1

Remove and unfold the outer shaft assembly.

2

Remove, unfold and lock the inner shaft assembly.

3

Insert inner shaft assembly into the outer shaft assembly. Splint is ready to apply.

Position:

a

Position the Sager SX404 between the patient’s legs, resting the ischial perineal cushion (the saddle) against the ischial tuberosity, with the shortest end of the articulating base towards the ground.

Set:

b

Fold down the number of comfort cushions needed to engage the ankle above the medial and lateral malleoli.

c

Using the attached hook and loop straps wrap the ankle harness around the ankle to secure snugly.

d

Pull control tabs to engage the ankle harness tightly against the crossbar. Apply Quantifiable, Dynamic Traction. Grasp the padded shaft of the SX404 with one hand and the red traction handle with the other; gently extend the inner shaft until the desired amount of traction is recorded on the traction scale.

Secure:

e

Adjust the abductor bridle (thigh strap) at the upper thigh making sure it is not too tight, but snug and secure, then firmly secure the tensor cravats.

f

Apply the pedal pinion (figure 8 strap) around the feet to prevent rotation. Note the absence or presence of distal pulses, check for sensation. Patient is now ready for transport.

The SX404 has been designed for rapid one-person assembly and rapid one-person application. The splint can be assembled and applied in under 2.5 minutes. To assemble the splint, simply unfold and secure into place. The SX404’s unique tri-fold semi-attached design ensures that no major parts will be lost or incorrectly assembled.

Position

Set

Secure

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How much traction should I apply?
Apply the amount of traction recommended by your medical consultant, or that required by protocol. For adults, the American Academy of Orthopedic Surgeons recommends gentle traction to a maximum of 7kg (15 pounds) per fractured femur (14kg (30 pounds for a bilateral fracture)). A general rule of thumb is 10% of the patient’s body weight per fractured femur. For example; if a patient weighing 45kg (100 pounds) has a single fracture, the appropriate amount of traction would be 4.5kg (10 pounds). If that same person has a bilateral fracture, 9kg (20 pounds) would be estimated. The SX404 Sager Splint is designed to register a maximum of 14kg (30 pounds) of traction. There are rare circumstances, such as patients who have highly developed muscles, where the initial traction of more than the maximum of 14kg (30 pounds) is required. This is easily accomplished by extending the splint shaft beyond the 14kg (30 pound) stop, increasing the traction beyond the maximum registered.

Indications and contraindictions for the use of traction splints on femoral fractures.
Sager splints are indicated for use on proximal third and mid-shaft femoral fractures.

All traction splints of any kind are contraindicated in the case of fractured pelvises unless the Medical Consultant indicates otherwise, or a MAST Trouser has been applied – in which case a Sager Splint can be applied over the MAST Trousers. Supracondylar fractures of the knee and ankles fractures are also contraindicated. The contraindications listed above are only intended as a basic reference tool. Please defer to federal, state, and/or local protocol for definitive analysis and guidelines.

Caution: This product contains Natural Rubber Latex, which may cause allergic reactions.