• The choice of interface affects the efficacy of NIPPV.

• The pressures as measured by the ventilators (before the interface) are dependent on interface resistance are not equivalent to what is delivered to the lung

Evaluation of a nasal cannula in noninvasive ventilation using a lung simulator. Iyer NP, Chatburn R.Respir Care. 2015 Apr;60(4):508-12.

Neonatal nasal intermittent positive pressure ventilation efficacy and lung pressure transmission. Mukerji A, Belik J.J Perinatol. 2015 Sep;35(9):716-9.

Tidal volume transmission during non-synchronized nasal intermittent positive pressure ventilation via RAM(®) cannula. Matlock DN, Bai S, Weisner MD, Comtois N, Beck J, Sinderby C, Courtney SE.J Perinatol. 2019 May;39(5):723-729

CODE:

 13230A73 – FLOW CANNULA – XXS

 13230B73 – FLOW CANNULA – XS

 13230C73 – FLOW CANNULA – S

 13230D73 – FLOW CANNULA – M

 

INDICATIONS FOR USE

The Flow Cannula is a product intended for use on premature and newborn babies that require supplemental oxygen, respiratory support or assistance in breathing in an outpatient, hospital or institutional setting.

It is used for the following therapies:

1. Heated and humidified high flow oxygen therapy

2. Non-invasive ventilation, with heated or no-heated, humidified flow

INSTRUCTIONS FOR USE

Select an appropriately sized cannula using the size guide provided in the package.

High Flow Oxygen Therapy:

• For high flow oxygen therapy (HHHFNC): the cannula diameter must be 50% lower than that of the nostrils
• Connect the cannula to the oxygen source, making sure that all the cannula connections are properly secured
• Open and test the level of oxygen flow before placing the device on the patient
• Insert the cannula into the patient’s nostrils and leave a small gap between the patient’s septum and the base of the cannula

Non Invasive Ventilation:

• For non-invasive ventilation (NIV) the cannulas must adhere completely to the wall of the nostrils, without creating pressure or stretching of the skin
• Connect the cannula to the gas source, making sure that all the cannula connections are properly secured
• Open and test the gas flow level before placing the device on the patient.
• Insert the cannula into the patient’s nostrils and leave a small gap between the patient’s septum and the base of the cannulas.
• Replace the FLOW CANNULA every 7 days or according to the hospital protocol, whichever occurs first. Dispose of the used cannula according to hospital protocol.

TECHNICAL CHARACTERISTICS

• To be used with low / high flow humidified oxygen
• Soft and delicate interface
• Individually packaged
• Single use
• Made of high performance TPE suitable for medical use
• Connection: M15mm
• Total weight: about 16g
• Dimensions: 4 sizes XXS, XS, S, M
• Class according to 93/42 EEC directive: IIa

GENERAL INFORMATIONS

Cannula in TPE

Tube in medical PVC

Connector M15

Latex free

DEHP free

WARNINGS

• This device must be used only when the patient is under the continuous and direct supervision of the healthcare professional and frequent observation of the position of the cannula in the patient’s nostrils is necessary.

• Incorrect choice of size, improper placement or use can cause septal trauma or necrosis.

• The cannula tubes can represent a potential strangulation hazard.

•  Always start the gas flow before inserting the cannula into the patient’s nostrils.

•  Do not use if the package is damaged or opened.

•  Do not immerse, wash or sterilize.

• Stop immediately if skin irritation occurs.

• For single patient use only.

• The device must be stored in a suitable, cool and dry place away from heat sources.

• Avoid exposure to direct light sources.

• The product, if it comes into contact with it, has chemical-physical incompatibilities with organic solvents (petrol, benzoyl, esters, ketones, chlorine hydrocarbon).

PART NUMBER	SIZE	PRONGS LENGTH (mm)	OUTER DIAMETER(mm)
13230A73	XXS	7,5	2,3
13230B73	XS	8,5	2,6
13230C73	S	9,5	3,0
13230D73	M	10,5	3,5