The Auto Desk ST-40 from Takagi is an examination device that is easy to perform and can influence the comfort level of a typical exam. It may be used for handling devices as well as patients as needed. It uses automatic and sliding mechanisms. The new motorized automatic sliding mechanism is convenient but operators can also use a manual option where the lever can be held at the middle of the table tend and then pulled or pushed based on where the user needs to move the device to.