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Lê Hoàn Prosthetics & Orthotics
TSB-Vac

Active negative-pressure (vacuum) socket system

A mechanical or electronic pump draws a vacuum between liner and socket, creating a firm link, stabilising limb volume and improving circulation.

Active negative-pressure (vacuum) socket system

Indications

  • Large daily changes in limb volume
  • Fragile residual-limb skin, adherent scars
  • Active users needing a firm connection
  • Transfemoral and transtibial levels

Key features

  • Gait-activated mechanical pump (battery-free)
  • Electronic pump holding a preset vacuum level
  • Airtight liner and one-way expulsion valve
  • Pistoning reduced to near zero
  • Vacuum-level monitoring and leak alerts (electronic version)

In a conventional socket the residual limb still shifts slightly with each step (pistoning), causing friction, blisters and a loose feel. A negative-pressure system removes that gap by drawing a vacuum between an airtight liner and the socket wall.

The mechanical version uses the compression of each step to run the pump — no battery and very durable. The electronic version has a small pump that holds a set vacuum level, displays the pressure and warns of leaks.

The clinical benefits are documented: limb volume stays more stable through the day, fewer sock adjustments are needed, circulation and skin healing improve, and limb-position awareness is clearer on difficult ground.

We have previously run programmes to grant negative-pressure systems to patients in hardship — contact us to discuss a suitable option.

Do you or a loved one need advice?

Book an in-person assessment in Hanoi or send your file for a remote consultation. We reply within 24 hours.

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