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Dr. Feldman Quick-Fix Instrument Set

TWO-FOLD MISSION
Firstly, to provide instruments that maximize a surgeon’s visibility and maneuverability when operating through small incisions ANYWHERE IN THE BODY.

Secondly, to provide instruments that can reliably maintain an open airway in patients having surgery under total intravenous anesthesia (TIVA) – in most cases, obviating the need for an LMA or ET tube, even in patients with obstructive sleep apnea.

ABOUT DR. JOEL J. FELDMAN
Dr. Joel J. Feldman, Associate Professor of Surgery, Part-Time, Emeritus, Harvard Medical School, is widely regarded as the world expert in neck lift surgery. His book NECK LIFT, published in 2006, remains the definitive reference on the subject. He is credited with developing many of the modern surgical techniques used to re-shape and rejuvenate the neck and jawline, including  the “submental neck lift”, the “isolated neck lift”, neck “skin redistribution”, the “corset platysmaplasty”, subplatysmal aesthetic surgery – including peri-hyoid fascial and anterior digastric muscle adjustments, and the “transcutaneous traction suture” for down-sizing large or “malpositioned” submandidibular salivary glands. In conjunction with the development of these pioneering operative techniques, Dr. Feldman also devised a number of surgical instruments that make execution of the procedures easier and safer – with high-quality results the product of a high degree of intra-operative control. Marina Medical is proud to have contributed to the development and delivery of these innovative surgical tools..

‘FELDMAN ARM’ – THE HEART OF THE SET
A three-jointed instrument holder that provides remarkably precise and rigid positioning of retractors and hooks. The surgeon and the surgeon’s assistant will be amazed at how effortless surgery can be!Features: 

  • All three joints tightened by a single central knob
  • Quick-Fix connector makes end-of-the-line instrument linkage a snap
  • Universal Rail Clamp holds the Arm’s mounting post to any surgical table
  • Swap-Length Mounting Posts available as 3?, 4.5?, 6?, 24? lengths
  • Accessory Wrench facilitates post swapping

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‘FELDMAN CHIN HOOKS’
Minimally-invasive and quickly and safely inserted just under the chin at the midline where there are no anatomic structures of any significance that can be injured. The hooks’ horizontal shank connect with the Feldman Arm to provide a stable upward tilt of the chin for excellent visibility and maneuverability through a submental incision, and also provide stable protraction (“jaw thrust”) for maintenance of an open airway during TIVA.

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    Features: 

  • J-Hooks have a sharp tip for spearing the bony gnathion, and a horizontal shank that conveniently serves as a hand grip for re-setting chin position when the patient’s head is turned to the side
  • Mini J-Hooks have a shorter vertical shank for an easier work- around. Mini-J’s can also pull an anterior digastric muscle toward the midline to facilitate a submandibular salivary gland resection
  • C-Hooks interfere least with surgery performed through a submental incision. Their semi-circular bend mimics the convexity at the front of the chin, and their slightly blunted tip slides easily behind the bone where it finds a purchase just caudal to the genial tubercles
  • All Three Styles available with a right-sided and left-sided horizontal shank that places the joint between the Arm and the Hook off to the side, and well away from the focus of operative activity
INSTRUMENT POSITIONING FOR FACE AND NECK SURGERY
If a Feldman Arm and Chin Hooks are used to facilitate work on the neck through a submental incision, or used just for jaw-thrusting to facilitate airway management, the Arm is best attached to an accessory rail located along the top edge of the surgical table where the Arm’s mounting post need only rotate within its clamp to keep the Arm’s proximal segment pointing away from the surgeon (roughly 3 o’clock or 9 o’clock) as he or she moves from one side of the table to the other — in order for the Arm to avoid being a hindrance. Of the three short Swap-Length Arm mounting posts, the one selected should be long enough to place the Arm’s proximal joint at or slightly above the cushion on the headrest, and short enough to preserve room for the knees of a sitting surgeon under the headrest. In preparation for surgery, a sterile half-sheet is placed under the patient’s shoulders and draped over the headrest and the top rail. Then a sterile rail clamp is securely fixed to the rail over the sterile drape. If your operating table lacks a top rail, contact Marina Medical — we can help with that.
For surgery through a submental incision
If the surgeon is right-handed, he or she would stand at the left side of the headrest with the Feldman Arm directed toward the right side of the table, and one of the Chin Hooks with a right-sided horizontal shaft joined to it. If the surgeon is left-handed, he or she would stand on the right side of the headrest, and the Arm would point toward the left, with one of the left-sided Chin Hooks chosen.

For surgery from the side of the neck or face — perhaps with a second Arm
The surgeon sits or stands at whichever side is to receive attention, with Arm#1 pointing toward the side opposite. Often a second Arm is also used to hold a Smoke Retractor, which for a right-handed surgeon is usually attached to the cephalic end of the table’s right side rail over a sterile drape. At this location, the longest of the swappable mounting posts is used so that Arm #2 can bridge over the patient’s shoulder and chest. The combined reach of the Arm’s three segments, and a myriad of coupling sites on the Smoke Retractor’s handle, allow for an optimal positioning of the Retractor from this right-sided base — regardless of which side of the face or neck is being operated on. During most cases, a Mayo tray cantilevers across the table from a stand on its left side.
Feldman Insturment Illustration2

 


Watch Dr. Joel J. Feldman introduce the Feldman Quick Fix instrument set at the QMP 2016 Symposium. 

Watch Dr. Feldman Demonstrate the Instrument Set Intra-Operatively 

 

COMING SOON!

‘SMOKE RETRACTOR’

Deaver-like retractor with a small Smoke Intake Hole flush with the convex surface of the blade is all that the surgeon sees of the venting system during use – greatly improving visibility when working through small incisions.

Features:

  • Smoke exhaust pipe concealed on the concave side of the blade
  • Vent hole located 1? proximal to the blade tip is perfectly located for smoke collection while preventing unwanted tissue aspiration
  • Combined Luer Flushing Hub and Suction Tubing Barb
  • Black Anti-Glare diamond like carbon blade coating
  • Hand-Held or Table-Mounted
  • Tricorn Quick-Fix Couplers for attachment to the Feldman Arm
  • Accommodates the Round-Bar Clamp for a more versatile attachment to the Feldman Arm

‘Q-HOOK’
‘Q’ means quick. This is an emergency chin bone protractor on a handle that needs only a skin nick for access. It is best kept nearby during induction and maintenance of unconscious anesthesia to rescue an obstructed airway if needed.

Features:

  • Hand-Held or Table-Mounted
  • Tricorn Quick-Fix Couplers for attachment to the Feldman Arm
  • Accommodates the Round-Bar Clamp for a more versatile attachment to the Feldman Arm

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