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Product
Applications
Flexibility For Diverse Patients
" Great for the field where there is no electricity."
-- OR Nurse
Naval Hospital Camp Pendleton, CA
HemaClear presents a new approach to orthopedic procedures—a
better approach. Designed to provide a clear sterile field for
proximal or distal upper and lower extremity surgeries with circumferences
from 14-90cm, HemaClear adapts to the very diverse needs of today’s
orthopedic patients to provide a higher standard of care.
The key to HemaClear’s advantage is its flexibility applied.
Engineered to meet the diverse needs of surgical procedures for
the limbs, HemaClear offers a range of applications to accommodate
many surgical sites. From distal foot and hand surgery to total
joint replacement, HemaClear provides arterial flow occlusion
to all extremity surgeries extending up to the axilla for mid-shaft
and distal humerous fractures and the groin for mid-shaft to
distal femur procedures. Its narrow design provides more sterile
operating space on limb surgical sites.
• Full Range Of Sizes From Pediatric (14cm) To Obese Patients
(90cm)
• Narrow Design Allows More Operating Space On Appendages And Better
Patient Comfort (intra-op and post-op)
• Color-Coded Sizes For Easy OR Applications
Knee Surgeries
Total Knee Replacement Surgery
Removing damaged cartilage and bone from the surface of the knee
joint before replacing them with a metal and plastic joint surface
to restore alignment and function of the knee is a delicate process
better enabled by a clear or bloodless field.
HemaClear creates a 95% blood free environment for this 1-2 hour
procedure, giving surgeons the clarity to see the femoral and
tibial chamfer cuts needed to fit the components to correct deformities
and aid patients in resuming their normal activities. By improving
the clarity of the surgical field, HemaClear better enables surgeons
to improve the procedures that impact patient health and recovery.
HemaClear improves total knee procedures by leaving less stagnant
blood to clot, which may reduce the chances of complications
like pulmonary embolism.
Unlike the Pneumatic Tourniquet, with HemaClear there is:
• No Tourniquet Paralysis Reported
• No Tourniquet Sliding On Shorter Patients
Unparalleled Sterility
As most surgical professionals know, infection remains a major post-operative
complication. It is present in 2-3% of total joint replacement surgeries and
requires 3-5 times the costs to treat (1). As a single-use, sterile product,
HemaClear provides reduces the chances of surgical site contamination that sometimes
accompanies a procedure where tourniquets are often reused from patient to patient-even
after use in the groin!
1. Herbert et, al, Clinical Orthopaedics & Related Research, {331):140-5” Oct
1996
ACL Surgery
A bloodless field is desirable for reconstructing the anterior cruciate ligament
of the knee. Whether through arthroscopic or open surgery, HemaClear is a valuable
tool in aiding ACL reconstruction procedures because in less than 12 seconds
it creates a 95% bloodless field, blocks arterial in-flow, and spreads a sterile
barrier over the knee.
HemaClear aids all approaches to ACL reconstruction procedures, whether the new
ligament is taken from the center third of the patellar tendon, the hamstring
tendon, or the donor tissue. And since HemaClear comes in a full range of sizes
it can be used for both pediatric and obese patients. HemaClear is factory calibrated
to provide consistent pressure and has had no reported cases of tourniquet paralysis,
unlike traditional pneumatic tourniquets used during ACL reconstruction surgery.
• More Operative Real Estate On Appendage
• Narrow Design Means Less Compression. No
Buttocks In Surgical Field.
Arthroscopy
Proper arthroscopy is aided by a bloodless field, which creates a clearer environment
for this exploratory procedure used to investigate a suspected ligament tear,
a damaged meniscus cartilage, bone fragments from a fracture, joint pain due
to an injury, unexplainable joint pain, lesions or other problems detected diagnostically.
HemaClear represents a clear advantage for arthroscopy procedures by creating
a 95% bloodless field, eliminating the need to flush the joint, and removing
the pre- and intra-operative steps that are used in traditional exsanguination/occlusion
methods in 12 seconds (as opposed to 5 min.).
•
Prevents dribbles of blood from fogging the field in this procedure.
• Reduces the time of this already short procedure by up to 20%!
Hand Surgeries
"I like it for hand and foot cases."
-- Monique Kuzmich, RN, BSN
Southern New Hampshire Medical Center, NH
Carpal Tunnel Syndrome Surgery
Treating carpal tunnel syndrome through surgery involves two phases: decreasing
pressure by opening the volar carpal ligament (also called the flexor retinaculum)
and removing the thick flexor synovium lining in the carpal tunnel. By opening
the ligament and removing the lining, pressure is relieved and more space created.
These surgeries can be performed endoscopically or in an open procedure, both
of which are aided by a clearer, blood-free environment.
A simple procedure, in which patients can go home that day, HemaClear shaves
up to 15 minutes of OR time from carpal tunnel surgery, which brings patients
home faster while improving the safety of the procedure by facilitating a sterile
environment.
• Mid-Arm Occlusion.
• Less Tissue Under Ischemic Condition And
Less Pain For Patients
• Improves Speed And Clarity
Wrist Surgery & Trigger Finger Release
Arthrodesis, or bone and joint fusion surgery, is often used to relieve pain
in the wrists caused by arthritis. During the procedure two bones on each end
of the joint are fused, effectively eliminating the joint. There are two different
forms of arthrodesis surgery. The first approach is called a bone graft: bone
is removed from another part of the body and placed between the two bones to
stimulate fusion. In the second approach metal plates, screws or wires implanted
into the bone close the joint. As the body heals the adjacent bones fuse together
although from time to time a bone graft is needed. HemaClear is particularly
useful for wrist surgeries because, aside from a 12-second application time,
it can be placed closer to the surgical field at the forearm rather than the
upper arm—thereby reducing the amount of tissue that lacks oxygen supply
during surgery.
Surgical treatment for the trigger finger, while not necessarily a difficult
or involved procedure, is often slowed by the steps involved in creating a bloodless
field on such a small digit. Traditional pneumatic tourniquets require pre and
intra-operative steps and can take up to 15 more minutes in prep and surgery
time than HemaClear. Using HemaClear can help surgeons and OR staff reduce the
time it takes to widen the opening of the incision so the tendon can slide through
more easily and patients can return home faster.
• Simple Orthopedic Solution
• Improved Clarity
• Low Arm Occlusion
• Fewer Materials Than The Pneumatic System
Trauma (tibial, humeral, radial fractures, plate removal)
Humerus Fracture Surgery
The three different humerus fractures require different approaches to treatment.
Proximal humerus fractures, or fractures near the shoulder joint, may involve
insertion of important rotator cuff tendons. These tendons are essential to shoulder
motion, so treatment will depend on the position of these tendon insertions.
Mid-Shaft humerus fractures, or fractures that occur along the upper arm between
the shoulder and elbow joints, usually heal without surgery, but if there has
been an injury to the radial nerve, surgical intervention may be required. Distal
humerus fractures, or fractures near the elbow joint, aren’t common in
adults and occur more frequently in children. These fractures usually require
surgery. Humerus fractures often take weeks if not months to heal after treatment.
HemaClear is particularly useful for distal fractures in children because it
can adjust to tiny limbs much more easily than previous methods without cuff
migration.
• Sterile Tourniquet Reduces Infection Risks
• Narrow Sterile Band Doesn’t Obstruct Procedure
• No Tourniquet Interference
• Better Range Of Motion During Surgery
Distal Radial Fracture Surgery
Distal radial fractures are often treated by simply placing the wrist in a cast,
but sometimes the bone is so out of place that surgery may be necessary. There
are several different surgical approaches to reducing the fracture either with
or without an incision, depending on the position of the bone: a cast, stainless
steel or titanium pins, a plate and screws, an external fixator, or any combination
of approaches.
HemaClear creates a 95% bloodless field within 12 seconds for distal radial fractures,
saving up to 15 minutes of prep and surgery time and cutting out intra-operative
steps.
Tibial Shaft Fracture Surgery
Tibial shaft fractures can be treated by several methods depending on the location
of the fracture, the displacement of the fracture, the alignment of the fracture,
any associated injuries the patient may have, the condition of the soft-tissue
around the fracture, and the patient’s overall health. Fractures that are
well aligned and not badly displaced can usually be treated with a cast, but
fractures that are too badly displaced may need surgery to be realigned and the
bones secured. Surgical procedures may include: intrameduallary rodding in which
a metal rod down the center of the tibia holds the bone in alignment; plates
and screws if the fracture is too close to the joint for intrameduallary rodding;
and for more severe fractures or when there has been significant injury to the
soft tissue surrounding a fracture, an external fixator.
HemaClear’s 95% bloodless field greatly aids these procedures by decreasing
OR prep time and allowing the surgeon more time for the procedure itself.
• Whole Limb Not Under Occlusion For The Procedure
Orthopedic Trauma Plate Removal
Orthopedic trauma plate removal is usually performed on trauma injuries to the
upper or lower extremities. After a severe a sports injury or an auto accident,
plates and screws are often applied to fractures to assist healing by holding
two pieces of bone together. HemaClear’s 95% bloodless field enhances visibility
for these detailed procedures creating an optimal surgical environment.
In approximately six to eight weeks the surgeon may opt to remove the plate and
screws for various reasons including age, gender, profession, the patients health
status and other variables that may affect overall health. The procedure is the
same as the original except this time the plates are removed, making HemaClear
a perfect solution for creating the bloodless environment needed to provide unparalleled
clarity to the surgical field.
• Narrow Design
• Perfect Exsanguination
Innovative Applications
Pediatrics
Pediatric surgeries are widely regarded as the most challenging for orthopedic
surgeons and require a delicate touch. HemaClear provides distinct advantages
to the conventional methods by providing smaller sized products tailor-made for
the specific subgroup of patients.
Recently physicians have used HemaClear® to successfully operate on a 6-year-old
child suffering from congenital femoral deficiency Paley type 1B (short femur
+ severe hip dysplasia). According to Dr. Eidelman of Rambam Medical Center,
Haifa, Israel, it was impossible to use a conventional pneumatic tourniquet because
of the patient’s short and tapered thigh and HemaClear offered an excellent
solution.
Further, in a case of a child with an arm fracture very close to the axilla it
was impossible to use a pneumatic tourniquet due to its width. HemaClear’s
narrow design made it easy to roll up to the patient's axilla. HemaClear made
it possible to create a bloodless surgical field.
Obesity Cases
In response to the obesity pandemic in the United States that is creating a need
for more orthopedic surgeries to improve quality of life, OHK has developed HemaClear
products in sizes up to 90 cm. Dedicated to increasing the available therapeutic
options for orthopedics, HemaClear products facilitate surgeries on the lower
extremities that improve obese patients surgical exposure and hemostasis.
HemaClear/XL allows surgeons to work on patients on whom the pneumatic tourniquet
is not an option. For example, in a recent total knee replacement case in an
obese patient, the pneumatic tourniquet cuff was too short and the surgeons feared
they may either have trouble closing it or it may reopen once inflated. A HemaClear/XL
was placed on the thigh and the surgeon reported excellent exsanguinations and
occlusion.
Podiatry
"ES-MARCH flew off the podiatrist's hands several times"
--Fred Wilkins, RN, MSN, CNOR
U.S. Department of Veterans Affairs, OR
There are 26 bones in the foot and podiatric fractures that require surgery are
common, especially among athletes. Common fractures include: ankle fractures,
heel fractures, lisfranc or midfoot fractures, tibia or shinbone fractures, stress
fractures of the foot and ankle, talus fractures, and toe and forefoot fractures.
Traditional blood removal methods are often unsuited for these procedures, requiring
a unique solution. HemaClear creates a 95% bloodless field in 12 seconds and
is particularly suited to podiatric surgery because of its narrow design, which
allows more operating space on appendages.
•
Low Occlusion Site
• No Need For Pneumatic Tourniquet
• Consistent Pressure Assured
• No Danger Of Too Much Pressure |
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