Stryker SmartPump Dual Channel
Quick Reference Guide
System Control Buttons
Alarm Indicator & Mute Button
Cuff Pressure (mmHg)
Cuff 1 Connector
AC & Battery Indicators
Time display: User Selectable
Minutes or Hours & Minutes
Cuff Control Buttons
Cuff 2 Connector
Serial Port Connector
time: 50 minutes
Time: 1 hour
Pressure: 250 mmHg
and target pressure
(Time displayed in
hours and minutes
The SmartPump dual channel surgical tourniquet inflation system is designed for use by
qualified medical personnel to temporarily impede blood flow in a patient’s extremity.
Its dual channel design supports, single cuff, bilateral, & Bier Block procedures and allows for simultaneous surgery of both an
upper and lower limb. Each cuff’s unique pressure and time settings are displayed, controlled and monitored independently, in
real-time. The system uses single port cuffs.
The unit’s internal nickel metal hydride (NiMH) backup battery is automatically charged whenever the system is plugged into
an AC power outlet. The fully charged internal battery provides up to 5 hours of AC-free operation as a safety backup. The battery
is recharged to approximately 80% level within 45 minutes.
When the system is “Off” and unplugged it automatically conserves its internal battery for up to 30 days by shifting to a
power conservation mode.
1. Turn On
The system’s primary power source is AC power. In addition its internal battery can provide power as a safety backup.
See page 5 for details on the unit’s internal backup battery.
Press On/Off Standby. The system performs a self-test and calibration. When completed, default Time and Pressure
settings are displayed.
2. Change the Time and Pressure
Set/Save 1. Press Set/Save on the side requiring change. The corresponding Time and Pressure values will blink.
2. Change the procedure Timer using the increase (+) and decrease (-) buttons. Each press adjusts the time in
5 min. increments (1 min. in the 1 to 15 min. range).
3. Change cuff target Pressure using the the increase (+) and decrease (-) buttons. Each press adjusts the pressure in
5 mmHg increments.
PRESSUE 4. Press Set/Save again to implement the new settings. The display stops blinking, and a double beep confirms that the
new values are enabled.
NOTE: Settings changed using this technique do not change the default settings. To change default settings, see page 4.
3. Inflate the Cuff
Press Inflate on the selected side.
The cuff remains inflated until Deflate is pressed.
4. Deflate the Cuff
Deflate Press and hold Deflate for 1.5 seconds to begin deflation. Tourniquet monitor will display total inflated “cuff time”.
The deflated cuff icon will appear.
NOTE: To instantly interrupt deflation, press Inflate. Re-inflation commences immediately. The timer is restarted,
accumulating additional total elapsed “cuff time”.
CAUTION: Disconnect cuff from fill-line after deflation, remove cuff(s) from limb(s).
5. Prepare for the Next Procedure
Press Default Display after deflation to clear the previous procedures data and return to the default settings.
When the Target Time is Reached
NOTE: The cuff will NOT automatically deflate.
The Alarm Mute button flashes red, the Time setting blinks once per second, and an audible alarm chimes
6 times over 6 seconds. The chime then pauses 6 seconds and repeats. This will continue indefinitely until:
(a) Alarm Mute is pressed
(b) additional time is added to the timer or
(c) the cuff is deflated
When Alarm Mute is pressed, the audible chime is silenced for 15 minutes. The Time value will continue to blink
once per second.
Deflating the cuff stops the Timer. Elapsed Time is cleared when the Default Display is pressed.
Changing the Default Settings
1. Press Set/Save on the side requiring change. The corresponding Time and Pressure values will blink.
2. Use the time increase (+) and decrease (-) buttons to change the procedure timer. Time is adjusted in 5 minute
increments (1 minute increments in the 1 to 15 minute range).
3. Use the pressure increase (+) and decrease (-) buttons to change the pressure. Pressure is adjusted in
5 mmHg increments.
DEFAULT 4. When the desired values are displayed, press Default Display to store the new values as the new default settings.
DISPLAY The display stops blinking, and a double beep confirms the new values have been stored.
Time Display Format
Change the Time Display format by pressing both
Time (+) buttons simultaneously while the unit is in “Ready” mode,
with both cuffs deflated (not active). It is not possible to change the time format if a procedure is started. If it is currently
displaying H:MM (hours & minutes) it will automatically shift to Minutes and vice versa. A Time Display format change
remains in effect permanently until changed again.
Changing Display Preferences, Printing & Time/Date Setup
Consult the Dual Channel Instructions for Use or the Tourniquet Report Printer Instructions for Use for detailed descriptions and instructions.
The SmartPump’s internal battery automatically provides back-up power if AC battery power is interrupted. The internal battery when
fully charged supports up to five hours of operation.
If, at initial start-up, the SmartPump is not plugged into AC power, the following occurs:
• “No AC” is displayed on the lower left of the LCD
• The Alarm Indicator Mute button flashes red.
Pressing the Alarm Indicator Mute button within 30 seconds of initial start-up will apply power to the SmartPump using its internal
battery. In this mode, the Alarm Indicator Mute button will return to green, the “No AC” indicator will remain illuminated and the
battery symbol will indicate the amount of battery charge.
NOTE: If, at initial start-up, there is no AC present and Alarm Indicator Mute button is not pressed within 30 seconds, the
SmartPump will automatically return to its ‘OFF (standby)’ mode automatically. This feature prevents the SmartPump from
unintentionally being used in a (back up) battery mode and prevents accidental battery discharge during transport and storage.
If AC power is interrupted during normal use, the SmartPump will use its internal battery automatically. Press the Alarm Indicator Mute
button to acknowledge the change in power source. The Alarm Indicator Mute button returns to green.
When AC power is restored, the SmartPump will return to its normal AC operation automatically.
When the SmartPump is unplugged and turned ‘OFF (standby),’ it converses its internal battery automatically using a power
conservation mode. If fully charged, the internal battery is kept charged for up to 750 hours.
Low Battery Power Alarms
In “Low Battery” alarm conditions, connect the system to AC power as soon as possible. Should AC power be
unavailable and the battery becomes fully discharged, the system will close all valves to maintain cuff pressure. Manual cuff
deflation is required.
• 30 minutes of battery runtime remaining will trigger an audible alarm; the Alarm Mute button flashes red and the
battery “fuel gauge” blinks. The alarm may be muted for 15 minutes.
• 15 minutes of battery runtime remaining triggers the alarm sequence (above). Alarm Mute is 1 minute, indicating
the battery is “minutes” from full discharge.
Bier Block Procedure
Follow your institution’s standard for Bier Block procedures.
The Dual Channel will support a Bier Block cuff with its Cuff 1 and Cuff 2 tourniquet controls.
• Use of the IVRA Lock prevents accidental deflation of a cuff (tourniquet).
• To engage the IVRA Lock, press IVRA Lock after the cuff is inflated. The IVRA padlock icon
will move to the locked position.
1. Begin the procedure by sequencing the inflation and deflation of the Bier Block cuff bladders according to your institution’s
standard practice. Press the IVRA Lock once the cuffs have been inflated.
2. When the procedure is complete, unlock the IVRA Lock to deflate the remaining cuff bladder, or
3. Reduce the cuff bladder pressure in stages. Follow standard Set/Save pressure adjustment steps (page 3).
4. When the incremental deflation sequence is complete, unlock the IVRA Lock and fully deflate the cuff bladder.
NOTE: Press Inflate to instantly interrupt a cuff deflation or to return a cuff to its original higher pressure setting.
CAUTION: During a Bier Block or dual cuff procedure, confirm status of the primary cuff (bladder) before initiating a deflation.
Alarms & Service Codes
Responding to Alarms
When an Alarm event occurs, the following happens:
• The Alarm Mute button flashes red.
• An audible alarm sounds.
• The associated graphic or numeric will flash.
• When the target procedure time has been reached, the Time display blinks.
Press Alarm Mute to silence the alarm. The audible Time alarm will remain muted for 15 minutes.
Pressure alarms may be muted for 30 seconds or 1 minute depending on their severity.
Once the alarm is muted, the audible Alarm indicator is illuminated with a slash.
Correcting the condition causing the alarm will automatically clear and reset the alarm system.
Common alarms are typically corrected by:
(a) eliminating a leaking pneumatic connection or replacing a leaking cuff
(b) adding time to the procedure Timer or
(c) connecting to AC power
Service codes are summarized in the Service Code section of the Instructions for Use. When the system detects
a condition that requires service, a service code with a wrench is displayed and the unit will alarm. Note the
code and call the Stryker Customer Service Department for support and troubleshooting assistance: 800-253-3210.
Using the System’s Backup Capability
Should one side (Cuff 1 or Cuff 2) become inoperable, the user may switch sides and continue operation.
The following steps summarize the techniques used to “switch” a cuff from one side of the tourniquet to the other as “backup”
when an active cuff is at risk and no alternative system is available. This procedure should be used only when absolutely
necessary. Adapt these guidelines as necessary to reflect your institution’s protocols.
Always confirm all pneumatic connections and cuffs are leak-free prior to any action.
• During initial inflation (after confirming all connections are secure), if the tourniquet cannot reach or maintain target
cuff pressure, discontinue use.
• After inflation, if cuff pressure is at risk and/or tourniquet alarms cannot be resolved:
1. Clamp off the inflated cuff’s fill-line and remove it from the unit’s cuff connector. Note: This action will cause the unit to alarm.
2. Press Deflate on the failed side to clear its alarm state.
3. Move the clamped fill-line to the other side and insert it into cuff connector.
4. Press Inflate and release clamp as the system takes control. This action may cause a momentary pressure alarm.
5. Adjust Pressure and Cuff Timer as necessary.
Bier Block Cuff
• During initial inflation, if the primary cuff cannot reach or maintain target cuff pressure (prior to anesthetic injection) discontinue use.
• If prior to deflation of the primary cuff (bladder) the second cuff (bladder) cannot reach or maintain target pressure, do
1. Clamp off primary cuff (to retain pressure) and disconnect its fill-line. Note: This action will cause the unit to alarm.
2. Clamp off the second cuff’s fill-line and connect to the primary cuff’s connector.
3. The system will inflate the second cuff to target pressure.
4. After confirming the second cuff (bladder) is at target pressure, the clamped primary cuff may be released.
5. Adjust Pressure and Cuff Timer as necessary.
WARNING: In the unlikely event of a complete unit failure, such as simultaneous loss of AC and battery power, the unit is designed to
close and lock its internal valves in order to protect an inflated cuff from unintended deflation. Deflate by manually disconnecting cuff.
A tourniquet is indicated when it is necessary to reduce blood flow and/or when greater visualization of the operating field is
imperative or desired. It is designed to temporarily occlude or decrease blood flow in a patient’s extremities during surgical
procedures of those extremities and is not a substitute for proper homeostasis. Typical procedures include:
• Total wrist joint repair
• Finger joint replacement
• Bone grafts
• Tendon repair
• Knee joint replacement
• Nerve repair
• Other surgeries of the extremities identified by your institution
requiring temporary occlusion of blood flow
A tourniquet is not suitable for ligatures or cauterization to stop hemorrhages and should never be applied without consideration
of the local anatomy. The Stryker SmartPump dual channel and associated tourniquet is contraindicated for use on the human torso.
Tourniquets are contraindicated for use on patients exhibiting unusual or complicated neurological or vascular problems of the
extremities such as arteriovascular impairment phlebitis, infection, uncontrolled diabetes, and/or other associated problems.
Current medical literature lists the following as possible contraindications:
• Compromised vascular circulation
• Post traumatic lengthy reconstruction
• Elbow surgery (associated with excessive swelling)
• Skin grafts in which bleeding must be readily distinguished.
• Severe scar tissue in cuff zone
• Open leg fractures
• Severe crushing injuries
• Severe hypertension
• Presence of sickle cell disease or clotting disorder
All final decisions regarding use of a tourniquet are the responsibility of the attending physician.
Possible Adverse Effects
Excessive pressure or prolonged application potentially cause:
• Blood vessel trauma
• Reperfusion problems and arterial occlusion
• Mild, aching pain may develop in the limb
• Stiffness, weakness, reactive hyperemia, and skin discoloration
• Death, specific to the Bier Block procedure
• Vascular complications
• Neuromuscular or neurological injuries
• Tourniquet pain
• Venous emboli or thromboembolism
Color Cuff Sterile Disposable Tourniquet Cuffs
Color Cuff sterile disposable tourniquets eliminate the risk of cuff-bone cross contamination. Color Cuff combines its low
profile, roll resistance and contour compliance to deliver uniform tourniquet pressure. Single & dual port configurations as
well as Quick Connect and Luer Lock connectors are available.
Color Cuff Cylindrical Tourniquets – Latex Free with 40” tubing
QUICK CONNECT LUER LOCK
QUICK CONNECT LUER LOCK
9” x 1.75”
9” x 2.75”
12” x 2”
12” x 3.5”
15” x 2.5”
18” x 3”
18” x 4”
24” x 4”
30” x 4”
34” x 4”
44” x 4”
QUICK CONNECT LUER LOCK
QUICK CONNECT LUER LOCK
18” x 5.5”
24” x 5.5”
Color Cuff Sterile Disposable Tourniquets are packaged 10/case.
The information presented in
this brochure is intended to
demonstrate the breadth of Stryker
product offerings. Always refer to
the package insert, product label
and/or user instructions before using any Stryker product. Products
may not be available in all markets.
Product availability is subject to
the regulatory or medical practices
that govern individual markets.
Contact your Stryker representative for more
information or a hands-on demonstration.
www.stryker.com | 800.253.3210
4100 East Milham Avenue
Kalamazoo, MI 49001 USA
t: 269-323-7700 f: 800-999-3811
toll free: 800-253-3210
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