122ET

Rigid Renal Vein


51mm x 200mm

91035BAS
Application

Vessel or renal retraction.

73

Spine Surgery Anterior Cervical

B
D
D
C

F
E

A
E

Suggested Setup

74

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46516AT

Concave Micro 14mm x 50mm

46318AT

Radiolucent Concave 23mm x 50mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Spine Surgery Anterior Cervical


Radiolucent Anterior Cervical w/o Teeth Blade Kit
Qty.

Part Number

Description

44014LC

Extension Arm
12 w/Latch Cam Joint

46314AT

Concave
23mm x 40mm

46318AT

Concave
23mm x 50mm

46322AT

Concave
23mm x 60mm

46326AT

Concave
23mm x 70mm

91049N
Application

May be added as needed


for exposure of C2 or the
thoracic inlet. Also added
for corpectomy procedures.

Lateral retraction.
2

46330AT

Concave
23mm x 80mm

46512AT

Concave Micro
14mm x 40mm

46516AT

Concave Micro
14mm x 50mm

46520AT

Concave Micro
14mm x 60mm

Radiolucent Anterior Cervical w/Teeth Blade Kit (91031N) also available.


75

Spine Surgery Anterior Cervical


Radiolucent Anterior Cervical w/o Teeth Blade Kit (contd.)
Qty.

Part Number

Description

45641AT

Concave Tapered
w/o Teeth
51mm x 50mm

45642AT

Concave Tapered
w/o Teeth
51mm x 65mm

45645AT

Concave Tapered
w/o Teeth
19mm x 45mm

45656AT

Malleable
25mm x 110mm

91049N
Application

Lateral retraction.

Soft tissue retraction under


the chin on high level anterior
cervical procedures.
1

45657AT

Malleable
13mm x 90mm

45750AT

Midline AL (R) 70mm


Retraction under the
mandible on high level
anterior cervical procedures.

76

45751AT

Midline AL (L) 70mm

50000ACT

Instrument Case

Organizes and holds blades


and frame components.

46521

Anterior Cervical
Depth Gauge

Measures depth of incision


for blade selection.

Spine Surgery Basic Anterior Cervical


Basic Radiolucent Anterior Cervical Blade Kit
Qty.

Part Number

Description

46512AT

Concave Micro
14mm x 40mm

46516AT

Concave Micro
14mm x 50mm

46520AT

Concave Micro
14mm x 60mm

46322AT

Concave
23mm x 60mm

91049BAS
Application

Radiolucent lateral and


caudal cephlad retraction.
2

46326AT

Concave
23mm x 70mm

46330AT

Concave
23mm x 80mm

46314AT

Concave
23mm x 40mm

46318AT

Concave
23mm x 50mm

45657AT

Malleable
13mm x 90mm

Soft tissue retraction under


the chin on high level anterior
cervical procedures.

77

Spine Surgery Saunders Anterior Cervical


E

E
F

E
I

Suggested Setup

78

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

44014LC

Extension Arm 12 w/Latch Cam

42126WA

Cam II Clip-on w/Angling Head 8

45657A

Malleable 13mm x 89mm (1/2 x 3 1/2)

46125A

Richardson 19mm x 50mm (3/4 x 2)

45154A

Concave Medial 38mm x 70mm (1 1/2 x 2 3/4)

45751A

Midline (L) 70mm (2 3/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Spine Surgery Saunders Anterior Cervical


Saunders Anterior Cervical Blade Kit
Qty.

Part Number

91018
Description

44014LC

Extension Arm
12 w/Latch Cam Joint

45750A

Midline (R)
70mm
(2 3/4)

45751A

Midline (L)
70mm
(2 3/4)

45754A

Midline (R)
57mm x 90mm
(2 1/4 x 3 1/2)

45755A

Midline (L)
57mm x 90mm
(2 1/4 x 3 1/2)

45643A

Concave Tapered
19mm x 35mm

45150A

Concave Lateral
19mm x 55mm
(3/4 x 2 1/4)

45151A

Concave Lateral
25mm x 50mm
(1 x 2)

45152A

Concave Lateral
25mm x 85mm
(1 x 3 3/8)

Application

May be added as needed


to expand frame.

Retraction under the


mandible on high level
anterior cervical procedures.

Lateral retraction.

79

Spine Surgery Saunders Anterior Cervical


Saunders Anterior Cervical Blade Kit (contd.)
Qty.

Description

45153A

Concave Medial
32mm x 70mm
(1 1/4 x 2 3/4)

45154A

Concave Medial
38mm x 70mm
(1 1/2 x 2 3/4)

45155A

Concave Medial
38mm x 85mm
(1 1/2 x 3 3/8 )

45640A

Concave
18mm x 70mm
(5/8 x 2 3/4)

45656A

Malleable
25mm x 110mm
(1 x 4 5/16)

45657A

Malleable
13mm x 89mm
(1/2 x 3 1/2)

45611A

Meyerding
25mm x 75mm
(1 x 3)

45612A

Meyerding
51mm x 60mm
(2 x 2 3/8)

45613A

Meyerding
51mm x 75mm
(2 x 3)

46125A

Richardson
19mm x 50mm
(3/4 x 2)

80

Part Number

91018
Application

Lateral retraction.

Soft tissue retraction under


the chin on high level anterior
cervical procedures.

Lateral retraction.

Spine Surgery C.C.A Retractor

C
B
D
C

E
D

B
C

Suggested Setup
A

41902S

Elite II Rail Clamp w/1 3/8 Cam Joint 10

44117

Angled Arm 17 (7 x 10) 3/8

42123

Clip-Clip Joint 3/8 x 1/4

SL45003LH

S-Lock Hinged Handle 8

SL46983AC Bone Lever 14mm x 50mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

81

Spine Surgery C.C.A. Retractor


Central Cervical Access Retractor
Qty.

Description

Application

41902S

Elite II Rail Clamp


w/1 3/8 Cam Joint 10

Attaches to the rail of the


OR table and holds the
Angled Arms, Joints and
Retractors in position.

44117

Angled Arm 17
(7 x 10) 3/8

Attaches to the Elite II Rail Clamp


and holds the Retractors in place
around the incision.

42123

Clip-Clip Joint 3/8 x 1/4

Used to connect the


Angled Arms to the Retractors.

SL45003LH

S-Lock Hinged Handle 8

Attaches Bone Levers to the


Angled Arms. Hinges provide
dynamic retraction.

Manipulator Handle

Attaches to Bone Levers to place


Bone Lever on the spine and retract.
A mallet may be used on the top of
the handle to gently drive the Bone
Lever tips into the bone.

82

Part Number

80056

42128AC

SL46982AC

Bone Lever 14mm x 40mm

SL46983AC

Bone Lever 14mm x 50mm

SL46984AC

Bone Lever 14mm x 60mm

SL46985AC

Bone Lever 14mm x 70mm

SL46986AC

Bone Lever 14mm x 80mm

46521

Anterior Cervical
Depth Gauge

Measures depth of incision


for blade selection.

50000G

Instrument Case

Organizes and holds blades


and frame components.

Lateral/Medial retraction.

Spine Surgery Thalgott PL Retractor - Single Level

B
B
A

Suggested Setup
A

60005

Thalgott Single Level Frame

46994

Thalgott 28mm x 80mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

83

Spine Surgery Thalgott PL Retractor - Multi Level

B
D
D

C
A

Suggested Setup

84

60004

Thalgott Multi Level Frame

42126S

Cam II Clip-on 5 (3/8 x 1/4)

46986

Thalgott 14mm x 80mm

46994

Thalgott 28mm x 80mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Spine Surgery Thalgott PL Retractor


Thalgott PL Retractor

80051
Qty.

Part Number

60004

Description

Application

Multi Level Frame

Self-retaining frame holds Thalgott


blades in place and provides powerful micro-adjustable retraction for
multi-level exposure.

60005

Single Level Frame

Self-retaining frame holds


Thalgott blades in place
and provides retraction for
single-level exposure.

42126S

Cam II Clip-on 5
(3/8 x 1/4)

Attaches independent
Thalgott blades to the
Multi or Single-Level Frame.

46986

Thalgott 14mm x 80mm

46988

Thalgott 14mm x 100mm

46990

Thalgott 14mm x 120mm

46992

Thalgott 14mm x 140mm


Posterior lumbar muscle retraction.

46994

Thalgott 28mm x 80mm

46996

Thalgott 28mm x 100mm

46998

Thalgott 28mm x 120mm

46999

Thalgott 28mm x 140mm

85

Spine Surgery Posterior Lumbar

G
G

E
H

D
D
A

Suggested Setup

86

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

45007STA

Crank II Slide-on w/Angling Head 7 3/4

42140C

Flexible Blade Holder

45753A

Nerve Root Retractor 45

45676ATTC Radiolucent Concave PL 23mm x 120mm

45677ATTC Radiolucent Concave PL 45mm x 120mm

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Spine Surgery Posterior Lumbar


Posterior Lumbar System
Qty.

80048
Part Number

Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Extension Arms, Joints and
Retractors in position.

41900BC

Crossbar w/2
Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Extension Arms in
place around the incision.

44124N

24 Angled Arm
8 x 16

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

42140C

Flexible Blade Holder

Attaches Nerve Root Retractors


to the frame as needed.

Attaches retractor blades


to the Crossbar or Angled
Arm and provides powerful
micro-adjustments as needed.
Applies to the Angling
Retractor Handles as needed.

45007STA

Crank II Slide-on
w/Angling Head 7 3/4

43032

Angling Head Wrench

45670ATTC

Radiolucent Concave PL
23mm x 80mm

45671ATTC

Radiolucent Concave PL
45mm x 80mm

45672ATTC

Radiolucent Concave PL
60mm x 80mm

Radiolucent muscle retraction.

87

Spine Surgery Posterior Lumbar


Posterior Lumbar System (contd.)
Qty.

Part Number

80048
Description

45673ATTC

Radiolucent Concave PL
23mm x 100mm

45674ATTC

Radiolucent Concave PL
45mm x 100mm

45675ATTC

Radiolucent Concave PL
60mm x 100mm

45676ATTC

Radiolucent Concave PL
23mm x 120mm

45677ATTC

Radiolucent Concave PL
45mm x 120mm

45678ATTC

Radiolucent Concave PL
60mm x 120mm

45752A

Nerve Root Retractor 90

Application

Radiolucent muscle retraction.

Nerve root retraction.


1

45753A

Nerve Root Retractor 45

50000G

Instrument Case
22 x 11 x 3 1/2

Organizes and holds blades


and frame components.

Expansion Kit for Posterior Lumbar System


Qty.

88

Part Number

Description

90017
Application

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on either side of


the incision. Adjusted independently.

42110S

Cam II Slide-on Joint


1/2 x 1/2

Used to connect the Straight Arms


to the Angled Arms.

Cardiothoracic Surgery
Bolling Mitral Valve Retractor....................................................................... 90-91

89

Cardiothoracic Surgery Bolling Mitral Valve Retractor

C
B

Suggested Setup

90

300251

Morse Spreader (sold separately - not included in kit)

47200

CV Clamp L-Bar 2

47204

Universal Joint

43104

Cushing 6 1/2

43113

Large Basket 6 1/2

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Cardiothoracic Surgery Bolling Mitral Valve Retractor


Bolling Mitral Valve Retractor
Qty.

91070CV

Part Number

Description

43100

Malleable Paddle 5

43101

Malleable Paddle 6 1/2

43102

Malleable Paddle 8

43103

Cushing 5

43104

Cushing 6 1/2

43105

Cushing 8

43106

Small Basket 5

43107

Small Basket 6 1/2

43108

Small Basket 8

43109

Medium Basket 5

43110

Medium Basket 6 1/2

43111

Medium Basket 8

43112

Large Basket 5

43113

Large Basket 6 1/2

43114

Large Basket 8

47200

47201

Application

Malleable atrial or septal retraction.


Often placed on the inferior side of
the septal incision.
Atrial retraction during a
transseptal approach.

Left atrial wall retraction.


Often placed in the superior
& inferior portions of septal
incision to retract the left atrial wall.

CV Clamp L-Bar 2

Mounts to sternal or rib retractors and


accepts one Universal Joint. L-Shape
allows for retractor placement between
the sternal or rib retractor arms.

CV Clamp T-Bar 8

Mounts to sternal or rib retractors


and accepts several Universal Joints.
Useful on left side of heart for
placement of atrial retractors.

47202

CV Clamp L-Bar 6 x 8

Mounts to sternal or rib retractors


and accepts several Universal Joints.
L-Shape allows for retractors to be
placed in multiple planes.

47204

Universal Joint

Attaches retractors to CV Clamps

50000BOL

Instrument Case

Organizes and holds blades


and frame components.

91

92

Bariatric Surgery
Thompson Bilateral Frame................................................................................ 94.
Obesity....................................................................................................... 95-96

93

Bariatric Surgery Bilateral Frame


Thompson Bilateral Frame
Qty.

90015A
Part Number

41905AC

41900H

41900HL

Description

Elite II Rail Clamp


w/2 Cam Joints 22

Bilateral Crossbar Hinged


11 x 8 1/2 x 11

Bilateral Crossbar Hinged


14 x 10 x 14

Application

Attaches to the rail of the OR table


and holds the Bilateral Crossbar in
position.

Attaches to the Elite II Rail Clamps


and holds the retractor handles in
place around the incision.

24 Angled Arm

Attaches to the Elite II Rail Clamp


and holds the retractor handles
in place around the incision.
Adjusted independently.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
blades as needed. Provides powerful
micro-adjustments as needed.

43032

Angling Head Wrench

Applies to the Angling Retractor


Handles as needed.

44124W

The Obesity Blade Kit is used with the Thompson Bilateral Frame.
94

Bariatric Surgery Obesity

D
D
E
B
H
G

E
C

A
I

Suggested Setup
A

41905AC

Elite II Rail Clamp w/2 Cam Joints 22

41900H

Bilateral Crossbar Hinged 11 x 8 1/2 x 11

44124W

24 Angled Arm

42126WA

Cam II Clip-on w/Angling Head 8

45006BTC

Crank II Clip-on w/10 3/4 Handle, Bariatric

46141F

Balfour 89mm x 160mm (3 1/2 x 6 1/4)

46141D

Balfour 83mm x 127mm (3 1/4 x 5)

46161

Harrington 114mm x 254mm (4 1/2 x 10)

46130

Kelly 76mm x 89mm (3 x 3 1/2)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

95

Bariatric Surgery Obesity


Obesity Blade Kit

91012L
Qty.

96

Part Number

Description

46119C

Concave Renal Vein


25mm x 191mm
(1 x 7 1/2)

46122A

Malleable
51mm x 254mm
(2 x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46124B

Malleable
102mm x 254mm
(4 x 10)

46130

46136A

Application

Renal vein or vessel retraction.

Soft tissue retraction.

Kelly
76mm x 89mm
(3 x 3 1/2)

Abdominal or incisional
wall retraction.

Fence
102mm x 203mm
(4 x 8)

Lateral retraction of abdominal wall


on large procedures.

46141

Balfour
83mm x 76mm
(3 1/4 x 3)

46141D

Balfour
83mm x 127mm
(3 1/4 x 5)

46141F

Balfour
89mm x 160mm
(3 1/2 x 6 1/4)

46153

Richardson
51mm x 178mm
(2 x 7)

46161

Harrington
114mm x 254mm
(4 1/2 x 10)

Coastal margin or abdominal wall


retraction.

Organ retraction.

97

Urology Surgery
Thompson Elite II Quick Frame......................................................................... 99.

98

Retropubic Prostatectomy.................................................................. 100-101.

Perineal Prostatectomy....................................................................... 102-103.

Kidney Transplant................................................................................. 104-106

Minimal Access..................................................................................... 107-109

Urology Surgery Elite II Quick Frame


Thompson Elite II Quick Frame
Qty.

Part Number

90011B
Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Crossbar in position.

41900BC

Crossbar
w/2 Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Angled Arms in place
around the incision.
May also support retractor handles.

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

44124N

24 Angled Arm
8 x 16

Attaches to Crossbar on
either side of the incision.
Adjusted independently.
Supports retractor handles.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles retractor blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
retractor blades as needed. Provides
powerful micro-adjustments.

43032

Angling Head Wrench

Applies to the Angling


Retractor Handles as needed.

Blade Kits on the following pages are used with the Thompson Elite II Quick Frame.
99

Urology Surgery Retropubic Prostatectomy

D
C
B

D
F
C

A
E

Suggested Setup

100

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46143

Fenestrated 44mm x 89mm (1 3/4 x 3 1/2)

46137

Holtgrewe 60mm x 152mm (2 3/8 x 6)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Urology Surgery Retropubic Prostatectomy


Abdominal Urology Blade Kit
Qty.

91025L

Part Number

Description

46122

Malleable
51mm x 203mm
(2 x 8)

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

46129

Kelly
64mm x 76mm
(2 1/2 x 3)

Application

Soft tissue retraction.

46136

Fence
102mm x 152mm
(4 x 6)

46137

Holtgrewe
60mm x 152mm
(2 3/8 x 6)

46140P

Balfour
76mm x 51mm
(3 x 2)

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

46143

Fenestrated
44mm x 89mm
(1 3/4 x 3 1/2)

46151

Richardson
51mm x 127mm
(2 x 5)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Abdominal or incisional
wall retraction.

Bladder retractor: protects bladder


during resection of prostate gland.

Abdominal or incisional
wall retraction.

Organ retraction.
1

46163

Harrington
64mm x 203mm
(2 1/2 x 8)

46174

Deaver
51mm x 127mm
(2 x 5)

Soft tissue retraction.

101

Urology Surgery Perineal Prostatectomy

B
A
D

Suggested Setup

102

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46122

Malleable 51mm x 203mm (2 x 8)

46661

Double Angled 25mm x 64mm (1 x 2 1/2)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Urology Surgery Perineal Prostatectomy


Harris Perineal Blade Kit
Qty.

91026L
Part Number

Description

45753AM

46660

Double Angled
25mm x 76mm
(1 x 3)

46661

Double Angled
25mm x 64mm
(1 x 2 1/2)

46662

Double Angled
13mm x 76mm
(1/2 x 3)

46663

Double Angled
13mm x 70mm
(1/2 x 2 3/4)

46664

Bulb
25mm x 64mm
(1 x 2 1/2)

Bladder retraction.

46215

Murphy Blunt
25mm x 16mm
(1 x 5/8)

Shallow skin mini-incision retraction.

46116

Malleable
13mm x 152mm
(1/2 x 6)

46122

Malleable
51mm x 203mm
(2 x 8)

46123

Malleable
38mm x 203mm
(1 1/2 x 8)

Prostate Retractor

Application

Prostate retraction.

Incision wall or muscle retraction.


2

Soft tissue retraction.

103

Urology Surgery Kidney Transplant

C
B

E
H
A

F
C

Suggested Setup

104

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on w/10 3/4 Handle

46118

Malleable 25mm x 203mm (1 x 8)

46150

Richardson 51mm x 102mm (2 x 4)

46142P

Balfour 51mm x 57mm (2 x 2 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Urology Surgery Kidney Transplant


Kidney Transplant Blade Kit
Qty.

91045L

Part Number

Description

46118

Malleable
25mm x 203mm
(1 x 8)

46122

Malleable
51mm x 203mm
(2 x 8)

Application

Soft tissue retraction.


2

46124

Malleable
64mm x 254mm
(2 1/2 x 10)

46124A

Malleable
76mm x 254mm
(3 x 10)

46127

Kelly
38mm x 51mm
(1 1/2 x 2)

46128

Kelly
51mm x 64mm
(2 x 2 1/2)

46129

Kelly
64mm x 76mm
(2 1/2 x 3)

Abdominal or incisional
wall retraction.

105

Urology Surgery Kidney Transplant


Kidney Transplant Blade Kit (contd.)
Qty.

Part Number

91045L
Description

46125

Richardson
19mm x 25mm
(3/4 x 1)

46125A

Richardson
19mm x 51mm
(3/4 x 2)

46126

Richardson
25mm x 32mm
(1 x 1 1/4)

46150

Richardson
51mm x 102mm
(2 x 4)

46151

Richardson
51mm x 127mm
(2 x 5)

46140P

Balfour
76mm x 51mm
(3 x 2)

Application

Coastal margin or
abdominal wall retraction.

Abdominal or incisional
wall retraction.

106

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

Organ retraction.

Urology Surgery Minimal Access

C
E

G
H

F
B

Suggested Setup
A

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

45006STC

Crank II Clip-on w/10 3/4 Handle

46118

Malleable 25mm x 203mm (1 x 8)

46156

MAS Richardson 51mm x 102mm (2 x 4)

46142P

Balfour 51mm x 57mm (2 x 2 1/4)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

107

Urology Surgery Minimal Access


Minimal Access Retractor Blade Kit
Qty.

Part Number

91051
Description

46118

Malleable
25mm x 203mm
(1 x 8)

46118A

Malleable
25mm x 254mm
(1 x 10)

Application

Soft tissue retraction.


1

46118B

Malleable
38mm x 254mm
(1 1/2 x 10)

46123

Malleable
28mm x 203mm
(1 1/2 x 8)

46119B

Concave Renal Vein


25mm x 140mm
(1 x 5 1/2)
Renal vein or vessel retraction.

108

46119C

Concave Renal Vein


25mm x 191mm
(1 x 7 1/2)

46140P

Balfour
76mm x 51mm
(3 x 2)

46142P

Balfour
51mm x 57mm
(2 x 2 1/4)

46154

Richardson
51mm x 76mm
(2 x 3)

Abdominal or incisional
wall retraction.

Urology Surgery Minimal Access


Minimal Access Retractor Blade Kit (contd.)
Qty.

Part Number

91051

Description

46155

MAS Richardson
51mm x 76mm
(2 x 3)

46156

MAS Richardson
51mm x 102mm
(2 x 4)

46157

MAS Richardson
51mm x 127mm
(2 x 5)

46158

MAS Richardson
51mm x 152mm
(2 x 6)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

46162P

Harrington
38mm x 127mm
(1 1/2 x 5)

Application

Muscle retraction for


exposure with small or
mini-incision.

Organ retraction.
1

46163

Harrington
64mm x 203mm
(2 1/2 x 8)

46165

Harrington
64mm x 102mm
(2 1/2 x 4)

46660

Double Angled
25mm x 76mm
(1 x 3)

Soft tissue retraction.

109

110

Gynecology Surgery
Thompson Elite II Quick Frame....................................................................... 112
Gynecology.......................................................................................... 113-116

111

Gynecology Surgery Elite II Quick Frame


Thompson Elite II Quick Frame
Qty.

Part Number

90011B
Description

Application

41902AC

Elite II Rail Clamp


w/1 Cam Joint 18

Attaches to the rail of the


OR table and holds the
Crossbar in position.

41900BC

Crossbar
w/2 Cam Joints 24

Attaches to the Elite II Rail Clamp


and holds the Angled Arms in place
around the incision.
May also support retractor handles.

44118N

18 Angled Arm
8 x 10 @ 45

Attaches to Crossbar on
either side of the incision.
Adjusted independently.

44124N

24 Angled Arm
8 x 16

Attaches to Crossbar on
either side of the incision.
Adjusted independently.
Supports retractor handles.

42126WA

Cam II Clip-on
w/Angling Head 8

Attaches retractor blades to


the Crossbar or Angled Arm and
angles retractor blades as needed.

45006CA

Crank II Clip-on
w/Angling Head 10

Attaches retractor blades to the


Crossbar or Angled Arm and angles
retractor blades as needed. Provides
powerful micro-adjustments.

43032

Angling Head Wrench

Applies to the Angling


Retractor Handles as needed.

The GYN Blade Kit is used with the Thompson Elite II Quick Frame.
112

Gynecology Surgery Abdominal Hysterectomy

D
C
B

D
F

A
D

Suggested Setup
A

41902AC

Elite II Rail Clamp w/1 Cam Joint 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46143

Fenestrated 44mm x 89mm (1 3/4 x 3 1/2)

46122

Malleable 51mm x 203mm (2 x 8)

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

113

Gynecology Surgery Vaginal Hysterectomy

A
B
D
H
G

Suggested Setup

114

41903AC

Elite II Rail Clamp w/2 Cam Joints 18

41900BC

Crossbar w/2 Cam Joints 24

44118N

18 Angled Arm 8 x 10 @ 45

42126WA

Cam II Clip-on w/Angling Head 8

46118

Malleable 25mm x 203mm (1 x 8)

46122

Malleable 51mm x 203mm (2 x 8)

41933

Hysterectomy Tray

44118C

18 Straight Arm w/1 Cam Joint

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

Gynecology Surgery
GYN Blade Kit

91020GYN
Qty.

Part Number

41929

Description

Rail Extender 22 Long

Application

Attaches to OR table rail to add


2 1/4 to the width of the table.
Elite II Rail Clamp may attach to it.
(Not necessary for abdominal procedure.)

41933

Hysterectomy Tray

Holds surgical instruments and


attaches to the straight arm.
(Not necessary for abdominal procedure.)

44118C

18 Straight Arm
w/1 Cam Joint

46118P

Malleable
25mm x 102mm
(1 x 4)

46118

Malleable
25mm x 203mm
(1 x 8)

46118A

Malleable
25mm x 254mm
(1 x 10)

46122

Malleable
51mm x 203mm
(2 x 8)

46174

Deaver
51mm x 127mm
(2 x 5)

Attaches to the Elite II Rail Clamp


and secures to the Hyterectomy Tray.
(Not necessary for abdominal procedure.)

Soft tissue retraction.

115

Gynecology Surgery
GYN Blade Kit (contd.)

91020GYN
Qty.

Part Number

46180

Description

Application

Heany
25mm x 102mm
(1 x 4)
Abdominal or incisional
wall retraction.

46135

Fence
102mm x 127mm
(4 x 5)

46160

Harrington
64mm x 152mm
(2 1/2 x 6)

46663

Double Angled
13mm x 70mm
(1/2 x 2 3/4)

Organ retraction.

Muscle or soft tissue retraction.


2

46660

Double Angled
25mm x 76mm
(1 x 3)

46150

Richardson
51mm x 102mm
(2 x 4)
Abdominal or incisional
wall retraction.

116

46143

Fenestrated
44mm x 89mm
(1 3/4 x 3 1/2)

117

Laparoscopic Surgery
Laparoscopic............................................................................................ 119-120
Laparoscopic Elite II Setup.............................................................................. 121

118

Laparoscopic Surgery Laparoscopic

E
B

E
D

Suggested Setup
A

41950

Power Rail Clamp

42139N

Laparoscopic Instrument Holder

42133C

Flexible Scope Holder

33154

Scope Grip

42136F

Scope Grip Bushing


119

Laparoscopic Surgery Laparoscopic


Laparoscopic System

80030
Qty.

Part Number

Description

Application

41950

Power Rail Clamp

Attaches to the rail of the OR


table and holds the Flexible Scope
or Instrument Holder.

42139N

Laparoscopic
Instrument Holder

Secures to the Power Rail


Clamp and holds the
laparoscopic instrument.

42133C

Flexible Scope Holder

Secures to the Power Rail Clamp


and holds the Scope Grip.

33154

Scope Grip

Attaches the Flexible Scope Holder


and holds Scope Grip Bushing.

42136F

Scope Grip Bushing


5mm
Attaches the Scope Grip and
protects and holds the Laparoscope.

120

42136T

Scope Grip Bushing


10mm

50000G

Instrument Case

Stenciled instrument case


that allows for quick selection
and organization.

Laparoscopic Surgery Laparoscopic Elite II Setup

B
A
C

41902AC

Elite II Rail Clamp w/1 Cam Joint

42133CE

Flexible Scope Holder for Elite

33154

Scope Grip

C
D

41903AC

Elite II Rail Clamp w/2 Cam Joints

42133CE

Flexible Scope Holder for Elite

33154

Scope Grip

42139E

Laparoscopic Instrument Holder for Elite


121

Plastic Surgery
Panniculectomy........................................................................................ 123-124

122

Plastic Surgery Panniculectomy

D
D
C

Suggested Setup*
A

41904AC

Elite II Rail Clamp w/1 Cam Joint 22

44734

90 Collapsible Rod w/Grooves

44120C

20 Straight Arm w/1 Cam Joint

35028

Towel Clip Crank

*For panni under 25lbs., only one Elite II Rail Clamp is necessary
and the 20 Straight Arm w/1 Cam Joint is not required.

Precautions:

Relax tension on retractors every 20 minutes to prevent nerve injury

123

Plastic Surgery Panniculectomy


Body Contouring System
Qty.

Part Number

Description

Application

41904AC

Elite II Rail Clamp


w/1 Cam Joint 22

Attaches to the rail of the OR table


and holds the Bilateral Crossbar in
position.

44734

90 Collapsible Rod
w/Grooves

Attaches to the Elite II


Rail Clamps and holds the
crank retractors in place.

44120C

20 Straight Arm
w/1 Cam Joint

Attaches to the Elite II Rail Clamp


and supports the Collapsible Rod
for bilateral setups.

45007P

Crank II Clip-on
w/Angling Head 18

Attaches retractor blades to the


Collapsible Rod and angles retractor
blades as needed. Provides powerful
micro-adjustments as needed.

35028

Towel Clip Crank

Attaches towel clips to the


Collapsible Rod and provides
powerful micro-adjustments
as needed.

48001

Towel Clip Hook

Attaches to the Crank II Clip-on


to hold towel clips as needed.

46134

Fence
102mm x 102mm
(4 x 4)

Abdominal or incisional
wall retraction.

46400

Tummy Tuck
76mm x 140mm
(3 x 5 1/2)

Abdominal muscle exposure


for plication.

50000BL

Instrument Case
26 x 10 x 5

Stenciled instrument case that


allows for quick blade selection
and organization.

124

80043

The Body Contouring System can be used for


Panniculectomy, Tummy Tuck, Thighplasty & Torsoplasty procedures.

0470

jcatlas0810

10170 East Cherry Bend Road


Traverse City, MI 49684
231.922.0177 Fax 231.922.0174
www.thompsonsurgical.com