LUBO – Breathe to live another day
The Lubo offers a combined solution for both airway and immobilization needs. While the Lubo is the only non-invasive solution that can safely open the airway by imitating the jaw thrust maneuver for a long time, it is the only immobilization device that allows the care giver to manage the airway easily, frees the neck from the “traditional neck grasp” while performing solid immobilization.
Any first responder, paramedic or non-paramedic, learns in the Basic Life Support course to perform the Jaw-thrust maneuver using both hands.
On the one hand, this is a difficult technique that requires training in order to be performed successfully, and still may risk the patient’s cervical spine if done manually without preliminary immobilization. On the other hand, the common cervical collars may compromise the patient’s airway by obstructing both the professional medical personnel from performing intubation and the Basic Life Support first responders from manually performing a Jaw-thrust maneuver.
Lubo secures patent airway while immobilizing the spine without causing damage to the patient’s neck. Lubo also enables performing intubation, if needed, while maintaining cervical spine fixation.
Lubo meets the first-aid international guidelines, both civilian and military, allowing basic patent airway and can quickly be applied by any first responder. The Lubo can easily be included in any first-aid kit and therefore improve health and wellness in the community.
Lubo sales commenced worldwide through distributors specialized in out-of-hospital emergencies both to the civil (private and government) and military markets.
The Lubo stems from field experience in the Israeli Army (IDF). The inventor, Dr. Omri Lubovski, is a veteran in the prestige aviation rescue 669 unit. He realized that the need for opening the airway non-invasively, quickly and efficiently, is crucial especially when the victim’s situation or scene surroundings are complicated. The lack of ability to open and secure the patient’s airway while performing immobilization, led to the invention of Lubo.
The Lubo concept has grown out of two major needs in the field of emergency medicine:
- Non-invasive airway solution
While every guideline related to pre-hospital critical care and emergency medicine instructs the first responders to take care of the patient’s airway first, the means and methods are inadequate. Whether it is the invasive solutions that are very hard to place and that may cause serious damage to the patient, or whether it is the airway method, such as head tilt-chin lift which can harm the spine, the care giver lacks an optimized solution2,3. The jaw thrust maneuver is the safest and most efficient way to open the airway without risking the spine4,6, but this method is difficult to perform manually and is impossible to maintain for more than few seconds.
- Cervical collars pitfalls
Although cervical collars have been in use for the past 50 years or so, there is an ongoing debate regarding their essentiality in light of the risks posed once they are placed on a patient7,9. Most of the cervical collars today grasp the neck and can result in airway difficulties as well as airway management compromise, intracranial pressure (ICP) incensement, increased patient pain or dyspnea, increased scene time and delay of delivery to definitive care10.
This novel device is intended to enable non-invasive airway management in cases of trauma that require immediate airway management combined with an immobilization capability1.
Lubo’s main features:
- Non-invasive airway management.
- Imitates the jaw thrust maneuver while protecting the cervical spine.
- Performs a safer jaw thrust maneuver without risking the spine6.
- Avoids using ‘invasive’ airway devices OPAs (which can result in pallet trauma, nausea, vomiting and bronco-aspiration) and NPAs (which may lead to bleeding).
- Facilitates airway clearance (teeth, secretions etc.).
Immobilization without compromising the airway and without grasping the neck.
- The only cervical collar that enables intubation (no need to remove the collar) and its immobilization is at least as good as the standard cervical collars.
- Easy to operate by any first-responders.
- Effective, fast and painless.
Lubo Family Models:
The Lubo family includes various models addressing the need to open and secure patent airway by any first responder in different segments of the critical care market, such as emergency services, first-aid kits, hospital ER/ICU, military and MCI.
Enables patented airway opening with cervical spine immobilization, adjustable to adult sizes, single-use for pre-hospital medical emergency care.
Lubo Military Model
Enables patented airway opening with cervical spine immobilization, adjustable to adult sizes for use by military forces. Robust, dark colors, for pre-hospital use, complied with TCCC and TEMP guidelines.
Enables patented airway opening with cervical spine immobilization, adjustable to small sizes, single-use for pre-hospital medical emergency care.
Lubovsky, O., Liebergall, M., Weissman, C. & Yuval, M. A new external upper airway opening device combined with a cervical collar. Resuscitation 81, 817–821 (2010).
Lairet, J. R. et al. Prehospital interventions performed in a combat zone. J. Trauma Acute Care Surg. 73, S38–S42 (2012).
Eastridge, B. J. et al. Death on the battlefield (2001–2011). J. Trauma Acute Care Surg. 73, S431–S437 (2012).
Uzun, L. et al. Effectiveness of the jaw-thrust maneuver in opening the airway: A flexible fiberoptic endoscopic study. ORL 67, 39–44 (2005).
Durga, V. K., Millns, J. P. & Smith, J. E. Manoeuvres used to clear the airway during fibreoptic intubation. Br. J. Anaesth. 87, 207–211 (2001).
Aprahamian, C. et al. Experimental Cervical Spine Injury Model : Evaluation of Airway Management and Splinting Techniques. (1984).
Goutcher, C. M. & Lochhead, V. Reduction in mouth opening with semi-rigid cervical collars. Br. J. Anaesth. 95, 344–348 (2005).
George, J. W., Fennema, J., Maddox, A., Nessler, M. & Skaggs, C. D. The effect of cervical spine manual therapy on normal mouth opening in asymptomatic subjects. J. Chiropr. Med. 6, 141–145 (2007).
Benger, J. & Blackham, J. Why do we put cervical collars on conscious trauma patients? Scand. J. Trauma. Resusc. Emerg. Med. 17, 44 (2009).
Sundstrøm, T., Asbjørnsen, H., Habiba, S., Sunde, G. A. & Wester, K. Prehospital use of cervical collars in trauma patients: a critical review. J. Neurotrauma 31, 531–40 (2014).