Integra Padgett S Guide De L'utilisateur page 15

How to Use the Electric Slimline Dermatome Models S and S6
(continued)
Select the desired width clip. A one inch (2.54 cm)
is available by special order. Fasten in place with the
Integra supplied dermatome screwdriver as shown.
Be sure there is no lint or other foreign object on the
width clip that could restrict free movement of the
blade. The screws should be sufficiently tightened
to prevent screw loosening during dermatome
operation. Excessively tightened screws may cause
dermatome performance issues or permanent device
damage. Only use the Integra supplied dermatome
screwdriver to tighten the screws.
The desired thickness of the graft is predetermined
by the operator and set by using the pointer on
the thickness guide scale. Secure the thickness
knob pointer position by tightening the knob's
thumbscrew. It is important to ensure that the knob's
thumbscrew has been loosened prior to moving the
knob pointer. The actual thickness of the harvested
tissue is highly dependent upon the operator
technique and the condition of the tissue being
harvested. The thickness guide scale provides both
inch and millimeter values. Much of the weight of the
motor should be carried by the hand that holds the
dermatome to maintain a reasonably light pressure
between the cutting edge and the patient's body. The
instrument should be held at a 25° - 45° angle. The
cut graft automatically folds itself into the "pocket"
of the dermatome head. To sever the graft, simply lift
the dermatome up and away from the donor site. As
per Association of Perioperative Registered Nurses
(AORN®), the recommended practice is that the
dermatome's handpiece cable should be secured to
the sterile field with a non-perforating device.
Friction from the rapid back and forth movement of
the blade generates heat which may cause a heat
related injury to the patient. Once the dermatome
is placed into contact with the patient you must
maintain forward movement until the graft is taken.
Do not allow the dermatome to remain running for a
period exceeding 30 seconds. If multiple grafts are to
be taken allow a cool down period of not less than 5
minutes between grafts.
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