{"product_id":"adjustable-flange-nasopharyngeal-airway","title":"Adjustable Flange Nasopharyngeal Airway","description":"\u003c!-- Product: Adjustable Flange Nasopharyngeal Airway | Sunmed | SKU: MEDTAC1008–1011 --\u003e\n\n\u003cstyle\u003e\n .medtac-npa * { box-sizing: border-box; }\n .medtac-npa { font-family: Arial, Helvetica, sans-serif; color: #121212; line-height: 1.6; max-width: 900px; }\n .medtac-npa h2 { color: #121212; font-size: 1.4em; border-bottom: 2px solid #9c8f61; padding-bottom: 6px; margin-top: 28px; }\n .medtac-npa h3 { color: #121212; font-size: 1.15em; margin-top: 20px; }\n .medtac-npa a { color: #9c8f61; text-decoration: none; }\n .medtac-npa a:hover { text-decoration: underline; }\n .medtac-npa .direct-answer {\n border-left: 4px solid #9c8f61;\n background: #f5f4f0;\n padding: 16px 20px;\n margin: 20px 0;\n font-size: 1em;\n }\n .medtac-npa .direct-answer strong { color: #121212; }\n .medtac-npa .table-wrap { overflow-x: auto; -webkit-overflow-scrolling: touch; margin: 16px 0; }\n .medtac-npa table { width: 100%; border-collapse: collapse; min-width: 300px; }\n .medtac-npa table th { background: #121212; color: #9c8f61; padding: 10px 14px; text-align: left; font-size: 0.9em; text-transform: uppercase; letter-spacing: 0.04em; }\n .medtac-npa table td { padding: 9px 14px; border-bottom: 1px solid #e0ddd5; font-size: 0.92em; vertical-align: top; }\n .medtac-npa table tr:last-child td { border-bottom: none; }\n .medtac-npa table tr:nth-child(even) td { background: #f9f8f5; }\n .medtac-npa .clinical-callout { border-left: 4px solid #9c8f61; background: #f5f4f0; padding: 14px 18px; margin: 16px 0; }\n .medtac-npa .clinical-callout strong { color: #121212; }\n .medtac-npa .warning-box { border: 2px solid #9c8f61; background: #fff8e8; padding: 14px 18px; border-radius: 4px; margin: 16px 0; }\n .medtac-npa .warning-box strong { color: #9c8f61; display: block; margin-bottom: 6px; }\n .medtac-npa .tccc-box { background: #1a1a1a; color: #f5f4f0; padding: 14px 20px; border-radius: 4px; margin: 16px 0; font-size: 0.92em; }\n .medtac-npa .tccc-box a { color: #9c8f61; }\n .medtac-npa .tccc-box strong { color: #9c8f61; }\n .medtac-npa .sizing-tip { border-left: 3px solid #9c8f61; padding: 10px 14px; background: #f5f4f0; margin: 8px 0; font-size: 0.92em; }\n .medtac-npa .author-block { border-top: 1px solid #9c8f61; padding-top: 14px; margin-top: 28px; font-size: 0.88em; color: #555; font-style: italic; }\n .medtac-npa ul { padding-left: 20px; }\n .medtac-npa li { margin-bottom: 5px; }\n @media (max-width: 600px) {\n .medtac-npa h2 { font-size: 1.2em; }\n .medtac-npa table th, .medtac-npa table td { padding: 8px 10px; font-size: 0.85em; }\n }\n\u003c\/style\u003e\n\n\u003cdiv class=\"medtac-npa\"\u003e\n\n \u003cdiv class=\"direct-answer\"\u003e\n \u003cstrong\u003eWhat is the Adjustable Flange Nasopharyngeal Airway?\u003c\/strong\u003e The Adjustable Flange Nasopharyngeal Airway (NPA) by Sunmed is a single-use, sterile airway adjunct made from Neoprene® — latex-free with atraumatic tips for smooth nasal insertion. The adjustable flange allows precise depth positioning to prevent gag reflex and improve comfort. Available in 22 Fr, 24 Fr, 26 Fr, and 28 Fr sizes (–), this NPA is a TCCC-recommended airway management tool for trauma casualties with airway obstruction or altered consciousness.\n \u003c\/div\u003e\n\n \u003ch2\u003eKey Specifications\u003c\/h2\u003e\n \u003cdiv class=\"table-wrap\"\u003e\n \u003ctable\u003e\n \u003cthead\u003e\n \u003ctr\u003e\n\u003cth\u003eSpecification\u003c\/th\u003e\n\u003cth\u003eDetail\u003c\/th\u003e\n\u003c\/tr\u003e\n \u003c\/thead\u003e\n \u003ctbody\u003e\n \n \n \u003ctr\u003e\n\u003ctd\u003e24 Fr\u003c\/td\u003e\n\u003ctd\u003eMEDTAC1009\u003c\/td\u003e\n\u003ctd\u003e~8.0 mm\u003c\/td\u003e\n\u003ctd\u003eAverage female, smaller male\u003c\/td\u003e\n\u003c\/tr\u003e\n \u003ctr\u003e\n\u003ctd\u003e26 Fr\u003c\/td\u003e\n\u003ctd\u003eMEDTAC1010\u003c\/td\u003e\n\u003ctd\u003e~8.7 mm\u003c\/td\u003e\n\u003ctd\u003eAverage adult male, medium build\u003c\/td\u003e\n\u003c\/tr\u003e\n \u003ctr\u003e\n\u003ctd\u003e28 Fr\u003c\/td\u003e\n\u003ctd\u003eMEDTAC1011\u003c\/td\u003e\n\u003ctd\u003e~9.3 mm\u003c\/td\u003e\n\u003ctd\u003eLarge adult male, large build\u003c\/td\u003e\n\u003c\/tr\u003e\n \u003c\/tbody\u003e\n \u003c\/table\u003e\n \u003c\/div\u003e\n\n \u003ch2\u003eContraindications\u003c\/h2\u003e\n\n \u003cdiv class=\"warning-box\"\u003e\n \u003cstrong\u003eAbsolute Contraindications (Do Not Insert NPA):\u003c\/strong\u003e\n \u003cul\u003e\n \u003cli\u003e\n\u003cstrong\u003eSuspected basilar skull fracture\u003c\/strong\u003e — signs include Battle's sign (bruising behind the ear), raccoon eyes (periorbital bruising), clear fluid from ears or nose (CSF leak). Intracranial placement risk.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eSignificant midface trauma\u003c\/strong\u003e — disruption of nasopharynx or roof of mouth — risk of intracranial placement\u003c\/li\u003e\n \u003cli\u003e\u003cstrong\u003eKnown facial\/nasal fractures in the insertion path\u003c\/strong\u003e\u003c\/li\u003e\n \u003c\/ul\u003e\n \u003cstrong\u003eRelative Contraindications (Use With Caution):\u003c\/strong\u003e\n \u003cul\u003e\n \u003cli\u003eSuspected epiglottitis\u003c\/li\u003e\n \u003cli\u003eLarge nasal polyps or obstructing nasal pathology\u003c\/li\u003e\n \u003cli\u003eRecent nasal or sinus surgery\u003c\/li\u003e\n \u003cli\u003eCoagulopathy or anticoagulant therapy (increased epistaxis risk)\u003c\/li\u003e\n \u003c\/ul\u003e\n \u003c\/div\u003e\n\n \u003ch2\u003eInsertion Technique\u003c\/h2\u003e\n \u003col style=\"padding-left: 20px; font-size: 0.95em; line-height: 1.9;\"\u003e\n \u003cli\u003e\n\u003cstrong\u003eSelect the correct size\u003c\/strong\u003e using the nares-to-tragus method or nostril diameter approximation.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eApply water-soluble lubricant\u003c\/strong\u003e (not petroleum-based) generously to the exterior of the NPA tip and body.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eInspect both nostrils\u003c\/strong\u003e for obstruction, deviation, or injury. Use the larger, more patent nostril. The right nostril is typically preferred in most patients.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003ePosition the bevel\u003c\/strong\u003e facing the nasal septum (toward the middle). Insert the NPA into the nostril at a perpendicular angle to the face, directed posteriorly along the nasal floor — not upward toward the brain.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eAdvance gently\u003c\/strong\u003e with a slight rotating motion if resistance is encountered. Do not force. If firm resistance is felt, try the other nostril.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eStop when the flange reaches the nares\u003c\/strong\u003e (or adjust the flange to the desired depth). The tip should lie in the nasopharynx, above the uvula and epiglottis.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eAssess airway patency:\u003c\/strong\u003e Look, listen, and feel for air movement. If the patient gags, the NPA may be too long — retract or exchange for a smaller size.\u003c\/li\u003e\n \u003cli\u003e\n\u003cstrong\u003eSecure:\u003c\/strong\u003e A safety pin through the flange can prevent accidental migration. Reassess frequently.\u003c\/li\u003e\n \u003c\/ol\u003e\n\n \u003cdiv class=\"tccc-box\"\u003e\n \u003cstrong\u003eTCCC Field Note:\u003c\/strong\u003e Per 2024 TCCC guidelines, for an unconscious casualty without traumatic airway obstruction, place in the \u003cstrong\u003erecovery position\u003c\/strong\u003e after NPA insertion — chin tilted away from the chest to maintain patency. The jaw-thrust maneuver is no longer recommended in the 2024 update. The NPA remains first-line for pre-hospital airway management prior to surgical airway consideration. For detailed TCCC airway management updates, see our \u003ca href=\"https:\/\/www.tactical-medicine.com\/blogs\/news\/tccc-guidelines-2026-what-changed-and-why-it-matters\"\u003eTCCC Guidelines 2026\u003c\/a\u003e article. For a complete \u003ca href=\"https:\/\/www.tactical-medicine.com\/collections\/airway-management-kits-and-supplies\"\u003eairway management kit\u003c\/a\u003e, see our full collection.\n \u003c\/div\u003e\n\n \u003cdiv class=\"author-block\"\u003e\n Product reviewed by \u003cstrong\u003eDr. Marco R. Torres, MD\u003c\/strong\u003e — Founder \u0026amp; CEO, MED-TAC International Corp.\n \u003c\/div\u003e\n\n\u003c\/div\u003e\n\u003cp style=\"margin:24px 0 0;padding:12px 16px;background:#f5f4f0;border-left:3px solid #9c8f61;font-size:13px;color:#555;line-height:1.5;\"\u003eAll products sourced from the actual brand manufacturer or authorized master distributors. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.\u003c\/p\u003e\n","brand":"Sunmed","offers":[{"title":"22 Fr","offer_id":32033694154870,"sku":"MEDTAC1008","price":15.0,"currency_code":"AUD","in_stock":true},{"title":"24 Fr","offer_id":32033694187638,"sku":"MEDTAC1009","price":15.0,"currency_code":"AUD","in_stock":true},{"title":"26 Fr","offer_id":32033694220406,"sku":"MEDTAC1010","price":15.0,"currency_code":"AUD","in_stock":true},{"title":"28 Fr","offer_id":32033696022646,"sku":"MEDTAC1011","price":12.0,"currency_code":"AUD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0085\/6909\/4262\/products\/adjustable-flange-nasopharyngeal-airway-1087932.jpg?v=1763155420","url":"https:\/\/www.tactical-medicine.com\/en-au\/products\/adjustable-flange-nasopharyngeal-airway","provider":"MED-TAC International Corp.","version":"1.0","type":"link"}