Page 18 - Journal of Special Operations Medicine - Winter 2014

3. If the device has inadvertently closed, push the side
buttons inward with one hand, and pull the device
open with the other hand.
4. Locate the wound edges (Figure 1).
5. Align the device parallel to the length of wound edge.
Position the needles about 1 to 2 cm (0.5 to 1 in)
from the wound edge on either side (Figure 1).

Figure 3

IF BLEEDING CONTINUES:

a. If bleeding continues while the device is in the cor-
rect position, close the device more firmly by ap-
plying further pressure to the arms of the device.
Figure 1 b. If bleeding continues because the wound is too
large, apply a second device to the open section.
c. If bleeding continues because the device is not po-
6. Press the arms of the device together to close the de- sitioned correctly, remove the device according to
vice. Device seal will break with pressure, allowing instructions and reapply.
device to close (Figure 2).
Removal From Skin (Two-Handed Operation)
1. Holding the device by the arms, press the device
closed (Figure 4).

Figure 2
Figure 4

7. Ensure the entire wound is sealed and bleeding stops
(Figure 3). 2. While maintaining pressure on the arms, press the
release buttons with your other hand (Figure 5).
NOTE: More than one device may be needed; one de- 3. While pressing the release buttons, release the arms
vice is needed for every 2 in of wound length (approxi- and rotate the needles out of the wound (Figure 6).
mately the length of your thumb). 4. Dispose of the device in accordance with local guide-
lines for biohazard sharps.
8. A gauze or compression wrap can be placed around
the device on the wound to protect the device and in- NOTES: This device is intended for temporary use only.
crease the pressure on the wound to limit hematoma Patients must be seen promptly by medical personnel for
expansion, when the wound has a large cavity. device removal and surgical wound closure. If the device

8 Journal of Special Operations Medicine Volume 14, Edition 4/Winter 2014