JT Posey 8199 - CUFFLATER ENDO TRACH

JT Posey 8199 - CUFFLATER ENDO TRACH

Posey Cufflator Endotracheal Tube Inflator and Manometer

The Posey Cufflator Endotracheal Tube Inflator and Manometer can be used to deflate and inflate high volume, low-pressure endotracheal or tracheal cuffs. Using this product eliminates the need for other more complicated methods of checking cuff pressure, including syringes, electricity, and complicated connections.

• Deflates and inflates high volume, low pressure endotracheal or tracheal cuffs.
• An easier alternative to other methods that are required to check cuff pressure.
• Air vent button and inflator bulb adjusts cuff pressure quickly and easily.
• Gauge shows recommended pressure range in cm H2O.

Instructions for Use

The Posey Cufflator should only be used on tracheal tubes with high-volume, low-pressure cuffs. NOTE: The Posey Cufflator is designed only for use with air-filled cuffs. Use with saline-filled cuffs will cause damage to the unit and void the product warranty.

Before use, the Control Inflator needs to be checked as follows:

• Close connecting piece with the finger (Fig. 1).
• Inflate with inflation bulb to 120 cm H20; value must be constant for 2-3 seconds. If the pressure drops, the device needs repair by the Posey Company.
• Inspect the unit and check the cuff for leaks prior to use. Prior to intubation or extubation, withdraw all the air from the cuff with a syringe and close the inflation line.

To properly seal

• Connect the patient to the ventilator.
• Connect the Posey Cufflator to the cuff inflation line and inflate the cuff to a pressure in the range of 60-90 cm H20. This will ensure that the cuff is in close contact with the tracheal wall.
• Immediately release air by pressing the red button (Fig. 2) until the lowest safe cuff pressure level is reached.
• Intra-cuff pressure should be maintained at a minimum of 20-25 cm H20 to reduce the occurrence of microaspiration and a maximum of 34 cm H20 to decrease the incidence of mucosal ischemia and subsequent stenosis.

• The extension tube may be used if constant monitoring of intra-cuff pressure is desired. Connect the extension tube to the cuff inflation line and to the Posey Cufflator. Use the hook on the back of the Posey Cufflator to hang it on the headboard of the bed. The Posey Cufflator will now monitor the intra-cuff pressure continuously and can be inflated or deflated as required.
• The accuracy of the Posey Cufflator may be verified by connecting it to a mercury sphygmomanometer. Remember that the Posey Cufflator is calibrated in cm of water pressure (H20). The conversion rate is 1 mm of mercury (Hg) equals 1.36 cm water (H20). For example, the Posey Cufflator will read 20 cm H20 when the mercury sphygmomanometer reads 14.7 mmHg.
• The accuracy of measurements is + 2 cm H20 for the whole range. The Cufflator should be calibrated annually, or if measurements fall outside of this range, or if the Cufflator needle does not indicate a reading of zero when nothing is connected, or if the unit is ever dropped.