Miller laryngoscope blades
The Miller is a straight laryngoscope blade. Its tip passes beyond the epiglottis and lifts it directly, which is why it is widely used for neonates, infants and young children. GERATI makes 18 reusable Miller blades in sizes 00 to 4, in conventional and fiber optic versions.
- Sizes 00 to 4
- Conventional and fiber optic
- AISI 304 stainless steel
- Autoclavable up to 134 °C
What is a Miller blade?
A Miller blade has a straight spatula with a slight upward curve at the tip and a low, open flange. The clinician places the tip under the epiglottis and lifts it straight up to expose the vocal cords. A Macintosh blade does the opposite: its curved tip sits in front of the epiglottis, in the vallecula, and lifts it indirectly.
The narrow, straight profile suits patients with a small mouth and a relatively large, floppy epiglottis, which is why Miller blades are standard in neonatal and paediatric airway sets. Larger sizes are also used in adults when a curved blade does not give a clear view.
All Miller blades use the same hook-on fitting as the Macintosh, so they work on the same battery handle. Only the light system has to match.
Miller or Macintosh?
| Miller (straight) | Macintosh (curved) | |
|---|---|---|
| Shape | Straight spatula, small curve at the tip | Curved spatula with a larger flange |
| How it lifts the epiglottis | Directly, tip placed under the epiglottis | Indirectly, tip placed in the vallecula |
| Typical use | Neonates, infants and young children; some adult cases | Most adult intubations; older children |
| GERATI sizes | 00 to 4 | 00 to 5 |
| GERATI codes | GA 201 to 203 | GA 101 to 104 |
| Handle | Same handle for both. Match conventional to conventional and fiber optic to fiber optic. | |
More detail on the Macintosh blades page and in our article on when a straight blade is the better choice.
Three light versions
Every Miller size is made in all three versions. Working lengths are the same across versions.
GA 201 Conventional
LED lamp on the blade, powered through the handle contact. Lower cost. Remove the lamp before reprocessing. Fits conventional handles GB 200, 202 and 203.
GA 202 Fiber optic, interchangeable
Lamp in the handle; a fiber light guide carries light to the tip and can be removed from the blade for cleaning or replacement. Fits green-system handles GB 300, 302 and 303.
GA 203 Fiber optic, fixed tube
Fiber guide laser welded to the blade: no gaps, fewer parts, simpler reprocessing. Fits green-system handles GB 300, 302 and 303.
Compare in detail: fiber optic vs standard laryngoscope blades.
Miller blade sizes and product codes
The last two digits of the code give the size. Size 00 ends in -20, size 0 in -00.
| Size | Commonly used for | Working length | GA 201 Conventional | GA 202 Fiber optic, interchangeable | GA 203 Fiber optic, fixed tube |
|---|---|---|---|---|---|
| 00 | Extremely preterm newborns | 45 mm | GA 201-20 | GA 202-20 | GA 203-20 |
| 0 | Preterm newborns | 55 mm | GA 201-00 | GA 202-00 | GA 203-00 |
| 1 | Term newborns and infants | 80 mm | GA 201-01 | GA 202-01 | GA 203-01 |
| 2 | Children | 130 mm | GA 201-02 | GA 202-02 | GA 203-02 |
| 3 | Adults | 170 mm | GA 201-03 | GA 202-03 | GA 203-03 |
| 4 | Large adults | 180 mm | GA 201-04 | GA 202-04 | GA 203-04 |
Patient groups follow common neonatal resuscitation guidance and are a general guide only. Blade size depends on the individual patient and is always a clinical decision.
Order online: Miller fiber optic blades · Miller conventional blades. Full size guidance: laryngoscope blade size chart.
Miller sets and kits
Each set has one battery handle, the blades listed, 2 spare LED lamps and a hard carry case. The set code tells you the blade family and the sizes inside.
| Blade sizes | Handle | Conventional | Fiber optic, interchangeable | Fiber optic, fixed tube |
|---|---|---|---|---|
| 00, 0, 1, 2, 3 | Paediatric | GA 201-50 | GA 202-50 | GA 203-50 |
| 0, 1, 2, 3 | Adult | GA 201-40 | GA 202-40 | GA 203-40 |
| 1, 2, 3 | Adult | GA 201-30 | GA 202-30 | GA 203-30 |
| 1, 2, 3, 4 | Adult | GA 201-44 | GA 202-44 | GA 203-44 |
For a full airway kit, the anesthesia kits GA 120-50 (conventional) and GA 120-52 (fiber optic) combine Miller 00 to 4 and Macintosh 1 to 4 with an adult and a paediatric handle, 10 blades in one case. See all laryngoscope sets.
Specifications
Material and finish
AISI 304 stainless steel with a satin anti-glare finish. Corrosion resistant and built for repeated reprocessing.
Fitting and handles
Hook-on fitting to the dimensions in ISO 7376. Use with GERATI battery handles of the matching light system.
Reprocessing and warranty
Steam autoclave up to 134 °C or high-level disinfection. No fixed cycle limit. 5-year warranty against material and manufacturing defects.
Miller blades under your brand
Any Miller blade or set can carry your logo, reference, size and lot number by laser marking, in satin, matte or mirror finish, with your packaging and IFU. Private label starts at 50 units per model, and samples take 2 to 3 weeks.
See the OEM programmeLearn more
- Miller laryngoscope bladesWhen a straight blade is the better choice
- Complete guide to laryngoscope bladesTypes, materials, light sources and how to choose
- All GERATI laryngoscope bladesMacintosh, Miller and flexible tip, 60 references
- Laryngoscope blade materialsWhy stainless steel grade matters
Frequently asked questions
What is a Miller laryngoscope blade used for?
It is used to view the vocal cords and place a breathing tube. Because it lifts the epiglottis directly, it is widely used for neonates, infants and young children, and in some adults when a curved blade does not give a clear view.
What is the difference between a Miller and a Macintosh blade?
The Miller is straight and its tip lifts the epiglottis directly. The Macintosh is curved and its tip sits in the vallecula, lifting the epiglottis indirectly. Both fit the same handle.
What sizes do Miller blades come in?
GERATI makes Miller sizes 00, 0, 1, 2, 3 and 4, with working lengths from 45 mm to 180 mm. Size 00 is commonly used for extremely preterm newborns, 0 for preterm newborns, 1 for term newborns and infants, 2 for children, and 3 and 4 for adults. Size choice is always a clinical decision.
Do you make a Miller 1.5 blade?
Not in our standard range. Our Miller sizes are 00 to 4. Other sizes can be discussed as an OEM design change.
Do Miller blades fit the same handle as Macintosh blades?
Yes. Both use the ISO 7376 hook-on fitting. Conventional blades need a conventional handle and fiber optic blades need a green-system fiber optic handle.
How are Miller blades reprocessed?
Clean with an enzymatic cleaner, then steam sterilize (pre-vacuum 132–134 °C for 4 minutes, or gravity 121 °C for 30 minutes) or use high-level disinfection. Remove the lamp first on conventional blades. Follow the instructions for use.
Order Miller blades or request samples
Tell us the sizes, light version and quantities you need. We reply with prices, lead times and the documents available for your market.
Email sales@gerati.com WhatsApp +92 300 8610614- 18 Miller references, sizes 00 to 4
- Conventional and fiber optic (green system)
- AISI 304 stainless steel, LED light
- ISO 13485 quality system, CE marked, Class I
- OEM and private label from 50 units per model