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VBM Medizintechnik Laryngeal Tube LTS-D Gebrauchsanweisung Seite 10

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INTENDED USE
The LTS-D is a supraglottic airway with drain tube.
INDICATIONS
As alternative adjunct to temporarily secure the airway during difficult airway management and cardiopulmo-
nary resuscitation in clinical as well as preclinical environments (current guidelines of the European Resuscita-
tion Council, American Heart Association and American Society of Anesthesiologists).
For mechanical or spontaneous ventilation of patients during short anaesthesia procedures.
CONTRAINDICATIONS
Complete obstruction of the upper airway.
In elective use: patients who have not fasted as well as patients with retained gastric contents.
No other contraindications are known.
SAFETY INFORMATION
Read and follow the instructions for use carefully before using the product.
The product must only be used by trained medical personnel with adequate skills in the use of the product.
During MRI treatment, the pilot balloon of the tube can cause artefacts around the area where it is positioned.
A non-clinical test verified that the tube can be used in an MRI environment.
The product is suitable for conducting oxygen, air and anaesthesia gases. The anaesthesia gases used must
not interact with the product materials (see material data).
Laser or electrocaustic equipment may cause the product to be flammable.
The tube and the syringe are for single use and must not be reprocessed. Reprocessing leads to impairment of
the function of the products. Any reuse entails a potential risk of cross-contamination.
The tube is sterile (ethylene oxide). The product must not be used if the packaging is damaged or if shelf life
has elapsed.
USE
 Choose the correct tube size (see table).
 Remove the valve opener.
Perform the following visual and functional check:
 Check the tube for damage and loose particles.
 Check the inside of the tube for sufficient patency.
 Inflate the cuffs and check for leaks.
Damaged products must not be used.
Have a spare tube ready and prepared for immediate use.
 Deflate the cuffs completely (picture 1).
 Lubricate tip and posterior wall of the tube with water-soluble lubricant.
 Pre-oxygenation is advisable in all cases.
 Head position
The ideal head position for insertion is the "sniffing position". However, the tube's short length and its shape also
allow it to be inserted with the head in a neutral position. For children, it is recommended (due to the anatomy) to
have the head slightly extended with a chin lift manoeuvre.
Insertion:
CAUTION
Achieve an appropriate depth of anaesthesia before inserting the tube!
 Hold the tube like a pen in the area with the black lines (teeth marks) (picture 2).
 Open the mouth with the free hand (picture 3) and if possible, lift the chin. The tongue must not fold back
during the downward movement of the tube.
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