4
Adjustable Collar for Extrication
English
Description
The Ambu
®
Mini Perfit ACE
®
collar is a one-piece rigid cervical spine immobilization device designed to
assist the rescuer with the maintenance of neutral alignment, prevention of lateral (side-to-side) sway and
anterior-posterior (forward and backward) flexion and extension of the cervical spine during transport and
routine patient care or movement. The Ambu Mini Perfit ACE allows one collar to custom fit infant,
pediatric and very small adults. The Ambu Mini Perfit ACE has 12 sizes for patient immobilization,
the most accurate sizing for proper immobilization.
Principles of Immobilization
Prevention and/or further extension of damage to the cervical spine and spinal cord is accomplished by
maintaining the head and neck in a position of "neutral alignment." The head and neck should not be
flexed forward, extended backward, or cocked to one side or the other. The neutral alignment position
prevents damaged vertebrae or foreign bodies from rubbing and/or cutting the spinal cord.
Additionally, the neutral alignment position prevents the spinal cord from being twisted or compressed
causing physical and/or ischemic injury to the spinal cord.
Warning
The Ambu Mini Perfit ACE collar is intended for application by licensed health care practitioners as
directed by a physician or other medical authority. Permanent injury may result from use other than as
directed by a physician or other medical authority.
An extrication collar is only part of total patient immobilization.
It is important that practitioners are trained and practiced in the use and application of the device and
that all instructions are read and understood prior to application of the collar.
All directions are to be considered as guidelines and not an attempt to define medical practice. Use the
device only after review and approval from the supervising medical authority.
Directions for Use
STEP 1
Have one rescuer manually stabilize the head and neck, gently holding the head and neck in the neutral
alignment position (Figure 1).
Note: If resistance is felt or an increase in patient discomfort is noted, follow your established protocols
for immobilization of the cervical spine in the presence of known or suspected cervical dislocation.
STEP 2
Once the head and neck are manually stabilized, a second rescuer should apply an Ambu Mini Perfit ACE
collar to the patient. Size the collar as determined below. Applied collar must not hyper-extend patient's
neck.
STEP 3
Measure the distance between an imaginary plane drawn horizontally and immediately below the patient's
chin and second horizontal plane drawn immediately on top of the patient's shoulder (Figure 2).
STEP 4
Compare this distance with the distance from the collar sizing line to the lower aspect of the plastic collar
body (not the foam) (Figure 3).
STEP 5 SIZING
The Ambu Mini Perfit ACE collar is preset to Infant Size 1. If a larger size collar is needed, disengage the
safety locks by pulling UP on the buttons (Figure 4).
STEP 6
Adjust the collar to the appropriate size: the Ambu Mini Perfit ACE provides 12 ratchet settings between
the traditional Infant (Size 1) and Small adult (Size 3).
Simply pull the collar apart until the distance between the sizing line and the plastic collar body equals
your finger measurement (Figure 5).
STEP 7
Engage the safety locks by pushing DOWN on the safety buttons (Figure 6).