Patient Positioning Instructions

Quick Reference Guide

STERIS® 5085 SRT Surgical Table
STERIS® 5085 Surgical Table
STERIS® 4085 Surgical Table
Table of Contents

Important Information . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Neurosurgery

Hand Control Information. . . . . . . . . . . . . . . . . . . . . . . 4 Seated Neurosurgery . . . . . . . . . . . . . . . . . . . . . . . . . 18
Lateral Neurosurgery. . . . . . . . . . . . . . . . . . . . . . . . . . 19
General / Cardiac Surgery Supine (Frontal) Neurosurgery . . . . . . . . . . . . . . . 20
Gall Bladder and Thoracic Procedures. . . . . . . . . 6
Prone (Posterior Fossa) Neurosurgery. . . . . . . . 21
Nissen Fundoplication. . . . . . . . . . . . . . . . . . . . . . . . . . 7
Prone Thoracic Neurosurgery. . . . . . . . . . . . . . . . 22
Gastric/Esophageal. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Kneeling Neurosurgery. . . . . . . . . . . . . . . . . . . . . . . 23
Rectal/Colo-rectal Procedures. . . . . . . . . . . . . . . . . 9
Cardiac and Thoracic Procedures . . . . . . . . . . . . 10 Orthopedic Surgery
Shoulder Procedures. . . . . . . . . . . . . . . . . . . . . . . . . 24
Vascular Surgery Total Hip Replacement . . . . . . . . . . . . . . . . . . . . . . . 26
Endovascular Procedures. . . . . . . . . . . . . . . . . . . . . 11
Orthopedic Extension. . . . . . . . . . . . . . . . . . . . . . . . 27
Femoral-Popliteal Bypass Procedures . . . . . . . . 12
Ophthalmic / ENT Surgery
Urology Surgery Ophthalmic or ENT Procedures. . . . . . . . . . . . . . 28
Endo-urology. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Cystoscopy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Bariatric Surgery
Kidney, Lateral Thoracic Procedures. . . . . . . . . . 16 Bariatric Surgery Supine. . . . . . . . . . . . . . . . . . . . . . 29
Bariatric Surgery Lithotomy. . . . . . . . . . . . . . . . . . . 30
Gynecology Surgery Bariatric Surgery Split Leg. . . . . . . . . . . . . . . . . . . . . 31
Gynecology Procedures . . . . . . . . . . . . . . . . . . . . . . 17

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
2
Important Information
The information contained in this document is for reference > All 4085 Surgical Tables are rated to support: > Upper body: 43" / 1092 mm (from the top of the head
only, to help one understand the basic principles of the setup to the femoral artery) when the table is slid to the head
- 1100 lb. (500 kg) patient support, including
of STERIS® 5085 SRT, STERIS® 5085 and STERIS® 4085 on 4085 and 5085 models (41.4" / 1051 mm on the
raise/lower (table top not articulated or slid)
Surgical Tables (henceforth called 5085 SRT, 5085 and 5085 SRT model)
4085 tables, respectively) for various surgical procedures. It - 1000 lb. (454 kg) full table articulation (table top
is important to realize that a patient’s anatomical constraints not slid)
> Lower body: 43" / 1092 mm (from the sternum to the
may require deviations from what is shown. Also, for any
- 600 lb. (272 kg) full table articulation, including toes) when the table is slid to the foot (39.5" /
patient positioning that requires a pair of armboards or
table top slide 1002 mm on the 5085 SRT and 5085 models)
legholders, accessories can be installed on the non-patient
transfer side before the patient enters the OR (if desired). Note: These weight claims apply to normal and reverse
orientations. The 36" (91 cm) long Carbon Fiber Fluoro Extension and
Before posturing patients review and fully understand
9" (228 mm) long Urology Extension add imaging length,
the material content of all related Operating Manuals
> Patient weight limitations for table accessories are respectively. All anotomic references will depend on actual
and Instructions For Use for the table and accessory or
listed in the STERIS Surgical Table Accessory Catalog patient sizes.
accessories. Surgical table operator manuals:
5085 SRT tables: P413724-247
> Always provide proper patient restraints to If utilizing optional X-ray tops follow this procedure:
5085 tables: P413724-246 adequately secure the patient to the table for the 1. Before patient is in the room, remove table pads from
intended procedure or for a possible medical each section
4085 tables: P150832-639
emergency.
2. Apply X-ray tops to the appropriate table section
In all instances:
> Never add additional accessories to the table to 3. Replace pads securely
extend the table platform further from the column
> Never exceed the overall rated load for the (unless you have consulted with STERIS). This may Orthopedic procedures:
table or accessory (the lowest rating listed indicates cause table instability.
The 5085 SRT, 5085 and 4085 tables have a wide range
the overall rated load).
of accessories to facilitate orthopedic procedures, and to
>All 5085 SRT and 5085 Surgical Tables are rated to
> Always monitor the patient during the procedure to that end, we have developed a comprehensive Orthopedic
prevent possible patient injury. Extension Set Up Guide (P150832-316) that details the
support:
set up for lower extremity procedures. Please reference
- 1200 lb. (544 kg) patient support, including
> Always follow safe patient positioning practices. this publication for more detailed information on patient
raise/lower (centered on the column)
positioning for orthopedic procedures.
- 1000 lb. (454 kg) full table articulation (centered > Never use a damaged or broken table
on the column); includes rotation for 5085 SRT accessory or one that can’t be adequately secured
models to the table.
- 600 lb. (272 kg) full table articulation, including
table top slide; includes rotation and transport as
Fluoroscopic imaging and X-ray
well for 5085 SRT models tops:
Note: These weight claims apply to normal and reverse The 5085 SRT, 5085 and 4085 tables were designed for
orientations. maximum C-arm capability to facilitate the use of fluoroscopy
during virtually any surgical procedure. The 18" (46 cm)
longitudinal slide permits full body imaging length up to:

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
3
STERIS 5085 SRT/5085 Advanced Hand Control Information
MEMORY (MEM): Floor Lock:
The STERIS 5085 SRT/5085 advanced hand control has memory buttons that articulate the table for Beach Press “Floor Lock" and then press “Lock"
Chair mode, as well as two other programmable memory buttons that can store the user’s most frequently or “Unlock" to engage or disengage the
used clinical postures. The STERIS 5085 SRT/5085 advanced hand control also has the Transport and Rotation floor locks. A helpful LED light indicates when
modes stored in memory as one-touch configurations (applicable for the STERIS 5085 SRT table only). An Exit the table’s floor locks are engaged.
Beach Chair mode also appears as a Memory option yet is only visible if the table is in Beach Chair mode.

Power On / Off:
The "STOP" button (power off) is located in the lower right Trendelenburg / Reverse:
hand corner of the hand control; ANY button (except Patients can be postured to 30° Trendelenburg
"STOP") turns the hand control on. Much like a laptop and 30° Reverse Trendelenburg.
computer, the STERIS 5085 SRT / 5085 advanced hand
control “sleeps" after ten hours of inactivity; any button will
re-activate it. For example, if you want to raise the table
height during a procedure, press the "HEIGHT UP" button
to turn the hand control back on, then press it again to Height:
achieve the desired height. The 5085 tables can be raised to 42.5"
(1080 mm), or lowered to 22.8" (581 mm).
Easy-to-read LCD:
The large LCD window at the top of the hand control
displays both graphics and text. For example, if you
push the "HEIGHT UP" button, the window will display
“UP" and show an icon of the table with the current
height in inches at the top of the screen. As you
Tilt (left / right):
Up to 20° of lateral tilt in either direction; current
continue to press the "HEIGHT UP" button, the table
table position is displayed on the top portion of
height range will change accordingly.
the hand control.

Move keys / Menu arrows:

The STERIS 5085 SRT/ 5085 advanced hand
control features move keys (like modern cell
phones) that allow the user to access menus of Reverse Orientation:
table articulation choices. The operator uses the This feature is used for a few accessories such
left and right menu arrows to choose which table as (but not limited to) the Shoulder Chair and
section to articulate and that section becomes 36" Fluoro Extension, and an LED indicator
highlighted in the icon in the display window. For shows which orientation the table is in.
example, to lower the back section, press a move
key until the back section is highlighted in the
window, and then press the right move key to lower
Level:
The “Level" button automatically returns the patient to level in an anatomically correct sequence of articulations.
the back section. The built-in Auto Limit Sensor
It also returns the table slide back to center if the table had been slid. An LED indicator shows when the table
will alert you if there is a sectional conflict, and will
has been leveled. Note: The return to level feature is available in Beach Chair mode. All other reverse orientation
provide the corrective action in the window.
procedures require you to press "Reverse" button again to return to Normal Orientation, then press "Level".

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
4
STERIS 4085 Hand Control Information Height:
The 4085 table can be raised to 45" (1143 mm),
(Universal: Applies to CMAX, 4085 and 5085) or lowered to 26" (660 mm).
Refer to Section 4.2.1-4.2.2 of the 4085 operator manual for details on table
operation using hand control.

Back (up / down):

The back section can be lowered 40° or raised
Power On / Off: to an 82° upright position.
The "STOP" button (power off) is located in the lower right
hand corner of the hand control; ANY button turns the hand
control on. Much like a laptop computer, the STERIS 4085
hand control “sleeps" after ten hours of inactivity; any button
(except "STOP") will re-activate it. For example, if you want to
raise the table height during a procedure, press the "HEIGHT Leg down:
UP" button to turn the hand control back on, then press it The leg section can be lowered a full 105° or
again to achieve the desired height. removed altogether.

Smart display:
There is a small window at the top of the hand control that Trendelenburg / Reverse:
displays useful information. Indications for battery power, Patients can be postured to 30° Trendelenburg
floor lock status and slide from center are provided. Service and 30° Reverse Trendelenburg.
codes are also provided.

Slide: Kidney:
The STERIS 4085 table slides 18" (457 mm); 9" to the head The motorized, radiolucent kidney bridge gives
and 9" to the foot end. When sliding from the head to the you up to 4" (102 mm) of additional lift for kidney
foot (or vice versa), it automatically pauses when the table procedures.
is centered so you know when you’ve passed through
the midpoint.

Floor Lock:
Tilt (left / right): Press "Floor Lock" and then press "Lock"
Up to 20° of lateral tilt in either direction is available. or "Unlock" to engage or disengage the
floor locks.

Reverse Orientation:
This feature is used for a few accessories such as (but not
limited to) the Shoulder Chair and 36" Fluoro Extension. To Level:
return to level, disable Reverse Orientation (press the button The "Level" button automatically returns
again) and then press "LEVEL". the patient to level in an anatomically correct
sequence of articulations. It also returns the
table slide back to center following activation of
slide mode. If the table is in Reverse Orientation,
level will need to be achieved by section or by
exiting Reverse Orientation mode.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
5
Gall Bladder and Thoracic Procedures
Position: Supine with Flexion
Table Orientation: Normal; (table slid to head)

Equipment:
> 1 set of X-ray Tops (optional) (BF219) 3. Carefully transfer patient onto surgical table per facility 9. Articulate the table using the flex button (Reverse
> 2 Anesthesia Armboards with 3" pads if using X-ray Tops procedures in Normal Orientation and align waist Trendelenburg and back down maneuvers) to
(BF804) or with 2" pads (BF803) if not (intercostals area) with the junction between the back achieve appropriate positioning.
> 1 Foot Extension with Siderail Locks (BF2) section and the seat section of the table. 10. Apply anesthesia screen (not shown) and position
> 1 Restraint Strap (BF45), standard length (66 1/2") 4. Secure the Restraint Strap across the patient’s thighs. as necessary.
> Anesthesia screen of choice: Universal Ether Screen 5. Secure armboard(s) onto siderails on both sides of the
(BF074) or Winged Ether Screen (BF075) patient; verify proper attachment.
6. Place arms onto armboards and properly secure.
Set Up Procedure: 7. Slide table top all the way to the head end.
1. If X-ray Tops (not shown) are required for the procedure, 8. Place the Foot Extension onto the leg section of the
see page 3 for instructions. table at the required length; ensure Siderail Locks are
2. Install pressure management devices (e.g., gel pads) and tightened.
other patient posturing devices as necessary (removed
from photo for clarity).

5085 SRT: 41.4" (1051 mm)

5085: 43" (1092 mm)
4085: 43" (1092 mm)

15.25"
(400 mm)

Note: Figure in illustration above is a 6'4" 180 lb. (193 cm, 82 kg) male
Note: White area depicts image access.
Note: Image provided for illustration and reference only.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
6
Nissen Fundoplication
Position: Low Lithotomy
Table Orientation: Normal (table slid to foot); leg section removed

Equipment:
> 2 Multi-axis Armboards RC (BF71239) 9. Remove table’s leg section. Note: the Auto Limit Completion of Procedure:
> Bariatric Table Extensions (if needed): BF643 or Sensor feature of the table will be disabled for the 1. Level the table using the "level" button.
BF644 (for use with X-ray tops) leg section once it is removed. 2. Reattach leg section.
> 1 pair of Reverse Trendelenburg Straps (BF455) 10. Adjust height and angle of legholders (follow 3. Slowly and simultaneously, lower patient’s
(Bariatric size: BF563) operating instructions for legholders). legs on the table.
> Anesthesia screen of choice: Universal Ether 11. Attach Reverse Trendelenburg Straps to the table, 4. Remove legholders and clamps.
Screen (BF074) or Winged Ether Screen (BF075) being careful not to make them too tight or too loose
> 2 Legholders of choice with appropriate clamps on the patient.
12. Articulate the table using "Reverse Trend" button and
Legholder recommendations: Power-lift (BF453), Bariatric adjust legholders as needed.
Power-lift Stirrups (BF454), Split Leg Positioning Package (BF537), 13. Slide table top all the way to the foot end.
Multi-Position Legholder (BF433) or Universal Legholder (BF266, 14. Apply anesthesia screen (not shown) and position as
sold individually) necessary.

Set Up Procedure:
1. Remove or lower head section (as needed to
enhance anesthesia access).
2. Install pressure management devices (e.g., gel pads)
and other patient posturing devices as necessary
(some were removed from photo for clarity).
3. Attach Bariatric Width Extenders if needed.
4. Carefully transfer patient onto surgical table per
facility procedures so perineum is aligned
with perineal edge of seat section of table. If
additional leg support is required, there are three
options to extend the length of the table:
a. Place a 4085/5085 head section (BF73) at the
foot end of the table
b. Place a Foot Extension (BF2 or BF542 for
Bariatric width) at the foot end of the table in a
horizontal position
c. Use a lightweight transfer board (BF588)
5. Secure armboards onto siderails on both sides of the
patient; verify proper attachment.
6. Place arms onto armboards and properly secure.
7. Place legholders into appropriate clamps at
symmetrical locations beside the patient’s hips.
8. Slowly and simultaneously, raise patient’s legs and
place into legholders.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
7
Gastric/Esophageal
Position: Supine, split legs
Table Orientation: Normal (table slid to foot); leg section
removed or reverse orientation

Equipment:
> 2 Multi-axis Armboards RC (BF71239) 13. Once patient is anesthetized, articulate the table
> 1 Split Leg Positioner (BF351) using "Reverse Trend" button.
> 1 pair of Knee Restraint Straps (BF552) 14. Apply anesthesia screen (not shown) and position
> 1 pair of Clark Sockets (BF083) or Multi- as necessary.
Accessory Clamps (BF43) 15. Abduct Split Leg Positioners as needed for surgeon
> 2 Foot Rests (MTPA09 left; MTPA10 right) access to patient midline.
> Bariatric Table Extensions (if needed) (BF643
or BF644)
> Anesthesia screen of choice: Universal Ether
Screen (BF074) or Winged Ether Screen (BF075)

Set Up Procedure:
1. Remove or lower head section (as needed to
enhance anesthesia access).
2. Remove leg section.
Note: the Auto Limit Sensor feature of the table will be
disabled for the leg section once it is removed.
3. Attach Bariatric Width Extenders if needed.
4. Attach Split Leg Positioner to seat section of table
(follow operating instructions); ensure secure
attachment.
5. Install pressure management devices (e.g., gel
pads) and other patient posturing devices as
necessary (some were removed from photo for
clarity).
6. Carefully transfer patient onto surgical table per
facility procedures so perineum is aligned with
perineal edge of seat section of table.
7. Secure armboards onto siderails on both sides of the
patient; verify proper attachment.
8. Place arms onto armboards and properly secure.
9. Place clamps at the appropriate location on the Split
Leg Positioner to support patient’s feet.
10. Insert Foot Rests into Clark Sockets or Multi-
Accessory Clamps; ensure secure attachment.
11. Attach Knee Restraint Straps, being careful not to
make them too tight or too loose on the patient.
12. Slide table top all the way to the foot end.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
8
Rectal / Colo-rectal Procedures
Position: Lithotomy with Trendelenburg
Table Orientation: Normal (table slid to foot)

Equipment:
> 1 TrenStop Trendelenburg Patient Restraint Device (BF728) 11. Attach the pads to the shoulder blocks. Position 15. Slowly and simultaneously, raise patient’s legs and
> 2 Multi-axis Armboards RC (BF71239) shoulder blocks at preferred angle in contact with place into legholders.
> 2 Rail Clamps (BF462) patient’s shoulders. Maintain space of 2" (51 mm) 16. Secure feet in boots.
> 1 Foot Control (BF586) (optional) between inside edge of shoulder block and patient’s 17. Remove table’s leg section.
> 2 Legholders of choice with appropriate clamps neck. Do not allow shoulder block edge to contact 18. Articulate the table to desired angle of
patient’s neck. Though the pads may slightly touch Trendelenburg.
Legholder recommendations: Power-lift, shown right (BF453) or the patient, do not allow the shoulder block edge to 19. Adjust height and angle of legholders (follow
Bariatric Power-lift Stirrups (BF454), Universal Legholder (BF266) or contact patient's neck. operating instructions for legholders).
Multi-Position Legholder (BF433) 12. Ensure neck support pad is properly positioned as 20. Slide tabletop all the way to the foot end for
follows: C-arm imaging.
Set Up Procedure: a. Peak of pad is supporting cervical spine area.
1. Level tabletop and plug in optional Foot Control. b. Flat thin portion of pad placed on crossbar Completion of Procedure:
2. Remove or lower head section. Do not attach TrenStop to the assembly (“D" shaped pad) is supporting patient’s 1. Return table to level position.
head section. occiput. 2. Reattach leg section.
3. Install Rail Clamps symmetrically on right and left side of the table 13. Install Rail Clamps symmetrically on right and left side 3. Slowly and simultaneously, lower patient’s
at approximate location of patient’s neck with their perineum of the table by patient’s hips. legs on the table.
aligned with perineal edge of seat section. 14. Insert leg holders (e.g., Power-lift Stirrups) into clamps 4. Remove legholders and clamps.
4. Remove the shoulder support blocks and pads (including and securely tighten.
cervical support pad) from the cross bar.
5. With “D" shaped cervical plate toward patient’s head, insert the
vertical support bars of TrenStop into the Rail Clamps until the
cross bar slightly compresses the table pad.
6. Securely tighten Rail Clamps, locking support bars in place.
7. Ensure TrenStop accessory is locked in place:
a. Verify mounting bars are securely held in siderail clamps
b. Ensure siderail clamps are securely fastened to table side
rails.
c. Test by lifting and pressing down on cross bar. No
movement should be seen between siderail and cross bar.
8. Carefully transfer patient onto surgical table per facility
procedures.
9. Apply center pad to cross bar with longest part of pad towards
patient's head.
10. Install TrenStop shoulder blocks (threaded portion) without the
pads attached, into sliding nut cross bar and tighten nuts.
Note: Shoulder blocks automatically adjust to the patient’s
anatomy and do not lock rotationally. The locking knobs are for
locking the shoulder blocks laterally.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
9
Cardiac and Thoracic Procedures With Fluoroscopic Imaging
Position: Supine
Table Orientation: Normal; (table slid to head)

Equipment:
> 1 set of X-ray Tops (optional) (BF219) 5085 SRT: 41.4" (1051 mm)
> 2 Anesthesia Armboards (not shown) with 3" pads if 5085: 43" (1092 mm)
using X-ray Tops (BF804) or with 2" pads (BF803) if not 4085: 43" (1092 mm)
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure: 15.25"

1. If X-ray Tops (not shown) are required for the (400 mm)
procedure, see page 3 for instructions.
2. Install pressure management devices (e.g., gel pads)
and other patient posturing devices as necessary
(some were removed from photo for clarity).
3. Carefully transfer patient onto surgical table per facility Note: Figure in illustration above is a 6'4" 180 lb. (193 cm, 82 kg) male.
procedures. Note: White area depicts image access.
4. Secure the Restraint Strap across the patient’s thighs.
5. Secure armboards (not shown) onto siderails on both
sides of the patient; verify proper attachment.
6. Place arms onto armboards and properly secure.
7. Place the Foot Extension onto the leg section of the
table at the required length; ensure Siderail Locks are
tightened.
8. Slide table top all the way to the head end.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
10
Endovascular Procedures with Fluoroscopic Imaging
Position: Supine
Table Orientation: Reverse; (table slid to foot)

Equipment:
> 1 36" Carbon Fiber Fluoro Extension with 11. Place the Foot Extension onto the back section
2" pad (BF642) of the table at the required length; ensure Siderail
> 4 Standard Siderail Adaptors (TA00012) Locks are tightened.
> 2 Anesthesia Armboards with 2" pads (BF803) 12. Slide table top all the way to the foot end.
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length
(66 1/2")

Set Up Procedure:
1. Press "Reverse" button on bottom left of Hand
Control.
Note: The Auto Limit Sensor feature is disabled when in
Reverse Orientation Mode.
2. Remove table’s leg section.
Note: the Auto Limit Sensor feature of the table will be
disabled for the leg section once it is removed.
3. Attach 36" Carbon Fiber Fluoro Extension to seat
section siderails; ensure secure attachment.
4. Position two Standard Siderail Adaptors on
Carbon Fiber Fluoro Extension in approximate
location of armboards if using Anesthesia
Armboards.
5. Install pressure management devices (e.g., gel
pads) and other patient posturing devices as
necessary (some were removed from photo for 5085 SRT: 51.5" (1308 mm)
clarity). 5085: 51.5" (1308 mm)
6. Carefully transfer patient onto surgical table per 4085: 55" (1397 mm)
facility procedures in Reverse Orientation and
align head close to distal end of Carbon Fiber
Fluoro Extension.
20"
7. Secure the Restraint Strap across the patient’s
(508 mm)
thighs.
8. Secure armboards onto Siderail Adaptors on
both sides of the patient; verify proper
attachment. Note: Figure in illustration above is a 6' 4" 180 lb. (193 cm, 82 kg) male.
9. Place arms onto armboards and properly secure. Note: White area depicts image access.
10. Remove head section if desired.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
11
Femoral-Popliteal Bypass Procedures with Fluoroscopic Imaging
Position: Supine
Table Orientation: Normal with head section attached
to leg section; (table slid to foot)

Equipment:
> 2 Anesthesia Armboards with 2" pads (BF803)
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length (66 1/2")
> Anesthesia screen of choice: Universal Ether
Screen (BF074) or Winged Ether Screen (BF075)

Set Up Procedure:
1. Remove head section and attach it to distal
end of leg section to provide additional lower
body imaging. Ensure secure attachment.
2. If using a Foot Extension to support the feet (as
shown), place Siderail Locks on distal end of head
section once it has been attached to leg section.
3. Install pressure management devices (e.g., gel
pads) and other patient posturing devices as
necessary (removed from photo for clarity).
4. Carefully transfer patient onto surgical table per
facility procedures and position according to
patient height and surgeon preference.
5. Secure the Restraint Strap across the patient’s
thighs.
6. Secure armboards onto siderails on both sides of
the patient; verify proper attachment.
7. Place arms onto armboards and properly secure. 5085 SRT: 51.5" (1308 mm)
8. Place Foot Extension vertically into the Siderail 5085: 51.5" (1308 mm)
Locks on distal end of table at the required length 4085: 55" (1397 mm)
to support the feet (as shown). Ensure Siderail
Locks are tightened.
9. Slide table top all the way to the foot end.
10. Attach anesthesia screen (Winged Ether 14-17"
Screen is shown) to back section and position (356-432 mm)
as necessary.

Note: Figure in illustration above is a 6' 4" 180 lb. (193 cm, 82 kg) male.
Note: White area depicts image access.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
12
Alternate Option: Femoral-Popliteal Bypass Procedures
with Fluoroscopic Imaging
Position: Supine
Table Orientation: Normal; (table slid to foot)

Equipment:
> 1 36" Carbon Fiber Fluoro Extension with
2" pad (BF642)
> 2 Anesthesia Armboards with 2" pads (BF803)
> Anesthesia screen of choice: Universal Ether
Screen (BF074) or Winged Ether Screen
(BF075)

Set Up Procedure:
1. Remove table’s head section and leg section.
Note: the Auto Limit Sensor feature of the table
will be disabled for the leg section once it
is removed.
2. Attach 36" Carbon Fiber Fluoro Extension to seat
section siderails; ensure secure attachment.
3. Install pressure management devices (e.g., gel
pads) and other patient posturing devices as
necessary (some were removed from photo for
clarity).
4. Carefully transfer patient onto surgical table per
facility procedures in Normal Orientation and 5085 SRT: 51.5" (1308 mm)
align feet close to distal end of Carbon Fiber 5085: 51.5" (1308 mm)
Fluoro Extension. 4085: 55" (1397 mm)
5. Secure armboards onto siderails on both sides of
the patient; verify proper attachment.
6. Place arms onto armboards and properly secure.
7. Slide table top all the way to the foot end. 20"
8. Apply anesthesia screen (not shown) to back (508 mm)
section and position as necessary.

Note: Figure in illustration above is a 6' 4" 180 lb. (193 cm, 82 kg) male.
Note: White area depicts image access.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
13
Endo-urology with Fluoroscopic Imaging
Position: Lithotomy
Table Orientation: Normal (table slid to foot); leg section
removed

Equipment:
> 2 Anesthesia Armboards with 2" pads (BF803) 9. Secure armboards onto siderails on both sides
> 1 9 Inch Urology Extension (BF578) of the patient; verify proper attachment.
> 1 Fluid Collection System (BF457) 10. Place arms onto armboards and properly
> 1 Fluid Collector Bag, Sterile (BF458) secure. 5085 SRT: 24.5" (622 mm)
> 1 Foot Control (BF586) 11. Place legholders into appropriate clamps at 5085: 24.5" (622 mm)
> 1 Patient Transfer Board with 2" pad (BF204) symmetrical locations beside the patient’s hips. 4085: 27.8" (706 mm)
> 2 Legholders of choice with appropriate 12. Slowly and simultaneously, raise patient’s legs
clamps and place into legholders.
> Anesthesia screen of choice: Universal Ether 13. Adjust height and angle of legholders (follow
Screen (BF074) or Winged Ether Screen operating instructions for legholders).
(BF075) 14. Remove Patient Transfer Board. 14 - 17"
15. Slide table top all the way to the foot end. (356-432 mm)
Legholder recommendations: Power-lift (BF453) or 16. Apply anesthesia screen (not shown) and
Bariatric Power-lift Stirrups (BF454), Universal Legholder position as necessary.
(BF266), or Multi-Position Legholder (BF433) 17. Attach Fluid Collector Bag to Fluid Collection
Note: White area depicts image access.
System.

Set Up Procedure:
Completion of Procedure:
1. Plug in Foot Control.
1. Attach Patient Transfer Board.
2. Remove or lower head section (optional; to
2. Slowly and simultaneously, lower patient’s legs
enhance anesthesia access).
onto the transfer board.
3. Remove leg section.
3. Remove legholders and clamps.
Note: the Auto Limit Sensor feature of the table will
be disabled for the leg section once it is removed.
4. Attach Urology Extension to seat section siderails;
ensure secure attachment.
5. Attach Fluid Collection System to end of Urology
Extension siderails.
6. Place Patient Transfer Board onto end of Urology
Extension; ensure secure attachment.
7. Install pressure management devices (e.g., gel
pads) and other patient posturing devices as
necessary (some were removed from photo for
clarity).
8. Carefully transfer patient onto surgical table per
facility procedures in Normal Orientation so that
perineum is aligned with the perineal edge of the
Urology Extension.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
14
Cystoscopy
Position: Lithotomy
Table Orientation: Normal (table slid to foot); leg section
removed

Equipment: 10. Attach Fluid Collection System to seat section of table.

> 2 Anesthesia Armboards with 2" pads (BF803) 11. Attach Fluid Collection Bag to Fluid Collection System.
> 1 Foot Control (BF586) (not shown) 12. Adjust height and angle of legholders (follow operating
> 1 Fluid Collection System (BF457) instructions for legholders).
> 1 Fluid Collector Bag, Sterile (BF458) 13. Slide table top all the way to the foot end.
> 2 Legholders of choice with appropriate clamps 14. Apply anesthesia screen (not shown) and
> Anesthesia screen of choice: Universal Ether position as necessary.
Screen (BF074) or Winged Ether Screen (BF075)
Completion of Procedure:
Legholder recommendations: Power-lift (BF453) or Bariatric 1. Reattach leg section.
Power-lift Stirrups (BF454), Universal Legholders (BF266) or 2. Slowly and simultaneously, lower
Multi-Position Legholders (BF433) patient’s legs onto the table.
3. Remove legholders and clamps.

Set Up Procedure:
1. Plug in Foot Control.
2. Remove or lower head section (as needed to enhance
anesthesia access). Head section can be attached to distal
end of leg section for taller patients if needed.
3. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (some were
removed from photo for clarity).
4. Carefully transfer patient onto surgical table per facility
procedures so perineum is aligned with perineal edge of 5085 SRT: 15.5" (394 mm)
seat section. If additional leg support is required, there are 5085: 15.5" (394 mm)
two options to extend the length of the table: 4085: 19" (483 mm)
A. Place the head section at the foot end of the table (not
allowed for SRT)
B. Place a Foot Extension (BF2 or BF542 for Bariatric
width) at the foot end of the table in a horizontal position
5. Secure armboards onto siderails on both sides of the
patient; verify proper attachment. 14 - 17"
6. Place arms onto armboards and properly secure. (356-432 mm)
7. Place legholders into appropriate clamps at symmetrical
locations beside the patient’s hips.
8. Slowly and simultaneously, raise patient’s legs and place
into legholders.
9. Remove table’s leg section.
Note: White area depicts image access.
Note: the Auto Limit Sensor feature of the table will be
disabled for the leg section once it is removed.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
15
Kidney, Lateral Thoracic Procedures with Fluoroscopic Imaging
Position: Lateral with Kidney Elevation or Flexion
Table Orientation: Normal (table slid to head)

Equipment:
> 1 Anesthesia Armboard with 2" pad (BF803) 10. Use the Flex command or use a combination
> 1 Multi-Posture Armboard with 2" pad (BF432) of "REVERSE TREND" and Back down.
> 1 ELITE Lateral Positioner (BF484) 11. Flex patient’s lower leg and place protective
> 1 ELITE Supine Headrest (BF466) padding between patient’s legs.
> 1 pair of Clark Sockets (BF083) or Multi- 12. Raise the kidney elevator to the required
Accessory Clamps (BF43) height per surgeon instructions and/or flex
> 1 Restraint Strap (BF45), standard length the table to the appropriate position. 5085 SRT: 41.4" (1051 mm)
(66 1/2") 13. Place the Restraint Strap across patient’s thighs. 5085: 43" (1092 mm)
> 1 Foot Extension with Siderail Locks (BF2) 14. Place the Foot Extension onto the leg section of 4085: 43" (1092 mm)
> Anesthesia screen of choice: Universal Ether the table at the required length; ensure Siderail
Screen (BF074) or Winged Ether Screen Locks are tightened.
(BF075) 15. Apply anesthesia screen (not shown) and
15.25"
position as necessary.
(400 mm)
Set Up Procedure:
1. Install Lateral Positioner on the table; secure
Velcro strap. Note: Figure in illustration above is a 6'4" 180 lb.
2. Place Supine Headrest on top of Lateral Positioner. (193 cm, 82 kg) male.
3. Install pressure management devices (e.g., gel Note: White area depicts image access.
pads) and other patient posturing devices as
necessary (some were removed from photo for
clarity).
4. Carefully transfer patient onto surgical table per
facility procedures so shoulder blades align with
the groove in the Lateral Positioner.
5. Secure armboards onto siderails of the table on
unaffected side of the patient; verify proper
attachment (anesthesia armboard should align
with the groove in the Lateral Positioner).
6. Once patient has been anesthetized, place patient
in lateral position so that arm and shoulder of
unaffected side fit into the groove in the Lateral
Positioner.
7. Position the lower arm onto the Anesthesia
Armboard and secure.
8. Position the upper arm onto the Multi-Posture
Armboard and secure.
9. Slide table top all the way to the head end.
(not shown)

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
16
Gynecology Procedures
Position: Lithotomy
Table Orientation: Normal (table slid to foot)

Equipment:
> 2 Anesthesia Armboards with 2" pads (BF803) 10. Adjust height and angle of legholders (follow
> 1 Foot Control (BF586) (not shown) operating instructions for legholders).
> 2 Legholders of choice with appropriate clamps 11. Slide table top all the way to the foot end.
> Anesthesia screen of choice: Universal Ether 12. Apply anesthesia screen (not shown) and position
Screen (BF074) or Winged Ether Screen (BF075) as necessary.

Legholder recommendations: Power-lift (BF453) or Completion of Procedure:

Bariatric Power-lift Stirrups (BF454), Universal Legholder 1. Reattach leg section.
(BF266) or Multi-Position Legholder (BF433) 2. Slowly and simultaneously, lower patient’s legs on
the table.
3. Remove legholders and clamps.
Set Up Procedure:
1. Plug in Foot Control.
2. Remove or lower head section (as needed to
enhance anesthesia access).
3. Install pressure management devices (e.g., gel
pads) and other patient posturing devices as
necessary (some were removed from photo for
clarity).
4. Carefully transfer patient onto surgical table per
facility procedures so perineum is aligned with
perineal edge of seat section. If additional leg
support is required, there are two options to
extend the length of the table:
A. Place the head section at the foot end of the
table (not allowed for SRT)
B. Place a Foot Extension (BF2 or BF542 for
Bariatric width) at the foot end of the table in
a horizontal position
5. Secure armboards onto siderails on both sides of
the patient; verify proper attachment.
6. Place arms onto armboards and properly secure.
7. Place legholders into appropriate clamps at
symmetrical locations beside the patient’s hips.
8. Slowly and simultaneously, raise patient’s legs and
place into legholders.
9. Remove table’s leg section.
Note: the Auto Limit Sensor feature of the table will be
disabled for the leg section once it is removed.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
17
Seated Neurosurgery
Position: Seated
Table Orientation: Normal; head section removed

Equipment:
> 1 Posterior Sitting Attachment #1801 (BF011)
> 1 Multi-Poise Headrest (BF038)
> 2 Multi-Posture Armboards with 2" pads (BF432)
> 1 pair of Clark Sockets (BF083) or Multi-
Accessory Clamps (BF43)
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure:
1. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (some were
removed from photo for clarity).
2. Carefully transfer patient onto surgical table per facility
procedures and align shoulders with distal end of back
section.
3. Once patient is anesthetized, lower leg section of the table so
patient’s legs are bent slightly.
4. Slowly raise back section so patient is in a seated position.
5. Secure the Restraint Strap across the patient’s thighs.
(not shown)
6. Once patient is in the seated position, secure armboards
onto seat section of the table on both sides of the patient;
verify proper attachment.
7. Place arms onto armboards and properly secure.
8. Attach Posterior Sitting. Attachment to back section of the
table at mid-sternum level.
9. Attach Multi-Poise Headrest to the Posterior Sitting
Attachment and align steel knobs with patient’s skull.
10. Secure patient’s head to the Multi-Poise Headrest (follow
headrest’s operating instructions).
11. Remove head section of the table.
12. Place the Foot Extension onto the leg section of the table at
the required length; ensure Siderail Locks are tightened.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
18
Lateral Neurosurgery
Position: Lateral “park bench"
Table Orientation: Normal; head section removed

Equipment:
> 1 Eye-ENT-Neuro Headrest Adaptor (BF173 for 4085 13. Secure the Restraint Strap across the patient’s thighs.
and 5085 tables; BF309 for 5085 SRT tables) 14. Place the Foot Extension onto the leg section of the table
> 1 Frontal Sitting Attachment #1802 (BF01) at the required length; ensure Siderail Locks are tightened.
> 1 Multi-Poise Headrest (BF038)
> 2 Multi-Posture Armboards with 2" pads (BF432)
> 2 Clark Sockets (BF083) or Multi-Accessory
Clamps (BF43)
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure:
1. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (removed
from photo for clarity).
2. Carefully transfer patient onto surgical table per facility
procedures in Normal Orientation (supine) and align
shoulders with distal end of back section.
3. Secure the Restraint Strap across the patient’s thighs.
4. Once patient is anesthetized, support patient’s head and
remove head section of the table.
5. Attach Eye-ENT-Neuro Headrest Adaptor to back section
of table.
6. Attach Frontal Sitting Attachment to headrest adaptor.
7. Attach Multi-Poise Headrest to the Frontal Sitting
Attachment and align with patient’s skull.
8. Attach armboards onto back section of the table on
both sides of the patient; one will need to be below
the table and one will need to be above the table as
shown in photo; verify proper attachment.
9. Remove Restraint Strap and carefully roll patient into
a lateral position.
10. Secure patient’s head to the Multi-Poise Headrest
(follow headrest’s operating instructions).
11. Place arms onto armboards and properly secure.
12. Flex patient’s lower leg and place protective
padding (not shown) between patient’s legs
(such as BF478 AQUAGEL Leg Protector).

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
19
Supine Neurosurgery (Cranial / Frontal Procedures)
Position: Supine
Table Orientation: Normal; head section removed

Equipment:
> 1 Eye-ENT-Neuro Headrest Adaptor (BF173 for
4085 and 5085 tables; BF309 for 5085 SRT tables)
> 1 Horizontal Attachment #1800 (BF008)
> 1 Multi-Poise Headrest (BF038)
> 2 Anesthesia Armboards with 2" pads (BF803)
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure:
1. Install pressure management devices (e.g., gel pads)
and other patient posturing devices as necessary
(removed from photo for clarity).
2. Carefully transfer patient onto surgical table per facility
procedures in Normal Orientation (supine) and align
shoulders with distal end of back section.
3. Attach armboards onto back section of the table on both
sides of the patient; verify proper attachment.
4. Place arms onto armboards and properly secure.
5. Secure the Restraint Strap across the patient’s thighs.
6. Once patient is anesthetized, support patient’s head and
remove head section of the table.
7. Attach Eye-ENT-Neuro Headrest Adaptor to back
section of table.
8. Attach Horizontal Attachment to headrest adaptor.
9. Attach Multi-Poise Headrest to accommodate patient’s
head, and align with patient’s skull.
10. Secure patient’s head to the Multi-Poise Headrest
(follow headrest’s operating instructions).
11. Place Foot Extension onto the leg section of the table
at required location; ensure siderail locks are tightened.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
20
Prone Neurosurgery (Cranial / Posterior Fossa Procedures)
Position: Prone
Table Orientation: Normal; head section removed

Equipment:
> 1 Eye-ENT-Neuro Headrest Adaptor (BF173 for
4085 and 5085 tables; BF309 for 5085 SRT tables)
> 1 Horizontal Attachment #1800 (BF008)
> 1 Multi-Poise Headrest (BF038)
> 2 Anesthesia Armboards with 2" pads (BF803)
> 1 ELITE Prone Headrest, not shown (BF464 or BF465)
> 1 ELITE Prone Positioner (BF485)
> 2 ELITE Flat-bottom Chest Rolls (BF483)
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure:
1. Install ELITE Prone Positioner on table and secure Velcro straps.
2. Install ELITE Flat-bottom Chest Rolls at patient’s armpit level and
beneath patient’s ankles as demonstrated in photo to help
ensure proper spinal alignment.
3. Place Prone Headrest on head section of table.
4. Install pressure management devices (e.g., gel pads) and other
patient posturing devices as necessary (some were removed
from photo for clarity).
5. Carefully transfer patient onto surgical table per facility procedures
in prone position and place head in Prone Headrest.
6. Attach armboards onto back section of the table on both sides of
the patient; verify proper attachment.
7. Place arms onto armboards and properly secure.
8. Secure the Restraint Strap across the patient’s thighs.
9. Remove head section of the table (and Prone Headrest), being
careful that a staff member is supporting the patient’s head.
10. Attach Eye-ENT-Neuro Headrest Adaptor to back section of
the table.
11. Attach Horizontal Attachment to the Eye-ENT-Neuro Headrest
Adaptor.
12. Attach Multi-Poise Headrest and adjust it to accommodate
patient’s head.
13. Secure patient’s head to the Multi-Poise Headrest.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
21
Prone Thoracic Spinal Neurosurgery
Position: Prone
Table Orientation: Normal

Equipment:
> 1 set of X-ray Tops (optional) (BF219)
> 2 Anesthesia Armboards with 2" pads (BF803) 5085 SRT: 41.4" (1051 mm)
> 1 ELITE Prone Headrest (BF464 or BF465) 5085: 43" (1092 mm)
> 1 ELITE Prone Positioner (BF485) 4085: 43" (1092 mm)
> 2 ELITE Flat-bottom Chest Rolls (BF483)
> 1 Restraint Strap (BF45), standard length (66 1/2")

15.25"
Set Up Procedure: (400 mm)
1. If X-ray Tops (not shown) are required for the procedure,
see page 3 for instructions.
2. Install ELITE Prone Positioner on table and secure
Velcro straps.
3. Install ELITE Flat-bottom Chest Rolls at armpit Note: Figure in illustration above is a 6'4" 180 lb. (193 cm, 82 kg) male.
level and beneath patient’s ankles as demonstrated Note: White area depicts image access.
in photo to help ensure proper spinal alignment.
4. Place Prone Headrest on head section of table.
5. Install pressure management devices (e.g., gel pads)
and other patient posturing devices as necessary
(some were removed from photo for clarity).
7. Carefully transfer patient onto surgical table per facility
procedures in prone position and place head in
Prone Headrest.
8. Attach armboards onto siderails on both sides of the
patient; verify proper attachment.
9. Place arms onto armboards and properly secure.
10. Secure the Restraint Strap across the patient’s thighs.
11. Slide the table all the way to the head end.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
22
Kneeling Neurosurgery (Orthospinal) with Fluoroscopic Imaging
Position: Prone kneeling
Table Orientation: Normal (table slid to foot);
head section removed

Equipment:
> 2 Anesthesia Armboards with 2" pads (BF803)
> 1 Morgan Pelvic Rest (BF135)
> 2 Side Rail Locks (BF133)
> 2 Clark Sockets (BF083) or Multi-Accessory Clamps (BF43)
> 1 Foot Extension with Siderail Locks (BF2) for 5085 SRT tables
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure:
1. Remove head section and attach to distal end of leg section to
provide additional patient support. Ensure secure attachment.
2. Remove table back/seat section pad and replace with 4-inch
(102-mm) thick pad with cutout.
3. Install pressure management devices (e.g., gel pads) and other
patient posturing devices as necessary (removed from photo
for clarity).
4. Carefully transfer patient onto surgical table per facility
procedures in prone position so patient’s hips are aligned with
the perineal edge of the seat section of the table.
5. Attach armboards onto seat section of the table on both sides of
5085 SRT: 15.5" (394 mm)
the patient; verify proper attachment.
5085: 15.5" (394 mm)
6. Place arms onto armboards and properly secure.
4085: 19" (483 mm)
7. Slide table top all the way to the foot end.
8. Lift patient’s legs to 90° and remove the head section
(or Foot Extension) from the table.
9. Using Siderail Locks, securely lock the Morgan Pelvic Rest
kneeling surface beneath the patient's raised legs.
10. Lower the table’s leg section to the clinically appropriate
position. (If necessary, re-raise leg section and adjust patient and 14 - 17"
kneeling surface.) (356-432 mm)
11. Using Clark Sockets, securely lock the hip holders under the
patient’s iliac crest to stabilize.
12. Secure the Restraint Strap across the patient’s thighs.
13. Apply anesthesia screen (not shown) and position Note: White area depicts
as necessary. image access.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
23
Shoulder Procedures
Applies to 4085 tables and 5085 tables using
the Universal Hand Control
Position: Seated
Table Orientation: Reverse

Equipment:
> 1 Shoulder Chair (BF594) 13. Raise Shoulder Chair by pressing the "Leg Up" 17. Position the patient’s arms.
> 1 Head Restraint Strap (BF039) key if the hand control is in Normal Orientation, or 18. Remove the shoulder panel of the operative side.
> 1 Multi-Posture Armboard with 2" pad (BF432) the "Back Up" key if it is in Reverse Orientation. 19. Insert the lateral support brace.
> 1 Clark Socket (BF083) or Multi-Accessory Clamp (BF43) 14. Press the "Flex" key if hand control is in Normal 20. Attach Foot Extension and any additional
> 1 Foot Extension with Siderail Locks (BF2) Orientation or use a combination of "TREND" and positioning aids as needed.
> 1 Restraint Strap (BF45), standard length (66 1/2") "Leg Dn" if hand control is in Reverse Orientation.
15. Secure the patient’s head with forehead and chin Note: Table can be articulated with the hand control in
straps. Normal or Reverse Orientation. In Reverse Orientation,
Set Up Procedure:
16. Adjust the lateral and tilt positioning of the head by Flex and Return to Level Functions are disabled.
1. Remove the X-ray tops.
means of the adjustment levers on the top and
2. Remove the leg section.
bottom of the headrest support bar and tighten
3. Insert the optional Perineal Filler Piece at the cutout for
all levers.
additional support.
4. Table should be centered, raised approximately 6” high,
and rotated for reverse orientation positioning.
5. Attach Shoulder Chair to seat section of table following
operating instructions. Ensure secure attachment.
6. Lower Shoulder Chair to horizontal (supine) position by
pressing "Leg Dn" key if in Normal Orientation or "Back
Dn" key if in Reverse Orientation on the hand control.
7. Install pressure management pads (e.g. gel pads) and
other patient positioning devices as necessary (some
removed from photo for clarity).
8. Carefully transfer patient onto surgical table per facility
procedures in reverse orientation and align buttocks
with end of seat section. Once patient is anesthetized,
secure patient’s head with Head Restraint Strap; ensure
that top ball joint knob behind patient’s head and head
section slide knob are loose (patient’s head will be secured
once patient is in seated position).
9. Tighten the flexion/extension knob. This knob is found beneath
the head rest on the back side of the support rod that
connects the back section to the head rest.
10. Secure the Restraint Strap across the patient’s thighs (not
shown).
11. Place patient’s hands in her/his lap. Left shoulder panel removed for surgical
12. Support and attend to the head and arms while the patient is site access
being positioned.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
24
Shoulder Procedures
Applies to 5085 SRT tables using the
Beach Chair Memory function
Position: Seated
Table Orientation: Reverse

Equipment:
> 1 Shoulder Chair (BF594) 11. Secure the Restraint Strap across the patient’s thighs 22. Position the patient’s arms.
> 1 Head Restraint Strap (BF039) (not shown). 23. Remove the shoulder panel of the operative side.
> 1 Multi-Posture Armboard with 2" pad (BF432) 12. Place patient’s hands in her/his lap. 24. Insert the lateral support brace.
> 1 Clark Socket (BF083) or Multi-Accessory 13. Support and attend to the head and arms while the patient is 25. Attach Foot Extension and any additional positioning
Clamp (BF43) being positioned. aides as needed.
> 1 Foot Extension with Siderail Locks (BF2) 14. Press the "Mem" button. 26. At the conclusion of the case, Return to Level is
> 1 Restraint Strap (BF45), standard length (66 1/2") 15. Press and scroll with either arrow key on the Menu touch enabled in Beach Chair mode despite being a
panel until screen displays “Beach chair/Setup Beach Chair”. Reverse Orientation position.
16. Press and hold the left dot under the Go command on the 27. To remove Beach Chair mode, press the "Mem"
Set Up Procedure: Move touch panel. Floor locks will engage and table will button and scroll with either Menu arrow key until
1. Remove the X-ray tops. articulate into beach chair position. “Detach Beach Chair” appears in the screen. Press
2. Remove the leg section. 17. The table defaults in to Reverse Orientation in Beach the left dot under the word Yes in the Menu panel.
3. Insert the optional Perineal Filler Piece at the cutout Chair mode. This step also converts the hand control back to
for additional support. 18. If additional articulations are needed, press the right dot Normal Orientation. Note: The Detach Beach Chair
4. Press "Reverse" key on lower left of hand control. SCHUERCH
SCHUERCHCORPORATION
CORPORATION
under the Exit command on the Move touch panel. Memory option only appears while in Beach Chair
5. Table should be centered, raised approximately 6”
CMAX
CMAXSHOULDER
high, and rotated for reverse orientation positioning.
SHOULDERCHAIR
CHAIRUSER’S
19. USER’SMANUAL
MANUAL
Pressing Exit does not remove the table from Beach Chair mode.
mode. An icon of a seated patient will appear on the left of
6. Attach Shoulder Chair to seat section of table the display screen identifying Beach Chair mode.
following operating instructions. Ensure secure 20. Secure the patient’s head with forehead and chin straps.
attachment. 21. Adjust the lateral and tilt positioning of the head by means
7. Lower Shoulder Chair to
Shoulder
Shoulder horizontal
Chair
Chair (supine) position
Insertion:
Insertion: of the adjustment levers on the top and bottom of the
pressing Back Down key. headrest support bar and tighten all levers.
8. Install pressure management pads (e.g. gel pads)
and other patient posturing devices as necessary
(some removed from photo for clarity).
9. Carefully transfer patient onto surgical table per
facility procedures in reverse orientation and align
buttocks with end of seat section. Once patient is
anesthetized, secure patient’s head with Head
Restraint Strap; ensure that top ball joint knob behind
patient’s head and head section slide knob are loose
(patient’s head will be secured once patient is in
seated position).
10. Tighten the flexion/extension knob. This knob is
found beneath the head rest on the back side of the
support rod that connects the back section to the
head rest.
Attach and lock Shoulder Chair to table.
2.2.Pick
Pickup
upshoulder
shoulderchair
chairby
bythe 3.3.Push
the safe patient positioning
Push chair
chair into
into leg
legsection
section evenly
evenly
1.1.
STERIS® 5085 Remove
Remove
SRT, leg
5085 andlegsection
section
4085 on
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Table Patient Positioning Instructions | Quick Reference Guide
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Ensure practices are followed and all pressure points are protected.
25
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Total Hip Replacement with Fluoroscopic Imaging
Position: Lateral with Flexion
Table Orientation: Normal (table slid to head)

Equipment:
> 1 Anesthesia Armboard with 2" pads (BF803)
> 1 Multi-Posture Armboard with 2" pad (BF432)
5085 SRT: 41.4" (1051 mm)
> 1 ELITE Lateral Positioner (BF484)
5085: 43" (1092 mm)
> 1 ELITE Supine Headrest (BF466)
4085: 43" (1092 mm)
> 2 Clark Sockets (BF083) or Multi-Accessory Clamps
(BF43)
> 1 Restraint Strap (BF45), standard length (66 1/2")
> 1 Foot Extension with Siderail Locks (BF2) 15.25"
> Anesthesia screen of choice: Universal Ether Screen (400 mm)
(BF074) or Winged Ether Screen (BF075)

Set Up Procedure: Note: Figure in illustration above is a

1. Install Lateral Positioner on the table; secure Velcro strap. 6'4" 180 lb. (193 cm, 82 kg) male
2. Place Supine Headrest on top of Lateral Positioner.
3. Install pressure management devices (e.g., gel pads) and other Note: White area depicts image access.
patient posturing devices as necessary (some removed from photo
for clarity).
4. Carefully transfer patient onto surgical table per facility procedures in
Normal Orientation (supine) so that shoulder blades align with the
groove in the Lateral Positioner.
5. Secure armboards onto siderails of the table on unaffected side of the
patient; verify proper attachment (anesthesia armboard should align
with the groove in the Lateral Positioner).
6. Once patient has been anesthetized, place patient in lateral position
so that arm and shoulder of unaffected side fit into the groove in the
Lateral Positioner.
7. Position the lower arm onto the Anesthesia Armboard and secure.
8. Position the upper arm onto the Multi-Posture Armboard and secure.
9. Place the Restraint Strap across patient’s unaffected thigh.
10. Place the Foot Extension onto the leg section of the table at the
required length; ensure Siderail Locks are tightened.
11. Slide table top all the way to the head end.
12. Flex the table with a combination of "Reverse Trend" and Back
Down maneuvers to achieve proper patient positioning.
13. Apply anesthesia screen (not shown) and position as necessary.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
26
Orthopedic Extension
Position: Traction (Right hip pinning shown)
Table Orientation: Normal; leg section removed

Equipment:
> Orthopedic Accessory package (BF806) Completion of Procedure:
> Other accessories as needed for each procedure 1. Once patient has been transferred off of the table and table/
(reference P150832-316 for a list of accessories) accessories have been cleaned and disinfected, raise the table all
> Optional: Surgical Drape Support (BF00018) the way up.
> Optional: Supplementary Accessory Package (BF808) 2. Bring Orthopedic Extension accessory cart to the perineal edge of
the table.
Set Up Procedure: 3. Lock the abductor bars so the inner bars (short sections) are rotated
1. Remove X-ray tops (if previously installed) and remove leg outward 90º and the outer bars (long sections) are perpendicular to
section. the inner bars.
Note: the Auto Limit Sensor feature of the table will be disabled 4. Using two people (one on either side of the table), loosen each
for the leg section once it is removed. siderail locking knobs.
2. Using hand control, lower leg receptacles all the way down. 5. Each person should then grab the siderail locking knob with one
3. Lower or remove head section (as needed to enhance hand and the abductor bar with other, and holding the gravity locks
anesthesia access). up to clear the siderail standoffs, lift slightly and slide the Orthopedic
4. Raise table just above edge of the orthopedic extension cart. Extension off of the table and onto the accessory cart and remove it
5. Bring Orthopedic Extension adjacent to perineal edge of the from the surgical area.
table. 6. Raise leg section receptacles and reattach leg section of table.
6. Loosen each siderail locking knob of the Orthopedic
Extension completely.
7. Using one person on either side of the table, each person
should grab the siderail locking knob with one hand and the
abductor bar with other.
8. Lift slightly and slide the mounting bracket onto the siderails
until the gravity locks fall into place.
9. Firmly tighten the siderail locking knobs and remove the
accessory cart from the operating area.
10. Place the back/seat section pad in a reversed position to
cover the perineal cutout area.
11. Follow the set-up instructions in the Orthopedic Extension
set-up guide (P150832-316) to attach accessories. Carefully
transfer patient onto surgical table per facility procedures
and position the patient as directed.
12. The comprehensive Orthopedic Extension Set-Up Guide
(P150832-316) contains the list of accessories that are needed
for each specific orthopedic procedure, as well as detailed
patient positioning instructions.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
27
Ophthalmic or ENT Procedures
Position: Supine
Table Orientation: Normal; (table slid to head)

Equipment:
> 1 Foot Control (BF586)
> 1 Narrow Headrest (BF592) with Wrist Rest (BF593)
> 1 Eye-ENT-Neuro Headrest Adaptor (BF173 for 4085
and 5085 tables; BF309 for 5085 SRT tables)
> 2 Anesthesia Armboards with 2" pads (BF803)
> 1 Foot Extension with Siderail Locks (BF2)
> 1 Restraint Strap (BF45), standard length (66 1/2")

Set Up Procedure:
1. Plug in Foot Control.
2. Remove head section (not shown).
3. Attach Eye-ENT-Neuro Headrest Adaptor to back section;
ensure secure attachment (not shown).
4. Attach Narrow Head Rest to Eye-ENT-Neuro Headrest
Adaptor; ensure secure attachment (not shown).
5. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (some were
removed from photo for clarity).
6. Carefully transfer patient onto surgical table per facility
procedures and position head in head rest.
7. Secure the Restraint Strap across the patient’s thighs.
8. Secure armboards onto siderails on both sides of the patient;
verify proper attachment.
9. Place arms onto armboards and properly secure.
10. Place the Foot Extension onto the leg section of the table at
the required length; ensure Siderail Locks are tightened.
11. Articulate table to position patient according to procedure or
surgeon preference.
12. Slide table top all the way to the head end.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
28
Bariatric Surgery Supine
Position: Supine
Table Orientation: Normal

Equipment:
> 2 Anesthesia Armboards with 2" pads (BF803)
> Set of 8 Bariatric Table Extensions with 2" / 51 mm
pads (BF643)
> 1 Bariatric Foot Extension (BF542)
> 2 Side Rail Locks (BF133)
> 1 Extra Long (126" / 3200 mm) Restraint Strap (BF451)
> Pads also available as 4"

Set Up Procedure:
1. Install Bariatric Table Extensions to the table; ensure secure
attachment.
2. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (removed from
photo for clarity).
3. Carefully transfer patient onto surgical table per facility procedures.
4. Secure the Restraint Strap (not shown) across the patient’s thighs.
5. Secure armboards (not shown) onto siderails on both sides
of the patient; verify proper attachment.
6. Place arms onto armboards and properly secure.
7. Place the Bariatric Foot Extension (not shown) onto the leg
section of the table at the required length; ensure Siderail
Locks are tightened.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
29
Bariatric Surgery Lithotomy
Position: Low Lithotomy
Table Orientation: Normal (table slid to foot); leg section removed

Equipment:
> 2 Multi-axis Armboards RC (BF71239) Completion of Procedure:
> 1 pair of Bariatric Reverse Trendelenburg Straps (BF563) 1. Level the table using the "level" button.
> 1 pair of Bariatric Power-lift Stirrups (BF454) 2. Reattach leg section.
> Bariatric Table Extensions (BF643 or BF644). BF643 3. Slowly and simultaneously, lower patient’s legs on
supplied with 2" pads or BF644 supplied with 4" pads for the table.
use with or without X-ray tops. 4. Remove legholders and clamps.

Set Up Procedure:
1. Remove or lower head section (as needed to enhance
anesthesia access).
2. Install Bariatric Table Extensions to the table; ensure secure
attachment.
3. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (some were
removed from photo for clarity).
4. Carefully transfer patient onto surgical table per facility
procedures so perineum is aligned with perineal edge of
seat section of table. If additional leg support is required,
there are two options to extend the length of the table:
A. Place the head section at the foot end of the table
B. Place a Foot Extension (BF2 or BF542 for Bariatric width)
at the foot end of the table in a horizontal position
5. Secure armboards onto siderails on both sides of the patient;
verify proper attachment.
6. Place arms onto armboards and properly secure.
7. Place Bariatric Power-lift Stirrups into clamps at symmetrical
locations beside the patient’s hips.
8. Slowly and simultaneously, raise patient’s legs and place into
legholders.
9. Remove table’s leg section. Note: the Auto Limit Sensor
feature of the table will be disabled for the leg section
once it is removed.
10. Adjust height and angle of legholders (follow operating
instructions for legholders).
11. Attach Reverse Trendelenburg Straps to the table, being
careful not to make them too tight or too loose on the patient.
12. Articulate the table using "Reverse Trend" button and
adjust legholders as needed.
13. Slide table top all the way to the foot end.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
30
Bariatric Surgery Split Leg
Position: Supine, split legs
Table Orientation: Normal (table slid to foot); leg section removed

Equipment:
> 2 Multi-axis Armboards RC (BF71239) 12. Once patient is anesthetized, slide table top all the way
> 1 Split Leg Positioner (BF351) to the foot end.
> 1 pair of Knee Restraint Straps (BF552) 13. Articulate the table using "Reverse Trend" button.
> 1 pair of Clark Sockets (BF083) or Multi-Accessory 14. Apply anesthesia screen (not shown) and position as
Clamps (BF43) necessary.
> 2 Foot Rests (MTPA09 left; MTPA10 right) 15. Abduct Split Leg Positioners as needed for surgeon
> Bariatric Table Extensions (BF643 or BF644). BF643 access to patient midline.
supplied with 2" pads or BF644 supplied with 4" pads for
use with or without X-ray tops.
> Anesthesia screen of choice: Universal Ether Screen
(BF074) or Winged Ether Screen (BF075)

Set Up Procedure:
1. Remove or lower head section (as needed to enhance
anesthesia access).
2. Remove leg section. Note: the Auto Limit Sensor feature of
the table will be disabled for the leg section once it is
removed.
3. Install Bariatric Table Extensions to the table; ensure secure
attachment.
4. Attach Split Leg Positioner to the seat section's Bariatric
Table Extension's siderail of table (follow operating
instructions); ensure secure attachment.
5. Install pressure management devices (e.g., gel pads) and
other patient posturing devices as necessary (some were
removed from photo for clarity).
6. Carefully transfer patient onto surgical table per facility
procedures so perineum is aligned with perineal edge of
seat section of table.
7. Secure armboards onto siderails on both sides of the patient;
verify proper attachment.
8. Place arms onto armboards and properly secure.
9. Place clamps at the appropriate location on the Split Leg
Positioner to support patient’s feet.
10. Insert Foot Rests into Clark Sockets or Multi-Accessory
Clamps; ensure secure attachment.
11. Attach Knee Restraint Straps, being careful not to make
them too tight or too loose on the patient.

STERIS® 5085 SRT, 5085 and 4085 Surgical Table Patient Positioning Instructions | Quick Reference Guide
Ensure safe patient positioning practices are followed and all pressure points are protected.
31
*Velcro is a registered trademark of Velcro Corporation. STERIS Corporation
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Mentor, OH 44060-1834 USA
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Document # P150832-738 Rev. 1, B/P 10-20-09 ©2010-2012 STERIS Corporation.

Printed 07/2012 All rights reserved. Printed in USA. www.steris.com