FAQ's

T-RING/T-RING FLEX
The T-RING is the world’s first “One-size-fits-all” tourniquet for digits, and the only digit tourniquet proven to apply a safe and effective pressure on all digit sizes. The T-RING automatically adjusts to the size of any digit, becoming “wider” when placed onto larger digits. This spreads a potentially greater pressure over a larger surface area, resulting in an ideal pressure of 150-160 mmHg on every digit size - enough to immediately stop bleeding without the risk of injury. This is the opposite of current ring tourniquets that apply a greater pressure to a smaller surface when stretched, resulting in rapid & unsafe increases in pressure.
The central grey ring of the T-RING and T-RING are exactly the same – this is the tourniquet portion that applies the “ideal pressure” on any size digit. The only difference between the two versions is the original T-RING has a solid outer red ring, while the T-RING FLEX has end “tabs” and is entirely flexible. The original T-RING can be snapped, allowing the tourniquet’s inner opening to be stretched wider for application over flaps, deformities or onto very large digits. There is no need to snap the T-RING FLEX, simply grab the tabs and stretch for simple, safe application and removal.
The T-RING FLEX is recommended for providers in hospital, urgent care and office settings: it is even easier than the T-RING to stretch and apply; and its soft, narrow design makes it perfect for use on tiny digits and the narrow spaced between toes.  The T-RING’s solid outer ring allows easy one-handed application – perfect for self-application in pre-hospital settings. The T-RING remains a favorite for military, law enforcement, EMS and others in the pre-hospital setting.
It is simple – using a tourniquet has significant risks of injury to the delicate digital vessels and nerves if too much pressure is applied. To minimize the risk of injury, the literature states you must ALWAYS use the lowest pressure necessary to achieve hemostasis.
The T-RING automatically adjusts to the size of any digit to apply a pressure of 150- 160 mm Hg on any digit size – a fraction of the pressure of any other digit tourniquet. This is the ideal pressure - enough to provide hemostasis, while avoiding the risk of neurovascular injury that is associated with all other digit tourniquets.
Elsevier’s 2019 edition of Trauma & Emergency Care highlights the risks of using other methods, recommending the T-RING:
“Traditional methods of tourniquet application to digits (e.g. surgical glove, Penrose drain tubing, Tourni-Cot) have all been found to exceed the pressure required for digital haemostasis, and so dramatically increasing the risk of neurovascular injury. These potential injuries can be devastating for the patient. The T-Ring™ tourniquet is now used to replace these other methods. It is a one size fits all tourniquet, which applies even pressure to any digit creating the required bloodless field with minimal pressure.“
The T-RING & T-RING FLEX are also very conspicuous – virtually impossible to forget on a digit.  Lower profile methods, including surgical gloves and Tourni-cots have been forgotten on digits, resulting in digital necrosis and digit amputation; leading experts to advise they should not be used.
The T-RING & T-RING FLEX are the only digit tourniquets proven to apply a safe and effective on every digit size. It is no longer acceptable to use a tourniquet that applies excessive or unknown pressures. The “Uni-cot” recently joined the multi-sized Tourni-cot family of digit tourniquets.
The pressure applied by Tourni-cots are known to exceed the required pressure and “dramatically increases the risk of neurovascular injury”(Trauma & Emergency Care 2019). The pressures applied by the Uni-cot has not been reported by the manufacturer or independently studied. There is no data to show that the Uni-cot applies a pressure that is any safer than the original Tourni-cots.
The T-RING & T-RING FLEX are also much safer and easier than the Uni-cot to apply over digits with traumatic flaps or deformities. Finally, the T-RING & T-RING FLEX have a built in 2-point discriminator, allowing the required assessment of digital nerve function.
TOPICAL LACERATION CLOSURE

The T-STRIP is a clear, porous wound closure strip that is used with a topical skin adhesive (TSA) to close wounds that traditionally have been sutured. The T-STRIP allows precise approximation of even complex wound edges, preventing application of TSA into the wound while also reducing wound tension and the chance of wound dehiscence. Simply apply the T-STRIP to one side of the wound, then gently pull across the wound while aligning the edges. Once in place, cover the entire T-STRIP with a TSA to seal the wound. The T-STRIP is ideal for Topical Laceration Closure™, and is designed to be used with the T-RING digit tourniquet to treat most uncomplicated finger lacerations. The T-STRIP can also be used to treat superficial lacerations and skin avulsions that occur on other parts of the body. Using the T-STRIP and a TSA often eliminates the need for laceration trays, painful injections, and sutures; allowing most repairs to be completed in minutes. The T-STRIP will simply slough off in about 10-12 days, eliminating the need for a follow up visit for suture removal. Using the T-STRIP and Topical Laceration Closure™ reduces procedure time, saves money, and minimizes pain and infection.

TLC

The Topical Laceration Closure Tray allows you to treat the vast majority of uncomplicated finger lacerations without using a laceration tray, digital blocks or sutures. The tray contains the T-RING FLEX, a T-STRIP, 2% Topical Lidocaine gel, benzoin, gauze, and scissors. Just add your preferred topical skin adhesive, and you can evaluate and repair finger lacerations must faster & easier; while reducing pain, infection and eliminating the need for a follow up visit for suture removal.
LOGISTICAL QUESTIONS:

There are 2 ways to order:
A Purchase Order can be faxed to 406-556-1322, or emailed to [email protected]
The online order form can be completed (www.theTRING.com), this is primarily used with Credit Card payment.
Our default is FedEx ground, shipping for most standard orders is $13.95 throughout the continental U.S. Overnight and 2 day shipping are available. Shipping costs outside the continental U.S. will depend on order size and destination.
We primarily use Distributors outside of the U.S., and sell directly for purchases within the U.S. We pride ourselves in our Customer Service, making it extremely easy to order directly from us. This also prevents a price mark-up that frequently occurs when purchasing through one of the major distributors.