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Delfi PTS ii - General Information; Intended Use and Contraindications

Delfi PTS ii
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GENERAL INFORMATION
4 GENERAL INFORMATION
1
GENERAL INFORMATION
CAUTION: United States federal law restricts this device to sale by, or on the order of a physician.
NOTES: Use this tourniquet system according to the policies in your practice setting. The following information on
intended use, precautions, contraindications, and adverse effects are offered as a guide to assist in this process
INTENDED USE
The Delfi PTS ii Portable Tourniquet System is intended to be used by qualified medical professionals to exert enough
pressure on the arterial blood flow in a limb to produce a bloodless operating field. Tourniquets are generally used for
operations lasting less than 90 minutes. Tourniquets have been found useful in surgical procedures involving the
extremities, such as:
Reduction of certain fractures
Kirschner wire removal
Tumor and cyst excisions
Knee joint replacements
Arthroscopy of certain joints
Replacement of finger joints
Bone grafts
Amputations
Subcutaneous fasciotomy
Nerve injuries
Tendon repair
Total wrist joint replacement
CONTRAINDICATIONS
Refer to the medical literature for possible contra-indications to tourniquet use. A partial list is provided below;
however, in every case the final decision to use a tourniquet rests with the attending physician.
Open fractures of the leg
Post traumatic lengthy hand reconstruction
Severe crushing injuries
Elbow surgery (where there is concomitant excess swelling)
Severe hypertension
Skin grafts in which all bleeding points must be readily distinguished
Compromised vascular circulation, e.g., peripheral artery disease
Diabetes mellitus
Secondary or delayed procedures after immobilization
The presence of sickle cell disease is a relative contraindication (see Precautions in Use under Section 1 General
Information).
WARNINGS
Do not use tourniquet cuffs to control the distal flow of CO2 or any other gases used as a distention media. Tourniquet
cuffs have not been evaluated for safety or effectiveness in controlling gas flow beyond the surgical site during
arthroscopic insufflation procedures. Possible effects of using a tourniquet cuff in this manner include serious
subcutaneous emphysema proximal to the cuff.
The tourniquet instrument should only be connected to a tourniquet cuff known to be in operable condition.

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