Bio Compression 3004 - MedSource LLC

HCPCS CODE E0652
A Gradient, Sequential, Pneumatic Compression Device for ...
INTENDED USE
Model SC-3004 Sequential Circulator is a gradient, sequential,
pneumatic compression device, intended for the primary or
adjunctive treatment of primary or secondary Lymphedema. The
device is additionally intended for alternate treatment of chronic
venous stasis ulcers and associated venous insufficiency, as well as
general treatment of swelling of the extremities. The device is
intended for home or hospital use.
Four Levels of
Calibrated Gradient
Pressure!
Latest Clinical Studies using
BIO COMPRESSION SYSTEMS’
SEQUENTIAL CIRCULATORS
are available upon request
Bio Compression Systems Sequential Circulator Model 3004...
Reduces Pain
Mimics the Lymphatic System
Promotes Lymphatic Flow by Moving Fluid in the Proper Physiological Direction
(distal to proximal)
Stimulates Circulation to Promote Wound Healing
Bilateral
Delivers Continuous Flow
Provides Effective Prophylaxis for Venous Thrombosis
Lightweight ● Portable ● Easy to Use ● Cost-Effective
Arm and Hand Therapy
AFTER
Bio Compression Systems’ Biocomfort Garments ...
Made of high quality 200 Denier Nylon Oxford
coated with 3 mils of Polyurethane
Available in a variety of sizes and styles including
OVER THE SHOULDER ● ADJUSTABLE ● CUSTOM● AMPUTEE
BIOCOMFORT GARMENT SIZE CHART ON BACK
BEFORE
Foot and Leg Therapy
CONTRAINDICATIONS
Pneumatic compression is contraindicated for the patients with the following: 1) Congestive heart failure; 2) Deep Vein Thrombosis; 3) Inflammatory phlebitis or
episodes of pulmonary embolism; 4)Infections in the limb, including cellulitis, without appropriate antibiotic coverage; 5) Presence of lymphangiosarcoma
WARNING: Federal law restricts this device to sale by or on the order of a physician.
Phone: 888-510-5100
Fax: 309-664-7931

SPECIFICATIONS
MODEL 3004
HCPCS CODE E0652 Dimensions H x W x D: 5.5 x 12 x 8
Segmental, pneumatic Weight: 6 lbs.
compression providing Pressure Range: 25-100mm Hg
pre-determined gradient Electrical Rating: 120 VAC, 60 HZ, .5 A
pressure. Cycle Time: 18 secs per chamber
Inflation :
72 secs.
Deflation:
18 secs.
Warranty:
3 years
Bi-lateral operation
BIOCOMFORT GARMENTS SIZE CHART
Now in INCHES/CENTIMETERS
Upper Extremity 1 2 3 4 5 6
Axilla to Fingertips
Axilla Bicep Elbow Forearm Wrist Length
Small Arm
GS-3035-S 23.5”/59.7 22”/55.9 19.5”/49.5 17.5”/44.5 15”/38.1 26.5”/67.3
G8-3035-S
Medium Arm
GS-3035-M
G8-3035-M
27”/68.6 26”/66.0 24”/61.0 21”/53.4 18”/45.7 32”/81.3
Large Arm
GS-3035-L 25.5”/64.8 24”/61.0 21.5”/54.6 19”/48.3 16”/40.7 35”/88.9
G8-3035-L
Arm w/ Shldr
GS-3035 SH
G8-3035-SH
27”/68.6 26”/66.0 24”/61.0 21”/53.4 18”/45.7 32+8”/81.3+20.3
W - WIDE / S - STANDARD
Lower Extremity 1 2 3 4 5 6 7
Thigh below Mid Mid Mid Arch Crotch to
Half Leg Crotch Thigh Knee Calf Ankle (Instep) Heel
GS-3045-H (W) — — 30.5”/77.5 28”/71.1 29”/73.7 23”/58.4 (19”/48.3)
N/A (S) 29”/73.7 27”/68.6 23.5”/59.7 22”/55.9 Length
Small Leg
GS-3045-S (W) 35.5”/90.2 34”/86.4 30.5”/77.5 28”/71.1 25.5”/64.8 21.5”/54.6 27”/69.6
G8-3045-S (S) 31”/78.7 30”/76.2 28”/71.1 24.5”/62.4 21.5”/54.6 19.5”/49.5
Medium Leg
GS-3045-M (W) 36.5”/92.7 34”/86.4 30”/76.2 28”/71.1 25.5”/64.8 22.5”/57.2 32”/81.3
G8-3045-M (S) 32”/81.3 30”/76.2 28”/71.1 24.5”/62.4 21.5”/54.6 19.5”/49.5
Large Leg
GS-3045-L (W) 37”/94 36”/91.4 32”/81.3 29”/73.7 24”/61.0 20.5”/52.1 36.5”/92.7
G8-3045-L (S) 33”/83.8 32”/81.3 30”/76.2 26”/66.0 21.5”/54.6 19.5”/49.5
Please note: If patient is larger than measurements below, a custom sleeve is advised.
Half Leg
Adjustable
(Expanded Position) (W) — — 33.5”/85.1 31”/78.7 29”/73.7 23”/58.4 (19”/48.3)
GA-3045-H (S) 32”/81.3 30”/76.2 23.5”/59.7 22”/55.9 Length
Small Leg Adjustable
(Expanded Position) (W) 38.5”/97.8 37”/94 33.5”/85.1 31”/78.7 25.5”/64.8 21.5”/54.6 27”/69.6
GA-3045-S/A8-3045-S (S) 34”/86.4 33”/83.8 31”/78.7 27.5”/69.9 21.5”/54.6 19.5”/49.5
Medium Leg Adjustable
(Expanded Position) (W) 39.5”/100.3 36.5”/92.7 33.5”/85.1 31”/78.7 25.5”/64.8 22.5”/57.2 32”/81.3
GA-3045-M/A8-3045-M (S) 35”/88.9 34”/86.4 31”/78.7 27.5”/69.9 21.5”/54.6 19.5”/49.5
Large Leg Adjustable
(Expanded Position) (W) 40”/101.6 38”/96.5 35”/88.9 32”/81.3 24”/61.0 22.5”/57.2 36.5”/92.7
GA-3045-L/A8-3045-L (S) 36”/91.4 36”/91.4 33”/83.8 29”/73.7 21.5”/54.6 19.5”/49.5
NUMBERS IN ITALICS CORRESPOND TO CUSTOM ORDER FORMS GARMENTS-SL ISSUE 10-12-05 REV. 01-13-10 –H