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CompressAR Products

CompressAR® System Overview
The CompressAR® System was the first mechanical compression device ever to replace manual compression for post-catheterization femoral hemostasis. It continues to be the world leader in mechanical compression, having been successfully used for over 25 years on millions of patients worldwide in cardiac cath labs, radiology labs and intensive care nursing units.

Designed as hands-free mechanical compression systems used by clinicians to easily achieve post-catheterization femoral hemostasis, CompressAR Systems decrease blood contact and increase technician and nurse productivity. In addition, CompressAR Systems help avoid muscle strain and disabilities caused by repeated use of the muscles required for manual compression. Because of their consistent application of compression, CompressAR Systems also promote patient comfort and avoid complications during the hemostasis period, providing outcomes as good or better than manual compression.1

Simple and inexpensive to operate, CompressAR Systems are comprised of a non-disposable CompressAR Stand on which disposable CompressAR Discs are attached to provide vascular compression for purposes of achieving femoral hemostasis. A single, sterile CompressAR disc is used for each hemostasis.

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NEW: CompressAR StrongArmTM System
The new CompressAR StrongArm System builds on a tradition of excellence spanning over 25 years. The CompressAR StrongArm System provides the same cost-effective, convenient operation that clinicians have enjoyed with earlier versions of the CompressAR product line, and is used for the same wide array of hemostasis procedures.

Comprising the StrongArm and the 3-Finger JackTM sterile disc, the new CompressAR StrongArm System provides secure femoral compression and greater patient comfort during hemostasis, resulting in more stable Disc positioning and increased patient satisfaction.

Clinicians use the CompressAR StrongArm System the same way that they've used the CompressAR Universal, and will quickly start enjoying the the new system's benefits. Because clinicians avoid having to use manual compression, muscular fatigue and risk of injury caused by repetitive motion is greatly reduced and clinicians minimize their exposure to blood during the hemostasis period.

The StrongArm retrofits to CompressAR Universal Stands currently in use, enabling quick, easy conversion by current CompressAR users, with a simple Arm changeout. CompressAR StrongArm Stands are available in versions which have Arms of either standard and extended length, and which also fit the Hill-Rom TotalCare® Bed.

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Overview of Operation
The CompressAR System should be applied by a physician, nurse, or technician experienced with transfemoral catheterization. This overview provides a general description of the CompressAR System's usage. For detailed inservice information, refer to the Training section on this website.

Typically, the CompressAR StrongArm Stand is placed on the bed on which the patient is located, with the Base inserted between the mattress and the base of the bed. The Shaft rotates to permit easy movement of the arm, enabling proper placement of compression. The Top Lever locks the Shaft in place.

The CompressAR 3-Finger Jack Disc is attached to the movable Arm Slide on the Arm of the stand, which is then lowered onto the femoral artery immediately proximal and medial to the puncture site, with the sheath located in the V-notch of the disc. As the technician applies downward pressure on the Arm of the CompressAR StrongArm Stand, the sheath is pulled.

Pressure sufficient to prevent any blood oozing from the puncture site should be continuously applied and distal blood flow should be monitored. Patients must not be left unattended while a CompressAR System is being used to apply pressure to the femoral artery.

In the event that the patient has a large abdominal bulk, the CompressAR StrongArm Stand may be placed on the bed such that the Base and Arm are at an angle to the patient, with the distal end of the Arm "aimed" towards the opposite shoulder of the patient. This positioning reduces the possibility of the abdominal bulk disturbing the compression.

The Arm Lever is used to ease off pressure in small increments, so as not to create a sudden blood pressure surge, which could dislodge the clot at the puncture site. Arm Lever adjustments should be made periodically so as to gradually increase distal blood flow while preventing oozing from the puncture site. Patients without anti-coagulation medications typically achieve hemostasis on average within 15-20 minutes, although this varies from patient to patient. Patients receiving anti-coagulation medications may experience longer times to hemostasis depending upon the type and amounts of medications administered.

When pressure is completely removed and there is no oozing at the puncture site, the CompressAR StrongArm System may be removed from the patient. Bed rest, pressure dressings, and time to ambulation may be recommended as per existing protocols when manual compression is used.

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Training Tools

  • Video -- describes benefits and shows operation of the CompressAR
  • Poster -- illustrates parts and describes operation of the CompressAR
  • Credentialing Tool Document -- assists hospitals in developing an inhouse credentialing program for using the CompressAR

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Limited Warranty
Advanced Vascular Dynamics CompressAR Systems are warranted against defective material and workmanship for one year following delivery of the product to the original purchaser. If any System or part thereof, in the judgment of Advanced Vascular Dynamics (AVD), is proven to be defective in material or workmanship during the limited warranty period, such defects will be repaired or component or product replaced (at AVD's option) free of charge for parts or labor. Any replacement part may be new or refurbished and like-new parts.

This limited warranty shall not apply to any product which has not been used in accordance with the manual, been misused, abused, altered or repaired by anyone other than AVD or its authorized representatives. This limited warranty does not cover CompressAR Discs which have been reprocessed or re-used in any way. Use of anything other than new CompressAR Discs in previously unopened sterile packaging immediately and permanently voids all warranties on any CompressAR Stands on which such unauthorized parts are used. AVD shall not be liable to any person for any indirect or direct consequential damages resulting from or caused by any defect, failure, or malfunction of the System or any component thereof.

This limited warranty is in lieu of, and AVD specifically disclaims, all other warranties, express or implied, including any implied warranty of merchantability or fitness for a particular purpose, and AVD shall in no event be liable to any person for indirect, direct, incidental, special or consequential damages of any kind or character. No person is authorized to assume for AVD any other liability in connection with the sale of this System or its components. Some states or countries do not allow the exclusion or limitation of incidental or consequential damages or allow limitations on how long a limited warranty lasts, so the above limitations or exclusions may not apply to you. This limited warranty gives you specific legal rights, and you may also have other rights that vary from state to state or country to country.

To obtain factory service, CompressAR Systems should be shipped, prepaid, to AVD, at the address shown below. In-warranty products will be returned, postage pre-paid. Contact AVD for a return authorization number prior to shipping the product. AVD can be reached by telephone in the USA at
360-699-3000.

AVD
501 SE Columbia Shores Blvd. Ste.100
Vancouver, WA 98661 USA

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Regulatory Clearances
CompressAR products are cleared for use in the US by the FDA. CE-marked products are available for use in the European community.

1 References

  • Semler, H J. Transfemoral catheterization: mechanical versus manual control of bleeding. Radiology 1985; 154:234-235.
  • Pracyk J B. Randomized trial of vascular hemostasis techniques to reduce femoral vascular complications after coronary intervention. American Journal of Cardiology 1998; 81:970-976.
  • Simon, A. Manual versus mechanical compression for femoral artery hemostasis after cardiac catheterization. American Journal of Critical Care 1998; 7:308-313.

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