The DAR™ closed suction system is designed to expel tracheal secretions and preserve airway clearance for patients with an artificial airway in place. Compared to open suctioning, closed suction systems have been shown to reduce the physiological impact of endotracheal suctioning to the patient and offer protection for the clinician.1
The DAR™ closed suction system features a replaceable catheter — a step forward in endotracheal suctioning. Post-suction catheter removal, facilitated by a self-sealing cap on the patient access valve, permits bronchoscopy, mucus sampling, or bronchoalveolar lavage (BAL) procedures. Available with dedicated ports for catheter rinsing and MDI drug delivery, the DAR™ closed suction system with replaceable catheter is ideal for diverse treatment needs.
Closed suctioning offers many potential benefits compared to open suctioning, including continued delivery of oxygen and positive pressure, decreased nosocomial infection, and reduced staff exposure.2
The unique rotating patient access valve maintains airway isolation when suctioning isn’t required and ensures a closed system during bronchoscopy and specimen sampling.
The irrigation port’s one-way valve is intended to prevent patient secretions from flowing back and potentially minimize contamination risks. The catheter tip is cleaned in full isolation through the rinsing chamber’s special geometry.
The suction valve’s rotating lid functions as an open-closed locking mechanism, providing easy procedure control. ISO color coding enables immediate catheter size identification, assisting caregivers in system selection, while depth markings in centimeters facilitate catheter insertion into the trachea.
The DAR™ neonatal-pediatric closed suction system was developed with the same advanced technology from the adult version and boasts features tailored for neonatal and pediatric physiologic conditions.
The use of a closed suction system, compared to open suctioning, can help minimize some short-term suctioning-related complications for newborn and pediatric patients by producing less cardiorespiratory distress.8
Potential benefits include:
1. Ramírez-Torres CA, Rivera-Sanz F, Sufrate-Sorzano T, Pedraz-Marcos A, Santolalla-Arnedo I. Closed endotracheal suction systems for COVID-19: rapid review. Interact J Med Res. 2023;12:e42549.
2. Walsh BK, Hood K, Merritt G. Pediatric airway maintenance and clearance in the acute care setting: how to stay out of trouble. Respir Care. 2011;56(9):1424–40; discussion 1440–4. doi: 10.4187/respcare.01323.
3. Dexter AM, Scott JB. Airway management and ventilator-associated events. Respir Care. 2019;64(8):986–993. doi: 10.4187/respcare.07107.
4. Blakeman TC, Scott JB, Yoder MA, Capellari E, Strickland SL. AARC clinical practice guidelines: artificial airway suctioning. Respir Care. 2022;67(2):258–271. doi: 10.4187/respcare.09548.
5. Elmansoury A, Said H. Closed suction system versus open suction. Egypt J Chest Dis Tuberc. 2017;66(3):509–515.
6. Subirana M, Solà I, Benito S. Closed tracheal suction systems versus open tracheal suction systems for mechanically ventilated adult patients. Cochrane Database Syst Rev. 2007;(4):CD004581.
7. Ricard JD, Eveillard M, Martin Y, Barnaud G, Branger C, Dreyfuss D. Influence of tracheal suctioning systems on health care workers' gloves and equipment contamination: a comparison of closed and open systems. Am J Infect Control. 2011;39(7):605–7. doi: 10.1016/j.ajic.2010.10.031. Epub April 21, 2011.
8. Taylor JE, Hawley G, Flenady V, Woodgate PG. Tracheal suctioning without disconnection in intubated ventilated neonates. Cochrane Database Syst Rev. 2011;2011(12):CD003065. doi: 10.1002/14651858.CD003065.pub2.
9. Evaluation of microbial contamination “TY-CARE 16CH DETACH.CON MDI,” Eurofins Biolab S.r.l., Italy, Final Report STULV21AA4195-1GLP
10. Based on internal reports: PRD RE00282705; Design Protocol RE00349622; Design Report RE00421876
The material on this website should not be considered the exclusive source of information, it does not replace or supersede information contained in the device manual(s). Please note that the intended use of a product may vary depending on geographical approvals. See the device manual(s) for detailed information regarding the intended use, the implant procedure, indications, contraindications, warnings, precautions, and potential adverse events. For a MRI compatible device(s), consult the MRI information in the device manual(s) before performing a MRI. If a device is eligible for eIFU usage, instructions for use can be found at Medtronic’s website manuals.medtronic.com. Manuals can be viewed using a current version of any major internet browser. For best results, use Adobe Acrobat® Reader with the browser. Medtronic products placed on European markets bear the CE mark and the UKCA mark (if applicable). For any further information, contact your local Medtronic representative.