Orthopedic traction frame: Uses, Safety, Operation, and top Manufacturers & Suppliers

Posted on March 1, 2026 | by drjosehph

Table of Contents

Introduction

An Orthopedic traction frame is a mechanical support structure used to apply and maintain controlled traction to a patient’s limb (and, in some configurations, to support positioning for specific orthopedic procedures). In practice, it is part of a broader traction system that can include pulleys, ropes or cables, weights, patient interfaces (boots, slings, straps), and mounting hardware for beds or operating tables.

This clinical device matters because traction is often a time-sensitive, resource-intensive intervention: it can stabilize alignment, support imaging or surgical workflows, reduce the need for continuous manual holding by staff, and provide a repeatable setup that can be monitored over time. For hospital administrators and procurement teams, traction systems also have a long service life, significant accessory dependence, and meaningful safety and infection control requirements.

In many hospitals, traction frames also sit at the intersection of multiple departments: emergency/trauma, orthopedics, nursing, radiology, operating rooms, and biomedical engineering. That cross-department footprint makes standardization especially important—when setups vary widely between units, the risk of misrouting, missing accessories, and inconsistent documentation increases.

This article explains what an Orthopedic traction frame is, when it is typically used, core safety principles, basic operation, interpretation of what the setup “outputs” (force/position indicators rather than electronic data), troubleshooting, cleaning, and a global market overview relevant to sourcing and service planning.

What is Orthopedic traction frame and why do we use it?

An Orthopedic traction frame is hospital equipment designed to support and maintain traction by providing stable mounting points and geometry for traction lines and patient supports. It helps create a controlled line of pull (traction) and a counterforce (countertraction) while keeping the patient and equipment in a predictable configuration.

A helpful way to think about the frame is as a load-bearing geometry tool: it defines where the traction line can run, what angles are possible, and how reliably that configuration can be held over time. The more adjustable the frame, the more configurations it can support—but the more important clear training and documentation become.

Purpose and how it fits into care delivery

In general terms, traction systems are used to:

Maintain alignment and positioning when clinically indicated by the care team
Support temporary stabilization and comfort while definitive management is planned
Enable procedural positioning (including intraoperative traction in some workflows)
Reduce repetitive manual handling demands on staff
Improve repeatability between shifts through standardized setup and documentation

Additional operational reasons facilities adopt standardized traction frames include:

Reducing variability between rooms and units by using a common mounting approach and accessory set
Supporting multidisciplinary workflows, where orthopedic orders must translate into a repeatable bedside configuration
Creating safer mechanical pathways, so staff do not resort to improvised tie-off points or non-rated bed rails
Maintaining a stable position for longer durations when ordered, with predictable inspection points for skin, hardware, and routing

The Orthopedic traction frame itself is typically not “smart” medical equipment; it is a mechanical platform that enables traction to be applied in a controlled, monitorable way.

Common clinical settings

Where you may encounter an Orthopedic traction frame (varies by facility and manufacturer):

Emergency departments and trauma bays (initial stabilization workflows)
Orthopedic wards and high-dependency units (ongoing traction setups)
Operating rooms (traction/positioning attachments integrated with tables)
Radiology/imaging workflows where alignment and stable positioning are needed
Field hospitals or resource-limited settings using robust, low-complexity systems

You may also see traction frames and related attachments used in:

Intensive care units where immobilization and careful monitoring are needed (facility-dependent)
Teaching hospitals where traction is used within standardized training pathways
Rehabilitation or step-down areas for short periods during transitions (only if the environment supports safe checks and staff competency)

Typical components (system view)

An Orthopedic traction frame is usually used with accessories that may be supplied as part of a kit or purchased separately:

Frame structure (uprights, crossbars, mounting clamps)
Pulleys or rollers (fixed or adjustable)
Rope/cable/traction cord (material varies by manufacturer)
Weights or force-application mechanisms (manual weight-based systems are common)
Patient interfaces (boots, slings, straps, spreader bars)
Padding and skin-protection accessories
Fasteners, safety clips, and mechanical locks
Optional indicators (e.g., scales, dynamometers) on some models

In practice, many systems also include (or benefit from) additional parts that affect usability and safety:

Weight carriers or hangers designed to reduce swing and allow secure stacking
Indexed adjustment points (holes, detents, marked rails) that improve repeatability between staff members
Quick-release features for emergency access (implementation varies by design and policy)
Bed-end attachments or footplates to support countertraction approaches used by the facility
Accessory carts or wall storage systems to keep complete kits together and reduce missing-part incidents
Patient trapeze handles (in some configurations) to assist the patient with repositioning without disturbing the traction line

Key benefits for patient care and workflow

Benefits are highly dependent on staff competency and protocol adherence, but commonly include:

Consistency: A stable frame supports reproducible traction geometry and documentation.
Operational efficiency: Less need for staff to manually maintain limb position.
Care continuity: Standardized setups support safer handovers across shifts.
Integration: Many systems can be configured around bedside care, imaging, and OR workflows (varies by manufacturer).
Risk reduction: A well-designed frame can reduce “workarounds” that introduce hazards (e.g., improvised attachment points).

Additional benefits that matter to hospital operations include:

Staff injury prevention: Reduced manual holding and fewer awkward postures can lower musculoskeletal strain for staff.
Improved room organization: A defined traction footprint helps teams plan safe pathways around weights and cords.
Faster troubleshooting: Standardization makes it easier to recognize what “correct” looks like, reducing time to fix misrouting or slippage.
Asset longevity: Mechanical systems with replaceable wear parts (cords, pulleys, straps) can be maintained for years with predictable upkeep.

Common traction frame designs and terminology (practical overview)

Facilities may use different frame architectures depending on patient population, bed inventory, and procedural needs. Terms vary by region, but the underlying idea is similar: create stable attachment points for traction vectors.

Common design categories include:

Over-bed frames (often called Balkan-type frames): Uprights and crossbars mounted to the bed to provide overhead suspension and pulley placement. These are frequently used for ward-based traction setups and can support balanced suspension configurations.
Bed-end traction attachments: Simpler structures mounted to the foot end of the bed, mainly to route traction cords and hang weights while keeping the line of pull aligned with the limb.
Floor-standing or independent frames: Less common in modern wards but sometimes used where bed compatibility is limited; stability and trip-hazard management become critical.
OR fracture-table traction systems: Integrated traction mechanisms, perineal posts, and boot holders designed for intraoperative positioning with imaging access. These are often adjusted via table controls rather than free-hanging weights.

From a procurement standpoint, the design type influences: compatibility, space requirements, cleaning effort, and the accessory ecosystem you must maintain.

When should I use Orthopedic traction frame (and when should I not)?

Decisions to use traction are clinical decisions. The guidance below is general and operational: it focuses on situations where traction frames are commonly used in hospitals and on situations where the equipment may be inappropriate or unsafe to deploy.

A practical operational question is not only “Is traction indicated?” but also “Can we implement the order safely and consistently with the equipment, staff, and environment available right now?”

Appropriate use cases (typical examples)

An Orthopedic traction frame may be used when the clinical team has decided that traction is appropriate and when the environment supports safe monitoring. Common scenarios include:

Temporary stabilization to maintain limb position while waiting for imaging, operative scheduling, or transfer
Maintaining alignment as part of a structured orthopedic care pathway
Supporting procedural positioning in controlled settings with trained staff
Enabling repeatable setups where traction parameters and patient checks must be documented over time
Situations where standardized equipment is safer than ad hoc attachment methods

Operationally, traction frames are particularly helpful when:

The expected traction duration spans multiple shifts (handover reliability becomes a key safety factor)
The patient requires frequent imaging or clinical reassessment and the setup must be reproducible after interruptions
The unit wants to reduce reliance on “experienced individuals” by using standardized kits and checklists
The facility is implementing a trauma protocol where early stabilization steps must be consistent and auditable

Situations where it may not be suitable

An Orthopedic traction frame may be unsuitable when safe setup, monitoring, or mechanical integrity cannot be assured. Examples include:

No trained staff available: If staff cannot confirm safe routing, securement, and monitoring expectations.
Incompatible bed or table: If mounting points are not compatible or stability cannot be confirmed.
Space constraints: Crowded rooms where weights, cords, or frame protrusions create collision or trip hazards.
Unreliable monitoring environment: If routine checks cannot be performed (staffing, workflow, or documentation limitations).
Damaged or incomplete equipment: Missing safety clips, worn cords, cracked components, or uncertain service status.
Transport needs: Many traction setups are not designed for transport; suitability varies by manufacturer and facility protocol.

Additional operational “not suitable without explicit planning” situations include:

High agitation or confusion environments: If the patient is likely to pull on cords, remove boots, or tamper with weights without adequate supervision and mitigation.
Frequent bed moves or room transfers: If the patient is expected to change locations repeatedly (imaging, step-down transfer), the risk of geometry changes and missed reconnections increases.
MRI proximity concerns: Many traction frames are metallic; if an MRI workflow is anticipated, the facility should verify whether any components are ferromagnetic and how the patient will be managed.
Uncontrolled floor hazards: If weights would hang near areas with foot traffic, cleaning equipment, or other rolling devices that could bump or snag the system.

Safety cautions and contraindications (general, non-clinical)

Contraindications for traction itself are clinical and depend on diagnosis, patient condition, and local protocol. From a device and operations perspective, treat these as high-risk situations requiring explicit clinical sign-off and enhanced monitoring:

High risk of skin injury or pressure injury due to fragile skin, limited mobility, or prolonged immobilization
High risk of neurovascular compromise requiring frequent reassessment and clear escalation pathways
Patients unable to communicate discomfort or changes (e.g., sedation, delirium) without appropriate monitoring plans
Pediatric or bariatric patients where weight limits and fit (boots/slings/frame geometry) must be verified
Any case where the prescribed traction parameters cannot be reliably implemented due to equipment limitations

Also consider mechanical and systems-related cautions that can be overlooked:

Load ratings: Frame, clamps, pulleys, cords, and the bed itself may have different rated limits; the system is only as strong as its weakest rated component.
Wear-part dependence: Ropes, straps, and pulley bearings are consumable-like items; if replacement cycles are unclear, reliability drops over time.
Accessory substitution risk: “Close enough” straps or cords can change friction, knot security, and failure characteristics; substitutions should be controlled.
Cross-compatibility assumptions: Even within the same manufacturer, bed models and rail profiles can differ enough to affect clamp security.

Always follow facility policy and the manufacturer’s instructions for use (IFU). If there is uncertainty about suitability, treat it as a stop-and-verify event rather than proceeding with assumptions.

What do I need before starting?

Safe use of an Orthopedic traction frame depends as much on environment, accessories, and competency as it does on the frame itself. Before initiating traction, align clinical, operational, and technical prerequisites.

A well-run traction workflow typically starts with a brief “pre-brief” moment: confirm the order, confirm the equipment, confirm the monitoring plan, and confirm who is responsible for adjustments.

Required setup and environment

Plan for:

Stable mounting surface: Compatible bed frame or operating table, with locking points and sufficient structural rigidity.
Clear physical space: Room around the bed/table for staff access, safe movement, and emergency response.
Safe weight clearance: Weights must hang freely (if weight-based traction is used) and must not contact the floor, bed frame, or equipment.
Lighting and visibility: Staff must be able to inspect routing, knots/clips, and skin contact areas.
Call bell and patient access: Ensure the patient can call for help and staff can reach the patient without disturbing the traction line.
Imaging considerations (if relevant): Clearance for C-arm or portable X-ray, and awareness of radiolucent vs non-radiolucent components (varies by manufacturer).

Additional environmental readiness items that reduce preventable incidents include:

Bed brakes and stability checks: Confirm wheels are locked and that the bed does not shift when gentle load is applied to the frame.
Cable and tubing management: Oxygen lines, IV lines, and monitors should be routed so they cannot entangle with the traction cord or weights.
Emergency access: Ensure the setup does not block rapid access to the patient’s airway or torso if urgent interventions are needed.
Clear signage: A simple bedside note such as “Traction in use—do not adjust weights” can reduce accidental changes by floating staff or cleaners (policy dependent).

Accessories and consumables (commonly required)

Depending on configuration, you may need:

Pulleys, brackets, and mounting clamps specific to the bed/table model
Traction rope/cable/cord and connectors (do not substitute materials unless approved by the manufacturer)
Weights and a secure storage method for weights when not in use
Patient interfaces: traction boot, ankle hitch, sling, straps, spreader bar
Padding materials to reduce localized pressure and friction
Tools for assembly (if required), and any manufacturer-provided alignment guides
Single-use items if specified by the IFU (varies by manufacturer)

In addition, many facilities find it helpful to stock and control:

Spare cords/ropes (pre-cut to standard lengths) to reduce the temptation to tie extensions or use non-approved lines
Replacement pulley inserts or bearings if the design permits (some pulleys are sealed units; others are serviceable)
Extra safety clips/pins if allowed by the manufacturer; missing pins are a common “kit failure” point
Protective sleeves or cord covers where cords may contact surfaces and create friction (only if manufacturer-approved)
A dedicated traction kit container (case, cart, or sealed bin) labeled with the configuration it supports

Procurement note: the accessory ecosystem is often the limiting factor in real-world use. Facilities should confirm that all required parts are available, matched, and maintained—not just the frame.

Training and competency expectations

A traction system is a high-reliability setup: errors are often mechanical/human-factor issues rather than “device failure.” Competency programs typically include:

Correct mounting and locking methods for the specific bed/table
Safe routing over pulleys and correct attachment to patient interfaces
Understanding of countertraction principles (operational awareness)
Unit awareness of traction weight units and labeling conventions (kg vs lb varies by facility)
Routine inspection, documentation, and escalation pathways
Cleaning/disinfection steps and what must be removed or replaced between patients

Training should be role-specific (nursing, orthopedic clinicians, OR staff, biomedical engineering) and documented.

To improve reliability, some facilities add:

A two-person verification step for initial setup and any major adjustment (similar in spirit to other high-risk device checks).
Competency refreshers after long periods without traction use, since traction is not a daily workflow on all units.
Scenario-based training (e.g., “weight fell,” “pulley jammed,” “patient needs urgent transfer”) to rehearse safe responses.

Pre-use checks and documentation

Before each use, perform and document (per facility policy):

Visual inspection for bent members, cracks, corrosion, loose fasteners, or damaged welds
Functional checks of clamps, locks, and adjustment knobs (no slippage under gentle load)
Pulley rotation and alignment (no binding; secure mounting)
Rope/cable integrity (no fraying, kinks, or contamination that cannot be cleaned)
Weight integrity and labeling (clear markings; no chips that create sharps hazards)
Confirmation of correct accessory set for the intended configuration
Verification of maintenance status (asset tag, inspection sticker, preventive maintenance schedule)
Documentation of intended traction parameters as ordered and how they will be monitored

Additional pre-use checks that can prevent “mystery failures” later:

Confirm all safety pins are present and seated: A pin that looks inserted but is not fully engaged can back out under vibration.
Check for sharp edges or burrs: Damaged metal edges can cut cords or injure staff during setup.
Assess clamp-to-bed contact: Ensure the clamp is contacting a rigid structural area, not a plastic cover or a movable rail section.
Verify clearance under the weight path: Nothing should be positioned under the weights that could inadvertently lift them (linen hampers, mobile step stools, footrests).
Confirm an adjustment plan: If the order expects changes over time, ensure staff know who can adjust traction and where changes are documented.

If any part fails inspection, remove the device from service until evaluated by biomedical engineering.

How do I use it correctly (basic operation)?

The exact procedure depends on the traction type, bed/table compatibility, and manufacturer design. The workflow below is general and must be adapted to your facility protocol and IFU.

A useful operational goal is to make the setup self-explanatory to the next shift: the configuration should be visible, labeled where appropriate, and supported by documentation that matches what is physically present.

Basic step-by-step workflow (bed/ward traction concept)

Confirm the clinical plan and ensure roles are assigned (who applies, who checks, who documents).
Identify and gather the complete traction kit, including all required accessories and padding.
Prepare the environment: clear space, lock bed wheels, and ensure bed height supports safe work posture.
Attach the Orthopedic traction frame to the bed using the correct clamps and manufacturer-approved mounting points.
Install pulleys and any spreader bars in the required orientation; confirm locks are engaged.
Prepare the patient interface (boot/sling/strap) and padding to reduce friction and localized pressure.
Route the traction cord correctly over pulleys; confirm a straight, unobstructed line of pull.
Attach the cord to the patient interface using approved connectors/knots/clips per the IFU.
Apply traction using the prescribed method (often weight-based), ensuring weights hang freely and cannot swing into staff or equipment.
Confirm countertraction method (commonly achieved by bed positioning or patient positioning per protocol).
Re-check all locks, clips, and routing; ensure there is no contact between moving parts and skin.
Document configuration details and establish a monitoring schedule consistent with facility policy.

Operational enhancements that improve consistency:

Patient communication (when possible): Explain that weights should not be touched or moved, and that staff should be called if anything feels different.
Gradual application: In many workflows, traction is applied in controlled increments per clinical order; operationally, this means planning safe weight handling and verifying clearance after each change.
“Last verified” marking: When the device has no alarms, a visible note of the last check time can support disciplined rounding.

Intraoperative or procedural traction (OR table attachments)

Some traction systems are integrated with fracture tables or positioning systems. In such cases:

Installation is typically performed by trained OR staff following a procedure card.
The traction mechanism may be table-driven (mechanical adjustments) rather than hanging weights.
Positioning elements (boots, traction bars, perineal posts, leg supports) must be matched to patient size and procedure needs.
Imaging access (C-arm clearance) is often a primary constraint; configuration choices may be driven by imaging workflow.

For these systems, “basic operation” often includes locking sequences, safe positioning steps, and checks to prevent unintended movement. Details vary by manufacturer.

Additional OR-relevant operational considerations commonly included in procedure cards:

Padding verification for pressure points: Especially where posts or boot holders contact the patient.
Time-out confirmation of positioning: A quick confirmation that traction, rotation, and limb supports match the planned approach before incision.
Emergency release plan: Staff should know how traction will be reduced quickly if required by anesthesia or patient instability (specific steps are device- and facility-dependent).

Calibration and verification (if relevant)

Many traction frames are purely mechanical and have no calibration requirement. However:

Some systems may include force indicators or optional dynamometers; these may require zeroing or verification (varies by manufacturer).
Even without an indicator, verification relies on confirming the actual weight applied, free-hanging weights, and minimal friction in pulleys.
If your facility uses standardized weights, ensure they are controlled as medical equipment accessories (inventory control, inspection, labeling).

Some facilities add a practical verification step for weight sets used frequently:

Periodic spot-check weighing: Using a controlled scale to confirm the labeled mass matches reality, especially if weights are heavily used and may be damaged or modified over time.
Consistent unit labeling: If staff speak in “kg” but the weight set is in “lb,” the risk of misapplication increases dramatically unless conversions are controlled and standardized.

Typical “settings” and what they generally mean

Traction setups are often described using operational parameters rather than device menus:

Traction force/weight: The amount of traction applied (as ordered and documented); units and conversion conventions must be clear.
Line of pull: The direction of traction relative to the limb; affected by pulley placement and bed/table geometry.
Limb position: Elevation, rotation, and support points, set by frame height and accessory choice.
Countertraction method: How the opposing force is achieved (facility protocol dependent).
Immobilization/comfort adjustments: Padding placement, strap tension, and interface fit.

Two additional “settings” that matter operationally even when they are not written as settings:

Friction level in the system: A pulley that binds or a cord that rubs over a sharp edge can change delivered traction and increase the chance of sudden release.
Clearance and swing control: The system should be set up to minimize swinging weights and unintended contact, especially during routine care activities (linen changes, toileting, imaging).

Avoid “defaulting” to a familiar setup if the bed model, pulley set, or patient interface differs; small changes in geometry can have large safety implications.

How do I keep the patient safe?

Patient safety with an Orthopedic traction frame is fundamentally a systems safety issue: equipment integrity, human factors, documentation, and monitoring must all work together.

A traction frame does not “fail safely” on its own—when it is non-powered and has no alarms, safety depends on designed routines and reliable checks.

Core safety practices and monitoring

Facility protocols vary, but safe operation commonly includes:

Regular skin checks: Inspect areas under straps, boots, and slings for pressure and friction effects.
Neurovascular monitoring: Monitoring plans should be explicit and documented; escalation criteria should be clear.
Pain and comfort monitoring: Changes in comfort may indicate shifting interfaces, pressure points, or changing alignment.
Fall and entanglement prevention: Traction cords and weights can create trip hazards; keep pathways clear.
Secure weights and moving parts: Prevent swinging weights; ensure weights cannot fall or be removed inadvertently.
Re-check after any bed movement: Bed height changes, head-of-bed adjustments, or patient repositioning can change traction geometry.
Handover discipline: Every shift handover should include traction configuration, applied weight/setting, and any skin concerns.

Many organizations also build their traction rounding around a consistent set of “what to look for” items, such as:

Condition of skin at contact points (color changes, moisture, blistering)
Limb warmth, sensation, and movement as appropriate for the clinical context
Position of the boot/sling relative to bony prominences
Whether the rope is centered in pulley grooves and not climbing the pulley edge
Whether the weight set matches the documented order and remains free-hanging
Any signs the patient or visitors have handled the weights (moved chair, weights resting on an object)

Alarm handling and “no-alarm” risk

Many traction frames are non-powered and provide no alarms. This creates a known human-factors risk: failures can be silent.

Risk controls include:

Scheduled rounding with documented checks
Visual cues (labels or check tags) showing current traction parameters and last check time
Clear escalation pathways if the traction line is disturbed or weights are moved
Standard storage for spare weights and accessories to avoid “mix and match” errors

If the traction system is motorized or integrated into a powered table, alarm behaviors and fail-safes vary by manufacturer and must be understood by staff.

A practical “no-alarm” mitigation some units adopt is standardized bedside labeling, for example:

Side (left/right)
Ordered weight/setting and units
Date/time applied
Date/time last checked
Name/role of checker (or initials per policy)

This does not replace documentation, but it reduces ambiguity in fast-paced environments.

Common human-factor risks (and how to reduce them)

High-frequency, preventable issues include:

Unit confusion (kg vs lb): Standardize labels and provide conversion guidance per facility policy.
Misrouting the cord: Use routing diagrams, color-coded pulleys, or a two-person check.
Improvised attachment points: Prohibit tying cords to bed rails or non-rated components.
Missing safety clips: Treat missing clips or pins as an out-of-service condition.
Uncontrolled accessories: Keep traction kits complete; replace worn ropes and damaged boots promptly.
Inadequate documentation: If the setup is not documented, it cannot be reliably verified across shifts.

Additional human-factor risks often seen in incident reviews:

Unplanned “helpful adjustments”: Well-meaning staff may move weights to clean the floor or reposition furniture and forget to restore free-hanging clearance.
Patient or family interference: Patients may attempt to lift weights to move in bed; clear education and supervision reduce this risk.
Bed feature interactions: Certain bed functions (trendelenburg, knee gatch, bed extension) can unintentionally change countertraction or line-of-pull geometry.
Night shift visibility: Low-light environments make it harder to see whether a cord is rubbing or a clamp is slipping; ensure adequate inspection lighting.

Emphasize protocols and manufacturer guidance

Traction can carry significant risk if applied or maintained incorrectly. The safest approach is:

Follow your facility’s traction protocol and monitoring schedule
Use only manufacturer-approved configurations and accessories
Escalate early when something is unclear rather than “making it work”

This article provides operational concepts, not patient-specific direction.

How do I interpret the output?

Unlike electronic monitors, an Orthopedic traction frame typically produces mechanical outputs: configuration state, applied weight/force indicators (if present), and observable effects (alignment, position stability). Interpretation is a combined clinical and technical activity.

A key point for staff education is that “output” is often what you can see and verify: free-hanging weights, smooth pulley movement, stable geometry, and documented settings that match reality.

Types of outputs/readings you may encounter

Depending on the model and setup, “outputs” may include:

Applied weight value: The labeled mass of hanging weights, or a documented traction setting on a table mechanism.
Force indicators: Some systems may include a scale or dynamometer to estimate traction force (varies by manufacturer).
Position/geometry cues: Frame height marks, angle indicators, or indexed adjustment holes.
Stability observations: Whether weights hang freely, pulleys rotate smoothly, and the line of pull remains unobstructed.
Clinical observations: Patient tolerance and the ability to maintain a prescribed position.
Imaging results: Alignment confirmation may be assessed via imaging as part of care pathways (interpretation is clinical).

Some systems also provide practical “outputs” in the form of repeatable reference points:

Index markings on rails or posts that allow staff to re-create prior setups after cleaning or bed changes
Defined pulley positions that correspond to standard traction vectors used in the facility
Color-coded components intended to reduce misassembly or incorrect routing

How clinicians typically interpret them (general)

Clinicians and trained staff generally use these outputs to confirm:

The configuration matches the prescribed plan and documented parameters
The traction line is delivering a stable pull without unintended friction or obstruction
The patient interface remains properly positioned and is not causing avoidable pressure
Any change over time (e.g., weight moved, bed adjusted, rope stretched) is recognized and corrected

A helpful interpretation mindset is to separate ordered parameters from delivered conditions:

Ordered parameters are what the plan requires (documented traction setting, intended line of pull).
Delivered conditions are what the mechanics actually create (free-hanging weight, low-friction routing, stable attachment).

When delivered conditions drift from the ordered parameters, the system may appear “set” but not perform as expected.

Common pitfalls and limitations

Be cautious about assuming that “weight applied equals force delivered”:

Pulley friction: Binding pulleys or angled routing can reduce effective traction force.
Contact points: Weights that touch the floor, bed, or equipment reduce or eliminate traction.
Bed movement effects: Raising/lowering the bed, changing head-of-bed angle, or moving the patient can change traction geometry.
Rope stretch and knot slip: Over time, tension can change with material behavior or poorly secured knots.
Documentation gaps: If the “last known good” configuration is unknown, troubleshooting becomes guesswork.

Additional limitations to be aware of:

Mechanical advantage configurations: Some pulley arrangements can change the relationship between hanging weight and delivered traction. If a system uses multiple pulleys, the “effective traction” may not equal the labeled hanging mass.
Angle effects on traction vector: If the line of pull is not aligned as intended, part of the force may be directed into an unintended vector (for example, lifting rather than pulling).
Unit conventions: Many clinical discussions use “kg” as shorthand for “kilogram-force,” while engineering force is measured in newtons. Facilities should standardize their convention to reduce confusion, especially when force indicators are used.

If your facility requires quantitative confirmation, consider systems or accessories designed for measurement (availability varies by manufacturer) and ensure they are maintained like other clinical devices.

What if something goes wrong?

When issues occur with an Orthopedic traction frame, the safest mindset is: protect the patient first, then protect the system from repeat failure through documentation and escalation.

Because these devices are mechanical, many problems are visible if you know what to look for—slipping clamps, cords rubbing, weights resting on surfaces, or pulleys that no longer spin freely.

Troubleshooting checklist (practical)

Use a structured approach:

Confirm patient stability and summon appropriate clinical support per protocol
Check whether weights are still free-hanging and not contacting any surface
Inspect cord routing: correct pulley path, no tangles, no obstructions
Verify all locks and clamps: frame mounts, pulley brackets, adjustment knobs
Inspect the patient interface: boot/sling position, strap tension, padding placement
Check for cord damage: fraying, stretching, knots slipping, connector wear
Confirm bed/table position hasn’t changed traction geometry unintentionally
Look for environmental interference: staff bumping weights, equipment placed under weights
Reconcile documentation: does current setup match the recorded parameters?

Common “root causes” that can guide a faster fix (without replacing clinical judgment):

Traction suddenly seems reduced: weights touching the floor, cord slipped off a pulley groove, knot loosened, or the bed position changed.
Weights swinging or noisy: cord rubbing against a frame member, pulleys misaligned, or weight carrier not centered.
Repeated need to re-tighten: cord stretch, worn knots/clips, or an interface strap that is slipping.
Clamp slipping on the bed: incorrect mounting location, incompatible bed rail shape, or worn clamp surfaces.

When to stop use (general)

Stop traction and escalate according to facility protocol if:

Any structural component appears cracked, bent, or unstable
A clamp or lock cannot hold position reliably
A weight, pulley, or bracket is at risk of falling
The traction line cannot be routed safely without improvised parts
There is uncertainty about correct configuration and trained support is not available
The device fails pre-use checks or cannot be cleaned to required standards

Because traction is a clinical intervention, stopping use must follow clinical escalation processes. Operationally, the device should be tagged out of service if equipment integrity is in question.

A practical operational rule: if a staff member feels they must “hold” the traction line in place to make it work, the configuration is not stable enough to be considered safe for ongoing use.

When to escalate to biomedical engineering or the manufacturer

Escalate to biomedical engineering when:

Preventive maintenance status is unclear or overdue
Mechanical parts show wear that affects safe locking or alignment
Replacement parts (ropes, pulleys, clamps) are needed and must match manufacturer specifications
Cleaning/disinfection compatibility is uncertain (chemical damage, corrosion, sticky mechanisms)
Recurrent incidents suggest design, training, or process issues

Escalate to the manufacturer (often via your supplier/distributor) when:

There is suspected manufacturing defect or premature failure
Required spare parts are not available locally
IFU clarity is insufficient for your intended clinical workflow
There is a safety notice/recall question or traceability requirement

For administrators: incident reporting pathways should capture not only patient harm, but also near misses such as slipping clamps, mislabeled weights, or repeated cord breakage.

Post-incident, many facilities add a simple reliability step: inspect and, if needed, refresh all traction kits of the same type, because a failure mode (for example, cord wear) often exists across multiple sets.

Infection control and cleaning of Orthopedic traction frame

Cleaning and disinfection of an Orthopedic traction frame must follow your facility infection prevention policy and the manufacturer’s IFU. The frame is typically a non-critical item (contacts intact skin indirectly), but its accessories can include high-touch components that move between patients and care areas.

A recurring challenge is that traction systems include both hard surfaces (metal frame, weights) and soft goods (straps, slings, boots). These categories often require different reprocessing pathways and tracking methods.

Cleaning principles (device-agnostic)

Clean promptly after use to prevent soil from drying and becoming harder to remove
Use disinfectants approved by your facility and compatible with device materials
Avoid excessive fluid ingress into joints, locks, and bearings unless the IFU permits it
Respect disinfectant contact time and any required rinse steps (varies by product)
Ensure the device is dry before storage to reduce corrosion and microbial persistence
Do not mix accessory parts across systems unless your inventory process ensures compatibility

Facilities that struggle with consistent cleaning often benefit from:

A standardized cleaning checklist attached to the traction cart or storage area
Clear labeling of which components are wipe-clean versus laundered versus single-use
Defined ownership (who cleans it, who verifies it, where it is stored when clean)

Disinfection vs. sterilization (general guidance)

Cleaning removes visible soil and is required before any disinfection.
Disinfection reduces microbial load and is typically the target for traction frames and reusable patient interfaces (policy dependent).
Sterilization is generally reserved for items intended to be sterile at point of use; the traction frame itself is not usually sterilized.
Any invasive components (for example, traction pins) follow sterile processing pathways and are generally separate from the frame system.

Always classify items per your infection prevention team’s guidance and the Spaulding framework as applied locally.

For soft goods, classification can vary widely by facility:

Some boots and slings are designed to be single-patient use or single-use.
Others are reusable but require laundering or specific disinfection steps.
If soft goods cannot be reliably cleaned per policy, procurement may prefer designs with replaceable liners or single-use covers (if supported by the manufacturer).

High-touch points often missed

Adjustment knobs and locking levers
Pulley housings and grooves (biofilm can accumulate in grooves)
Weight handles and surfaces (frequently touched, rarely cleaned well)
Mounting clamps that contact bed frames and rails
Cord/rope surfaces (may be difficult to disinfect; replacement intervals vary by manufacturer)
Storage hooks, carts, and transport handles used to move the frame

Additional “missed” areas in real-world audits include:

The underside of crossbars and brackets (often touched during assembly)
Springs, pins, and detents where fluid can pool
Knurled metal surfaces that trap soil and disinfectant residue
Velcro hook-and-loop areas on straps, which can retain debris if not brushed/cleaned per policy

Example cleaning workflow (non-brand-specific)

Don appropriate PPE per facility policy.
Remove and segregate accessories (boots, straps, ropes, weights) per reprocessing category.
Perform a gross soil wipe-down using a compatible detergent or cleaner.
Clean from “cleaner” areas to “dirtier” areas (handles/controls first, then lower frame/weights).
Apply disinfectant with the required wet contact time; avoid pooling in locks and bearings.
If the disinfectant requires rinsing, rinse with approved water quality and dry thoroughly.
Inspect for damage, sticky mechanisms, or corrosion; report defects to biomedical engineering.
Reassemble only when dry, and store to prevent recontamination (covered storage if policy requires).
Document cleaning and readiness status per your asset management workflow.

If repeated corrosion or degraded plastics occur, review chemical compatibility; incompatibility is common and varies by manufacturer.

A practical infection-control improvement is to store cleaned traction kits in a designated “clean” area with clear status labeling, rather than leaving frames near patient rooms where recontamination is likely.

Medical Device Companies & OEMs

In traction systems and related hospital equipment, supply chains can involve both brand-name manufacturers and OEMs (Original Equipment Manufacturers).

It is also common for traction frame components to involve multiple tiers of suppliers: a brand may source pulleys from one OEM, clamps from another, and soft goods from a specialized textile manufacturer. Understanding that layered chain helps procurement teams plan for spare parts and compatibility.

Manufacturer vs. OEM: what’s the difference?

A manufacturer is the company that places the device on the market under its name and is typically responsible for regulatory compliance, labeling, IFU, and post-market surveillance.
An OEM may design and/or build components (or entire devices) that are sold under another company’s brand, or supplied as subassemblies.

In some markets, a device may be “white labeled” (sold under different brands) even when the underlying hardware is similar. This is not inherently negative, but it changes how buyers should evaluate traceability and support.

How OEM relationships impact quality, support, and service

For procurement and biomedical engineering teams, OEM/manufacturer structures influence:

Parts availability: Whether consumables and spare parts are proprietary or standardized
Service documentation: Whether service manuals and parts lists are available locally
Warranty clarity: Who is responsible for failures—the brand owner, OEM, or distributor
Change control: Whether design changes are communicated and how they affect compatibility
Regulatory traceability: UDI, lot tracking for accessories, and post-market safety communications (varies by region)

Practical approach: evaluate the service ecosystem (local technicians, spare parts lead time, training availability) as rigorously as the frame’s mechanical design.

Additional practical questions that often surface during evaluation:

Are cords, pulleys, and clamps field-replaceable, or does replacement require a full assembly swap?
Are wear parts sold in standard kits with predictable lead times?
Are materials and finishes suitable for the facility’s disinfectants and climate (humidity, coastal corrosion risk)?
Does the supplier provide a declared load rating for the frame and key subcomponents, and is it consistent across documentation?

Top 5 World Best Medical Device Companies / Manufacturers

The following are example industry leaders (not a verified ranking and not specific claims about Orthopedic traction frame production). Availability and product scope vary by country.

Stryker
Widely known for orthopedic-focused portfolios spanning implants and surgical technologies, with a footprint across many hospital systems. In many regions, the company is associated with operating room and acute care workflows alongside orthopedics. Specific traction frame offerings, accessories, and compatibility depend on the local catalog and regulatory approvals.
Zimmer Biomet
Commonly recognized for orthopedic reconstruction and trauma-related product categories, supporting high-volume orthopedic care pathways in multiple markets. As with many large manufacturers, product support often relies on regional distribution and service partners. Whether traction-related hospital equipment is offered can vary by manufacturer strategy and region.
Johnson & Johnson MedTech (including DePuy Synthes)
Known globally for orthopedic and trauma systems alongside broader medical device categories under the J&J MedTech umbrella. Large organizations typically have established training and clinical education structures, though service models differ by country. Device availability and support levels can vary by local operating companies and distributors.
Smith+Nephew
Recognized internationally across orthopedics, sports medicine, and wound management categories, serving both surgical and hospital-based care environments. Many facilities encounter the company through orthopedic procedure workflows rather than general hospital equipment. Specific traction frame products and positioning solutions (if any) are dependent on region and portfolio.
Getinge
Associated in many markets with operating room systems, surgical infrastructure, and sterile processing ecosystems. For traction-related workflows, many hospitals focus on the integration between patient positioning platforms and OR tables, where manufacturers in this segment play a key role. Exact traction attachments and compatibility are model-specific and vary by manufacturer.

Vendors, Suppliers, and Distributors

For Orthopedic traction frame procurement, the route to purchase and service commonly involves intermediaries. Understanding roles helps set expectations for support, lead times, and accountability.

For many facilities, the distributor relationship determines the real-world experience more than the brand name: training quality, spare-part availability, response time, and the ability to supply complete accessory sets.

Role differences: vendor vs. supplier vs. distributor

Vendor: A general term for an entity that sells medical equipment to the buyer; may be a distributor, reseller, or integrator.
Supplier: Often refers to the company providing goods to the facility; may include consumables, accessories, and spare parts.
Distributor: Typically an authorized channel partner that imports, warehouses, and provides after-sales support for one or more manufacturers; may handle regulatory and service coordination in-country.

In practice, one company may play all three roles, especially in smaller markets.

Procurement teams often distinguish between:

Authorized distribution: Typically provides clearer warranty pathways, training, and access to manufacturer-approved parts.
Independent resellers: May offer price advantages but can create uncertainty around parts, documentation, and service responsibility.

Top 5 World Best Vendors / Suppliers / Distributors

The following are example global distributors (not a verified ranking). Regional availability and medical equipment scope vary, and not all will handle traction frames in every market.

McKesson
Known in the United States for broad healthcare supply chain capabilities, often serving large provider networks. Distribution organizations at this scale may offer logistics, inventory management, and contract purchasing support. Specific orthopedic traction-related products depend on catalog scope and local agreements.
Cardinal Health
Commonly associated with medical-surgical distribution and supply chain services in multiple markets. Large distributors typically support standardization initiatives, product utilization data, and consolidated billing for health systems. Service depth for durable hospital equipment can vary by region and product category.
Medline
Often positioned as a large medical-surgical supplier with a wide footprint in acute and post-acute settings. For facilities, value frequently comes from breadth of consumables, consistent replenishment, and standardized product families. Durable equipment availability and technical service arrangements vary by country.
Henry Schein
Recognized globally for healthcare distribution with strong presence in outpatient and procedural settings in many regions. Depending on the market, offerings can extend beyond dental into broader medical categories. For hospital equipment, buyers should confirm service pathways and parts support for mechanical systems.
Owens & Minor
Known for healthcare logistics and supply chain services, supporting provider networks and inventory programs where applicable. Large distributors may help reduce procurement complexity but may rely on manufacturer service networks for specialized hospital equipment. Confirm who provides installation, training, and ongoing maintenance for traction systems.

Practical sourcing tips for traction frames (what buyers often miss)

To reduce downstream safety and downtime issues, include these items in RFQs and evaluations:

A complete bill of materials for each traction configuration you intend to use (frame + pulleys + ropes + boots + weights + spares)
Compatibility statements for your bed and OR table models, including rail profiles and mounting points
Declared load ratings and any use limitations (patient size ranges, accessory limits)
A list of wear parts with recommended replacement intervals and part numbers
Training deliverables (on-site setup training, procedure cards, competency checklists)
Service deliverables (preventive maintenance guidance, spare-part lead times, escalation contacts)

These requirements help ensure the system remains usable beyond the first installation.

Global Market Snapshot by Country

Global traction frame markets are shaped less by “innovation cycles” and more by durability, service coverage, and accessory logistics. Procurement realities—import rules, distributor capability, and local repair infrastructure—often determine whether a traction system can be used safely over its full lifecycle.

India

Demand for Orthopedic traction frame systems is driven by high trauma caseloads, expanding tertiary hospitals, and growth in private healthcare networks. Many facilities balance cost with durability and prefer models that are easy to maintain with locally available accessories. Import dependence exists for some premium systems, while service quality can vary significantly between major cities and smaller districts. Standardization across multi-hospital groups is increasing, which can favor vendors able to supply consistent accessory sets and training packages.

China

The market includes both domestic manufacturing and imported hospital equipment, with demand influenced by hospital modernization and rising surgical volumes in urban centers. Large hospitals often prioritize standardization and compatibility with imaging and OR workflows. Rural access and service coverage can be uneven, making robust designs and local parts availability important procurement criteria. Local manufacturers may compete strongly on cost, so buyers often focus on documentation quality, durability testing, and after-sales responsiveness.

United States

The market is mature, with purchasing commonly influenced by health system standardization, group purchasing structures, and strong emphasis on documentation and liability management. Demand links to trauma care, orthopedic surgery volumes, and the need for dependable accessories and reprocessing workflows. Facilities typically expect clear preventive maintenance pathways and rapid parts availability through established service ecosystems. Buyers also tend to evaluate traction systems based on staff safety, infection prevention compatibility, and readiness for audits.

Indonesia

Demand is concentrated in larger public and private hospitals, with trauma and orthopedic case mix influencing procurement. Import dependence for certain medical equipment categories can affect lead times and spare part availability. Service and training capacity may be stronger in major urban areas than in remote regions, shaping choices toward simpler, maintainable traction systems. Facilities operating across islands may prefer vendors with distributed warehousing and predictable spare-part pipelines.

Pakistan

Orthopedic traction frame utilization is influenced by trauma burden and variable resourcing across provinces and facility tiers. Procurement often emphasizes affordability, robustness, and the ability to service devices with limited local parts availability. Urban tertiary centers may access broader supplier options, while rural facilities may rely on simplified configurations and centralized repair. Training consistency can be a key differentiator, particularly where staff turnover is high.

Nigeria

Demand is shaped by trauma prevalence, growing tertiary centers, and the practical need for durable hospital equipment that can withstand heavy use. Import dependence and foreign exchange constraints may affect availability, and after-sales service can be a key differentiator between suppliers. Access disparities between urban hospitals and rural facilities often influence standardization and training needs. Procurement teams may prioritize systems with interchangeable accessories and straightforward repairs.

Brazil

The market reflects a mix of public and private sector demand, with larger hospitals more likely to invest in standardized systems and accessory sets. Import duties and procurement regulations can influence purchasing timelines and brand availability. Service coverage tends to be stronger in major metropolitan areas, with some regional variability in parts logistics. Public tenders may emphasize compliance documentation and local service capability alongside upfront cost.

Bangladesh

Demand is driven by trauma care needs and increasing surgical capacity in larger urban hospitals. Cost sensitivity is high, often favoring mechanical systems with straightforward maintenance requirements. Import dependence for certain components can make spare parts planning and accessory standardization important for reliable operation. Facilities may benefit from bundling traction frames with training and a starter spare-part kit to reduce early downtime.

Russia

Demand is influenced by regional healthcare investment and the size of the hospital network, with large centers typically better positioned for standardized procurement and technical support. Import substitution and local manufacturing policies may shape availability and brand mix, depending on current regulations and supply chains. Service access can differ significantly between major cities and remote areas. Buyers often weigh the trade-off between locally manufactured options and imported systems with broader accessory catalogs.

Mexico

Orthopedic traction frame demand aligns with trauma care volumes and orthopedic service expansion in both public and private sectors. Many facilities prioritize supplier reliability, training support, and local parts access to reduce downtime. Urban centers generally have stronger service ecosystems than rural hospitals, affecting maintenance strategy and accessory replenishment. Cross-border supply routes can influence lead times, so inventory planning for ropes, boots, and clamps becomes important.

Ethiopia

Growth in surgical and trauma capability supports increasing need for basic traction systems, especially in referral and teaching hospitals. Procurement often focuses on durable, maintainable medical equipment with reliable supply of consumables and replacement parts. Service capacity may be limited outside major cities, so simpler designs and strong training programs are practical advantages. Donations and grant-funded purchases are common in some settings, making standardization and documentation critical for long-term sustainment.

Japan

The market is characterized by high standards for device quality, documentation, and reprocessing compliance, with established supplier and service infrastructures. Demand is supported by aging demographics and mature orthopedic services, alongside strong expectations for reliability and workflow integration. Procurement decisions often emphasize lifecycle support, training, and compatibility with existing hospital systems. Facilities may also place strong emphasis on ergonomics and consistent reprocessing outcomes.

Philippines

Demand is concentrated in metropolitan hospitals and larger private networks, where orthopedic surgery and trauma care drive utilization. Import dependence can affect acquisition timelines, and buyers often evaluate distributors based on training and service responsiveness. Regional hospitals may prioritize robust systems that require minimal specialized parts to maintain uptime. Multi-site hospital groups may prefer standardized kits that can be rotated with predictable maintenance schedules.

Egypt

Orthopedic traction frame demand is influenced by trauma volumes and expanding capacity in major public and private hospitals. Import dependence for some hospital equipment categories may affect cost and lead time, making local distributor capability important. Urban facilities typically have better service access, while smaller centers may need simplified maintenance plans. Procurement often balances upfront cost with the availability of spare parts and the ability to support multiple bed models.

Democratic Republic of the Congo

Demand is closely tied to the capacity of referral hospitals and the availability of trained staff to safely implement and monitor traction setups. Import logistics and limited service infrastructure can make parts availability and ruggedness critical considerations. Urban-rural disparities are pronounced, often requiring pragmatic choices focused on maintainability and training. Facilities may prioritize systems that can be kept operational with basic tools and locally achievable cleaning processes.

Vietnam

The market is growing with expanding hospital infrastructure and rising surgical volumes, particularly in major cities. Procurement often balances cost with quality, and imported systems may compete with regional manufacturing options. Distributor service, training, and spare parts readiness are important to sustain safe long-term use across diverse facility settings. As hospitals modernize imaging capabilities, compatibility with radiology workflows can influence traction system selection.

Iran

Demand reflects the size of the hospital network and the focus on self-sufficiency in some medical equipment categories, which can influence sourcing strategies. Availability of imported systems may vary with procurement channels and regulations. Facilities often prioritize serviceability, locally supported accessories, and clear documentation for safe use. Where local manufacturing is used, consistent quality control and traceability become especially important.

Turkey

Turkey’s market includes a mix of domestic production capacity and imports, with strong demand in urban hospitals and private healthcare groups. Buyers often look for robust after-sales support and predictable accessory supply. Regional service networks can influence brand choice, especially where installation, training, and maintenance must be delivered consistently. Facilities may also value modular systems that can adapt to different bed inventories across sites.

Germany

The market emphasizes regulatory compliance, documentation, and validated reprocessing workflows, with well-developed biomedical engineering and service structures. Demand is stable in orthopedic and trauma centers, with procurement often focusing on interoperability, lifecycle cost, and standardized accessory sets. Facilities typically expect clear IFUs and traceable parts supply. Environmental and occupational safety considerations (trip hazards, safe storage of weights) can also play a larger role in procurement evaluation.

Thailand

Demand is concentrated in large public hospitals and private hospital groups, supported by trauma care needs and ongoing healthcare investment. Import dependence is common for many categories of hospital equipment, making distributor performance and parts logistics key procurement factors. Rural access and staffing variability often drive preference for simpler, reliable traction configurations. Hospitals involved in medical tourism may emphasize OR table integration, imaging access, and rapid service response.

Key Takeaways and Practical Checklist for Orthopedic traction frame

Treat the Orthopedic traction frame as a system, not just a metal frame.
Verify bed or OR table compatibility before purchase or deployment.
Keep a complete accessory kit; missing parts drive unsafe improvisation.
Standardize weight units (kg vs lb) and label them clearly on the ward.
Require documented competency before staff apply or adjust traction setups.
Use a two-person check for initial setup and any major adjustment.
Confirm all clamps and locks are fully engaged before applying tension.
Ensure weights (if used) hang freely and cannot contact any surface.
Keep the traction line unobstructed; avoid sharp angles and rubbing points.
Do not tie cords to non-rated bed rails or improvised attachment points.
Inspect ropes/cables for fraying and replace per policy or IFU.
Check pulleys for smooth rotation and secure mounting every shift.
Re-check traction geometry after any bed movement or patient repositioning.
Use padding deliberately to reduce friction and localized pressure areas.
Make skin and interface checks part of routine rounding documentation.
Establish clear escalation triggers for discomfort, swelling, or loss of position.
Treat missing safety clips/pins as an immediate out-of-service condition.
Store weights safely to prevent drops, foot injuries, and uncontrolled swinging.
Keep walkways clear; traction systems add trip and collision hazards.
Document traction parameters, line of pull, and configuration in handovers.
Do not assume “applied weight equals delivered force” due to friction effects.
Consider optional force indicators only if your process supports verification.
Align cleaning products with material compatibility; chemical damage is common.
Clean and disinfect high-touch controls, knobs, and pulley grooves thoroughly.
Include weights and clamps in cleaning scopes; they are frequently missed.
Dry the device fully before storage to reduce corrosion and bio-burden.
Tag and quarantine any device with structural damage for biomed review.
Maintain an asset log with preventive maintenance dates and service actions.
Procure based on lifecycle support: parts lead time, training, and service coverage.
Confirm whether ropes/boots are reusable, replaceable, or single-use per IFU.
Build a standardized procedure card for each traction configuration used.
Audit near misses (slippage, unit confusion, misrouting) to improve reliability.
Require vendors to specify warranty scope and spare parts availability in writing.
Plan for urban–rural service disparities when deploying across multiple sites.
Keep a “last checked” time marker visible when the setup has no alarms.
Ensure biomedical engineering has access to service documentation and parts lists.
Avoid mixing accessories across brands unless compatibility is confirmed.
Include infection prevention teams in product selection and reprocessing design.
Train staff on safe removal and storage of weights during transfers or emergencies.
Verify the rated load limits are visible and understood for the frame, clamps, and pulleys.
Keep a small spare-parts reserve (cords, clips, commonly worn straps) to prevent unsafe workarounds.
Standardize where traction kits are stored so staff can find complete sets quickly in urgent situations.
If photographs are allowed by policy, consider using them for setup verification and training (with appropriate privacy controls).

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