LIMBO

WHAT IS IT???

• One corrugate tube

• 22mm diameter

• Septum/wall extruded down its middle

• Inspiratory and expiratory channels are completely divided

• Made of three different resins

• Area of each distinct channel = 15.5mm

PATENTS

The Limbo has two patents:– Process = 6,431,218D1. Method of

manufacture.

– Design = 6,394,442B1. Single limb circle breathing system.

CHARACTERISTICS OF LIMBO

• Less compliant - the septum along with the stiffness of the tubing decreases compliance thereby increasing total volume delivered to the patient. “What you set is what you get.”

• Less heat loss - the septum permits the transfer of heat from the patient’s warm exhaled breath. Tests reveal an increase of 6.2°C @ 4L/min fresh gas flow rates.

CHARACTERISTICS OF LIMBO

• Less weight - less plastic results in less weight and less torque on the patient’s artificial airway device. Limbo weighs 34% less than coaxial circuits and 25% less than traditional circle circuits.

• Less inventory - One circuit for pediatrics and adults! Use Limbo with pediatric patients weighing 4.5kg or greater.

LIMBO WEIGHT PARAMETERS

• Minimum tidal volume requirements to avoid rebreathing CO2:– 3 x amount of mechanical dead space

• Dead space of the Limbo is ~15cc– 3 x 15cc = 45cc tidal volume minimum

• 10cc per kg of body weight is the usual estimate of VT– 45cc minimum VT/10cc body weight = 4.5kg

or 9.9lbs

CLINICAL USES FOR LIMBO

ANESTHESIA

TRANSPORT

RESPIRATORY CARE

ANESTHESIA

• Standard connections adapt to anesthesia machines

TRANSPORT

TRANSPORT KIT

MAPLESON D adapter

MAPLESON D adapter

MAPLESON D adapter

MAPLESON D adapter

4300MDE

• Adapter for administering an MDI

• Disposable• For use in respiratory

care or anesthesia• 4300MDI also

available - fits onto inspiratory limb

Multi-Access™ Adapter

• Used for measuring proximal airway pressure

• For Bear 1000 or any other vent requiring proximal pressure port

• 22mm I.D./ 22mm O.D.

• Product code: 174024

Multi-Access™ Adapter

RESPIRATORY CARE

• For use with but not limited to Servo 900c (pictured), 300

• Temperature port adapter P/N 174020 if using heater

• Possible future design with heated wire

RESPIRATORY CARE

• For use with PB7200 (pictured), PB840

• Not limited to these vents

• May be used with any volume ventilator that uses a circle breathing circuit

QUALITY ASSURANCE• Every two hours, 10 hose segments are

verified in order to validate the extrusion process

• Every circuit is 100 % leak tested with a flow detector – A circle is created with the tubing and is

pressurized according to ISO standards– If a leak is detected the circuit is considered a

failure and is discarded– Actions are taken to modify the materials

SALES STRATEGIES

• Inventory consolidation = one circuit for peds and adults

• Three applications = OR, TXP, RT

• Mapleson D adapter

• No risk of increased dead space (King F2)

• Thermally efficient

• Flexible configurations

• Unique!

QUESTIONS OR QUESTIONS OR COMMENTS?COMMENTS?