Mizuhosi 5943 User manual

MIZUHOSI 2009 NW0504 Rev. D1
JACKSON SPINAL SURGERY TOPS
AND 5927 RADIOLUCENT IMAGING TOP
OWNER’S MANUAL
Models 5943 & 5943AP
This manual is written in five
languages in the following order:
(en) English
(es) Spanish
(fr) French
(de) German
(it) Italian
MIZUHO OSI
30031 AHERN AVENUE UNION CITY, CA 94587
Bus: 510-429-1500 Toll Free: 800-777-4674 Fax: 510-429-8500
WWW.MIZUHOSI.COM ·NEWHIPNEWS.COM · NEWSPINENEWS.COM

MIZUHOSI 2009 NW0504 Rev. D
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IMPORTANT NOTICES
CAUTION: To ensure safe operation of the equipment, please READ THESE
INSTRUCTIONS COMPLETELY and keep this manual readily available to operating
room personnel for future reference.
Carefully observe and comply with all warnings, cautions and instructions which are
printed on the equipment or described in this manual.
The WARNING symbol in this manual is intended to alert the user to the presence
of important operation, maintenance, or safety instructions.
Warning:
Proper pre-operative and intra-operative procedures must be followed to prevent
venous stasis and pooling, pressure sore development, neuropathy, improper
electrosurgical tissue grounding, hypotension and hypothermia.
NOTE: The application techniques outlined in these instructions are the manufacturer’s
suggested techniques. The final disposition of each patient’s care as related to the use
of this equipment rests with the attending physician.
This device is to be used by trained personnel only.
PROTECTION AGAINST ELECTRICAL SHOCK HAZARD:
This symbol indicates this equipment is an applied part, TYPE B in
accordance with IEC 60601-1 and is generally suitable for applications involving
external or internal contact with the patient, excluding the heart. The patient
circuit is connected to a protective earth ground, and this equipment should be
connected only to outlets with a protective earth ground.
This symbol indicates an external ground stud that is required for use
when the AC power cable is not connected to a protective earth ground outlet in
your operating room or facility.
To protect the patient and hospital staff from any possible hazards, an external
ground wire connection is required between the external ground stud and
protective earth ground.
Warning:
Medical electrical equipment needs special precautions regarding EMC and
needs to be installed and put into service according to the EMC information
provided in this manual.

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Warning:
Portable and mobile RF communications equipment can affect medical electrical
equipment.
Warning:
This equipment should not be used adjacent to or stacked with other equipment
and that if adjacent or stacked use is necessary, the equipment should be
observed to verify normal operation in the configuration in which it will be used.
Warning:
The use of accessories, transducers and cables other than those specified by
MIZUHO OSI may result in increased emissions or decreased immunity of the
equipment.
Disposal of Electrical Components
In accordance with the WEEE directive, all electrical components, batteries and
carbon composite components must be returned to Mizuho OSI for proper
disposal. Please contact Mizuho OSI Technical Service Department at 1-800-777-
4674 for further information regarding this requirement.

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TABLE OF CONTENTS
1.0 OVERVIEW.........................................................................................................................................6
1.1 General Description ......................................................................................................................6
1.2 Storage..........................................................................................................................................6
1.3 Acceptance & Transfer..................................................................................................................6
1.4 Inspection and Transfer ................................................................................................................6
2.0 COMPONENT IDENTIFICATION.......................................................................................................7
2.1 Jackson Spinal Surgery Top.........................................................................................................7
2.2 Radiolucent Imaging Top..............................................................................................................8
2.3 H-Frame........................................................................................................................................8
2.4 T-Pin..............................................................................................................................................9
2.5 Patient Safety Straps ....................................................................................................................9
2.6 Articulating Arm Board Assembly..................................................................................................9
2.7 Cervical Traction Vector..............................................................................................................10
2.8 Pulley Assembly..........................................................................................................................10
2.9 Coupling Device Identification.....................................................................................................11
3.0 TABLE TOP COUPLING PROCEDURES .......................................................................................12
3.1 5890/5891 Modular Table Bases................................................................................................12
3.2 5890/5891 Patient Transfer Safety Lock.....................................................................................12
3.3 5890/5891 Rotational Friction Control ........................................................................................13
3.4 Twenty-Five Degree Rotation Stop.............................................................................................13
3.5 Installing The H- Frames............................................................................................................14
3.6 Selecting The Mounting Holes For The Table Top.....................................................................15
3.7 5892/5803 Advanced Control Base............................................................................................17
3.8 5892/5803 Table Control Identification.......................................................................................17
3.9 Rotation Safety Lock Switch .......................................................................................................18
3.10 180° Rotation Lock Indicator.....................................................................................................18
3.11 Tilt Drive Status Indicator..........................................................................................................19
3.12 Installing The H-Frames............................................................................................................19
3.13 Selecting The Mounting Holes For The Table Top...................................................................20
4.0 IMAGING PROCEDURES................................................................................................................21
4.1 5890/5891 Modular Table Bases ............................................................................................21
4.2 5892/5803 Advanced Control Bases.......................................................................................21
5.0 SUPINE POSITIONING FOR ANTERIOR SPINE SURGERY AND PROCEDURES .....................23
5.1 5890/5891 Modular Table Bases ............................................................................................23
5.2 5892/5803 Advanced Control Bases.......................................................................................23
6.0 LATERAL POSITIONING FOR LUMBAR & THORACIC SPINE SURGERY AND PROCEDURES..
...........................................................................................................................................................25
6.1 5890/5891 Modular Table Bases ............................................................................................25
6.2 5892/5803 Advanced Control Bases.......................................................................................25
7.0 PRONE POSITIONING FOR POSTERIOR SPINE SURGERY AND PROCEDURES....................27
7.1 5890/5891 Modular Table Bases ............................................................................................27
7.2 5892/5803 Advanced Control Bases.......................................................................................27
7.3 5943AP Jackson Spinal Surgery Top with Advanced Control Pad System............................28
7.4 Patient Support Pad Operation................................................................................................28
7.5 Selection Of Hip Pads .............................................................................................................29
7.6 Use Of The Leg Sling..............................................................................................................30
7.7 Selection Of Head Support Method.........................................................................................31
7.8 Transferring The Patient..........................................................................................................33
7.9 Positioning Of The Head .........................................................................................................33
7.10 Positioning Of The Arms..........................................................................................................33
7.11 Positioning Of The Chest.........................................................................................................33
7.12 Positioning Of The Hips And Thighs .......................................................................................34
7.13 Positioning Of The Legs..........................................................................................................35

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8.0 ROTATION PROCEDURES.............................................................................................................36
8.1 Intra-Operative Lateral Rotation or Lateral Tilt........................................................................36
8.2 5890/5891 Modular Table Bases ............................................................................................36
8.3 5892/5803 Advanced Control Bases.......................................................................................37
8.4 180-Degree Patient Rotation...................................................................................................37
8.5 Preparation For Rotation.........................................................................................................38
8.6 Compression Sequence..........................................................................................................39
8.7 Rotation Procedure For The 5890/5891 Modular Table Bases...............................................41
8.8 Rotation Procedure For The 5892/5803 Advanced Control Base...........................................42
8.9 Removing The Radiolucent Imaging Top After Rotation.........................................................42
8.10 Rotating The Patient From Prone To Supine..........................................................................45
9.0 CART AND STORAGE IDENTIFICATION.......................................................................................46
10.0 USE OF OPTIONAL ACCESSORIES..............................................................................................47
10.1 Dual Chest Pads......................................................................................................................47
10.2 Wilson Plus™ Radiolucent Wilson Frame...............................................................................48
11.0 5943 JACKSON SPINAL SURGERY TOP STANDARD COMPONENTS......................................49
12.0 5943APJACKSON SPINAL SURGERY TOP WITH ADVANCED CONTROL PAD SYSTEM.......52
13.0 OPTIONAL ACCESSORIES ............................................................................................................53
14.0 CLEANING........................................................................................................................................56
14.1 Maintenance............................................................................................................................56
14.2 Cleaning and Disinfecting........................................................................................................56
14.3 Table Top.................................................................................................................................56
14.4 Casters ....................................................................................................................................56
14.5 Table Pads...............................................................................................................................56
15.0 REPAIR AND TECHNICAL SERVICE.............................................................................................57
15.1 Contact for Parts and Service..................................................................................................57
15.2 Instant Support Value Package...............................................................................................57
15.3 To order Replacement Parts (RP)...........................................................................................57
15.4 To return damaged parts (RGA)..............................................................................................57
15.5 To send a part for repair (RA)..................................................................................................58
15.6 EC Authorized Representative................................................................................................58

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1.0 OVERVIEW
1.1 General Description
The Mizuho OSI Jackson Spinal Table System is comprised of a Modular Table Base
with two interchangeable procedure-specific table tops and a variety of table
accessories. The two tops are the Jackson Spinal Surgery Top and the Radiolucent
Imaging Top.
For detailed information on the operation and components of the Modular Table Bases,
Cervical Management Systems and Wilson PlusRadiolucent Frame, refer to the
owner’s manual for each of those specific products. A thorough understanding of the
use of each of these products is required in order to perform certain procedures using
the Jackson Spinal Table System.
This manual requires the reader to be thoroughly familiar with the operation of the
appropriate Mizuho OSI Modular Table Base owner’s manual (NW0498).
1.2 Storage
When not in use, store table top in a clean, dry environment with temperature between
32°F and 120°F (0° C to 49°C).
It is recommended that the 5803 Base be stowed with the power cord plugged into a
proper AC receptacle with the on/off power-switch “on” to assure batteries are fully
charged and ready for service.
If recharge is required, charge a minimum of 3 hours. A full charge should be
available after 18 hours.
1.3 Acceptance & Transfer
Upon receipt of your table top, remove the table top from the shipping crate according to
the unpacking instructions. Visually inspect all surfaces for freight damage.
NOTE: Any freight damage must be reported to the freight carrier immediately upon
delivery. It is the responsibility of the recipient to make freight damage claims.
1.4 Inspection and Transfer
Before use, inspect the device for possible damage, excessive wear or non-functioning
parts. Carefully inspect all critical, inaccessible areas, joints, electrical cords and all
movable parts for possible damage.
Damaged or defective products should not be used or processed. Contact your local
Mizuho OSI sales representative for repair or replacement.

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Articulating arm boards (2) H-frame
FOOT END
Spinal surgery
top
Support sections (leg boards)
Thigh pads (2)
Hip pads (2)
Chest pad
Head support (face plate)
HEAD END
H-frame
2.0COMPONENT IDENTIFICATION
2.1 Jackson Spinal Surgery Top
The Jackson Spinal Surgery Top is 17” (43 cm) wide, 84” (213 cm) long, made from a
carbon composite material and has a patient weight limit of 500 pounds (226 kg). The
table top is labeled to indicate its patient weight limit. The Jackson Spinal Surgery Top
includes the following items as standard components (see Figure 1):
Figure 1: 5943/5943AP Jackson spinal surgery tops (standard components)
Figure 2: 5943 Jackson spinal surgery top with components
(The table top is shown coupled to the 5803 Advanced Control Modular Table System Base.)
5943 and 5943AP JACKSON SPINAL SURGERY TOPS
(Standard Components)
Components 5943 5943AP
Small Hip Pad 2 2
Regular (Medium) Hip Pad 2 2
Large Hip Pad 4 2
Thigh Pad (Right/Left) 2 2
Chest Pad Assembly 1 1
Head Support Section (Face Plate) 1 1
Leg Support Section (Leg Boards) 2 2
Leg Sling 1 1
Buttock Strap 1 1
Safety Strap 60” 1 1
Safety Strap 90” 4 4
Articulatiing Arm Board 2 2

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2.2 Radiolucent Imaging Top
The Radiolucent Imaging Top is 21.5” (54.6 cm) wide, 84” (213 cm) long, made from a
carbon composite material and has a patient weight limit of 500 pounds (226 kg). Each
Radiolucent Imaging Top is labeled to indicate its patient weight limit. The imaging top
is radiolucent including views through the radiolucent side rails. It includes a 2” thick
Mizuho OSI Tempur-Med® table pad and two (2) side rail mounted safety straps.
Figure 3: Radiolucent Imaging Top component identification
(The table top is shown coupled to the 5803 Advanced Control Modular Table System Base)
NOTE: Mizuho OSI P/N 5855-830 side rail adapters must always be used to attach
these types of devices to the table to prevent damage. If retractors, clark sockets, arm
boards or other accessories are attached directly to the side rail of the radiolucent
imaging top, they may cause damage in the form of cracking or splintering of the carbon
fiber table top. Please see section 3.0 in this owner’s manual for more information
related to the use of the Radiolucent Imaging Top.
2.3 H-Frame
Each Jackson Spinal Surgery Top and Radiolucent Imaging Top is supplied with two (2)
H-frames (see Figure 4). The H-frames are used to connect the table tops to the base
with T-pins. Four (4) H-frames are required to attach both table tops for a 180 degree
patient rotation (see section 8.0: Rotation Procedures).
Figure 4: H-Frame
Safety strap (2) Radiolucent
imaging top
FOOT END
H-frameTable padH-frame
HEAD END

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90"
60"
Buttock strap
2.4 T-Pin
Each Jackson Spinal Surgery Top and Radiolucent Imaging Top is supplied with four (4)
T-pins (see Figure 5). The T-pins are used to connect the H-frames to the crossbars on
the table base and to connect the table tops to the H-frames. Eight (8) T-pins are
required to attach both table tops for a 180 degree patient rotation (see section 8.0:
Rotation Procedures).
Figure 5: T-pin
2.5 Patient Safety Straps
The Jackson Spinal Surgery Top is supplied with six (6) patient safety straps; four (4)
90” straps, one (1) 60” strap, and one (1) buttock strap (see Figure 6). When a patient
is positioned on the Jackson Spinal Surgery Top or Radiolucent Imaging Top, verify that
the appropriate patient safety straps are applied and secured as described in section
7.0 of this owner’s manual.
Figure 6: Jackson Spinal Surgery Top patient safety straps
2.6 Articulating Arm Board Assembly
The Jackson Spinal Surgery Top is supplied with two (2) articulating arm boards and
mounting brackets (see Figure 7). These arm boards may be attached directly to the
spinal top at any location along the length of the frame. The articulating arm board is
adjustable in six directions as shown by the arrows in Figure 7.
Figure 7: Articulating arm board for the Jackson Spinal Surgery Top
Drop lock
Mounting
bracket
Armboard
assembly

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2.7 Cervical Traction Vector
The modular table base is equipped with a cervical traction vector (see Figure 8). The
cervical traction vector provides the adjustability of the angle of pull for cervical traction
as shown in Figure 9.
Figure 8: Cervical traction vector
2.8 Pulley Assembly
The pulley assembly is permanently attached to the head end column to guide a traction
rope. The cervical traction vector attaches to the medial side of the head end H-frame
in the mounting holes to achieve the desired angle of traction (see Figure 9). Sandbag
weights may be added to provide the appropriate traction load during anterior or
posterior cervical surgery or any other time cervical traction is desired. The traction
weight is connected to a rope, which passes over the pulley assembly, threads through
the pivot shaft of the head end crossbar and connects to the patient traction apparatus
(see Figure 10).
NOTE: The amount of traction load applied to the patient is completely at the discretion
of the attending physician.
Figure 9: Cervical traction vector installed in
H-frame.
Traction rope
connecting to patient
traction apparatus
Cervical
traction
vector
Figure 10: Traction pulley assembly
Pulley
Weight
Pivot
shaft