RAMP coming soon!

PPS is on target with this innovative solution for airway management.

Rapid Airway Management Positioner™ —also known as the “RAMP”— Is an FDA registered,  cost-effective, single patient use, inflatable positioning device to facilitate endotracheal intubation and provide a customized view of the laryngeal anatomy.

The advantages of the RAMP over existing solutions are clear…

Clinical Advantages

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Customizable

Existing foam based solutions are cumbersome and cannot be uniquely configured
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Speed

Positioning can be achieved quickly

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Safety

Can be rapidly implemented at any time during the perioperative period, intubation and extubation

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Disposable

Eliminates risk of cross contamination/infection. Saves time on clean up

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Portability

RAMP cart has a small footprint and can be readily transported throughout the hospital. Everything stored in one location

Economic Advantages

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Cost of Use

Costs comparable to using blankets and existing foam based solutions

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Disposable

No need for cleaning or processing after use. Can be recycled

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Risk of Work Related Injury

Health care professionals do not need to lift/handle the obese patient

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Smaller Inventory Footprint

Single use product resides on a mobile cart. No need to store or handle bulky foam based solutions

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Shipping Costs

Compact packaging and a slender profile means more economical shipping charges

Product Features

Clinical Advantages

  • Customizable: Existing foam based solutions are cumbersome and cannot be uniquely configured
  • Speed: Positioning can be achieved quickly
  • Safety: Can be rapidly implemented at any time during the perioperative period, intubation and extubation
  • Disposable: Eliminates risk of cross contamination/infection. Saves time on cleanup
  • Portability: RAMP cart has a small footprint and can be readily transported throughout the hospital. Everything stored in one location

Economic Advantages

  • Cost of Use: Costs comparable to using blankets and existing foam based solutions Disposable: No need for cleaning or processing after use. Can be recycled
  • Risk of Work Related Injury: Health care professionals do not need to lift/handle the obese patient
  • Smaller Inventory Footprint: Single use product resides on a mobile cart. No need to store or handle bulky foam based solutions
  • Lower Shipping Costs: Compact packaging and a slender profile means more economical shipping fees

Proprietary design ensures patient stability and mitigates rocking (patent pending). Material has been biocompatibility tested to the ISO 10993 standard.

Proprietary, fully adjustable dual chambered design to achieve a customized view of the laryngeal anatomy.

RAMP controller

RAMP controller

Can utilize medical air.

Control Options

The RAMP system is controlled by a machined aluminum hand controller that utilizes hospital air.

RAMP controller

Controller Benefits

  • Utilizes hospital air
  • Allows for independent control (inflation and deflation) of each RAMP chamber
  • Emergency dump valve for CPR
  • Solid one piece aluminum housing – not plastic!
  • Nicely textured to eliminate sharp edges
  • Rocker valves mechanically protected by the housing to prevent inadvertent activation
  • Made in the USA
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Video/Slideshow

EMS RAMP

BVM ventilation of obese patients in the hospital and pre-hospital environment is challenging. Ramping the patients is recommended.

The ability to BVM ventilate an obese patient is extremely important because they have oxygen reserves and will not tolerate apnea for any period of time.

“An effective strategy to make mask ventilations easier is to ramp up the patient’s torso and head by using stacks of folded blankets and towels to elevate the head to at least 25 degrees and make the auditory canals line up with the sternum.

This ramped position decreases the risk for aspiration, makes ventilating the lungs easier and also eases the intubation process by shifting the chest and abdominal contents inferiorly…”

Ideal position for ventilation with BVM

Ideal position for ventilation with BVM and for placing advanced airways for patients’ whom spinal precautions are not needed. Align the patient’s external auditory meatus with the sternal notch
(RAMP Technique)

“Elevation of the head and neck beyond sniffing position has also been found to be effective in predicted difficult airways. Obviously, these techniques require an assistant… Providers may also place padding, such as folded blankets, under the patient’s head and shoulders to achieve the sniffing position…”

Jennifer Berry, NREMT

The pre-hospital market also represents an attractive market with more than 300k intubations and more than 1.5 million BVM uses.

The ability to visualize the glottis is fundamental to performing a successful ETI. This doesn’t change because of the less-than-optimum conditions in which EMS providers typically perform patient care.

Clinical References

Bariatric Airway Management Is about More than Intubation
Airway management with an algorithmic approach
FDNY–EMS CME JOURNAL 2009_J01 “Back to the Basics”: Bag-Valve Mask Ventilation
https://www.emsworld.com/article/10843624/how-manage-difficult-airway
EMS Challenges with Bariatric Patients

The solution is: