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In 1981, anesthesiologist Archie Brain invented the Laryngeal Mask Airway (LMA), a
device that establishes an unobstructed airway in unconscious patients or patients
under anesthesia. Brain was looking for a device that could replace endotracheal
intubation, a procedure that can cause trauma or unwanted reflux responses in
patients. Since Brain's LMA was first used in a hospital in 1988, it has become a staple
in operating rooms and ambulances. Many versions of the device exist today Image courtesy of
including the AuraOnce Disposable Laryngeal Mask (pictured above), which comes in AMBU INC.
a variety of sizes to fit a range of patients. LMAs have been used in millions of procedures.
Since July 12, 2002, FDA has encouraged the reduction of patient exposure to Di(2-
ethylhexyl)phthalate (DEHP) and recommends replacing DEHP-plasticized PVC
medical products with products that contain alternative materials or plasticizers.
This is particularly true for IV containers, for which plasticizer leaching may be a
critical concern. Although the exact risk presented by DEHP is yet to be determined,
many manufacturers took steps long before FDA made the recommendation to
provide users with DEHP-free products. Manufacturer B. Braun Medical has o ered a
Photo courtesy of line of DEHP-free and PVC-free containers since 1983. Its signature products are the
B. BRAUN Excel and PAB IV containers. Plastic IV containers were first used in the 1950s.
MEDICAL
Automated External Defibrillator 1985
The automated external defibrillator (AED) has been instrumental in saving lives
since it was first developed in 1985. Studies have shown that early defibrillation with
an AED can dramatically increase survival rates—up to 70%. The device, which uses
electricity to stop cardiac arrhythmia and help the heart reestablish a solid rhythm,
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