Teleflex LMA Supreme User manual

Page1of4 




EN–English
InstructionsForUse–
LMASupreme™

CAUTION:Federal(USA)lawrestrictsthis
devicetosalebyorontheorderofaphysician.

WARNING:LMASupreme™issuppliedsterilefor
singleuse
, shouldbeusedstraightfromthepack
andshouldbediscardedafteruse.Itmustnotbere‐
used.Reusemaycausecrossinfectionandreduce
productreliabilityandfunctionality.

WARNING:Re‐processingofLMASupreme™
intendedforsingleuseonlymayresultindegraded
performanceorlossoffunctionality.Re‐useof
singleuseonlyproductsmayresultinexposureto
viral,bacterial,fungal,orprionicpathogens.
Validatedcleaningandsterilisationmethodsand
instructionsforreprocessingtooriginal
specificationsarenotavailableforthisproduct.
LMASupreme™isnotdesignedtobecleaned,
disinfected,orre‐sterilised.


1.DEVICEDESCRIPTION:
TheLMASupreme™isaninnovative,second
generation,singleusesupraglotticairway
managementdevice.

TheLMASupreme™providesaccesstoand
functionalseparationoftherespiratoryanddigestive
tracts.Theanatomicallyshapedairwaytubeis
ellipticalincrosssectionandendsdistallyatthe
laryngealmask.Theinflatablecuffisdesignedto
conformtothecontoursofthehypopharynx,with
thebowlandthemaskfacingthelaryngealopening‐
theFirstSeal™.

TheLMASupreme™alsocontainsadraintubewhich
emergesasaseparateportproximallyandcontinues
distallyalongtheanteriorsurfaceofthecuffbowl,
passingthroughthedistalendofthecuffto
communicatedistallywiththeupperoesophageal
sphincter‐theSecondSeal™.

Thedraintubemaybeusedforthepassageofawell
lubricatedgastrictubetothestomach,offeringeasy
accessforevacuationofgastriccontents.Thedrain
tubehasanadditionalandimportantfunction–it
maybeusedasamonitorofcorrectpositioningof
theLMASupreme™followinginsertionandthenfor
continuousmonitoringofmaskdisplacementduring
use.

TheLMASupreme™provideseasyinsertionwithout
theneedfordigitalorintroducertoolguidanceand
enoughflexibilitytopermitthedevicetoremainin
placeifthepatient’sheadismovedinanydirection.
Thetwolateralgroovesintheairwaytubeare
designedtopreventtheairwaytubekinkingwhen
flexed.Abuilt‐inbite‐blockreducesthepotentialfor
tubedamageandobstructionbypatientbiting.

TheLMASupreme™hasanewfixationsystemwhich
preventsproximaldisplacement.Ifcorrectlyused,
thisenhancethesealofthedistalendaroundthe
upperoesophagealsphincter‐SecondSeal™thereby
isolatingtherespiratorytractfromthedigestivetract,
soreducingthedangerofaccidentalaspiration.

Attachedtothemaskisacuffinflationline
terminatinginapilotballoonandone‐waycheck
valveformaskinflationanddeflation.

TheLMASupreme™ismadeprimarilyofmedical
gradepolyvinylchloride(PVC)andissuppliedsterile
forsingleuseonly.Itisterminallysterilizedby
EthyleneOxidegas.

Allcomponentsarenotmadewithnaturalrubber
latex.



Figure1:LMASupreme™components

LMASupreme™components(Figure1):
(a)Anatomically‐shapedairwaytube
(b)Aseparatedraintubehasbeenincorporated
(c)Inflatablecuffwithinterlockingproximaland
distalsegments
(d)Cuffinflationline
(e)Pilotballoon
(f)Arigidmouldedproximalcomponentwhichforms
separateairwayanddraintubeports
(g)Fixationtab
(h)Integralbite‐block

Thedeviceisonlyforusebymedicalprofessionals
trainedinairwaymanagement.

2.INDICATIONSFORUSE:
TheLMASupreme™isindicatedforuseinachieving
andmaintainingcontrolofairwayduringroutineand
emergencyanaestheticproceduresinfastedpatients
usingeitherspontaneousorpositivepressure
ventilation.
Itisalsoindicatedforuseastherescueairwaydevice
inCPRprocedures,inwhichtheLMAProSeal™,LMA
Classic™ortheLMAUnique™havetraditionallybeen
used.TheLMASupreme™isalsoindicatedasa
“rescueairwaydevice”inknownorunexpected
difficultairwaysituations.TheLMASupreme™may
beusedtoestablishanimmediateclearairway
duringresuscitationintheprofoundlyunconscious
patientwithabsentglossopharyngealandlaryngeal
reflexeswhomayneedartificialventilation.

Itmayalsobeusedtosecureanimmediateairway
whentrachealintubationisprecludedbylackof
availableexpertiseorequipment,orwhenattempts
attrachealintubationhavefailed.

3.RISK‐BENEFITINFORMATION:
ThebenefitsofestablishingventilationwiththeLMA
Supreme™mustbeweighedagainstthepotential
riskofaspirationinsomesituationsincluding:
symptomaticoruntreatedgastro‐esophagealreflux,
pregnancyover14weeks,multipleormassiveinjury,
conditionsassociatedwithdelayedgastricemptying,
suchastheuseofopiatemedicationinpatientswith
acuteinjuryorperitonealinfectionsorinflammatory
processes.

Whenusedintheprofoundlyunresponsivepatientin
needofresuscitationorinadifficultairwaypatient
onanemergencypathway(i.e.“cannotintubate,
cannotventilate”)theLMASupreme™isthe
preferentialairway“rescue”devicetoensure
oxygenation.Theriskofregurgitationandaspiration
isminimizedastheLMASupreme™offerseasy
accesstoliquidgastriccontents.However,the
ultimatechoiceofthedefiniteairway“rescue”
deviceremainswiththeairwaymanager.
Inpatientswithsevereoropharyngealtrauma,the
deviceshouldonlybeusedwhenotherattemptsto
establishanairwayhavefailed
. 
4.CONTRAINDICATIONS:
‐ Patientswhohavehadradiotherapytotheneck
involvingthehypopharynx(riskoftrauma,failureto
sealeffectively).
‐Patientswithinadequatemouthopeningtopermit
insertion.
‐Patientspresentingforemergencysurgerywhoare
atriskofmassivereflux,suchasacuteintestinal
obstructionorileus,orpatientshavingbeeninjured
shortlyafteringestingasubstantialmeal(butsee
aboveunderIndicationforUse).
‐ Patientsrequiringheadornecksurgerywherethe
surgeoncannotgainadequateaccessduetothe
presenceofthedevice.
‐Responsivepatientswithanintactgagreflex.
‐Patientswhohaveingestedcausticsubstances.

5.WARNINGS:
5.1Inspiteofencouragingcasereports,itisnot
currentlyknownwhethertheLMASupreme™
alwaysaffordsprotectionfromaspirationeven
whencorrectlyfixedinplace.
5.2Thepresenceofagastrictubedoesnotruleout
thepossibilityofaspirationifthedeviceisnot
correctlylocatedandfixedinplace.
5.3TheLMASupreme™maybeineffectiveforusein
patientswithdecreasedpulmonarycompliancedue
tofixedobstructiveairwaysdiseasebecauseairway
positivepressurerequirementmayexceedseal
pressure.
5.4Donotattempttopassagastrictubeintothe
stomachviathedraintubeinthepresenceof
knownorsuspectedoesophagealpathology.
5.5Thereisatheoreticalriskofcausingoedemaor
haematomaifsuctionisapplieddirectlytotheend
ofthedraintube.
5.6Toavoidtrauma,excessiveforceshouldnotbe
usedatanytimewhenusingthedevices.Excessive
forcemustbeavoidedatalltimes.
5.7ThisdevicecontainsDi(2‐ethylhexyl)phthalate
(DEHP).Theresultsofcertainanimalexperiments
haveshownphthalatestobepotentiallytoxicto
reproduction.Proceedingfromthepresentstateof
scientificknowledge,risksformalepremature
infantscannotbeexcludedinthecaseoflong‐term
exposureorapplication.Medicalproducts
containingphthalatesshouldbeusedonly
temporarilywithpregnantwomen,nursingmothers,
babiesandinfants.
5.8DonotusetheLMASupreme™ifthedeviceis
damagedortheunitpackagingisdamagedor
opened.
5.9Neverover‐inflatethecuffofthedeviceover60
cmH
2
O.Excessiveintra‐cuffpressurecanresultin
malpositionandpharyngo‐laryngealmorbidity,
includingsorethroat,dysphagiaandnerveinjury.
5.10Donotimmerseorsoakthedeviceinliquid
priortouse.
5.11Itismostimportantthatpre‐usechecksare
carriedoutonthedevicepriortouse,inorderto
establishwhetheritissafeforuse.Failureofany
onetestindicatesthedeviceshouldnotbeused.
5.12.Whenapplyinglubricantavoidblockageofthe
airwayaperturewiththelubricant.
5.13Awater‐solublelubricant,suchasK‐YJelly®,
shouldbeused.Donotusesilicone‐based
lubricantsastheydegradeLMASupreme™
components.LubricantscontainingLidocaineare
notrecommendedforusewiththedevice.
Lidocainecandelaythereturnofthepatient’s
protectivereflexesexpectedpriortoremovalofthe

Page2of4 

device,maypossiblyprovokeanallergicreaction,or
mayaffectthesurroundingstructures,includingthe
vocalcords.
5.14Diffusionofnitrousoxide,oxygen,orairmay
increaseordecreasecuffvolumeandpressure.In
ordertoensurethatcuffpressuresdonotbecome
excessive,cuffpressureshouldbemeasured
regularlyduringacasewithacuffpressuremonitor.
5.15Whenusingthedeviceinspecialenvironmental
conditions,suchasenrichedoxygen,ensurethatall
necessarypreparationandprecautionshavebeen
taken,especiallywithregardtofirehazardsand
prevention.Thedevicemaybeflammableinthe
presenceoflasersandelectrocauteryequipment.
5.16Refertosection18forMRIinformationpriorto
usingthedevicesinMRIenvironment.
6.CAUTIONS:
6.1Onlyusewiththerecommendedmanoeuvres
describedintheinstructionsforuse.
6.2Ifairwayproblemspersistorventilationis
inadequate,theLMASupreme™shouldberemoved
andanairwayestablishedbysomeothermeans.
6.3Carefulhandlingisessential.TheLMASupreme™
ismadeofmedical‐gradePVCwhichcanbetornor
perforated.Avoidcontactwithsharporpointed
objectsatalltimes.Donotinsertthedeviceunless
thecuffisfullydeflatedasdescribedinthe
instructionsforinsertion.
6.4Glovesshouldbewornduringpreparationand
insertiontominimizecontaminationoftheairway.
6.5Storethedeviceinadarkcoolenvironment,
avoidingdirectsunlightorextremesof
temperature.
6.6Useddeviceshallfollowahandlingand
eliminationprocessforbio‐hazardproducts,in
accordancewithalllocalandnationalregulations.
6.7Onlyuseasyringewithstandardluertapertipfor
inflation/deflationofthecuff.
6.8.Laryngealspasmmayoccurifthepatient
becomestoolightlyanaesthetizedduringsurgical
stimulationorifbronchialsecretionsirritatethe
vocalcordsduringemergencefromanaesthesia.If
laryngealspasmoccurs,treatthecause.Only
removethedevicewhenairwayprotectivereflexes
arefullycompetent.
6.9.Donotpulloruseundueforcewhenhandling
theinflationlineortrytoremovethedevicefrom
patientbytheinflationtubeasitmaydetachfrom
thecuffspigot.
6.10Ensureallremovabledentureworkisremoved
beforeinsertingthedevice.
6.11Anunreliableorobstructedairwaymayresultin
caseswherethedevicehasbeenincorrectly
inserted.

7.ADVERSEEFFECTS: 
Therearereportedadversereactionsassociatedwith
theuseoflaryngealmaskairways.Standard
textbooksandpublishedliteratureshouldbe
consultedforspecificinformation.



8.SIZESELECTION: 
Fornormaladults,usethesize4deviceasafirst
choice.Afterinserting,fixingthedeviceinplace,and
theninflatingtotherecommendedpressure,there
shouldbeaminimumofonecmgapbetweenthe
fixationtabandthepatient’supperlip.Ifthetabis
pressingontheliporveryneartoit,thisindicates
thedeviceistoosmallforthepatientandthesize5
shouldbeusedinsteadtoavoidtheriskof(a)poor
sealagainsttheoesophagusand(b)possible
pressuretraumatothelip.Ifthefixationtabismore
than2.5cmfromtheupperlipafterfixation,itmay
beadvisabletousethesize3device.Thedecisionto
changetoasmallerdevicewilldependonthequality
ofairway,devicestabilityandsealpressureachieved.

.

 
Figure2:LMASupreme™sizing












Figure3:LMASupreme™sizing(method2) 



Thesizingmethoddescribedaboverequiresthatall
threeadultsizesoftheLMASupreme™shouldbe
availabletohandbeforeinducinganaesthesia.

Foradultpatientswhoareeithersmallerorlarger
thannormal,itisoftenpossibletoobtainagood
resultusingthesize4device,providedthequantity
ofairusedtoinflatethecuffisalwaysbasedon
achieving60cmH₂Ointracuffpressure.Insmaller
patientsthispressureisachievedwitharelatively
smallvolumeofair,whilelargerpatientswillrequire
largervolumes.However,whenindoubt,an
approximateestimateofsuitablesizingcanbemade
byholdingeachdeviceagainstthesideofthe
patient’sfaceinthepositioncorrespondingtothat
showninFigure3.

9.PRE‐USEPERFORMANCETESTS:
Thefollowinginspectionsandtestsmustbe
conductedbeforeuseofthedevice.The
performancetestsshouldbeconductedinanarea
andinamannerconsistentwithacceptedmedical
practicethatminimisecontaminationoftheLMA
Supreme™beforeinsertion.

Warning:Donotusethedeviceshoulditfailsany
oneoftheinspectionsortests.
•ExaminethesurfaceoftheLMASupreme™and
draintubefordamage,includingcuts,tears,
scratchesorkinks.
•Examinetheinterioroftheairwaytubeanddrain
tubetoensuretheyarefreefromblockages
kinkingofthedraintubewithintheairwaytube
orlooseparticles.Anyparticlespresentinthe
tubesshouldberemoved.Donotusetheairway
iftheblockageorparticlecannotberemoved.
•Deflatethecuffcompletely.Oncedeflated,check
thecuffforspontaneousinflation.Donotuse
theairwayifthecuffspontaneouslyinflates.


10.DEFLATINGTHEDEVICEPRIORTO
INSERTION:
‐Afterfirmlyconnectingasyringeofatleast50mlto
theinflationport,holdthesyringeandtheLMA
Supreme™exactlyasshowninFigure4.Movethe
connectedsyringeawayfromthedeviceuntilthe
inflationlineisslightlystretchedasshown.
Compressthedistalendofthedeviceinbetween
theindexfingerandthumbwhilewithdrawingair
untilavacuumhasbeenobtained.
‐ Whiledeflating,holdthedevicesothatthedistal
endiscurledslightlyanteriorlyasshowninFigure4
‐ Deflatethedeviceuntilthetensioninthesyringe
indicatesavacuumhasbeencreatedinthemask.
Keepthesyringeundertensionwhilstrapidly
disconnectingitfromtheinflationport.Thiswill
ensurethemaskremainscorrectlydeflated,as
showninFig5.

   
 

Figure4:LMASupreme™ Figure5:Afterachieving
deflation
 wedgeshapecuffduring
deflation,disconnectthe
syringefromtheinflation
line



11.INSERTION:
Caution:Thepatencyoftheairwayshouldbe
reconfirmedafteranychangeinthepatient’shead
andneckposition.

‐ Lubricatetheposteriorsurfaceofthemaskand
airwaytubejustpriortoinsertion.
‐Standbehindorbesidepatient’shead.
‐ Placetheheadintheneutralorslight“sniffing”
position(Sniffing=extensionofhead+flexionof
neck).
‐HoldthedeviceexactlyasshowninFigure6.
‐ Pressthedistaltipagainsttheinneraspectofthe
upperteethorgums.
‐ Slideinwardsusingaslightlydiagonalapproach
(directthetipawayfromthemid‐line).
‐ Continuetoslideinwardsrotatingthehandina
circularmotionsothatthedevicefollowsthe
curvaturebehindthetongue.
‐Resistanceshouldbefeltwhenthedistalendofthe
devicemeetstheupperoesophagealsphincter.The
deviceisnowfullyinserted.


Figure6:PressthetipoftheFigure7:Pressthecufffurther
maskagainstthehardpalate.intothemouth,maintaining
pressureagainstthepalate.


Figure8:SwingthedeviceinwardFigure9:Advancethedevice
withacircularmotion,pressingintothehypopharynxuntil
againstthecontoursofthehardresistanceisfelt.
andthesoftpalate.


12.FIXATION:
SecuretheLMASupreme™topatient’sfaceusing
adhesivetapeasfollows:
‐Useapieceofadhesivetape30‐40cmlong,holding
ithorizontallybybothends
‐ Presstheadhesivetapetransverselyacrossthe
fixationtab,continuingtopressdownwardssothat
theendsofthetapeadheretoeachofthepatient’s
cheeksandthedeviceitselfisgentlypressed
inwardsbythetape
‐Donotrotatethetapearoundtheproximalendof
thedevice
‐ DonotuseaGuedelairway;thedevicehasan
integralbiteblock
               
   

Page3of4 

Figure10a  Figure10b 


Figure10:Fixthedeviceinplaceusingadhesivetape.
Stretchedtheadhesivetapeverticallydownwards(See
Figure10a)ensurethatthemiddleofthetapeispressed
verticallydownwardsoverthetabasshowninFigure10b.

13.INFLATION:
Inflatethecuffwithairuntilrelevantintra‐cuff
pressureisreached.Therecommendedintra‐cuff
pressureshouldneverexceed60cmH₂O.Ifno
manometerisbyhand,inflatewithjustenoughairto
achieveasealsufficienttopermitventilationwithout
leaks.

Air‐
way
Size
Patient
Weight
(kg)
Max
Size
OG
Tube
Recommended
Maximum
Inflation
Volume

Optimum
Intra‐Cuff
Pressure
1<56Fr5ml
60cm
H₂O

1.55‐106Fr8ml
210‐2010Fr12ml
2.520‐3010fr20ml
330‐5014Fr30ml
450‐7014Fr45ml
570‐10014Fr45ml

Table1:LMASupreme™selectionguide

14.CORRECTPOSITION:
Correctplacementshouldproducealeak‐freeseal
againsttheglottiswiththemasktipattheupper
oesophagealsphincter.Theintegralbiteblockshould
liebetweentheteeth.

Tofacilitatediagnosisofcorrectmaskplacement,
placeasmallbolus(1‐2ml)ofsuitablyviscouswater
solublelubricantintheproximalendofthedrain
tube.Inaproperlyplacedmask,thereshouldbea
slightup‐downmeniscusmovementofthelubricant
followingtheapplicationandreleaseofgentle
pressureinthesuprasternalnotch.Thisindicates
thatthedistalendofthedraintubeiscorrectly
placedsothatitsealsaroundtheupperoesophageal
sphincter(the‘suprasternalnotchtest’).Asimilar
movementmayalsobeseenwhengentlemanual
positivepressureisappliedtotheairwaythroughthe
device.

15.GASTRICDRAINAGE:
Thedraintubefacilitateschannelingoffluidsand
gasesemergingfromthestomach.Tofacilitate
gastricdrainage,agastrictubemaybepassed
throughthedraintubeintothestomachatanytime
duringtheanaestheticprocedure.RefertoTable1
formaximumgastrictubesizes.Thegastrictube
shouldbewelllubricatedandpassedslowlyand
carefully.Suctionshouldnotbeperformeduntilthe
gastrictubehasreachedthestomach.Suctionshould
notbeapplieddirectlytotheendofthedraintube,
asthismaycausethedraintubetocollapseand
mighttheoreticallycauseinjurytotheupper
oesophagealsphincter.

16.ANAESTHESIAMAINTENANCE:
TheLMASupreme™iswelltoleratedin
spontaneouslybreathingpatientswhenusedwith
volatileagentsorintravenousanaesthesia,provided
anaesthesiaisadequatetomatchthelevelofsurgical
stimulusandthecuffisnotover‐inflated.

DuringPositivePressureVentilation(PPV)usingthe
LMASupreme™tidalvolumesshouldnotexceed
8ml/kgandpeakinspiratorypressuresshouldbe
keptbelowthemaximumairwaysealpressure.

IfleaksoccurduringPPV,thismaybeduetolight
anaesthesiacausingadegreeofglottisclosure,
severereductioninlungcompliancerelatedtothe
procedureorpatientfactorsordisplacementor
migrationofthecuffbyheadturningortractioninan
inadequatelyfixedmask.

17.RECOVERY:
Removalshouldalwaysbecarriedoutbytrained
personnel.Althoughthedevicemaynotberemoved
intheoperatingtheatre,itslowinvasivitymakesita
gooddevicetomaintaintheairwayduringrecovery
inthePostAnaestheticCareUnit(PACU)provided
staffareappropriatelytrainedandequipped.
Becauserecoveryinvolvesincreaseinpharyngeal
tone,itmakessensetoreducethevolumeofairin
thecuffbeforesendingthepatienttothePACU;
however,thecuffmustneverbefullydeflatedatthis
point.

Fullydeflatethecuffandsimultaneouslyremovethe
deviceONLYwhenthepatientcanopenthemouth
oncommand.IfthecuffisFULLYdeflatedbeforethe
returnofeffectiveswallowingandcoughreflexes,
secretionsintheupperpharynxmayenterthe
larynx,provokingcoughingorlaryngealspasm.

Patientmonitoringshouldcontinuethroughoutthe
recoverystage.Whereappropriate,oxygenmaybe
continuouslyadministeredthroughtheanaesthetic
circuitorviaaT‐pieceattachedtotheproximalend
oftheairwaydevice.


18.USEWITHMAGNETICRESONANCE
IMAGING(MRI):



TheLMASupreme™isMRConditional.Non‐clinical
testingdemonstratedthattheLMASupreme™isMR
Conditional.Apatientwiththisdevicecanbe
scannedsafely,immediatelyafterplacementunder
thefollowingconditions:

BeforethepatiententerstheMRIsystemroom,
theairwaymustbefixedproperlyinplacewith
adhesivetape,clothtapeorotherappropriate
meanstopreventmovementordislodgement.
Staticmagneticfieldof3‐Teslaorless.
Maximumspatialgradientmagneticfieldof
720gauss/cm(7.2T/m)orless.
MaximumMRsystemreported,wholebody
averagedspecificabsorptionrate(SAR)of4‐
W/kg(FirstLevelControlledOperatingModeof
operationfortheMRIsystem)for15min.of
scanning(perpulsesequence).
MRI‐RelatedHeating
Underthescanconditionsdefinedabove,theLMA
Supreme™isexpectedtoproduceamaximum
temperatureriseof2.2Cafter15minutesof
continuousscanning.

ArtifactInformation
Themaximumartifactsizeasseenonagradientecho
pulsesequenceanda3‐TeslaMRIsystemextends
approximately20‐mmrelativetothesizeandshape
oftheLMASupreme™,Size5.

19.SYMBOLSDEFINITION:

Manufacturer

ConsultIFUonthiswebsite:
www.LMACO.com

Airinflationvolume

Patientweight



ReadInstructionsbeforeuse




Notmadewithnaturalrubber
latex



Fragile,handlewithcare



Keepawayfromsunlight



Keepdry



Thiswayup
ProductCode
LotNumber



CEMark
DonotRe‐use



DonotRe‐sterilise



ContainsorPresenceof
Phthalates:
Bis(2‐ethylhexyl)phthalate
(DEHP)



SterilisedbyEthyleneOxide



UseBy

Donotuseifpackageis
damaged

MRConditional


Page4of4 

Copyright©2015TeleflexIncorporated 
Allrightsreserved.Nopartofthispublicationmaybe
reproduced,storedinaretrievalsystemor
transmittedinanyformorbyanymeanselectrical,
mechanical,photocopying,recordingorotherwise,
withoutthepriorpermissionofthepublisher.

LMA,LMABetterbyDesignandLMASupremeare
trademarksorregisteredtrademarksofTeleflex
Incorporatedoritsaffiliates.TheLMASupreme™is
protectedbyaseriesofgrantedandpendingpatents.

Theinformationgiveninthisdocumentiscorrectat
thetimeofgoingtopress.Themanufacturer
reservestherighttoimproveormodifytheproducts
withoutpriornotification.

Consulttheinstructionsonindications,
contraindications,warningsandprecautions,or
informationonwhichLMA™airwaysarebestsuited
fordifferentclinicalapplications.

Manufacturer’sWarranty:
TheLMASupreme™isdesignedforasingleuseand
warrantedagainstmanufacturingdefectsatthetime
ofdelivery.

Warrantyisapplicableonlyifpurchasedfroman
authorizeddistributor.TELEFLEXINCORPORATED
DISCLAIMSALLOTHERWARRANTIES,WHETHER
EXPRESSORIMPLIED,INCLUDING,WITHOUT
LIMITATION,THEWARRANTIESOF
MERCHANTABILITYORFITNESSFORAPARTICULAR
PURPOSE.



TeleflexMedical
IDABusinessandTechnologyPark
DublinRoad,Athlone
Co.Westmeath,Ireland

ContactInformationinUSA:
TeleflexMedical
2917WeckDrive,ResearchTrianglePark
NC27709USA
International:(919)544‐8000
USA:(866)246‐6990


www.LMACO.com








Issue:PAJ‐2100‐002RevBUK
