MAD ® Muscosal, Atomization, Devices. Rapid Medication Delivery width targeted fine mist

The MADgic laryngo-tracheal mucosal atomization device consists of a small atomizing tip at the end of an 8.5” long flexible applicator that is used for dispensing topical medications to the nose, mouth, throat, hypopharynx, larynx and trachea in a fine, gentle mist. MADgic is the ideal airway device for delivering topical anesthetics prior to difficult/awake intubations, bronchoscopy, TEE and endoscopy.

MADgic is not a prefilled device; as such, its versatility offers total control over topical medication delivery. The practitioner selects the type of medication and exact dosing desired, and can attain precise, targeted delivery specific to the patient’s anatomy by shaping the malleable stylet. With MADgic there are no inventory expiration issues to contend with and the disposable device eliminates the cross-contamination risks associated with reusable atomizers.

MADgic Laryngo-Tracheal Atomizer Features and Benefits

Thorough, targeted anesthetic coverage

• Greater patient comfort; less stressful intubation/extubation
• Less risk of patient injury

Atomized Spray

• Fine mist for direct coverage of nose, pharynx, larynx and trachea

Narrow Profile

• Fits through vocal cords, down LMA or into nasal cavity

Malleable Applicator

• Retains memory to adapt to individual patient's anatomy

Medication Specific

• Clinician chooses medication(s), dose and volume
• Use topical anesthetic, vasoconstrictor, thrombin, etc.
• Refill as needed on same patient
• Latex free

No Expiration Date

• Unlimited shelf life eliminates waste and saves money

Luer Connection

• Adapts to any luer lock syringe

MADgic close up

Download Clinical Poster:

Accomplishing Awake FOB Intubation: No Bucking, No Coughing, No Injections, Minimal Sedation

In this video of a self-intubation the only anesthetic given was 5mL of 4% lidocaine administered by the MADgic® laryngo-tracheal atomizer.




Product Specfications

Typical particle size:
30-100 microns
System dead space:
0.25 mL MAD600/MAD700
0.13 mL MAD720
Tip diameter:
0.18 inches (4.6 mm)
Applicator length:
8.5 inches (21.6 cm) MAD600/MAD700
4.5 inches (11.4 cm) mAD720
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Step 1
Atomize topical anesthetic into nose / mouth / throat using MADgic.



















Step 2
Bend MADgic stylet into a 90 degree curve, slip past tongue and atomize additional anesthetic into glottis area.


















Step 3
Position patient for intubation, atomize anesthetic onto vocal cords. You are now ready to intubate.

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Catalog Number
MADgic Laryngo-Tracheal Atomizer
QTY/CaseQTY/Box
MAD600 MADgic Laryngo-Tracheal Atomizer w/3 mL Syringe 100/case 25/box
MAD700 MADgic Laryngo-Tracheal Atomizer w/o 3 mL Syringe 100/case 25/box
MAD720 MADgic Pediatric Laryngo-Tracheal Atomizer w/o 3 mL Syringe 100/case 25/box