Video laryngoscopes are an advanced endoscopy tool.
Medical practitioners use them, mostly ENT specialists, to view the larynx, vocal cords, and glottis. Anaesthologists also use this device as an intubation tool to keep the airways open during surgeries and other medical emergencies.
Note: A video laryngoscope comprises a handle that acts as a light source and several interchangeable blades.
It also incorporates a camera at the distal tip of the blade and a screen. These allow indirect visualization of the throat and larynx or the voice box.
This guide provides more insight into video laryngoscope, especially Besdata video laryngoscope. If you are looking for a quality video intubation tool, read on.
- What Is The History Of Laryngoscope?
- Why Is Video Laryngoscope Better Than Conventional Laryngoscope?
- What Are The Key Components Of Video Laryngoscope?
- What Certification Standards Apply To Besdata Video Laryngoscope?
- What Are The Clinical Advantages Of Besdata Video Laryngoscope?
- What Are The Typical Applications Of The Besdata Video Laryngoscope?
- Can The Besdata Video Laryngoscope Be Used For Difficult Airways?
- What Is The Difference Between Standard Geometry Video Laryngoscope And Hyper-angulated Video Laryngoscope?
- What Types Of Video Laryngoscope Does Besdata Provide?
- Can The Besdata Video Laryngoscope Disposable Blades Be Re-used?
- What Types Of Blades Are Used In Besdata Video Laryngoscope?
- What Type Of Batteries Are Used In Besdata Video Laryngoscope?
- Can Besdata Video Laryngoscope Be Used As The Standard Of Care In Outpatient Surgeries?
- Is Additional Training Required To Use Besdata Video Laryngoscope?
- What Are The Factors To Consider When Evaluating A Besdata Video Laryngoscope?
- Is There A Minimum Order Requirement (MOQ) For Besdata Video Laryngoscope?
- Does Besdata Provide Accessories And Add-ons For Video Laryngoscope?
- What Are Some Troubleshooting Tips For Besdata Video Laryngoscope?
- How Do You Clean The Besdata Video Laryngoscope?
1. What Is The History Of Laryngoscope?
Video laryngoscope
The history of laryngoscopy dates back to the 1700s.
The development began with indirect laryngoscopy techniques where various light sources and mirrors were used to examine the larynx.
Some historians credit Benjamin Gay Babington with this early development having invented the first laryngoscope (the Glottiscope) between 1794 and 1866.
But medical journals also cite Manual Garcia as the pioneer of indirect laryngoscopy. It is believed that Garcia, then a voice professional in London, was reportedly the first person to visualize a functioning glottis and larynx using two mirrors and sunlight.
In both cases, the technique has known several advances, mainly concerning light sources and blades modifications.
Towards the end of the 19th century, Alfred Kirsten introduced the very first form of direct laryngoscopy. Kirsten borrowed ideas from esophageal endoscopy to develop the “autoscope,” the first known instrument for direct visualization of the larynx. He used a headlamp for light.
Kirsten’s original autoscope
Later, Chevalier Jackson made some improvements to the autoscope, which included using a tungsten bulb for lighting.
Since Kirsten’s invention, most observations of the glottis and larynx have been made under direct laryngoscopy. However, the technique was marred with several challenges, mainly inadequate glottis exposure.
It is for this reason that the industry decided to redevelop, or return to indirect laryngoscopy, currently video laryngoscopy.
The first true video laryngoscope was built in 1999, following Dr. Jon Berral’s design of a video laryngoscope with a straight screen camera in 1998. However, John Allen Parcey’s glidescope became the first commercially available video laryngoscope in 2001.
Today, several types of video laryngoscopes are available. But some practitioners still use direct laryngoscopes while others use both direct and indirect tools under varying circumstances.
2. Why Is Video Laryngoscope Better Than Conventional Laryngoscope?
Conventional laryngoscope
The debate between video laryngoscopes and conventional laryngoscopes has existed since the 19th century.
But the inherent limitations of conventional laryngoscopes have made the video alternatives fundamental in the practice of airway management and intubation. This is due to the many advantages of video laryngoscopes, including:
- Better vision of the glottis and larynx
- Greater chance of success in airway management and intubation
- Reduced risks associated with close patient contact
- Reduction of intubation attempts, especially in patients at high risk of complications, e.g., obese patients.
- Increased patient safety due to a lower risk of laryngeal trauma, as these devices require relatively less force to intubate.
- Ability to look around corners. Conventional laryngoscopes do not allow operators to see beyond the line of sight.
Compared to conventional laryngoscopes, video devices are also useful for education and sharing medical information. It allows watching the ongoing intubation processes and saving them for later use.
3. What Are The Key Components Of Video Laryngoscope?
Parts and components of a video laryngoscope
A video laryngoscope consists of many components, primarily a camera, monitor, blades, and an internal power source.
- Camera: The camera is integrated into the device at the distal end with a light for illumination during operation.
- Display screen: this can be attached to the device or stand-alone for portability during prehospital operations. It comes with a color screen and adjustable controls for better viewing.
In addition, some video laryngoscope monitors incorporate a video output port and a USB/memory card. They can be used to upload, record, and save images and videos during an intubation process.
- Internal power sources: Includes single or multiple internal power sources for powering the camera, monitor, and light source. Typically, we supply rechargeable or non-rechargeable batteries with these devices.
- Exchangeable blades: Video laryngoscopes may include reusable or disposable blades. They come in different shapes and sizes designed to be used in different airway anatomies.
4. What Certification Standards Apply To Besdata Video Laryngoscope?
Product conformity is essential in the design and manufacture of medical devices. With considerable experience in the medical device manufacturing industry, Besdata ensures that all products pass the required quality system.
Specifically, our video laryngoscope complies with the following quality manufacturing standards:
- ISO13485: This is the primary standard for medical device manufacturing quality management. It demonstrates that the product meets all applicable and regulatory requirements.
Compliance with ISO 13485 standards contributes to overall device quality control, traceability, and risk management.
- FDA (medical devices): The Food and Drugs Administration (FDA) protect public health. It guarantees the safety, reliability, and efficiency of medical devices such as these.
- CE: CE mark indicates that the video laryngoscope complies with the European medicines agency The device cannot be marketed or sold in EU markets without this mark.
- CFDA: The China Food and Drug Administration (CFDA) operate similarly to the FDA. It guarantees the safety, quality, and security of medical devices produced and sold in China.
In addition to the above standards, Besdata Video Laryngoscope comes with CFS (Certificate of Free Sale) and DOC declaration. If you need additional certifications for export, import, or general marketing purposes, talk to us via email or the direct contacts here.
5. What Are The Clinical Advantages Of Besdata Video Laryngoscope?
The Besdata video laryngoscope features an ergonomic design. This helps avoid trauma and complications to the laryngeal structure due to forceful intubation.
This device is also designed to provide the highest degree of vision. In addition to reducing rates of laryngeal trauma, it improves the likelihood of “successful” intubation under challenging scenarios.
Apart from these clinical benefits, Besdata video laryngoscope offers many other significant advantages such as:
- Design for everyday use; Besdata video laryngoscope is durable and designed to withstand hectic hospital environments.
- The device is not expensive at all. In fact, it is very cost-efficient. The reduced cost in supplies, time, and additional trauma and complications avoided through Besdata video laryngoscope easily reduces long-term costs compared to other alternatives.
- Besdata video laryngoscope requires less skill to operate. It makes patients less dependent on trained and experienced staff. In the event of an airway failure, junior staff can effectively and immediately manage the patient’s airway, thus preventing cases of hypoxia.
- The handle on this device is antimicrobial, helping to reduce the risk of infection and cross-contamination.
- Besdata video laryngoscope is compatible with integrated or stand-alone screens of different sizes.
- The camera and anti-fog blade ensure easy operation. There is no need to worry about fogging in front of the camera or preheating before use.
6. What Are The Typical Applications Of The Besdata Video Laryngoscope?
Besdata video laryngoscope can be used in the following scenarios:
- Elective oral intubation
- Nasal intubation
- Predicted and unpredicted difficult laryngoscopy
- ENT operations, i.e., to document the condition of the recurrent laryngeal nerve after neck surgery
- Emergency department operations, i.e., high-risk intubation, trismus, and line stabilization for trauma.
- Intensive care applications such as a backup to endotracheal extubation support strategy.
- Critical care in air transport applications
- Teaching airway anatomy
- Pediatric applications, i.e., intubation of underweight neonates
- Facilitate insertion of other medical devices such as Nasogastric Tubes, Feeding Tubes, and transesophageal echocardiographic probes
7. Can The Besdata Video Laryngoscope Be Used For Difficult Airways?
Yes.
Besdata video laryngoscope has several valuable features for intubation in patients with difficult airways.
As mentioned earlier, these devices are designed with an easy-to-grip ergonomic handle that requires less force to operate. This feature helps deal with trauma cases and complications in anticipated difficult airways.
In addition, the anti-fog camera and the blade function also allow the device to resist fogging and bloody contamination. This allows for an unobstructed view allowing operators to perform difficult intubations confidently.
Note, however, that in cases of unexpected difficult airways, tracheal intubation with video laryngoscopes remains a challenge.
In this case, physicians are advised to adhere to specific intubation strategies, such as the ASA guidelines for difficult airways. This will help reduce complications in unanticipated and emergency difficult airways. Tools that make tracheal intubation easier are also recommendable in such cases.
8. What Is The Difference Between Standard Geometry Video Laryngoscope And Hyper-angulated Video Laryngoscope?
Standard geometry vs. hyper-angulated video laryngoscope blades
As you know, video laryngoscope blades come in various shapes and sizes. These varieties include blades with a standard or hyper-angulated geometry.
The main difference between the two is that standard geometry blades maintain the shape of Mackintosh or miller blades. On the other hand, hyper-angulated blades have a more pronounced curvature.
Another difference is that standard geometry video laryngoscopes can be used for direct and indirect visualization. Conversely, a hyper-angle laryngoscope can only be used for indirect visualization.
In addition, during intubation, hyper-angulated blades are used with a rigid stylet. On the other hand, blades with a standard geometry allow the use of a bougie where necessary.
Besdata video laryngoscope mostly uses blades with standard geometry. The advantage of this type of blade is that it offers a higher first-attempt success rate than laryngoscopy using hyper-angled blades.
Medical reviews also suggest that passage of the endotracheal tube tends to be faster and less cumbersome when using a standard geometry blade.
Pound for pound, clinicians can use whatever type of blade they prefer. However, it is recommended that the selection be strictly based on the characteristics of the respective patient requiring intubation.
9. What Types Of Video Laryngoscope Does Besdata Provide?
Besdata offers a selection of video laryngoscopes which include both reusable and disposable types.
Options available are:
- BD-DF reusable video laryngoscope
- BD-DP disposable video laryngoscope
- BD-HT dolphin plastic video laryngoscope
- BD-M7 7 inch LCD monitor video laryngoscope
- BD-WHD plastic video laryngoscope with 7-inch monitor
- BD-PL handheld plastic video laryngoscope
- BD-M7DF reusable video laryngoscope with 7inch monitor
- BD-M7DP disposable video laryngoscope with 7inch monitor
10. Can The Besdata Video Laryngoscope Disposable Blades Be Re-used?
No.
Each Besdata disposable blade is for single use only and is supplied sterile. Please note that our blades are designed for single-use and meet all regulatory requirements for safe intubation. Therefore, Besdata will not be responsible for any degradation of blade integrity due to reprocessing.
11. What Types Of Blades Are Used In Besdata Video Laryngoscope?
Besdata video laryngoscope has both reusable and disposable type blades. These are mostly miller and Mackintosh style blades.
Our reusable blades are available in sizes such as Miller0, MAC1, MAC2, MAC3, MAC4, and hypo curved. Disposable options are available in five sizes, namely Miller0, MAC1, MAC2, MAC3, and MAC4.
Besdata video laryngoscope blade parameter size
12. What Type Of Batteries Are Used In Besdata Video Laryngoscope?
Besdata video laryngoscope may use rechargeable or non-rechargeable batteries, depending on the specific model.
For devices with rechargeable batteries, we supply plug-in chargers. Alternatively, you need to buy a separate charging unit for the batteries.
13. Can Besdata Video Laryngoscope Be Used As The Standard Of Care In Outpatient Surgeries?
We cannot give a definitive answer to this.
However, it is advisable in each clinic to have at least one video laryngoscope in case of emergency.
The device must be easily accessible to anesthetists and other operators, who must also know the basic instructions for using the device for intubation.
In addition to using VLs, the practice in outpatient care centers should also follow the basic principles of airway management. Additionally, it is recommended that you have other ancillary devices and techniques in case video laryngoscopy does not work as expected.
14. Is Additional Training Required To Use Besdata Video Laryngoscope?
Video laryngoscopy
No, the advantage of the Besdata video laryngoscope is that it does not require any special skills. Practitioners need to understand the basic laryngoscopy techniques and know how to use the specific model(s) available.
15. What Are The Factors To Consider When Evaluating A Besdata Video Laryngoscope?
From a clinical perspective, the main considerations when evaluating any video laryngoscope are:
- Clarity: For effective intubation and patient safety during operations, video laryngoscope images must be clear. Blurred images can lead to patient airway damage, complications, and/or misdiagnosis. The camera and blades mustn’t fog up.
- Reliability: You should feel confident using the device and trust its ability to provide successful intubation.
- Ease of use: A user-friendly video laryngoscope is one that novice operators can use right off the bat with minimal training and skills. This is particularly important in emergency operations, where there is limited time for training.
Any other consideration would be based on individual preference and technical ability, i.e., design, blade type, power, and screen size.
16. Is There A Minimum Order Requirement (MOQ) For Besdata Video Laryngoscope?
Yes, we have a flexible MOQ with fast delivery solutions. For Besdata video laryngoscope, we can deliver as many as 100 units to as low as one unit. It all depends on your application requirements and budget.
17. Does Besdata Provide Accessories And Add-ons For Video Laryngoscope?
Yes.
We provide standard accessories, including exchangeable blades and a carrying/storage bag.
In addition, we also offer optional accessories and add-ons such as:
- Additional neonatal and adult blades
- Additional blades for difficult intubation
- Disposable stylets
- Video laryngeal masks
- Video endotracheal tubes
18. What Are Some Troubleshooting Tips For Besdata Video Laryngoscope?
As I said, we provide a user manual with all our medical devices.
This manual contains setup and use instructions and basic guidelines for troubleshooting the device.
Anyway, here are some common troubleshooting tips when using Besdata video laryngoscope:
Problem | Solutions |
Trouble getting ET tube to the mouth | – Try inserting the video laryngoscope slightly left of the midline to leave enough space to the right of the device to get the tube into the mouth
– Move the device to the left of the mouth – Move the handle to the left to allow passage |
“best view” is not sufficient for intubation | Try backing up the scope a little to widen the field of view |
Issues with maneuverability | Hold the tube closer to the connector |
No images appear on the display monitor | Recharge or replace the batteries |
Blurry images | – Withdraw the blades to check that the image is clear
– Make sure there is no fog on the camera or the blades. Blood contamination could also be a problem, in which case you will only need to retract the blades to clean and aspirate the blood before intubating. – If the problem persists, replace the blade |
Device is not working completely | Contact technical support |
19. How Do You Clean The Besdata Video Laryngoscope?
Disposable EMS video laryngoscope
Our disposable video laryngoscope is supplied sterile. So there is no need for cleaning or disinfection.
The reusable devices come with a fully immiscible handle for easy cleaning and sterilization. Likewise, the blades are also fully immiscible for high-level disinfection.
Refer to the user manual for detailed instructions on cleaning your specific unit.
For all your Besdata Video laryngoscope, contact us now.