POM Medical FAQ about the oxygen endoscopy mask

Procedural Oxygen Mask FAQ

The Procedural Oxygen Mask (POM) is the first mask of its kind to offer oral and nasal membrane technology that allows for the entry of scopes, tubes, or probes. The dual membrane ports provide access during conscious sedation cases while maximizing the oxygen percentage to the patient and measuring capnography. The POM would most commonly be described as an endoscopy oxygen mask used for endoscopic procedures. The POM can provide a Fi02 delivery rate of 85% or greater!

The POM can be used as a procedural “endoscopy mask” or a multi-functional mask. Many different procedures are covered under the term “endoscopic procedure.” The most common procedures are EGD, EUS, and ERCP which utilize the oral port for access. The POM was designed to be utilized for each of these procedures while also providing maximum oxygen flow to the patient. The POM can also be utilized for conscious sedation cases, fiber-optic intubation, TEEs, as well as bronchoscopies which use the nasal port.

The Procedural Oxygen Mask is sold in both adult size and pediatric sizes.

Clinical studies of The POM can be obtained on the POM Medical website www.pommedical.net under Home Page / Studies section.

On POM Medical’s website, under the Video IFU page, there is an Instructions For Use video with detailed instructions utilizing The POM. Other informational videos can be found there as well. Each Procedural Oxygen Mask also comes with an Instruction For Use (IFU) paper insert.

Please review PDF entitled: “New ISO Tubing Connector Standards” for assistance in properly using and attaching the POM Universal O2 Supply Line. In response to several sentinel events around the U.S. involving wrongful mis-connections to medical equipment, the FDA, World Health Organization, and Joint Commission have joined forces to eliminate the “all-purpose Christmas Tree” adaptor. This multi-purpose adaptor has allowed for multiple medical mis-connections resulting in deaths. As the medical field moves forward to solve this issue, it has been proposed that all medical systems have an individual International Standard to be prepared in response to the need for a safe method of connecting medical equipment.

Yes. POM Medical now offers a connection solution to the Microstream monitors. See list of POM MSA product.

Please contact POM Medical between the hours of 8:30am and 5:00pm PST with any questions or issues regarding The Procedural Oxygen Mask.   POM Medical can be contacted toll free at: (855) 766-0202.   If after hours, callers are encouraged to leave a voice mail and will be contacted the next business day.   Requests can also be emailed to:   info@pommedical.net.

For medium concentration, the optimal flow rate is between 6 and 8 liters.   For the high concentration adapter, the optimal flow rate is between 10 and 12 liters but no more than 15.   These are optimal suggestive flow rates but keep in mind, the results will vary from facility to facility.

The POM maximizes the FiO2 to the patient providing a buffer or bank of oxygen. This extra bank of oxygen will assist with: (1) Increasing apnea detection time. (2) Increasing intervention time to re-optimize the patient. (3) Decreasing adverse events and mortality.   (4) Decreasing interruptions during the procedure.

60% of all adverse events during conscious sedation are hypoxia related events. The POM increases the patient’s blood oxygen content providing a buffer and also increasing intervention time and protecting the patient from hypoxic events.

The Co2 sampling line can be tucked under the left face strap on the mask to place it out of the way.

End-tidal Co2 washout happens when the oxygen flow rate dilutes the gas inside the mask minimizing the Co2 reading on the Co2 monitor. This most commonly can be fixed by titrating the flow rate down to maximize the capnography wave form. In some cases, the water trap on the machine or the sample line may be full or blocked and need to be changed.

The non-rebreather bag can simply be taped out of the way. This can sometimes occur when the patient is positioned on an extreme left lateral decubitus position greater the 45 degrees.

Yes. The POM is ideal for patient recovery and reduces cost and the need for additional oxygen therapy devices. The membranes have a self-healing nature which form back to a closing state providing high FIO2 to the patient during recovery.

Reduction in adverse hypoxic related events – helps avoid unnecessary cost to the hospital – for increase patient treatment and stay. It also reduces the need for additional costly equipment to optimize the patient.

Co2 retention occurs when the patients expired Co2 is retained in the mask. This occurs when the oxygen flow is set below the suggested rate. Simply increase the flow rate to the optimal setting to eliminate this issue.

The POM can be used as a traditional oxygen mask platform for cases where the ports are not utilized. Having the ability to convert from a medium or high concentration mask (non-re breather) with ETCo2 capability gives the versatility like no other. It can be used for any type of conscious sedation case.

The greatest risk of conscious sedation during upper GI endoscopy is hypoxia or “cardiopulmonary” related events. The POM Maximizes the FiO2 to the patients helping reduce periods of desaturation and increasing intervention time.

While maximizing the oxygen percentage the POM buys invaluable intervention increasing the time to re-optimize the patient during periods of apnea or desaturation. The POM saves money and time by decreasing interruptions during the procedure allowing for quick and efficient work. The POM has a sensitive ETCo2 port that allows for quick recognition of incidence apnea.

Most all patients can benefit from more oxygen however, higher risk patients with increase morbidities like cardiovascular (CAD), respiratory disease, obesity, high BMI, obstructive sleep apnea, and stroke patents to mention a few all benefit greatly from the POM.

Both! There are two main types of simple oxygen masks. (1) High concentration oxygen mask also known as a non- rebreather mask. (2) Medium concentration mask. The POM can easily be changed to either style mask with the insertion of the medium concentration adaptor or the high concentration adaptor (non-rebreather bag).

The POM comes equipped with a universal size inlet for the removal or insertion of the two adaptors. The medium concentration adaptor provides direct supply of oxygen from the oxygen source (i.e., oxygen tank, flow meter, etc…) into the POM.

The high concentration adaptor or non-rebreather first directs the oxygen from the source to fill the bag, which acts as a bank of oxygen. The oxygen level content within the bag is at 100%. When the patient takes a breath, the one-way valve opens and allows the pure oxygen to be drawn from the bag. When the patient exhales, the one-way valve closes and forces the expired O2/Co2 out of the mask.

The Procedural Oxygen mask offers higher oxygen (>85% FiO2) delivery rates as opposed to the nasal cannula’s (39% FiO2) oxygen delivery rate.   Nasal cannulas are also prone to burning a patient’s nasal passages which the Procedural Oxygen Mask does not!

The POM is manufactured and assembled here in the United States.

Yes, The POM is manufactured without the use of any Latex.

Yes, The POM is manufactured without the use of any phthalates including DEHP or DINP.

The unique sales advantage to the POM is one, all-inclusive device that fits the need of many departments and covers a large array of procedures and conscious sedation cases for most patient populations.

You will lose some of the oxygen concentration and ETCo2 sensitivity, however, still maintain a much higher FiO2 then nasal cannula. You can compensate for some of the FiO2 loss by increasing the flow rate while titrating to optimize the ETCo2 reading.

The medium concentration mask will provide an average FiO2 of 80% with the suggested flow rate of 8-10 liters per minute. The High concentration mask will provide an average FiO2 of 90% with the suggested flow rate of 10-12 liters per minute.