What is Traction table: Uses, Safety, Operation, and top Manufacturers!

Introduction

Traction table is a specialized piece of hospital equipment designed to apply and maintain controlled traction (a steady pulling force) and positioning to a patient—most commonly to a lower limb—while supporting procedural access, imaging, and safe workflow. In many operating rooms it is closely associated with orthopedic trauma and hip procedures, where stable traction and repeatable alignment can improve access and reduce the need for continuous manual holding by staff.

In practical perioperative terms, a Traction table is not only a “table,” but a positioning system that must work reliably with anesthesia access, sterile-field needs, and imaging clearance. It is often used in workflows where small changes in limb length or rotation can significantly change fluoroscopic views, reduction quality, and instrument trajectory. Because of that, traction tables are typically treated as higher-risk equipment than general patient trolleys: they include multiple locking joints, high-load interfaces, and accessory-dependent configurations.

Depending on the care setting and region, the term Traction table may refer to either:

An operating-room traction/fracture table or traction attachment used during orthopedic surgery and fluoroscopy-guided fixation, or
A rehabilitation/therapy traction table used for controlled traction protocols under clinician supervision.

This article focuses primarily on the Traction table as a clinical device used in procedural environments (ORs, procedure rooms, and ambulatory surgery centers), while acknowledging that features and controls vary by manufacturer and intended use. It also helps to distinguish OR traction tables from other traction concepts used in hospitals (such as temporary skin traction or skeletal traction frames used for immobilization outside the OR), which have different goals, monitoring patterns, and hazard profiles.

You will learn:

What a Traction table is and why facilities use it
When it is generally appropriate (and when it may not be suitable)
What preparation, training, and checks are typically required
Basic operation concepts and common settings (in general terms)
Patient safety risks, monitoring, and human-factor pitfalls
Troubleshooting and escalation pathways
Infection control and cleaning principles
A practical global market overview for procurement and service planning

A useful way to read this guide is to think in three layers:

The base platform (table frame, brakes, height/tilt, radiolucency)
The traction/positioning module (traction arm, boot/clamps, counter-traction support)
The accessory ecosystem (pads, straps, sterile covers, adapters, service parts)

Most real-world problems and near-misses involve interfaces between these layers (for example: “the boot fits, but the strap is worn”; “the traction arm is secure, but the rail clamp is not the correct model”; “the table is stable, but C-arm clearance is blocked by an accessory”).

This is informational content only; clinical decisions and patient-specific use must follow local policy, competent clinician judgment, and the manufacturer’s instructions for use (IFU).

What is Traction table and why do we use it?

Traction table is medical equipment designed to support a patient while applying controlled traction and positional adjustments, typically to facilitate reduction (alignment) and stabilization during orthopedic procedures. In an operating-room context, it often includes mechanisms to hold the foot/ankle (or distal limb), provide counter-traction (commonly via a padded perineal post or alternative pelvic support), and allow fine control of limb length, rotation, and abduction/adduction—while maintaining access for a C-arm or other imaging.

Conceptually, most OR traction systems create a controlled “push-pull” setup: traction is applied distally to restore length and help correct deformity, while counter-traction stabilizes the pelvis/torso to prevent the patient from sliding. The ability to keep this setup stable for the duration of imaging and instrumentation is what differentiates a traction table from ad-hoc methods (manual traction by staff, improvised straps, or temporary devices). When used correctly, that stability can improve repeatability—especially important in fluoroscopy-guided procedures where the team may need to return to a prior position after table or imaging movement.

Core purpose (what it does)

Provides sustained, controllable traction without continuous manual pulling by staff
Helps maintain alignment and limb position during imaging and instrumentation
Creates a reproducible setup that supports standardization across teams and shifts
Improves ergonomics and workflow by reducing “hands-on holding” time
Supports incremental, fine adjustments (small changes in length, rotation, or abduction) that can be held steady during critical steps
Helps coordinate complex workflows where reduction, imaging, and implant placement must occur with minimal unintended limb movement

Common clinical settings

Orthopedic trauma ORs: fracture fixation, intramedullary nailing workflows, and reduction maneuvers
Hip and femur procedure rooms: where stable positioning and imaging clearance are needed
Ambulatory surgery centers (ASCs): selected orthopedic cases depending on case mix and imaging availability
Teaching hospitals: to standardize positioning and facilitate training (with appropriate supervision)
High-volume trauma centers and emergency lists: where repeatable setups and rapid imaging access can reduce delays between cases
Imaging-intensive suites: where multiple fluoroscopic views are required and collision avoidance is a recurring challenge

Rehabilitation/therapy variants of Traction table are more common in physiotherapy departments and may include controlled traction cycles; those configurations and safety requirements can differ substantially. For example, therapy traction may prioritize adjustable cycles and patient comfort over radiolucency and intraoperative accessory integration, while OR traction prioritizes mechanical rigidity, imaging clearance, and stable locking.

Typical components (OR traction/fracture configurations)

Patient tabletop or table interface: may be integrated or an attachment to a base OR table
Traction mechanism: manual (screw/winch), hydraulic, or motorized (varies by manufacturer)
Distal limb fixation: traction boot, footplate, or clamp system, often with padding and size options
Counter-traction support: padded post or pelvic support structure
Positioning controls: levers, dials, or powered controls for height, tilt, rotation, and limb positioning
Radiolucent elements: selected components to reduce imaging obstruction (varies by manufacturer/material)
Accessories: straps, padding kits, lithotomy/leg supports, side rails, arm boards, and sterile drapes/covers
Non-operative limb positioning supports: often needed to safely move the contralateral limb out of the imaging field while protecting pressure points
Quick-release or emergency release features: mechanisms intended to allow controlled traction release in urgent situations (design varies; always follow IFU)
Modular adapters and clamps: rail clamps, couplers, and model-specific interfaces that determine what can be safely attached and how loads transfer into the table

It is common for facilities to use either:

A dedicated fracture/traction table (a platform designed primarily around traction workflows), or
A traction attachment system mounted to a general surgical table base.

From a safety and procurement perspective, the “same function” can come with different constraints: weight limits may change when attachments are used, radiolucency may differ, and the number of locks/clamps that must be correctly set can increase.

Why facilities adopt Traction table (operational and care-delivery benefits)

Workflow efficiency: a stable setup can reduce repeated repositioning and shorten non-operative “setup time,” depending on team experience and case type.
Imaging access: many designs prioritize C-arm clearance and consistent AP/lateral views with fewer collisions and less rework.
Team ergonomics and staffing: less reliance on manual traction can reduce staff fatigue and variability, and can be helpful when staffing is constrained.
Standardization: consistent positioning protocols support safer handoffs, training, and auditability.
Risk management: controlled mechanisms can be safer than ad-hoc traction methods when used correctly—though traction itself introduces meaningful risks that must be actively managed.
Procedure support: stable reduction and positioning can make minimally invasive or percutaneous steps easier to perform consistently, especially when repeated imaging is required.
Potential reduction in avoidable re-imaging: more reproducible positioning can reduce the number of repeated fluoroscopy shots needed to “re-find” a view after movement, which may help manage radiation exposure over time (this depends heavily on workflow, imaging technique, and staff discipline).

In procurement terms, Traction table is not just a “capital purchase”; it is a system of accessories, maintenance requirements, and training needs that directly affect safety, uptime, and total cost of ownership. Many facilities underestimate the operational impact of accessory standardization (boots, pads, posts, clamps) and the cost of wear items (liners, straps) that directly influence patient safety and traction reliability.

When should I use Traction table (and when should I not)?

Appropriate use of Traction table is case-dependent and should be determined by qualified clinicians under facility policy. The points below are general, non-clinical guidance to support planning, procurement, and safe operations.

It is also useful to recognize that “use” is not binary. Some cases may use a traction table for only part of the procedure (for reduction and initial fixation), while other cases remain under traction for longer imaging/instrumentation phases. That difference affects padding strategy, monitoring frequency, and staffing attention.

Common situations where Traction table is used (general examples)

Procedures where sustained traction and controlled limb positioning are needed to enable access, imaging, and stable reduction
Orthopedic trauma and reconstructive workflows requiring repeatable alignment during fluoroscopy
Cases where reducing staff exposure to prolonged manual holding may improve ergonomics and workflow consistency
Environments where standardized positioning helps manage training, throughput, and safety auditing
Workflows where consistent limb rotation/length is important across multiple imaging checks (for example, repeated AP and lateral views)
Scenarios where the team anticipates the need for hands-free stability during critical steps (instrument passage, guidewire placement, implant insertion)

Situations where Traction table may not be suitable (general considerations)

When traction is not required for the procedure: added complexity can increase setup time and risk without benefit.
When patient size, weight, or body habitus exceeds device limits: safe working load and accessory limits must be respected (varies by manufacturer).
When required accessories are unavailable or mismatched: for example, missing the correct boot size, counter-traction supports, or radiolucent extensions.
When the environment cannot support safe use: inadequate space for C-arm movement, cluttered cable management, insufficient staff, or unstable flooring for mobile components.
When the equipment condition is uncertain: incomplete preventive maintenance, damaged locks/clamps, or unresolved safety notices.
When the team is not trained/competent on the specific model: “similar-looking” traction systems can operate differently.
When counter-traction methods create unacceptable risk for a given patient or situation: for example, if a perineal post would create high pressure risk, or if a postless method cannot be set up as intended (clinical decision under local policy).
When the setup would obstruct urgent access needs: certain traction configurations can limit access to parts of the pelvis/groin or complicate emergency repositioning; this must be considered during planning.

Safety cautions and contraindications (general, non-clinical)

Traction table introduces predictable hazards that must be actively controlled:

Pressure and skin injury risk at contact points (e.g., counter-traction post, straps, boots, bony prominences)
Nerve injury risk related to positioning, prolonged pressure, or extreme limb rotation/traction
Circulatory compromise risk from excessive pressure or prolonged immobility
Falls and transfer injuries during patient movement onto/off the table
Pinch/crush hazards for staff near moving joints, clamps, and powered components
Imaging-related hazards (collisions, entanglement, radiation exposure)
Counter-traction–related soft tissue risk: poorly positioned or inadequately padded counter-traction supports can concentrate pressure and increase injury likelihood
Prolonged immobility risk: long cases increase the importance of pressure-point management and periodic reassessment, regardless of traction amount

Whether traction, duration, and positioning are appropriate for a specific patient is a clinical decision. Facilities should ensure escalation routes are clear if staff identify high-risk positioning, unexpected resistance, or patient monitoring concerns. A practical safeguard is to treat “unexpected” as actionable: unexpected resistance during traction, unexpected patient shift, or unexpected difficulty obtaining standard imaging views can indicate an incorrect setup or an emerging safety issue.

What do I need before starting?

Safe use of Traction table depends on preparation across people, process, and equipment. Before the first case of the day (and again before each patient), confirm the basics below.

In many facilities, the difference between safe and unsafe use is not the table itself but the readiness of the “whole system”: correct accessories present, correct room layout, staff who know the controls, and a plan for what to do if traction must be released quickly.

Required setup and environment

Adequate space for the Traction table footprint plus C-arm movement, anesthesia workstation access, and staff circulation
Power readiness for powered systems: tested outlets, cable routing, and backup plans for power interruption (varies by manufacturer)
Floor and mobility safety: brakes function, wheels/casters are intact, and the table is stable at working height
Accessory staging: traction boots, counter-traction supports, pads, straps, and required adapters available in the correct sizes
Imaging rehearsal: confirm expected C-arm views can be achieved without collisions (table frame, traction arms, or supports)
Head-end access planning: ensure airway access and anesthesia circuit routing remain safe after traction components are installed (especially when large traction frames extend beyond the foot end)
Cable and tube routing plan: suction, diathermy, monitoring lines, and imaging cables should be routed so they do not cross moving joints or become trapped under the base during table movement

Accessories and consumables commonly needed

Exact requirements vary by manufacturer and procedure type, but commonly include:

Traction boot/foot strap systems in multiple sizes
Counter-traction supports (e.g., padded post options)
Padding kits (gel pads, foam pads, strap sleeves)
Side rails/attachments and clamps (model-specific)
Safety straps for torso and limbs
Sterile drapes/covers for components entering the sterile field (varies by workflow)
Spare fasteners or wear parts recommended by the manufacturer (if applicable)
Boot liners, stockinette, or protective sleeves (depending on IFU and local infection control policy)
A safe, compatible support for the non-operative limb (often essential for imaging clearance and pressure protection)

Training and competency expectations

A Traction table should be treated as a high-risk positioning system, not a simple bed. Typical competency expectations include:

Assembly and configuration of the table and traction attachments for common case types
Safe patient transfer and positioning including pressure-point mitigation
Operating controls (manual locks, powered movement, emergency stop, emergency release)
Imaging coordination and collision avoidance with C-arm movement
Escalation protocols to anesthesia, surgeon, and biomedical engineering (biomed)
Recognition of common setup failures: for example, partially engaged clamps, twisted straps, missing padding, or incompatible rail adapters

Facilities often formalize this via device-specific checklists, sign-offs, and periodic refreshers—especially when staff rotate between ORs or sites. Many teams also benefit from brief “dry run” drills (no patient) that focus on emergency traction release, power-loss response, and C-arm clearance checks, because these are the moments where human-factor errors become most consequential.

Pre-use checks and documentation (practical examples)

Verify device identification (model/serial), last preventive maintenance date, and current service status
Check safe working load and accessory load limits (varies by manufacturer)
Inspect locks, clamps, rails, and fasteners for security and damage
Confirm traction mechanism integrity: smooth movement, no abnormal noise, no visible wear or fraying (if cables/straps are used)
For powered systems: check hand control/pendant, foot controls, battery status (if present), and emergency stop function
Ensure pads and straps are clean, intact, and correctly fitted
Document completion per local policy (paper checklist or CMMS entry)
Inspect padding and contact surfaces for compression set (flattened pads) that can reduce pressure distribution over time
Check that radiolucent panels/attachments (if present) are intact and not cracked or delaminating, as damage can reduce strength and imaging quality
Confirm that any quick-release or emergency release functions are accessible (not blocked by accessories) and understood by the team per IFU

How do I use it correctly (basic operation)?

Specific steps differ by model and clinical workflow. The outline below describes a typical OR-oriented process at a high level. Always follow the manufacturer IFU and facility protocols.

A key operational principle is to separate positioning changes from verification steps. Teams that move, then verify (locks, pads, imaging, monitoring), generally have fewer surprises than teams that make multiple changes without pauses.

Basic step-by-step workflow (general)

Team brief and role assignment: confirm who controls traction adjustments, who monitors pressure points, and who coordinates imaging.
Inspect and configure Traction table: install the traction assembly, counter-traction support, and required attachments; verify all clamps are locked.
Function check: test powered movements (if equipped), brakes, and emergency stop/emergency release per IFU.
Prepare padding and supports: place pads at known pressure points and set strap pathways to avoid skin shear and tubing compression.
Patient transfer: use approved transfer aids and safe handling practices; confirm lines and tubes are protected and not under tension.
Initial positioning: align pelvis/torso, secure the upper body as required by protocol, and position the non-operative limb safely.
Apply counter-traction support: position and pad the counter-traction element according to IFU; confirm it is stable and not creating focal pressure.
Secure the operative limb: fit the traction boot/clamp, confirm correct size and padding, and ensure straps are not twisted.
Apply traction gradually: increase traction slowly while observing for slippage, pressure issues, and team concerns; confirm the traction vector is correct.
Adjust rotation/abduction/adduction: make fine positional changes with clear verbal callouts and one person controlling movement.
Confirm with imaging: verify alignment and access with the C-arm; adjust as needed to obtain consistent views.
Lock and re-check: once satisfactory, lock relevant joints/clamps and re-check all contact points and strap tension.
Intra-procedure monitoring: reassess periodically, especially after major table movements, long procedure times, or patient repositioning.
Traction release and end-of-case: release traction in a controlled way, remove limb fixation, and plan a safe transfer off the table.

Operationally, teams often find a few additional habits improve consistency without adding much time:

Perform a brief collision check with the C-arm (or at least the planned arc of movement) before final draping, especially if this is a new room, new imaging unit, or new traction attachment.
Treat traction and rotation adjustments like medication changes: announce, execute, confirm. This helps prevent multiple people acting on the same control at once.
If the procedure is long, consider documenting the time traction started and performing structured re-checks at defined intervals per local policy.

Calibration and verification (if relevant)

Many OR Traction table systems do not provide calibrated force measurement. If the system includes a traction force gauge or digital readout:

Confirm whether it is indicative or calibrated (varies by manufacturer; not always publicly stated).
Perform any zeroing/check steps described in the IFU before patient use.
Treat displayed values as contextual information, not a substitute for clinical assessment and imaging.

From a maintenance standpoint, any sensor-based readout (force, position, or table angle) may have a recommended verification interval in service documentation. If the facility intends to rely on these values for consistency or teaching, biomedical engineering should confirm whether verification or calibration is required and how it is documented.

Typical settings and what they generally mean

Settings vary widely by manufacturer and configuration, but commonly include:

Traction amount/force: may be adjusted via mechanical or powered controls; displayed in units if the device supports measurement (varies by manufacturer).
Limb rotation and abduction/adduction: often set with mechanical scales or positional reference marks; used to maintain consistent limb orientation.
Table height/tilt: adjusted to optimize surgeon ergonomics, imaging access, and anesthesia access.
Locking states: mechanical locks and brake status are safety-critical; “position achieved” is not the same as “position locked.”

Operationally, the safest pattern is controlled changes, one operator at a time, with closed-loop communication and re-checks after each adjustment. It is also helpful to remember that “zero” on a scale is not always anatomical neutral; scale references may depend on how an attachment was installed, so visual and imaging confirmation remains essential.

How do I keep the patient safe?

Traction table safety is mainly about preventing avoidable harm from pressure, positioning, uncontrolled movement, and human-factor errors. The device can improve consistency, but it does not remove risk; it changes the risk profile.

One of the most important safety ideas is that traction-related harm often develops silently: skin and nerve pressure injuries may not be obvious during the case, and traction slippage may start subtly before it becomes a major event. This is why structured checks matter even when the case appears stable.

Positioning and pressure-injury prevention

Identify high-risk contact points early (counter-traction support, boot/ankle fixation, straps, bony prominences).
Use appropriate padding and ensure it stays in place after traction is applied (pads can migrate under load).
Avoid creating hard edges from straps, buckles, clamps, or folded material.
Re-check contact points after major adjustments and periodically during long cases per local policy.
Pay particular attention to counter-traction interface quality: larger contact area, correct alignment, and intact padding generally reduce focal pressure risk (within the constraints of the IFU and local protocol).
Protect the non-operative limb and any limb support interfaces; prolonged pressure at common sites (e.g., bony prominences) can occur even though that limb is not being operated on.

Traction-specific safety practices

Apply traction gradually and deliberately; avoid rapid changes that can cause slippage or sudden shifts.
Confirm the traction line/vector is correct for the planned workflow; misalignment can increase pressure and reduce stability.
Watch for boot slippage and strap migration; re-fit if movement is noted.
Minimize unnecessary time under traction when operationally feasible, consistent with clinical needs and protocol.
Avoid “chasing alignment” by repeatedly increasing traction without reassessing the setup; unexpected resistance can indicate boot fit problems, strap routing errors, or an incorrect traction vector.
When major table movements occur (height/tilt changes), treat them as a trigger for a full re-check because patient load distribution and contact pressures can change even if traction settings stay the same.

Monitoring and communication

Ensure the team has a shared understanding of who is monitoring what (skin, circulation checks per protocol, device controls, imaging clearance).
Use closed-loop communication for movements (e.g., “Applying traction now,” “Lock confirmed,” “C-arm moving in”).
Maintain access to the controls and emergency stop; do not drape in a way that obscures emergency functions.
Coordinate with anesthesia regarding line tension and access: traction and table movement can subtly pull on IV lines, monitoring cables, catheters, and warming device hoses if they are routed across moving joints.
Include traction status in intraoperative check-ins during long cases (for example: “traction unchanged and locks confirmed,” or “traction released and re-applied after imaging reposition”).

Alarm handling and human factors

Some Traction table systems include alarms (battery low, overload, motor fault) and some do not.

If an alarm occurs, pause movement, confirm the patient is stable, and interpret the alarm per IFU.
Avoid “workarounds” that bypass safety interlocks unless explicitly permitted by the manufacturer and approved by facility policy.
Human-factor risks increase when multiple staff can operate controls; consider role-locking (one designated operator) and clear labeling.
For powered systems, treat repeated stalls or overload alarms as a potential sign of misassembly, obstruction, or mechanical failure—not just an inconvenience to “push through.”
If battery status is relevant, plan proactively: low-battery warnings during positioning can lead to rushed movements and errors.

Equipment and environment hazards

Manage cables and hoses to reduce trip hazards and prevent entanglement with moving traction arms.
Use collision checks to prevent C-arm strikes against traction components, which can cause sudden shifts and equipment damage.
For powered tables, plan for power interruption: know how to achieve safe position and release traction per IFU.
Use radiation safety practices during fluoroscopy: traction setups can tempt staff to place hands near the field; maintain shielding and positioning discipline as per local radiation policy.

Safety performance improves when facilities treat Traction table as a system: device + accessories + training + maintenance + standardized operating procedures. Many facilities also find that small process controls—like standardized naming for movements (“internal rotation,” “traction increase,” “unlock/lock”) and standardized accessory carts—reduce variability and make it easier to detect when something is “not normal.”

How do I interpret the output?

Traction table is primarily a positioning platform, not a diagnostic monitor. “Outputs” are usually mechanical indicators or device-status information that help teams reproduce a setup and maintain consistent traction and alignment.

In practice, outputs are best understood as process controls: they help the team manage the positioning process consistently, but they do not replace clinical verification (imaging, direct observation, and patient monitoring).

Types of outputs/readings you may see

Mechanical position indicators: angle markers for rotation/abduction, limb-length reference scales, or joint position marks
Digital table position displays: height/tilt indicators or preset positions (varies by manufacturer)
Traction force indication: a gauge or readout may be present on some systems; calibration status varies by manufacturer
Device status indicators: brake engaged, battery level, motor fault indicators (if powered)

How clinicians typically interpret them (in general)

Use indicators as reference points to reproduce positioning across imaging views and procedural steps.
Interpret traction force readings (if present) as supportive context, alongside imaging, tactile feedback, and team observation.
Treat changes in device status indicators as operational triggers (e.g., stop, re-check locks, call biomed).
Use position indicators for documentation and communication (for example, recording approximate rotation/abduction references in the intraoperative record when local policy supports it), while recognizing the limitations of mechanical scales.

Common pitfalls and limitations

Assuming an indicated traction value equals the force at the fracture site; friction, boot fit, and patient anatomy can change effective force.
Relying on scales without verifying actual alignment on imaging.
Misreading angle markers due to parallax or differing “zero” positions across attachments.
Ignoring accessory wear (boot liners, straps) that can change positioning reproducibility over time.
Forgetting that locking a distal component does not necessarily lock the whole chain; a single unlocked joint can allow drift even if other scales look unchanged.

What if something goes wrong?

When problems occur, priorities are: patient stability, controlled release of traction (if needed), and escalation to the right support function. Facilities should define “stop use” thresholds in policy.

Because traction tables combine patient load with multiple mechanical interfaces, a small failure can quickly become a large movement. A conservative approach—pause, stabilize, reassess—often prevents escalation.

Troubleshooting checklist (practical, non-brand-specific)

Patient safety concern (skin/pressure/physiology): stop adjustments, stabilize position, and escalate to the clinical lead immediately.
Traction not holding or slipping: pause, verify boot fit and strap routing, confirm clamps/locks, inspect for worn components, and reapply per IFU.
Unexpected movement or drift: engage brakes/locks, check for incomplete locking, verify powered controls are neutral, and confirm no load beyond limits.
No power / control failure: follow IFU for manual override or emergency procedures; avoid improvised lifting of loaded components.
Unusual noise, grinding, or binding: stop use and remove load if safely possible; suspect mechanical failure or misassembly.
Hydraulic fluid leak (if applicable): stop and isolate the device; follow facility spill and equipment-out-of-service procedures.
C-arm collision risk: stop imaging movement, reposition equipment, and re-check clearance before continuing.
Counter-traction support shift: pause traction changes, confirm the support is still correctly positioned and padded, and reassess whether continued traction is safe under local protocol.

When to stop use (typical triggers)

Visible structural damage, cracked components, or unstable joints
Uncontrolled motion, failed locks, or inability to maintain safe traction
Any event where safe patient positioning cannot be confirmed
Any alarm/fault that the IFU indicates requires removal from service

When to escalate to biomedical engineering or the manufacturer

Recurrent slipping, lock failures, or control malfunctions
Any suspected internal failure (motor, actuator, hydraulic, brake system)
Missing or non-compatible accessories/adapters affecting safe use
Post-incident inspection requirements and corrective actions
Parts replacement and service documentation needs for audits and regulatory compliance

A practical operational safeguard is to maintain a backup positioning plan (and the necessary accessories) for cases where Traction table becomes unavailable mid-list. In addition, facilities benefit from a clear “quarantine” process: if a device is removed from service, it should be physically separated or clearly tagged to prevent accidental reuse before inspection.

Infection control and cleaning of Traction table

Traction table reprocessing is critical because it is high-touch hospital equipment that often moves between cases and may contact non-intact skin via straps and supports. Cleaning must follow the manufacturer IFU and facility infection prevention policy.

Infection control challenges for traction tables often come from “soft goods” and interfaces: straps, boot liners, padding seams, and crevices around adjustment joints. These areas can be missed during fast turnovers unless cleaning responsibilities and steps are clearly defined.

Cleaning principles

Clean from least soiled to most soiled areas; remove visible soil before disinfectant use.
Use approved cleaning agents compatible with surfaces (painted metal, polymers, padding, radiolucent composites).
Prevent fluid ingress into electrical joints, pendant controls, and actuator housings.
Pay attention to seams, hinges, and crevices where bioburden accumulates.
Manage detachable accessories as separate items with their own reprocessing steps; “wiping the table” is not the same as reprocessing a boot liner or strap set.

Disinfection vs. sterilization (general)

Most Traction table frames and tabletops are cleaned and disinfected, not sterilized.
Some detachable accessories (certain posts, clamps, or components intended for sterile field proximity) may be sterilizable; this varies by manufacturer and model.
Straps and padding may require wiping, laundering, or replacement depending on design and IFU.
Where laundering is used, facilities should confirm that detergents, temperatures, and drying methods do not degrade strap strength or padding integrity over time (follow IFU and local textile services policy).

High-touch points to prioritize

Hand control/pendant and its cable
Foot pedals and brake levers
Side rails, clamps, and adjustment knobs
Traction boot shells/liners, straps, buckles, and attachment points
Counter-traction support surfaces and pads
Mattress seams, edges, and under-tabletop junctions
Power cord and plug body (not the pins)
Any handholds used during patient transfer and positioning (often overlooked, but high contact)

Example cleaning workflow (non-brand-specific)

Don appropriate PPE per facility policy.
Place device in a safe position, engage brakes, and disconnect power if required.
Remove detachable accessories; segregate items requiring separate reprocessing.
Wipe down with detergent solution to remove soil; focus on crevices and joints.
Apply disinfectant with correct wet-contact time per product instructions.
Allow surfaces to dry; avoid pooling under pads and around controls.
Inspect for damage, worn upholstery, and loose components; tag issues for biomed.
Reassemble and store in a clean area to prevent recontamination.
Document cleaning and any faults per local policy.

Many facilities also add a “terminal clean” routine at the end of the day or list, which includes deeper access cleaning (under removable pads, around rail clamps, and inside accessory storage trays), because turnover cleaning may not reach these areas consistently.

Medical Device Companies & OEMs

In capital medical equipment markets, it is common for products to be sold under different brands, or for major components to be manufactured by a third party. Understanding these relationships supports safer procurement, clearer service expectations, and better lifecycle planning.

For traction systems, OEM relationships often appear in attachments, clamps/rail systems, and powered actuators. A table may look familiar but have critical differences in rail profile, lock design, or accessory compatibility that only become obvious during setup or service.

Manufacturer vs. OEM (Original Equipment Manufacturer)

Manufacturer (brand owner): typically defines the product specification, regulatory strategy, labeling, and support model, and sells under its brand.
OEM: may design and/or build components or complete systems that are then branded and sold by another company.
In some cases, the same underlying Traction table platform may appear with different branding, accessory kits, software options, or service terms.

How OEM relationships affect quality, support, and service

Parts availability: the branded manufacturer may control spare parts even if an OEM built the device.
Service documentation: service manuals and calibration procedures may be restricted or differ by region.
Accessory compatibility: “looks compatible” is not the same as “approved compatible”; adapters and rails can be model-specific.
Regulatory documentation: declarations of conformity, registrations, and IFU may differ between branded versions.
Warranty and liability: support obligations can change depending on who sold the unit and where it is registered.
Lifecycle continuity: if a platform is rebranded or updated, accessory lines may change; procurement teams should plan for long-term availability of the specific boot sizes, liners, and clamps they will rely on.

A practical procurement step is to request a clear, written list of: approved accessories, “do not use” incompatibilities, and the expected support period for spare parts. This reduces the risk of ending up with a functional table but no supported traction boot replacements in a few years.

Top 5 World Best Medical Device Companies / Manufacturers

The following are example industry leaders (illustrative, not a ranked or verified “best” list). Actual Traction table offerings and regional availability vary by manufacturer and market authorization.

Getinge (including Maquet-branded OR solutions in many markets)
Getinge is widely recognized for operating room infrastructure and surgical table platforms used in complex procedural environments. Its portfolio typically spans OR tables, infection control solutions, and perioperative workflow systems. Global footprint and service models vary by country, often delivered through direct teams and authorized partners.
STERIS
STERIS is known for operating room products and sterile processing ecosystem offerings, with many facilities relying on its perioperative support capabilities. Typical categories include surgical tables, OR integration components, and sterilization-related systems. Local support strength depends on regional presence and distributor arrangements.
Stryker
Stryker is a major global medical device company with broad presence in orthopedics and surgical environments. Depending on region and business unit, facilities may encounter Stryker in surgical equipment, positioning solutions, and OR-related capital equipment. Availability of specific Traction table configurations varies by manufacturer strategy and local channels.
Mizuho OSI
Mizuho OSI is well known in many markets for specialized surgical tables and patient positioning systems, particularly in orthopedics and spine-related workflows. Its product approach often emphasizes procedure-specific platforms and accessory ecosystems. International distribution and service coverage can depend on authorized partners and tender structures.
Skytron
Skytron is recognized in several markets for surgical tables, lights, and related OR equipment. Facilities often evaluate Skytron when prioritizing robust mechanical design and serviceability for perioperative environments. Global availability, configurations, and service reach vary by manufacturer and regional distribution.

Vendors, Suppliers, and Distributors

Capital medical equipment procurement often involves multiple commercial entities beyond the manufacturer. Clear definitions help procurement teams set expectations for pricing, logistics, commissioning, training, and after-sales service.

For traction systems, vendor capability matters because many operational failures are “system failures”: missing clamps, mismatched boots, delayed spare parts, or insufficient training. A low initial price can become expensive if uptime suffers or if key accessories are not available when needed.

Role differences: vendor vs. supplier vs. distributor

Vendor: the entity that sells to the hospital (may be a manufacturer, reseller, or tender winner).
Supplier: a broader term for an organization that provides goods/services; may supply accessories, consumables, and spare parts.
Distributor: typically holds inventory, manages importation/logistics, and may provide installation, first-line service, and warranty coordination.

In many countries, one organization may act as vendor, supplier, and distributor simultaneously—especially for imported hospital equipment. Procurement teams often benefit from making responsibilities explicit in contracts: who performs installation, who trains staff, who responds to faults, and who stocks high-wear items.

Top 5 World Best Vendors / Suppliers / Distributors

The following are example global distributors (illustrative, not a ranked or verified “best” list). Traction table availability and service capabilities vary significantly by country and contract model.

Medline Industries (example distributor model)
Medline is widely known for large-scale healthcare distribution and supply chain services in markets where it operates. For capital equipment, distribution is often organized through specialized divisions or partner networks. Buyer profiles commonly include hospitals seeking standardized purchasing and consolidated logistics.
Henry Schein (example distributor model)
Henry Schein is recognized for broad healthcare distribution in several regions, historically strong in practice-based supply and certain equipment categories. Where capital equipment is offered, value often comes from procurement support and coordination across multiple manufacturers. Exact OR table and Traction table coverage varies by country and channel strategy.
McKesson (example distributor model)
McKesson is a major healthcare supply chain organization with significant presence in select markets. Distribution strength is typically tied to large network logistics and contract purchasing structures. Capital equipment availability and installation/service offerings vary by region and local partners.
Cardinal Health (example distributor model)
Cardinal Health is known for large-scale healthcare logistics and supply chain operations in markets where it is active. Its role may include contract management, distribution, and in some cases equipment-related procurement support. Service depth for specialized hospital equipment depends on local arrangements and product category.
DKSH (example distributor model)
DKSH is recognized as a market expansion and distribution services provider in parts of Asia and other regions. For medical equipment, it may support importation, regulatory coordination, warehousing, and after-sales pathways via local technical teams or partners. Buyer profiles often include hospitals that need a single partner to manage complex cross-border procurement.

From a practical purchasing standpoint, traction table procurement commonly goes smoother when the vendor can provide:

A site-readiness check (space, power, imaging clearance)
Commissioning/acceptance testing support (locks, brakes, powered movement, alarms)
Documented user training and a plan for refreshers
Clear service escalation and typical spare-part lead times
A recommended list of “wear parts” to stock locally (e.g., straps, boot liners)

Global Market Snapshot by Country

Below is a high-level, practical snapshot of demand and service considerations for Traction table and related lifecycle support. These are general observations; actual procurement conditions vary by state/province, public vs. private sector mix, and hospital tier.

India

Demand for Traction table is driven by high orthopedic trauma volume, expanding private hospital networks, and growth in fluoroscopy-guided procedures. Many facilities rely on imported systems, with a strong role for regional distributors and service partners. Access and uptime can differ sharply between metro tertiary centers and smaller district hospitals. Procurement teams often balance performance with maintainability, and many sites prioritize readily available accessories and local service coverage to reduce downtime.

China

China’s market reflects large procedure volumes, ongoing hospital infrastructure investment, and a mix of domestic manufacturing and imports. Procurement is often influenced by provincial tendering and hospital group purchasing. Service ecosystems are stronger in urban centers, while rural coverage may rely on local partners and spare-part availability. Buyers frequently evaluate compatibility with locally prevalent imaging systems and the speed of parts delivery for high-wear components.

United States

The United States has mature demand tied to high procedural volumes, established ASC growth, and strong expectations for service documentation and regulatory compliance. Buyers often evaluate total cost of ownership: accessories, maintenance, training, and uptime guarantees. Rural access can be constrained by technician travel and parts logistics, making service contracts important. Facilities may also emphasize standardization across sites to reduce training variability and simplify accessory stocking.

Indonesia

Indonesia shows growing demand in major cities as trauma care capacity and surgical services expand. Import dependence remains common for specialized OR traction systems, and distributor capability can be a deciding factor for procurement. Service availability is typically strongest in urban hubs, with longer lead times for remote islands. Because logistics can be complex, local stocking of key accessories (boots, straps, padding kits) can be as important as the table’s base specification.

Pakistan

Demand is concentrated in large urban hospitals, with procurement often constrained by budget cycles and import processes. Many facilities depend on distributors for installation, training, and spare parts. Service coverage outside major cities may be limited, increasing the value of robust, maintainable designs and local parts stocking. In some settings, hospitals also consider refurbished equipment, which increases the importance of verifying service history and accessory completeness.

Nigeria

Nigeria’s demand is driven by trauma burden and expansion of private and teaching hospitals in major cities. Import dependence is common, and the after-sales service ecosystem can vary widely by vendor capability. Rural access challenges make preventive maintenance planning and spare-part availability critical procurement criteria. Facilities may also factor in power stability for powered systems and the practicality of local technical support.