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HALO™ Seal Non-Vented Chest Seal — IFAK Two Pack

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PRODUCT INFORMATION
HALO™ by Medical Devices, Inc. · Non-Vented Chest Seal
HALO™ Seal Non-Vented Chest Seal — IFAK Two Pack
Two non-vented HALO Seal occlusive chest seals folded into one 5.5 × 7.5 in. IFAK pouch — one for the entry wound, one for the exit. Each 8.35 × 6.06 in. seal pairs a scrim-reinforced hydrogel with an outer tape edge and seals the hole completely, with no vent. Made in the USA by Medical Devices, Inc. of Romulus, Michigan, and carried in the military supply system under NSN 6510-01-698-3420.
Non-vented — fully occlusive2 seals per pouch8.35 × 6.06 in. each−30 °F to 140 °FNSN 6510-01-698-3420

A non-vented seal does its job the moment it goes on. The rest of the job is yours: watch the breathing, and burp the seal the moment it gets worse.

The short answer
What it is
Two non-vented occlusive chest seals in one IFAK-size pouch: transparent backing, hydrogel plus an outer tape edge, large pull tab.
Use it for
An open or sucking chest wound and its exit wound, when no vented seal is available — the TCCC Guidelines' second choice after a vented seal.1
How it's used
Wipe the skin, peel the liner, center the seal over the hole and press it on without stretching. Then watch the casualty's breathing, and burp or remove the seal if it gets worse.1,4
Who carries it
Units, agencies and trained civilians whose kits or protocols call for a non-vented seal, and anyone building a backup alongside vented seals.

At a glance

Type
Non-vented — fully occlusive
Seals per pack
2 HALO Seal
Seal size
8.35 × 6.06 in. (21.2 × 15.4 cm)
Pouch
5.5 × 7.5 in. IFAK — seals folded in thirds
Adhesive
Scrim-reinforced hydrogel + outer tape edge
Temperature rating
−30 °F to 140 °F (−34 °C to 60 °C)
Shelf life
6 years
NSN
6510-01-698-3420
Manufacturer item
US 1216-10010
FDA
Class I, 510(k)-exempt

12 things to know about the HALO Seal

Where a non-vented seal fits in TCCC, what it does and does not do, and the study that tested this exact seal.

  1. 01

    A non-vented seal has a defined place

    The TCCC Guidelines dated 1 May 2026 call for a vented chest seal on every open or sucking chest wound, and a non-vented seal when a vented one is not available — followed by monitoring for a developing tension pneumothorax.1 The civilian-focused C-TECC accepts non-vented seals used with serial reassessment, burping and decompression.14 Most seals placed on U.S. casualties with chest wounds in Afghanistan were non-vented.13

  2. 02

    What it does — and what it cannot

    The HALO Seal is an occlusive dressing that covers the wound and provides a mechanical barrier, so air is no longer drawn in through the chest wall.4 It has no vent: air leaking from an injured lung inside the chest has no way out until someone burps the seal.

  3. 03

    This exact seal was tested

    U.S. Army researchers used the HALO as the unvented seal in a 2013 swine study. Both it and a vented seal restored breathing within five minutes; with air still leaking into the chest, the unvented seal led to tension pneumothorax in all 8 animals after about 1.4 L, while the vented seal held through 2 L.10 That finding moved TCCC to vented-first.9

  4. 04

    Burping is the built-in safety valve

    The large pull tab is there to place the seal and to lift an edge so trapped air can escape; the instructions direct re-sealing as required.4 If breathing worsens, the TCCC Guidelines direct burping or removing the seal, and decompression by trained providers.1

  5. 05

    Know what worse looks like

    The instructions list the warning signs of a developing tension pneumothorax: sharp chest pain, faster breathing, shortness of breath, a fast heart rate or low blood pressure, blue or discolored skin, lips or nails, and bulging neck veins.4

  6. 06

    Two adhesives, not one

    A hydrogel infused with scrim — a reinforcing mesh that adds strength and limits gel migration — plus an outer tape edge as a second adhesion zone. The manufacturer states it adheres in damp, dry, sandy and hairy conditions and in the presence of moisture, pleural fluid or blood.3,4 The first step is still to clean and dry the skin.

  7. 07

    Adhesion in the one human study

    A 2021 systematic review found a single chest seal study with human participants (Supinski et al.); in it, adherence did not differ significantly among the Asherman, Bolin, HALO, HyFin, Russell and valved SAM seals.12

  8. 08

    Two seals for two holes

    The instructions direct a second seal on any additional chest wound,4 and this pouch carries it. Check the back, sides and armpits — an exit wound on the back is the one most often missed.

  9. 09

    Big seal, small pouch

    Each seal measures 8.35 × 6.06 in. (21.2 × 15.4 cm), folded in thirds into a 5.5 × 7.5 in. IFAK pouch about half the size of the flat pack.3,5 The large footprint lets the adhesive reach intact skin all the way around the wound.

  10. 10

    Rated −30 °F to 140 °F, six-year shelf life

    Medical Devices, Inc. rates the HALO Seal from −30 °F to 140 °F (−34 °C to 60 °C) with a six-year shelf life; its FDA device record lists the same storage range, non-sterile, single use and not made with natural rubber latex.3,7

  11. 11

    In the military supply system

    The two-pack carries NSN 6510-01-698-3420, cataloged as an occlusive adhesive dressing, IFAK two-pack.3,8

  12. 12

    Not on the evidence-based device list — and no chest seal is

    The Evidence-Based Standard Devices & Adjuncts list dated 15 December 2021 names no chest seal, so the HALO Seal is not evidence-based standard; absence from the list does not by itself mean a product was tested and failed.2 It is an FDA-registered, Class I (510(k)-exempt) occlusive wound dressing made by a company that launched HALO in 2009.5,6

How to apply the HALO Seal

The sequence from the manufacturer's instructions and the TCCC Guidelines — with the monitoring a non-vented seal depends on.

  1. 1
    Expose and find every hole. Cut clothing away and look and feel front, back, sides and armpits. Life-threatening bleeding is controlled first — tourniquet, packing, pressure dressing.
  2. 2
    Cover it now. Put a gloved hand over the hole — or have the casualty do it — while you open the pouch at a tear notch.
  3. 3
    Wipe it. Clean and dry the skin around the wound: blood, sweat and debris all fight the adhesive.4
  4. 4
    Peel and place. Remove the clear liner without letting the gel touch anything else, then place the seal gel side down, centered over the wound.4
  5. 5
    Press, don't stretch. Smooth it on with light pressure from the center out. Do not stretch the seal.4
  6. 6
    Seal the exit. Apply the second seal the same way on any other chest wound.4
  7. 7
    Position and watch. Unconscious and breathing: recovery position. Conscious: let them sit up or take whatever position helps them breathe.1 Watch closely — a non-vented seal depends on it.1,4
  8. 8
    Worse? Burp it. Lift an edge with the pull tab to let trapped air escape, then press it back down — or remove the seal. Trained providers follow the Guidelines' decompression direction if breathing does not improve.1,4
  9. 9
    Hand it off. Tell the receiving team a non-vented seal is on, where, and whether it has been burped.4
Train before you need it. Practice placing and burping on a chest seal trainer until lifting an edge is automatic. Every chest seal is single use — one opened for practice does not go back into a kit.

Where it fits

Use it for
  • Open or sucking chest wounds when no vented seal is available1
  • Entry and exit wounds from the same injury — two seals in one pouch
  • Kits built to a protocol that specifies a non-vented seal, with monitoring and burping trained14
  • A backup to vented seals in a larger bag
Not for
  • Packing — never pack gauze into a chest or abdominal wound
  • Over a protruding or impaled object — stabilize the object instead4
  • Post-surgical wounds — a listed contraindication4
  • Leaving unwatched — a non-vented seal needs someone monitoring breathing1
  • Practice — train on a chest seal trainer, not a live seal

The evidence

Every study cited above, what it tested, and how strong it is.

Study Evidence type What was studied What it found
Kheirabadi et al., J Trauma Acute Care Surg 2013 Animal · crossover Unvented HALO vs vented Bolin seal on an open chest wound with an ongoing air leak, 8 swine Both restored breathing within 5 min; the unvented HALO led to tension pneumothorax in all 8 after ~1.4 L of air, the vented seal held through 2 L
Kheirabadi et al., J Trauma Acute Care Surg 2017 Animal · comparative Five vented seals on a bleeding open chest wound, 26 swine Success ranged from 6/6 (Russell, Sentinel) to 0/4 (Bolin); vent design mattered
Schachner et al., Ann Thorac Surg 2022 Bench · ex vivo Improvised seals on a pig chest wall with a simulated open pneumothorax Wet rescue-blanket squares sealed 5 of 5; plastic foil from a gauze wrapper sealed 0 of 5
Schauer et al., J Spec Oper Med 2017 Human · combat registry 62 U.S. casualties with gunshot or puncture wounds to the chest, Afghanistan 74.2% received a chest seal; most seals placed were not vented
Butler et al., J Spec Oper Med 2013 Expert review · TCCC change 13-02 evidence-based review of open pneumothorax care after the 2013 swine data Vented chest seal first; non-vented if no vented seal; monitor, burp or remove, decompress
Margolis et al., J Spec Oper Med 2014 Expert consensus · C-TECC Committee for Tactical Emergency Casualty Care review of vented vs non-vented seals Vented seals likely add benefit; non-vented users reassess, burp and decompress; no clear outcome superiority proven
Paquette et al., J Spec Oper Med 2021 Systematic review Six quantitative chest seal studies, 1990–2020, including one human-participant adhesion study No significant adherence difference among six seals including HALO in the human study; device-level evidence limited
Lyng et al. (NAEMSP), Prehosp Emerg Care 2024 Expert review · position statement Structured review of EMS traumatic pneumothorax care EMS may consider a vented seal in a spontaneously breathing patient; seals may be harmful during positive-pressure ventilation

Strongest to weakest: human data, then animal studies, then bench work. The 2013 swine study is the one that tested the HALO Seal itself; its model kept adding air to the chest, which is exactly the situation in which a non-vented seal has to be burped.

How it compares

The HALO line side by side, with the vented seal most often weighed against it.

HALO Seal (2-pack) HALO Vent (2-pack) HALO Combo HyFin Vent (twin pack)
Maker Medical Devices, Inc. Medical Devices, Inc. Medical Devices, Inc. North American Rescue
Vented No — fully occlusive Yes — four vents One of each Yes — channel vent
Seals per pack 2 2 2 (1 HALO Seal + 1 HALO Vent) 2
When the Guidelines use it When no vented seal is available — then monitor1 First choice1 Vent on the first hole, Seal on a second First choice1
Published swine data Unvented arm, 2013: tension pneumothorax in 8 of 8 with an ongoing air leak10 Not among the brands compared Same two seals Held in 4 of 6 with a bleeding chest wound11
evidence-based standard No No No No

The Evidence-Based Standard Devices & Adjuncts list (15 December 2021) names no chest seal of any brand;2 absence from the list does not by itself mean a product was tested and failed. Both HALO seals measure 8.35 × 6.06 in.3,5

Build the system

The vented HALO options, the large-format HALO, a trainer, and the other three jobs in the kit.

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MED-TAC's free trauma field guide, written by a physician and medical educator — what to do in the first minutes of a severe bleed, step by step.
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Questions buyers ask

▾Is the HALO Seal evidence-based standard?

No. The Evidence-Based Standard Devices & Adjuncts list dated 15 December 2021 names no chest seal of any brand.2 Absence from the list does not by itself mean a product was tested and failed.

▾Is a non-vented seal the wrong choice?

No. The TCCC Guidelines put a vented seal first and a non-vented seal second, for when no vented seal is available — with monitoring either way.1 C-TECC accepts non-vented seals used with reassessment, burping and decompression, while noting that vented seals likely add benefit.14 If you are choosing what to buy, vented is the first choice.

▾What should I watch for once it's on?

Worsening shortness of breath, faster breathing, a fast heart rate or falling blood pressure, sharp chest pain, blue lips or nails, bulging neck veins, and falling oxygen readings if you have a monitor.1,4 Any of these means burp the seal now.

▾How do I burp it?

Lift one edge with the pull tab so trapped air can escape, then press the edge back down — or remove the seal. If breathing does not improve, trained providers follow the TCCC Guidelines' decompression direction.1,4

▾Will it stick to a sweaty, hairy or bloody chest?

Medical Devices, Inc. states the HALO Seal adheres in damp, sandy and hairy conditions and with blood or pleural fluid present, using hydrogel plus an outer tape edge.3,4 In the one human-participant adhesion study, HALO did not differ significantly from five other brands.12 Wipe the skin dry first and press the edges down firmly.

▾Why two seals in one pack?

Penetrating wounds often have an exit, and the instructions direct a second seal on any additional chest wound.4 Roll the casualty or run your hands down the back and sides.

▾What if I don't have a chest seal?

Most bystanders won't. Have the casualty press their own hand over the hole, or cover it the best way you can, and keep watching their breathing. Improvising a seal is hard unless you have tape and something airtight: in a pig chest-wall model, wet rescue-blanket squares sealed every test wound while foil from a gauze wrapper sealed none.16 Unconscious and breathing: recovery position. Conscious: let them sit up or find the position that eases their breathing.1

▾Should EMS use a chest seal on a patient being bagged?

The NAEMSP 2024 position statement advises that chest seals may be harmful and are not recommended during positive-pressure ventilation; for a spontaneously breathing patient it supports considering a vented seal.15 Follow your agency's protocol.

▾Can I pack a chest wound?

No. Never pack gauze into the chest or the abdomen. A chest wound gets a seal; bleeding from it is controlled with direct pressure over and around the wound while the seal goes on.

▾How should I store it, and how long does it last?

Sealed in its pouch within −30 °F to 140 °F (−34 °C to 60 °C), for up to six years.3,7 It is non-sterile and single use — replace it once the pouch is opened.4,7

Package & specifications

▾In the package — two non-vented seals
  • 2× HALO™ Seal non-vented chest seal, 8.35 × 6.06 in. (21.2 × 15.4 cm), folded in thirds — transparent, scrim-reinforced hydrogel with an outer tape edge, large pull tab
  • 1× IFAK pouch, 5.5 × 7.5 in. (14 × 19 cm), tear notches for opening
  • Non-sterile, single use, latex-free. Gloves sold separately.
▾Full specifications
Specification Detail
Manufacturer Medical Devices, Inc. — Romulus, Michigan, USA
Product HALO™ Seal, 2 HALO Seal IFAK
Manufacturer item US 1216-10010
NSN 6510-01-698-3420
Contents 2 HALO Seal non-vented chest seals in one IFAK pouch
Seal size 8.35 × 6.06 in. (21.2 × 15.4 cm)
Pouch 5.5 × 7.5 in. (14 × 19 cm), IFAK size; seals folded in thirds
Vent None — fully occlusive
Adhesive Hydrogel infused with scrim, plus an outer tape edge
Backing Transparent; oversized release liner; large pull tab
Temperature rating −30 °F to 140 °F (−34 °C to 60 °C) — storage and handling
Shelf life 6 years
Latex Latex-free — not made with natural rubber latex
Sterility / use Non-sterile, single use
Contraindication (manufacturer) Post-surgical applications
FDA Occlusive wound dressing, product code NAD, 21 CFR 878.4020 — FDA-registered, Class I (510(k)-exempt)
Made in USA
TCCC status Non-vented chest seal — the TCCC Guidelines' choice when no vented seal is available; not evidence-based standard (the evidence-based list names no chest seal)
▾References — 16 sources
  1. Committee on Tactical Combat Casualty Care. Tactical Combat Casualty Care (TCCC) Guidelines, 1 May 2026.
  2. Committee on Tactical Combat Casualty Care. Evidence-Based Standard Devices & Adjuncts, 15 December 2021.
  3. Medical Devices, Inc. 2 HALO Seal IFAK (US 1216-10010) — specifications, NSN, product features and intended use. medicaldevicesinc.com (WEB-038 rev04, effective 27 February 2026).
  4. Medical Devices, Inc. HALO Seal Instructions for Use, United States. Doc. MAW-0429 rev03.
  5. Medical Devices, Inc. Company history and product FAQ — IFAK and Flat Pack pouches, HALO dimensions, ISO 13485, U.S. manufacturing. medicaldevicesinc.com.
  6. U.S. Food and Drug Administration. Establishment Registration & Device Listing — Medical Devices Inc., Romulus, MI: Halo Seal, Halo Vent, Halo XL; product code NAD (Dressing, Wound, Occlusive), 21 CFR 878.4020, Class I, 510(k)-exempt.
  7. U.S. National Library of Medicine. AccessGUDID device record — Halo, US 1216-10010 (Halo Seal IFAK, 2 Halo Seals), primary DI 00850010608242.
  8. Defense Logistics Agency, Federal Logistics Information System. NSN 6510-01-698-3420, Dressing, Occlusive, Adhesive — Seal, IFAK 2 Pack; assigned 10 November 2021.
  9. Butler FK Jr, DuBose JJ, Otten EJ, et al. Management of open pneumothorax in Tactical Combat Casualty Care: TCCC Guidelines Change 13-02. J Spec Oper Med. 2013;13(3):81–86.
  10. Kheirabadi BS, Terrazas IB, Koller A, et al. Vented versus unvented chest seals for treatment of pneumothorax and prevention of tension pneumothorax in a swine model. J Trauma Acute Care Surg. 2013;75(1):150–156.
  11. Kheirabadi BS, Terrazas IB, Miranda N, et al. Do vented chest seals differ in efficacy? An experimental evaluation using a swine hemopneumothorax model. J Trauma Acute Care Surg. 2017;83(1):182–189.
  12. Paquette R, Quinene M, Blackbourne LH, Allen PB. Efficacy of commercial chest seal adherence and tension pneumothorax prevention: a systematic review of quantitative studies. J Spec Oper Med. 2021;21(3):78–85.
  13. Schauer SG, April MD, Naylor JF, et al. Chest seal placement for penetrating chest wounds by prehospital ground forces in Afghanistan. J Spec Oper Med. 2017;17(3):85–89.
  14. Margolis AM, Tang N, Levy MJ, Callaway DW. Management of open chest wounds in tactical emergency casualty care: application of vented versus nonvented chest seals. J Spec Oper Med. 2014;14(4):136–138.
  15. Lyng JW, Ward C, Angelidis M, et al. Prehospital Trauma Compendium: traumatic pneumothorax care — position statement and resource document of NAEMSP. Prehosp Emerg Care. Published online 4 December 2024.
  16. Schachner T, Isser M, Haselbacher M, et al. Rescue blanket as a provisional seal for penetrating chest wounds in a new ex vivo porcine model. Ann Thorac Surg. 2022;114(1):280–285.
Genuine HALO™ — Medical Devices, Inc.
Sourced direct from the manufacturer or an authorized master distributor. Ships from MED-TAC International, South Florida, US of A — clinician-founded, veteran-led, SDVOSB-certified.
SPECS & MEASUREMENTS

Specifications coming soon. Contact us for detailed product information.

CLINICAL RATIONALE

Chest Seals in Thoracic Trauma

Chest seals are critical life-saving tools for treating open chest wounds (sucking chest wounds) that disrupt the negative pressure needed for normal breathing.
When air enters the pleural space through a penetrating injury, it prevents the lung from fully expanding and may lead to a tension pneumothorax — a life-threatening condition if not addressed promptly.
Properly applied chest seals restore intrathoracic pressure balance and allow the injured lung to re-expand, buying vital time until definitive care or decompression is available.

1. Vented Chest Seals

Clinical Rationale (Vented):

Vented chest seals feature one-way valves or channels that allow trapped air and fluids to escape from the chest cavity while preventing further air entry.
This controlled venting mechanism reduces the risk of developing a tension pneumothorax and is recommended by the Committee on Tactical Combat Casualty Care (CoTCCC) for most open thoracic injuries when the vent remains unobstructed.
In tactical and emergency medical settings, vented seals maintain proper intrathoracic pressure dynamics and help stabilize respiration during evacuation.

  • Allows air and blood to escape while blocking additional air entry
  • Recommended by CoTCCC for most penetrating chest wounds
  • Prevents progression to tension pneumothorax
  • Effective during movement and transport phases

2. Non-Vented Chest Seals

Clinical Rationale (Non-Vented):

Non-vented chest seals provide a fully occlusive barrier that prevents any external air from entering the pleural cavity.
These are preferred when environmental factors — such as dust, debris, heavy clothing, or complex wound locations — could obstruct a vent or prevent it from functioning properly.
Non-vented models are especially effective when there are multiple wounds or when both sides of the chest are compromised.

  • Creates an airtight seal to stop further air intrusion
  • Ideal for contaminated or complex wound environments
  • Preferred for posterior or multiple thoracic injuries
  • Simple and reliable under stress conditions

3. Twin Pack / Dual Application

Clinical Rationale (Twin Pack):

Twin chest seal packs are designed for simultaneous coverage of entry and exit wounds or multiple penetrating thoracic injuries.
Applying seals to both anterior and posterior wounds prevents air intrusion from either side and ensures consistent intrathoracic pressure stabilization.
This configuration allows medics and responders to treat through-and-through injuries quickly and efficiently without improvisation.

  • Enables rapid treatment of entry and exit wounds
  • Maintains consistent chest pressure across both sides
  • Optimized for tactical and prehospital trauma management
  • Reduces need for multiple packages or improvised seals

4. Training Chest Seals

Clinical Rationale (Training):

Training chest seals replicate the adhesive strength and venting design of operational models using non-sterile materials.
They are intended for classroom, simulation, and scenario-based instruction, allowing responders to practice correct placement, adhesion, and vent inspection without wasting live medical gear.
Consistent repetition with realistic trainers develops muscle memory and speed during actual trauma incidents.

  • Simulates vented or occlusive seal behavior for realistic training
  • Promotes correct placement and adhesion technique
  • Preserves sterile operational supplies
  • Ideal for EMT, tactical, and civilian responder courses

Clinical Summary

Chest seals play a pivotal role in preventing death from tension pneumothorax, one of the leading causes of preventable trauma mortality.
Both vented and non-vented designs serve distinct operational needs, while twin and training packs ensure preparedness across all care phases — from education to battlefield or civilian emergencies.

  • Vented: Allows controlled egress of trapped air; standard CoTCCC-recommended choice.
  • Non-Vented: Fully occlusive; best for debris-rich or posterior wound sites.
  • Twin Pack: Provides coverage for through-and-through injuries.
  • Training: Non-sterile practice tool for skill retention and readiness.

By re-establishing chest wall integrity and controlling air movement, chest seals restore lung expansion and stabilize respiratory mechanics until advanced medical care is available.

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