NCH

Noncompressible Hemorrhage (NCH) Control Technology

Hemorrhage is the leading cause of trauma-related death in both civilian and military populations. A study of 4,596 battlefield fatalities from Operation Iraqi Freedom and Operation Enduring Freedom determined that hemorrhage accounted for 91% of potentially survivable fatalities occurring prior to arrival at a Medical Treatment Facility (Eastridge et al., 2012). Additionally, of those 888 deaths attributable to hemorrhage, 67% were from truncal hemorrhage (Eastridge et al., 2012). This supports the vital need for intervention in far forward military environments.

The primary deliverable of this project will be a prototype that can stop life threatening bleeding in the abdominal intracavitary region of patients who are delayed in receiving definitive surgical care. Ideally, a noncompressible hemorrhage control solution should:

  • Be capable of minimizing and/or stopping life threatening noncompressible bleeding in the  abdominal intracavitary region of the body without causing further damage
  • Be more efficacious, operational and environmentally suitable and affordable than the current standard of care
  • Be easily usable by combat medics, physician’s assistants, and/or physicians at Point of Injury Role 1 and during patient transport without additional equipment.
  • Be bioabsorbable or easily removable without causing further damage (if applicable to the technology)
  • Achieve clearance/approval by the U.S. Food and Drug Administration (FDA) for use in trauma patients
  • Be a small form factor, which does not add any significant weight or cube to the medical personnel’s sets, kits or outfits
  • Have a low logistical footprint (e.g., storage conditions, shelf life, rugged)
  • • Require no specialized maintenance personnel, maintenance requirements, or tools to employ or maintain the system
  • Be used as intended in austere military operational environments (e.g., low visibility, extreme temperature variations, blackout conditions, ruggedness)
  • Be capable of passing military testing requirements, including but not limited to, airworthiness, safe-to-fly testing and environmental testing as stated in the appropriate documents (for example,  the current MIL STD 810 and Joint En route Care Equipment Test Standard (JECETS))
  • Be capable of functioning in a prolonged field care setting in future Multi-Domain Operations (MDO) where evacuation is not guaranteed within one hour
  • Be at a technology readiness level (TRL) of 5 or above [For definitions of TRLs: https://mtec-sc.org/wp-content/uploads/2016/12/TRL-definitions.pdf]

Project proposals are currently under evaluation. The research project award recipients will be selected from the Offerors who responded to MTEC’s Request for Project Proposals (MTEC 20-08-NCH).