Fitting Manual

1) Use your hand to close either your left or right nostril and then take several breaths.
2) Close the opposite nostril in the same way and then take several breaths.
3) The nostril through which breathing was easiest most likely has a wide nasal cavity. Patients who breathed easily through the right nostril should select a right Nastent, while patients breathing easier through the left should select a left Nastent.
　If using a nasal cavity aeration meter to directly measure the degree of aeration, select the nostril with the smallest resistance value (pa/cm/second).

For first insertion, select a Nastent with a length of “145” and a hardness of “soft”. The product number for a Nastent with these specifications is shown below.

• Nostril	Length	Hardness	Prod. No.
  Right	145	Soft	30
  Left	145	Soft	36

  Patients who have already used Nastent should check the type of the device they used. If there was no problem with prior use, select the same type as the basis for fitting.
  Each type has its own product number. Please view the table to determine left/right usage, size, and hardness.

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1) Open the Nastent package. Check that the device surface is not scratched or deformed. Give both the package and the tube to the patient.

2) Instruct patients to insert Nastent gently. Remind patients to stop inserting once they feel the tip has reached near the uvula.

3) Confirm that the patients progress and insure that they are not feeling abnormal discomfort.

4) Once the tip the patients tells that the tip has reached near the uvula, ask patient to open mouth so that you can conform that it is inserted tell the proper length.

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  1 Open package in order on the number.

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  2 By opening the package as shown above you will be open with out getting the lubricant on your hands.

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  3 Insert with a vertical angle toward the face.

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  4 4) When the patients feel the tip has reached near the uvula, have the patient stop inserting and check if properly inserted.

1) Instruct patient to stop insertion once they feel the tip of the devise has reached near their uvula. Them have patient open their mouth so, that you can confirm if the tip is visible and inserted until proper position.

2) In case the tip is not visible, have them insert further more or take devise half way out and insert once again.

3) Once you confirm that the tip is visible and inserted until proper length, measure the left over length of the nose clipper. The nose clipper it self is 12mm.

4) After measuring have patient take out the devise. Them calculate 145 minus the left over length to determent proper length.

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  The best length of Nastent exposes its tip a little (3 to 5mm).

  The best length of Nastent exposes its tip a little (3 to 5mm).

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  When the tip is inserted to proper length, measure the Remaining length out of the nostril( nose clipper ).

• Side	Length	Hardness	Product number
  Left	120	Soft	31
  Left	125	Soft	32
  Left	130	Soft	33
  Left	135	Soft	34
  Left	140	Soft	35
  Left	145	Soft	36

• Side	Length	Hardness	Product number
  Right	120	Soft	25
  Right	125	Soft	26
  Right	130	Soft	27
  Right	135	Soft	28
  Right	140	Soft	29
  Right	145	Soft	30

Incase the patients complains or the doctors desires that Nastent patients is using at the time, there are other options as well. There two types of hardness and six type of length for each side and hardness. Please try and determine which size and hardness is most suitable or if the patients eligible to use Nastent or not.

Relationship with size and hardness of Nastent with patency of airway

Nastent Classic is available in 36 types so that almost every one can use it.

• Side	Length	Hardness	Product number
  Right	120	hard	1
  Right	125	hard	2
  Right	130	hard	3
  Right	135	hard	4
  Right	140	hard	5
  Right	145	hard	6
  Left	120	hard	7
  Left	125	hard	8
  Left	130	hard	9
  Left	135	hard	10
  Left	140	hard	11
  Left	145	hard	12

• Side	Length	Hardness	Product number
  Right	120	Soft	25
  Right	125	Soft	26
  Right	130	Soft	27
  Right	135	Soft	28
  Right	140	Soft	29
  Right	145	Soft	30
  Left	120	Soft	31
  Left	125	Soft	32
  Left	130	Soft	33
  Left	135	Soft	34
  Left	140	Soft	35
  Left	145	Soft	36