Enhance your proficiency in gaining direct IV access with the revolutionary BOA® Constricting Band. This critical component for successful IV cannulation redefines traditional constricting band design to provide unparalleled efficiency and ease of use. Main Features: Quick, Effective IV Access: Ensure swift and effective IV access even in challenging situations, such as diabetic wound care. Revolutionary Rolling Action: Transfuse venous blood to distal veins while maintaining arterial flow for improved central venous access. Advanced Design: Featuring a Quick Click connector and two-finger Quick Release for enhanced efficiency. No Tying Required: Say goodbye to the hassle of tying and re-tying constricting bands. Specifications: SEL#: 09MS-05-IVSA Device Length: Standard length of 7.5 in. to 18 in. Dimensions: Packaged: L 4 in. x W 3 in. x D 0.9 in. Weight: 1.5 oz Designed originally for the Armed Forces and now available to all First Responders, the BOA® Constricting Band comes in rugged, vacuum-sealed packaging for sanitation and quick access. Experience the next level of IV access with the BOA®.

Now including a Latex-free IV Constricting Band and a Clear Adhesive Dressing to aid in starting and securing a saline lock. Allowing for quick and effective extremity venous cannulation under the most demanding conditions, our system for starting and securing a saline lock has proven reliable and extremely effective during casualty treatment and evacuation where it is common for saline locks and IV lines to become dislodged. Using the NAR RAPTOR™ IV Securing Device (also available separately in a pack of 6), the NAR Saline Lock Kit can be secured in place without the need for tape. The Kit is low-cubed packaged in a vacuum-sealed, rugged pouch, keeping the contents of the kit in prime condition until needed. SPECIFICATIONS: Featured in PHTLS 6th Edition (Military) as a system that has proven successful in the field Meets all requirements for U.S. ARMY TASK: 081-831-1011 Establish a Saline Lock Includes the NAR Raptor™ IV Securing Device Packaged in a compact, vacuum-sealed, rugged pouch KIT CONTENTS: 1 x Latex-free IV Constricting Band (18 in. x 1 in.) 1 x Clear Adhesive Dressing (4 in. x 4.75 in.) 2 x Alcohol Pads 2 x Needle/Catheter (18G x 1.25 in.) 1 x Locking Saline Plug 2 x Gauze Pads (2 in. x 2 in.) 1 x Hypodermic Needle (18G x 1.5 in.) 1 x 10cc Luer-Lock Syringe 1 x RAPTOR IV Securing Device 1 x Plastic Vacuum Bag DIMENSIONS: Packaged: H 5.5 in. x W 3.25 in. x D 1 in.

The NAR Sharps Shuttle is clear for immediate fill-level monitoring. The unit’s tapered body (conveniently sized at a 1.25 in. diameter and 6 in. length) holds up to six needles. The vertical “point first” design is easy to store. It fits perfectly into our Medic Leg-Rig or Trauma Pack for convenient point-of-use containment of used needles and small syringes. The product’s quick-tab locking top secures contaminants until disposal. Finally, the product’s unique single-use construction makes the disposal of sharps safe.

The TacMed™ Vascular Access Kit provides all of the items necessary to gain vascular access and administer IV fluids, except for the fluids. Contents: 1x IV Tourniquet (latex-free) 2x Alcohol Pads 2x IV Catheter 18 x 1 1/4” 1x Adapter- Smartsite (saline lock) 1x Tegaderm 2x Gauze 2x2 1x Linebacker IV Securing Device 1x Admin Set 15 Drip 1x Hypodermic Needle (18G x 1.5in.)

North American Rescue’s Needleless Saline Lock Kit allows for quick and effective IV cannulation under the most demanding conditions. Our convenient kit is packaged in a compact, vacuum-sealed, rugged pouch to keep the contents in operational ready condition until needed for use. The NAR Needleless Saline Lock Kit contains an IV safety catheter and a needle-free valve port to reduce or eliminate accidental needle-stick exposures to tactical healthcare providers. SPECIFICATIONS: Provides essential components for establishing a saline lock in the most demanding conditions. Contains engineered safety devices to reduce or eliminate healthcare provider exposure to accidental needle sticks. Includes a clear, adhesive dressing and the NAR Raptor™ IV Securing Device. Packaged in a compact, vacuum-sealed, rugged pouch. KIT CONTENTS: 1 x Latex-free IV Constricting Band (18 in. x 1 in.) 1 x Clear Adhesive Dressing (2.75 in. x 2.375 in.) 2 x Alcohol Pads 1 x Safety Catheter (18G X 1.25 in.) 1 x Needle-Free Valve Port

SAM IO Needles colors and depth indicators adhere to industry standards for ease of adoption, and the devices are designed as a stylet and catheter assembly secured by a snap-fit connection. The 15 gauge SAM IO Needles come in 15 mm, 25 mm, and 45 mm lengths to accommodate multiple application sites and a broad range of patient demographics. SAM IO Needles utilize a 5-point grind which is intended to aid in insertion with the SAM IO Driver, or through manual insertion by hand. Needles are sold individually or in packs of five. Each sterile-packed SAM IO Needle includes a NeedleVISE® and Extension Tube. Driver, Stabilizer, and Adaptor options are sold separately. The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case by case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details) Please refer to the manufacturer's IFU for the SAM IO Needle for recommended insertion sites based on patient variables.

The TacMed™ Saline Lock Kit provides all of the items necessary to emplace a saline lock. Contents: 1x IV Tourniquet (latex-free) 2x Alcohol Pads 2x IV Catheter 18 x 1 1/4” 1x Adapter- Smartsite (saline lock) 1x Tegaderm 2x Gauze 2x2 1x Linebacker IV Securing Device 1x 10ml Saline Syringe

The SAM IO utilizes a multi-use and manually powered driver for efficient and controlled IO access. The driver is cleanable and tested to hundreds of actuations, while the manual operation eliminates battery-related failure and reduces the weight of the driver. The driver functions through a passive ratcheting mechanism which causes the needle to only rotate clockwise when resistance is encountered. Through actuation of the driver handle, the user provides controlled insertion of the IO needle with a tactile feel of cortical penetration. The SAM IO is a manually operated intraosseous access system. Catheter placement is achieved by continuously actuating (repeatedly compressing) the driver’s trigger assembly while gently guiding needle assembly into position. Repeated, full trigger actuation creates rotational spin of the needle assembly which, when combined with gentle downward pressure, results in controlled IO placement. Once needle assembly is properly positioned, the stylet is removed to expose standard Luer-lock for extension set connection. With the extension set connected, aspiration verification, flushing and selected treatment(s) may commence. The SAM IO system is designed to be intuitive for current IO users, featuring color coding and depth indicators which match industry norms. The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case by case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details) Please refer to the manufacturer's IFU for the SAM IO Needle for recommended insertion sites based on patient variables.

The SAM IO Adaptor is designed to accommodate alternative IO needle sets designed for other drivers so that they can be utilized with the SAM IO Driver The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case by case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details) Please refer to the manufacturer's IFU for the SAM IO Needle for recommended insertion sites based on patient variables.

The SAM IO Stabilizer features a cylinder design that is intended to protect the catheter from dislodgment. It accommodates all three needle options and is available as a single item or in a pack of five. The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case-by-case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details)

The NIO Infant™ provides safe, rapid intraosseous access in the proximal tibia as an alternative to IV access in emergency medical situations. When you need rapid IO access in infant patients, trust the NIO Infant™ to deliver safe, effective vascular access — no batteries, assembly, or extra parts required. Designed for patients from 2.3kg to 3 years of age, the NIO Infant™ features a 5mm marker line on its cannula, which confirms adequate needle length prior to insertion, while its unique Stepped Needle® delivers graduated penetration into the bone, helping to prevent over-penetration. Simple and safe-by-design, you can trust the NIO Infant™ to provide rapid infant IO access when every second counts. Features: Unique Stepped Needle® that delivers graduated penetration into the medullary cavity, helping to prevent over-penetration. 5mm marker line which confirms adequate needle length prior to insertion. No batteries, assembly or extra parts required. Pocket-sized and lightweight Sterile and single-use—eliminates the risk of cross-contamination. 5-year shelf life (at room temp.) Hyper-realistic training system Legal Manufacturer: WaisMed Ltd. SPECS: PN: NIO-I Needle gauge: 18G Stepped Needle® Device dimensions: 4.76in x 1.69in x 1.3in (11.7cm x 4.3cm x 3.3cm) Package dimensions: 6.81in x 2.74in x 1.46in (17.3cm x 6.95cm x 3.7cm) Weight: 2.5oz (71g) Shelf life: 5 years at room temperature Clinically Proven Success Safe on the bone.The NIO has proven to be safe on the bone and resulted in zero incidents of bone fracture as observed by post-insertion x-rays. Easily tolerates common user errors.A recent study evaluated common user errors related to needle placement and found that even when placed up to 5cm from the correct insertion site, the NIO maintained an 85% success rate. First attempt success rates as high as 98%.Initial studies demonstrated an overall average success rate of 91.3% for the proximal tibia and 93.1% for the humeral head. The New York Institute of Osteopathic Medicine conducted an additional study which established a proximal tibia success rate of over 98%1

The transfusion of fresh whole blood is the best option for the management of casualties with hemorrhagic shock. Blood transfusions have been used successfully in military operations and other austere conditions to resuscitate trauma patients suffering from shock due to hemorrhage. The Low Titer O Whole Blood (LTOWB) Collection Set-V helps pre-screening to identify type O low titer donors in the operational forces and is the next evolution in far forward fresh whole blood resuscitation. This advancement simplifies the tasks related to fresh whole blood transfusions by reducing the steps, supplies and material, and the time required to perform this lifesaving procedure. The LTOWB Collection Set-V contains all the supplies needed to collect blood from a LTOWB donor and when paired with the LTOWB Administration Set-V to complete the field transfusion requirement. SPECS: Best option for the management of casualties with hemorrhagic shock Simplifies the tasks related to fresh whole blood transfusions Reduces steps, supplies and material, and the time required to perform this lifesaving procedure Kit Contents: 2 x IV Catheter, 16ga x 1.25 in 2 x Interlink Injection Site Adapter 1 x Beaded Cord, 11 in 1 x Blood Bag, 450 ml 1 x 550 Cord, 10 in 2 x Chloraprep Swabsticks, 3 pk 1 x Constricting IV Band 2 x Clear Adhesive Dressing, 4 in x 5 in 2 x Gauze Pad, 4 in x 4 in (2 pk) 1 x Pair Bear Claw Tan Gloves, Large 1 x 572-EWB ASBP Card 1 x TCCC Card 1 x Blood Bag Sticker Dimensions: Packaged - L 9.5 in x W 14 in x D 1 in Weight: 0.60 lbs

The Quantum Thermal Infusion Set (TIS) from LifeWarmer is the revolutionary IV tubing set that allows for safe, rapid warming of IV fluids without adding hardly any additional steps to the normal IV setup process. Modeled after standard IV infusion tubing, the familiar configuration allows for ease of use. The sophisticated intelligence and proprietary warming technology are integrated into the tubing system for simplicity and to reduce additional equipment and procedural steps. Roughly the same size and weight as standard IV tubing, there is almost no additional equipment burden. The Quantum IV administration tubing is double-extruded to yield a configuration that has both an inner tubing layer and an outer tubing layer. A conductive heating element is between the two layers but does not come in contact with the fluid path or disrupt the laminar flow. The outer tubing layer acts as an insulator while the inner tubing layer transfers the heat from the heating element to the fluid path. Thermistors located in the tubing continually measure temperature and provide that input to the Quantum Controller. The monitoring and independent application of energy (heat) along the fluid path allows the Quantum to respond to varying temperature inputs from the fluid source to near the point of patient entry to ensure fluid temperature is the right temperature at delivery. The Quantum Life Warmer, fully charged, is able to warm and maintain up to approximately 1700 mL of 20ºC IV solution to a set point of 100.4°F (38°+/- 2°C)  at a flow rate of 200 mL/min. Effective warming flow rates range from 2 to 200 mL/minute depending on input fluid temperature and ambient conditions. SPECS: Similar size and weight to traditional IV tubing Intelligent sensing and heating elements from LifeWarmer integrated into the walls of the tubing set No disruption to the fluid path or laminar flow of the fluid Easy bi-directional connection to the Quantum Life Warmer Controller Compatible with standard IV fluids Standard Spike with Vent 15 micron particulate filter Luer-activated injection site Male Luer lock adapter Tubing length: 80 in. Priming Volume: 16mL Drip Chamber: 20 gtt/ml Single Use Only, Supplied sterile via Ethylene Oxide Drip rate: 20 gtts/ml Dimensions: TIS packaged (each): 6.5 in. x 11 in. Tubing Length: 80 in. Weight: TIS (each): 2.1 oz Packaged (2 TIS & box): 10 oz

Note:  This is an accessory kit for the NIO device, which is sold separately,  This product provides essential accessories for securing the NIO device and establishing intraosseous access. It is compatible with both Adult and Pediatric NIO units, and it is recommended for use with every NIO insertion. This kit includes: NIO fixation securement dressing, NeedleVISE sharps block. IV extension set with 3-way stopcock. IV strap, alcohol prep pads. Patient bracelet

When you need immediate vascular access in pediatric patients, you can be confident that the NIO Pediatric™ is complete and ready to use — no batteries, assembly, or extra parts required. Its provider-friendly design features a removable red spacer, which adjusts the penetration depth from 14mm to 18mm, accommodating pediatric patients 3–12 years old. With redundant safety features and built-in locating arrows that aid insertion site identification, you can trust the NIO Pediatric™ to deliver safe, rapid IO access. Features: Built-in unique locating arrows aid with insertion site identification, simplifying the procedure for providers. Preset needle penetration depth (14mm for 3–9 y/o; 18mm for 9–12 y/o) simplifying the procedure and helping to prevent over-penetration. Automatic device, no batteries, assembly, or extra parts required. Pocket-sized and lightweight Sterile and single-use—eliminates the risk of cross-contamination. Self-contained device with no exposed needle 5-year shelf life (at room temp.) Legal Manufacturer: WaisMed Ltd SPECS: PN: NIO-P Needle gauge: 18 Gauge. 3–9 y/o penetration depth: 14mm 9–12 y/o penetration depth: 18mm Device dimensions: 5.85in x 2.24in x 1.06in (14.86cmX5.7cmX2.7cm) Package dimensions: 7.64in x 3.3in x 1.3in (19.4cm x 8.4cm x 3.3cm) Weight: 4.48oz (127g) Shelf life: 5 years at room temperature Clinically Proven Success Safe on the bone.The NIO has proven to be safe on the bone and resulted in zero incidents of bone fracture as observed by post-insertion x-rays. Easily tolerates common user errors.A recent study evaluated common user errors related to needle placement and found that even when placed up to 5cm from the correct insertion site, the NIO maintained an 85% success rate. First attempt success rates as high as 98%.Initial studies demonstrated an overall average success rate of 91.3% for the proximal tibia and 93.1% for the humeral head. The New York Institute of Osteopathic Medicine conducted an additional study which established a proximal tibia success rate of over 98%1

The NIO Adult is an automatic intraosseous access device packaged for quick, safe, easy vascular access in 10 seconds or less*. No batteries. No assembly. No extra parts. When time is life, trust the NIO Adult™ to deliver safe, reliable vascular access in 10 seconds — no batteries, assembly, or extra parts required. Designed with providers in mind, the preassembled NIO Adult™ features no exposed needle, virtually eliminating the risk of needlestick. With first attempt success rates as high as 98%, the NIO Adult™ supports common user errors, empowering providers to deliver safe and effective patient care when it matters most. Features: Vascular access in 10 seconds or less Automatic device, no batteries, assembly, or extra parts required. Pocket-sized and lightweight Sterile and single-use device—eliminates the risk of cross-contamination Self-contained device with no exposed needle Pre-set needle penetration depth 5-year shelf life (at room temp.) Hyper-realistic training system Eliminates the risk of CLABSI. Legal Manufacturer: WaisMed Ltd SPECS: PN: NIO-A NSN: 6515-01-667-2884 Needle gauge: 15 Gauge. Device dimensions: 5.47in x 2.24in x 1.07in (13.9cm x 5.7cm x 2.7cm)   Package dimensions: 7.64in x 3.3in x 1.3in (19.4cm x 8.4cm x 3.3cm) Weight: 3.2oz (91g) Shelf life: 5 years at room temperature Clinically Proven Success Safe on the bone.The NIO has proven to be safe on the bone and resulted in zero incidents of bone fracture as observed by post-insertion x-rays. Easily tolerates common user errors.A recent study evaluated common user errors related to needle placement and found that even when placed up to 5cm from the correct insertion site, the NIO maintained an 85% success rate. First attempt success rates as high as 98%.Initial studies demonstrated an overall average success rate of 91.3% for the proximal tibia and 93.1% for the humeral head. The New York Institute of Osteopathic Medicine conducted an additional study which established a proximal tibia success rate of over 98%1

The LifeFlow® PLUS is a hand-operated rapid infusion device that allows health care providers to deliver blood and fluids quickly and effectively, improving resuscitation of critically ill or injured patients. Delivering in 10mL increments with each handle compression, a LifeFlow PLUS user can administer 1 unit of blood or 500ml of fluid in less than 2 minutes, maintaining full control over the volume delivered. The syringe size allows the user to overcome the resistance of IV catheters and automatically refills when the handle is released - allowing the user full control of volume of fluid delivered. This also protects the syringe from bacterial contamination. LifeFlow PLUS can be operated with one hand, leaving the operator’s other hand free to address other clinical issues, monitor the infusion site, and assess patient response. This is particularly useful in austere environments and transport when resources are limited, and personnel are performing multiple tasks simultaneously. Current methods of blood and fluid delivery are too slow to quickly restore intravascular volume in patients with severe shock and hypotension. For these patients “time is tissue,” meaning every minute of continued hypotension can result in more organ injury. LifeFlow PLUS offers a simple way to restore perfusion with rapid and controlled delivery of fluids and blood. SPECS: Measurements: 12 in. x 7.5 in. x 2.75 in. Weight: 0.95 lb

LifeFlow® is a hand-operated rapid infusion device that allows health care providers to deliver fluids quickly and effectively, improving resuscitation of critically ill patients. While delivering fluid in 10mL increments with each handle compression, LifeFlow can deliver 500ml of fluid in less than 2 minutes through a 20G IV catheter. The syringe size allows the user to overcome the resistance of IV catheters and automatically refills when the handle is released - allowing the user full control of volume of fluid delivered. This also protects the syringe from bacterial contamination. LifeFlow can be operated with one hand, leaving the operator’s other hand free to address other clinical issues, monitor the infusion site, and assess patient response. This is particularly useful in pre-hospital, emergency department, and ICU settings where speed and efficiency are important and personnel resources may be limited. Current methods of fluid delivery are too slow to quickly restore intravascular volume in patients with severe shock and hypotension. For these patients “time is tissue,” meaning every minute of continued hypotension can result in more organ injury. LifeFlow offers a simple way to restore perfusion with a rapid and controlled fluid bolus. SPECS: Measurements: 12 in. x 7.5 in. x 2.75 in. Weight: 0.95 lb

The transfusion of fresh whole blood is the best option for the management of casualties with hemorrhagic shock. Blood transfusions have been used successfully in military operations and other austere conditions to resuscitate trauma patients suffering from shock due to hemorrhage. The Low Titer O Whole Blood (LTOWB) Administration Set-V helps pre-screening to identify type O low titer donors in the operational forces and is the next evolution in far forward fresh whole blood resuscitation. This advancement simplifies the tasks related to fresh whole blood transfusions by reducing the steps, supplies and material, and the time required to perform this lifesaving procedure. The LTOWB Administration Set-V contains all of the supplies needed to administer blood collected via the LTOWB Collection Set-V to complete the field transfusion requirement. SPECS: Best option for the management of casualties with hemorrhagic shock Simplifies the tasks related to fresh whole blood transfusions Reduces steps, supplies and material, and the time required to perform this lifesaving procedure Kit Contents: 2 x IV Catheter, 16ga x 1.25 in 2 x Interlink Injection Site Adapter 2 x Needleless Port Connector 1 x 450 ml Blood Bag 1 x Y-Type IV Set w/ Filter 1 x Beaded Cord, 11 in 1 x Constricting IV Band 1 x 550 Cord, 10 in 2 x Chloraprep Swabsticks, 3 pk 2 x Clear Adhesive Dressing, 4 in x 5 in 2 x Gauze Pad, 4 in x 4 in (2 pk) 1 x pair Bear Claw Nitrile Gloves, Large 1 x Kelly Curved Hemostat (Disposable) - 5.5 in 1 x TCCC Card 1 x Blood Bag Sticker 1 x ASBP 572-EWB Card Dimensions: Packaged - L 9.5 in x W 14 in x D 1 in Weight: 0.74 lbs

The transfusion of fresh whole blood is the best option for the management of casualties with hemorrhagic shock. Blood transfusions have been used successfully in military operations and other austere conditions to resuscitate trauma patients suffering from shock due to hemorrhage. The Low Titer O Whole Blood (LTOWB) pre-screens to identify Type O Low Titer Donors in the operational forces is the next evolution in far forward fresh whole blood resuscitation. This advancement simplifies the tasks related to Fresh Whole Blood Transfusions by reducing the steps, supplies and material, and the time required to perform this lifesaving procedure. SPECS: Best option for the management of casualties with hemorrhagic shock Simplifies the tasks related to fresh whole blood transfusions Reduces steps, supplies and material, and the time required to perform this lifesaving procedure Kit Contents: 1 x IV Set Y-Type w/ Filter 170-260 UM w/o Pump 1 x CDP (OR CDP-A) Single Blood Bag - 450ml 1 x SF-518 Card 2 x Interlink Injection Site Adapter 1 x ASBP 572-EWB V29 Card 2 x Clear Adhesive Dressing - 4 in x 5 in 1 x Blood Bag Sticker 1 x IV Constricting Band - 1 in x 18 in - White 1 x Beaded Security Cord - 11 in (Marked at 6.5 in) 2 x IV Catheter - 16 Ga x 1.25 in 2 x Chloraprep Swabsticks - 3 per PKG Dimensions: Packaged - L 9.5 in x W 14 in Weight: 0.64 lbs

The Quantum Thermal Transfusion Set- Blood from LifeWarmer is the revolutionary IV tubing set that allows for safe, rapid warming of blood, blood products, or IV fluids without adding hardly any additional steps to the normal IV setup process. Modeled after standard blood infusion tubing, the familiar configuration allows for ease of use. The sophisticated intelligence and proprietary warming technology are integrated into the tubing system for simplicity and to reduce additional equipment and procedural steps. Roughly the same size and weight as standard blood tubing, there is almost no additional equipment burden. The Quantum IV administration tubing is double-extruded to yield a configuration that has both an inner tubing layer and an outer tubing layer. A conductive heating element is between the two layers but does not come in contact with the fluid path or disrupt the laminar flow. The outer tubing layer acts as an insulator while the inner tubing layer transfers the heat from the heating element to the fluid path. Thermistors located in the tubing continually measure temperature and provide that input to the Quantum Controller. The monitoring and independent application of energy (heat) along the fluid path allows the Quantum to respond to varying temperature inputs from the fluid source to near the point of patient entry to ensure fluid temperature is the right temperature at delivery. The Quantum Life Warmer, fully charged, is able to warm and maintain up to 2 units ( 900mL +/- 100mL) of cold (4ºC) blood products or IV solutions to a pre-set temperature of 100.4°F (38°+/- 2°C) at a flow rate of 100 mL/min (depending on the ambient temperature). Or, approximately 1700 mL of 20ºC IV solution to a set point of 38ºC +/- 2ºC at a flow rate of 200 mL/min. Effective warming flow rates range from 2 to 200 mL/minute depending on input fluid temperature and ambient conditions. SPECS Compatible with blood, blood products, and standard IV fluids Similar size and weight to traditional IV tubing Intelligent sensing and heating elements from LifeWarmer integrated into the walls of the tubing set No disruption to the fluid path or laminar flow of the fluid Easy bi-directional connection to the Quantum Life Warmer Controller Dual Spike with Vent 200 micron filtered drip chamber Luer-activated injection sites (2) Male Luer lock adapter Tubing length: 80 in. Priming Volume: 22mL Single Use Only, Supplied sterile via Ethylene Oxide Drip rate: 20 gtts/ml Dimensions: TTS-B package (each): 6.5 in. x 11 in. Tubing Length: 80 in. TTS-B Weight (each): 2.6 oz Packaged Weight (2 TTS-B & box): 11 oz

"The advantage of the direct transfusion of human blood in cases of severe haemorrhage which we encounter in the emergencies of military surgery cannot to our minds, be overestimated." 1 The above comment, from a paper presented by Lieutenant Colonel A. Primrose of the Canadian army Medical Corps in 1916, remains as pertinent today as during those earlier days of military transfusion medicine... The Quantum Field Blood Transfusion Kit from North American Rescue is a comprehensive kit providing all the needed supplies to allow the user to rapidly perform a field blood transfusion as outlined in the Joint Theater Trauma System Clinical Practice Guidelines. This kit is designed for use with the game-changing Quantum Blood and Fluid Warming System. It's featured component, the Quantum Thermal Transfusion Set - (Blood), incorporates an integrated heating system that does not disrupt the fluid path. Together with the Quantum Blood & Fluid Warming System, providers help to ensure consistent normothermic whole blood delivery in far forward and near point of injury (POI) prehospital casualty management. In addition, this kit allows for donor and recipient blood type verification as well as the collection of donor blood samples for additional surveillance testing. Quantum Field Blood Transfusion Kit Contents: 1 x Single Blood Bag (450ml) 1 x Quantum TTS-B (Thermal Transfusion Set - Blood) 1 x Beaded Security Tie - 11 in. 1 x 550 Cord - 10 in. 1 x Kelly Curved Hemostat - 5.5 in. 1 x Black Permanent Marker, Lg 2 x pair Bear Claw Gloves - Tan, Large 1 x roll 1 in. Surgical Tape 1 x 572-EWB ASBP Card 1 x Donor Module each containing: 1 x IV Constricting Band - 1 in. x 18 in. 1 x Eclipse Vacutainer Holer, 21ga 1 x Vacutainer, Purple Top (6ml) 2 x Vacutainer, Red Top (6ml) 1 x Kelly Curved Hemostat - Disposable - 5.5 in. 1 x Single Blood Bag (450ml) 1 x Blood Bag Sticker 1 x 550 Cord - 10 in. 1 x Beaded Security Tie - 11 in. 2 x Alcohol Prep Pad 2 x 2-pack Gauze Pad - 4 in. x 4 in. 1 x Clear Adhesive Dressing - 4 in. x 4.75 in. 1 x Chloraprep Swabsticks, 3pk 1 x Surgical Tape, 1 in. 1 x pair Bear Claw Gloves - Tan, Large 1 x Permanent Marker, Large 1 x 572-EWB ASBP Card 1 x Donor Placard 1 x Recipient Module each containing: 1 x IV Constricting Band - 1 in x 18 in. 1 x IV Catheter - 16 ga x 1.25 in. 1 x IV Catheter - 18 ga x 1.25 in. 1 x Y-Type IV Set w/ Filter 2 x Alcohol Prep Pad 2 x 2-pack Gauze Pad - 4 in. x 4 in. 1 x Clear Adhesive Dressing - 4 in. x 4.75 in. 1 x Eldon Blood Type Kit 1 x Chloraprep Swabsticks, 3pk 1 x Surgical Tape, 1 in. 1 x pair Bear Claw Gloves - Tan, Large 1 x Permanent Marker, Large 1 x SF-518 Card 1 x Recipient Placard Dimensions: L 10 in. x W 7 in. x D 2.5 in. Weight: 1.09 lb   1 Primrose A, Ryerson ES. The Direct Transfusion of Blood: Its Value in Haemorrhage and Shock in the Treatment of the Wounded in War. Br Med J. 1916;2:384–386.  

The LifeWarmer Controller comes fitted with a cover that permits the mating (connection) of the TIS or TTS-B tubing circuit connector to the connector slot on the Controller. The Controller Cover should remain in place for device operation. The Cover also protects the Controller and should be replaced after approximately 10 uses or 6 months

The Quantum Battery from LifeWarmer is an extremely powerful and intelligent battery in a small, lightweight package- weighing only 16 oz. The Quantum Battery powers the whole warming system with state-of-the-art Lithium Polymer cells harnessing 44 Volts of electrical potential. The battery, fully charged, is able to warm and maintain up to 2 units ( 900mL +/- 100mL) of cold (4ºC) blood products or IV solutions to a pre-set temperature of 100.4°F (38°+/- 2°C) at a flow rate of 100 mL/min (depending on the ambient temperature). Or, approximately 1700 mL of 20ºC IV solution to a set point of 38ºC +/- 2ºC at a flow rate of 200 mL/min. The Quantum Battery is built for use in the most austere and tactical environments. It is IP67 rated for water resistance and is the only portable fluid warming battery that has a disable feature on the audible alarm for tactical considerations. The Quantum Life Warmer Battery is rechargeable with a service life of 500 charge/discharge cycles. It is important to keep the Quantum Battery charged and ready for use. Always re-charge after deployment, even if the battery was not fully discharged. The battery can be kept plugged into the Quantum Charger, as the intelligent Battery senses charge demand and will charge as needed but never overcharge. The Battery has a “Status” button to check the state of charge at any moment, with 3 colored LEDs to inform the user about the condition of the battery. Specs: Lightweight at only 16 oz Designed for the tactical environment- water resistant, subdued color, and the option to disable the audible alarm 44V Lithium-Polymer Battery Intelligent, state-of-the-art battery technology Rated 910 mAh capacity 40.4 Wh Energy Rating IP67 Rated water resistant Service Life 3 years or 500 charge/discharge cycles Operating Conditions: -20ºC to 50ºC for use, 0ºC to 45ºC for charging Storage conditions: -20ºC to 60ºC Dimensions: Battery Case: H 4.5 in. x W 3.25 in. x D 1.25 in. Weight: 16 oz

The Quantum LifeWarmer Controller is the command center of the Quantum Blood and Fluid Warming System. It contains the microprocessor and control algorithm that continually assesses temperature input from tubing thermistors and regulates the energy provided to the tubing heating elements in the proximal and/or distal segments to reach and maintain temperature between 100.4°F (38°+/- 2°C) at patient delivery. The Controller receives power when connected to the Battery and modulates the energy flow to the TIS/TTS-B. The Quantum Controller has two connections, one for the battery and one for the Thermal Tubing of choice. The connection to the battery is an omni-directional plug for ease of insertion and the connection is safe and secure. The connection to the TIS or TTS-B is bi-directional and simple to execute- it’s plug and play. The Controller has LED lights on the shoulder of the device to inform the user about the output temperature and flow of the fluid. It will visually alert the care provider to the status of the system. The Controller is reusable and comes fitted with a Jacket that permits the mating (connection) of the TIS or TTS-B Life Warmer tubing circuit connector to the connector slot on the Controller. Specs: Moderates the energy flow from the Quantum Battery to the Thermal Tubing Designed for ease of connecting and durability Colored LED lights constantly show during administration of blood/fluid to show status Extremely lightweight and durable IP53 rated for dust and water resistance with jacket Minimum service life - 1000 insertions/removals Dimensions: Controller Body: W 1.25 in. x H 3 in. x D 0.75 in. Controller Total Length: 51.25 in. Weight (Controller only): 2.5 oz Packaged Weight: 5 oz

The Quantum Battery Charger from LifeWarmer is an AC-powered reusable device that can fully charge the Quantum Battery rapidly and safely. The Charger has built-in algorithms to ensure proper, steady charging without overcharging or damaging the health and integrity of the battery. The Battery can go from nearly 0% to full within 90 minutes. The Life Warmer Charger has two colored LED lights to inform the provider of the status of charge and condition of the battery. The Quantum Battery Charger connects to the Battery via an omni-directional plug that allows for rapid energy transfer while prioritizing safety even in cases of hasty disconnection. The Quantum Battery will alert the user if there is any issue associated with the health of the battery. The Charger comes supplied with a 6-foot AC power cord. Specs: Fully charge the Quantum Battery in <90 minutes Smart, safe charging Comes with 6 ft AC power cord Colored LED lights to inform the user of charging and battery status IP 22 rated for dust and water resistance 100V to 264V AC input; 50Hz, 60Hz Minimum service life- 2500 insertions/removals Dimensions: Charger: H 6 in. x W 2.25 in. x D 1.75 in. AC power cord length: 6 feet Charger Weight: 1 lb 4 oz Weight with cord: 1 lb 10 oz

The Quantum Blood and Fluid Warming System from LifeWarmer is a Game-Changing innovation that has succeeded in closing a critical capability gap previously left exposed by other commercial off-the-shelf fluid warmers currently fielded. Size, weight, performance, and ease of use are no longer collective barriers to the delivery of whole blood in far forward and near point of injury (POI) prehospital casualty management. The Quantum exceeds all healthcare and logistical requirements for the delivery of warmed blood or fluids across the defined spectrum of care. The system consists of unique thermal administration sets that incorporate sensing elements with an integrated heating system that does not disrupt the fluid path. With advanced intelligence throughout the system, the lightweight Controller modulates and moderates the energy flow to the integrated heating elements to ensure consistent normothermic fluid delivery to the casualty. The 44V battery is the smallest in category, able to rapidly adjust power distribution based on the temperature and flow rate of the input fluid. This creates a highly efficient system capable of previously unrealized performance optimizations. The Quantum system has an operational weight of just 22 total ounces yet can deliver two units of 39°F Whole Blood (WB) at 100mL/min with an output temperature of 100.4°F (38°+/- 2°C) with only a 24 second warm-up period. The Quantum Blood and Fluid Warming System provides the Tactical Health Care Professional with significant technological overmatch in the fight to eliminate preventable combat death. SPECS Quantum Operating Parameters: IV Fluids Input Temp: 68°F Output Temp: 100.4°F (38°+/- 2°C) Flow-Rate: 2 - 200ml/min (+) Warm-up Time: 24 seconds Warming Capacity with a Single Battery: 1700 mL Blood or Blood Products Input Temp: 39°F Output Temp: 100.4°F (38°+/- 2°C) Flow-Rate: 2 - 100mL/min (+) Warm-up Time: 24 seconds Warming Capacity with Single Battery: 2 units (+) Quantum System Contents: 1 x Controller 1 x Battery 1 x Battery Charger 2 x TTS-B (Thermal Transfusion Set - Blood) NOTE: TTS-B is Single Use Only, Supplied sterile via Ethylene Oxide Product Weights: Battery: 16 oz Controller: 3 oz Thermal Transfusion Set (TTS-B): 2.7 oz Charger: 22 oz Total Operational Weight: 22 oz(Controller, Battery & TTS-B) Features: Lightweight The lightest operational weight of any portable blood & fluid warming system (Total Operational Weight: 22 oz) Powerful Warms two units of 39°F refrigerated whole blood at 100mL/min+ on a single charge Compact Fewest components to carry (only three) Fast Warm-up time of only 24 seconds Intuitive The thermal transfusion/infusion set looks, handles, and sets up/primes like any conventional IV set Safe Tested safe for blood, blood products and IV solutions Effective The system is plug-and-play for ease of setup under stressful conditions such as tactical field care (only two connection points, with no plug orientation or set-up order requirements system status constantly visible at a glance) Complete Does not require additional standard transfusion or infusion set – all other warmers do Tactical Only system FDA cleared allowing easy disable of audible alerts to protect operators in combat

The TacMed™ IV Evaporative Cooling System (IVECS™) was developed to prevent IV fluids from reaching excessively hot and potentially dangerous temperatures. Hot fluids are counter-productive when treating heat casualties. When operating in a desert or any low humidity hot environment, this becomes a serious concern. The IVECS’ efficient design maintains fluids at a safe temperature for up to 18 hours without additional cooling assistance. The cooling systems are cost effective and re-usable. They can easily be converted to a pressure infuser with the addition of a standard blood pressure cuff. It will accommodate both 500ml and 1000ml bags. The IVECS™ provides an effective, power free means of delivering IV fluids at a safe temperature under adverse conditions and in harsh climates. HOW DOES IT WORK? The IVECS™ does not need to be cooled prior to inserting the IV bag. The only step required is to soak the pouch for approximately 15 minutes. It is not like a cold pack that absorbs or transfers heat energy from one mass to another to cool. The pouch cools through the method of evaporation. The temperature is controlled by the movement of water in the form of gas traveling over the surface area of the IV bag. While the circulation of air around the bag is important to allow maximum efficiency, it is not required. The IVECS™ is an essential piece of equipment for any care provider operating in extreme conditions. According to guidelines established by the leading authority on patient care and safety in the US, fluids stored at ambient temperatures in Iraq, Afghanistan, and other desert areas around the world are not maintained at a safe temperature. The average daily temperatures in these areas can be in excess of 54º C (130º F). Other studies indicate that the administration of fluids at temperatures exceeding 52.2º C (126º F) can damage tissue and blood cells. While forward surgical units, combat support hospitals, and vehicle-based health care providers have the ability to store fluids at safe temperatures, the combat medic or wilderness medical provider do not. Recent reports from Iraq have shown the IVECS™ to maintain fluids at temperatures well below the established maximum. One soldier reported a temperature of 35.5 C (96º F). This demonstrates the impact of the addition of a light breeze and occasional shade, which make the IVECS™ even more effective. Tests conducted by USAMRMC (US Army Medical Research & Material Command) proved the IVECS™ is effective in extremely harsh, unrealistic conditions. The bag was tested over a period of 13.5 hours at a temperature of 54º C (130º F) and a maximum of 5% humidity with no wind. The chart below displays the results of the test. Within 2.5 hours, the control bag was already at an ambient temperature of 54º C (130º F). The bag stored in the IVECS™ was only 43.3º C (110º F) and then began a very slow climb to a maximum temperature of 50º C (122º F), four degrees below the maximum recommended temperature for blood products and fluids.NSN # 6515-01-530-7024