Instructions for Use

Single Use
Single Adult Size

tulip advance

ageofaquarius

Tulip Advance

The Tulip Advance is a latex-free, one-size adult oral airway consisting of a breathing tube within a polyhedral bevelled cuff fitted at the distal end which inflates behind the palatopharyngeal folds, below the soft palate, behind the tongue and fills the space within the oropharynx above and behind the epiglottis, above the level of the glottic entrance.

Instructions for Use

Single Use Disposable

tulip gt

ageofaquarius

Tulip GT – Guedel Type

The Tulip GT is a latex-free, multi-sized adult oral airway consisting of a breathing tube within a polyhedral bevelled cuff fitted at the distal end which inflates behind the palatopharyngeal folds, below the soft palate, behind the tongue and fills the space within the oropharynx above and behind the epiglottis, above the level of the glottic entrance. The Tulip GT is designed to manage the airway during routine and emergency anaesthetic procedures and to establish a clear airway during resuscitation.

1. Introduction; concept and anatomy.

2. Sterility

The Tulip is a single-use device, and as such, is supplied in a sterile package, which must be discarded if the sterile seal is broken in any way. Once used, the Tulip should be disposed of as contaminated waste.

4. Inflation and Deflation

This is preferably done using a dedicated air-filled 60ml syringe, as the whole cuff may be inflated in one go to its recommended 60mls volume, saving time. Initially, this should be done to over-inflation, as per the pre-use checks.

The Tulip is designed to be “one-size-fits-all-adults” and is designed to be “insert-to-fit” and “inflate-to-fit”.

5. Cuff, Sizing and the Principles of Fitment

The principle of the Tulip is based upon a totally air and secretion-tight seal being achieved in the oropharynx by an expanding high-volume, low-pressure inflatable balloon-cuff which then allows ventilating pressure to be generated. The balloon-cuff is anatomically designed and provides an anatomical fit.

8. Securing and Maintaining the Airway

Be careful not to allow the weight of the breathing circuit to twist or displace the light-weight Tulip when connected (see 7.14).

Connect to the gas supply, holding, securing then mounting the breathing tube to prevent displacement and gently inflate the lungs and confirm correct placement using a stethoscope and/or monitoring e.g. capnography.

9. Spontaneous Ventilation

The Tulip has a large diameter breathing tube with low resistance to spontaneous breathing so it allows good oxygenation and CO2 elimination with good tidal volumes during spontaneous ventilation. The Tulip also has a large low pressure balloon-cuff that establishes a strong, competent seal for intermittent manual ventilation of the Patient to higher levels than is usually required (>20cmH2O).

12. Malposition of the Tulip

Insertion of a Tulip is simple, and it is designed to be effective even in the hands of non-medical personnel.

13. Light anaesthesia

If anaesthesia is inadequate, the Patient’s chest compliance may fall, as there is an increase in muscular tone. The emergence of the Patient may stimulate breath holding, coughing or straining. Furthermore, light anaesthesia may induce laryngospasm or bronchospasm, both of which may cause the ventilation pressures to rise above the normal levels recommended (+/-20cmH2O).