Description The Hemorrhage Occluder Pin is designed to control severe presacral hemorrhage during pelvic surgery

Description

The Hemorrhage Occluder Pin is designed to control severe presacral hemorrhage during pelvic surgery.

Serrated Titanium Pin for Secure Placement

The Hemorrhage Occluder Pin is made of titanium, the biocompatible metal commonly used for internal implants.4 The shaft of the Hemorrhage Occluder Pin is serrated for more secure placement in the sacrum. Research has shown that significantly more force is required to extract a serrated pin than a smooth one.¹⁰

Malleable Applicator for Efficient Placement

The Hemorrhage Occluder Pin comes preloaded in an easy-to-use applicator. The long shaft of the applicator is malleable and provides the surgeon with optimum visibility for precise pin placement at the bleeding site.

Indications

The Hemorrhage Occluder Pin is indicated for the control of localized severe hemorrhage from the presacral area during surgery. The pin should be used when other techniques (cautery, suture, clamping, etc.) are judged ineffective.

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Contraindications

Bleeding deemed controllable by direct suture or electrocautery.
Severe instability of the patient as measured by severe hemorrhage or hypertension.
Bleeding further than 2 cm from the midline. Bleeding that appears to originate from
a sacral neural formina or a vital structure such as a ureter, rectum, or vagina.
Diffuse hemorrhage related to a systemic coagulation disorder not controllable by
fingertip pressure against the anterior surface of the sacrum.

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Instructions for Use*

Apply direct fingertip pressure to the bleeding site to stop the bleeding.
When the bleeding is controlled, prepare the preloaded sterile applicator for use by
bending the malleable shaft to the desired configuration.
Clear the surgical field of blood and clot, and retract adjacent organs for optimal
visibility of the presacral area.
Rapidly withdraw the hemostatic finger and place the Hemorrhage Occluder Pin
directly over the bleeding area. Apply fingertip pressure to the head of the pin,
pushing it into the bone. Apply direct and steady pressure until the pin is fuly seated
with the head of the pin flush with the bony cortex.
Consider placement of a second pin if the bleeding continues and appears to be
emanating from a second site. Avoid overlapping pin heads.

* A variety of surgical techniques may be used when implanting the Hemorrhage Occluder Pin. Therefore, the surgeon is advised to use the method, which his own practice and discretion dictate to be best for the patient.

How Supplied

Each pin is preloaded in its own applicator, individually packaged and STERILE. Two pins are supplied per box.

Complications

Complications may result from the use of this product. They depend upon the patient's degree of tolerance to any foreign object implanted in the body.

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Bibliography

Abrahms, H.L.: "The Vertebral and Azygos Venous Systems and Some Variations in Systemic Venous Return," Radiology, 1957:69:508-526.
Baston, O.V.: "The Role of the Vertebral Vein in Metastatic Process." Ann. Intern. Med., 1942: 16:38-45.
Bearhs, O.H., Beart, R.W.: "Miles Abdominoperineal Resection," Abdominal Operation, ed 7, DS New York, Appleton-Century-Croft, 1979, vol 2, pp 2242-2254.
Dougherty, S.H., Simmon R.L.: "Infections in Bionic Man: The Pathobiology of Infections in Prosthetic Devices," Curr. Probl. Surg., 1982: 221-264
Krause, U., Pahlman L, Phoren L.: "Abdominoperineal Excision" World Surg., 1982:6:549-553.
Nivatvongs, S., Fang D.T.: "The Use of Thumbtacks to Stop Presacral Hemorrhage," Dis. Col. & Rect., 1986: September, pp 589-90.
Norgore, M.: "Clinical Anatomy of the Vertebral Veins," Surgery, 1945:17:606-611.
Qinyao, W., Weijin, S., Youren, Z., Zhengrui, H., "New Concepts in Severe Presacral Hemorrhage During Protectomy," Arch Surg., 1982:19:1013-1020.
"Remarks about Severe Presacral Hemorrhage," Editorial: Pract. Surg., 1981:1:293.
Stolfi, V.M., Milsom, J., Church, J.: "Newly Designed Occluder Pin for Presacral Hemorrhage." Dis. Col. & Rect., 1992, Feb. pp 166-169.
Welch, C.E., Ottinger, L.W., Welch, J.P.: "Cancer of the Rectum and Anus," Manual of Low Gastrointestinal Surgery, New York, Springer-Verlag Inc., 1960, pp 81-89

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