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2. Introduction

2.1. Intended use

The Ambu AuraOnce is intended for use as an alternative to a facemask for achieving and maintaining 
control of the airway during routine and emergency anaesthetic procedures in fasted patients.
The Ambu AuraOnce may also be used where unexpected difficulties arise in connection with
airway management.
The mask may also be preferred in some critical airway situations. 
The Ambu AuraOnce may also be used to establish a clear airway during resuscitation in
profoundly unconscious patients with absent glossopharyngeal and laryngeal reflexes who may 
need artificial ventilation.
The device is not intended for use as a replacement of the endotracheal tube, and is best suited for 
use in surgical procedures where tracheal intubation is not deemed necessary.

2.2. Contraindications

The Ambu AuraOnce does not protect the patient from the consequences of regurgitation and
aspiration. Ambu AuraOnce should only be used in patients, who have been clinically evaluated by
a clinician familiar with anesthesia, as eligible for a laryngeal mask airway.

When the Ambu AuraOnce is used in profoundly unconscious patients in need of resuscitation or in 
an emergency patient with a difficult airway situation (i.e. “cannot intubate, cannot ventilate”), there 
is a risk of regurgitation and aspiration. This risk must be carefully balanced against the potential 
benefit of establishing an airway (see the guidelines etablished by your own local protocol). The 
Ambu AuraOnce should not be used for resuscitation or emergency treatment of patients who are 
not profoundly unconscious and who may resist insertion.

3. Specifi cations

The Ambu AuraOnce function is in conformity with Council Directive 93/42/EEC concerning 
Medical Devices and ASTM standard no. ASTM F 2560-06 Standard Specification for 
Supralaryngeal Airways and Connectors. A summary of the methods, materials, data and 
results of clinical studies that validate the requirements of this standard is available on request,
if applicable.

The Ambu AuraOnce is a sterile and single use device. 

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Summary of Contents for AuraOnce

Page 1: ...Product Information Ambu AuraOnce Single Use Laryngal Mask Sterile For use by trained clinicians only...

Page 2: ...7 3 1 Placement technique 9 7 4 Insertion problems 9 7 5 Inflation 9 7 6 Connecting to the anesthetic system 10 7 7 Fixation 10 7 8 Usage with spontaneous ventilation 11 7 9 Usage with positive press...

Page 3: ...ery equipment Use of a nasogastric tube may make regurgitation likely because the tube may interfere with the function of the lower esophageal sphincter Do not attempt to clean and reuse the Ambu Aura...

Page 4: ...should only be used in patients who have been clinically evaluated by a clinician familiar with anesthesia as eligible for a laryngeal mask airway When the Ambu AuraOnce is used in profoundly unconsci...

Page 5: ...1 g Internal volume of ventilatory pathway 5 5 ml 8 ml 11 ml 15 ml 16 ml 21 ml 30 ml 38 ml Pressure drop Min interdental gap 15 mm 17 mm 19 mm 21 mm 25 mm 29 mm 31 mm 32 mm i Internal pathway 10 3 cm...

Page 6: ...shown in table 3 are maximum volumes Applying the stated maximum inflation volume may respond to a cuff pressure above the maximum of 60 cm H2 O It is recommended to continuously monitor the cuff pre...

Page 7: ...ot be any bulge nor any sign of leakage in the cuff pilot tubing or pilot balloon WARNING Do not use the Ambu AuraOnce if there are any bulges on the cuff or if there are any signs of leakage Table 5...

Page 8: ...ce are familiar with the warnings precautions indications and contraindications found in these Product Information The following points are extremely important Check for correct deflation and lubricat...

Page 9: ...nal or intravenous agents and initiate manual ventilation If you cannot open the patient s mouth sufficiently to insert the mask check that the patient is adequately anesthetized Ask an assistant to p...

Page 10: ...d to determine sufficient respiration Auscultate in the anterolateral neck region to check for abnormal sounds that might indicate mild laryngeal spasm or light anaesthesia The mask may leak slightly...

Page 11: ...o not simply add more air This will not necessarily improve the seal pressure and may even increase the leak by adding tension to the normally soft cuff pushing it away from the larynx Instead remove...

Page 12: ...ipment and the facility for rapid tracheal intubation are available Do not fully deflate the cuff until after its removal to avoid secretions entering the larynx and to prevent laryngospasm Alternativ...

Page 13: ...te that with the Ambu AuraOnce as with any form of airway management and anesthesia in pediatric patients where ventilation is insufficient desaturation is likely to occur faster because of the higher...

Page 14: ...14 EN c e 1 2 6 5 4 3 7 30 ml 60 cm H 2 O 50 7 0 kg 4 d A J I K H G D C B F E 2 6 5 4 3 1...

Page 15: ...15 EN g i h f...

Page 16: ...Catalog number LOT REF Copyright 2008 Ambu A S Denmark All rights reserved No part of this programme or the programme documentation may be reproduced in any form including photocopying without the pri...

Page 17: ...ermany Ambu GmbH In der Hub 5 D 61231 Bad Nauheim Tel 49 6032 92500 Fax 49 800 ambude www ambu de UK Ambu Ltd 8 Burrel Road St Ives Cambridgeshire PE27 3LE Tel 44 0 1480 498 403 Fax 44 0 1480 498 405...

Page 18: ...497 3600 01 11 2008 Version 1 0 1 Ambu A S Baltorpbakken 13 DK 2750 Ballerup Denmark T 45 7225 2000 F 45 7225 2050 www ambu com 0086 LATEX FREE LATEX ATE Pat Pending...

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