The Innovative Video Laryngoscope, with disposable blade, specifically designed for everyday use in conventional and complex intubation procedures

It's 2015 and in anaesthesia a critical procedure like intubating a patient is still performed with the Macintosh laryngoscope first sold in 1943.  Were surgeons use robots and state of the art video instruments, the anaesthesiologist uses simply a flashlight for life-saving critical procedure.  Statistics show that in direct laryngoscopy first attempt intubation fails in about 2% of intubation attempts.  There are millions of intubations each day….. This leads to stressful and potentially dangerous situations almost every day in an average hospital. 

In the case of failed intubation,  the "difficult airway chart" is wheeled in.  Often the patient is already suffering from swelling and bleeding of the mucous membrane compromising intubation conditions and adding to the risk factors for the patient.

The solution is simple. Get rid of the flashlight and start every intubation with the Medan video laryngoscope.

Supporting Healthcare brings you the first affordable system with disposable blades in the same price range as currently when direct laryngoscopy is used. The major plus point being that the Medan video laryngoscope can be used for traditional direct laryngoscopy as well as in video mode.  It comes in two models, child and adult versions and uses disposable blades.  Blades are available in a wide size range; normal blade and in grooved blade for tube guidance.  Facilitating intubation in newborns right up to large adults. 

Scope of application

  • Conventional and challenging tracheal intubation procedures
  • Used in clinical anesthesia, emergency and ICU treatment
  • Tracheal intubation procedures in various clinical departments
  • Clinical teaching of tracheal intubation

Features

  • High definition camera and high resolution on handle LCD monitor
  • One button, both for photo and video recordings  
  • Rotation of the monitor at front and rear 
  • Rotation angle of the monitor is 180° to the right and 90° to the left
  • Robust metal handle, suitable for direct laryngoscopy (perfect for training purposes)
  • Cordless and lightweight for maximum portability
  • Two models, an adult and a child version
  • Strong and rigid disposable blades
  • Choice of 2 different blade sizes per model (comparable to Mac 0 up to Mac 4)
  • Choice between normal and grooved blade for tube guidance
  • Fully charged battery gives 2 hours of continuous use

Benefits

The main advantage of using video laryngoscopy for every intubation is increased patient comfort.  Since far less force is used in intubation, much less or almost no flexing in needed.  This in turn means the adverse effects such as tooth damage, bleeding, neck problems, etc are considerably lower. Even simple inconveniences such as a soar throat or hoarseness will be less prevalent due to a less traumatic intubation procure.

  • Reduces risk of failed first attempts at intubation
  • Reduces risk of oesophageal intubation
  • Reduces risk of damage to the vocal cords
  • Reduces risk of damaging the teeth
  • Reduces risk of damage or bleeding of the mucous membrane
  • Reduces risk of conversion to advanced intubation methods
  • Reduces risks of cervical spine due to hyper extension
  • Better visibility on placement of the endotracheal tube
  • Easier determination of the right depth of the tube
  • Shortens the time required for and reduces risks involved with complex intubation
  • Documentation of the intubation is possible
  • User-friendly. Only two buttons to operate
  • Assists with the enhancement of training methods of the intubation procedure
  • Suitable for traditional direct laryngoscopy
  • Very economical in use 

Downloads

Brief History on laryngoscopy

Download file

Knowledge base

Visit : Video Laryngoscopy and Intubation Safety: The View Is Becoming Clear*
Category: Weblink
Description:
Calvin A. Brown III, MD
Daniel J. Pallin, MD, MPH
Ron M. Walls, MD
Department of Emergency Medicine
Brigham and Women’s Hospital
Harvard Medical School
Boston, MA

Critical Care Medicine 2015 - Volume 43. Number 3 - www.ccmjournal.org
Download : Video laryngoscopy-is there evidence of improved outcomes?
Category: Research/paper/article
Description:
This is an overview on the current findings in literature. VL is superior. VL is even superior to DL when in experienced hands.

Richar M. Cooper BSc MSc MD FRCPC Professor, Department of Anesthesia, University of Toronto

Cooper - Toronto Anesthesia Symposium 2015
Download : Comparison of five video laryngoscopes and conventional direct laryngoscopy. Investigations on simple and simulated difficult airways on the intubation trainer
Category: Research/paper/article
Description:
During simulated difficult intubation, a blade with video transmission, such as CMAC
and the GlideScope were superior compared to conventional direct laryngoscopy and any other VL tested.

K. Ruetzler¹Ë’² · S. Imach³ · M. Weiss³ · T. Haas³ · A.R. Schmidt²Ë’³
¹Outcome Research Consortium, Cleveland, Ohio, USA
² Institut für Anästhesiologie, Universitäts-Klinik Zürich, Zürich, Schweiz
³ Anästhesieabteilung, Universitäts-Kinderklinik, Zürich, Schweiz
Visit : Medical-Legal Considerations: The ASA Closed Claims Project
Category: Weblink
Description:
This is a review of closed claim in the VS, 2015. Difficulty and oesophageal intubations remains one of the major reason to acknowledged claims.
Download : Videolaryngoscopy as a new standard of care
Category: Research/paper/article
Description:
C. Zaouter¹, J. Calderon¹ and T. M. Hemmerling²,³*
¹ CHU de Bordeaux, Service d’Anesthésie-Réanimation II, F-33000 Bordeaux, France ² Department of Anesthesia, McGill University, MUHC, Institute of Biomedical Engineering, Université de Montréal, Montreal, Canada ³ ITAG Laboratory, Canada - Arnold and Blema Steinberg Medical Simulation Centre, Montreal General Hospital, Room: C10-153, 1650 Cedar Avenue, Montreal, Canada H3G 1A4
* Corresponding author. E-mail: thomashemmerling@hotmail.com

British Journal of Anaesthesia 114 (2): 181-3 (2015)
Advance Access publication 23 August 2014 . doi:10.1093/bja/aeu266
Visit : Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188 064 patients registered in the Danish Anaesthesia Database
Category: Weblink
Description:
In a very large Danish publication was found that 93% of difficult intubations is unexpected. Furthermore was found that predicting a difficult intubation is not very accurate; only 25 percent from intubations expected to be difficult proved to be so clinically.

A. K. Nørskov Research Fellow¹Ë’²*, C. V. Rosenstock Associate Professor¹, J. Wetterslev Chief Physician², G. Astrup Consultant³, A. Afshari Consultant and L. H. Lundstrøm Associate Professor¹

Article first published online: 16 DEC 2014
Visit : Postoperative sore throat after laryngoscopy with macintosh or glide scope video laryngoscope blade in normal airway patients.
Category: Weblink
Description:
This study compares the prevalence of "sore throat" between DL and VL.
Vl proves to give a lower incidences in post intubation sore throat.

Najafi A¹, Imani F¹, Makarem J¹, Khajavi MR¹, Etezadi F¹, Habibi S¹, Shariat Moharari R¹.

Anesth Pain Med. 2014 Feb 16;4(1):e15136. doi: 10.5812/aapm.15136. eCollection 2014.
Visit : Video laryngoscopy improves intubation success and reduces esophageal intubations compared to direct laryngoscopy in the medical intensive care unit
Category: Weblink
Description:
Jarrod M Mosier¹²*, Sage P Whitmore¹Ë’², John W Bloom², Linda S Snyder², Lisa A Graham², Gordon E Carr² and John C Sakles¹

Mosier et al. Critical Care 2013, 17:R237 http://ccforum.com/content/17/5/R237
Visit : The Impact of Video Laryngoscopy Use During Urgent Endotracheal Intubation in the Critically Ill
Category: Weblink
Description:
This study advice primary VL based on the advantages found in their research.

Kory, Pierre MPA, MD*; Guevarra, Keith DO*; Mathew, Joseph P. MD*; Hegde, Abhijith MD*; Mayo, Paul H. MD

Anesthesia & Analgesia:
July 2013 - Volume 117 - Issue 1 - p 144-149
doi: 10.1213/ANE.0b013e3182917f2a
Critical Care, Trauma, and Resuscitation: Research Report
Visit : Video Laryngoscopy is Associated With Increased First Pass Success and Decreased Rate of Esophageal Intubations During Urgent Endotracheal Intubation in a Medical Intensive Care Unit When Compared to Direct Laryngoscopy
Category: Weblink
Description:
This study compares Vl and DL and finds a reducing in oesophageal intubations with VL.

Viera Lakticova, MD¹
Seth J. Koenig, MD¹
Mangala Narasimhan, DO¹
Paul H. Mayo, DO¹
¹Division of Pulmonary, Critical Care, and Sleep Medicine, Long Island Jewish Medical Center, Hofstra North-Shore-LIJ School of Medicine, New Hyde Park, NY, USA

Journal of Intensive Care Medicine
Received September 21, 2012.
Revision received February 27, 2013.
Accepted March 11, 2013.
Visit : Laryngeal morbidity after tracheal intubation: the Endoflex® tube compared to conventional endotracheal intubation with stylet
Category: Weblink
Description:
This study compares Endoflex ET Tube with normal tube and stylus. In the Endoflex group an advantage is identified.

M. K. SØRENSEN*, N. RASMUSSEN, M. S. KRISTENSEN, M. BØTTGER, B. B. FREDENSBORG, C. M. HANSEN andL. S. RASMUSSEN

Article first published online: 5 FEB 2013
DOI: 10.1111/aas.12079
© 2013 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd
Visit : A systematic review of the role of videolaryngoscopy in successful orotracheal intubation
Publication date: 14-12-2012
Category: Weblink
Description:
David W Healy, Oana Maties, David Hovord and Sachin Kheterpal,

BMC Anesthesiology201212:32
DOI: 10.1186/1471-2253-12-32© Healy et al.; licensee BioMed Central Ltd. 2012
Received: 10 May 2012Accepted: 29 November 2012Published: 14 December 2012
Visit : Review article: Video-laryngoscopy: another tool for difficult intubation or a new paradigm in airway management? Article de synthe`se: La vide´o-laryngoscopie: un autre outil pour les intubations difficiles ou un nouveau paradigme pour la prise en charge des voies ae´riennes?
Category: Weblink
Description:
Jean-Baptiste Paolini, MD, Franc¸ois Donati, MD, PhD, Pierre Drolet, MD

Received: 24 May 2012 / Accepted: 27 November 2012 / Published online: 12 December 2012
Canadian Anesthesiologists’ Society 2012
Visit : Schade rapport anesthesie Medirisk
Category: Weblink
Description:
Dutch only:
Overzicht door verzekering "medirisk" van claims in de anesthesie in Nederland.
Intubatie staat eenzaam hoog in de lijst van oorzaak en gevolg.

Medisrisk september 2011
Visit : The Out-of-Hospital Esophageal and Endobronchial Intubations Performed by Emergency Physicians
Category: Weblink
Description:
This study follows German emergency personal in out patient intubation. One in ten of the patients were accidentally oesophageal intubated. Although recognized by the performer of the study and corrected all these patients died.

Timmermann, Arnd MD, DEAA*; Russo, Sebastian G. MD*; Eich, Christoph MD, DEAA*; Roessler, Markus MD, DEAA*; Braun, Ulrich MD, PhD*; Rosenblatt, William H. MD, PhD; Quintel, Micheal MD, PhD*

Anesthesia & Analgesia:
March 2007 - Volume 104 - Issue 3 - pp 619-623
doi: 10.1213/01.ane.0000253523.80050.e9
Critical Care and Trauma: Research Report
Visit : Injury during anaesthesia
Category: Weblink
Description:
An overview of complications on direct laryngoscopy and intubation

S Contractor MA MRCS JG Hardman BMed Sci BM BS DM FANZCA FRCA
Visit : Predicting difficult intubation in apparently normal patients.
Category: Weblink
Description:
A metanalyse on difficult intubation and test to predict difficult intubation found that the prevalence of difficult intubation is 5,8% and again found that pre operative tests for to predict difficult intubation are of limited value.

Toshiya Shiga, M.D., Ph.D.,* Zen’ichiro Wajima, M.D., Ph.D., Tetsuo Inoue, M.D., Ph.D., Atsuhiro Sakamoto, M.D., PhD.

Anesthesiology 2005; 103:429-37
Download : Direct or Video Laryngoscopy
Category: Presentation
Description:
Sales presentation on why or why not use a VL in daily intubations

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