Type File Name Language Breathing Systems Catalogue English Flowkit Support Pack English Spirale® Brochure English

Type File Name Language Ari et al 2010 English Hasan 2016 In-Vitro Characterization of the Aerosolized Dose During Non-Invasive Automatic Continuous Positive Airway Pressure Ventilation English J Scally et al 2020 English

Type File Name Language Spirale Data Sheet English

All Products

Spirale® Drug Delivery System

Spirale® Drug Delivery System (DDS) spacer for Metered Dose Inhalers (MDI) Reduce the risk of pathogen transmission.

Spirale® can help to reduce the risk of pathogen transmission

Spirale^® drug delivery system is an alternative to nebulisation for bronchodilator therapy.

This collapsible volumising chamber is designed to deliver micro-drug particles from a Metered Dose Inhaler (MDI). The product is intended to remain in the breathing circuit, therefore removing the risk of environmental contamination in the clinical setting.

Spirale^® DDS optimises alveolar drug deposition using a carefully designed jet orifice in combination with volumising geometry.

Spirale®

Use with Invasive Ventilation

Spirale^® DDS can be positioned in the inspiratory limb of the breathing circuit or is equally suitable in a catheter mount or connected directly to the patient connector. Spirale^® is intended to remain in the breathing system and does not require disconnection from the breathing system for each treatment, reducing the risk of ventilator acquired pneumonia (VAP).

During invasive mechanical ventilation a chamber spacer with a pMDI was up to sixfold more efficient for aerosol delivery. [2]

Effective bronchodilator therapy is pivotal to successful stabilisation
and weaning of mechanically ventilated patients. [1]

During mechanical ventilation, larger particles are trapped in the ventilator circuit and endotracheal tube. Devices that produce aerosols less than 2μm are more efficient. [2] A spacer reduces the velocity of the MDI plume and allows evaporation of the propellant, which increases drug delivery.

Use with Non-Invasive Ventilation

Patients with acute respiratory failure are often removed from non-invasive ventilation to receive inhaled bronchodilators. [3] Many patients may not tolerate removal of their respiratory support and subsequently their bronchodilator therapy may not be completed.

“Patients may be adequately oxygenated while receiving NIV but if removed,
even for a short period, catastrophic hypoxia may occur.”

Spirale® Product Specifications

Optimal drug delivery
Universal actuator port
Compatible with MDIs with dose counters
Rotational locking system
Self-expanding when unlocked
Low (16ml) dead space when closed

References

[1] DiBlasi R. M, Clearing the mist from our eyes: Bronchodilators, mechanical ventilation, new devices, locations and what you should know about Bias Flow. Respiratory Care (2010) 55 (7) 942-945

[2] Dhand R, Guntar V.P, How best to deliver aerosol medication to mechanically ventilated patients. Clinical Chest Med, (2008) 277-29

[3] Gotera C, Lobato D, Pinto T, Winck J.C, Clinical evidence on high flow oxygen therapy and active humidification in adults. Pneumologia (2013) 19(5): 217-227

Product Codes

Code

Description

Box Quantity

AMDN1311

Spirale® DDS basic.

AMDN1312

Spirale® DDS with adapters for insertion to inspiratory limb of breathing circuit.

AMCM5155

Spirale® DDS with capnography-ported straight connector, 22mmM(15mmF).

AMCM5156

Spirale® DDS with double swivel elbow, 22mmM(15mmF).

AMCM5157

Spirale® DDS with double swivel ported elbow, 22mmM(15mmF).

AMCM5158

Spirale® DDS with double swivel bronchoscopy elbow, 22mmM(15mmF).

AMCM5153

Spirale® DDS with capnography-ported elbow, 22mmM(15mmF).

AMCM5154

Spirale® DDS with straight connector, 22mmM(15mmF).

AMCM5174

Spirale® DDS with catheter mount with straight connector, 22mmM(15mmF).

AMCM5176

Spirale® DDS with catheter mount with double swivel elbow, 22mmM(15mmF).

AMCM5177

Spirale® DDS with catheter mount with double swivel ported elbow, 22mmM(15mmF).

AMCM5178

Spirale® DDS with catheter mount with double swivel bronchoscopy elbow, 22mmM(15mmF).

AMCM5171

Spirale® DDS with catheter mount with plain elbow, 22mmM(15mmF)

AMCM5172

Spirale® DDS with catheter mount with 7.6mm suction ported elbow, 22mmM(15mmF).

AMCM5163

Spirale® DDS with catheter mount with capnography-ported elbow, 22mmM(15mmF).

AMCM5164

Spirale® DDS with catheter mount with straight connector, 22mmM(15mmF).

AMCM5165

Spirale® DDS with catheter mount with capnography-ported straight connector, 22mmM(15mmF).

AMCM5166

Spirale® DDS with catheter mount with double swivel elbow, 22mmM(15mmF).

AMCM5167

Spirale® DDS with catheter mount with double swivel ported elbow, 22mmM(15mmF).

AMCM5168

Spirale® DDS with catheter mount with double swivel bronchoscopy elbow, 22mmM(15mmF).

AMCM5161

Spirale® DDS with catheter mount with plain elbow, 22mmM(15mmF).

AMCM5162

Spirale® DDS with catheter mount with 7.6mm suction ported elbow, 22mmM(15mmF).

Support Materials

Click the drop-down menu to view and download support material.

Product Literature

Type	File Name	Language
	Breathing Systems Catalogue	English
	Flowkit Support Pack	English
	Spirale® Brochure	English

Clinical Papers

Type	File Name	Language
	Ari et al 2010	English
	Hasan 2016 In-Vitro Characterization of the Aerosolized Dose During Non-Invasive Automatic Continuous Positive Airway Pressure Ventilation	English
	J Scally et al 2020	English

Support

Type	File Name	Language
	Spirale Data Sheet	English

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