Mark Enterprises

METHOD OF USE

• like standard Macintosh laryngoscopy blade with some additional features
• lever adjacent to handle allows control of the flexible tip
• hinged tip allows elevation of the distal structures (epiglottis)

COMPLICATIONS

• trauma of epiglottis if gets caught in hinge of movable tip

Some historians (for example, Morell Mackenzie) credit Benjamin Guy Babington (1794–1866), who called his device the "glottiscope", with the invention of the laryngoscope.^[1] Philipp von Bozzini (1773–1809)^[2][3] and Garignard de la Tour were other early physicians to use mouth mirrors to inspect the oropharynx and hypopharynx.^[4]

In 1854, the vocal pedagogist Manuel García (1805–1906) became the first man to view the functioning glottis and larynx in a living human. García developed a tool that used two mirrors for which the Sun served as an external light source.^[5][6] Using this device, he was able to observe the function of his own glottic apparatus and the uppermost portion of his trachea. He presented his findings at the Royal Society of London in 1855.^[7][8]

All previous observations of the glottis and larynx had been performed under indirect vision (using mirrors) until 23 April 1895, when Alfred Kirstein (1863–1922) of Germany first described direct visualization of the vocal cords. Kirstein performed the first direct laryngoscopy in Berlin, using an esophagoscope he had modified for this purpose; he called this device an autoscope.^[9] It is believed that the death in 1888 of Emperor Frederick III^[10] motivated Kirstein to develop the autoscope.^[11]

In 1913, Chevalier Jackson was the first to report a high rate of success for the use of direct laryngoscopy as a means to intubate the trachea.^[12] Jackson introduced a new laryngoscope blade that had a light source at the distal tip, rather than the proximal light source used by Kirstein.^[13] This new blade incorporated a component that the operator could slide out to allow room for passage of an endoracheal tube or bronchoscope.^[14]

That same year, Henry Harrington Janeway (1873–1921) published results he had achieved using another new laryngoscope he had recently developed.^[15] An American anesthesiologist practicing at Bellevue Hospital in New York City, Janeway believed that direct intratracheal insufflation of volatile anesthetics would provide improved conditions for surgery of the nose, mouth and throat. With this in mind, he developed a laryngoscope designed for the sole purpose of tracheal intubation. Similar to Jackson's device, Janeway's instrument incorporated a distal light source. Unique however was the inclusion of batteries within the handle, a 

Facilitates correct placement by providing accurate feel of the tracheal wall C-Rings. The flexibility also makes for easy removal once the Endotracheal Tube is in situ.

The smooth surface and rounded tip reduces risk of potential damage to soft tissue.

Indicates depth to guide correct placement.

Provided sterile, the single-use Bougie reduces risk of cross-infection.

BriteBlade Pro Disposable Laryngoscope Blades: These are single-use fiber optic laryngoscope blades designed to reduce the risk of cross-contamination. They are part of the BritePro Solo system, which includes an ergonomic handle and a fully metal blade. The blades are made of metal and offer high-intensity illumination for clear visualization during procedures. They are packaged sterile and are intended for single-patient use, ensuring no risk of cross-contamination between patients. The blades are available in various sizes to suit different clinical needs, including neonatal and pediatric applications.

Sterile packed. Textured grip delivers excellent control and feel.

Developed for neonates and small infants, the lightweight slimline handle gives outstanding tactile feedback.

40% shorter than our standard handles for use when space is limited or reduced neck flexion. Ergonomic barrel shape.

We asked what Anesthesiologists think about of BritePro Solo, the single patient use laryngoscope. Find out what they said about the individual sterile pack, reliability, patient safety and cost savings.

"The first time I held BritePro Solo, I was surprised it was actually disposable!"

"It’s incredibly reliable. You have everything you need right there in one package. You open that and you’re ready to go. From a patient safety issue, I don’t think there’s any better solution for a laryngoscope."

Standard handle delivers excellent control and feel. Lightweight, slimline Mini handle gives outstanding tactile feedback. Stubby handle is 40% shorter, for use when space is limited or reduced neck flexion.

Quick release mechanism in the reinforced block housing for easy battery removal, minimising both pre and post-use handling, reducing cross-contamination risk.

Blades are colour coded for size verification to easily identify the correct size for the patient. Sizing is also stated on the handle base.

With a minimum typical output of 2,500 lux, the fully encased, bright, LED light source directly focuses on the glottic area, delivering excellent visualisation at all times.

A stylet is a hard, sharp, anatomical structure found in some invertebrates. For example, the word stylet or stomatostyle is used for the primitive piercing mouthparts of some nematodes^[1] and some nemerteans. In these groups the stylet is a hardened protrusible opening to the stomach. These stylets are adapted for the piercing of cell walls, and usually functions by providing the operative organism with access to the nutrients contained within the prey cell.

The mouthparts of tardigrades, diptera and aphids^[2] are also called stylets.^[3]

In octopodes, the stylets are internal, needle-like bent rods within the mantle, the vestigial remnants of an external shell.^[4]

The standard gum elastic bougie (GEB) which is used mainly for aiding in difficult laryngoscopy and intubation can be used as a tube exchanger also. The essential steps of tube exchange using GEB require it to be inserted into the lumen of the endotracheal tube (ETT) until the markings of the GEB correlate with the markings on the ETT. This indicates that the tip of the GEB is at the tip of the ETT.[1] Subsequently, cuff of the ETT is deflated and the ETT withdrawn gently over the GEB, whereas the operator end of the GEB is held securely. However, by the time, the tip of the ETT comes to lie in the oral cavity; the whole length of the GEB gets lost within the ETT lumen and the oral cavity resulting in the anaesthesiologist losing control over the GEB completely. This is because the GEB measures 60 cm in length and an ETT of 8.0 mm inner diameter (ID) measures 36 cm [from its distal end to the edge of the blue connector, Figure 1a], thus resulting in only 24 cm of GEB length remaining outside the ETT. Furthermore, the ETT is usually fixed around 22–23 cm at the angle of the mouth. Hence, overall 59–60 cm length of the GEB is required to be inserted into the ETT (36 cm ETT length and 22–23 cm length inside the oral cavity) before the shaft of the GEB could be recovered outside the oral cavity, when the ETT tip comes out. Therefore, invariably the anaesthesiologist ends up losing control over the GEB for a brief while. This total loss of control over the GEB can result in the GEB either migrating deeper into the trachea, thus stimulating the carina in an already/almost awake patient, or there is a risk that the GEB comes out of the larynx along with the ETT and gets accidentally placed in the oral cavity or oesophagus. The traditional airway exchange catheters measure more than 80 cm (83 cm, 11 and 14 G), and, therefore, do not have this problem.[2] As long as the length of the GEB is more than twice that of the ETT, this problem should not happen. Bougies from other manufacturers that measure approximately 70 cm in length are available, and these problems are unlikely to be encountered with these.[3]

There are several ways your doctor may do this procedure:

Indirect laryngoscopy. This is the simplest form. Your doctor uses a small mirror and a light to look into your throat. The mirror is on a long handle, like the kind a dentist often uses, and it’s placed against the roof of your mouth.

The doctor shines a light into your mouth to see the image in the mirror. It can be done in a doctor’s office in just 5 to 10 minutes.

You’ll sit in a chair while the exam is done. Your doctor might spray something into your throat to make it numb. Having something stuck in your throat might make you gag, however.

Direct fiber-optic laryngoscopy. Many doctors now do this kind, sometimes called flexible laryngoscopy. They use a small telescope at the end of a cable, which goes up your nose and down into your throat.

It takes less than 10 minutes. You’ll get a numbing medication for your nose. Sometimes a decongestant is used to open your nasal passages as well. Gagging is a common reaction with this procedure as well.

Direct laryngoscopy. This is the most involved type. Your doctor uses a laryngoscope to push down your tongue and lift up the epiglottis. That’s the flap of cartilage that covers your windpipe. It opens during breathing and closes during swallowing.

Your doctor can do this to remove small growths or samples of tissue for testing. They can also use this procedure to insert a tube into the windpipe to help someone breathe during an emergency or in surgery.

Direct laryngoscopy can take up to 45 minutes. You’ll be given what’s called general anesthesia, so that you will not be awake during the procedure. Your doctor can take out any growths in your throat or take a sample of something that might need to be checked more closely.

There are several ways your doctor may do this procedure:

Indirect laryngoscopy. This is the simplest form. Your doctor uses a small mirror and a light to look into your throat. The mirror is on a long handle, like the kind a dentist often uses, and it’s placed against the roof of your mouth.

The doctor shines a light into your mouth to see the image in the mirror. It can be done in a doctor’s office in just 5 to 10 minutes.

You’ll sit in a chair while the exam is done. Your doctor might spray something into your throat to make it numb. Having something stuck in your throat might make you gag, however.

Direct fiber-optic laryngoscopy. Many doctors now do this kind, sometimes called flexible laryngoscopy. They use a small telescope at the end of a cable, which goes up your nose and down into your throat.

It takes less than 10 minutes. You’ll get a numbing medication for your nose. Sometimes a decongestant is used to open your nasal passages as well. Gagging is a common reaction with this procedure as well.

Direct laryngoscopy. This is the most involved type. Your doctor uses a laryngoscope to push down your tongue and lift up the epiglottis. That’s the flap of cartilage that covers your windpipe. It opens during breathing and closes during swallowing.

Your doctor can do this to remove small growths or samples of tissue for testing. They can also use this procedure to insert a tube into the windpipe to help someone breathe during an emergency or in surgery.

Direct laryngoscopy can take up to 45 minutes. You’ll be given what’s called general anesthesia, so that you will not be awake during the procedure. Your doctor can take out any growths in your throat or take a sample of something that might need to be checked more closely.

There are several ways your doctor may do this procedure:

Indirect laryngoscopy. This is the simplest form. Your doctor uses a small mirror and a light to look into your throat. The mirror is on a long handle, like the kind a dentist often uses, and it’s placed against the roof of your mouth.

The doctor shines a light into your mouth to see the image in the mirror. It can be done in a doctor’s office in just 5 to 10 minutes.

You’ll sit in a chair while the exam is done. Your doctor might spray something into your throat to make it numb. Having something stuck in your throat might make you gag, however.

Direct fiber-optic laryngoscopy. Many doctors now do this kind, sometimes called flexible laryngoscopy. They use a small telescope at the end of a cable, which goes up your nose and down into your throat.

It takes less than 10 minutes. You’ll get a numbing medication for your nose. Sometimes a decongestant is used to open your nasal passages as well. Gagging is a common reaction with this procedure as well.

Direct laryngoscopy. This is the most involved type. Your doctor uses a laryngoscope to push down your tongue and lift up the epiglottis. That’s the flap of cartilage that covers your windpipe. It opens during breathing and closes during swallowing.

Your doctor can do this to remove small growths or samples of tissue for testing. They can also use this procedure to insert a tube into the windpipe to help someone breathe during an emergency or in surgery.

Direct laryngoscopy can take up to 45 minutes. You’ll be given what’s called general anesthesia, so that you will not be awake during the procedure. Your doctor can take out any growths in your throat or take a sample of something that might need to be checked more closely.

There are several ways your doctor may do this procedure:

Indirect laryngoscopy. This is the simplest form. Your doctor uses a small mirror and a light to look into your throat. The mirror is on a long handle, like the kind a dentist often uses, and it’s placed against the roof of your mouth.

The doctor shines a light into your mouth to see the image in the mirror. It can be done in a doctor’s office in just 5 to 10 minutes.

You’ll sit in a chair while the exam is done. Your doctor might spray something into your throat to make it numb. Having something stuck in your throat might make you gag, however.

Direct fiber-optic laryngoscopy. Many doctors now do this kind, sometimes called flexible laryngoscopy. They use a small telescope at the end of a cable, which goes up your nose and down into your throat.

It takes less than 10 minutes. You’ll get a numbing medication for your nose. Sometimes a decongestant is used to open your nasal passages as well. Gagging is a common reaction with this procedure as well.

Direct laryngoscopy. This is the most involved type. Your doctor uses a laryngoscope to push down your tongue and lift up the epiglottis. That’s the flap of cartilage that covers your windpipe. It opens during breathing and closes during swallowing.

Your doctor can do this to remove small growths or samples of tissue for testing. They can also use this procedure to insert a tube into the windpipe to help someone breathe during an emergency or in surgery.

Direct laryngoscopy can take up to 45 minutes. You’ll be given what’s called general anesthesia, so that you will not be awake during the procedure. Your doctor can take out any growths in your throat or take a sample of something that might need to be checked more closely.

Pathfinder Plus™ is a unique accessory for urological or other endoscopic procedures that puts the surgeon in direct control of continuous or bolus irrigation.

The Pathfinder Plus™ bulb irrigator is the elegantly simple irrigation device that provides the physician the option of controlling the flow of irrigation. The result is greater accuracy and enhanced visualization during endoscopic procedures.

• Improved visualization.
• Bulb compresses in various hand-held positions, and fits easily and unobtrusively in one hand.
• Continuous flow and pulsatile action with minimal tubing.
• Accurate delivery of bolus irrigation.
• Optional control - physician or assistant.
• Scope moves easily with bulb attached.
• Attaches to any scope.
• Less cumbersome than syringe administration.

• Magill forceps

USES

• aid passage of an endotracheal tube into the larynx (e.g. nasal intubation)
• aid gastric tube passage into the oesophagus
• remove foreign bodies from the airway/ pharynx
• place pharyngeal packs (e.g. bleeding)

DESCRIPTIONS

• Twin-bladed tong-like forceps
• handles for gripping by the user
• rounded ends for grasping
• oblique angle between handles and blades to enable prevent obscuration of the view of the airway during use
• Reusable or disposable (usually stainless steel)
• infant, child and adult sizes
• polished and dull finishes
• open and closed end design to aid gripping of different materials

There is no specific information available about a jaw opener called “FlexiCare” in the provided context. The context discusses different types of jaw openers and related products but does not mention a product named “FlexiCare.” If you are looking for information on a specific jaw opener, please provide more details or clarify the name.

There are several ways your doctor may do this procedure:

Indirect laryngoscopy. This is the simplest form. Your doctor uses a small mirror and a light to look into your throat. The mirror is on a long handle, like the kind a dentist often uses, and it’s placed against the roof of your mouth.

The doctor shines a light into your mouth to see the image in the mirror. It can be done in a doctor’s office in just 5 to 10 minutes.

You’ll sit in a chair while the exam is done. Your doctor might spray something into your throat to make it numb. Having something stuck in your throat might make you gag, however.

Direct fiber-optic laryngoscopy. Many doctors now do this kind, sometimes called flexible laryngoscopy. They use a small telescope at the end of a cable, which goes up your nose and down into your throat.

It takes less than 10 minutes. You’ll get a numbing medication for your nose. Sometimes a decongestant is used to open your nasal passages as well. Gagging is a common reaction with this procedure as well.

Direct laryngoscopy. This is the most involved type. Your doctor uses a laryngoscope to push down your tongue and lift up the epiglottis. That’s the flap of cartilage that covers your windpipe. It opens during breathing and closes during swallowing.

Your doctor can do this to remove small growths or samples of tissue for testing. They can also use this procedure to insert a tube into the windpipe to help someone breathe during an emergency or in surgery.

Direct laryngoscopy can take up to 45 minutes. You’ll be given what’s called general anesthesia, so that you will not be awake during the procedure. Your doctor can take out any growths in your throat or take a sample of something that might need to be checked more closely.

METHOD OF USE

• like standard Macintosh laryngoscopy blade with some additional features
• lever adjacent to handle allows control of the flexible tip
• hinged tip allows elevation of the distal structures (epiglottis)

COMPLICATIONS

• trauma of epiglottis if gets caught in hinge of movable tip

• Cook TM, Tuckey JP. A comparison between the Macintosh and the McCoy laryngoscope blades. Anaesthesia. 1996 Oct;51(10):977-80. [PMID 8984878]

Compendium

Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of two amazing children.

On Twitter, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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• like standard Macintosh laryngoscopy blade with some additional features
• lever adjacent to handle allows control of the flexible tip
• hinged tip allows elevation of the distal structures (epiglottis)

COMPLICATIONS

• trauma of epiglottis if gets caught in hinge of movable tip

• Cook TM, Tuckey JP. A comparison between the Macintosh and the McCoy laryngoscope blades. Anaesthesia. 1996 Oct;51(10):977-80. [PMID 8984878]

Compendium

Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also the Innovation Lead for the Australian Centre for Health Innovation at Alfred Health and Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.

After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.

He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE.  He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.

His one great achievement is being the father of two amazing children.

| INTENSIVE | RAGE | Resuscitology | SMACC

This site uses Akismet to reduce spam. Learn how your comment data is processed.

• These nylon teeth guards were designed as a protection for the patient’s teeth against pressure that may be exerted during insertion and positioning of a laryngoscope
• WARNING: Cancer and Reproductive Harm -