The Remnova
Complete Bite Block
Safe. Clean. Effective. Essential. Easy to use.
The Remnova Complete Bite Block is physician designed and expertly engineered to protect patients’ teeth, mouths, and lives.
Our device is an oral, soft plastic device that is both a bite block and endotracheal tube (ETT) stabilizer.
Made in USA
FDA Registered
Patent Pending
Why the Remnova Complete Bite Block
is Essential
Problems:
Patients emerging from anesthesia can forcefully bite down. This can lead to dental damage, oral lacerations, hypoxia, negative pressure pulmonary edema, and death.
Endotracheal tubes can move out of proper position. This may lead to hypoxia, airway emergency, brain damage, and death.
Current Insufficient Procedure:
Crudely hand rolled gauze taped together and shoved into the patient’s mouth.
Taping the endotracheal tube against the patient’s tongue, lips and cheeks to the side of their face.
Advanced Solution from
Nathaniel G. Stamm, M.D.
The Remnova
Complete Bite Block
Bite Block and Endotracheal
Tube Stabilizer
Extensive medical research exhibits:
Bite blocks are imperative and current practice is ineffective.
American Society of Anesthesiologists (ASA): “the previously recommended gauze bite block cannot prevent endotracheal tube perforation... a reliable device that provides both protection of the patient’s oropharynx [tongue, teeth, and lips] and protection of the endotracheal tube should be used” (25)
British Journal of Anaesthesia: "The practice of using a Guedel [oral] airway as a bite block may be detrimental to the patient and should be discouraged" (21)
Experts recommend using a “purpose-designed bite block
Reinforced ET Tube ineffective (20)
Basics of Anesthesia: "a bite block should be placed to prevent occlusion of the endotracheal tube" (36)
“The routine use of bite blocks may reduce the incidence of biting the LMA [laryngeal mask airway].” (16)
Over 1 in 4 [25%] of patients have complications caused by biting on removal of their laryngeal mask airway [LMA] while awake, and 1 in 17 while anaesthetised. (16)
Complete Bite Block fits
securely under LMA
WHY BITE BLOCKS WITH ET TUBE STABILIZERS ARE NEEDED:
DENTAL AND ORAL TRAUMA
40% of injuries sustained during anesthesia are dental damage. (6)
1 in 20 patients have lips or tongues injured during anesthesia.
Potentially greater as often unreported. (23)
6.9% Incidence of oral tissue trauma after the administration of general anesthesia. (22)
“63 percent of claims against anesthetists arise from damage to teeth.” (1)
Dental injuries can be reported and marked into National Practitioner Data Bank.” (8)
Patient quality of life suffers and death can occur due to dental injury incidents. (2)
DEATH FROM BITING ET TUBE
Case of death: biting and inhaling ET tube: "Chest X-Ray of Patient After Second Intubation [Postmortem]" (35)
(10)
NEGATIVE PRESSURE PULMONARY EDEMA FROM BITING ET TUBE
(16, 19, 27)
TONGUE
NECROSIS
(37)
INHALING GAUZE BITE BLOCK
(28)
ACCIDENTAL EXTUBATION
(17)
High costs associated with maintaining current dangerous status quo:
$36 to $37 per minute mean cost of operating room time
Every 30 seconds costs ~$18.50 in the O.R. (32)
~$1,239 inflation adjusted mean dental repair cost and increasing (13)
Cost of hospital stay from negative pressure pulmonary edema
25 year old, otherwise healthy female required 6 day stay (31)
~$13,356 average 6 day ICU stay (33)
~$2,226 average 1 day ICU stay (33)
More than 120,000 incidents of unplanned or uncontrolled extubation occur yearly in the perioperative environment and ICU resulting in:
Significant complications
Increased costs: $40,992 total increased cost of an unplanned extubation
Increased hospital lengths of stay (29)
“Adverse outcomes associated with respiratory events constitute the single largest class of injury in the American Society of Anesthesiology Closed Claims Study (522 of 1541 cases; 34%).
Death or brain damage occurred in 85% of cases"
+$200,000 median cost of settlement or jury award (18)