Adjustable Flange Nasopharyngeal Airway - Sunmed

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SKU: MEDTAC1008

Type: Airway Device

Vendor: Sunmed

Adjustable Flange Nasopharyngeal Airway

Name: Adjustable Flange Nasopharyngeal Airway
Brand: Sunmed
SKU: MEDTAC1008
Price: 9.99 USD
Availability: InStock

MARCH PROTOCOL Built around MARCH. Evidence-based trauma care sequence →

Your Price: $9.99

Size: 22 Fr

22 Fr

24 Fr

26 Fr

28 Fr

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PRODUCT INFORMATION

Sunmed · Nasopharyngeal Airway

Adjustable Flange Nasopharyngeal Airway

A single-use latex-free NPA moulded in soft neoprene with an atraumatic tip and, unlike a fixed-flange NPA, a flange that slides and locks. Depth is set to the patient and stays set, which is what keeps the airway from migrating during packaging and movement. Four French sizes, each its own part number.

Adjustable, locking flangeNeoprene · latex-freeAtraumatic tip22 / 24 / 26 / 28 Fr

A fixed flange sets the depth at the factory. An adjustable one sets it at the patient — and then holds it through the move.

What's Included

One airway per package, in the French size you select. The device is identical across the four sizes — only the diameter, the part number and the patient it fits change. Tap a size.

VIEW ▾22 Fr — approx. 7.3 mm OD

1× Adjustable Flange Nasopharyngeal Airway, 22 Fr, approx. 7.3 mm outside diameter · SKU MEDTAC1008
Soft neoprene body with atraumatic tip and sliding, locking flange — all integral to the device
Latex-free, single-use, individually packaged
Sunmed states the size suits a small adult or smaller female airway
No lubricant, no tape and no suction adjunct are included

VIEW ▾24 Fr — approx. 8.0 mm OD

1× Adjustable Flange Nasopharyngeal Airway, 24 Fr, approx. 8.0 mm outside diameter · SKU MEDTAC1009
Soft neoprene body with atraumatic tip and sliding, locking flange — all integral to the device
Latex-free, single-use, individually packaged
Sunmed states the size suits an average female or smaller male airway
No lubricant, no tape and no suction adjunct are included

VIEW ▾26 Fr — approx. 8.7 mm OD

1× Adjustable Flange Nasopharyngeal Airway, 26 Fr, approx. 8.7 mm outside diameter · SKU MEDTAC1010
Soft neoprene body with atraumatic tip and sliding, locking flange — all integral to the device
Latex-free, single-use, individually packaged
Sunmed states the size suits an average adult male of medium build
No lubricant, no tape and no suction adjunct are included

VIEW ▾28 Fr — approx. 9.3 mm OD

1× Adjustable Flange Nasopharyngeal Airway, 28 Fr, approx. 9.3 mm outside diameter · SKU MEDTAC1011
Soft neoprene body with atraumatic tip and sliding, locking flange — all integral to the device
Latex-free, single-use, individually packaged
Sunmed states the size suits a large adult male of large build
No lubricant, no tape and no suction adjunct are included

▾Specifications

Adjustable Flange Nasopharyngeal Airway — specifications

Specification	Detail
Manufacturer	Sunmed
Device type	Nasopharyngeal airway with adjustable, locking flange
Material	Neoprene
Latex content	Latex-free
Tip	Atraumatic
Flange	Slides along the airway and locks, so insertion depth is set to the patient and held there
Sizes offered	22 Fr · 24 Fr · 26 Fr · 28 Fr
SKU — 22 Fr	MEDTAC1008 · approx. 7.3 mm OD
SKU — 24 Fr	MEDTAC1009 · approx. 8.0 mm OD
SKU — 26 Fr	MEDTAC1010 · approx. 8.7 mm OD
SKU — 28 Fr	MEDTAC1011 · approx. 9.3 mm OD
Reuse	Single use
Lubrication	Not pre-lubricated; lubricant is sourced separately

Contraindications published by the manufacturer on this listing: Do not place an NPA where basilar skull fracture is suspected (Battle's sign, periorbital bruising, or clear fluid from ear or nose), where midface trauma has disrupted the nasopharynx or skull base, or where a facial or nasal fracture sits in the insertion path. Use caution with suspected epiglottitis, obstructing nasal pathology, recent nasal or sinus surgery, and coagulopathy or anticoagulation. This is the manufacturer's list reproduced as published — it is not a clinical screening protocol.

▾Who Carries It

EMS at every level stocking a full French range on the rig rather than one compromise size · Combat, tactical and law-enforcement medics carrying a basic airway adjunct forward · Fire, rescue and industrial response and clinics and forward aid stations holding disposable airway stock · Training programmes buying by size for airway skills labs.

Scope of practice. NPA sizing, contraindication screening and placement are trained clinical skills. This page describes a device, its sizes and the manufacturer's stated contraindications; it is not accredited airway training, it is not a procedural how-to, and it does not decide which patient needs an airway adjunct. That is governed by your training, your protocol and your medical direction.

Genuine Sunmed

Sourced direct from the manufacturer or an authorized master distributor. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.

Built around MARCH. Every kit we sell maps to the MARCH protocol — Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia. Learn the sequence in our complete MARCH guide.

ADDITIONAL INFORMATION

Available Options:

22 Fr
24 Fr
26 Fr
28 Fr

SPECS & MEASUREMENTS

Specifications coming soon. Contact us for detailed product information.

SHIPPING & RETURNS

Domestic & Military Shipping

Free Standard Shipping: Automatically applied at checkout on all orders $200 and above within the 48 contiguous United States (CONUS).

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Order Processing & Tracking

Standard Gear: In-stock medical devices, consumables, and tactical packs process within 48 hours.

Stocked Kit Bags: Custom-built kits ship within 7-10 days as they are assembled by hand at our South Florida facility.

Automated carrier tracking details are emailed immediately upon shipment dispatch.

30-Day Returns & Medical Safety

Returns: Unused, unopened equipment in original manufacturer packaging is eligible for return within 30 days of delivery.

Bio-Safety Notice: To ensure sterility and patient safety, medical consumables with opened or broken tamper-evident seals cannot be returned.

Return Facility: MED-TAC International Corp., 15757 Pines Blvd, Suite 154, Pembroke Pines, FL 33027.

Export Compliance

North American Rescue (NAR) products and rifle hard armor plates are strictly restricted to US and APO/FPO addresses and cannot be exported internationally.

FREQUENTLY ASKED QUESTIONS

What is the Adjustable Flange Nasopharyngeal Airway and when is it used?

The Adjustable Flange Nasopharyngeal Airway (NPA) by Sunmed is a single-use, sterile airway adjunct made from Neoprene® that maintains a patent airway in unconscious or obtunded trauma casualties. It is the first-line pre-hospital airway tool recommended under TCCC guidelines for casualties with airway obstruction, altered mental status, or reduced protective reflexes who are not in complete respiratory failure. Unlike an oropharyngeal airway, the NPA is tolerated by patients with intact gag reflexes, making it more versatile in semi-conscious casualties.

What sizes are available, and how do I select the right size NPA?

The Adjustable Flange NPA is available in 22 Fr (~7.3 mm), 24 Fr (~8.0 mm), 26 Fr (~8.7 mm), and 28 Fr (~9.3 mm) sizes. Size selection is based on the nares-to-tragus method — measure from the tip of the nostril to the tragus of the ear to approximate the correct length — or by matching the NPA diameter to the patient's nostril diameter. As a general guide: 22–24 Fr fits smaller adults and average females, 26 Fr fits average adult males, and 28 Fr fits large-build adult males. When uncertain, select the largest size that inserts without resistance.

What does the adjustable flange feature provide that standard NPAs do not?

The adjustable flange allows the provider to set the precise insertion depth, preventing both under-insertion (which fails to bypass the obstruction) and over-insertion (which can stimulate gagging or laryngeal contact in lighter patients). Once positioned correctly, the flange can be slid along the tube and locked, securing the NPA at the optimal depth for that individual casualty. This is particularly useful during prolonged field care when the device must remain in place during patient movement or evacuation without requiring continuous manual adjustment.

What are the absolute contraindications for NPA insertion?

The primary absolute contraindications are suspected basilar skull fracture — indicated by Battle's sign (bruising behind the ear), raccoon eyes, or CSF leaking from the nose or ears — and significant midface trauma with disruption of the nasopharynx, which creates risk of intracranial placement. Known nasal or facial fractures in the insertion path are also absolute contraindications. Relative contraindications requiring additional caution include suspected epiglottitis, large nasal polyps, recent nasal surgery, and coagulopathy due to elevated epistaxis risk.

How do I correctly insert the Adjustable Flange NPA?

Apply water-soluble lubricant generously to the NPA tip and body. Inspect both nostrils for patency and select the more patent side — the right nostril is generally preferred. Position the bevel facing the nasal septum and insert the NPA at a perpendicular angle to the face, directed posteriorly along the nasal floor (not upward toward the skull). Advance with gentle rotating motion; if firm resistance is encountered, try the other nostril. Stop when the flange reaches the nares, adjust the flange depth as needed, and confirm airway patency by looking, listening, and feeling for air movement. Per current TCCC guidance, place the unconscious casualty in the recovery position after insertion.