Evaluation of device Traffic Pillow™ Patient ID#1232ANSE Procedure: Ultrasound of Lower Extremity Evaluation of device Traffic Pillow™ : Patient is a 36 year old male who was evaluated with the Traffic Pillow™ device and its outcome in venous blood flow. Medical dictum has shown that the #1 case for blood clots and higher incidence of strokes due to these clots are directly variable to venous stasis. The muscles in our lower extremities are both positional and gravitational and are a major risk factor in the development of clots and stasis in these lower extremity vessels. The mainstay of treatment and prevention has been the use of mild anticoagulants and anti-inflammatory. This is not without serious side effects, i.e., bleeding, pain and anaphylaxis and with only minor improvements in prevention of clots, which are clinically insignificant. Massaging and external noninvasive methods have been tried over and over again with increasing success as technology improves. The Traffic Pillow™ was put to the test in this patient. Factual and analytical data was obtained through the use of sonography and Doppler studies. A mapping and extrapolation of increased blood flow was calculated using simple flow metrics. The results were remarkable in this patient, and revealed an increase in lower extremity blood flow of 30%, decreasing the risk of stasis and subsequent clots to a near zero. This device is extraordinary and is recommended to anyone who has periods during the day of non lower extremity movement for greater than one hour i.e., planes, trains, desk job, long commuters, at home, etc. As an independent observation, swelling also decreased greater that 5%, proving clinically significant. I recommend the Traffic Pillow™ without any reservation and feel strongly that it will not only prevent clots, stasis and swelling, but will save lives! Lee Kane MD MS Osler Institute of Medicine MR#1249NOIN Procedure Lower extremity Doppler Ultrasound Lower extremity study with sonography with/without Traffic Pillow™ 51 year old female patient The pre-evaluation studies reveal some small calculable small vessel disease which impedes further studies to a margin of error of about 10% due to compressibility. With the studies available, the traffic pillow showed an improvement of blood flow through the lower extremities of greater than 15%. (Median findings) Even with a 5% error of margin, the blood flow was clinically relevant and significant to warrant use of the Traffic Pillow™ . The larger vessels fared better than the small to midsized vessels, which correlate to increased blood flow and decreased stasis, which will hasten clot formation and increase back flow to the heart, reducing contractility strain on the heart musculature. The Traffic Pillow™ shows significant improvement in extremity circulation and is highly recommended to help prevent the formation of clots and improve circulation. People with any form of circulatory compromise, i.e., obesity, diabetes, renal disease, heart failure and certain medications will benefit from the Traffic Pillow™ , and lessen untoward effects of stasis in the extremities. Sincerely, Lee Kane MD MS Osler Institute of Medicine MR#1247REVI Procedure US Venous US Venous This patient received extremity sonogram with color Doppler in the L. Extremities Blood flow using flow metrics revealed no significant disease and good valvular function with no abnormalities. Blood flow with the Traffic Pillow™ improved flow by a rate not to exceed 22% WHICH CLICICALLY SIGNIFICANT, and displays effective use of product. The Traffic Pillow™ again demonstrates statistical significant improvement in venous circulation. This Traffic Pillow™ is, in my opinion, a must for all travelers, as well as many of those with stagnant lifestyles in which pooling of the blood to the extremities can lead to fatal clots, emboli, ulcerations, etc. The use of the Traffic Pillow™ is highly recommended to lessen clots and improve circulation, as clearly demonstrated here. Sincerely, Lee Kane MD MS Osler Institute of Medicine