Hemorrhage Occluder Pin

Serrated Titanium Pin for Secure Placement

The Hemorrhage Occluder Pin is made of titanium, a biocompatible metal commonly used for internal implants5 The shaft of the Hemorrhage Occluder Pin is serrated for more secure placement in the sacrum. Research has shown that significantly more force is required to extract a serrated pin than a smooth one.11

Malleable Applicator for Efficient Placement

The Hemorrhage Occluder Pin comes preloaded in an easy-to-use applicator. The long, 12 inch shaft of the applicator is malleable and provides the surgeon with optimum visibility for precise pin placement at the bleeding site.

Available in Two Sizes

CR1007 – Hemorrhage Occluder Pin with Applicator, Standard – 10mm
CR1014 – Hemorrhage Occluder Pin with Applicator, Large – 14mm

How Supplied

  • Each Pin is preloaded in its own applicator, individually packaged and STERILE.
  • Two Pins are supplied per box.
  • Single use only.

Catalog Numbers & Descriptions

Catalog #DescriptionPackage
CR1007Hemorrhage Occluder Pin with Applicator, Standard -10mm2/box, Sterile
CR1014Hemorrhage Occluder Pin with Applicator, Large -14mm2/box, Sterile
CR2000Salgado Driver – Standard – 23cm length1/box, Non-sterile
CR2005Salgado Driver – Large – 35cm length1/box, Non-sterile

Instructions for Use

Description

The Hemorrhage Occluder Pin is designed to control severe presacral hemorrhage during pelvic surgery.

Indications

The Hemorrhage Occluder Pin is indicated for the control of localized severe hemorrhage from the presacral area during surgery. The pin should be used when other techniques (cautery, suture, clamping, etc.) are judged ineffective.

Contraindications

  1. Bleeding deemed controllable by direct suture or electrocautery.
  2. Severe instability of the patient as measured by severe hemorrhage or hypertension.
  3. Bleeding further than 2 cm from the midline. Bleeding that appears to originate from a sacral neural formina or a vital structure such as a ureter, rectum, or vagina.
  4. Diffuse hemorrhage related to a systemic coagulation disorder not controllable by fingertip pressure against the anterior surface of the sacrum.

Instructions for Use

  • When the bleeding is controlled, prepare the preloaded sterile applicator for use by bending the malleable shaft as desired.
  • Clear the surgical field of blood and clot, and retract adjacent organs for optimal visibility of the presacral area.
  • Rapidly withdraw the hemostatic finger and place the Hemorrhage Occluder Pin directly over the bleeding area. Apply fingertip pressure to the head of the Pin, pushing it into the bone. Apply direct and steady pressure until the Pin is fully seated with the head of the Pin flush with the bony cortex. (Surgin offers the Salgado Driver to assist in fully seating the head of the Pin flush with the bony cortex- see Salgado Driver on this webpage)
  • Consider placement of a second Pin if the bleeding continues and appears to be emanating from a second site. Avoid overlapping Pin heads.

Usage Video

Complications

Complications may result from the use of this product. They depend upon the patient’s degree of intolerance to any foreign object implanted in the body.

Caution

Reuse or re-sterilization of this device may result in operational failure, injury, and/or risk of infection to the patient.

* A variety of surgical techniques may be used when implanting the Hemorrhage Occluder Pin. Therefore, the surgeon is advised to use the method which his own practice and discretion dictate to be best for the patient.

CR1007 and CR1014 – Download instructions for use – PDF

Bibliography

  1. Wang Q., Shi W., Zhou W., He Z., “New Concepts in Severe Presacral Hemorrhage During Proctectomy,” Arch Surg., 1985:1120:1013-1020.
  2. Abrahms, H.L.: “The Vertebral and Azygos Venous Systems and Some Variations in Systemic Venous Return,” Radiology, 1957:69:508-526.
  3. Baston, O.V.: “The Role of the Vertebral Vein in Metastatic Process.” Ann. Intern. Med., 1942: 16:38-45.
  4. Bearhs, O.H., Beart, R.W.: “Miles Abdominoperineal Resection,” Abdominal Operation, ed 7, DS New York, Appleton-Century-Croft, 1979, vol 2, pp 2242-2254.
  5. Dougherty, S.H., Simmon R.L.: “Infections in Bionic Man: The Pathobiology of Infections in Prosthetic Devices,” Curr. Probl. Surg., 1982: 221-264
  6. Krause, U., Pahlman L, Phoren L.: “Abdominoperineal Excision” World Surg., 1982:6:549-553.
  7. Nivatvongs, S., Fang D.T.: “The Use of Thumbtacks to Stop Presacral Hemorrhage,” Dis. Col. & Rect., 1986: September, pp 589-90.
  8. Norgore, M.: “Clinical Anatomy of the Vertebral Veins,” Surgery, 1945:17:606-611.
  9. Qinyao, W., Weijin, S., Youren, Z., Zhengrui, H., “New Concepts in Severe Presacral Hemorrhage During Protectomy,” Arch Surg., 1982:19:1013-1020.
  10. “Remarks about Severe Presacral Hemorrhage,” Editorial: Pract. Surg., 1981:1:293.
  11. Stolfi, V.M., Milsom, J., Church, J.: “Newly Designed Occluder Pin for Presacral Hemorrhage.” Dis. Col. & Rect., 1992, Feb. pp 166-169.
  12. Welch, C.E., Ottinger, L.W., Welch, J.P.: “Cancer of the Rectum and Anus,” Manual of Low Gastrointestinal Surgery, New York, Springer-Verlag Inc., 1960, pp 81-89