Page 33 - Journal of Special Operations Medicine - Fall 2015

Table 1 Junctional Tourniquet Information Relevant to Training
Abdominal Aortic and Junctional Emergency SAM Junctional
®
Tourniquet Combat Ready Clamp Junctional Tourniquet* Treatment Tool Tourniquet
Nickname CRoC ™ AAJT JETT ™ SJT
North American Rescue
Maker Combat Medical Systems Compression Works SAM Medical Products
Products
City, State Harrisburg, NC Hoover, AL Greer, SC Wilsonville, OR
URL combatmedicalsystems.com compressionworks.com www.narescue.com www.sammedical.com
510(k) date(s) 8/11/10; 4/29/13 10/18/11; 12/6/2013 1/3/13 3/18/13, 7/24/13
FDA number(s) K102025; K130482 K112384, K133029 K123194 K123694; K131561
NSN 6515-01-589-9135 6515-01-616-4999 6515-01-616-5841 6515-01-618-7475
Estimated 654 515 220 292.50
cost**, USD
Weight, g 799 485 651 499
Volume, L 0.8 1.4 1.6 1.5
Battlefield, difficult Difficult inguinal or
Battlefield, difficult
Indication(s) inguinal, pelvis, or Difficult inguinal bleeds axilla bleeds, or pelvic
inguinal or axilla bleeds
axilla bleeds fracture immobilization
Notes: FDA, Food and Drug Administration; NSN, national stock number; USD, US dollars.
* Previous brand name: Abdominal Aortic Tourniquet.
** Estimated cost in US dollars for purchase by the US Government.

Figure 1 Junctional tourniquet models. (A) Combat Ready Clamp (CRoC ). (B) Abdominal Aortic and Junctional Tourniquet
™
™
(AAJT). (C) JETT . (D) SAM Junctional Tourniquet (SJT).
®
A B D

C

Abdominal and Aortic Junctional Tourniquet a waist belt and buckle. The AAJT initially came with
The Abdominal and Aortic Junctional Tourniquet a 60-minute limit in duration of use as a precaution of-
(AAJT) (Compression Works; compressionworks.com) fered by the sponsor because of the bulk of tissue that
is a vascular clamp that was the second FDA-cleared JT. was to become ischemic for aortic application, but this
The AAJT was originally called the Abdominal Aortic limit was subsequently increased to 4 hours for groin
Tourniquet and was cleared for difficult inguinal bleed- and axilla application. Other evidence supportive of
ing on the battlefield, as was the CRoC, a predicate AAJT use includes a manikin study, human volunteer
device for the AAJT at the time of application. A subse- studies, and case reports. 9,14,19–23 The instructions for use
quent clearance added pelvic bleeding and groin appli- do not mention the battlefield restriction of indication.
cations for inguinal bleeding (initial indication had been
limited to aortic application). As labeled, use indications Junctional Emergency Treatment Tool
for the AAJT are currently confined to the battlefield. The Junctional Emergency Treatment Tool (JETT )
™
The AAJT is a wedge-shaped pneumatic bladder with (North American Rescue Products; www.narescue.com)

Junctional Tourniquet Training Experience 21