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Archie Brain and the laryngeal mask: from a home-made prototype to the operating room

Six years between the first prototype and the first mass-produced mask
November 3, 2026 by
Flexible scope practice. Courtesy of PAC.
Flexible scope practice. Courtesy of PAC.

Between the face mask and the tracheal tube there was a gap: an airway that could be placed without a laryngoscope and without holding the face by hand. British anaesthetist Archie Brain filled it with the laryngeal mask.

From idea to prototype

Brain completed his first prototype in 1981 at his home in London, adapting the cuff of a Goldman dental nasal mask to fit around the laryngeal inlet. He filed a patent application in 1982.

Timeline

From prototype to product
YearEvent
1981First laryngeal mask prototype, built in London.
1982Patent application.
Dec 1987The first commercial laryngeal mask, silicone and mass-produced, is distributed by The Laryngeal Mask Company (UK).

A precision note: some sources give 1988 for the commercial launch; the Association of Anaesthetists' historical records place it in December 1987.

Why it matters today

The laryngeal mask and its successors are part of difficult airway algorithms: a supraglottic device is a rescue route that training must rehearse.

Sources

Image: courtesy of PAC (The Protected Airway Collaborative).

Educational content; it does not replace clinical judgment or your institution's guidelines.

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