Maintenance video to tajima embroidery machine USERS MANUAL. TFMX-C (SINGLE HEAD MACHINE). TFMX-II TFMX-IIC TFMX (L) TFMX-C (L) Original Instructions M-MX20-E (2010.02). Foreword This manual is a guidebook for using TAJIMA embroidery machine TFMX series. Please read this manual thoroughly and operate the machine after understanding the contents.
Maintenance video to tajima embroidery machine USERS MANUAL. TFMX-C (SINGLE HEAD MACHINE). TFMX-II TFMX-IIC TFMX (L) TFMX-C (L) Original Instructions M-MX20-E (2010.02). Foreword This manual is a guidebook for using TAJIMA embroidery machine TFMX series. Please read this manual thoroughly and operate the machine after understanding the contents.

1997 model Tajima TMFXII 1204/450 stretch 4 head machine. It has (8) 12cm, 15cm, 18cm, 30x30cm, 6 jacket back hoops, as well as (8) wide cap frames and wide cap hooping gauge and a. Stitch conditions can be memorized together with embroidery data. The saved stitch conditions are applicable to job repeat. Or other machines. Scale Up / Down, Rotate. You can scale your designs down to 50% or up to 200% in increments of 1%, and rotate in 1-degree increments. Automatic Repeat.

We favor the (four-strand) Tajima suture technique, which is widely used by hand surgeons for flexor tendon repair and is an excellent soft tissue-holding suture.25,26 The patient is positioned prone with the feet lyingjust over the end of the table. Using a thigh tourniquet is optional, but advisable. The contralateral extremity is draped so it can be used for intraoperative comparison of resting dynamic tension of the repaired tendon.5-9

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A linear posterolateral incision, approximately 10 cm long, is made about 1 cm lateral to the tendon (Fig. 8.1). The incision ends proximal to where the shoe counter strikes the heel. It has to be off-center to prevent later irritation by shoes, which can happen if the incision is directly over the tendon midline.19 Care should be taken to maintain full thickness and to avoid undermining the skin flaps. The sural nerve is usually found directly under the incision and must be carefully protected. The incision is deepened sharply into the deep fascia. Finally, the deep fascia and the peritendinous tissues are incised longitudinally to expose the rupture. The incision should be made through all three layers (deep fascia, mesotenon, thin layer closest to the tendon) directly to the middle of the tendon itself.23 Gently retract the skin throughout the procedure using only skin hooks or hand-held retractors.23

The hematoma is evacuated, and the quality and extent of damage are assessed. Any obvious redundant, detached, or devitalized tissue should be sharply excised.3,1923 Posteriorly, the tendon is invariably separated while anteriorly it is possible to find some fibers intact, but attenuated.23

Two sutures are used on each side of the rupture and are tied in the middle (Fig. 8.2). A long, tapered needle is used with nonabsorbable No. 5 polyester suture material. The needle is passed through one of the ruptured ends of the tendon and then out of the tendon 5 cm proximal to or distal from the injured end. This suture then is passed across and exits the tendon. Next the suture is passed back down within the tendon and out of the injured surface. The process is repeated for the opposite side of the tendon. The knots are tied within the tendon to unite the injured ends. This process is repeated, only this time the suture exits the tendon 2.5 cm from the cut surfaces (Fig. 8.2).

A most important aspect of surgical repair is correct tensioning of the tendon. The ankle is held in neutral position as sutures are tied. Each strand is pulled to obtain a sense of the correct tension and compared to the opposite limb.5 Often the tendon fibers will not be in continuity. The proximal and distal ends of the tendon are 'milked' together along the tensioned sutures to the point of contact, for a scaffold of healing. Simple 0-braided absorbable sutures are used to further approximate the repair (Fig. 8.3).

Fig. 8.1. The posterolateral approach to the ankle. The sural nerve lies underneath the incision plane, so it must be carefully identified and protected

The peritenon is a major source of blood supply to the tendon as well as the border between the tendon and the subcutaneous layer preventing adhesions. This layer is closed carefully using 2-0 absorbable suture (Fig. 8.4).5 The subcutaneous layer is closed with interrupted 2-0 braided absorbable sutures. The skin is closed with a running 3-0 monofilament nonabsorbable pullout suture. Swelling of the repaired tendon may complicate wound closure, and a fasciotomy of the posterior aspect of the leg has been proposed to resolve this issue.5 The neurovascular status of the limb must be assessed. A posterior ankle splint set in a neutral position is applied, and the operated limb is elevated on a frame. The sutures are removed about 2 weeks postsurgery.

Fig. 8.2. The Tajima suture with four strands. Note that one set of sutures exits the tissue at 5 cm, and a parallel set of sutures exits the tissue at 2.5 cm

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Fig. 8.3. Tendon ends approximated further with interrupted suture

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Fig. 8.4. Retinacular layer closure

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