Some very good points there! -j ________________________________ From: Steve Lusk <slusk@xxxxxxxxxxxxx> To: optimal@xxxxxxxxxxxxx Sent: Sunday, November 6, 2011 11:53 AM Subject: [optimal] Re: Armrest for fundus camera We had used the topcon armrests in the past but the fact that they are, for the most part, a stationary rest that mostly just swivels, didn't make it as adjustable as we liked for some of our patients. With the lack of a table mounting mechanism that facilitates easy movement, we found the topcon rests not as adaptive as we wanted. It was fine for the majority of patients but that 10 to 15 percent with restrictive problems, be it injurious or age related problems, we liked the ability to slide the rest anywhere on the table to provide more comfort with these patients. Another use is for these arm rests is during IV injections for Photo Dynamic Therapy. We infuse the patients in the exam chair where the laser is to take place. This saves time in moving the patient from infusion to laser. The foam armrests are nicely adaptable to the chair armrests or even the patients lap. The foam will mold itself to whatever it sits on and results in a stable platform for the arm. Most retina practices are destined to have a grid of satellite offices they must cover. If you are like us, we have a set list of equipment that must be carried from office to office. The arm rests are only a small part of the total sum of equipment but the foam is a light weight and easily packed item. As for the trash and disposable aspect, we looked at it as an opportunity to recycle the foam, if only for a short time, that is used in the shipment of lucentis orders. As these packaging materials are destined for the landfill anyway, it was an opportunity to re-use them in a functional, as well as cheap manner. It takes literally 30 seconds to cut two wedges from one block and we replace them as needed, usually once a week. You can add a layer of permanency to the wedges with the addition of window shrink film. This is a cheap way to make them easy to clean. There seemed to be more positives than negatives in the use of the foam armrests. Our 2 cents anyway, Hope this helps. Steve Steve Lusk, CRA Vistar Eye Center Retina Consultants 5296 Peters Creek Road Roanoke, VA 24019 Phone: (540) 342-3400 ext. 4731 Fax: (540) 362-1155 slusk@xxxxxxxxxxxxx www.vistareye.com <http://www.vistareye.com/> ________________________________ From: optimal-bounce@xxxxxxxxxxxxx on behalf of Jef Jodell Sent: Thu 11/3/2011 10:00 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Armrest for fundus camera I didn't have any trouble with the height of the Topcon armrests from the table, even with fairly small/shorter/younger people, if I had one of those chairs you could pump people's height up on after they were seated. If your chair was already too low, not appropriate for the patient then the extra height of them over a piece of foam could be an issue. I had an issue with the foam getting/looking dirty. Of course you can cover it each time, but if you do a lot of FAs in a day, that time adds up, plus it's a waste of materials, and generates trash. I found the Topcon units are a good design, and reasonably priced, but the threads are too small. I had the good fortune of knowing a tool maker who used to re-thread them for me with roughly twice as big a thread. You could stand on it and not have problem, after that modification. Maybe someone from Topcon will read this and take it seriously. The larger thread on them makes them the best all around, and like an AllCald cookware, will then last a lifetime. Still, you should not have to get a buddy after hours to recut your metal swivel joint to have reliability at work. ________________________________ From: Thomas C. Monego <Thomas.C.Monego@xxxxxxxxxxxxx> To: "optimal@xxxxxxxxxxxxx" <optimal@xxxxxxxxxxxxx> Sent: Thursday, November 3, 2011 4:44 PM Subject: [optimal] Re: Armrest for fundus camera I have used canoe carrier foam blocks, cut at an angle. As all the Topcon arm rests I ever used stripped at the swivel point. I also felt the attached arm rests were too high for a lot of patients, the foam blocks work well, patients think they are comfortable. Tom From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Steve Lusk Sent: Thursday, November 03, 2011 3:55 PM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Armrest for fundus camera We have completely gone away from using clamp on armrests in favor of using foam wedges. We get the foam from a likely source, it is the foam blocks that ships in the lucentis boxes. We use an electric carving knife and cut one block into a wedge shape that will sit securely on the table and allows you to place the patients arm in many more comfortable positions that the bolt on type. Hope this helps. Steve Steve Lusk, CRA Vistar Eye Center Retina Consultants 5296 Peters Creek Road Roanoke, VA 24019 Phone: (540) 342-3400 ext. 4731 Fax: (540) 362-1155 slusk@xxxxxxxxxxxxx www.vistareye.com <http://www.vistareye.com/> ________________________________ From: optimal-bounce@xxxxxxxxxxxxx on behalf of CPMC Ophthalmic Diagnostic Center Sent: Thu 11/3/2011 11:54 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Re: Armrest for fundus camera Oak Tree and Die. Just sent you a business card. About 250.00 for arm rest with attached light. Can clamp to a table. I have mine permanently mounted, one on each side. Denice Barsness, CRA, COMT, ROUB, CDOS, FOPS Ophthalmic Diagnostic Center CPMC Department of Ophthalmology 2100 Webster Street Suite 212 San Francisco CA 94115 (415) 600-3937 FAX (415) 600-6563 From: optimal-bounce@xxxxxxxxxxxxx [mailto:optimal-bounce@xxxxxxxxxxxxx] On Behalf Of Kirsten Locke Sent: Thursday, November 03, 2011 6:26 AM To: optimal@xxxxxxxxxxxxx Subject: [optimal] Armrest for fundus camera It has been awhile since I saw any messages regarding armrests that can be attached to the table of the fundus camera for FA. I tried to look through the archives but could not find anything. I'm in the need to purchase an armrest for my Canon camera. The camera table is only just large enough to hold the camera so there is no place for an arm to be propped up with a foam pillow or the like. I will need something that can clamp on to the table. Preferable something that can detach quickly and moved to the other side. Anyone out there that can recommend a supplier? Thanks, Kirsten Kirsten Locke, CRA., RN., FOPS. Senior Research Associate Clinical Trials Coordinator Retina Foundation of the Southwest 9900 N. Central Expressway, Suite 400 Dallas, TX 75231 Voice: 214-363-3911 x114 or 214-739-1469 Fax: 214-363-4538 Email: kglocke@xxxxxxxxxxxxxxxxxxxx IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE: This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.