Norman Doron, Greenfield Inbal, Ghrayeb Nabil, Peled Eli, Dayan Lior
Department of Orthopedic and Traumatology B', Rambam Medical Center, Haifa, Israel.
Tech Hand Up Extrem Surg. 2009 Dec;13(4):173-5. doi: 10.1097/BTH.0b013e3181b56187.
We describe our experience using a new device that results in a bloodless field in open repair of distal radius fractures. The device, an exsanguinating tourniquet (HemaClear model/40, OHK Medical Devices, Haifa, Israel), replaces the traditional methods of limb elevation, Esmarch bandaging, pneumatic tourniquet pressurizing and the associated components. HemaClear/40 is an elastic silicon ring with a tubular elastic sleeve rolled onto it. The device has attached straps that, when pulled, unroll the sleeve, rolling the ring mesially on the limb. The pressure exerted by rolling HemaClear/40 is supra-systolic thereby exsanguinating the limb and occluding the arterial inflow. Our experience in 49 patients demonstrated quick application, superior exsanguination and that the device could be placed on the forearm instead of the upper arm. No side effects or complications were noted. In our opinion, the fact that HemaClear/40 is a sterile, single-patient device makes it superior over the traditional technology.
我们描述了使用一种新设备在桡骨远端骨折切开复位手术中营造无血术野的经验。该设备是一种驱血止血带（HemaClear型号/40，OHK医疗设备公司，以色列海法），取代了传统的肢体抬高、埃斯马赫绷带包扎、气动止血带加压及相关组件的方法。HemaClear/40是一个弹性硅环，上面卷着一个管状弹性套筒。该设备配有带子，拉动时会展开套筒，使环在肢体上向内侧滚动。滚动HemaClear/40产生的压力高于收缩压，从而使肢体驱血并阻断动脉血流。我们对49例患者的经验表明，该设备应用迅速、驱血效果优异，且可置于前臂而非上臂。未观察到副作用或并发症。我们认为，HemaClear/40是无菌的一次性使用设备，这使其优于传统技术。
