Laerdal Upright Newborn Bag-Mask

Upright operates like a normal bag-valve-mask device except that the bag has a vertical stance over the mask. The mask fits with standard 15 mm inner-diameter conical connectors and attaches with a snap fit when pressed completely into place. Upright has a pressure release valve (“pop-off ”) which limits the airway pressure to 30-45 cmH2O and makes a hissing sound when opened. A higher pressure can be applied by pressing downwards on the valve with the index finger while squeezing the bag. Testing of lip valve function, pressure release valve, inlet-valve opening, and product sealing must be conducted before use. Procedure for each test are available in Directions for Use.

Expiratory resistance: <2.5 cm H20 at 5 LPM; Inspiratory resistance: <0.5cm H20 at 5 LPM; Tidal volume: > 150 mL; Dead space: 4 mL (water volume)

Operating temperature: -18-50°C; Storage temperature -40-60°C; External dimensions: 72mm x 85mm x 217mm; Mass: 190g

Sterilization method: boiling, chemical glutaraldehyde solution or steam autoclaving

A 1-year warranty is provided under the Laerdal Global Warranty . Laerdal Global Health recommends that customers contact them through their online customer feedback form or email if a product is malfunctioning.^{Interview with representative}

If properly cared for, the product does not require any preventative maintenance. The product can be serviced by a general technician if it needs to be repaired. Depending on the nature of the repair, the manufacturer recommends to purchase a new unit if the bag-mask is not functioning properly because the product is low-cost.^{Interview with a representative}

The device may last for years or decades, depending on how it is stored and reprocessed.^{Interview with representative}

Upright has undergone reprocessing and disinfection testing by NAMSA and passed all acceptance criteria. Upright was tested by PATH in Seattle where results support that the product improves ventilation, is easier to use, and decreases mask leak.¹ A study conducted with 87 Tanzanian and Norwegian nursing and medical students revealed similar results.² Clinical studies in Uttar Pradesh, India and Haydom, Tanzania were recently completed and publications will be available soon.^{Interview with representative}. Future studies are set to take place in Nepal, Uganda, and India.

Laerdal Upright Newborn Bag-Mask is equipped with a pressure release valve (“pop-off”) that limits the airway pressure to 30-45 cmH20. Instructions are provided in the Directions for Use in the event that the patient valve becomes contaminated with vomit.