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Hospitech

Founded in 2006, Hospitech Respiration Ltd is committed to the development and commercialization of innovative medical devices, aimed at enhancing the quality of care, promoting patient safety and reducing complications in mechanically ventilated patients.
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The AG CUFFILL offers an easy, accurate and accessible pressure regulation of airway cuffs in all clinical settings

AG CUFFILL Main Benefits


Accurate:

Allows measuring and reading the exact cuff pressure without losing pressure during connection

Accessible:

- Intuitive, easy and simple to use
- The operation of the device is the closest to the existing common practice, i.e., filling the cuff with a syringe
- Pocket-size and lightweight
- Designed as a cost-effective disposable device

Safe:

- The only device that provides both pressure control and control of the inflated air volume at the same time
- Allows measuring the cuff pressure without losing pressure during connection
- Eliminates the need to induce over pressure while measuring the cuff pressure - extremely important for pediatric use
- Minimizing chance for human error
Recommended for single-patient use in order to reduce the risk of cross-contamination

Diverse:

- Suitable for hospital, first response medical use and home care use
- Provides indication of cuff pressure and volume
- Suitable for use with endotracheal and tracheotomy tubes as well as laryngeal masks

The Clinical Need

Mechanical ventilation and intubation of patients for longer than 48 hours puts the patient at risk of complications. Over-inflation of the cuff may result in injury of the trachea or the vocal cords, while under-inflation may result in aspiration of contaminated subglottic secretions into the lungs, which may cause Ventilator-Associated Pneumonia (VAP).
Those complications render the respiration procedure complex and costly, and may result in prolonged hospitalization and high mortality rates. [2] [3] [4] [5]

The Risk of Tracheal Tissue Injury

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The Risk of Aspiration

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Correct and accurate inflation of the cuff is a crucial element in minimizing the complications of prolonged intubation, yet several tests show that medical staff finds it hard to inflate, maintain and estimate cuff pressure palpation.[6] [7]

The accurate management of cuff pressure is specifically crucial in Pediatrics, yet studies show that a significant percentage of pediatric patients have a cuff pressure greater than the generally recommended upper limit.[8] [9]

[1] Ramesh, Archana S. et al. An in vitro and in vivo validation of a novel monitor for intracuff pressure in cuffed endotracheal tubes.
[2] Lizy, Christelle et al. Cuff Pressure of Endotracheal Tubes After Changes in Body Position in Critically Ill Patients Treated With Mechanical Ventilation;
[3] Bhatti, Nasir I. et al. Cost analysis of intubation-related tracheal injury using a national database.
[4] Freebairn, Ross C. et al. Endotracheal Cuff Pressures in Ventilated Patients in Intensive Care.
[5] Kyaw, Moe H. et al. Healthcare utilization and costs associated with S. aureus and P. aeruginosa pneumonia in the intensive care unit: a retrospective observational cohort study in a US claims database (2015).
[6] Hoffman, Robert J. et al. Experienced Emergency Medicine Physicians Cannot Safely Inflate or Estimate Endotracheal Tube Cuff Pressure Using Standard Techniques.
[7] Bryant, Jason et al. Can the Intracuff Pressure Be Estimated by Palpation of the Pilot Balloon?
[8] Tobias, Joseph D. et al. Cuffed endotracheal tubes in infants and children: Should we routinely measure the cuff pressure?
[9] Schloss, Bryan et al. The laryngeal mask in infants and children: What is the cuff pressure?

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