The head butler with design modification: A useful mountable shelf for the operating table in robotic surgery

Research output: Contribution to journalArticle

Abstract

The 'head butler' or 'iron maiden', as it is sometimes referred to, is a mountable shelf that is attached to the main operating room table using stirrup clamps or brackets. It provides an elevated flat surface, which protects the patient's face and chest from inadvertent trauma of robotic arms, instruments and camera while also serving as a platform for placement of instrumentation that minimizes handoffs to improve workflow. Its canted design also prevents slippage of instruments off the operating field during steep Trendelenburg positioning. This operating room equipment was designed to improve efficiency in an operating room set-up while ensuring safety during patient positioning when performing robotic procedures. A modification of the original Head Butler® (Tri-Medical Corporation, Portland, OR, USA) is presented here which improves upon the design by avoiding brachial plexus nerve injury to the patient due to pressure from the uprights pressing on the patient's shoulders during use.

Original languageEnglish (US)
Pages (from-to)73-76
Number of pages4
JournalJournal of Robotic Surgery
Volume8
Issue number1
DOIs
StatePublished - Mar 1 2014

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Operating Tables
Robotics
Head
Operating Rooms
Patient Positioning
Brachial Plexus
Workflow
Wounds and Injuries
Thorax
Iron
Safety
Pressure
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Surgery
  • Health Informatics

Cite this

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