Personalized tourniquet for intermittent vascular occlusion

An apparatus for intermittent vascular occlusion based on a personalized tourniquet pressure (PTP) includes a dual-purpose tourniquet cuff having an inflatable bladder, a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder for sensing and characterizing pressure pulsations indicative of a distal occlusion pressure (DOP) to identify a minimum pressure at which penetration of blood past the cuff is stopped, a PTP estimator responsive to the pulsation sensor for producing an estimate of a PTP, wherein the estimate of the PTP is a function of the DOP, an effector module communicating pneumatically with the inflatable bladder for maintaining pressure in the bladder near the PTP during a first time period and for maintaining pressure in the bladder near a second level of pressure during a second time period, and a controller selectively operating the inflatable bladder in conjunction with the sensor module and the effector module.

Manufacture and use of tourniquet cuff with improved pneumatic passageway

Disclosed are methods of manufacturing and inflating an elongated bladder of a tourniquet cuff that may be secured around the limb of a patient. The method includes sealing together side edges of layers of material to form the bladder, and stiffening the cuff with a stiffener for compressing the portion of the bladder underlying the stiffener inwardly toward the limb while preventing two layers of the cuff from contacting each other at a location adjacent to an edge of the cuff to thus provide a continuous pneumatic passageway in the bladder between the overlying stiffener and the sealed edge for distributing inflating gas through the passageway along the length of the bladder. The method also includes separating the layers that form the bladder with a flange member that together with the bottom layer of the bladder defines a channeled passageway extending away from a port opening in the bladder for delivering gas through the channeled passageway, beyond the flange member and into the inflatable ...

Tourniquet cuff with improved pneumatic passageway

A tourniquet cuff has minimal flow restrictions within its pneumatic passageway under normal operating conditions, has a substantially reduced likelihood of partial or complete obstructions or interruptions of the pneumatic passageway under foreseeable operating conditions, can indicate exposure of the cuff to external agents that are capable of affecting the integrity of the pneumatic passageway before use, and can be manufactured economically.

Tourniquet Cuff with Improved Pneumatic Passageway

A tourniquet cuff has minimal flow restrictions within its pneumatic passageway under normal operating conditions, has a substantially reduced likelihood of partial or complete obstructions or interruptions of the pneumatic passageway under foreseeable operating conditions, can indicate exposure of the cuff to external agents that are capable of affecting the integrity of the pneumatic passageway before use, and can be manufactured economically.

Low cost tourniquet cuff with integrated manufacture indicia

A tourniquet cuff includes a first sheet, a second sheet, and a seal joining the first sheet and second sheet to form an inflatable bladder. A securing strap is attached to the cuff. The cuff encircles the limb so that the bladder overlaps upon itself. A stiffener fits inside the bladder and sized to extend substantially the length of the bladder but not the entire bladder length, and to fit completely within the seal. A tubular port is connected to the bladder for directing gas into the bladder from a tourniquet instrument to which the port may be releasably connected, and a cuff marking weld is located on an outer surface of the cuff, having a shape selected to form a symbol or indicia that is visible to a user.

Tourniquet Cuff for Various Non-Cylindrical Limb Shapes

A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb. 1. A tourniquet cuff apparatus for various non-cylindrical limb shapes , comprising:an inner sheet joined to an outer sheet to form a generally arcuate shaped, inflatable cuff, the cuff having opposing ends and substantially arcuate distal and proximal side edges extending between the opposing ends, the outer sheet extending from one opposing end of the cuff to the other opposing end and consisting of material having an outer fastening surface formed entirely of a first fastener component;an elongated, curvable securing strap formed to curve around and conform to the shape of a limb to which the cuff is applied, the strap including a first segment and a second segment, the first segment of the strap including a second fastener component that can releasably engage the outer fastening surface,an end of the securing strap attached to the outer fastening surface of the outer sheet near a first end of the cuff; and whereinthe second segment of the strap is configured to be different from the first segment of the strap so that the second segment is ...

Personalized Tourniquet Apparatus

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

PERSONALIZED TOURNIQUET METHODS AND APPARATUS

Disclosed are methods and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of surgical and medical procedures. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient to provide both a sensor during a first time period and an effector during a second time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the second time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the first time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of a patient encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations. 1. An apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) , comprising:a dual-purpose tourniquet cuff having an inflatable bladder adapted to encircle a portion of a patient;a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder of the dual-purpose cuff for sensing and characterizing pressure pulsations indicative of a distal occlusion pressure (DOP), thereby to identify a minimum pressure at which penetration of blood past the cuff is stopped;a PTP estimator responsive to the pulsation sensor for producing an estimate of a PTP, wherein the estimate of the PTP is a function of the DOP;an effector module communicating pneumatically with the inflatable bladder of the dual-purpose cuff for maintaining pressure in the bladder near a PTP; anda controller selectively operating the inflatable bladder in conjunction with the sensor module and the effector module.2. The ...

TOURNIQUET SYSTEM FOR PERSONALIZED RESTRICTION OF BLOOD FLOW

Disclosed is a system and method for regulating tourniquet cuff pressure to restrict blood flow penetration past the cuff based on a personalized restrictive pressure (PRP). The system includes mechanisms for estimating a limb occlusion pressure (LOP) by determining a minimum pressure at which arterial blood penetration past an applied tourniquet cuff is stopped and measuring a pulsation characteristic associated with the LOP. Thereafter, the system establishes a PRP by determining a second pressure that restricts but does not stop arterial blood penetration past the cuff and that corresponds to a second pulsation characteristic differing by a percentage from the pulsation characteristic associated with the LOP. During a limb-activity time period, the system maintains pressure in the applied tourniquet cuff near the PRP, thereby restricting but not stopping arterial blood penetration past the cuff during the activity time period. 1. Apparatus for personalized restriction of blood flow into a limb and penetration past a tourniquet cuff based on a personalized restrictive pressure (PRP) , comprising:a dual-purpose tourniquet cuff having an inflatable bladder adapted to encircle a limb;a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder of the dual-purpose cuff for sensing and characterizing pressure pulsations indicative of a limb occlusion pressure (LOP), thereby to identify a minimum pressure at which arterial blood penetration past the cuff is stopped;a PRP estimator responsive to the sensor module for producing an estimate of a PRP, wherein the estimate of the PRP is less than the LOP and indicative of a level of pressure in the inflatable bladder that restricts but does not stop arterial blood penetration past the cuff;an effector module communicating pneumatically with the inflatable bladder of the dual-purpose cuff for maintaining pressure in the bladder near the PRP, thereby restricting but not stopping arterial ...

METHOD AND APPARATUS FOR SHIELDING ENGAGEMENT OF A TOURNIQUET CUFF

A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb. 1. A tourniquet cuff apparatus , comprising:an inner sheet joined to an outer sheet to form an inflatable cuff, the cuff having opposing ends, and distal and proximal side edges extending between the opposing ends, the outer sheet extending from one opposing end of the cuff to the other opposing end and consisting of material having an outer fastening surface that includes a first fastener component;an elongated, securing strap attached near a first end of the cuff, formed to curve around and conform to the shape of a limb to which the cuff is applied, the strap including a second fastener component that can releasably engage the outer fastening surface thereby to enable engagement of the second fastener component on the strap with the outer fastening surface between the distal and proximal side edges of the cuff;an engagement barrier applied to cover a region of the outer fastening surface between the distal side edge and the proximal side edge near a second end of the cuff and operable to prevent engagement of the securing strap to the first ...

METHOD AND APPARATUS FOR SHIELDING ENGAGEMENT OF A TOURNIQUET CUFF

A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb. 1. A tourniquet cuff apparatus , comprising:an inner sheet joined to an outer sheet to form an inflatable cuff, the cuff having opposing ends, and distal and proximal side edges extending between the opposing ends, the outer sheet extending from one opposing end of the cuff to the other opposing end and comprising material having an outer fastening surface that includes a first fastener component;an elongated, securing strap attached near a first end of the cuff, formed to curve around and conform to the shape of a limb to which the cuff is applied, the strap including a second fastener component that can releasably engage the outer fastening surface thereby to enable engagement of the second fastener component on the strap with the outer fastening surface between the distal and proximal side edges of the cuff; andan engagement barrier operable to prevent engagement of the securing strap to the first fastener component within a region of the outer fastening surface.2. The apparatus in wherein the engagement barrier provides a visible indication ...

Personalized tourniquet for intermittent vascular occlusion

An apparatus for intermittent vascular occlusion based on a personalized tourniquet pressure (PTP) includes a dual-purpose tourniquet cuff having an inflatable bladder, a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder for sensing and characterizing pressure pulsations indicative of a distal occlusion pressure (DOP) to identify a minimum pressure at which penetration of blood past the cuff is stopped, a PTP estimator responsive to the pulsation sensor for producing an estimate of a PTP, wherein the estimate of the PTP is a function of the DOP, an effector module communicating pneumatically with the inflatable bladder for maintaining pressure in the bladder near the PTP during a first time period and for maintaining pressure in the bladder near a second level of pressure during a second time period, and a controller selectively operating the inflatable bladder in conjunction with the sensor module and the effector module.

Low-Cost Disposable Tourniquet Cuff

A low-cost disposable tourniquet cuff includes: a first sheet formed of flexible material that is impermeable to gas; a second sheet facing the first sheet and formed of flexible material impermeable to gas; a bladder seal joining the first sheet to the second sheet around a perimeter to form an inflatable bladder within the perimeter; port means communicating pneumatically with the bladder and releasably connectable to a tourniquet instrument; stiffener means contained within the inflatable bladder and formed of gas-impermeable material less flexible than the first sheet, wherein the stiffener means has a stiffener width dimension less than the bladder width dimension and is joined to the first sheet to form a non-inflatable portion of the first sheet; and securing means attached to the non-inflatable portion of the first sheet and adapted to allow a surgical user to releasably secure the cuff around the limb at the desired location so that the bladder overlaps upon itself.

Personalized tourniquet for intermittent vascular occlusion

An apparatus for intermittent vascular occlusion based on a personalized tourniquet pressure (PTP) includes a dual-purpose tourniquet cuff having an inflatable bladder, a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder for sensing and characterizing pressure pulsations indicative of a distal occlusion pressure (DOP) to identify a minimum pressure at which penetration of blood past the cuff is stopped, a PTP estimator responsive to the pulsation sensor for producing an estimate of a PTP, wherein the estimate of the PTP is a function of the DOP, an effector module communicating pneumatically with the inflatable bladder for maintaining pressure in the bladder near the PTP during a first time period and for maintaining pressure in the bladder near a second level of pressure during a second time period, and a controller selectively operating the inflatable bladder in conjunction with the sensor module and the effector module.

Personalized tourniquet system having dual-purpose cuff

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

Low-cost disposable tourniquet cuff

A low-cost disposable tourniquet cuff includes: a first sheet formed of flexible material that is impermeable to gas; a second sheet facing the first sheet and formed of flexible material impermeable to gas; a bladder seal joining the first sheet to the second sheet around a perimeter to form an inflatable bladder within the perimeter; port means communicating pneumatically with the bladder and releasably connectable to a tourniquet instrument; stiffener means contained within the inflatable bladder and formed of gas-impermeable material less flexible than the first sheet, wherein the stiffener means has a stiffener width dimension less than the bladder width dimension and is joined to the first sheet to form a non-inflatable portion of the first sheet; and securing means attached to the non-inflatable portion of the first sheet and adapted to allow a surgical user to releasably secure the cuff around the limb at the desired location so that the bladder overlaps upon itself.

Low-cost contour cuff for surgical tourniquet systems

A low-cost contour cuff for surgical tourniquet systems comprises: a sheath containing an inflatable bladder, the sheath having an arcuate shape, an outer surface and a centerline equidistant between first and second side edges; a securing strap non-releasably attached to the outer surface and formed of substantially inextensible material having a shape that is predetermined and substantially flat, wherein the strap includes a bending portion near a first strap end and a fastening portion near a second strap end, and wherein the bending portion is adapted to allow twisting of the bending portion out of the substantially flat shape to facilitate positioning of the fastening portion into any of a plurality of positions in the substantially flat shape; and fastening means for releasably attaching the fastening portion of the securing strap to the outer surface whenever the sheath is curved into a position for surrounding a limb.

Tourniquet system for personalized restriction of blood flow

Disclosed is a system and method for regulating tourniquet cuff pressure to restrict blood flow penetration past the cuff based on a personalized restrictive pressure (PRP). The system includes mechanisms for estimating a limb occlusion pressure (LOP) by determining a minimum pressure at which arterial blood penetration past an applied tourniquet cuff is stopped and measuring a pulsation characteristic associated with the LOP. Thereafter, the system establishes a PRP by determining a second pressure that restricts but does not stop arterial blood penetration past the cuff and that corresponds to a second pulsation characteristic differing by a percentage from the pulsation characteristic associated with the LOP. During a limb-activity time period, the system maintains pressure in the applied tourniquet cuff near the PRP, thereby restricting but not stopping arterial blood penetration past the cuff during the activity time period.

Method and apparatus for shielding engagement of a tourniquet cuff

A tourniquet cuff apparatus is provided comprising an inner sheet joined to an outer sheet to form an inflatable cuff. The outer sheet consists of a material having a fastening surface. An elongated, securing strap (20, 22) attached near a first end of the cuff, is formed to curve around and conform to the shape of a limb to which the cuff is applied, the strap including a second fastener component that can releasably engage the outer fastening surface thereby to enable engagement of the second fastener component on the strap with the outer fastening surface. An engagement barrier (50) is applied to cover a region of the outer fastening surface between a distal side edge and a proximal side edge near a second end of the cuff and prevents engagement of the securing strap to a first fastener component within the region of the outer fastening surface covered by the engagement barrier, wherein the engagement barrier has a barrier shape matching the first fastener component within the region. The engagement barrier (50) further provides a visible indication of contact with a fluid such as blood or a cleaning liquid.

Personalized tourniquet system

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

Tourniquet cuff with improved pneumatic passageway

A tourniquet cuff has minimal flow restrictions within its pneumatic passageway under normal operating conditions, has a substantially reduced likelihood of partial or complete obstructions or interruptions of the pneumatic passageway under foreseeable operating conditions, can indicate exposure of the cuff to external agents that are capable of affecting the integrity of the pneumatic passageway before use, and can be manufactured economically.

Personalized tourniquet for intermittent vascular occlusion

An apparatus for intermittent vascular occlusion based on a personalized tourniquet pressure (PTP) includes a dual-purpose tourniquet cuff having an inflatable bladder, a sensor module having a pulsation sensor communicating pneumatically with the inflatable bladder for sensing and characterizing pressure pulsations indicative of a distal occlusion pressure (DOP) to identify a minimum pressure at which penetration of blood past the cuff is stopped, a PTP estimator responsive to the pulsation sensor for producing an estimate of a PTP, wherein the estimate of the PTP is a function of the DOP, an effector module communicating pneumatically with the inflatable bladder for maintaining pressure in the bladder near the PTP during a first time period and for maintaining pressure in the bladder near a second level of pressure during a second time period, and a controller selectively operating the inflatable bladder in conjunction with the sensor module and the effector module.

Tourniquet system for personalized restriction of blood flow

Personalized tourniquet for intermittent vascular occlusion

Tourniquet system for personalized restriction of blood flow

Disclosed is a system and method for regulating tourniquet cuff pressure to restrict blood flow penetration past the cuff based on a personalized restrictive pressure (PRP). The system includes mechanisms for estimating a limb occlusion pressure (LOP) by determining a minimum pressure at which arterial blood penetration past an applied tourniquet cuff is stopped and measuring a pulsation characteristic associated with the LOP. Thereafter, the system establishes a PRP by determining a second pressure that restricts but does not stop arterial blood penetration past the cuff and that corresponds to a second pulsation characteristic differing by a percentage from the pulsation characteristic associated with the LOP. During a limb-activity time period, the system maintains pressure in the applied tourniquet cuff near the PRP, thereby restricting but not stopping arterial blood penetration past the cuff during the activity time period.

Low cost tourniquet cuff with identification apparatus

A low cost tourniquet cuff with identification apparatus comprises: an outer strip; an inner strip positioned against the outer strip; a gas-tight seal joining the inner strip to the outer strip to form a cuff having a physical characteristic wherein the cuff includes an inflatable bladder of a predetermined length greater than the circumference of a limb at a selected location; and a cuff connector carried on the cuff and communicating pneumatically with the bladder for releasably connecting to a tourniquet instrument to establish a gas-tight passageway between the bladder and the instrument, wherein the cuff connector includes identification means indicative of the physical characteristic and detectable by the tourniquet instrument upon establishment of the gas-tight passageway. The bladder may be formed by first joining an outer strip having varying thickness to an inner strip along the sides of the outer strip and then further joining the outer and inner strips together with gas-tight seals spaced apart by the predetermined length.

Low cost tourniquet cuff with identification apparatus

Kostengünstige tourniquet manschette mit identifizierungsvorrichtung

Low cost tourniquet cuff with identification apparatus

Personalized tourniquet methods and apparatus

Disclosed are methods and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of surgical and medical procedures. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient to provide both a sensor during a first time period and an effector during a second time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the second time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the first time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of a patient encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

Personalized tourniquet apparatus

Disclosed is a method and apparatus for regulating tourniquet cuff pressure based on a personalized tourniquet pressure (PTP) to facilitate safe performance of a surgical procedure. The apparatus includes a dual-purpose tourniquet cuff adapted to encircle a region of a patient limb to provide both a sensor during a pre-surgical time period and an effector during a surgical time period. An effector module communicates pneumatically with an inflatable bladder of the cuff for maintaining pressure in the bladder near a PTP during the surgical time period to safely stop penetration of arterial blood past the cuff. A pulsation sensor that communicates pneumatically with the inflatable bladder during the pre-surgical time period senses and characterizes pressure pulsations that are indicative of penetration of arterial blood into the region of the limb encircled by the cuff. A PTP estimator is responsive to the pulsation sensor for producing an estimate of the PTP, such that the estimate of the PTP is a function of the sensed pulsations.

Low cost tourniquet cuff with integrated manufacture indicia

A tourniquet cuff includes a first sheet, a second sheet, and a seal joining the first sheet and second sheet to form an inflatable bladder. A securing strap is attached to the cuff. The cuff encircles the limb so that the bladder overlaps upon itself. A stiffener fits inside the bladder and sized to extend substantially the length of the bladder but not the entire bladder length, and to fit completely within the seal. A tubular port is connected to the bladder for directing gas into the bladder from a tourniquet instrument to which the port may be releasably connected, and a cuff marking weld is located on an outer surface of the cuff, having a shape selected to form a symbol or indicia that is visible to a user.