Zimmer Compression Therapy User manual

A.T.S.®

Automatic

Tourniquet

System

Putting Pressure Where it Belongs

2

A.T.S.® Automatic Tourniquet System

A.T.S.® Automatic Tourniquet System

Patient Satisfaction – The Equipment Makes the Difference

Tourniquet systems are medical devices which apply circumferential pressure to a limb in
order to temporarily occlude venous and arterial circulation to that particular extremity. This al­lows the tourniquet system to block the blood flow to a limb, thereby creating a bloodless field.

The surgical use of tourniquets has come a long way since its first appearance in the Roman
times 199 BCE – 500 CE. Today, surgeons rely on electric powered pneumatic tourniquets,
which allow for control of pressure. Tourniquets play an important part in many procedures that
require a bloodless field, such as trauma, sports medicine, and plastic surgeries.

Zimmer Ltd. produces pneumatic tourniquets driven by electricity, which pro vides a control
of pressure. A.T.S. Tourniquet Systems use ambient air so there is no need for nitrogen tanks
or wall hookups. Micro processor controls provide accuracy and speed, allowing the system
to react quickly to manual input changes or self-monitored conditions that require automatic
adjustments.

A.T.S. Tourniquet Systems are high-end technology products, which respond to the
following users and patient needs:

• Bloodless surgical field

• Accurate monitoring of tourniquet time

• High convenience for user and patient

With a special focus on these issues, Zimmer has incorporated practical elements of today’s
technology to develop the A.T.S. Automatic Tourniquet Systems. By allowing you to control
the tourniquet without diverting concentration from other important intraoperative matters,
Zimmer Automatic Tourniquet Systems take the pressure off you and put it right where it
belongs. Tourniquets are used by orthopaedic surgeons in Knee, Upper Extremity
(Elbow, Hand, Wrist) and Lower Extremity (Ankle, Foot) Arthroplasties.

A.T.S.® Automatic Tourniquet System

All A.T.S. Tourniquet Systems Offer

• Built-in proprietary safety features as recommended by

the Association of periOperative Registered Nurses
(AORN)

1

:

SELF-CHECK CALIBRATION automatically checks the

accuracy of the machine calibration each time the unit
is powered on

CUFF ALERT alerts user of cuff status when attempt is

made to set the machine to stand-by

CUFF LOCKOUT feature prompts the user to confirm the

deflation command during bilateral or IVRA procedure
in order to reduce complications due to sudden cuff
deflation of the second cuff

3

• Uses ambient air

• Visual and audible alarms when an unsafe condition is

detected

• Electronic and microprocessor regulated pressure

• Battery back-up incorporated to help ensure continuous

power

• Mounting brackets and footpads allowing for mounting

on I.V. pole or placement on table-top

• Positive locking connectors help prevent unintentional

detachment of air hoses

4

Zimmer A.T.S.® 750 Tourniquet System

Easy to Learn, Easy to Use

The A.T.S. 750 Tourniquet is a full-featured and automatic tourniquet system that is sensitive
to the cost issues that all health care professionals face today.

• Uses ambient air

• Uses electronic and microprocessor regulated pressure

• Single port system: Uses single port, single bladder cuffs

• 30 minute battery back-up provides mobility by helping ensure continuous power

• Visual and audible alarms activated when an unsafe condition is detected

• Self-check calibration each time the A.T.S. 750 System is switched on

A.T.S.® Automatic Tourniquet System

A.T.S.® Automatic Tourniquet System

Zimmer A.T.S.® 1200 Tourniquet System

Safe, Convenient and Reliable

The A.T.S. 1200 Tourniquet addresses important concerns in tourniquet system design,
providing the features that healthcare facilities demand.

• Uses ambient air

• Uses electronic and microprocessor regulated pressure

• Single port, dual cuff system: Uses up to two single port, single bladder cuffs

• Allows for use of IVRA/Bier Block procedures

• 45 minute battery back-up provides mobility by helping ensure continuous power

• Visual and audible alarms activated when an unsafe condition is detected

• Self-check calibration each time the A.T.S.1200 System is switched on

5

6

Zimmer A.T.S.® 3000 Tourniquet System

A Calculated Response for Optimal Pressure

The A.T.S. 3000 System leads the tourniquet industry in offering Limb Occlusion Pressure (LOP)
technology that senses, calculates and reports the cuff pressure necessary to achieve complete
blood occlusion in the operative limb. Through this technology, the A.T.S. 3000 System provides a
lower pressure, without compromising the bloodless field.

• Innovative Limb Occlusion Pressure (LOP) feature

• Uses ambient air

• Uses electronic and microprocessor regulated pressure

• Dual port, Dual Cuff system: for simultaneous use of two dual port cuffs each with

offering independent pressure and time regulation

• Facilitates dual port, dual bladder cuff usage for IVRA/Bier Block procedures

• Uses dedicated ports for supplying and measuring pressure which allows for fast

and precise pressure regulations

• 4 hour battery back-up provides mobility by helping ensure continuous power

• Visual and audible alarms activated when an unsafe condition is detected

• Self-check calibration each time the A.T.S. 3000 System is switched on

A.T.S.® Automatic Tourniquet System

A.T.S.® Automatic Tourniquet System

The Zimmer A.T.S. Limb Occlusion Pressure (LOP) provides a means by which to automatically
calculate and report the minimum cuff pressure necessary to achieve complete blood occlusion
in the operative limb. This helps determine the optimal pressure for blood occlusion based on
each patient’s physiological characteristics at that specific point in time. This includes limb size
and circumference, blood pressure, cuff design and fit, and tissue and vascular status.

Along with tourniquet time, tourniquet pressure is of considerable concern due to the potential
complications which may arise as a result. Lower tourniquet pressures are associated with a
lower risk of nerve-related injuries and other complications

2

, as well as less perceived post-
operative pain3. However, though minimizing the tourniquet pressure may minimize many com-
plications, this minimum has a limit in that the tourniquet still must exert sufficient pressure in
order to provide a bloodless field. This balance point is known as the Limb Occlusion Pressure.

Noordin et.al. describe Limb Occlusion Pressure as “the minimum pressure required, at a spe-
cific time by a specific tourniquet cuff applied to a specific patient’s limb at a specific location,
to stop the flow of arterial blood into the limb distal to the cuff”.

2

In order to create a patient’s LOP measurement, an A.T.S. 3000 LOP sensor is applied to the
index finger or second toe of the patient‘s operative limb under non-sterile conditions prior to
surgical preparation. In approximately 30 seconds, the A.T.S. 3000 will provide a Recommended
Tourniquet Pressure (RTP) for the specific patient and conditions.4 The RTP is based on the
LOP reading but factors in a pressure margin in order to account for blood pressure fluctuations
during the surgical procedure.

Several studies have shown that the use of LOP can significantly reduce mean tourniquet pres-
sures without compromising the quality of the surgical field, especially when used with a wide
contoured cuff.

4,5,6

Zimmer A.T.S.® LOP Technology

7

8

Key Features

• Color Coding

For easy size identification

• Protection Sleeves

Specially designed to complement Zimmer cuffs
and to protect the patient from soft tissue damage

• 90 Degree Ports

Help keep hoses clear of the surgical site

• Positive Locking Connectors

Help prevent unintentional detachment from
regulator hoses

• High Quality Material

Latex-free and durable, manufactured to
withstand procedural demand

• Single and Dual Port Options

All cuff styles are available in both single and dual
port configurations, allowing for use with any A.T.S.
Tourniquet regulator. Single port cuffs for use with
the A.T.S. 750 and A.T.S. 1200 Tourniquet Systems.
Dual port cuffs for use with A.T.S. 3000 Tourniquet
System.

• Single and Dual Bladder Option

Offers clinicians convenient choices for cuff style
and sizing. Single bladder cuffs are available in all
sizes. Dual bladder cuffs are available in selected
sizes for use with intravenous regional anesthesia
(IVRA/Bier Block) procedures.

Zimmer A.T.S.® Cuffs

Versatility and Flexibility for Both Surgeon and Patient

No two people are the same. Each patient is different, which makes each procedure unique. For
this reason, Zimmer offers a wide range of cuffs to meet the needs of different patient physiolo-
gies. Zimmer Cuffs are designed and manufactured to ensure convenience and comfort in any
tourniquet application. With a wide variety of sizes, it is easy to meet even the most demanding
procedural needs.

Cylindrical Cuffs

Comfortable Wearing – Time and Time
Again

Zimmer non-sterile reusable cuffs are designed
and manufactured to ensure convenience and
comfort in any tourniquet application. With the
expanded line of small adult cuffs, the clinician
can feel secure that procedural demand will be
met without sacrificing patient comfort.

Cylindrical Cuffs

No Cleaning, no Cross Contamination

Zimmer sterile disposable cuffs are designed and
manufac tured to ensure performance while provi-
ding single-use convenience. The disposable cuff
family provides high quality material without the
hassle of cleaning or risk of cross con tamination.
A comprehensive offering provides multiple
options to help the clinician meet patient needs.

A.T.S.® Automatic Tourniquet System

Reusable

Disposable

A.T.S.® Automatic Tourniquet System

Contour Cuffs

Each Patient is Different – Each Procedure Unique

A.T.S. Contour Cuffs are designed to fit most adult patient for arm, thigh, lower leg and IVRA/Bier Block applications. Contour cuffs
use unique, patented pivoting straps with a contour design that adjust to a wide range of limb shapes and sizes.
The shape is optimized for conically shaped limbs.

Contour cuffs are wider than other cuffs. Wide contour cuffs occlude blood flow at lower pressure than narrow cuffs. Due to
the conical shape, contoured cuffs match the conical shape of the limb and reduce limb occlusion pressure. Also, due to the
higher contact area at the limb, contoured cuffs are less likely to shift towards the incision line.

Three contour cuff styles are available:

• Contour Thigh Cuff

• Contour Upper Limb Cuff

• Contour Lower Leg Cuff

9

Color Code

Cuff and Sleeves Measurements (centimeters) and Color Code

Color Code Cuff Size

inch

White 8 20 7–8.5in / 18–22cm

Black 12 30 7.5–11.0in / 19–28cm

Red 18 45 10.5–16.5in / 27–42cm

Green 24 61 16.5–23.0in / 42–58cm

Blue 30 76 21.0–28.0in / 53–71cm

Brown 34 86 22.5–32.0in / 57–81cm

Ruby colored 42 107 28.0–40.0in / 71–102cm

Cuff Size cmRecommended Limb

Occlusion Range

10

Zimmer A.T.S.® Sleeves

Helps Reduce Wrinkling, Pinching and Shearing of Soft Tissue

To help protect patients from skin injury caused by tourniquet use, effective limb protection
should be used. Zimmer offers specially designed disposable limb protection sleeve sizes
matched and color coded to Zimmer tourniquet cuffs.

These sleeves offer the following important advantages:

• Effectively reduce wrinkling, pinches, and shearing on the skin surface

• Sufficient sleeve length to fold back over the cuff for cuff protection and stability

• Reduces the chance of cuff migrating off the sleeve and contacting the skin directly

• Helps prevent bacterial contamination on tourniquet cuff

• Reduces the chance of folding or wrinkling of the limb protection material under the

cuff during cuff application as sleeve is under controlled tension even on the smallest limb
in the cuff range

• Available for all Zimmer tourniquet cuffs

• Color coded to match the accompanying cuff

The limb protection sleeves are made of elastic tubular bandage, a proven material well
established in limb compression applications. The tube diameter is specified for each sleeve
size as required to give the optimum range of stretch for the matching cuff range.

A.T.S.® Automatic Tourniquet System

A.T.S.® Automatic Tourniquet System

11

a) Mean Maximum Wrinkle Height

5.00

4.00

Effectiveness of Zimmer
Limb Protection Sleeves

Limb Protection Sleeves have been tested by Western Clinical
Engineering Ltd. (Western Clinical)

For safety, it is important to limit the sleeve compression, by
way of a carefully sized sleeve of known elasticity, to less
than 20mmHg (approximate venous pressure). Western Clini­cals tested in over 180 compressions on thighs and upper
arms, the concept of a thin, two-layer elastic fabric sleeve. It
was found that light compression prevents the cuff from
gathering up the skin into a wrinkle or pinch, even at the cuff
overlap. This light compression approach is different from the
idea of padding in an attempt to dampen out wrinkles, as
seen in thick stockinet sleeves where multiple layers or thick
layers of padding material are built into the cuff.

7

3.00

2.00

1.00

0.00

Bare Cast Pad 4 layer Zimmer

Mean Maximum Wrinkle Height (mm)

stockinet Disposable Cuff and
Protection Sleeve*

b) Mean Wrinkle Height Sum

150

100

50

Mean Wrinkle Height Sum (mm)

0

Bare Cast Pad 4 layer Zimmer
stockinet Disposable Cuff and
Protection Sleeve*

Comparison of maximum wrinkle or pinch height (a) and sum of all wrinkle
and pinch heights (b), n = 9 trials in each group on arms and thighs of 3 adult
subjects.

* No delectable wrinkles or pinches in any trial with Zimmer Disposable Cuff
and Protection Sleeve

a) Bare

b) Cast Pad

c) 4 layer stockinet

d) Zimmer Disposable Cuff

and Protection
Sleeve

Typical comparison (Zimmer 24|| disposable cuff and protective sleeve on a 20|| circumference thigh): (a) No limb protection, (b) 2 layers of cotton cast padding,
(c) 4 layer stockinet, and (d) Zimmer Disposable Cuff and Protective Sleeve. Green areas are within +/– 1mm of mean height, yellow to red indicates pinches
1mm to 2+mm above mean height, light to dark blue areas are 1mm to 2+mm below mean height.

12

A.T.S.® Automatic Tourniquet System

Ordering Information

Tourniquet Machines

REF. NO Description

60-0750-101-00 A.T.S. 750 with hose and English manual

60-0750-301-00 A.T.S. 750 with hose and multilingual manual

60-0750-102-00 A.T.S. 750 with hose and A.T.S. Cylindrical cuffs (60-7600-001/007-00)

60-0750-103-00 A.T.S. 750 with hose and A.T.S. Cylindrical cuffs (60-7600-001/007-00), stand and basket

60-1200-101-00 A.T.S. 1200 with hoses and English manual

60-1200-301-00 A.T.S. 1200 with hoses and multilingual manual

60-1200-102-00

60-1200-103-00 A.T.S. 1200 with hoses and A.T.S. Cylindrical cuffs (60-7600-001/007-00), stand and basket

60-3000-101-00 A.T.S. 3000 with hoses and English manual

60-3000-102-00 A.T.S. 3000 with hoses, English manual and cuffs (60-7500-001/007-00 )

60-3000-103-00 A.T.S. 3000 with hoses, English manual, cuffs (60-7500-001/007-00), stand and basket

60-3000-301-02 A.T.S. 3000 with hoses, French manual and reference cards, Central EU Power Cord

60-3000-301-03 A.T.S. 3000 with hoses, German manual and reference cards, Central EU Power Cord

60-3000-301-05 A.T.S. 3000 with hoses, Italian manual and reference cards, Italian Power Cord

60-3000-301-07 A.T.S. 3000 with hoses, Swedish manual and reference cards, Central EU Power Cord

60-3000-301-11 A.T.S. 3000 with hoses, Spanish manual and reference cards, Central EU Power Cord

60-3000-301-12 A.T.S. 3000 with hoses, Dutch manual and reference cards, Central EU Power Cord

60-3000-301-13 A.T.S. 3000 with hoses, Danish manual and reference cards, Danish Power Cord

60-3000-301-14 A.T.S. 3000 with hoses, Portuguese manual and reference cards, Central EU Power Cord

60-3000-301-15 A.T.S. 3000 with hoses, Greek manual and reference cards, Central EU Power Cord

60-3000-301-24 A.T.S. 3000 with hoses, Finnish manual and reference cards, Central EU Power Cord

60-3000-301-25 A.T.S. 3000 with hoses, Turkish manual and reference cards, Central EU Power Cord

60-3000-301-26 A.T.S. 3000 with hoses, English manual and reference cards, UK Power Cord

60-3000-301-27 A.T.S. 3000 with hoses, English manual and reference cards, Australian Power Cord

A.T.S. 1200 with hoses and A.T.S. Cylindrical cuffs (60-7600-001/007-00)

A.T.S. 750A.T.S. 1200

US

A.T.S. 3000

A.T.S. 3000 International

A.T.S. Tourniqeut Accessories

REF. NO Description Units/Box A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-2790-001-00 Cuff hose (red) with PLC and LLC connector 1 x x

60-2790-002-00 Cuff hose (blue) with PLC and LLC connector 1 x x

60-4017-001-00 Dual Cuff hose (blue/white) with PLC and LLC connector 1 x

60-4018-001-00 Dual Cuff hose (red/white) with PLC and LLC connector 1 x

60-4009-101-00 Sterile single hose extension with PLC connector 20 x x

60-1812-101-00

60-3000-105-00 LOP Sensor Kit 1 x

60-4022-001-00 Tourniquet Stand inclusive base and pole 1 x x x

60-1908-001-00 Accessroy basket 1 x x x

Sterile Dual hose extension with PLC connector

20 x

Power Cords

Central Europe /
Korea

A.T.S. 750 & 1200 60-4500-001-00 60-4500-002-00 60-4500-003-00 60-4500-004-00 60-4500-005-00 60-4500-006-00 60-4500-007-00 60-4500-008-00

A.T.S. 1200 & 3000 60-4600-001-00 60-4600-002-00 60-4600-003-00 60-4600-004-00 60-4600-005-00 60-4600-006-00 60-4600-007-00 60-4600-008-00

United Kingdom /
Hong Kong

Switzerland Denmark Italy Australia Japan India

A.T.S.® Automatic Tourniquet System

Ordering Information

Disposable Cuffs (Sterile)

Cylindrical – Single Port, Single Bladder (10 Units/Box)

REF. NO
PLC with Sleeves

60-7075-151-00 60-7075-101-00 20cm x 7cm (8in x 2.75in) x x

60-7075-152-00 60-7075-102-00 30cm x 9cm (12in x 3.5in) x x

60-7075-153-00 60-7075-103-00 46cm x 10cm (18in x 4in) x x

60-7075-154-00 60-7075-104-00 61cm x 10cm (24in x 4in) x x

60-7075-155-00 60-7075-105-00 76cm x 10cm (30in x 4in) x x

60-7075-156-00

60-7075-157-00 60-7075-107-00 107cm x 10cm (42in x 4in) x x

REF. NO
PLC without Sleeves

60-7075-106-00 86cm x 10cm (34in x 4in) x x

Size

A.T.S. 750 A.T.S. 1200 A.T.S. 3000

13

Cylindrical – Single Port, Dual Bladder (10 Units/Box)

REF. NO
PLC with Sleeves

60-7085-151-00 60-7085-101-00 30cm x 9cm (12in x 3.5in) x

60-7085-152-00 60-7085-102-00 46cm x 10cm (18in x 4in) x

60-7085-153-00 60-7085-103-00 61cm x 10cm (24in x 4in) x

REF. NO
PLC without Sleeves

Size

A.T.S. 750 A.T.S. 1200 A.T.S. 3000

Cylindrical – Dual Port, Single Bladder (10 Units/Box)

REF. NO
PLC with Sleeves

60-7070-151-00 60-7070-101-00 20cm x 7cm (8in x 2.75in) x

60-7070-152-00 60-7070-102-00 30cm x 9cm (12in x 3.5in) x

60-7070-153-00 60-7070-103-00 46cm x 10cm (18in x 4in) x

60-7070-154-00 60-7070-104-00 61cm x 10cm (24in x 4in) x

60-7070-155-00 60-7070-105-00 76cm x 10cm (30in x 4in) x

60-7070-156-00

60-7070-157-00 60-7070-107-00 107cm x 10cm (42in x 4in) x

REF. NO
PLC without Sleeves

60-7070-106-00

Size

86cm x 10cm (34in x 4in) x

A.T.S. 750 A.T.S. 1200 A.T.S. 3000

Cylindrical – Dual Port, Dual Bladder (10 Units/Box)

REF. NO
PLC with Sleeves

60-7080-151-00 60-7080-101-00 30cm x 9cm (12in x 3.5in) x

60-7080-152-00 60-7080-102-00 46cm x 10cm (18in x 4in) x

60-7080-153-00 60-7080-103-00 61cm x 10cm (24in x 4in) x

REF. NO
PLC without Sleeves

Size

A.T.S. 750 A.T.S. 1200 A.T.S. 3000

14

A.T.S.® Automatic Tourniquet System

Ordering Information

Reusable Cuffs (non-sterile, with Positive Locking Connectors (PLC) only)

Cylindrical – Single Port, Single Bladder (1 Unit/Box)

REF. NO Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7600-001-00 20cm x 7cm (8in x 2.75in) x x

60-7600-002-00 30cm x 9cm (12in x 3.5in) x x

60-7600-003-00 46cm x 10cm (18in x 4in) x x

60-7600-004-00 61cm x 10cm (24in x 4in) x x

60-7600-005-00 76cm x 10cm (30in x 4in) x x

60-7600-006-00 86cm x 10cm (34in x 4in) x x

60-7600-007-00 107cm x 10cm (42in x 4in) x x

Cylindrical – Single Port, Dual Bladder (1 Unit/Box)

REF. NO Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7666-001-00 30cm x 9cm (12in x 3.5in) x

60-7666-002-00 46cm x 10cm (18in x 4in) x

60-7666-003-00 61cm x 10cm (24in x 4in) x

Small Adult Cuffs – Cylindrical – Single Port, Single Bladder (1 Unit/Box)

REF. NO Description Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-8000-001-00 XSm Adult Cuff 38cm x 8cm (15in x 3in) x x

60-8000-002-00 Sm Adult Cuff 44cm x 9cm (17.5in x 3.5in) x x

Small Adult Cuffs – Cylindrical – Dual Port, Single Bladder (1 Unit/Box)

REF. NO Description Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-8100-001-00 XSm Adult Cuff 38cm x 8cm (15in x 3in) x

60-8100-002-00 Sm Adult Cuff 44cm x 9cm (17.5in x 3.5in) x

Cylindrical – Dual Port, Single Bladder (1 Unit/Box)

REF. NO Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7500-001-00 20cm x 7cm (8in x 2.75in) x

60-7500-002-00 30cm x 9cm (12in x 3.5in) x

60-7500-003-00 46cm x 10cm (18in x 4in) x

60-7500-004-00 61cm x 10cm (24in x 4in) x

60-7500-005-00 76cm x 10cm (30in x 4in) x

60-7500-006-00 86cm x 10cm (34in x 4in) x

60-7500-007-00 107cm x 10cm (42in x 4in) x

Cylindrical – Dual Port, Dual Bladder (1 Unit/Box)

REF. NO Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7555-001-00 30cm x 9cm (12in x 3.5in) x

60-7555-002-00 46cm x 10cm (18in x 4in) x

60-7555-003-00 61cm x 10cm (24in x 4in) x

Contour – Single Port, Single Bladder (1 Unit/Box)

REF. NO Description Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7350-002-00 Upper Limb Cuff Width 15cm (5.75in) Limb Size 23 to 53.5cm (9 to 21in) x x

60-7350-003-00 Thigh Cuff Width 15cm (5.75in) Limb Size 30 to 76cm (12 to 30in) x x

60-7350-004-00 Lower Leg Cuff Width 15cm (5.75in) Limb Size 23 to 43cm (9 to 17in) x x

60-7600-008-00 Large Cuff Width 12.5cm (4.75in) Limb Size 76 to 99cm (30 to 39in) x x

Contour – Dual Port, Single Bladder (1 Unit/Box)

REF. NO Description Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7450-002-00 Upper Limb Cuff Width 15cm (5.75in) Limb Size 23 to 53.5cm (9 to 21in) x

60-7450-003-00 Thigh Cuff Width 15cm (5.75in) Limb Size 30 to 76cm (12 to 30in) x

60-7450-004-00 Lower Leg Cuff Width 15cm (5.75in) Limb Size 23 to 43cm (9 to 17in) x

60-7500-008-00 Large Cuff Width 12.5cm (4.75in) Limb Size 76 to 99cm (30 to 39in) x

Contour – Single Port, Dual Bladder (1 Unit/Box)

REF. NO Description Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7350-011-00 Upper Limb IVRA Cuff Width 15cm (5.75in) Limb Size 23 to 53.5cm (9 to 21in) x

Contour – Dual Port, Dual Bladder (1 Unit/Box)

REF. NO Description Size A.T.S. 750 A.T.S. 1200 A.T.S. 3000

60-7450-011-00 Upper Limb IVRA Cuff Width 15cm (5.75in) Limb Size 23 to 53.5cm (9 to 21in) x

A.T.S.® Automatic Tourniquet System

Ordering Information

Sleeves and Bandages

Cuff Sleeves (10 Units/Box)

REF. NO Description Size Sterile Non-Sterile

60-8000-008-00 Sleeve for Cylindrical Cuff 20cm (8in) x

60-8000-012-00 Sleeve for Cylindrical Cuff 30cm (12in) x

60-8000-018-00 Sleeve for Cylindrical Cuff 46cm (18in) x

60-8000-024-00 Sleeve for Cylindrical Cuff 61cm (24in) x

60-8000-030-00 Sleeve for Cylindrical Cuff 76cm (30in) x

60-8000-034-00 Sleeve for Cylindrical Cuff 86cm (34in) x

60-8000-042-00 Sleeve for Cylindrical Cuff 107cm (42in) x

60-7920-001-00 Sleeve for Contour Upper Limb Cuff 23 to 53cm (9 to 21in) x

60-7920-002-00 Sleeve for Contour Thigh Cuff 30 to 76cm (12 to 30in) x

60-7920-003-00 Sleeve for Contour Lower Leg Cuff 23 to 43cm (9in to 17in) x

60-7910-001-00 Sleeve for extra small adult cuff 8cm (3in) x

60-7910-002-00 Sleeve for small adult cuff 9cm (3.5in) x

15

Esmark Bandages (20 Units/Box)

REF. NO Description Size Sterile Non-Sterile

60-2694-012-00 Esmark Bandages Latex Free Sterile 10cm x 3m (4in x 9ft) x

60-2694-013-00 Esmark Bandages Latex Free Sterile 14cm x 3m (5.5in x 9ft) x

60-2694-015-00 Esmark Bandages Latex Free Sterile 10cm x 4m (4in x 12ft) x

60-2694-016-00 Esmark Bandages Latex Free Sterile 14cm x 4m (5.5in x 12ft) x

60-2694-001-00 Esmark Bandages Sterile 8cm x 3m (3in x 9ft ) x

60-2694-002-00 Esmark Bandages Sterile 10cm x 3m (4in x 9ft) x

60-2694-003-00 Esmark Bandages Sterile 14cm x 3m (5.5in x 9ft) x

60-2694-005-00 Esmark Bandages Sterile 10cm x 4m (4in x 12ft) x

60-2694-006-00 Esmark Bandages Sterile 14cm x 4m (5.5in x 12ft) x

References

1

AORN Recommended Practices Committee (2010). Recommended Practices for the Use of the Pneumatic Tourniquet in the

Perioperative Practice Setting. AORN J., pp. 175–188.

2

Noordin, S., McEwen, J.A ., Kragh, J.F., Eisen, A. & Masri, B.A. (2009). Surgical Tourniquets in Orthopaedics.

J Bone Joint Surg Am., 91:2958–2967.

3

Worland, R.L., Arredondo, J., Angles, F., Lopez-Jimenez, F.& Jessup, D.E. (1997). Thigh Pain Following Tourniquet Application

in Simultaneous Bilateral Total Knee Replacement Arthroplast y. The Journal of Ar throplasty. Vol. 12, No. 8.

4

Younger, A.S., Manzar y, M., Wing, K.J.& Stothers, K. (2011, March). Automated Cuff Occlusion Pressure Effect on Quality of

Operative Fields in Foot and Ankle Surgery: A Randomized Prospective Study. Foot and Ankle International. Vol. 32, No. 3.

5

Younger, A.S., McEwen, J.A.& Inkpen, K. (2004). Wide Contoured Thigh Cuf fs and Automated Limb Occlusion Measurement

Allow Lower Tourniquet Pressures. Clinical Orthopaedics and Related Research. Number 428, pp.286–93.

6

Reilly, C.W., McEwen, J.A., Leveille, L., Perdios, A.& Mulpuri, K. (2009). Minimizing Tourniquet Pressure in Pediatric anterior

Cruciate Ligament Reconstructive Surger y: A Blinded, Prospective Randomized Controlled Trail. J Pediatr Orthop 29(3),
pp. 275–80.

7

New Limb Protection Sleeves (2002, 2004). For Zimmer A.T.S.® Automatic Tourniquet Systems (White Paper).

Western Clinical Engineering Ltd. (Western Clinical): Paper on file, Zimmer Orthopaedic Surgical Products, Inc.

8

McEwen, J.A. (2012, June). What is Tourniquet ”Limb Occlusion Pressure” (LOP)?. www.tourniquets.org.

Retrieved from http://www.tourniquets.org/lop.php

Disclaimer

This documentation is intended exclusively for physicians and is not intended for laypersons.
Information on the products and procedures contained in this document is of a general nature and does not represent
and does not constitute medical advice or recommendations. Because this information does not purport to constitute
any diagnostic or therapeutic statement with regard to any individual medical case, each patient must be examined and
advised individually, and this document does not replace the need for such examination and/or advice in whole or in part.

Please refer to the package inserts for important product information, including, but not limited to, contraindications,
warnings, precautions, and adverse effects.

Contact your Zimmer representative or visit us at www.zimmer.com

Lit.No. 06.01734.012 – Ed. 2012-08 ZHUB

Copyright 2012 by Zimmer GmbH Printed in Switzerland Subject to change without notice