Skip to main content
editorial
. 2016 May 4;117(1):12–16. doi: 10.1093/bja/aew106

Table 1.

List of specifications for LMA-Supreme™ and LMA-Protector™. CPR, cardiopulmonary resuscitation; LMA, laryngeal mask airway; MR, magnetic resonance; N/A, not applicable; TT, tracheal tube

Specification LMA-Supreme™ LMA-Protector™
Indication for use as airway device
  • Routine anaesthetic procedures

  • Rescue airway device for CPR6

  • Rescue airway device in instances of known or unexpected difficult airway9

  • Yes

  • Yes

  • Yes

  • Yes

  • Yes

  • Yes

Available LMA sizes 1, 1.5, 2, 2.5, 3, 4, and 5 3, 4, and 5
Material, both cuff and tube Polyvinyl chloride Medical-grade silicone
Number of uses Single use Single use
Functional separation of ventilation and digestive tracts Yes Yes
Number of ventilation tubes Two lateral (ventilation paths divided by drain tube) One central (maximal internal diameter 13 mm)
Number of gastric tubes One Two (male suction port and female drainage port)
Position of proximal gastric drainage orifice Behind 15 mm connector Two separate ports on each side of airway tube
Position of drainage tube Runs in middle of airway tube On each side of airway tube
Design of distal drainage orifice Elongated cuff, 10° slant Elongated cuff, 10° slant
Drainage chamber behind cuff bowl N/A Yes, two drainage channels continue distally and enter chamber
Nominal length of internal ventilation pathway of LMA sizes 3, 4, and 5 (cm) 16, 17, and 19 16, 18, and 20
Nominal length of internal drainage pathway of LMA sizes 3, 4, and 5 (cm) 22, 24, and 26 18, 21, and 23
Internal volume of ventilatory pathway for LMA sizes 3, 4, and 5 (ml) 18, 23, and 26 18, 22, and 23
Internal volume of drainage pathway for LMA sizes 3, 4, and 5 (ml) 6, 6.5, and 7 31, 41, and 42
Design of cuff Enlarged air-inflatable cuff, high airway seal cuff, reinforced tip Enlarged air-inflatable cuff, high airway seal cuff, reinforced tip
Design of tube Firm, anatomically shaped oval tube. Semi-rigid fixed-curved tube (2 lateral grooves in airway tube) Anatomically shaped oval tube. Flexible-curved tube
Cross-section of airway tube Elliptical Elliptical
Mask aperture bars (n) Two ‘fins’ to prevent epiglottic downfolding None
Guiding handle/fixation tab Yes Yes
Colour of cuff/tube Transparent/transparent White/blue transparent
Built-in bite block, long version Yes Yes
Minimal interdental gap for sizes 3, 4, and 5 (mm) 19, 20, and 20 28, 32, and 32
15 mm connector, ISO 5356-1 Fixed Detachable
Latex free Yes Yes
Phthalates (DHEP) free No Yes
Inflation valve, Luer cone, ISO 594-1 Yes Yes
Cuff pilot Separate cuff pilot balloon Separate cuff pilot balloon or Integrated Cuff Pilot™
Maximal cuff pressure (cm H2O) 60 60
Magnetic resonance imaging MR conditional (metallic spring) MR conditional (metallic spring); MR compatible Integrated Cuff Pilot™
  • LMA as intubation conduit for LMA sizes 3, 4, and 5

  • maximal size of TT (mm)

Requires special technique8 Yes
N/A TT: 6.5, 7.5, and 7.5
Maximal orogastric tube through drainage tube for LMA sizes 3, 4, and 5 14, 16, and 16 Fr 16, 18, and 18 Fr