TrenGuard TrenGuard TrenGuard

The TrenGuard™ Trendelenburg Patient Positioning System developed by D.A. Surgical remains the most clinically effective and time efficient Trendelenburg positioning system on the market. After a number of procedures performed using the System, there has not been a single report of a patient sliding, post-op discomfort or patient injury.

TrenGuard™ is the only system on the market with a rigid support frame that is fixed to the accessory table rails with table clamps. The frame cannot move and neither can the patient. TrenGuard™ Trendelenburg Patient Positioning System does not use shoulder braces.

The surface of the frame is covered with industrial strength hook fastener. Attached to the frame are four adjustable patient support pads that anchor the patient to the table.

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(A) The TrenGuard “Speed Bump” bolster is rated to safely support patients up to 550 lb | 250 kg in steep Trendelenburg up to 40°.
(B) The unique shape of the head stabilising pillow protects against alopecia and maintains head position during the procedure regardless of the degree of Trendelenburg.
(C) The soft, lateral stabilising pillows are non-structural. They assure and maintain proper body alignment along the axis of the spine. They do NOT act as shoulder braces.

TrenGuard is so easy and intuitive to use that the staff becomes expert with the process after only one or two procedures.

Set up < 30 seconds
Positioning < 2.5 minutes
Turnover < 90 seconds

One of the most important discussions surrounding patient positioning today revolves around the area of robotic assisted laparoscopy. ​

The unique technology used by the surgical robot creates unintended consequences in regard to patient positioning.

  • ​It has become obvious that any sliding at all during robotic surgery creates added patient risk of injury and unnecessary postoperative pain. This risk occurs because the robots are not programmed to change the location of the robotic arm, instruments and trocars to compensate for patient sliding.
  • Fixed trocars ultimately result in what has been called “meat hook” restraint technology. When patients slide even “just a little bit” while in trendelenburg position it is the trocars that end up restraining the patient on the table.

In his paper, “Robotics in Practice: New angles on safer positioning,” Dr, Ghomi directly addresses this issue stating:

— “Patient slippage during the use of fixed robotic trocars creates a serious potential for patient risk as it can cause incisional tear, post- operative hernia formation, and increased postoperative pain secondary to over-stretching of the anterior abdominal wall.” —

If the restraint technology does not anchor the patient in place the patient can slide. Restraints known to allow patients to slide should not be used for robotic procedures.

TrenGuard™ 450 / 600 HYBRID Procedure Packs

TSMM-DA-CE55201
TSMM-DA-CE56201
Components of the procedure pack attach to the TrenGuard Patient Support Frame. Semi-reusable hybrid procedure packs include two (2) single-use pieces, to be used with HYBRID Lateral Stabilising Pillows. Available in two sizes.

TrenGuard™ HYBRID Lateral Stabilising Pillows

TSMM-DA-CE55250
TSMM-DA-CE56250
HYBRID versions of TrenGuard Trendelenburg Patient Positioning System utilise reusable lateral stabilising pillows. In addition to having a lower procedural cost there is a substantial reduction in medical waste. Available in two sizes.

TrenGuard™ Support Frame & Rail Clamps

TSMM-DA-CE56100
TSMM-DA-CE56250
TSMM-DA-CE22302

TrenGuard™ Integrated Wedge

TSMM-DA-CE55201
TSMM-DA-CE56201
Components of the procedure pack attach to the TrenGuard Patient Support Frame. Semi-reusable hybrid procedure packs include two (2) single-use pieces, to be used with HYBRID Lateral Stabilising Pillows. Available in two sizes.

PatientGuard™ Robotic Stirrups

TSMM-DA-CE18400
TSMM-DA-CE18600
TSMM-DA-CE18600R
The only stirrup designed specifically for robotic surgery.

ArmGuard™ Patient Arm Protector

TSMM-DA-CE40008
TSMM-DA-CE40101
TSMM-DA-CE40206
TSMM-DA-CE40412
ArmGuard™ Patient Arm Protectors provide immediate access to ports and lines, plus quick and easy access to the entire length of the arm.

ArmGuard™ Patient Arm Protector

TSMM-DA-CE60701
Face Shield / Instrument Tray protects the patient’s face. FaceGuard™ protects the patient while providing a convenient surface for surgical instruments.
Product Code Product Name QTY Max Weight
TSMM-DA-CE55201
TG450 Hybrid Procedure Packs
Case of 12
200 kg SWL
TSMM-DA-CE56201
TG600 Hybrid Procedure Packs
Case of 12
250 kg SWL
TSMM-DA-CE55250
TG 450 Hybrid Lateral Stabilizing Pillows
Set of 2
200 kg SWL
TSMM-DA-CE56250
TG 600 Hybrid Lateral Stabilizing Pillows
Set of 2
250 kg SWL
TSMM-DA-CE56100
TrenGuard™ Support Frame
Box of 1
n/a
TSMM-DA-CE56250
Slotted Rail Clamps – Denyers
Pair
n/a
TSMM-DA-CE22302
Slotted Rail Clamps – Eschmann
Pair
n/a
TSMM-DA-CE55401-IN
TrenGuard 450 Hybrid Integrated Wedge
Case of 12
n/a
TSMM-DA-CE55401-IN-6pk
TrenGuard 450 Hybrid Integrated Wedge
Case of 6
n/a
TSMM-DA-CE54812
TrenGuard 600 Hybrid Integrated Wedge
Case of 12
n/a
TSMM-DA-CE18400
PatientGuard™ 400 Stirrups (inc. boot liners)
Pair
180 kg SWL
TSMM-DA-CE18600
PatientGuard™ 600 Stirrups (inc. boot liners)
Pair
272 kg SWL
TSMM-DA-CE18600R
PatientGuard™ 600 Robotic Stirrups (inc. boot liners)
Pair
272 kg SWL
TSMM-DA-CE40008
ArmGuard™ Rail Mounted Sled Kit
Set
n/a
TSMM-DA-CE40101
ArmGuard™ Standard Procedure Packs
Case of 12
n/a
TSMM-DA-CE40206
ArmGuard™ Width Extended Procedure Pack
Case of 12
n/a
TSMM-DA-CE40412
ArmGuard™ Extended Procedure Packs
Case of 12
n/a
TSMM-DA-CE60701
FaceGuard™
Box of 1
n/a