Description

The MICROCUFF* Paediatric Endotracheal Tube by Avanos is a specialized medical device designed to provide optimal airway management for pediatric patients. This sterile, cuffed endotracheal tube is crafted to ensure an anatomically correct fit, offering superior airway sealing with minimal cuff pressure. It is intended for use in infants and children up to 16 years of age, making it suitable for those undergoing surgical procedures or requiring effective airway protection.

Key Features

• Advanced Cuff Design: The tube features a micro-thin polyurethane cuff that ensures gentle contact with tracheal tissues while providing excellent sealing at low pressures. The high volume, low pressure cuff design distributes pressure evenly, enhancing comfort and safety. The cuff's unique placement creates a subglottic cuff-free zone, allowing precise pressure control.

• Anatomically Correct Construction: Available in Magill (Oral/Nasal) and Oral Curved (RAE) types, the tube is designed without a Murphy Eye, centering the shaft and tip within the airway to accommodate various tracheal shapes and sizes. This design is based on age-specific anatomical and radiological data, ensuring a tailored fit.

• Placement Aids: The tube includes a black intubation depth mark for accurate placement between the vocal cords, along with four precision marker bands and centimeter depth markings. A radiopaque line enhances visibility on imaging, facilitating correct positioning.

Sizing and Packaging

The MICROCUFF* tube offers internal diameter sizes ranging from 3.0 mm to 7.0 mm for the Magill type and 3.0 mm to 6.5 mm for the Oral Curved type. Sizing recommendations are based on patient age and weight, with considerations for children with normal tracheal anatomy. Each box contains 10 sterile tubes, ready for use in clinical settings.

Instructions for Use

Healthcare professionals are advised to follow aseptic techniques during intubation, ensuring the black intubation depth mark is correctly positioned. Cuff inflation should be managed carefully, not exceeding 20 cm H₂O, to achieve effective sealing. Continuous monitoring of cuff pressure is recommended to prevent complications. The tube is intended for single use and should be discarded after extubation.

Clinical Evidence

The MICROCUFF* Paediatric Endotracheal Tube has been extensively studied, demonstrating reliable performance in clinical trials. It provides effective sealing at low pressures, reduces the incidence of postintubation stridor, and minimizes the need for tube exchanges compared to uncuffed tubes. These attributes contribute to safer and more efficient airway management in pediatric patients.

Warnings and Precautions

Selection of tube size and style requires expert clinical judgment, particularly for children with abnormal tracheal anatomy. Continuous monitoring of cuff pressure is essential to avoid adverse effects. The device is designed for single use only, emphasizing the importance of proper handling and disposal.