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Critical Care

The difficult laryngeal mask airway with Prof. Peter Charters


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We offer an extensive line of chest tubes for removing both air and fluid from the pleural and pericardial spaces. These products are available in a variety of designs and sizes, including several small-bore configurations, Seldinger and trocar options, and sets and trays to meet specific procedural preferences. View each product’s indications for use, specifications, components, and other resources by clicking the links below.

Pneumothorax catheters

Wayne Pneumothorax Catheter Set and Tray – Seldinger

Used for the relief of simple, spontaneous, iatrogenic, and tension pneumothorax.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The set comes with the Cook Chest Drain Valve, which is designed to help remove air from the pleural cavity.
•  The enlarged sideports are designed to facilitate the drainage of air.
•  The radiopaque catheter material enhances x-ray visualization.
•  Pigtail catheters have a comparable efficacy to chest tubes in patients with pneumothorax.*

*Kulvatunyou N, Vijayasekaran A, Hansen A, et al. Two-year experience of using pigtail catheters to treat traumatic pneumothorax: a changing trend. J Trauma. 2011;71(5):1104–1107.

View more details about the Wayne Pneumothorax Catheter Set and Tray – Seldinger.

Wayne Pneumothorax Catheter Set – Trocar

Used for the relief of simple, spontaneous, iatrogenic, and tension pneumothorax.

Features and benefits
•  The needle obturator comes pre-assembled within the Wayne Pneumothorax Catheter to allow for direct-stick insertion.
•  The set comes with the Cook Chest Drain Valve, which is designed to help remove air from the pleural cavity.
•  The enlarged sideports are designed to facilitate the drainage of air.
•  The radiopaque catheter material enhances x-ray visualization.
•  Pigtail catheters have a comparable efficacy to chest tubes in patients with pneumothorax.*

*Kulvatunyou N, Vijayasekaran A, Hansen A, et al. Two-year experience of using pigtail catheters to treat traumatic pneumothorax: a changing trend. J Trauma. 2011;71(5):1104–1107.

View more details about the Wayne Pneumothorax Catheter Set – Trocar.

Cook Emergency Pneumothorax Set

Used for emergency relief and temporary management of suspected tension pneumothorax.

Features and benefits
•  The set comes with the Cook Chest Drain Valve, which is designed to help remove air from the pleural cavity.

View more details about the Cook Emergency Pneumothorax Set.

 

 

Pneumothorax Set and Tray

Used for the relief of simple, spontaneous, or iatrogenic pneumothorax and tension pneumothorax.

Features and benefits
•  The straight catheter is used for trocar placement.
•  The radiopaque catheter material enhances x-ray visualization.
•  The set and tray come with a vinyl connecting tube and a three-way stopcock.
•  The set comes with the Cook Chest Drain Valve, which is designed to help remove air from the pleural cavity.

View more details about the Pneumothorax Set and Tray.

 

Richli Pneumothorax Catheter Set

Used for the relief of simple, spontaneous, or iatrogenic pneumothorax and tension pneumothorax.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The 8.5 Fr catheter is designed for smaller patient anatomies.
•  Sideports are positioned within the catheter pigtail and are designed to aid in drainage.
•  The set comes with the Cook Chest Drain Valve, which is designed to help remove air from the pleural cavity.

View more details about the Richli Pneumothorax Catheter Set.

 

Catheter Aspiration Set for Simple Pneumothorax

Used for the relief of simple, spontaneous, or iatrogenic pneumothorax and tension pneumothorax.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The radiopaque catheter material enhances x-ray visualization.

View more details about the Catheter Aspiration Set for Simple Pneumothorax.

 

 

Multipurpose catheters

Thal-Quick Chest Tube Set and Tray

G06786_P_001Used for the percutaneous introduction of a chest tube for pleural fluid drainage.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The centimeter-marked dilators allow for additional control over the insertion of a chest tube into the pleural space.
•  The sideports are positioned at the distal end of the chest tube.
•  The clear polyvinylchloride catheter with a radiopaque stripe allows fluid to be seen during the drainage procedure.
•  The most proximal side hole is positioned on the radiopaque stripe to aid in confirming catheter positioning via x-ray.
•  The double lumen set has an additional lumen available for aspiration or infusion.
•  The Thal-Quick Chest Tube Adapter is sold separately.

View more details about the Thal-Quick Chest Tube Set and Tray.

Fuhrman Pleural/Pneumopericardial Drainage Set and Tray

After percutaneous insertion via the Seldinger technique, the pigtail catheter of the Fuhrman Pleural Drainage Set serves as a conduit to drain air or fluid from the pleural space to outside the body.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The catheter is available in a variety of sizes, ranging from 5 to 12 Fr, to cater to different patient anatomies.
•  Sideports are positioned within the catheter pigtail and are designed to aid in drainage.
•  Centimeter markings on the pigtail catheter guide insertion.
•  The catheter material has radiopaque properties.
•  Pigtail catheters have been shown to have a comparable efficacy to chest tubes in patients with pneumothorax.*

*Kulvatunyou N, Vijayasekaran A, Hansen A, et al. Two-year experience of using pigtail catheters to treat traumatic pneumothorax: a changing trend. J Trauma. 2011;71(5):1104–1107.

View more details about the Fuhrman Pleural/Pneumopericardial Drainage Set and Tray.

 

Pericardiocentesis catheters

Lock Pericardiocentesis Set and Tray

Used to remove fluid from the pericardial sac.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The 40 cm long catheter is designed to cater to larger patient anatomies.
•  The radiopaque catheter material enhances x-ray visualization.

View more details about the Lock Pericardiocentesis Set and Tray.

 

Peritoneal Lavage Set and Tray

Used to infuse or withdraw rinsing solutions in the peritoneal cavity.

Features and benefits
•  Seldinger placement facilitates controlled, minimally invasive catheter introduction.
•  The catheter is equipped with 90 sideports.
•  The radiopaque catheter material enhances x-ray visualization.

View more details about the Peritoneal Lavage Set and Tray.

 

 

Accessories

Simple Pneumothorax Aspiration Accessory Set

Used in conjunction with a pneumothorax aspiration catheter if incomplete expansion of the lung persists after mechanical aspiration of air.

Features and benefits
•  The set comes with the Cook Chest Drain Valve, which is designed to help remove air from the pleural cavity.

View more details about the Simple Pneumothorax Aspiration Accessory Set.

 

 

Multipurpose Plastic Tubing Adapter

Used for connection to other medical devices such as catheters.

Features and benefits
•  The adapter is male Luer lock to a universal taper.

View more details about the Multipurpose Plastic Tubing Adapter.

 

 

 

Vinyl Connecting Tube

Used for the connection of an external drainage catheter to a drainage pouch.

View more details about the Vinyl Connecting Tube.

 

 

 

 

 

Thal-Quick Chest Tube Adapter

G07467_P_001Used to provide separate sampling or an infusion port within Thal-Quick chest tubes.

Features and benefits
•  This accessory is compatible with the Thal-Quick Chest Tube Set and Tray.

View more details about the Thal-Quick Chest Tube Adapter.

 

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At Cook, we were among the first to recognize the clinical impact of EBUS procedures. That’s why we focused our expertise as market leaders in ultrasound needles to create a full range of EchoTip® EBUS needles to meet your sampling needs. Now, you can potentially achieve cytology and histology in your EBUS procedures, even in the challenging pulmonary hilar region. Our goal is simple: to give you the cytological and histological information to help you deliver the best patient care.

EchoTip ProCore® Endobronchial HD Ultrasound Biopsy Needle

ebus_procore_webThe EchoTip ProCore needle is used with the Olympus® ultrasound endoscope for fine needle biopsy of submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract.

The EchoTip ProCore needle is used with the Pentax® ultrasound endoscope for fine needle biopsy of submucosal and extramural lesions within or adjacent to the tracheobronchial tree.

Features and benefits
•  The needle features a core trap designed for receiving tissue in the delicate pulmonary area.
•  The needle has a high definition dimpling pattern for needle visibility.
•  The 5 cm long needle extension presents a large diagnostic reach.
•  The naturally contoured handle offers needle control and stability.
•  The device has an adjustable sheath length.
•  On scopes with metal Luer hubs, the removable sheath adjuster allows direct connection to the scope.
•  On scopes with metal non-Luer hubs, the sturdy scope adapter design allows secure connection, procedural stability, and suction and injection capability due to the airtight valve.

View more details about the EchoTip ProCore Endobronchial HD Ultrasound Biopsy Needle.

EchoTip® Ultra Endobronchial HD Ultrasound Needle

ebus_ultra_webThe EchoTip Ultra needle is used with the Olympus ultrasound endoscope for fine needle aspiration of submucosal and extramural lesions within or adjacent to the tracheobronchial tree or gastrointestinal tract.

The EchoTip Ultra needle is used with the Pentax ultrasound endoscope for fine needle aspiration of submucosal and extramural lesions within or adjacent to the tracheobronchial tree.

Features and benefits
•  The needle has a high-definition dimpling pattern for needle visibility.
•  The naturally contoured handle offers needle control and stability.
•  On scopes with metal Luer hubs, the removable sheath adjuster allows direct connection to the scope.
•  On scopes with metal non-Luer hubs, the sturdy scope adapter design allows secure connection, procedural stability, and suction and injection capability due to the airtight valve.
•  The integrated sheath adjuster offers compatibility with a full range of ultrasound endoscopes.

View more details about the EchoTip Ultra Endobronchial HD Ultrasound Needle.


Olympus is a registered trademark of Olympus Corporation.

Pentax is a registered trademark of Hoya Corporation.

Our endobronchial blocker allows one-lung ventilation through a conventional single-lumen endotracheal tube that is easier to place and poses a lower risk of trauma to internal structures than a double-lumen tube. View the Arndt Endobronchial Blocker’s indications for use, specifications, components, and other resources by clicking the links below.

Arndt Endobronchial Blocker

CC-D32882-EN_blog_mosaic_ArndtIntended to differentially intubate a patient’s bronchus in order to isolate the left or right lung for procedures that require one-lung ventilation. The product is intended for use by physicians trained and experienced in the use of fiberoptic bronchoscopes and airway anatomy. Standard techniques for use of fiberoptic bronchoscopes and endobronchial blockers should be employed.

Features and benefits

•  The low-pressure, high-volume balloon creates excellent surface area contact with the inner bronchial wall while minimizing potential trauma to the bronchus.

•  The adjustable guide loop is coupled with an appropriately sized bronchoscope to enable precise placement.

View more details about the Arndt Endobronchial Blocker.

 


Citations

  1. Knoll H, Ziegeler S, Schreiber JU, et al. Airway injuries after one-lung ventilation: a comparison between double-lumen tube and endobronchial blocker: a randomized, prospective, controlled trial. Anesthesiology. 2006;105(3):471-477.
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In this video, airway management pioneer Professor Peter Charters begins his presentation at the World Airway Management Meeting (WAMM) in Dublin with a demonstration of the Aintree Intubation Catheter for a laryngeal mask airway exchange. Professor Charters then explains multiple difficult laryngeal mask airway placement scenarios, giving diagnostic criteria for incorrect placement and solutions for better positioning.

Please note: LMA® is a registered trademark of Teleflex Incorporated or its affiliates. LMA is used in this presentation as a term to denote “laryngeal mask airway.” None of the references to LMA that are contained within this material refer to the LMA® laryngeal masks of Teleflex Incorporated or its affiliates.

Couldn’t make it to WAMM 2015? Here’s a rundown of what you might have missed.

Explore our comprehensive line of difficult airway products. They’re designed to facilitate successful intubation, airway exchange, and emergency airway access.

Professor Peter Charters during a Cook Medical interview at WAMM 2015

Learn more about Professor Peter Charters.

Professor Peter Charters has worked in anesthesiology and intensive care since 1982 and is a member of the Difficult Airway Society. He currently conducts anesthesia courses at Aintree and Warrington hospitals in England and at the College of Anaesthetists in Ireland. He was awarded the Dudley Buxton Medal for “meritorious work in anaesthesia or in a science contributing to the progress of anaesthesia” by the Royal College of Anaesthetists. Professor Charters teamed up with Cook to develop the Aintree Intubation Catheter (1997).

Watch Professor Charters discuss the collaborative process of product development on our difficult airway physician inventors page.

For more information about the Aintree Intubation Catheter, visit the product’s Instructions for Use.

Professor Charters does not receive royalties from Cook Medical.