STARBoard + Extension

Adjusting the Shoulder Joint Screw

Prior to placing the STARBoard, tighten the shoulder pivot to a comfortable level of tension. It should allow the armrest of and daggerboard to move freely yet be firm enough to keep the patient in your preferred position. Once set, this can be left for future use.


The tension of this screw is adjusted to different settings depending on what arm approach you're doing. When you do a left arm approach you need it free to pivot when carrying out puncture. Then when you attach the Left Arm Support you would then tighten the shoulder screw to prevent the Left Arm Support from pivoting away from patient.

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Adjusting the Wrist Pivot Screw

The wrist pivot screw can be adjusted for hyper extension of the wrist during puncture. 

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Attaching Extension Tray

Before positioning the STARBoard, clip the Extension Tray onto the wrist pivot.

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Correct Placement of the Daggerboard

Correct table placement of the daggerboard is essential to the function of the IR System. It provides greater adaptability and flexibility for various patient sizes.

The daggerboard is placed between the mattress and the image table and will then be supported in place by the patient. 


The daggerboard should be positioned between the shoulder and the elbow. Optimum placement is dependent on the height of the patient.

When pushing the STARBoard daggerboard underneath the mattress, ensure the shoulder joint is positioned in close until it is sitting adjacent to the mattress. This will ensure product security throughout the procedure.

Shorter Patient Placement

The optimal position for shorter patients is between the shoulder and mid-arm, often closer to the shoulder.

Taller Patient Placement 
The optimal position for taller patients is between the mid-arm and elbow, often closer to the elbow.  

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Placing the Patient's Arm in the Armrest

Ensure the patient grips the handle firmly. This will ensure that the slider adjusts to suit the patient's arm length and the wrist and forearm are correctly positioned in the armrest.

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Securing the Patient's Arm

If the patient is restless then you can consider taping their arm or hand for additional security. Tape can easily be applied around the forearm and/or around the knuckles.


If required, the patient can also be strapped if they are restless. This video demonstrates the different ways the patient can be strapped for Distal Radial Access and Proximal Radial Access.

Positioning for Proximal Radial Access

While the patient is holding the handle, first rotate the hand, then gently hyper-extend the wrist to present for puncture.

The drape will already be in place.

Once Proximal Radial Access has been achieved, gently return the wrist from hyper-extension, rotate the patient’s hand to a medially rotated position and then return the wrist to the patient’s side. 


The patient’s arm can then be positioned at their side for the duration of the procedure, allowing for adjustments to be made at any point during the procedure. 

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Positioning for Distal Radial Access

While the patient is holding the handle, gently hyper-extend the wrist slightly forwards to the present the distal radial artery for puncture.

 
The drape will already be in place.

Once Distal Radial Access has been achieved, gently return the wrist from hyper-extension, then return the wrist to the patient’s side. 


The patient’s arm can then be positioned at their side for the duration of the procedure, allowing for adjustments to be made at any point during the procedure. 

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STARBoard and Extension Tray Storage

To store the STARBoard:

  1. Remove the Extension Tray by unclipping it off the wrist pivot.

  2. Release the shoulder joint screw on the underside of the STARBoard. 

  3. Slide the Arm Rest close to the shoulder pivot.

  4. Fold the daggerboard so the arrow tip is facing the opposite direction. 

  5. Loosen the wrist pivots and position it towards the daggerboard.

This will form a compact unit suitable for storage.

 

Physical Address

Adept Medical Ltd
2-6 McDonald Street
Morningside
Auckland 1025
New Zealand

Postal Address

PO Box 10075
Dominion Road
Auckland 1446
New Zealand

Telephones

Telephone: +64 9 815 2999
Facsimile: +64 9 846 6976

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