Ossur THOMAS SPLINT User manual

THOMAS SPLINT CLEANING INSTRUCTIONS
Cleaning can be achieved by either manual or automated methods - manual cleaning should only be undertaken
when automated methods are inappropriate or unavailable. Automated cleaning is a controlled process that will
allow more consistent results. Where available the use of mechanical cleaners such as washer-disinfectors and
ultrasonic tanks is preferred to the manual cleaning of items. The cleaning method should be assessed to ensure
the effectiveness of the cleaning process without damage to equipment.
Medical Devices Agency guidelines on the method of decontamination taking into account infection risk from the
reprocessed device to the patient
Risk Application of an item Recommendation
High In close contact with a break in the skin or mucous membrane. Introduced into
sterile body areas.
Cleaning and Sterilisation
Medium In contact with mucous membranes. Contaminated with particularly virulent or
readily transmissable organisms prior to use on immunocompromised patients.
Sterilisation or disinfection required. Cleaning
may be acceptable in some agreed situations
Low In contact with healthy skin. Not in contact with patient. Cleaning (physically) removes infectious
agents without necessarily destroying them.
CLEANING GUIDELINES
Please refer to guidelines below for washing instructions.
MECHANICAL CLEANING THERMAL WASHER DISINFECTORS REPEATED EXPOSURE TO WET HEAT
Initial Clean - at or below °C. Followed by a hot water disinfection rinse where the surface temperature of the
item processed should reach a minimum temperature of °C for a minimum of  minutes, °C for  minute or
°C for  second (HC() and BS )
MANUAL CLEANING  NON IMMERSION
A warm water/detergent solution at correct dilution
A clean, disposable, absorbent, non-shedding cloth or mechanical drying facility (e.g. drying cabinet or industrial
hot air dryer)
A chemical neutraliser, first aid kit and eye wash bottle, in case of splashing with detergent.
STEAM STERILISATION
Direct contact between the material being sterilised and
pure dry saturated steam at the required temperature in
the absence of air. The recommended combinations of
time and temperature are given in HTM , Part :
Frame Measurements for Steam Sterilisation
(with side members fully retracted)
NOTE: The Thomas Splint System is designed for long
term use, however regular inspection of adjustment areas
and frame body is advised. Please replace if necessary.
THOMAS SPLINT SLINGS
All Thomas Splint slings are single patient use and must be discarded
at the end of the treatment.
Thomas Splint Component Recommended cleaning method
Thomas Splint side members Cleaning & Steam Sterilisation
Thomas Splint Thigh Hoops Thermal Washer Disinfector
Thomas Splint Diposable Slings and Hoop Covers Single Patient Use  wash
Sterilisation Temperature (°C)    
Max Allowance Temperature (°C)    
Minimum Holding Time (minutes)    
Length Width
Adult   cm
Paediatric  cm
40C
Wash °C Do Not Blech Dry Flat, Do Not Wring
FOR SINGLE
PATIENT USE
Do Not Iron Single Patient Use Only
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THOMAS SPLINT
Instructions for Use

THOMAS SPLINT
FITTING INSTRUCTIONS
Selecting the correct sized splint and hoop is made easier as the system is designed to be adjustable. The splint
itself comes in two sizes: adult and paediatric. The range of adjustment allows the adult size to be used for tall
paediatric patients and the paediatric splint to be used for shorter adults. There are six thigh hoop sizes that cover
the range and generally the four smallest will suit paediatrics whilst the four largest will suit adults thus giving an
overlap of the middle two sizes.
SLINGS
Sling Width Part No.
 cm TSVS 
 cm TSVS
 cm TSVS
. PATIENT MEASUREMENT: Measure the patients uninjured limb. An inside leg length measurement is required
from the groin to the base of the heel. (Add a further -  cm to this measurement to allow for ankle plantar
flexion in the splint). An oblique thigh circumference should be taken to determine the thigh hoop size. The
thigh hoop is adjustable for swelling.
. SPLINT ADJUSTMENT: Having selected the Thomas splint adjust the length to suit the inside leg
measurement ensuring that both sides are adjusted to the same length. Length increments in both inches and
centimetres are marked on the sides of the outer tubes, the small cap head screw acts as an indicator length.
Attach the hoop by inserting both rods into the splint ensuring an audible click is heard. The hoop can then be
adjusted for the right or left leg by extending one side until the desired angle is achieved.
. SPLINT PREPARATION: From the traction kit select the fabric slings provided. Eight slings are provided, four
large and four medium for the adult kit.  small and  medium for the paediatric kit. Starting from the top,
drape each sling in turn over the outer tubes to form a trough, securing each on the other side with the Velcro
closure. Slings should cover the splint down to the malleoli, this allows for skin inpsection and ensures ankle
movement is not inhibited.
. SPLINT PREPARATION (CONTINUED): From the traction kit select the two packs of gamgee padding. The
longest piece should be placed along the full length of the splint directly on top of the slings and trimmed to
size. The smaller piece of gamgee is to be folded into a pad and positioned to act as a fulcrum behind the knee
to encourage slight flexion.
. POSITIONING OF LEG SPLINT: Having applied the skin traction, the limb can now be placed onto the
prepared splint. The hoop with cover attached should rest under the ischial tuberosity and the strap adjusted
and fastened around the thigh, the strap cover should be used to aid patient comfort. The traction cords can
now be tied off. A windlass is provided to take up the slack.
. SECURING LEG INTO THE SPLINT: After the traction cords have been attached, the splint can be raised
temporarily on a pillow whilst the limb is wrapped into the splint using the crepe bandages provided. The
gamgee pad can be positioned as described in instruction . Following the final bandaging procedure the splint
with leg encased can be supported by any one of a number of overhead “pulley and cord” systems. Cord eyes,
four in total, positioned at either end of both side supports can be used for attaching the pulley cords. For extra
support the cord should be entered through the cord eye and under the rod that holds the cord eye. Special
attention should be paid to slings and padding on and around both the Achilles and heel areas in order to
guard against impending pressure sores.
Thigh Circumference cm cm cm cm cm cm cm
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Thigh Hoop code TSH TSH SH TSH IS TSHG
Thig Cover code TSHC ISHC TSHC TSHC
THOMAS SPLINT
Inside Leg Length Kit Kit without P.A. T.S. Only P.A. Only
 -  cm TSSP TSNPP TS TSP
 -  cm TSSP TSNPA TS TSP
PEARSON ATTACHMENT
FITTING INSTRUCTIONS
Easily adjustable to a number of leg lengths, the Pearson attachment can be added to the Thomas Splint to offer
earlier mobilisation for your patient.
PEARSON KNEE FLEXION ATTACHMEN
Early mobilisation, as advised by the medical
professional, can be achived by using a Pearson knee
flexion attachment that is specifically designed for
ouse with the Thomas splint. The attachments come
in two sizes, adult and paediatric and are adjustable
to match exactly the extended format of the Thomas
splint that it is intended to be used in
conjunction with.
POSITIONING OF LEG IN PEARSON
ATTACHMENT
It is secured to the outer tube on either side of the
splint with adjustable clamps in the areas adjacent
to the knee axis. Subject to the type of traction being
used the appropriate slings and the traction system
are transferred from the Thomas splint to the
Pearson attachment. once again subject to the type
of overhead pulley system being used an adjustable
cord may be used to gradually advance the range of
permissible knee flexion and a further cord provided
to allow the patient to assist knee flexion manualy.
Locking Spindle
Locking Knob
Spring Clip
Locking Spindle
Locking Knob
Spring Clip
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