Description

The Avanos BALLARD Closed Suction System – Double Swivel Elbow is an in‑line, closed suction catheter system for airway suctioning in mechanically ventilated patients via endotracheal tube or tracheostomy. Its closed design helps maintain ventilation and PEEP during suctioning and is intended to limit contamination and caregiver exposure by minimizing circuit disconnections. The Double Swivel Elbow connector offers dual swivels for flexible circuit positioning without the need for multiple connectors.

Key features

• Double Swivel Elbow connector for enhanced maneuverability and stable circuit alignment.
• Closed system with a clear sterile protective sleeve and catheter depth markings to help control insertion depth.
• Thumb‑operated suction control; available in locking or non‑locking configurations (variant dependent).
• Lavage/cleaning options:
• Dry models include standard cleaning ports.
• WET PAK configurations include saline vials to support catheter cleaning.
• Turbo‑Cleaning technology on select models: catheter retracts into a vacuum‑sealed turbulent cleaning chamber to scrub the tip; features such as a PEEP‑seal and one‑way lavage port help reduce sprayback and preserve ventilation.
• Optional integrated MDI port on select endotracheal variants for medication delivery without breaking the circuit.
• Not made with natural rubber latex or DEHP.
• Gamma sterilized; typical unopened shelf life of 3 years.
• Validated maximum in‑use time up to 72 hours (follow institutional protocols and the device IFU).
• Sterile, single‑patient use.

Configurations and sizes

• Airway interfaces: Endotracheal and Tracheostomy.
• Options: Dry or WET PAK; Turbo‑Cleaning variants; MDI Built‑In on select endotracheal models.
• Adult French sizes and nominal ODs: 12 Fr (~4.0 mm; ISO color white), 14 Fr (~4.6 mm; ISO color green), 16 Fr (~5.3 mm; ISO color orange).
• Typical catheter lengths: Endotracheal 54 cm; Tracheostomy 30.5 cm.

Compatibility and integration

• Integrates with standard ventilator circuits and connects via the Double Swivel Elbow adapter for both ET and trach configurations.
• Other adapter styles exist in the BALLARD range (e.g., Standard, T‑Piece, Directional, Dual Lumen, Multi‑Access Port); this listing pertains specifically to the Double Swivel Elbow configuration.

Packaging and sterility

• Supplied sterile for single‑patient use.
• Typical manufacturer packaging: 20 units per box/case.
• Gamma sterilized; store unopened units per labeling to maintain the typical 3‑year shelf life.

Use considerations

• Select French size and configuration according to patient and institutional protocol.
• Perform suctioning in‑line to help maintain ventilation/PEEP; clean the catheter using the model’s designated port, WET PAK saline vials, or Turbo‑Cleaning chamber as applicable.
• Replace the system per institutional policy; maximum validated in‑use time is up to 72 hours. Always consult the Instructions for Use (IFU).