TheLMA
Supreme™ inspires confidence beyond any other laryngeal
mask. The integrated drain tube is designed to channel fluid and gas safely away from the airway. Several
simple and quick tests help verify accurate positioning.
Supreme
Ease
The carefully
tested design resulted in an improved curve for easy insertion. Subtle refinements in the mask make correct
placement easier. And, every LMA Supreme™ comes packaged sterile, new, and ready for one-time use when you need
it.
Supreme
Solution
The LMA Supreme™
combines the best features of all previous LMA™ airways in one device. It is simply our most advanced airway device
for your airway needs.
Use it
everywhere you use a mask and in places where you have been using an ET Tube.
ET tubes carry
an inherent risk of patient trauma, from vocal cord damage to pharyngeal soft-tissue injury. Because of ease of
insertion and reduced trauma, LMA™ airways have replaced ET tubes in many procedures. With its integrated drain
tube and verifiable placement, the LMA Supreme™ is an even more effective
alternative.
For versatility, safety and proven reliability, depend on the LMA Unique™ - the favorite
single use airway used in millions of cases by thousands of clinicians.
The LMA Unique™ is one of the most versatile airways. It is the single-use
disposable version of our most widely used product, the LMA Classic™ which annually is used in millions
of surgical cases nationwide. What makes the LMA Unique™ so versatile is its usefulness in a wide
variety of clinical environments. It can be used in the Operating Room, placed on crash carts, used in the
Emergency Department and in the pre-hospital on ambulances and other emergency vehicles as a resuscitation device
when intubation is not possible. Because it is disposable, it is also one of the most convenient LMA™ airways,
especially well suited for areas where stocking a reusable device is not practical or economical. The LMA Unique™
is packaged sterile, ready for use, with lubricant and a syringe.
Designed for anticipated or
unanticipated difficult airway situations and for cardiopulmonary resuscitation, the LMA Fastrach™ facilitates
continuous ventilation during intubation, lessening the likelihood of desaturation.
LMA Fastrach Airways
Special design features of the LMA Fastrach™ that facilitate intubation, blind or fiberoptic,
include:
Rigid, anatomically curved, airway tube that is wide enough to accept an 8.0 mm cuffed ETT and is short
enough to ensure passage of the ETT cuff beyond the vocal cords
Rigid handle to facilitate one-handed insertion, removal, and adjustment of the device's position to
enhance oxygenation and alignment with the glottis
Epiglottic elevating bar in the mask aperture which elevates the epiglottis as the ETT is passed
through and a ramp which directs the tube centrally and anteriorly to reduce the risk of arytenoid
trauma or esophageal placement
Other benefits:
Available in three sizes, one size for children, two sizes for adults
LMA Fastrach™ comes with a specially designed reusable LMA Fastrach™ ETT
We understand that clinicians sometimes select an ET tube for optimum airway protection when
LMA™ patient-friendly characteristics would be desirable. To enhance supraglottic airway protection and extend LMA™
benefits to a greater number of patients we developed the LMA ProSeal™. The added features of the LMA ProSeal™
include:
A softer silicone cuff reducing the likelihood of throat irritation and stimulation
High seal pressure - up to 30 cm H20 - Providing a tighter seal against the glottic opening
with no increase in mucosal pressure
Provides more airway security
Enables use of PPV in those cases where it may be required - transient or extended, planned or
unplanned
A built-in drain tube designed to channel fluid away and permit gastric access for patients with GERD
or during extended cases where endotracheal intubation is not required
Ability to realize the benefits of spontaneous ventilation more often
Optional Insertion tool
This reusable airway has a cuff that is made of a softer material than the LMA Classic™ and is
designed to conform to the contours of the hypopharynx. While the LMA ProSeal™ may be used with spontaneously
breathing patients, it is designed for use with PPV, with and without muscle relaxants. The maximum airway seal
pressure will vary between patients, but is on average 50% higher than the LMA Classic™ or up to 30 cm
H20.
The LMA Classic™ is used in nearly every hospital in America for elective, inpatient and
outpatient procedures.
The LMA Classic™ was first introduced in the U.K. in 1988 and in the U.S. in 1992 as
an alternative to the face mask. Since 1988, it is estimated that the LMA Classic™ has been used in
over 100 million patients worldwide. The LMA Classic™ is used in nearly every hospital in the U.S. and
has the widest range of sizes (8), from neonates to large adults. The LMA Classic™ is ideally suited
for elective, outpatient surgical procedures. It is most often used in spontaneously breathing patients, but can
also be used with assisted and controlled ventilation up to 20 cm H20.
Even though it is called the "routine-use" LMA™ airway, it has been used successfully in many
urgent and emergency situations, including difficult airways and adult and neonatal resuscitation. The LMA Classic™
owes its success in resuscitation to the ease with which clinicians learn to use the device and long term retention
of that learning even if the device is used infrequently. The LMA Classic™is also available in a disposable version
called the LMA Unique™.
Clinical benefits:
More secure than a face mask
Allows single-handed ventilation
Rapid, blind insertion (no laryngoscopy)
Only LMA™ airway with full line of pediatric sizes available
Clinicians have successfully used the LMA Classic™ as a conduit for tracheal intubation,
especially in the difficult airway situation. Because it was not designed specifically for intubation, the success
rates for blind intubation are variable. Therefore, if intubation through the LMA Classic™ is performed, using a
fiberoptic scope will increase the likelihood of successful intubation. Ideally, the intubating LMA Fastrach™
should be considered as the best option for blind intubation or the LMA CTrach™ for real time visualization of the
intubation.
The LMA Flexible™ has a wire-reinforced, flexible airway tube that allows it to be
positioned away from the surgical field while minimizing loss of seal. Available in reusable or single use, the
LMA Flexible™ is particularly useful in adult and pediatric procedures where the surgeon and
anesthesiologist are competing for access, such as those involving the head or neck. It also acts as a barrier
against soiling of the glottis or trachea by blood or secretions from above, making it possible to use the LMA
Flexible™ for intra-oral and nasopharyngeal operations. While the airway tube of the LMA
Flexible™ has a smaller diameter than the other LMA™ devices, its internal diameter is comparable
to those found in commonly used endotracheal tubes.
Clinical benefits:
Suitable for head and neck procedures
Airway tube may be positioned away from surgical field without loss of seal
Wire-reinforced tube resists kinking and cuff dislodgment
The LMA™ ET Tube (ETT) has been developed specifically for use with the
LMA Fastrach™. It is a straight, wire-reinforced, silicone, cuffed endotracheal tube capable of
being passed entirely through the LMA Fastrach™.
The ETT has a unique molded tip for atraumatic passage through the vocal cords. The tip has been
shown to increase ease of passage through the glottis during fiberoptic intubation compared to standard ETT bevels.
The size of the pilot balloon and placement of the inflation line facilitate passage through the LMA Fastrach™. The
ETT is reusable up to 10 times.
LMA™ ET Tube available in 5 sizes: 6.0, 6.5, 7.0, 7.5, and 8.0 mm
Connector is a standard 15 mm and can be removed. Once you have ensured that the patient
is well-oxygenated after intubation, you can remove the LMA™ ET Tube connector, leaving its proximal end firmly
attached to the anesthesia circuit to prevent accidental misplacement and facilitate reconnection.
The straight, wire-reinforced tube has depth marks (in centimeters) to use as a reference
during intubation, indicating the distance to the distal tip. The tube has an internal diameter of 8.0 mm, and is
capable of being passed with the pilot balloon and valve through the LMA Fastrach™
The LMA™ ET Tube has a unique molded tip for atraumatic passage through the vocal cords.
The tip has been shown to increase ease of passage through the glottis for fiberoptic intubation compared to
standard ETT bevels. The tip is made out of a radio opaque material so its location can be determined on patient
x-rays.
The Cuff of the LMA™ ET Tube is characterized as being low volume, high pressure. At “just
seal” or “minimal occlusion volumes”, mucosal pressures should remain within safe limits.