Artificial airway positioning for critical care

ELEVATE Airway Positioning

A lightweight, single-patient-use device designed to support airway positioning and reduce contact pressure from tracheostomy and endotracheal tubes.


The scale of the problem

2.5 million patients

in U.S. acute care settings develop pressure injuries each year.¹˒²

$26 billion+

estimated annual financial burden of these injuries.²

Why it matters

Hospital-Acquired Pressure Injury: Identifiable, Measurable, Preventable, and Non-Reimbursable

Identifiable

The Agency for Healthcare Research and Quality (AHRQ) recommends early identification and intervention as key elements in the prevention of hospital-acquired pressure injuries.³

Measurable

Proactive assessment of the mouth, lips, and tracheostomy stoma, along with proper methods of securing and positioning artificial airways, is vital in preventing and treating medical device-related pressure injuries.⁴˒⁵

Preventable

In 2008, the Centers for Medicare & Medicaid Services (CMS) designated Stage 3 and Stage 4 hospital-acquired pressure injuries as non-reimbursable Hospital-Acquired Conditions (HACs), placing the full cost of treatment on hospitals when these injuries develop after admission.⁶˒⁷

Medical device-related pressure injury

The Problem

Medical device-related pressure injuries (MDRPI) caused by artificial airways, including endotracheal and tracheostomy tubes, are a significant and common source of harm in critically ill patients.⁴˒⁵

Tracheostomy care

Tracheostomy Tube Malposition: Clinical Consequences

Improper positioning of tracheostomy tubes can lead to:⁹

  • Pressure injury around the tracheal stoma
  • Cuff leaks and patient-ventilator asynchrony
  • Acquired tracheomalacia
  • Patient discomfort and agitation

These are general clinical consequences of tracheostomy malposition documented in the literature and are not specific claims about ELEVATE device performance.

Current practice

Limitations of Current Approaches

In the absence of purpose-built positioning devices, clinicians commonly rely on improvised methods such as rolled towels, blankets, and other ad hoc supports to manage airway device positioning.⁵˒¹⁰

Purpose-built positioning

The ELEVATE Solution

A lightweight, single-patient-use device designed to support airway positioning and reduce contact pressure from tracheostomy and endotracheal tube devices.

ELEVATE gives clinicians a purpose-built alternative to rolled towels and blankets for positioning the ventilator circuit at the bedside.

  • Lightweight closed-cell polyethylene foam
  • Single-patient use
  • Three configurations: Tracheostomy, Endotracheal Large, and Endotracheal Small
  • Quality manufacturing: ISO 13485:2016 certified manufacturer
Products

The ELEVATE Product Family

Available in three configurations to address the full range of artificial airway positioning needs.

REF 057-3500

Tracheostomy

For patients with a tracheostomy tube. Single-patient use.

Box quantity / case pack: 24

REF 057-5500

Endotracheal, Large

For patients with an endotracheal tube. Single-patient use.

Box quantity / case pack: 24

REF 057-4500

Endotracheal, Small

For patients with an endotracheal tube. Single-patient use.

Box quantity / case pack: 24

From the bedside

Clinician Feedback

“Easy to use and less bulky than a rolled towel.”
Critical Care Nurse

Medical Intensive Care Unit

“Both the endotracheal tube and tracheostomy devices provided stable positioning.”
Respiratory Therapist

Medical Intensive Care Unit

“The ELEVATE device provides a sense of stability that could otherwise not have been achieved by previously used items.”
Critical Care Nurse

Neurosurgical Intensive Care Unit

These statements reflect individual clinician experiences from product evaluation and do not constitute clinical evidence of device efficacy. Results may vary. Clinicians received product samples at no cost for evaluation purposes.

Patient experience

“More comfortable and feels cooler than what was previously used.”

Patient with tracheostomy tube, Medical Intensive Care Unit

Individual patient experience. This statement does not constitute clinical evidence of comparative effectiveness. Patient comfort may vary.

Growing clinical adoption

20,000+ patients

Used in the care of over 20,000 patients across U.S. and outside U.S. acute care facilities.

Mayar Medical, Inc. · Gurnee, Illinois

Request a Sample or Quote

Tell us about your unit and we’ll follow up with samples or pricing for your facility. Please include your role, facility, phone number, which configurations you’re interested in, and whether you’d like a sample, a quote, or both.
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References

1. Agency for Healthcare Research and Quality. Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care. AHRQ Publication No. 14-0003-EF. Rockville, MD.

2. Padula WV, Delarmente BA. The national cost of hospital-acquired pressure injuries in the United States. Int Wound J. 2019;16(3):634–640.

3. Agency for Healthcare Research and Quality. Preventing Pressure Ulcers in Hospitals: Toolkit, Section 1: Assess. AHRQ, Rockville, MD.

4. Moser CH, Peeler A, Long R, et al. Prevention of endotracheal tube–related pressure injury: a systematic review and meta-analysis. Am J Crit Care. 2022;31(5):416–424.

5. Moser CH, Peeler A, Long R, et al. Prevention of tracheostomy-related pressure injury: a systematic review and meta-analysis. Am J Crit Care. 2022;31(6):499–507.

6. Centers for Medicare & Medicaid Services. “CMS Improves Patient Safety for Medicare and Medicaid by Addressing Never Events.” CMS Fact Sheet. July 31, 2008.

7. Stiles E. Implications of the new Centers for Medicare & Medicaid Services pressure ulcer policy in acute care. J Wound Ostomy Continence Nurs. 2008;35(6):547–552.

8. Black JM, Cuddigan JE, Walko MA, et al. Medical device related pressure ulcers in hospitalized patients. Int Wound J. 2010;7(5):358–365.

9. Morris LL, Whitmer A, McIntosh E. Tracheostomy care and complications in the intensive care unit. Crit Care Nurse. 2013;33(5):18–30.

10. Pandian V, et al. Global predictors of tracheostomy-related pressure injury in the COVID-19 era: a study of secondary data. Intensive Crit Care Nurs. 2024;84:103725.