RUSCH® EZ-BLOCKERTM
The next generation in one-lung ventilation.
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EZ-BLOCKER.COM
The availability of devices to achieve minimally invasive thoracic
surgery has increased the need to achieve one-lung ventilation.
Double-lumen endobronchial tubes have long been the most popular
devices to allow for lung-isolation2, but these devices have many
drawbacks including the increased risk for airway trauma when
compared to single lumen endotracheal tubes,3 the inability to insert in
the event of a difficult airway, challenges in proper sizing and the need
to disrupt the airway post-operatively even when additional ventilator
support is needed.
An alternative to double-lumen endobronchial tubes are bronchial
blockers, which can overcome many of these drawbacks. However,
classic single-cuff bronchial blockers take more time to place, the
time needed for full lung collapse is longer, and the potential for
dislodgement is greater.4 These drawbacks have limited the
acceptance of single-cuff endobronchial blockers.
ENHANCE PATIENT OUTCOMES DURING SELECTIVE PROCEDURES
RUSCH® EZ-BLOCKERTM
The next generation in one-lung ventilation.
The EZ-Blocker Endobronchial Blocker was developed by an anesthesiologist for use by anesthesiologists to provide an improved device for lung isolation. The EZ-Blocker Endobronchial Blocker has a unique Y-shaped distal end that mirrors the bifurcation of the trachea.
The unique bifurcated distal end of the EZ-Blocker Endobronchial Blocker allows for the intuitive placement of the cuffs in the right or left bronchus. Once the EZ-Blocker Endobronchial Blocker is advanced through the distal end of a single-lumen endotracheal tube, the bifurcated cuffs separate and are naturally directed into the left and right main stem bronchi.
The EZ-Blocker Endobronchial Blocker is securely placed at the carina without the need for navigation of the cuff into either of the bronchi. With the EZ-Blocker Endobronchial Blocker, cuff inflation can be performed just before lung isolation, which minimizes the need to manipulate the catheter after placement and reduces the potential for the cuffs to become dislodged.1
EZ-Blocker Endobronchial Blocker is the next generation of one-lung ventilation products designed to enhance patient outcomes during selective procedures.
INNOVATIVE
INTUITIVE
SECURE
TWO DISTINCT PROXIMAL BALLOONS• Colorofthemarkingsonthepilotballoonsmatch
colorofthedistallumens• Providesindicationofblockerorientation
afterplacement
EZ-MULTIPORTTM ADAPTOR Facilitatesventilation,placementoftheEZ-BlockerEndobronchialBlocker,andtheintroductionoffiber-opticorvideobronchoscopesandsuctioncatheters
PLACEMENT INTO AN ENDOTRACHEAL TUBE• Routineintubationtechniqueisusedforendotrachealtubeplacement
• TheEZ-BlockerEndobronchialBlockerisinsertedthroughtheEZ-MultiportAdaptorintotheendotrachealtube
• Notnecessarytore-intubateifpost-operativeventilationisneeded
CENTRAL LUMENS• Allowoxygentobeadministered
(CPAP)totheisolatedlungduringprocedure
• AllowCO2flowchecktoensurecuffisprovidingafullseal
4 Before the surgeon breaks the thoracic vacuum, ensure both cuffs of the EZ-Blocker Endobronchial Blocker are deflated and discontinue ventilation until lung collapse is achieved. Inflate the cuff in the bronchus of the lung to be isolated and then resume ventilation.
NOTE: These instructions are for example only to help familiarize the clinician with the handling of the EZ-Blocker Endobronchial Blocker and do not represent the product’s full Instructions For Use, including its associated cautions and warnings. For a copy of complete product instructions, please contact your Teleflex Anesthesia & Respiratory Sales Specialist.
TheEZ-BlockerEndobronchialBlockerisavailableinonesizeonly.Itisusedincombinationwithasinglelumenendotrachealtube.ThereforenoreintubationisrequiredafterremovaloftheEZ-BlockerEndobronchialBlocker.
EASY HANDLING, QUICK AND RELIABLE PLACEMENT
BIFURCATED DISTAL EXTENSIONS (Y-SHAPED) • Distalendsarecolor-coded,allowingeasyidentification
withcorrespondingcolorsonthepilotballoons
• Low-volumecuffsmadeofpolyurethane,providingoptimalsealforsurgicalprocedures
• TheuniquebifurcateddistalendoftheEZ-BlockerEndobronchialBlockerallowsfortheintuitiveplacementofthecuffsintherightorleftbronchus
RADIOPAQUE SHAFT
DEPTH MARKERS IndicatethedepthofinsertionbyprovidingdistancetothedistaltipoftheEZ-BlockerEndobronchialBlocker
ORDERING INFORMATIONRef. Set componentS Length Size qty
mg-02770-002 • 1 EZ-Blocker Endobronchial Blocker• 1 EZ-Multiport Adaptor with scope lid • 1 oxygen adaptor• 2 dust caps
75 cm 7 Fr. 5
1 Intubate as usual with an endotracheal tube (ET) size 7.0 mm or larger. Attach the EZ-Multiport Adaptor.
2 Confirm depth of intubation leaving 4 cm between distal tip of the ET tube and the carina to allow sufficient space for the deployment of the bifurcated tips.
3 Insert the EZ-Blocker Endobronchial Blocker in the EZ-Multiport Adaptor and then reinsert the bronchoscope. Advance the EZ-Blocker Endobronchial Blocker until the bifurcated ends are in either bronchus. Verify device orientation under visualization by inflating and deflating cuffs.
4 cm
TELEFLEX MEDICAL PO Box 12600 Research Triangle Park, NC 27709 Toll Free: 866.246.6990 Phone: 919.544.8000 Intl: 919.433.8088TELEFLEX.COM
© 2012 Teleflex Incorporated. All rights reserved. 2012-1153
Teleflex is a global provider of medical products designed to enable healthcare providers to protect against infections and improve patient and provider safety. The company specializes in products and services for vascular access, respiratory, general and regional anesthesia, cardiac care, urology and surgery. Teleflex also provides specialty products for device manufacturers.
Teleflex, EZ-Blocker, EZ-Multiport and Rusch are trademarks or registered trademarks of Teleflex Incorporated or its affiliates.
1 Mungroop, H, Wai PTJ, Morei NM, Loef, BG, Epema AH. Lung Isolation with a new Y shaped bronchial blocker, the EZ-Blocker. British Journal of Anesthesiology. 2009; 104(1):119-120.
2 IMS data FY 2009.
3 Knoll H, Ziegeler S, Schreiber J, et al. Airway injuries after one-lung ventilation: A comparison between double-lumen tube and endobronchial blocker. Anesthesiology. 2006;105(3):471-477.
4 Narayanaswamy M, McRae K, Slinger P, et al. Choosing a lung isola tion device for thoracic surgery: a randomized trial of three bronchial blockers versus double-lumen tubes. Anesth Analg 2009; 108:1097-1101.
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