Reduced Risk. Proven Combination.

COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life
are U.S. and/or internationally registered trademarks of Covidien AG.
Other brands are trademarks of a Covidien company. © 2010 Covidien.
Venous Thromboembolism T.E.D.™ Anti-Embolism Stockings,
Kendall SCD Express™ Compression System and
A-V Impulse System™ Foot Compression

Covidien (UK) 154 Fareham Road +44 (0)1329 224 000 [t] www.covidien.com
Commercial Ltd. Gosport +44 (0)1329 224 334 [f]
Hampshire
PO13 0AS
United Kingdom
Venous Thromboembolism Our Commitment to You

Covidien offers a range of products that have been clinically proven to reduce VTE.
The magnitude of the problem Sweden
Our commitment extends beyond this
Covidien is commited to continually support you in providing the products, tools and
support to ensure and maintain the best practice possible.
Prevalence
It has been shown that venous thromboembolism (VTE), which includes deep vein United Kingdom
Training
thrombosis (DVT) and pulmonary embolism (PE) kills more Europeans than breast
cancer, prostate cancer, HIV/AIDS and road Germany
Our well-trained team is on-hand
traffic accidents combined.1 to provide continual education and
France training where required.
Adequate prophylaxis?
A recent study, encompassing 32 countries, has shown that a large proportion
of hospitalised patients are at risk of VTE, however, a low rate of appropriate
Spain Italy
prophylaxis is used. Of the surgical patients, 64.4% were identified at risk and only
58.5% received the correct prophylaxis. Of medical patients, 41.5% were at risk and
only 39.5% received the correct prophylaxis.3

The Silent Killer

It has been reported that 10% of all deaths recorded in hospital are due to PE, yet this In these countries, the
still remains the most undiagnosed condition4 – WHY? incidence of VTE-related deaths
is estimated at 2,982,816 pa
Financial Impact (12% pa).1
It is difficult to accurately estimate the financial impact of complications arising from NICE 2007 estimated in England
VTE to our healthcare systems. In 2004-5, the UK estimated that the cost of VTE to the alone there were 25,000 people
National Health Service was €950 million.1 who die each year.2 Service
Our after-sales service maximises the life
of our products and improves outcomes.
Who is at Risk?
Almost all hospitalised patients are at risk of VTE. Without prophylaxis, the incidence of DVT
could be between 10-40% of all medical and general surgical patients and higher amongst
orthopaedic patients, ca 40-60%.1,5
It is therefore critical to identify and stratify as soon as possible patients who may be at risk.
Age 57: Operation TURP
Anticoagulants contraindicted Why is Risk Assessment Important?
Risk Status: Moderate
Appropriate
What constitutes a patient at risk? It is not enough to identify patients at risk, it is also
important to ensure that they receive appropriate prophylaxis for their condition.3
Targeted
It is recommended by many organisations that all patients are assessed for their level of risk,
receiving prophylaxis accordingly.2
Age 68: Laparoscopic
hysterectomy Personalised
Risk Status: High
There are many factors which constitute a risk and it is these factors, whether acute or Support Tools
persistent, which will determine the type and duration of prophylaxis.6 Our wide range of literature and practical
Effective tools ensure that your needs and those of
your patients are continually met.
Independently, pharmaceuticals and mechanical compression have been shown to reduce
the incidence of VTE. Much improved rates are demonstrated when combining modalities of
prophylaxis.2,5,6
Age 47: Traumatic Fracture
of Femoral Neck
Risk Status: Moderate/High

BRITISH JOURNAL OF SURGERY. June 1991. Vol 78, No. (6): 724-726. 14) Nicolaides,A. N., et al. Intermittent Sequential Pneumatic Compression of the Legs In the Prevention of Venous Stasis and Post-Operative Deep Venous Thrombosis, SURGERY 1980: 87:69-76. 15) Ramos
R et al. The efficacy of pneumatic compression stockings in the prevention of pulmonary embolism after cardiac surgery Chest 1996;109;82-85. 16) Jacobs DJ et al. Hemodynamic and fibrinolytic consequences of intermittent pneumatic compression:Preliminary results.Jnl of
Trauma May 1996; Vol.40 No 5:710-17. 17) Lacut K et al. Prevention of venous thrombosis in patients with acute intracerebral hemorrhage. NEUROLOGY 2005;65:865–869. 18) Scurr, JH et al. Regimen for Improved Effectiveness of Intermittent Pneumatic Compression in Deep
Venous Thrombosis Prophylaxis. SURGERY. 1987.Vol. 102, No. 5. 816-820. 19) Kakkos SK et al. Combined intermittent pneumatic leg compression and pharmacological prophylaxis for prevention of venous thromboembolism in high-risk patients (Review) Cochrane Database of
Systematic Reviews, Issue 4, 2008. 20) Gardner AMN, Fox RH. The return of blood to the heart. John Libbey and Co., London, Second Edition 1993. 21) Laverick MD, McGivern RC, Crone MD, Mollan RAB. A comparison of the effects of electrical calf muscle stimulation and the
venous foot pump on venous blood flow in the lower leg. Phlebology 1990; 5:285-290. 22) Gardner AMN. The venous foot pump: Influence on tissue perfusion and the prevention of venous thrombosis. Ann Rheumatic Dis, 1992;10:1173-1178.
 Kendall SCD Express™ Compression System
Ordering Information Who is at Risk? A-V Impulse System™ Foot Compression
T.E.D.™ Anti-Embolism Stockings

T.E.D.™ Anti-Embolism Stockings Kendall SCD™ Express Compression System A-V Impulse System™ Foot Compression Virchow’s Triad
Thigh Thigh Sleeves Virchow identified in the mid 19th century that there were
Item Size Quantity/ Item Size Quantity/ Item Size Quantity/
Code Case Code Case Code Case 3 main risk factors involved in the formation of a DVT:
3071LF Small, Short 6 pairs 73011 Small 5 pairs A-V Impulse System
AV6000
3130LF Small, Regular 6 pairs 73012 Medium 5 pairs Controller Model 6000
1
- Stasis resulting from reduced mobility

Proven Combination. Reduced Risk.

3222LF Small, Long 6 pairs 73013 Large 3 pairs
AV730-5
A-V ImPad Small pair
5 pairs - Blood coagulation changes - inherited or acquired
3310LF Medium, Short 6 pairs - Right and Left Foot
3416LF Medium, Regular 6 pairs A-V ImPad Medium pair - Vessel damage caused by mechanical injury or vein dilation
AV740-5 5 pairs
3549LF Medium, Long 6 pairs Knee Sleeves - Right and Left Foot
3634LF Large, Short 6 pairs Item A-V ImPad Large pair
Size Quantity/ AV750-5 5 pairs
3728LF Large, Regular 6 pairs Code Case - Right and Left Foot
3856LF Large, Long 6 pairs 73022 Medium 5 pairs 6066 A-V ImPad Sterilizable Right 4 Singles Stasis
4010LF X-Large, Short 6 pairs 73023 Large 5 pairs 6067 A-V ImPad Sterilizable Left 4 Singles
T.E.D. anti-embolism stockings, Kendall SCD compression system and
4114LF X-Large, Regular 6 pairs 9790 X-Large 5 pairs
A-V Impulse System foot compression increase venous flow velocity and minimise stasis.8, 14
4216LF X-Large, Long 6 pairs
3180LF X-Large PLUS, Short 6 pairs
3181LF X-Large PLUS, Regular 6 pairs • T.E.D. anti-embolism stockings • Kendall SCD compression • Clinical studies of A-V Impulse
3182LF X-Large PLUS, Long 6 pairs Kambia™ Sleeves with proven to increase blood flow system proven to increase blood System foot compression
Tear-Away™ Design
3183LF XX-Large, Short 6 pairs
velocity by 138.4%8 flow velocity up to 240%14 demonstrate a 250% increase
3184LF XX-Large, Regular 6 pairs Item Size Quantity/ in venous blood velocity in the
Code Case
3185LF XX-Large, Long 6 pairs
73041 Small 5 pairs popliteal vein20,21
73042 Medium 5 pairs
73043 Large 3 pairs
Knee
Item Size Quantity/ Stasis
Code Case
7071 Small, Regular 12 pairs
Sterile Sleeve
7339 Small, Long 12 pairs
Item Size Quantity/
7115 Medium, Regular 12 pairs Code Case
7480 Medium, Long 12 pairs 9736 Medium 5 singles
7203 Large, Regular 12 pairs
7594 Large, Long 12 pairs
7604 X-Large, Regular 12 pairs
7802 X-Large, Long 12 pairs Foot Cuff
7470LF XX-Large, Regular 12 pairs
Item Size Quantity/
7471LF XX-Large, Long 12 pairs Code Case
7472LF XXX-Large, Regular 12 pairs 73032 Regular 10 singles
7473LF XXX-Large, Long 12 pairs 73033 Large 10 singles Vein Blood
Trauma/Dilation Coagulation Factors

Thigh with Belt

Item Controller & Tubing
Size Quantity/
Code Case Item Size Quantity/
3306 X-Small, Regular 6 pairs Code Case
3320 X-Small, Long 6 pairs 95250S SCD Express Controller - EU 1

3039 Small, Regular 6 pairs 95251S SCD Express Controller - UK 1

3364 Small, Long 6 pairs 9528 SCD Express Tubing Set 1 Vessel Wall Damage Coagulation Changes
SCD Express Ambulatory
3144 Medium, Regular 6 pairs 9595 1 T.E.D. anti-embolism stockings prevent vessel By compressing large area of muscle, the
3449 Medium, Long 6 pairs Extension Tubing
wall damage by minimising dilation.12, 13 Kendall SCD system increases fibrinolytic
3221 Large, Regular 6 pairs SCD Express Compatible
9995 1 activity, improving the ability of the body to
3523 Large, Long 6 pairs Extension Tubing
SCD Express Tubing (for SCD
break down clots.16
3922 X-Large, Regular 6 pairs 9918 1
3995 X-Large, Long 6 pairs Sequel & SCD Response)
The AV-Impulse System foot compression
stimulates the release of Nitric Oxide (EDRF)
which inhibits platelets aggregation.22

References: 1) Cohen AT et al.Venous Thromboembolism (VTE) in Europe. The number of VTE events and associated morbidity and mortality. Thromb Haemost 2007; 98: 756–764. 2) Venous thromboembolism. Reducing the risk of venous thromboembolism (deep vein
thrombosis and pulmonary embolism) in inpatients undergoing surgery. NICE clinical guideline 46. April 2007. 3) Cohen AT et al. Venous thromboembolism risk and prophylaxis in the acute hospital care setting (ENDORSE study): a multinational cross-sectional study. Lancet
2008; 371: 387–94. 4) Sandler et al. Autopsy Proven PE are We Detecting Enough DVT? The Royal Society of Medicine Vol. 82, 203-205, April 1989. 5) Geerts WH et al. Prevention of Venous Thromboembolism* American College of Chest Physicians Evidence-Based Clinical
Practice Guidelines (8th Edition) CHEST / 133 / 6 / JUNE, 2008 SUPPLEMENT 381S-453S. 6) Nicolaides, A.N; Fareed, J; Kakkar, A. K.; Breddin, H.K.; et al. Prevention and Treatment of Venous Thromboembolism International Consensus Statement. International Angiology, June
2006. 7) Wells PS et al. Graduated Compression Stockings in the Prevention of Postoperative Venous Thromboembolism A Meta-analysis. Arch Intem Med 1994,154:67-72. 8) Sigel B et al. Type of compression for reducing venous stasis. A study of lower extremities during
inactive recumbency.Arch Surg Feb 1975; Vol 110:171-5. 9) Lewis CE, et al. Elastic Compression in the Prevention of Venous Stasis: A Critical Reevaluation. AMERICAN JOURNAL OF SURGERY. December 1976.Vol. 132: 739-743. 10) O’Meara, P.M., et al. Prophylaxis for Venous
Thromboembolism in Total Hip Arthroplasty:A Review; ORTHOPEDICS. 1990; 13:173-178. 11) S. L. Hill, et al. The Origin of Lower Extremity Deep Vein Thrombi Acute Venous Thrombosis. AMERICAN JOURNAL OF SURGERY. 1997: 173: 485-490. 12) Coleridge-Smith PD, et
al.Venous Stasis and Vein Lumen Changes During Surgery. BRITISH JOURNAL OF SURGERY. September 1990. Vol. 77: 1055-1059. 13) Coleridge-Smith PD, et al. Deep Vein Thrombosis: Effect of Graduated Compression Stockings on Distension of the Deep Veins of the Calf.
T.E.D.™ Anti-Embolism Stockings A-V Impulse System™ Foot Compression Kendall SCD™ Express Compression System

The A-V Impulse System foot compression is designed to provide the advantages of ambulation to
Clinically Proven Structure patients who are immobilised. Utilising a powerful pump formed by the venous plantar plexus in
T.E.D. thigh stockings incorporate a unique two the sole of the foot, the A-V Impulse System foot pump imitates the natural sequence of physical All-in-One Controller
T.E.D. stockings are proven to reduce the
way stretch panel which prevents constriction
incidence of VTE in a number of surgical venous flow. This proprietary system has been clinically proven in peer reviewed studies 20 to Delivers compression to any combination of leg sleeves and foot cuffs.
of the femoral veins. In addition, the use of the
specialities.7 It is the only anti-embolism stocking Clinically proven sequential, gradient and circumferential compression, increasing venous outflow by 240%.14
specially constructed band avoids the potential provide DVT prophylaxis, reduce pain and swelling and to enhance arterial blood flow.
with Level 1 clinical evidence in over 70 clinical
for a tourniquet effect.9 Fully transportable – innovative design allows battery or mains operation without interuption to therapy.
studies. For this reason, T.E.D. thigh stockings
are the timeless standard for baseline
The stockings are knitted to ensure that, once
VTE prevention. Proprietary Impad™ Inflation Pad
applied according to manufacturer’s instructions, Unique Vascular Refill Detection (VRD)
they fit correctly along the length of the leg. Patient specific technology to maximise blood flow and minimise stasis.
Proven Design Features
Femoral Protection Dorsum wrap Customises compression cycle to indiviual patient vascular refill time – maximising effective blood flow.
Compression Profile The dorsum wrap
The specific design of the graduated compression Femoral DVTs are believed to be responsible Adjusts level and frequency of cycles without nursing intervention.
provides additional
profile has been shown to increase venous for 75% of fatal PEs.10 A large scale study of
Anatomically shaped bladder pressure to the medial Periodically re-evaluates vascular refill time to adjust for changes in position and recovery.
outflow by 138.4%.8 thrombosed legs, showed that 49% of DVTs aspect of the plexus to
The extended distance between the
arose in the major veins of the thigh and heel and metatarsal pad ensures encourage maximum
This design has been clinically proven over popliteal without calf involvement.11 flattening and stretching of the entire evacuation of blood Wide Range of Applications
30 years and is recommended as the product It is critical that maximum protection is plantar plexus. This action is essential to and cushion bony areas
provided where most required. at the top of the foot Thigh length sleeves deliver maximum protection during periods of highest risk.
of choice.2 completely empty the plexus of blood.
to provide additional Knee length sleeves now also available in XL, for use on morbidly obese patients.
patient comfort.
130mmHg
Without T.E.D. Stockings Kambia™ sleeve with unique Tear-Away™ design for easy conversion from thigh to knee.
Sterile sleeve for maximum protection intraoperatively.
Valve
Vent holes
Foot cuffs available for those patients where sleeves may be contraindicated or not tolerated.
Thrombus Cushioned foot cover
Latex-free foot cover design is Exclusive venting holes
PLEXUS EMPTY cushioned throughout and covers cool the patient’s foot
Rigid sole
maximum foot surface area to and ensure that the pad
The rigid sole beneath
distribute pressure evenly over deflates completely after
the inflation pad
the foot and minimise trauma to each impulse.
T.E.D. Stockings contains and directs the
With T.E.D. Stockings untreated areas. impulse against the sole Kendall SCD Express sequential
Compression Profile
of the foot. compression profile
Increased
blood flow

The Efficacy of Impulse Technology

PLEXUS FULL The A-V Impulse System foot compression is designed to artificially stimulate the venous foot pump in Clinically Proven
immobilised patients. Its highly pulsatile action substantially enhances venous blood flow in the posterial- A number of published peer
tibial, popliteal and femoral veins. Clinical studies demonstrate a 250% increase in venous blood flow reviewed clinical studies support
velocity in the popliteal vein.20,21 Requiring foot access only, the exclusive ImPad* inflation pad works in the use of the Kendall SCD
conjunction with the easy-to-use controller to deliver preset parameters at the touch of a button. compression system in reducing
The A-V Impulse System foot compression is clinically proven 20 to reduce the incidence of deep vein the incidence of VTE.
thrombosis (DVT), reduce pain and swelling after injury and surgery, and increase arterial blood flow, based In a large scale study, it was
on these specific operating parameters: shown in cardiac patients that
• 0.4 second rapid inflation simulates the weight bearing process when using the Kendall SCD
With every step, the plantar arch is
longitudinally stretched and flattened, • 1 or 3 second impulse hold time compression system, a 62%
causing the venous plexus to empty. reduction in PE was achieved.15
• 20 second deflation between impulses allows for complete refilling
This sends a column of blood to the of the plexus 45mmHg 40mmHg
8mmHg 10mmHg 8mmHg right atrium of the heart, allowing
18mmHg the plexus to refill • 130 mmHg impulse pressure balances efficacy and patient comfort 30mmHg
14mmHg