SAM XT Extremity Tourniquet

2024-06-10T14:21:33-04:00

Vendor: SAM Medical
Type: Tourniquet
Price: 33.99

The SAM XT Extremity Tourniquet is a CoTCCC-recommended, DoD-fielded limb tourniquet built around patented TRUFORCE™ Buckle technology that auto-locks at a predetermined circumferential force — virtually eliminating tourniquet slack, the leading cause of failed application. Its CLICK, TWIST, SECURE protocol reduces windlass turns and simplifies training, making it a top choice for law enforcement, military, and prepared civilians. Available in Tactical Black, Hi-Viz Orange, and Hi-Viz Blue.

Key Specifications

Specification | Detail
Manufacturer | SAM Medical
Part Numbers | Black: XT600-BK-EN | Orange: XT600-OR-EN | Blue: XT600-BL-EN
NSN (Black) | 6515-01-670-2240
Weight | 3.8 oz (108 g)
Dimensions (Folded) | 7.25" L × 2.5" W × 1.5" D (18.4 × 6.3 × 3.8 cm)
Circumferential Range | 5.75" – 32.5" (14.6 – 82.6 cm) TRUFORCE™ lock range
Windlass Rod | Lightweight aluminum — weather resistant
Durability Standard | MIL-STD-810G certified
CoTCCC Status | Recommended by the U.S. Department of Defense CoTCCC
Colors Available | Tactical Black, Hi-Viz Orange, Hi-Viz Blue

Product Overview

The SAM XT Extremity Tourniquet was engineered by SAM Medical to solve the most common failure mode in tourniquet application: slack. Traditional windlass tourniquets require multiple turns and manual tension to generate adequate limb pressure, a process that is prone to error in high-stress, fine-motor-skill-degraded environments. SAM XT's patented TRUFORCE™ Buckle addresses this by auto-locking at a predetermined circumferential force — the buckle's internal locking prongs engage strap holes within a defined range, automatically confirming correct tension before the windlass is ever turned. This single innovation dramatically reduces application variation and failure risk under stress.

The tourniquet's four-component system works in concert: the TRUFLEX™ Plate (100% nylon) distributes force evenly across the limb and provides a stable base for the metal windlass rod; the aluminum Windlass Rod delivers reliable tightening torque without the brittleness of plastic alternatives; the single-layer nylon Precision Strap feeds smoothly through the TRUFORCE™ Buckle; and the weather-resistant, night-vision-optimized Time Band documents application time reliably in adverse lighting. All components meet MIL-STD-810G environmental durability standards, validating performance across temperature extremes, humidity, vibration, and shock scenarios. The DoD's Committee on Tactical Combat Casualty Care (CoTCCC) formally recommends the SAM XT as a primary extremity tourniquet.

Research has consistently confirmed that tourniquet availability and rapid application are decisive factors in extremity hemorrhage survival. Data from the Ranger Battalion JAMA Surgery study showed 94% ultimate survival among tourniquet recipients. Prehospital application was associated with markedly better outcomes versus tourniquet application after shock onset. The SAM XT's streamlined protocol — CLICK the buckle, TWIST the windlass, SECURE the strap — reduces the cognitive and motor burden at the point of wounding, making reliable one-handed self-application achievable even under extreme duress. For additional guidance see The Complete Tourniquet Guide 2026.

Application: CLICK, TWIST, SECURE

1. CLICK: Route the strap through the TRUFORCE™ Buckle; pull to tighten around the limb 2–3 inches above the wound. The buckle audibly clicks and locks when proper circumferential force is achieved.

2. TWIST: Rotate the aluminum windlass rod until bleeding is controlled. The TRUFLEX™ Plate distributes force evenly — fewer turns are required compared to traditional designs.

3. SECURE: Fold the windlass into the retention clip and secure the Time Band over it. Record time of application on the white Time Band.

4. Monitor the casualty; check for distal pulse cessation to confirm complete occlusion.

Comparison Context

Both the SAM XT and the C-A-T® Gen 7 hold full CoTCCC recommendation. The SAM XT's TRUFORCE™ auto-lock mechanism provides a confirmation step absent in the C-A-T's design, which may benefit less-trained users or self-application scenarios. The C-A-T Gen 7 is lighter (2.7 oz vs. 3.8 oz) and has a larger body of peer-reviewed military outcome data. Both belong in any serious tourniquet and trauma pouch system.

For complete pre-built kits incorporating CoTCCC-recommended tourniquets, explore MED-TAC's IFAK & First Aid Kits and Massive Hemorrhage Control collections.