Unomedical

Airway Management
Safety • Functionality • Reliability
Unomedical Airway Management

Anaesthesia

Respiratory Suctioning

Specimen collection

2
 Unomedical Airway Management
Respiratory products

Oxygen Masks
& Cannulas

Oxygen Cannulas Nebulizing

& Catheters Systems

Resuscitators 3
Unomedical Airway Management
Anaesthesia products

Endotracheal Tracheostomy
Tubes Tubes

Laryngeal
Airways
4
Unomedical Airway Management
Suction & specimen collection

Open Suction Cathy Closed

Catheters Suction System

Specimen
collection
5
 Resuscitators

Unomedical Closed Suction

Systems
Airway Management
Anaesthesia Masks Safety • Functionality • Reliability

Laryngeal Airways Speciality

Tracheostomy
Tubes

Endotracheal Tubes
Standard
Tracheostomy
Tubes

Open Suction
Catheters 6
Unomedical Endotracheal Tubes

7
Unomedical Endotracheal Tubes

Unomedical Standard Endotracheal Tubes

• Cuffed & Uncuffed

Unomedical Preformed Endotracheal Tubes

• Oral Preformed & Nasal Preformed

Unomedical Reinforced Endotracheal Tubes

• Cuffed & Uncuffed

8
Unomedical ETT Suction

9
Safety, Functionality, Reliability
Safety
Easy identification
Improved position control
Effective seal (HVLP Cuff)
Atraumacitic transition
Functionality
Unomedical Colour Coding
Perfect adaptation
Accurate positioning
Radiopaque

RELIABILITY

10
Unomedical Tracheostomy Tubes

11
Unomedical Tracheostomy Tubes

Unomedical Standard Tracheostomy Tubes

• Cuffed & Uncuffed

Unomedical Tracheostomy Tubes with

Inner Cannula (TTIC)
• Fenestrated & Non-fenestrated

Unomedical Tracheostomy Tubes with Inner

Cannula & Subglottic Suctioning (TTIC Suction)
• Fenestrated & Non-fenestrated

12
Safety, Functionality, Reliability
Safety
Gentle adaptation
Reduced risk of displacement
Atraumatic transition
Effective seal
Easy indentification & traceability
Functionality
Unomedical Colour Coding
Thermosensitive & Transparent
Suitable for percutaneous insertion
Wide range of solutions

RELIABILITY

13
 Unomedical TTIC Suction

Integrated suction line with suction

port above cuff
• Effective removal of subglottic
secretions
• Reduction of Ventilator
Associated Pneumonia (VAP)1

Subglottic
room

Glottic
opening

Cuff

1
Mahul et al.: “Prevention of nosocomial pneumonia in intubated patients:respective role of mechanical subglottic secretions drainage and
stress ulcer prophylaxis.“ Intensive Care Med 1992, 18:20-25.
1
Valles et al.: “Continuous aspiration of subglottic secretions in preventing ventilator-associated pneumonia.” Ann Intern Med 1995, 122:179-186
1 Smulders et al.: “A randomized clinical trial of intermittent subglottic secretion drainage in patients receiving mechanical ventilation.”
Chest 2002, 121:858-862 14
Cathy Closed Suction System
TM
TM

Safety • Functionality • Reliability

17
 Cathy Closed Suction System
TM
TM

Safety
Control button
Indication of Built-in non- Slim semi- with safety lid
open/closed return valve transparent
Universal
position protective Unomedical
connector
sleeve Colour Coding
Disconnecting
ring

Ergonomic Unique 5µ filter

Swivel standard design protection
connector Mülly-tipped
Transparent catheter,
material Metric Functionality
markings

RELIABILITY
18
Assess, identify, formulate

Assess the competition

Identify the audience
Formulate the message

19
 Assess, identify, formulate

Assess the competition

Cathy Cathy
vs vs
Open Suction Closed Suction

20
 Assess, identify, formulate

Identify the audience

End-user Clinician
Nurse

Influencer Purchaser
Clinician
Nurse

Decision maker Purchaser

Clinician

21
Assess, identify, formulate

Formulate the message

End-user Nurse

Influencer Nurse

Decision maker Clinician

22
 Endotracheal Suctioning
Background:
Endotracheal suctioning is able to create extremely high
flows that are potentially able to eliminate the complete
volume delivered to the lungs by the ventilator

High sub-atmospheric suction pressure can result in:

- Partial or total elimination of gas volume in the lungs
- Alveolar collapse
- Atelektasis
- Hypoaemia
- Hypercapnia

The extent of the effect is directly related to the size of

the suction catheter used.

Choosing the right catheter can be difficult.

Stenqvist O, Lindgren S, Karason S, Sondergaard S, Lundin S. Warning! Suctioning. A lung model evaluation of closed suctioning systems. Acta anaesthesiologica Scandinavica VOL:45(2); p.167-72/2001
Almgren B, Wickerts CJ, Heinonen E, Hogman M. Side effects of endotracheal suction in pressure- and volume controlled ventilation. Chest 2004;125:1077-80
Almgren, B; Endotracheal Suction a Reopened Problem. Acta Universitatis Upsaliensis. Digital Comprehensive Summaries of Uppsalla Dissertations from the Faculty of Medicine 11.55pp. Uppsala; 2005
AARC Clinical Practice Guideline. Endotracheal Suctioning of Mechanically Ventilated Adults and Children with Artificial Airways. Respir Care 1993;38:500-504 23
 What are nurses saying?
Endotracheal suctioning is very physical
Wrong sized suction catheters
Need to use “end-feel” to estimate depth of catheter insertion
Short time-frame for suctioning ventilated patient

24
 Cathy Closed Suction System
TM
TM

Safety
Control button
Indication of Built-in non- Slim semi- with safety lid
open/closed return valve transparent
Universal
position protective Unomedical
connector
sleeve Colour Coding
Disconnecting
ring

Ergonomic Unique 5µ filter

Swivel standard design protection
connector Mülly-tipped
Transparent catheter,
material Metric Functionality
markings

RELIABILITY
25
Disconnection ring
Turn in the
direction of the arrows

• Cathy is gently and easily pushed off the tube

• Ensures secure attachment and easy disconnection

27
Filter protection

55µm
µmhydrophobic
hydrophobicfilter
filter

30
Mülly-tip catheter with metric markings

••The
Thespecially
speciallydesigned
designedMülly
Müllytip
tipcatheter
catheterhelps
helps
to prevent mucosa trauma
to prevent mucosa trauma

••The
TheMülly
Müllycatheter
catheteris
isdesigned
designedwith
with22small
small
relieving
relievingeyes
eyesand
andaafull
fullbore
boredistal
distaleye
eye

36
 Mucosa trauma

Complications like mucosal trauma may occur due to :

• High vacuum

• Design of catheter

• Size of the catheter

• Wrongly performed technique

37
Unomedical Colour Coding System

41
42
 Unomedical
Airway Management
Safety • Functionality • Reliability