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Medtronic / PM&RI | Your Acute Care – Critical Care Medtech Partner / Anaesthesia & ICU respiratory devices

Breathing & Airways medical devices

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We can fulfill your respiratory devices' needs

We all know that the demand for respiratory devices required for anaesthesia and ICU is getting higher.1 Our comprehensive breathing & airways product portfolio can fulfil your daily needs. Check out our anesthesia face masks, breathing filters, endotracheal tubes, tracheal tubes and closed suction devices.

For more information and to schedule an appointment to discover how we can partner with you, please click on 'Contact-Us'

Anesthesia Face Masks
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Anesthesia Face Masks

The transparency of the Medtronic anesthesia masks’ body makes it easier for vital signs to be seen. They have a specially designed nose area and an extra soft cushioning for a better fit. These anesthesia face masks are available in standard and inflatable configurations to meet all your patients' needs.

The color-coded retaining ring of each Medtronic face mask can be removed for hand-held procedures. Each mask is available in both sterile and clean versions, and they are all free of latex and suitable for newborns through large adults.2

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Shiley™ Tracheostomy Tubes
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Shiley™ Tracheostomy Tubes

Our Shiley™ tracheostomy tubes are available in innovative cuffed and cuffless options, a variety of sizes, and with designs tailored to the needs of neonatal, paediatric and adult patients.3

Aspiration of oral and/or gastric secretions is directly linked to the development of Healthcare Associated Infections (HAIs). The use of a tracheostomy tube with subglottic access and intermittent suctioning decreases the incidence of VAP for critically ill patients requiring mechanical ventilation.6 The Shiley™ Flexible Evac trach tube with TaperGuard™ cuff has an evac lumen which enables removal of secretions from the subglottic space.6

The TaperGuard™ cuff technology, also available for the distinct anatomy of neonatal and paediatric airways, may also reduce removal force.7 These trach tubes for children contain a unique paediatric cuff design, have a transparent soft flange that supports patient comfort and visualization of the skin below and a comfort recess on the bottom of the connector to help reduce inferior stoma irritation.8,9

All our Medtronic tracheostomy tubes help provide the right fit and maintain airway patency, which supports clinicians to ensure patient safety and comfort.7,8

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Shiley™ Endotracheal Tubes & Nasopharyngeal Tubes
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Shiley™ Endotracheal Tubes & Nasopharyngeal Tubes

Our Shiley™ intubation product portfolio offers a full range of evac, oral, nasal endotracheal cuffed tubes and nasopharyngeal tubes for children to adults. Some of these airway tubes are even featured with TaperGuard™ cuff technology.3

The Medtronic endotracheal tubes with TaperGuard™ cuff technology may help reduce the tracheal impact of intubation with a unique, taper-shaped cuff design that provides a smaller area of contact with the patient’s airway than traditional barrel-shaped cuffs.10

The advantages of this unique TaperGuard™ cuff design are:

  • Exerting 30% less pressure on the trachea11
  • Reducing intracuff pressure required to obtain an adequate seal compared to Mallinckrodt™ Hi-Lo cuffs12
  • Providing more uniform pressure distribution than Mallinckrodt™ Hi-Lo cuffs at equivalent intracuff pressures13,14
  • Reducing micro aspiration by as much as 90% compared to Mallinckrodt™ Hi-Lo cuffs9,15

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DAR™ Breathing Filters
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DAR™ Breathing Filters

Our Medtronic filter portfolio contains DAR™ mechanical filters, DAR™ electrostatic filters as well as DAR™ HME filters. Each of these filters have different sizes suitable from neonates to adults.16 It is recommended to place highly effective breathing filters as Medtronic DAR filters at the y-piece, or at the distal expiratory limb of the circuit, to provide barrier against bacteria, viruses and patient secretions. DAR Breathing filters, thanks to their capability to maintain physiological air conditioning even in long term ventilated patients, are recommended for use during anaesthesia, in intensive care and in post-tracheostomy care.17

Hospital-acquired infections (HAIs) are a major problem in the healthcare industry. They are responsible for significant increases in the cost of patient care and length of stay. One study found that the incidence of HAIs increases the hospital care cost of a patient by $10,375 and the length of stay by 3.30 days.18

Filtration can also protect your hospital staff by helping to minimize the inhalation of airborne pathogens and the contamination with bacteria and viruses that can lead to the spread of infection.19,20

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DAR™ Closed Suction Devices
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DAR™ Closed Suction Devices

Our DAR™ closed suction system range is available for neonatal, paediatric and adult patients. These systems represent an effective solution to airway clearance for maintenance of patient’s respiratory parameters and staff’s protection. It reduces the risks of cross-contamination by protecting equipment and caregivers from transmission of infectious agents carried in patients’ secretions. In addition these Medtronic closed suction devices also minimise the time required to perform suctioning, principally due to a shorter set-up phase with avoidance of disconnection. Thanks to its ease of use, it allows for one-user procedures with subsequent reduction of the nursing staff involved.22

The features of Medtronic closed suction devices are23: 

  • the atraumatic dual density suction catheter, with its flexible, ultrasoft and rounded distal tip, which reduces possible lesions of the tracheal mucosa.
  • four lateral eyes create a uniform airflow around the catheter tip minimising the risk of invagination of the tracheal mucosa.
  • the 360° double swiveling elbow (DSE) enhances patient’s comfort by reducing torque

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DAR™ Breathing Circuits
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DAR™ Breathing Circuits

The DAR™ breathing circuits for operating theatres, recovery rooms, intensive care and home care environments, include different types of single use systems to meet the requirements of medical staff and patients such as the heated‑wire circuits with integrated heating element or the 3‑in‑1 DAR™ coaxial circuit anesthesia circuit.

These DAR™ Breathing Patient Circuits help clinicians to achieve excellent results related to various breathing techniques and they can be applied to meet specific user requirements. They are available in three different diameters suitable for different hospital departments24:

  • Adult (ø 22 mm)
  • Paediatric (ø 15 mm)
  • Neonatal (ø 10 mm)

DAR™ Breathing Patient Circuits, are a natural extension to other Medtronic product lines, such as, endotracheal tubes, Shiley™ tracheostomy tubes, inhalation therapy products and Puritan Bennett™ ventilators. 

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References

1. Kent MK Haina Jr. Use of Anesthesia Machines in a Critical Care Setting During the Coronavirus Disease 2019 Pandemic. A A Pract. 2020 May;14(7)

2. Please refer to our Medtronic Breathing Circuits Product Catalogue for specifications

3. Please refer to ShileyTM IFUs N° No. 10148036 Rev A 2015-05, No. 10089811 Rev C 2016-08, No. PT00103700 Rev A 2019-05, No. 10148035 Rev A 2015-05

4. Garrouste-Orgeas M, Chevret S, Arlet G, et al. Oropharyngeal or gastric colonization and nosocomial pneumonia in adult intensive care unit patients: a prospective study based on genomic DNA analysis. Am J Respir Crit Care Med. 1997;156(5):1647-1655. 

5. Chlebicki MP, Safdar N. Topical chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis. Crit Care Med. 2007;35(2):595-602.

6. Mahmoodpoor A, Hamishehkar H, Hamidi M, et al. A prospective randomized trial of tapered-cuff endotracheal tubes with intermittent subglottic suctioning in preventing ventilator-associated pneumonia in critically ill patients. J Crit Care. 2017;38:152-156.

7. Berges AJ, Lina IA, Ospino R, et al. Impact of Low-Volume, Low-Pressure Tracheostomy Cuffs on Acute Mucosal Injury in Swine. Otolaryngol Head Neck Surg. 2022;167(4):716-724.

8. Borg U, D'Angelo A, Liu KE. Response to "An Interprofessional Approach to Preventing Tracheostomy-Related Pressure Injuries". Adv Skin Wound Care.2022;35(10):528. 

9. Based on internal testing. Comparative ventilator air leak test performed using the Shiley™ 4.0PCF and 6.5PLCF pediatric tracheostomy tubes with taper-shaped cuff vs. predicate Shiley™ 4.0PDC and 6.5PLC pediatric tracheostomy tubes with barrel-shaped cuff

10. Maguire S, Haury F, Jew K. An in vitro comparison of tracheostomy tube cuffs. Med Devices (Auckl). 2015 Apr 21;8:185-92.

11. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc Am Soc Anesth Annual Meeting. 2011:A1054

12. Tsuboi S, Miyashita T, Yamaguchi Y, et al.. The TaperGuard endotracheal tube intracuff pressure increase is less than that of the Hi-Lo tube during nitrous oxide exposure: a model trachea study. Anesth Analg. 2013;116: 609–612. 

13. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc Am Soc Anesth. 2011: A1054.

14. Li Bassi G, Ranzani OT, Marti JD, et al. An in vitro study to assess determinant features associated with fluid sealing in the design of endotracheal tube cuffs and exerted tracheal pressures. Crit Care Med. 2013;41(2):518-526.

15. Lichtenthal PR, Maul D, Borg U. Do tracheal tubes prevent microaspiration? Br J Anaesth. 2011;107(5):821-822

16. Please refer to DAR Filters IFUs N°10050775 Rev C 05/2012, N°10053295 Rev C 05/2012, N°10051318 Rev C 05/2012

17. Rathgeber J et al. Air conditioning using a high-performance heat and moisture exchanger (HME): an effective and economical alternative to active humidifiers in mechanically ventilated patients. A prospective, randomized clinical study. Anaesthesist 1996; 45:518-525.

18. Hassan M, Tuckman HP, Patrick RH, Kountz DS, Kohn JL. Cost of hospital-acquired infection. Hosp Top. 2010;88(3):82-89.

19. Thiessen RJ. The impact of severe acute respiratory syndrome on the use of and requirements for filters in Canada. Respir Care Clin N Am. 2006;12(2):287–306.

20. Thiessen RJ. Filtration of respired gases: theoretical aspects. Respir Care Clin N Am. 2006;12(2):183–201.

21. Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections - an overview. Infect Drug Resist. 2018 Nov 15;11:2321-2333.

22. Johnson KL et al. Closed versus open endotracheal suctioning: costs and physiologic consequences. Crit Care Medicine 1994 ; 22(4) : 658–666.

23. DAR Closed Suction System IFU Doc N° 10048649 Rev H

24. DAR Breathing Circuits IFU N°10051704 Rev C 05/12