STARBoard
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.
Correct Placement of the Daggerboard
Correct table placement of the daggerboard is essential to the function of the STARSystem. 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.
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.
This video demonstrates the different ways the patient can be strapped for Distal Radial Access and Proximal Radial Access.
Positioning for Proximal Radial Access
The patient should now be holding the handle. With the arm slightly abducted, rotate the wrist so the hand is supinated (or palm up), then gently hyper-extend the wrist to present the radial artery for puncture.
Note: The sterile drape may already be in place.
Positioning Following Proximal Radial Access
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.
Positioning Following Distal Radial Access
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.
Note: It may not be required to have the arm abducted.
Armrest Removal
To remove the Armrest from the Slider Arm, push down on the Plastic Slider tab to disengage, then slide off the Armrest.
STARBoard Storage
To store the STARBoard:
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Release the shoulder joint screw on the underside of the STARBoard.
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Slide the Arm Rest close to the shoulder pivot.
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Fold the daggerboard so the arrow tip is facing the opposite direction.
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Loosen the wrist pivots and position it towards the daggerboard.
This will form a compact unit suitable for storage.
