“The Clinical Advantage”™

PUBLISHED BY BIODEX MEDICAL SYSTEMS, INC.

ULTRASOUND EDITION

Work-related musculoskeletal disorders (WRMSDs) affect a large number of sonographers, particularly those with heavy workloads and those who have been in the profession for a long time.

Good ergonomic design must be an integral part of equipment design, and significantly influence purchasing decisions. The employer, manufacturer, user, and educational programs have the responsibility to prevent health and safety problems that cause WRMSDs.

Industry standards are considered essential when new or replacement tables are being purchased.

BEyOND ThE TABLE...biodex offers an Ergonomic

sonography chair

This ergonomicsonography chair ismanufactured toprovide multipleadjustments for seatheight, back height,and backward tilttension, along withan integrated seat

slider allowing for a variety ofcomfortable postures.

A foot ring is standard for additionalsupport and positioning.

Visit OSHA's website at www.osha.govon “Sonography: Positioning Patientsand Equipment” which discusses notonly the sonography chair, but alsoexam tables. Biodex meets all of thesonographer's needs!

Invest in workplace health…Reduce Sonographer injury with Biodex Ultrasound Tables

sDms recommendations checklist

These features are considered essential for new or replacement sonography tables, and Biodex meets each recommendation:

View full checklist at www.biodex.com/ultrasound

� Height adjustable

� Maneuverable

� Open access

� Endovaginal scanning

� Cardiac imaging

� Electronic controls

� Trendelenburg/reverse Trendelenburg

� Fowler positioning

� Arm extension

� Central locks

� Patient restraints

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Closer patient accessIndustry's largest cardiac scanning cutout

Infinitely adjustable to 80 degrees

Maintains table stability

Table adjusts down to 23"Accommodates patients of various heights

let us help you decide which table is right for you.

complimEntary publicationWork-Related MusculoskeletalDisorders in Sonographers

Study the causes and types of injuries and bestpractices for reducing injury risk.

Download the review atwww.biodex.com/article/19075

© 2014 Coffin. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0)

License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further

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Reports in Medical Imaging 2014:7 15–26

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R E V I E W

open access to scientific and medical research

Open Access Full Text Article

http://dx.doi.org/10.2147/RMI.S34724

Work-related musculoskeletal disorders in

sonographers: a review of causes and types of

injury and best practices for reducing injury risk

Carolyn T Coffin

Department of Diagnostic Ultrasound,

Seattle University, Seattle, WA, USA

Department of Diagnostic Ultrasound,

Seattle University, 901 12th Avenue,

Seattle, WA 98122, USA Email u

Abstract: Work-related musculoskeletal disorders in sonography professionals have a reported

incidence of 90%. These disorders are defined as conditions that are either caused by or

aggravated by tasks performed in the workplace. These injuries have a financial and emotional

impact on the worker and affect workplace productivity and quality patient care. The causes

for these injuries are multifactorial and therefore require a variety of solutions for mitigating

injury risk. Sonographer work postures, work schedules, task rotation, administrative support,

and ergonomic workplace equipment all enter into the formula for reducing the incidence of

these disorders.

Keywords: work-related musculoskeletal disorders, WRMSD, best practices, workstation,

bedside studies, ergonomics, sonography

IntroductionMany professions have documented work-related musculoskeletal disorders

(WRMSDs) for a number of years, and those industries have attempted to address

injury risks. These injuries are defined as conditions that are caused by or aggravated

by workplace activities, and they account for up to 60% of all workplace illnesses.1

They are known by different names, such as repetitive strain injury, repetitive motion

injury, and cumulative trauma disorder.

Injury among sonographers was first reported in 1985 when Craig2 identified

“sonographer’s shoulder.” WRMSDs were first identified in cardiac sonographers in

1993 and were more extensively reported in surveys conducted in 1995 and 2008.3–6

There are multiple causative factors for these injuries; therefore, preventing them

requires various strategies.

Incidence of injuryThe incidence of musculoskeletal injury among North American sonographers in

1997 was 84% and had increased to 90% in 2008.4,5 This latter result may be due to

an increased awareness among sonographers as to the reason for their fatigue and pain

during the workday and to a willingness to report their symptoms.

Causes for injuryThe causes and contributory factors of these injuries in sonographers are numerous,

but they can generally be grouped into three categories.

1. Biomechanical/environmental factors: these include the workstation, the exam

room equipment, the ultrasound system, and the exam room layout. In an effort to

sounD pro™ COMBiNATiON TABLE

Accommodates BARIATRIC

Patients

� PEER PERSPECTIVESound Pro Table

“Some of the numerous features that wefind exceptional on the Sound Pro, are thepivoting side rails, the retractable stirrups,and the cardiac cutouts. The constructionof the side rails allows the sonographer theability to be closer to the patient withoutany obstruction of the side rails hitting our knees.

Furthermore, the cardiac cutoutallows the sonographer the ease toscan apical views of the heart. Lastly,we like the fact that the stirrups areretractable and hidden in the tablewhen we do not require them. Wefind that this table is easy to use andwe are pleased with its performance.We look forward to the next table we purchase.”

- Heather Hibner, RT, RDMS, RDCS, Lead Sonographer, Madera Community Hospital, Madera, CA

Sound Pro COMBiNATiON TABLE

“We find thatthis table is easyto use and we arepleased with itsperformance.”

www.biodex.com/soundproNote: All options are available separately. Options are installed by the customer.

Fold-away side rails provide added safety and enable comfortablescanning positioning, without obstructing patient access.

The Sound Pro™ Combination Table brings togetherthe imaging features of both the Ultra Pro and EchoPro tables. Fully equipped for OB/GYN, generalultrasound and echocardiography procedures, theextra wide tabletop is designed with advancedergonomics to provide maximum comfort for bothpatient and sonographer.

Designed to conform to natural body extension andsitting position, the motorized Fowler positioning isinfinitely adjustable to 80 degrees. The cardiacdrop-down cushion releases from either side of thetable, providing open access to the patient’s leftthorax area. Flush-mounted side rails enable closeraccess to the patient, and when not in use, rails foldbeneath the table.

bIodex ulTrASound TAbleS

∙ Ergonomic Design ∙ Easy to Use ∙ Feature Rich

View the ultrasound tables video www.biodex.com/video/ultrasound

The Ultra Pro™ Ultrasound Table is the sonographer’s choice whenperforming general ultrasound procedures, including OB/GYN.Ergonomically designed to reduce sonographer fatigue and patientpositioning, the Ultra Pro Table makes it easy to achieve qualityimages in less time.

Standard Ultra Pro features include Fowler positioning, a centralfloor locking system, fold-down leg section and a 2" thickantimicrobial mattress.

Customization is made possible with optional items including flushmounted side rails allowing complete patient access and safety;retractable stirrups with contoured heel cups and an extra-longextension for taller patients; an articulating scanning arm board,and a headrest that drops down 15 degrees to allow for carotidstudies.

Accommodates BARIATRIC

Patients

ulTrASound TAbleS

www.biodex.com/ultrapro

� PEER PERSPECTIVEultra Pro ultrasound Table

“There are many aspects I like about theBiodex Ultra Pro Ultrasound Table. Forstarters, the size of this ergonomicallydesigned table is good for patient comfort.It’s long enough and wide enough thatpatients don’t end up with their arms orfeet hanging off the table.

“The remote control features areanother plus. They eliminate theneed to physically move, adjust orlift the patient’s head or torso; upand down, lateral tilt, Trendelenburgand reverse Trendelenburg - with a500-pound weight limit, this tablecan handle and position just aboutany patient we encounter.

“I also like the arm extension board. During vascular exams,it allows for optimal scanning positioning without thepatient’s hand draped across your lap. I also find the reverseTrendelenburg positioning for venous exams an asset when apatient is unable to stand.

“Lastly, the locking wheels and floor lock mechanism providedouble protection to ensure patient safety.

“Overall, I’d call the Biodex Ultra Pro Ultrasound theCadillac of imaging tables. It’s great for the patient whilealso lessening the daily wear and tear on my own body.”

- Lisa LeBlanc, BS, RDMS, RVT, RT(R), (CT), Alliance Medical Group, Watertown, CT

“Overall, I’d callthe Biodex UltraPro Ultrasound

[Table] theCadillac of

imaging tables.”

ultra pro™ ULTRASOUND TABLE

Economy configuration availablewww.biodex.com/econoultra

The TAble AdJuSTS…noT you, noT The PATIenT.

All Biodex Ultrasound Tables feature an adjustable height range of 23" to 39" – ideal for wheelchair transfers and patients with ambulatory difficulties.

Ergonomically designed to provide easy accessfor the sonographer, our Retractable Stirrupsfeature contoured heel cups for patient comfortand support.

Engineered with the sonographer in mind, the EchoPro Echocardiography Table is ergonomically designedfor a comfortable, fully accessible imaging experience.

Our Naugahyde® antimicrobial mattress cover ensurespatient comfort as well, even during lengthyprocedures.

With options such as the Articulating Scanning ArmBoard or the Headrest, the Echo Pro is easilyconfigured to suit your department’s needs.

Accommodates BARIATRIC

Patients

EcHo pro™ EChOCARDiOgRAphy TABLE

echocArdIogrAPhy TAbleS

www.biodex.com/echopro

� PEER PERSPECTIVEecho Pro echocardioraphy Table

“Our sonographers really like the Biodex Echo Pro Table.They love the electronic height adjustment. It allows thetable to be lowered to a level where even patients withlimited mobility can get on it easily. Once the patient is onthe table, you can then raise it -smoothly - to a level that iscomfortable for the sonographers todo their job. Because the table is soeasy to get on and raise, it helps uswhen doing stress echoes in that wecan get the patient off the treadmill,on the table and into position forimaging in a very short time.

We also like that the Biodex Echo Pro Table hasTrendelenburg and Reverse Trendelenburg capability, plus aninfinitely adjustable Fowler back. It is comfortable for ourpatients, looks great in our facility and, thanks to the drop-away sonographer cutout, allows our technicians to get upcomfortably close to the patient without bending way over.Because the table is so accommodating, it reduces the timeneeded to get a quality image.

We highly recommend that other facilities consider theBiodex Echo Pro Table. It has all the features you'll need andit is backed by the Biodex reputation for quality andcraftsmanship.”

- Bonnie Albrecht, PT, Surburban Cardiology, Williamsville, NY

“Because thetable is so

accommodating,it reduces the

time needed to geta quality image.”

Economy configuration availablewww.biodex.com/econoecho

cArdIAc ScAnnIng cuTouT

With the capability to release and return from either side of the table, the Cardiac Scanning Cushion drops down to reveal theindustry’s largest scanning cutout, providing open access to thepatient’s left thorax area for an unobstructed, apical approach.

Infinitely adjustable to 80°, Fowler positioning accommodatesnatural body extension and sitting position.

The Echo/Vasc Pro™ Table is the logical choice for performing vascular scanning andechocardiography. The table is designed with many features to help obtain qualityimages, while keeping the sonographer safe from injury.

The Echo/Vasc Pro features 30 degree reverse Trendelenburg positioning, ideal forexpanding lower extremity veins for maximum vessel dilation. Body straps stabilizethe patient and ensure safety throughout the entire procedure. The design alsofeatures a cardiac drop-down cushion, with the ability to release and return fromeither side of the table.

As with all Biodex ultrasound tables the Echo/VascPro features Fowler positioning and a softantimicrobial mattress with vinyl upholstery.

Ergonomically designed to address sonographer comfort, safety and proper patientpositioning, the Vasc Pro™ Table virtually eliminates repetitive-strain injuries fromvascular scanning.

Features such as Fowler positioning, an adjustable foot support and the optionalArticulating Scanning Arm Board, all create a comfortable imaging experience for thesonographer and patient.

www.biodex.com/vascpro

VASculAr ulTrASound TAbleS

­EcHo/vasc pro™ VASCULAR EChOCARDiOgRAphy TABLE vasc pro™ VASCULAR ULTRASOUND TABLE

Accommodates BARIATRIC

Patients

Accommodates BARIATRIC

Patients

www.biodex.com/echovascpro

Adjustable Foot Support: Allows comfortable patient access for vascular studies

Foot support tucksbeneath the table,providing clearaccess to the tabletop

Accommodatespatients of variousheights

Ideal for proceduresrequiring patient toremain in uprightposition

A brake release lever makes theCentral Floor Locking System easilyaccessible from either side of the table.

Removable and adjustable, theHeadrest provides convenientaccess and patient comfort.

“The Clinical Advantage”™

ULTRASOUND EDITION

FN:­19-091­­3/19

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You Spoke. We Listened, and DeliveredPeople ask me how we came to produce the number one selling Ultrasound Table.

I tell them, it’s because of YOU.

True ergonomic design can’t be created in a vacuum. From our Fowler positioning

to our cardiac scanning cutout, every feature of our Ultrasound Tables began with

sonographer input. By designing an imaging platform based on our customers’

needs, we help sonographers achieve consistent quality throughout the day – safe

and injury-free.

Have a suggestion? We want to hear from you. Contact me today and support our mission of customer-driven design.

Because image is everything…Rich Schubert, MPA, BS, RT(QM)

Senior Product Sales Manager

rschubert@biodex.com

800-224-6339 x2149