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FLOTE – Orthopaedic Table Extension

ID3: Develop the Opportunity

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Executive Summary

A new surgical table extension

Quick Detail

Innovation Owner:
Peter Taylor
Development stage:
ID3: Develop the Opportunity

Project Detail

Total Hip Replacement is one of the most successful, safe and clinically proven surgical interventions with over 80,000 procedures carried out in England and Wales each year, Despite significant procedural evolvement over the last 50 years current techniques can still result in significant muscle and /or tendon injury. Minimally invasive DAA hip surgery is often associated with being “more difficult for the surgeon, with a steep learning curve in early cases. This perception is further exacerbated by the requirement for additional scrub nurses or expensive equipment to help with the manipulation of the leg during the procedure. These factors have discouraged many surgeons from adopting the technique A less complex but effective minimally invasive technique that makes every effort to minimise damage to muscles, nerves and tendons remains very desirable.

Proposed solution The Direct Anterior Approach (“DAA”) is the only technique which follows a path that is both inter-muscular and inter-nervous and therefore considerably reduces the risk of damage to peri-articular structure such as muscles, nerves, tendons and vessels. For this reason the DAA approach remains the ideal approach for elective primary hip replacement surgery where the use of this minimally invasive technique can result in faster recovery and reduced hospital stay.The proposed solution is an orthopaedic table extension that enables the patient to be placed precisely into the ideal position throughout the surgery. This enables the surgeon to adopt the DAA method without the need for additional operating team members.      

Intended benefitsThis innovative device  has a number of intended benefits:

  1. Surgeons have the practical control of the patients leg positioning required to perform the DAA hip replacement procedure.
  2. Effective intra-operative imaging can be performed during the DAA procedure to improve control of leg length and implant placement.
  3. The hip can be flexed, extended and distracted without any stresses or complications.
  4. Faster and fuller recovery and reduced hospital stay.

Key Facts


  • Clinical outcomes
  • Patient experience

Healthcare Areas

  • Acute Care

Health Problems

  • Trauma and Orthopaedics


  • Domestic