Pneumothorax

For over two years, H&H Medical worked on an improved method for performing a needle decompression. This work with TyTek Medical resulted in the creation of the PneumoDart. Based on a patented design, the PneumoDart consists of a hollow, closed-end stylet, spring loaded safety tip housing a 14 gauge interior diameter catheter that is 8.6cm in length.

The needle housing comes color indicator showing when the safety tip retracts, the PneumoDart is designed to stay in place. The cap is also a luer connector to allow for the rapid removal of air using a manual suction device (e.g. syringe) or the clearing of fluids from the needle (not recommended for use with a hemothorax).

The PneumoDart was designed to overcome the shortfalls of the flexible catheter. The catheter was never designed for this purpose and as a IV catheter it is designed to become soft and pliable in the body. This fact makes it only a very temporary solution for a tension pneumothorax, one which will fail shortly after insertion as we have seen many times on the battle field requiring multiple needles with an increase in misplacement and damage to the tissues.

Placement verification of the flexible catheter in the chest could not truly be delineated as there is no indicator other than the potential audible rush of air. On the ground, in the air, or in combat this is very difficult to appreciate. Even when one is successful, there is no indicator to show placement and to ensure proper depth to maintain for continuous venting of the pneumothorax.

We designed our product along the similar design of a Veress needle used in the operating room for laparoscopic procedures. If you google a Veress needle, you will see the inner cannula retracts to expose the needle. The needle inserts through the tissue and deploys the blunt tip cannula once the needle is through. Our needle has a blue plastic indicator that moves up and down with the cannula.

Once our needle penetrates, the cannula will deploy and the blue indicator will click in the down position to show the operator that they are in the pleural cavity. Now the needle can be secured in place at the proper depth for transport. The needle will not collapse as is the case in the flexible catheter and there is no need to remove the needle until the patient is received in a higher level of care and definitive treatment is delivered.

Features of the PneumoDart over current pneumothorax needles:

• Improved success in resolving tPTX and PEA (Pulseless Electrical Activity)
• Rigid needle remains in place
• No risk of cannula collapse or kinking
• Positive indicator of correct placement in pleural space
• Etched markings for depth control
• Reduced sharps hazard
• Size: 6" x 0.8" round
• Weight: 0.5 oz
• Shelf Life: 7 years

NSN#: 6515-01-655-9514

Intended for emergency relief and temporary management of suspected tension pneumothorax. This set contains everything needed to treat simple pneumothorax.

• Seldinger placement facilitates controlled, minimally invasive catheter introduction.
• The reinforced catheter is designed to prevent collapse after placement.
• The set comes with the Cook Chest Drain Valve, which is designed to permit continued re-expansion of the lung, preventing inadvertent backflow of air into the pleural space.

Includes:

• One-part percutaneous entry needle
• 12 mL Monoject syringe
• Cook Chest Drain Valve
• Catheter retention disc
• Ty-Rap Cable Tie
• Vinyl connecting tube

Specifications:

• Catheter: 8.5 French
• Catheter Length: 8.7cm
• Needle Gauge: 15
• Needle Tip Configuration: Lancet

• (6) Gauze Pad, Individually Packaged, Sterile, 4in x 4in, 12-ply
• (4) Povidone Iodine Swabsticks
• (2) Luer Lock Syringe, 20cc
• (4) Catheter, Decompression Needle, 14ga
• (2) 3-Way Stopcock, Hi-Flo, with 20in Extension Set, SS, LL, MX412SL
• (2) Curaplex TritonGrip SE Powder-Free Nitrile Gloves, Blue, Large

Used in conjunction with pneumothorax aspiration catheters if incomplete expansion of the lung persists after mechanical aspiration of air. Connection of the one-way Cook chest drain valve to the catheter permits continued re-expansion of the lung by natural forces, preventing inadvertent backflow of air into the pleural space.

Includes:

• Cook Chest Drain Valve
• Vinyl connecting tub

CC155900

The Turkel™ line of diagnostic and therapeutic needles allows for safer visualization of needle placement, making it the ideal choice for placing catheter drainage systems. The features of the Turkel™ safety system include a blunt safety cannula, housed within the sharp, beveled hollow needle and a color change indicator.

Features:

• Preassembled disposable tray saves procedural setup time; assures availability of a complete, sterile tray
• Two-tiered procedure tray design separates prep and procedure components; easy procedure planning
• Sequential arrangement of components reduces procedure time

Turkel™ Safety Pneumothorax Procedure Trays include:

• 8 Fr Turkel™ Safety Pneumothorax System
• CSR Wrap
• Absorbent Towel
• 3mL ChloraPrep™ Applicator
• Fenestrated Drape
• (6) 12 ply 3”x3” Gauze Sponges
• 6cc, 12cc Monoject™ Syringes
• 25 ga x 5/8” and 21ga x 1 1/2” Magellan™ Safety Needle
• 20 ga x 1 1/2” Filter Aspiration Needle
• #11 Blade Scalpel
• Heimlich Valve*
• 36” Tubing Set w/Funnel Connector
• Tube Adapter*
• One Way Stopcock
• Silk Suture w/ Cutting Needle
• 1” x 3” Bandage

*Caution: This product contains natural rubber latex which may cause allergic reactions.

This item has beenn discontinued. At this time there is no suggested replacement for this item.

Pneumothorax Sets consist of:

• (1) Stainless steel needle
• (1) Radiopaque catheter
• (1) Chest Drain Valve
• (1) Polyvinylchloride connecting tube
• (1) plastic one-way stopcock

Intended Use:

Pneumothorax Sets are intended for relief of simple spontaneous or iatrogenic pneumothorax and tension pneumothorax.

Contradictions:

Pneumothorax Sets are not reccommended for large fluid accumulation of hemothorax.