image of Rotigs Device

ROTIGS Rapid Oral Tracheal Intubation Guidance System is a transoral appliance that facilitates awake transoral bronchoscopic intubation, laryngoscopy, bronchoscopy, and esophagoscopy.

Rotigs is comprised of a mouthpiece, bite block, and guidance tube. The mouthpiece and integral bite blocks keep the device centered and allow a midline bronchoscopic approach to the larynx.

The device does not rest on the tongue and does not cause gagging. By creating a gag free approach to the larynx, ROTIGS facilitates safe, awake, guided transoral intubation for the infrequent endoscopist. The frequent endoscopist will find ROTIGS to be an improvement over other available airway/intubators.


The Problem

Each year approximately 600 people worldwide die from failed intubations. The morbidity and cost of failed intubations are significant. Increasing rates of obesity in the US will continue to make elective intubations more difficult. Presently, transoral bronchoscopic intubation is infrequently attempted because currently available oral airway/intubators rest on the tongue, cause gagging, do not stay in the midline, and do not provide sufficient guidance of the bronchoscope. The addition of sedation may create pharyngeal collapse and further complicate bronchoscopic intubation.

The Solution

ROTIGS, or Rapid Oral Tracheal Intubation Guidance System, is a transoral appliance that facilitates awake transoral bronchoscopic intubation, laryngoscopy, bronchoscopy, and esophagoscopy. Rotigs is comprised of a mouthpiece, bite block, and guidance tube. The mouthpiece and integral bite blocks keep the device centered and allow a midline bronchoscopic approach to the larynx. The device does not rest on the tongue and does not cause gagging. By creating a gag free approach to the larynx, ROTIGS facilitates safe, awake, guided transoral intubation for the infrequent endoscopist. The frequent endoscopist will find ROTIGS to be an improvement over other available airway/intubators.

We believe that this device allows a safe, non sedated, guided, and minimally invasive approach to the larynx. We believe primary clinical applications include transoral bronchoscopic intubation for anesthesiologists, CRNAs, and ICU physicians and laryngoscopy for ER physicians.



Expert Opinion

"ROTIGS is a substantial advance as an assist device for endoscopic airway evaluation and bronchoscopic endotracheal intubation, particularly in the hands of those that perform this vital skill infrequently."


Michael F Murphy MD, FRCPC
Professor and Chair Anesthesiology and Pain Medicine
University of Alberta
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NEWS

SAM Members and Airway Course Attendees are eligible for a FREE ROTIGS Sample.


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  • June 10 - 12: Chicago, IL
  • Sept 23 - 25: Seattle, WA
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