Medical Products Supplies Companies

1788 S. Redwood Road, 84104 Salt Lake City,
USA
Telephone +1 385 8317500
Fax +1 385 8317501
info@ttcmed.com

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01 Electromedical Equipment / Medical Technology
01.11 Other equipment for electromedicine / medical technology

Other equipment for electromedicine / medical technology

A new approach to managing difficult airways when using video laryngoscopy
Intuitive Depth Bougie™ (IDB)
Intuitive Depth Exchange™ Catheter (IDC)
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Product category: Other equipment for electromedicine / medical technology
A new approach to managing difficult airways when using video laryngoscopy
The Problem:

Failed intubation can lead to case cancellations which can cost 4-6K dollars per occurrence.1
29% of ASC anesthesia-related malpractice claims were airway related with an average payout $87K2
Concerns over difficult intubation are a major factor in patient selection in surgery centers, leading to decreased access to the care that patients want and deserve in these facilities.
Obesity and obesity procedures continue to increase in these care settings and managing these airways
can create additional challenges. Many obese patients also have sleep apnea which causes 3X+ to increase difficult airway prevalence.3
Despite Video Laryngoscopy solving most visualization challenges, tube delivery and the associated tools have not followed suit.

The Solution:
The Total Control Articulating Introducer turns your video laryngoscope
into a completelyly difficult airway management system.

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The Business Theory

By harnessing the unique pressures of the developing world to spur innovation in design, product development, and marketing; difficult airway management methods and equipment can be brought to market that are appropriate, desirable, and profitable regardless of where in the world it is marketed.

The business model utilized is that of “Disruptive Innovation” championed by Clayton Christensen at Harvard. The idea is to use the design and economic pressures found in the developing world to produce a desirable and profitable difficult intubation system, go through the early iterations in a low regulatory cost environment, and then introduce the equipment into the developed markets.

The Toyota Corolla was designed and produced by pressures in developing Asia. The American auto industry could not adjust to the new market of economy cars demanded by the 1970s oil crisis. The ramifications of the introduction of the Toyota Corolla are still felt today. Similarly, it is likely that large established medical device companies will have a hard time responding to the low cost medical environment that looks to be coming in the future.

The Journey

Managing airways and training anesthesia providers in low resource settings produces a unique set of pressures. The drive for simplicity, ease of use, low tech and durability is intense. During a 3-year sabbatical in Africa, Dr. Runnels experienced just such pressures. While serving with Mercy Ships in West Africa and the National University in Rwanda he managed hundreds of extremely difficult airways in low resource settings with local anesthesia providers.

The current gold standard for management of difficult airways in the developed world remains fiber optic intubation. The expense and fragility of fiber optic equipment, as well as the necessity of a high degree of provider skills means this ‘gold standard’ is not an option in low resource settings.

Is there a better way to manage difficult airways? Living on a ship and managing so many difficult airways gives one both the time, focus, and numbers to solve such a problem.

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