Trauma Pelvic Orthotic Device (T-POD) Pro

Indications:

• Pelvic injury
• Pelvic stabilization
• Suspected pelvic fractures
• Internal pelvic hemorrhage
• Pelvic fractures and dislocations

The CURED T-POD Pro is a professional trauma pelvic stabilization device that was specifically designed for the unique needs of EMS and Combat medical professionals. Pelvic fractures account for approximately 3% of all diagnosed skeletal fractures. The pelvis is a specified anatomic area of the body. It is a complex structure composed of bones and ligaments. The major functions of the pelvis are to support the body, protect a variety of internal organs and blood cell production. Traumatic pelvic fractures occur most commonly at the symphysis pubis, pubic rami and lateral to the sacroiliac joints. Pelvic fractures are most commonly produced by a blunt trauma event with significant deceleration energy. There are a variety of common classification systems in use based on the directions of the forces involved and the movement of the various bones from their normal positions.The most common causes of pelvic fractures are motor vehicle collisions, pedestrian versus motor vehicle collisions and motorcycle accidents. Other common causes are falls by the elderly, falls from greater than 3.6 meters for younger patients and a variety of sports injuries. Pelvic fractures present a difficult pre-hospital and hospital treatment challenge and have a very high mortality rate. There is a great diversity in mortality rate secondary to pelvic trauma; studies demonstrate a mortality rate of 5% to 50%. The major reason for this high mortality rate is significant hemorrhage that may occur in the pelvis with minimal external signs. The significant bleeding that occurs with pelvic fractures is mainly due to the presence of numerous major blood vessels that are in the pelvis and the high vascularity of the organs that are in the pelvis. Additionally, retroperitoneal bleeding may be a major complication leading to the loss of up to 6 litres of blood. Because of the high forces required to produce pelvic fractures these injuries are also an indicator for significant comorbidities and concomitant injuries. Rapid assessment, stabilization and compression are critical to minimizing mortality in the treatment of pelvic fractures. For thousands of years splinting and stabilization has been the traditional treatment for fractures. During the last 15 years, external fixation is emerging as a hospital-based treatment for pelvic fractures.The most obvious benefit is that they can be applied rapidly, even in the pre-hospital environment, to compress the pelvis, stabilize the bones and rapidly limit blood loss.

Features:
• T-POD Pro reduced the separation of the normally joined pubic bones by over 70% compared to bed sheets at 44%.
• Provides a quick, safe, and effective method for the initial treatment of pelvic injury and possible pelvic fractures.
• Provide even, circumferential compression with enough force to actually stabilize the pelvis and provide the requisite pelvic compression with a 6:1 mechanical advantage pulley system.
• Prevent additional damage to veins and arteries in the area of the fracture.
• Prevent additional damage to nerves in the area of the fracture.
• Prevent additional movement of the bones near the fracture site.
• Decreases need for administration of blood or blood by-products.
• Reduces patient pain levels and need for pain medication.
• Decreases blood loss or hemorrhage.
• Increases critical mean arterial pressure.
• Reduces the length of hospital stays.
• Remain in place during all forms of patient transport.
• Lowers rate of mortality.
• One person can apply in the field.
• One-hand pull system compresses pelvic.
• The guide strap controls the circumferential compression by helping to calibrate the gap.
• Small, lightweight and compact.
• Available in two colours. High-visibility White-Orange colour, for EMS and pre-hospital version. Black colour, for military version, to help camouflage in the battlefield.
• One size fits all.

Please read this directory before use.
• Notice, each procedure or device protocol requires a detailed assessment of the organization’s operational environment (types of patients and distances to be transported) as well as the level of training of the emergency medical personnel that will be using the device.
• Protocols must be approved by the medical supervisor or medical director.
• Protocols must comply with all applicable local laws and regulations.
• Perform primary survey and standard trauma or comprehensive secondary survey to determine if there is a possibility of a pelvic injury and possible pelvic fractures. This may include, but is not limited to:
– Assess for abrasions and contusions around the pelvic area.
– Assess for superficial hematoma above inguinal ligament, scrotum, and thigh.
– Assess limb length discrepancy and deformity.
– Assess pelvic stability and crepitus by bimanual compression of the iliac wings.
– Examinations of the rectal and vaginal areas for bleeding.
– T-POD Pro should be placed by trained healthcare providers, in accordance with their organizational protocols and should be applied as illustrated on this package.
• All personnel that will be using the T-POD Pro must receive appropriate training and education prior to use. This should include using the CURED training powerPoint presentation and successful demonstration of the user’s ability to assess the indications for use of T-POD Pro and apply it in the pre-hospital environment.
• Can be used for adults and children.
• Re-use of T-POD Pro is not recommended once it has been used on an injured person, due to the potential of cross-contamination. Serious injury or death may result.
• If an obese patient requires T-POD Pro two belts may be affixed together using one power unit as an extender and the other as the pulley.
• Monitor pulse and blood pressure in accordance with your organizational protocols.
• T-POD Pro should be replaced when soiled or after every 24 hours of use.
• Place Foley catheter prior to application as needed.
• Ensure that you can have a 6”-8” (15.2-20.3cm) gap on small children to ensure T-POD Pro effectiveness. You may also have to adjust the actual placement of the T-POD Pro depending on the child’s size.
• Children under 50 lbs (23 Kg) may be too small to obtain the 6-inch gap needed for closure.
• Do not use if the patient has a known allergy to any of the specified materials.
• Healthcare providers should release tension every 12 hours to check for skin integrity and provide wound care as necessary.
• Scope: This procedure shall apply to all personnel that carry and/or utilize T-POD Pro.

Washing instruction:

•Hand wash in cold water, gentle cycle and mild soap and Dry Flat.
•Do not Dry Clean or tumble dry.
•Do not use bleach.
•Dry in an air current, and do not expose this belt to any heat source.
•Store in a cool, dry place.

 

Table Of Size

Measure around the hip as illustrated.

Slide Belt under the supine patient and into position under the pelvis. Smoothly and with minimal force roll the patient to aid in positioning the Belt. Align the top edge of the Belt at the level of the iliac crest. Alternatively, the Belt can be centred at the level of the greater trochanters.

Manage the gap in Velcro-backed Mechanical Advantage Pulley System by adjusting the Guide-Strap length according to the patient’s hip circumference. Recommended gap range is 6-8 inches (15.2-20.3 cm).

Trim or fold the edge of the belt, leaving a 6-8” (15.2-20.3cm) gap over the centre of the pelvis. You can measure the distance to provide the gap. The distance should be the same as the adjusted Velcro-backed Mechanical Advantage Pulley System gap.
As the second solution, you can provide the distance range during adjusted Velcro-backed Mechanical Advantage Pulley System applying that is mentioned in step 3.

Apply the Velcro-backed Mechanical Advantage Pulley System to each side of the trimmed or folded belt. As the second solution, apply one side of the adjusted Velcro-backed Mechanical Advantage Pulley System on one side of the belt, then trim or fold the other edge of the belt, and apply the other side on it.

Slowly draw tension on the Pull Tab, creating simultaneous, circumferential compression.

Secure the chord to the hooks and the Velcro-backed Pull Tab to the Belt.
Record the date and time of application on the space provided.
T-POD Pro circumferential compression should be released every 12 hours to check for skin integrity and provide wound care, as necessary. To re-tighten, draw

Customer Service :
Hours : Monday thru Thursday 8:00AM to 5:00PM (GMT) +3:30 hours.
Email : Info@curedmedical.com
Local Phone No. +981732226489, +981732226490
Fax No. +981732226489
Sales Cell Phone No. +989117939713, 09102710310
CEO Direct Cell Phone No. +989120255191, +989113755191