Sequential Boot Compression

A plastic boot that covers the lower or upper and lower leg that
squeezes the legs to help the blood flood return faster to the heart.

Indications for Sequential Pneumatic Compression Devices

 DVT prophylaxis when anticoagulants are contraindicated
 DVT prophylaxis for moderate and high risk patients
 Paralyzed limbs
 Pre-, intra-, and post-phases of surgery
 DVT prophylaxis for high DVT risk

Contraindications:
 Severe peripheral vascular disease
 When an increase of fluid to the heart is detrimental
 Severe heart failure or pulmonary edema
 Known or suspected DVT or PE within 6 months
 Immobilized for > 72 hours without DVT prophylaxis
 Post-operative vein ligation
 Deformity of the limb
 Gangrene or Infected leg wounds
 Recent skin graft
 Dermatitis

Parts of the Sequential Boot compression:

 A wearable Boot-like half-leg garment
 Inside the boot are several inflatable overlapping segments that
utilize sequential, cyclical pressure to aid circulation in the lower
limbs.
 A small pneumatic pump in the heel
  A miniature pneumatic control system placed within the boot
that provides accurate and controllable pressure in each sleeve.
The system’s architecture enables free movement and does not
limit the patient.

While walking, no external compressor is needed for the system to

function. A small pump in the heel of the sleeve is repeatedly engaged,
producing air flow into the boot’s control system. In between the
compression chambers are specially tuned pressure sensor valves.
These valves monitor compression levels and ensure that each
segment fills with the proper amount of air and applies the correct
amount of compression to the specific limb size and shape.

This makes the device very easy to use. These valves are
calibrated in the manufacturing process and are not tuned or adjusted
by the patient or clinician. When the pre-set, calibrated compression
level is reached in the first chamber, the sensors activate the filling of
the next chamber. This process repeats itself as the second chamber
reaches its set compression, and the third and final chamber is then
filled. Once all the chambers have been filled and are delivering the
proper compression, the system deflates completing a full cycle.
Another cycle then begins.

In order to close the gap of the periods in which the patient is not
mobile, a mini-compressor can be attached to a small hose in the back
of the boot. Once this is properly attached and the compressor is
plugged into a standard outlet, a simple on/off switch is engaged, and
compression therapy begins. This enables the device to continue the
treatment while sitting or resting.
 The successive inflation of the sleeves generates a gradient
pressure, creating a wave-like milking effect to promote lymphatic
drainage, venous return and capillary flow and to increased blood
circulation.