Cook Medical G10789 - CATH, INTUBATION, AINTREE, EACH

Cook Medical G10789 - CATH, INTUBATION, AINTREE, EACH

Aintree Intubation Catheter

For Use with Laryngeal Mask Airways/Supraglottic Airway Devices

The Aintree Intubation Catheter (AIC) is a blunt-tipped, radiopaque catheter with centimeter marks to facilitate placement. The catheter is supplied with Rapi-Fit adapters (with 15 mm connector and Luer lock connector), permitting use of ventilatory devices during exchange procedure. The lumen design with distal sideports enhances air flow. This set also includes a bronchoscopic port.

The Aintree Intubation Catheter is a 19 French catheter for exchange of endotracheal tubes with an inner diameter (ID) of 7 mm or larger. The catheter has a 4.7 mm ID, allowing it to be pre-loaded onto a fiberoptic scope with a maximum outer diameter (OD) of 4.2 mm.

Used for assisted fiberoptic intubation and for uncomplicated, atraumatic endotracheal tube exchange.

Intended Use

The Aintree Intubation Catheter has been designed for assisted fiberoptic intubation and for uncomplicated, atraumatic endotracheal tube exchange.

Features and Benefits

• Large 4.7 mm inner diameter to accept fiberoptic bronchoscope.
• Blunt tip is atraumatic to internal structures.
• Distal sideports help ensure sufficient airflow and prevent catheter from whipping during jet ventilation.
• Centimeter markings facilitate accurate placement with endotracheal tubes.
• Removable Rapi-Fit adapter with 15 mm and Luer lock connectors permits use of ventilatory device if necessary during exchange procedure.

Components

• Radiopaque catheter
• Rapi-Fit Adapter (15 mm connector)
• Rapi-Fit Adapter (Luer lock connector)
• 2 Rapi-Fit Adapters: one adapter for jet ventilator and one adapter for standard 15 mm connection
• 1 Double Swivel Connector

Clinical Speciality

• Anesthesiology
• Critical Care Medicine
• Emergency Medicine

Potential Adverse Events

• Barotrauma
• Perforation of the bronchi or lung parenchyma
• Pneumothorax

Device Characteristics

Instructions for Use (Use of Rapi-Fit Adapter)

Rapi-Fit adapters should only be used when oxygen requirements are high and intubation is unsuccessful. Use of an oxygen source should only be considered if the patient has sufficient egression of the insufflated gas volume. If an oxygen source is used for insufflation, begin at a lower pressure and work up gradually. Observe the chest for outward and inward movements to confirm oxygen insufflation and egression. Pulse oximetry and oral air flow should be carefully monitored as well. In cases of upper airway obstruction, gas discharge from the patients lungs may require more time.

• To attach the Rapi-Fit Adapter, position the adapter on the catheter, then push the white collar forward and lock into position.
• To remove the adapter, pull the white collar back to release, then remove from the catheter.

Supraglottic Airway Device/Endotracheal Tube Exchange

1. Insert a laryngeal mask airway (LMA) of size 2 or larger, or a cuffed oropharyngeal airway (COPA), into the patients airway. This allows the patient to be adequately ventilated during the fiberoptic intubation procedure. Add a bronchoscopic swivel adapter into the anesthetic circuit, if not already present.
2. Lubricate the fiberoptic bronchoscope using either a sterile lubricant or sterile water.
3. Mount the Aintree Intubation Catheter onto the bronchoscope and tape securely. The catheter should slide easily onto the scope. If it does not slide easily, there is a risk that the catheter may become lodged on the bronchoscope and cause damage. The distal 3-4 cm of the bronchoscope should extend beyond the distal tip of the catheter. This allows adequate tip deflection of the bronchoscope.
4. While maintaining adequate ventilation, pass the bronchoscope and AIC assembly through the bronchoscopic port on the swivel adapter and advance through the LMA/COPA through the vocal cords.
5. Direct the bronchoscope/AIC assembly through the vocal cords and down to the carina.
6. While maintaining constant position of the AIC, remove the bronchoscope, leaving the AIC and the LMA/COPA in situ.
7. Deflate the cuff of the LMA/COPA and, while maintaining constant position of the AIC, remove the LMA/COPA, leaving just the AIC in the trachea.
8. Lubricate the AIC, and load the endotracheal tube onto its proximal end.
9. While maintaining position of the AIC, using patients upper incisors as a landmark, advance the endotracheal tube over the AIC into the trachea, and position appropriately. NOTE: It may be necessary to rotate endotracheal tube 90 degrees counter-clockwise while advancing, which will position the bevel of the tube toward the anterior aspect of the vocal cords.
10. Hold the endotracheal tube in position and remove the AIC.
11. Inflate the cuff of the tube. Re-establish ventilation and secure the new tube in place.
12. Reinsert the bronchoscope to confirm the correct position of the endotracheal tube.
13. Remove the bronchoscope.

How Supplied

Supplied sterilized by ethylene oxide gas in peel-open packages. Intended for one-time use. Sterile if package is unopened or undamaged. Do not use the product if there is doubt as to whether the product is sterile. Store in a dark, dry, cool place. Avoid extended exposure to light. Upon removal from the package, inspect the product to ensure no damage has occurred.