Posey Cufflator™ Endotracheal Tube Inflator and Manometer - Manual

Instructions for Use:
1. The Posey Cufflator should only be used on tracheal tubes with
high-volume, low-pressure cuffs. NOTE: The Posey Cufflator is
designed only for use with air-filled cuffs. Use with saline-filled
cuffs will cause damage to the unit and void the product
warranty.
2. Before use, the Control Inflator needs to be checked as follows:
a. Close connecting piece with the finger (Fig. 1).
b. Inflate with inflation bulb to 120 cm H
2
0; value must be
constant for 2-3 seconds. If the pressure drops, the device
needs repair by the Posey Company.
c. Inspect the unit and check the cuff for leaks prior to use.
Prior to intubation or extubation, withdraw all the air
from the cuff with a syringe and close the inflation line.
3. To properly seal:
a. Connect the patient to the ventilator.
b. Connect the Posey Cufflator to the cuff inflation line
and inflate the cuff to a pressure in the range of 60-90
cm H
2
0. This will ensure that the cuff is in close contact
with the tracheal wall.
c. Immediately release air by pressing the red button (Fig. 2)
until the lowest safe cuff pressure level is reached.
d. Intra-cuff pressure should be maintained at a minimum of
20-25 cm H
2
0 to reduce the occurrence of microaspiration 1
and a maximum of 34 cm H
2
0 to decrease the incidence of
mucosal ischemia and subsequent stenosis 2 .
4. The extension tube may be used if constant monitoring of
intra-cuff pressure is desired. Connect the extension tube to the
cuff inflation line and to the Posey Cufflator. Use the hook on the
back of the Posey Cufflator to hang it on the headboard of the
bed. The Posey Cufflator will now monitor the intra-cuff pressure
continuously and can be inflated or deflated as required.
5. The accuracy of the Posey Cufflator may be verified by
connecting it to a mercury sphygmomanometer. Remember
that the Posey Cufflator is calib rated in cm of water pressure
(H
2
0). The conversion rate is 1 mm of mercury (Hg) equals 1.36
cm water (H
2
0). For example, the Posey Cufflator will read 20
cm H
2
0 when the mercury sphygmomanometer reads 14.7
mmHg.
6. The accuracy of measurements is + 2 cm H
2
0 for the whole
range. The Cufflator should be calibrated annually, or if
measurements fall outside of this range, or if the Cufflator
needle does not indicate a reading of zero when nothing is
connected, or if the unit is ever dropped.
DO NOT use with saline!
RX ONLY. Federal law (USA) restricts this device to sale by or on
order of a physician.
Cleaning Instructions:
Wipe the surface thoroughly with an alcohol based disinfectant.
DO NOT submerge the Posey Cufflator and DO NOT autoclave. The
Posey Cufflator face should be cleaned with a glass cleaner only.
Storage:
• This device is designed for use in normal indoor environments.
• This device may be stored in ambient warehouse temperatures
at normal humidity levels. Avoid excess moisture or high
humidity that may damage product materials.
Disposal:
Dispose of per facility policy for BIOHAZARDOUS
material. Be sure to follow all laws that apply.
Service/Repair
NEVER open the Posey Cufflator body. If the Posey Cufflator
body is opened, any damages that result will not be covered
under warranty. Return all Cufflators to the Posey Company for
repair (please call first for a return authorization: 1.800.447.6739
or 1.626.443.3143).
1 Elpern EH. Pulmonary aspiration in hospitalized adults. Nutrition in Clinical Practice 1997: 12(1):5-13.
2 Hill BB, Zweng TN, Maley RH, et. al. Percutaneous dilational tracheostomy: Report of 356 cases. Journal of Trauma 1996; 40:238-245.
For additional information see Stauffer, J.L. Complications of Endotracheal Intubation and Tracheotomy. Respiratory Care 1999; 44(7) 828-844.
Cufflator
REF
8199 Cufflator, standard size, complete with extension
tube and instrument case
8199
Fig. 1 Fig. 2
© 2012 Posey Company. All rights reserved. M1410 REV D 052912
Posey Company • 5635 Peck Road, Arcadia, CA 91006-0020 USA • www.posey.com
Phone: 1.800.447.6739 or 1.626.443.3143 • Fax: 1.800.767.3933 or 1.626.443.5014
Rx ONLY
Posey
®
Cufflator
RESPIRATORY THERAPY