Adjustable Flange Nasopharyngeal Airway

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

Your Price: $9.99

Size: 22 Fr

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SKU: MEDTAC1008

Type: Airway Device

Vendor: Sunmed

$9.99

PRODUCT INFORMATION

Sunmed · Nasopharyngeal Airway

Adjustable Flange Nasopharyngeal Airway

A latex-free NPA with an adjustable flange for precise depth positioning — for the obtunded or semi-conscious casualty.

What is the Adjustable Flange Nasopharyngeal Airway? A single-use NPA by Sunmed made from Neoprene—latex-free, with atraumatic tips for smooth nasal passage. The adjustable flange allows precise depth positioning for comfort and fit. Available in 22, 24, 26, and 28 French. A CoTCCC-recommended class of airway adjunct for trauma casualties with airway obstruction or altered consciousness.

Provider scope

NPA sizing, contraindication screening, and placement are trained clinical skills. This page describes the device, its sizing, and its contraindications — it is not a substitute for accredited airway training, and is not a procedural how-to.

Size & SKU Reference

Size	SKU	Approx. OD	Typical Patient
22 Fr	MEDTAC1008	~7.3 mm	Small adult / smaller female
24 Fr	MEDTAC1009	~8.0 mm	Average female, smaller male
26 Fr	MEDTAC1010	~8.7 mm	Average adult male, medium build
28 Fr	MEDTAC1011	~9.3 mm	Large adult male, large build

What It Is

The nasopharyngeal airway is the preferred first-line airway adjunct for the semi-conscious casualty, because — unlike an oropharyngeal airway — it does not require an absent gag reflex. The Sunmed adjustable-flange NPA is made from soft Neoprene that conforms to nasal anatomy, with an atraumatic tip to reduce mucosal trauma. The adjustable flange lets the depth be set to the patient, then locked, helping prevent migration during movement and transport.

Contraindications

Absolute — do not place an NPA:

Suspected basilar skull fracture — Battle's sign (retroauricular bruising), raccoon eyes (periorbital bruising), or clear fluid (CSF) from ears/nose. Risk of intracranial placement.
Significant midface trauma disrupting the nasopharynx or skull base.
Known facial/nasal fracture in the insertion path.

Relative — use with caution:

Suspected epiglottitis
Large nasal polyps or obstructing nasal pathology
Recent nasal or sinus surgery
Coagulopathy or anticoagulant therapy (increased epistaxis risk)

TCCC field note

Per 2024 TCCC guidance, an unconscious casualty without traumatic airway obstruction is placed in the recovery position to maintain patency; the NPA remains a first-line prehospital airway adjunct prior to surgical-airway consideration. See the TCCC Guidelines 2026 overview and the full airway management collection.

Related searches: nasopharyngeal airway, adjustable flange NPA, Sunmed NPA, latex-free nasal airway, 28 Fr NPA.

All 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.

ADDITIONAL INFORMATION

Available Options:

22 Fr
24 Fr
26 Fr
28 Fr

SPECS & MEASUREMENTS

Specifications coming soon. Contact us for detailed product information.

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.