1. Confidential not for circulation
User Overview v1.1
Confidential not for circulation

2. ATTENTION!
The documentation enclosed in this file is intended only as extra product information.
For full instructions on how to use this product please refer to the Instructions For Use packed with each product

3. ReeTrakt product overview
Section 1

4. Product description
ReeTrakt is a family of novel surgical soft tissue retractors
Simple to use
Ultra-low profile
High tech
Patent protected
A new, advanced product for surgical retraction
They are single patient use
Note: they are NOT procedure specific

5. 3PAWS - ReeTrakt Ultra low profile sticky base
Easy to adjust hook / loop retraction strap
Ergonomic clear view polycarbonate tissue tip
Designed for small incision soft tissue retraction
Sticky pad base
3 Paw Hook design
Retraction Strap

6. 3PAWS Hook Ergonomic finger grip Strap slot Tissue fingers
Tissue fingers have been designed to hold the tissue without exerting excessive pressure - aiming to minimize trauma
Ergonomic finger grip has been designed to make placement and adjustment easier with gloved hands
Strap slot has been designed to exert the optimal retraction force at the back of the tip - strong yet low profile
Low profile design to give maximum wound access
Clear View polycarbonate construction to minimize light glare, give a strong tip design, allow tissue beneath to be visualized
Strap slot
Tissue fingers
Clear View Polycarbonate construction

7. 3PAWS retraction Strap Power Strap with hooks Interlocking base loops
Power strap has been designed to offer optimal length and optimal strength. Utilizing the simple mechanics of a pulley through the strap slot, accurate tension can be placed on the wound
Simple Hook & loop system has been chosen to open and close the strap. Simply peel and adjust the tension, then press the strap back down
Low profile design of the strap means there are no big metal, rubber or plastic supports in the way to obstruct the wound. The profile of the retractor is less than 2mm.
Flexible Tyvek® construction means the strap follows the contours of the body, so will wrap around the arm or leg - keeping an ultra low profile
Interlocking base loops
Adjustable strap locks flat to the base

8. 3PAWS Sticky Base Ergonomic design Simple to apply stick base
Easy peel backing has been used to make application as simple as a Bandaid™ - just pull of the backing and apply the base
Ergonomic design has been used to ensure maximum contact of the sticky base, optimal load distribution, and easier removal
Sticky base is the crucial part of the system. Designed to be easy to apply and peel off with low forces in the up direction - yet huge sticking force in the lateral sheer direction to prevent slippage
Ultra Flexible design has been created to ensure the sticky base can conform perfectly to both concave and convex surfaces - to give maximum sticking power
Integrated design means no assembly - simply open the pack - peel - stick - use - remove and dispose
Simple to apply stick base

9. Instructions for use

10. Key features & Benefits
Low profile design
Better surgical visualization
Less instrument interference
Better illumination through less shadow
Flexible Sticky base
Can be applied to skin or drapes
Contours with the patient anatomy
Secure retraction with no metal pressure points
Eliminates the needs for “retraction frames”
Greater stability on the patient - can use just 2 retractors
Ergonomic design
Easier application and repositioning
Simple release and locking mechanism
Infinitely adjustable for the right retraction tension
Multiple tip configurations
Designed for atraumatic retraction of most soft tissue types
Choice for specialist procedures
Non metallic design
Avoids risk of “contact” electrosurgery burns
Reduces weight and allows slim design
Allows see through tips for clearer surgical field
Multiple sizes
Available for many types of surgery , procedures
Available for most patient size
Single Patient Use
Always available - No down time
No assembly - ready to use - just open / peel / retract
No risk of cross contamination
Just dispose of it at the end of the case
No reprocessing time or cost
FOR INTERNAL USE ONLY

11. Example Procedure AV Fistula
Section 2

12. AV Fistula background Definition Purpose
An arteriovenous fistula (AV fistula) is the connection of a vein and an artery, usually in the forearm, to allow access to the vascular system for hemodialysis, a procedure that performs the functions of the kidneys in people whose kidneys have failed. Connecting the vein and artery is a surgical procedure. The fistula develops over a period of months after the surgery.
Purpose
The surgical creation of an AV fistula provides a long-lasting site through which blood can be removed and returned during hemodialysis. The fistula, which allows the person to be connected to a dialysis machine, must be prepared by a surgeon weeks or months before dialysis is started.

13. AV Fistula with ReeTrakt
ReeTrakt is used throughout the procedure to act as a low profile retractor
The incision is made and retract is introduced on one side only to give traction
The wound is made deeper until the vein and artery are found
The second ReeTrakt is then added to give full traction
As the wound is developed further, more tension is placed by adjusting the straps
The anastamosis can now be performed with a clear unhindered approach to the vein and artery
The ReeTrakt is then removed(“Low and Slow”) and disposed of

14. Other potential procedures with 3PAWS
Other procedures and applications are being constantly evaluated, however others so far identified are:
Small plastics procedures
Breast lumps
Cut down femoral access
ER room - cuts and incisions
Small facial incisions

15. Tips & Tricks When using ReeTrakt
Section 3

16. Using the 3PAWS
When peeling the backing from the sticky base avoid touching the adhesive with the gloves as this will reduce the sticking ability
Wipe the area of the skin where the base will be applied with alcohol or Betadine
DRY! The area well and then dry again - fluid will greatly reduce the sticking ability of the base
Excess hair should be removed - although the base will stick to hair, removing it will improve adhesion (ideally this should be performed by clipping not shaving)
Make the incision PRIOR to deciding where to put the sticky base
Leave a good 2-3cm (1 inch) between the front of the sticky base and the wound - this allows room to get full retraction with the strap. If you are too close you have no room to leverage the strap

17. Using the 3PAWS
Do not reposition the base - once it has been removed it will not stick again (if this happens - take a new ReeTrakt)
Use the ergonomic tissue hump when repositioning the tip
If using 2 ReeTrakt devices on the same arm - ensure there is enough room so they don’t overlap at the back of the arm - offset them slightly if you think this will happen
Use just 1 ReeTrakt initially as you develop the wound - this allows you to see how far away the second ReeTrakt should be placed (essential for long wounds such as radial artery)
When removing the ReeTrakt, always start at the edge closest to the hook, pull “low and slow” parallel to the skin. If you feel major resistance - then use alcohol and a swap to tease the ReeTrakt up
Try to keep the “velcro®” hook and loop surfaces of the ReeTrakt as clean as possible from fat - this will help with function

18. Product packaging
Section 4

19. Product Packaging & Coding
Each Blister contains 1 ReeTrakt
Each Box (outer) contains 10 Blisters
Product codes First release: RTKa-3PAWS RTKb-3PAWS
RTK = (ReeTrakt)
a = model a standard
b = model b ultra flexible
3PAW = 3 paw design
S - Size - Small (XS, S, M, L, XL) available later