When seconds count, you need a pelvic stabilization device that is easy to apply by one person in the field and does not have to be removed for MRI, X-Ray and CT scans.

With a new black design, T-PODCombat™ is specifically designed to be used in combat and military situations. Ideally suited for difficult terrain and situations, T-PODCombat can be quickly applied in the field by one person using an easy-to-tighten pulley system. With a highly flexible design, T-PODCombat is small and compact, is one-size-fits-all, and can remain on through MRI, X-Ray and CT scans.

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Similar Products: T-PODResponder for civilian EMS

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T-PODCombat: Pyng Medical’s Next Generation Pelvic Stabilization Device

Based on the design of our popular T-POD product, T-PODCombat features a thinner and more compact design (a 3-4mm thickness compared to the 7-8mm thickness of T-POD). The new 100% polyurethane material is thinner, breathable, latex-free, durable, contains moisture wicking capabilities and will not fray even when cut to size.

6 Reasons to Choose T-PODCombat:

  • One person can apply. Designed with an easy-to-tighten pulley system, T-PODCombat can be applied by one person in the field.
  • One size fits all. You can customize the fit of T-PODCombat for nearly any size person over 50 lbs.
  • 100% radiolucent. T-PODCombat is designed without the use of metal so it does not have to be removed for MRI, X-Ray and CT scans.
  • Compact and lightweight designed for easier transport.
  • Using a unique mechanical advantage pulley system, T-PODCombat ensures simultaneous, symmetrical compression, where and when needed—placing control of the tightening process in the hands of providers.
  • Early pre-hospital pelvic immobilization using T-PODCombat reduces morbidity, mortality, blood loss, the need for blood transfusions and hospital length of stay.

T-PODCombat Clinical Advantage:

  • Effective and easy-to-use device to stabilize the pelvic ring in patients that have suspected pelvic fractures and possible internal bleeding.1
  • Can substantially reduce transfusion requirements, length of hospital stay, as well as reduce mortality in patients with unstable pelvic fractures.2
  • Can provide better stabilization of a globally unstable pelvic fracture than an external fixator. 3

References:

  1. Tan EC, van Stigt SF, van Vugt AB. Effect of a new pelvic stabilizer (T-POD®) on reduction of pelvic volume and haemodynamic stability in unstable pelvic fractures. Injury. 2010 Dec;41(12):1239-43. PubMed: PM21374905
  2. Croce MA, Magnotti LJ, Savage SA, Wood GW, Fabian TC. Emergent pelvic fixation in patients with exsanguinating pelvic fractures. J Am Coll Surg. 2007 May;204(5):935-9. PubMed: PM17481514
  3. Prasarn ML, Horodyski M, Conrad B, Rubery PT, Dubose D, Small J, Rechtine GR.. Comparison of external fixation versus the trauma pelvic orthotic device on unstable pelvic injuries: a cadaveric study of stability. J Trauma Acute Care Surg. 2012 Jun ;72(6):1671-5

T-PODCombat Pelvic Stabilization Benefits:

  • Small & Lightweight Design – Featuring a 3-4mm thickness compared to the 7-8mm thickness of the previous T-POD design, T-PODCombat is now smaller and more compact than ever.
  • One Person Application – The unique easy-to-tighten pulley system means that T-PODCombat can be easily applied by just one person in the field.
  • One Size Fits All – No carrying around different sizes. You can quickly and easily trim T-PODCombat to customize the fit for any size person over 50 lbs. For morbidly obese patients, you can easily combine two T-PODCombat devices together.
  • 100% Radiolucent – You do not have to remove and then reapply T-PODCombat for radiological procedures. Designed using no metallic parts, T-PODCombat can stay on and keep your patient’s pelvic region stable during MRI, X-Ray and CT scans.
  • Symmetrical, Circumferential Compression – Designed using a unique pulley system spanning nearly the width of the belt, T-PODCombat offers compression that is evenly distributed on both sides of the pulley system and across the width of the binder.
  • Modulated Compression – Unlike a buckle system where compression can only be adjusted at certain settings, the T-PODCombat pulley system means that infinite adjustments can be made.
  • Over-tightening Prevention – T-PODCombat’s pulley system features a 6-8” gap that is designed specifically to prevent over-tightening.
  • Improved Material – The new T-PODCombat uses new 100% polyurethane material that is thinner, breathable, latex-free, durable and contains moisture wicking capabilities. Better yet, the new material will not fray even when cut to size.

About Pelvic Trauma & Stabilization

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 liters 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. The use of a sheet, pneumatic anti-shock garment (PASG) or military anti-shock trousers (MAST) and a vacuum type or long board splinting device have been the traditional means to stabilize, compress and approximate the bones of a pelvic fracture. During the last 15 years external fixation is emerging as a hospital based treatment for pelvic fractures.

Another new group of devices for pelvic fractures are Pelvic Orthotic Devices (PODs). Numerous studies discuss the numerous benefits of Pelvic Orthotic Devices. 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.

About Pelvic Slings

When pelvic trauma has occurred, binding the hips quickly and effectively is imperative to reduce the risk of complications, including internal bleeding. Traditionally, a sheet has been used to bring the pelvis together, but unfortunately, optimal tightness is extremely difficult to achieve and it will loosen over time.

T-PODCombat is a specialized pelvic sling, developed to make the job of binding the pelvis more effective and easier to accomplish. It is the only pelvic sling to offer simultaneous circumferential compression, through its patented Mechanical Advantage pulley system. T-PODCombat easily draws the pelvic ring closed without straining and holds the pressure evenly while it is in use.

T-PODCombat is effective in a variety of pelvic trauma situations. In fact, it can successfully support and stabilize the pelvis with a variety of injuries and situations, including:

  • Auto and motorcycle accidents
  • Individuals who have experienced a fall
  • Snowboard, skiing, snowmobile or other sporting accidents
  • Workers who have fallen or been crushed
  • Post-surgery for caesarian sections, hernias, or hysterectomies

Clinical and Technical Information:

How T-PODCombat Works

TPODCxray

When treating a pelvic injury or significant pelvic pain, T-PODCombat is a fast, simple, effective, and non-invasive lifesaving device.

The specially engineered Mechanical Advantage pulley allows T-PODCombat to be easily drawn closed without straining and ensures safe, balanced, pelvic compression.

And, by using simultaneous circumferential compression and secure closure, T-PODCombat can hold the pelvic ring closed for up to 48 hours without loss of pressure. Reduced blood loss and reduced pain mean fewer complications and shorter hospital stays.

Protocol Guide

Protocol Guide

DISCLAIMER:

This document provides an example/format to help you develop the actual protocol you will use for your organization. Your actual organizational protocol must be approved by the medical supervisor or medical director and must comply with all applicable federal, state and local laws and regulations.

NOTE: 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 federal, state and local laws and regulations.

All personnel that will be using the T-PODResponder™ device (T-PODResponder) must receive appropriate training and education prior to use. This should include using the Pyng Training PowerPoint Presentation and successful demonstration of the user’s ability to assess the indications for use of T-PODResponder and apply it in the pre-hospital environment.

SUBJECT: T-PODCombat Utilization Protocol

SCOPE: This procedure shall apply to all personnel that carry and/or utilize T-PODCombat.

DISCUSSION:T-PODCombat is designed to provide rapid, effective circumferential, equal compression of the pelvis to stabilize potential fractures, minimize blood loss, reduce pain and minimize morbidity and mortality. The device can be applied by a single user with minimal movement of the patient

PRODUCT DESCRIPTION: T-PODCombat Pelvic Stabilization Device. A two part device – fabric belt and a plastic/Velcro Mechanical Advantage pulley system (power unit).

USE: Adults and children.

INITIAL ASSESSMENT: 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:

  1. Assess for abrasions and contusions around the pelvic area.
  2. Assess for superficial hematoma above inguinal ligament, scrotum, and thigh.
  3. Assess limb length discrepancy and deformity.
  4. Assess pelvic stability and crepitus by bimanual compression of the iliac wings.
  5. Examinations of the rectal and vaginal areas for bleeding.

APPLICATION:T-PODCombat should be placed by trained healthcare providers, in accordance with their organizational protocols. Wrap the fabric belt around the supine patient. Fit T-PODCombat around the pelvis so that the top of T-PODCombat ® is at the level of iliac crest. Alternatively T-PODCombat ® can be centered at the level of the greater trochanters. Then cut excess belt in front leaving a 6-8 inch gap of exposed pelvis. Apply pulley system/power unit to each side of the belt and slowly draw tension until snug. This provides simultaneous circumferential compression of the pelvic region. This should aid in pain control and vital sign improvement (note: in male patients make certain genitalia are elevated out of groin area). A healthcare provider should check distal neurovascular status before and after application. Person applying T-PODCombat should document time and date device is applied in space provided.

CONSIDERATIONS

  1. If an obese patient requires T-PODCombat ®, two belts may be affixed together using one power unit as an extender and the other as the pulley.
  2. Monitor pulse and blood pressure in accordance with your organizational protocols.
  3. Healthcare providers should release tension every 12 hours to check for skin integrity and provide wound care as necessary.
  4. T-PODCombat ® should be replaced when soiled or after every 24 hours of use.
  5. Place Foley catheter prior to application as needed.
  6. Ensure that you can have a 6”-8” gap on small children to ensure TPOD effectiveness. You may also have to adjust the actual placement of the TPOD depending on the child’s size.

OUTCOMES:

  1. Lowered rate of morbidity.
  2. Decreased blood loss or hemorrhage.
  3. Decreased need for administration of blood or blood by-products.
  4. Decreased patient pain levels and need for pain medication.
  5. Provides a quick, safe, and effective method for the initial treatment of pelvic injury and possible pelvic fractures.