Chattanooga Saunders User manual

AT HOME LUMBAR TRACTION
User’s Guide

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English. . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Español . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Français . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

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Your new at home traction device is designed to help provide safe and effective
traction (stretching) to the lumbar region (low back.) Your traction device requires
minimal set-up and is ready to use out of the box. If you have questions regarding its
use or to report any problems, contact your local DJO representative.
Read these instructions completely before proceeding and follow your clinicians
advice before using.
TABLE OF CONTENTS
Warnings and Precautions . . . . . . . . . . . . . . . . . . . . 4
Indications For Use . . . . . . . . . . . . . . . . . . . . . . . .4
Contraindications For Use. . . . . . . . . . . . . . . . . . . . . .5
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . .5
Components. . . . . . . . . . . . . . . . . . . . . . . . . . .6
Preparing for Treatment . . . . . . . . . . . . . . . . . . . . . .6
Applying Traction . . . . . . . . . . . . . . . . . . . . . . . .6-8
Hand Pump Operation . . . . . . . . . . . . . . . . . . . . . 9-10
Maintenance and Troubleshooting . . . . . . . . . . . . . . . . 10-12
Replacement Parts and Accessories . . . . . . . . . . . . . . . . . 12
Warranty Information . . . . . . . . . . . . . . . . . . . . . 13-15
AT HOME LUMBAR TRACTION USER’S GUIDE
GENERAL TERMINOLOGY
For Prescription Only
Refer to User’s Guide
Caution
European Union’s Mark of Conformity
Rx
ONLY
Medical Device
Manufacturer
Single Patient Multiple Use

4 / 43 ENGLISH
WARNINGS AND PRECAUTIONS
WARNING: The sale of this device is restricted to individuals by or on the order of a
licensed health care provider.The instructions provided by your health care provider
should be followed precisely. Do not exceed the recommendations of your health
care provider.
Exceeding these recommendations may aggravate an existing condition or cause
additional injury. Traction should never cause pain. A stretching sensation or some
slight discomfort may be felt during treatment. If pain is increased in the neck, back,
arms or legs, or if you experience dizziness, nausea or any other type of pain or
discomfort during or after treatment, discontinue use immediately and consult your
health care provider before further use. If you experience pain, swelling or any
other unusual reactions while Using this product contact a medical professional
immediately. Contact the manufacturer and competent authority in the case of any
serious incident due the use of this device. Do not use the device if you have any
know allergies to the medical device materials
USER PROFILE
The intended user should be a licensed medical professional or the patient
under the direction of a licensed medical professional. The user must be able to
understand the operator’s manual, warnings and cautions to operate the device.
Both hands may be needed to operate the device safely. The medical professional
using this device must be able to sense auditory and visual signals for the patient.
INTENDED USE
The Saunders Lumbar Traction Device is designed to provide safe and effective
traction (stretching) to the lumbar region (low back).
INDICATIONS FOR USE
Depending upon the advice of your health care provider, traction can be used to
treat these conditions:
• back pain
• muscle tightness
• joint stiffness
• sciatica
• nerve root compression
• herniated discs

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CONTRAINDICATIONS FOR USE
Traction should not be used to treat... or if you suffer from the following conditions:
• acute or traumatic injury
• rheumatoid arthritis
• spinal instability
• spinal cord compression
• fracture
• malignancy
• infections and inflammatory diseases
• any other conditions that may be made worse by movement
• structural disease secondary to tumor or infection
• patients with vascular compromise
• patients with joint instability of the spine
• pregnancy
• claustrophobia
• cardiac or pulmonary problems
• osteoporosis
• hiatus Hernia
POTENTIAL UNDESIRABLE SIDE EFFECTS
Some patients may experience headaches and increased pain following traction.
BEFORE YOU BEGIN
Review the guidelines you received from your health care provider regarding the:
• amount of traction recommended (never so much that it causes pain)
• duration (amount of time) of each treatment
• hold and relax times if intermittent traction is recommended
• position
• number of treatments recommended per week or per day (or the frequency of
treatments)
For lumbar (low back) traction, remove clothing, belts and accessories around the
trunk and lower back area. The upper and lower harnesses will stay more secure if
they are in contact with bare skin. Therefore, for best results, slip your shirt up and
slide your outer clothing down below your hips or remove them.

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PREPARING FOR TREATMENT
1. Place the Saunders Lumbar Traction device in its case on a firm surface or bed
with the wheels facing up.
2. Remove the wheels and unzip the case. Open case lid toward the head of the bed
or treatment surface.
3. Remove the hand pump from the mesh storage compartment. Place the hand
pump next to the device.
4. Open the buckles on each of the harnesses. Position the lower harness so it is
slightly overlapping the upper harness.
5. Have a clock, timer or wrist watch available to time your treatment.
APPLYING TRACTION
1. Lie down on the Saunders Lumbar Traction device so that the lower harness is one
inch over the top of your hips.
NOTE: The top edge of the lower harness should be positioned just under your navel. See Figure 2.
Figure 1. Components of the at home Lumbar Traction device
COMPONENTS
Carrying
Handle
Lower Harness
Belt Upper Harness
Pump Storage
Compartment
Hand Pump
with Gauge Buckle Belt Organizer
Carrying Case
Wheel and User
Guide Storage
Compartment Wheels

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2. If desired, or as instructed by your health care provider, place pillows, wedges
or bolsters under your knees, back and/or head (see Figure 3A through 3D for
reference images and positioning options.)
3. Secure the lower harness over your bare skin first. Tighten the belts as snugly as
possible without pain. Now secure the upper harness the same way.
NOTE: The harnesses feature a belt organizer to help keep the buckles properly
aligned. A belt organizer is secured to each harness with hook and loop and may be
adjusted as appropriate.
4. Apply traction using the pump as described on pages 7 and 8.
NOTE: Your health care provider may instruct you to:
• Use pillows, bolster or chair under your knees for more flexion (forward
bending) of your lower back.
• Lie flat with your legs fully straightened for less flexion.
• Place a small towel (or wedge) under the lower stabilization belt for neutral or
slight extension (backward bending) of your lower back.
• Lie on your stomach (prone) and have a partner secure the belts.
Refer to Figure 3 for instruction in the various position options.
Figure 2. Proper position of lower harness. (Model in clothing for
demonstration purposes only)

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Figure 3. Position Options. (Model in clothing for demonstration purposes only)
3A. Bolster under the knees for more lower back flexion (forward bending).
3B. Legs straight for less lower back flexion.
3C. Towel under lower stabilization belt for neutral low back position or slight back
extension (backward bending).
3D. Prone (stomach-lying) for more lower back extension (backward bending.)
NOTE: Have a partner secure the harnesses as described on page 5.

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First, rotate the gauge housing of the hand pump to the “PUMP” position. Begin
SLOWLY pumping air into the cylinder by stroking the pump handle all the way
out and all the way in. Observe the gauge to make sure you are staying within
the guidelines provided by your health care provider. When you have reached the
desired amount of stretch, rotate the gauge housing to the “HOLD” position. Begin
timing your treatment now, following the instructions of your health care provider.
CAUTION: Do not exceed the level of traction prescribed by your health care
provider. The stretch provided by traction should never cause pain. Relax…let your
traction device do the work.
Figure 4. Hand pump operation
A) Close-up of gauge housing.
HAND PUMP OPERATION
Once you are secure and comfortable in your Saunders Lumbar Traction device,
you will apply traction by pumping air into the system using the hand pump
(see Figure 4.).
B) Both in and out motions of the
pump fill the cylinder with air.

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When the treatment is complete, release the traction by rotating the gauge housing
to the “RELEASE” position. Slacken the belts and release the buckles. You should
relax for a few minutes then slowly move your pelvis from side to side before
getting out of the device.
The Saunders Lumbar Traction device will return to the starting position once you
have moved off the device.
NOTE: In the course of your treatment it is normal for a small loss of pressure (by 10%)
due to the relaxation of your spine. As this occurs, add additional air to return to
the prescribed force. If you give too much traction, rotate the gauge housing to the
“RELEASE” position to let some air out of the system.
REVIEW OF HAND PUMP OPERATION
1. “HOLD” – holds traction force at the desired level.
2. “PUMP” – fills the cylinder with air, increasing the traction force.
3.“RELEASE” – empties air from the cylinder during or after treatment and prior to use.
MAINTENANCE AND TROUBLESHOOTING
MAINTENANCE
If you believe your Saunders at home Lumbar Traction device requires maintenance
or repair please contact the following:
For usa product support please call 1-800-494-3395, or visit chattanoogarehab.com.
For international product support please contact your local dealer, or your
corresponding DJO Global site.
You may also contact us internationally at the below email address:
[e-mail]

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CLEANING
All surfaces of your Saunders at home Lumbar Traction device may be cleaned with
a mild detergent or disinfectant. Do not immerse the device in water. The carrying
case should be left in the “open” position to air dry. If the device is transferred
between different users, all surfaces should be cleaned using standard cleaning
techniques paying particular attention to the components that come in contact with
the body.
STORAGE
Your Saunders at home Lumbar Traction device should be stored in its protective
case. Replace the pump in the mesh storage compartment on the inside of the
carrying case. Fold all harnesses, closing buckles where applicable. Fully zip the
carrying case.
TROUBLESHOOTING
The Saunders at home Lumbar Traction device features a very accurate, sensitive
gauge. The pump is specifically designed not to leak in the “HOLD” position. If you
notice a drop in the gauge reading when in the “HOLD” position, it is probably
because you have relaxed or moved slightly. If this happens, return to the “PUMP”
position and pump back to the desired force, then reset to “HOLD.” Proper operation
of the Saunders Lumbar Traction device requires that the air system be virtually
leak-free. If the traction force is not maintained, there may be a leak somewhere in
the system. Please contact the service team if this is noticed.
QUESTIONS TO ASK YOURSELF BEFORE INITIATING THE THERAPY:
• Is the pump in the “PUMP” position when pumping?
• Is the pump in the “HOLD” position when receiving treatment?
• Are you lying still? (Any movement will cause fluctuation.)
• Are you pumping slowly?
• Are all connections tight? (i.e. pump hose cap and gauge lens cap)

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REPLACEMENT PARTS AND ACCESSORIES
Below is a listing of replacement parts and accessories. Please contact your local
DJO representative for details and pricing on replacement parts.
DESCRIPTION PART NUMBER
Upper and Lower Harness Kit 199630
Hand Pump Replacement Kit 199614
Pump Assembly Lumbar 199633
Carrying Case with Wheels 096495
Wheel Case Saunders Lumbar Traction 199634
Belt Extension Kit 199635
User’s Guide 360369
Extension Belt 48” 631374-001
Extension Belt 96” 630483-001
IF THE UNIT IS LEAKING AIR, TRY THE FOLLOWING:
• Check the air hose and connections at the hand pump for leaks.
• Gently tighten as necessary. Do not over-tighten as the threads may strip.
• Perform a POP test. With no one in the device, PUMP up the pressure until you
hear a “pop” noise (at about 200 lbs.) Then rotate the gauge to the RELEASE
position and proceed with your treatment
If you have any questions, please call your local DJO representative.

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WARRANTY
I. WARRANTY
Chattanooga warrants the Saunders Lumbar Traction device to be free from defects
in workmanship and materials for one year.
Chattanooga will repair or replace, at its facility, any product found to be defective.
This warranty does not apply to any product damaged by misuse, or repaired or
altered by anyone other than DJO.
This warranty is in lieu of any or all other warranties, expressed or implied. No
person is authorized to bind Chattanooga to any representation of warranty other
than those specifically set forth herein.
NOTE: Warranty period begins with the date of purchase from manufacturer for
one year.
II. LIMITATION OF LIABILITIES AND DISCLAIMER OF WARRANTIES
A. Chattanooga’s sole obligation in the case of any breach of its warranties set forth
in Paragraph I above, shall be, at Chattanooga’s option, to repair or replace the
Product with a new or factory reconditioned product without charge to Purchaser
or to refund the purchase price of the Product. In order to recover under this
Warranty, Purchaser must send Chattanooga written notice of the defect (setting
forth the problem in reasonable detail) prior to expiration of the Warranty Period,
and within 30 days of discovery of the defect. Upon Chattanooga’s written request
and authorization, Purchaser shall return the Product to Chattanooga, freight and
insurance prepaid, for inspection. Please contact DJO for further details at the
following:
For USA product support please call 1-800-494-3395, or visit
chattanoogarehab.com.
For international product support please contact your local dealer, or your
corresponding DJO Global site.
You may also contact us internationally at the below email address:
[e-mail].
Chattanooga will not be responsible for damage due to improper packaging or
shipment. If Chattanooga determines in its sole reasonable discretion that the
Product contains defective workmanship or materials. Chattanooga will refund to

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the Purchaser the purchase price for the defective product, or return the repaired
Product or a replacement thereof to Purchaser, freight and insurance billed to the
Purchaser, as soon as reasonably possible following receipt of the Product by
Chattanooga. If Chattanooga determines in its sole reasonable discretion that the
Product does not contain defective workmanship or materials. Chattanooga will
return the Product to the Purchaser, freight and insurance billed to the Purchaser.
B. This warranty is voided immediately as to any Product which has been repaired or
modified by any person other than authorized employees or agents of Chattanooga
or which has been subjected to misuse, abuse, neglect, damage in transit, accident
or negligence.
C. Except as provided in paragraph I, the product is being sold on an “as is” basis, all
accessories are sold “as is”, and the entire risk as to the quality and performance
of the product is with purchaser. The warranty provided in paragraph I is intended
solely for the benefit of the initial purchaser and Chattanooga disclaims all other
warranties, express or implied including, but not limited to any implied warranties
however, that notwithstanding the foregoing sentence in the event an implied
warranty is determined to exist, the period for performance by Chattanooga
thereunder shall be limited to the lifetime of the initial purchaser. No employee,
representative or agent of Chattanooga has any authority to bind Chattanooga to
any affirmation, representation or warranty except as stated in this written warranty
policy. (This warranty gives purchaser specific legal rights and purchaser may
also have other rights which vary from state to state. Some states do not allow
limitations of how long an implied warranty lasts, so the above limitation may not
apply to the purchaser.)
D. Chattanooga shall not be liable to any person for any direct, indirect, special,
incidental, or consequential damages, lost profits or medical expenses caused
by any defect, failure, malfunction or otherwise of the product, regardless of the
form in which any legal or equitable action may be brought against Chattanooga
(e.g. Contract, negligence or otherwise) the remedy provided in paragraph I above
shall constitute purchaser’s sole remedy. In no event shall Chattanooga’s liability
under any cause of action relating to the product exceed the purchase price of
the product.

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(The warranty gives purchaser specific legal rights and purchaser may also have
other rights which vary from state to state. Some states do not allow the exclusion
or limitation of incidental or consequential damages, so the above limitation may not
apply to the purchaser.)

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Su nuevo dispositivo en casa está diseñado para dotar de tracción segura y efectiva
(estiramiento) a la zona lumbar (espalda baja). Este dispositivo de tracción
requiere una instalación mínima y viene preparado para su uso. Si tiene preguntas
sobre su uso o para informar de cualquier problema, póngase en contacto con
su representante local de DJO.
Lea completamente estas instrucciones antes de proceder y siga los consejos
de su médico antes de utilizarlo.
CONTENIDOS
Advertencias y precauciones . . . . . . . . . . . . . . . . . . . 18
Indicaciones de uso . . . . . . . . . . . . . . . . . . . . . . . 18
Contraindicaciones . . . . . . . . . . . . . . . . . . . . . . . 19
Antes de comenzar . . . . . . . . . . . . . . . . . . . . . . . 19
Componentes . . . . . . . . . . . . . . . . . . . . . . . . . 20
Preparación para el tratamiento . . . . . . . . . . . . . . . . . . 20
Aplicación de tracción . . . . . . . . . . . . . . . . . . . . . 20-22
Funcionamiento de la bomba manual . . . . . . . . . . . . . . .23-24
Mantenimiento y resolución de problemas . . . . . . . . . . . . .24-25
Accesorios y piezas de repuesto . . . . . . . . . . . . . . . . . . 26
Información sobre garantía . . . . . . . . . . . . . . . . . . . 27-29
GUÍA DEL USUARIO DEL DISPOSITIVO DE TRACCIÓN
LUMBAR EN CASA
TERMINOLOGÍA GENERAL
Sujeto a prescripción
Consulte la Guía del usuario
Precaución
Marca de conformidad de la Unión Europea
Rx
ONLY
Dispositivo médico
Fabricante
Para uso múltiple en un solo
paciente

18 / 43 ESPAÑOL
ADVERTENCIAS Y PRECAUCIONES
ADVERTENCIA: la venta de este dispositivo está sujeta a prescripción por
parte de personal sanitario cualificado. Deben observarse minuciosamente
las instrucciones del personal sanitario. No supere las recomendaciones
establecidas por el personal sanitario.
De lo contrario, podría agravar la dolencia existente o provocar otra lesión.
La tracción no debería causar dolor en ningún momento. El tratamiento puede
provocar sensación de estiramiento o una molestia leve. Si nota un aumento
del dolor en cuello, espalda, brazos o piernas, o si experimenta sensación de
mareo, náuseas o cualquier otro tipo de dolor o molestia durante o después del
tratamiento, deje de utilizar el dispositivo inmediatamente y consulte con el personal
sanitario. Si experimenta dolor, hinchazón o cualquier reacción poco habitual al
usar este producto, consulte a un profesional médico inmediatamente. Póngase
en contacto con el fabricante y con la autoridad competente en caso de cualquier
incidente grave debido al uso de este dispositivo. No utilice el dispositivo si tiene
alguna alergia conocida a los materiales del dispositivo médico
PERFIL DEL USUARIO
El usuario previsto debe ser un profesional médico autorizado, o el paciente bajo
la dirección de un profesional médico autorizado. El usuario debe ser capaz de
entender el manual del operador, las advertencias y las precauciones para operar
el dispositivo. Es posible que se necesiten las dos manos para manejar el aparato
con seguridad. El profesional médico que utilice este dispositivo debe ser capaz
de percibir señales auditivas y visuales del paciente.
USO PREVISTO
El dispositivo de tracción lumbar Saunders está diseñado para dotar de tracción
segura y efectiva (estiramiento) a la zona lumbar (espalda baja).
INDICACIONES DE USO
La tracción, en el modo establecido por el personal sanitario, se puede utilizar como
tratamiento de las siguientes dolencias:
• dolor de espalda
• rigidez muscular
• rigidez articular
• ciática
• compresión de la raíz nerviosa
• hernias discales

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CONTRAINDICACIONES
La tracción no debe usarse para tratar... o si usted sufre de las siguientes
condiciones:
• lesión aguda o traumática
• artritis reumatoide
• inestabilidad espinal
• compresión de la médula espinal
• fractura
• malignidad
• infecciones y enfermedades inflamatorias
• cualquier otra afección que pueda empeorar con el movimiento
• enfermedad estructural secundaria a un tumor o a una infección
• pacientes con compromiso vascular
• pacientes con inestabilidad articular de la columna vertebral
• embarazo
• claustrofobia
• problemas cardíacos o pulmonares
• osteoporosis
• hernia hiatal
POSIBLES EFECTOS SECUNDARIOS NO DESEADOS
Algunos pacientes pueden experimentar dolores de cabeza y un aumento del dolor
tras la tracción.
ANTES DE COMENZAR
Repase las pautas que el personal sanitario le ha establecido sobre:
• la tracción recomendada (no debe provocar dolor)
• duración (cantidad de tiempo) de cada tratamiento
• tiempos de espera y relajación si se recomienda la tracción intermitente
• posición
• número de tratamientos recomendados por semana o por día (o la frecuencia
de los tratamientos)
Para tracción lumbar (parte inferior de la espalda), no utilice ropa, cinturones
ni accesorios alrededor del tronco y la zona inferior de la espalda. Las correas
superior e inferior sujetarán de un modo más estable si están en contacto directo
con la piel. Por ello, y para obtener mejores resultados, súbase la camisa y quítese
la ropa exterior o bájela hasta por debajo de su cadera.

20 / 43 ESPAÑOL
PREPARACIÓN PARA EL TRATAMIENTO
1. Coloque el dispositivo de tracción lumbar Saunders en su maletín sobre una
superficie firme o una cama y con las ruedas hacia arriba.
2. Quite las ruedas y abra la cremallera del maletín. Abra la tapa del maletín hacia
la cabecera de la cama o de la superficie donde se va a realizar el tratamiento.
3. Extraiga la bomba manual del compartimento de almacenamiento de malla.
Coloque la bomba manual junto al dispositivo.
4. Abra las hebillas de cada una de las correas. Coloque la correa inferior de tal
modo que se solape ligeramente con la superior.
5. Disponga de un reloj o un cronómetro para controlar el tiempo del tratamiento.
APLICACIÓN DE TRACCIÓN
1. Acuéstese sobre el dispositivo de tracción lumbar Saunders de tal modo que
la correa inferior esté a unos 2,5 cm (1 pulg) sobre la parte superior de la cadera.
NOTA: el borde superior de la correa inferior debe estar justo debajo del ombligo. Ver figura 2.
2. Si así lo desea, o si se lo recomienda el personal sanitario, coloque almohadas,
cuñas o cojines bajo las rodillas, la espalda o la cabeza (para las imágenes
de referencia y las opciones de posicionamiento, vea las Figuras 3A a 3D).
Figura 1. Componentes del dispositivo de tracción lumbar en casa
COMPONENTES
Asa de
transporte
Correa inferior
Cinturón
Correa superior
Compartimento de
almacenamiento de la bomba
Bomba manual
con manómetro Hebilla Organizador
de cinturones
Maletín
de transporte
Compartimento de almacenamiento
de las ruedas y la guía del usuario Ruedas