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T R A C H E O S T O M Y
C A N N U L A S A N D
A C C E S S O R I E STracheostomy tubesTracheostomy tubes
2
Shiley have manufactured tracheostomytubes suitable for all clinical indicationsfor more than 20 years.
Thanks to patient orientated design,Shiley tracheostomy tubes have earned amajor reputation all over the world.
Every Shiley tube meets strictinternational standards and is subjectedto intense quality controls. The result is areliable, quality product for use in bothhospitals and home-care applications.
The unique manufacturing processwhich makes both the outer and innercannula simultaneously, means that allShiley reusable inner cannula tubes are aperfect fit to the outer cannula. Thisresults in major benefits for both patientsand staff. This helps prevent secretionsfrom tracking between the inner andouter cannula, and prevents tissueovergrowth into the distal tip of the tube.
Unusual anatomy sometimes means thatstandard tubes are not suitable. We areable to supply custom made productsmeeting individual specific requirements.
Shiley Tracheostomy tubesWorld leader for more than 20 years
3
Shiley DCT & DFENCuffed tracheostomy tubes with disposable inner cannula
DFEN Fenestrated and cuffed tracheostomy tube
- Every pack contains one disposable innercannula (DIC)
- Disposable fenestrated inner cannulaavailable separately (DICFEN)
DCTREF. SIZE I.D. O.D. LENGTH CUFF RESTING
mm mm mm DIAMETER mm
04 DCT 04 5,0 09,4 62 2006 DCT 06 6,4 10,8 74 2408 DCT 08 7,6 12,2 79 2710 DCT 10 8,9 13,8 79 29
DFENREF. SIZE I.D. O.D. LENGTH CUFF RESTING
mm mm mm DIAMETER mm
04 DFEN 04 5,0 09,4 62 2006 DFEN 06 6,4 10,8 74 2408 DFEN 08 7,6 12,2 79 2710 DFEN 10 8,9 13,8 79 29
DCT Cuffed tracheostomy tube
Pack includes:a Disposable inner cannula (DIC) 15 mm click-
fit connectorb Obturator to facilitate insertion.c Cap (DCCP) for use with DFEN, DCFS &
DCFN tubes- Fixation tape
a
b
c
4
Shiley DCFS & DCFNNon-cuffed tracheostomy tubes with disposable inner cannula
DCFN Fenestrated tracheostomy tube
- Every pack contains one disposable innercannula (DIC)
- Disposable fenestrated inner cannulaavailable separately (DICFEN)
DCFSREF. SIZE I.D. O.D. LENGTH
mm mm mm
04 DCFS 04 5,0 09,4 6206 DCFS 06 6,4 10,8 7408 DCFS 08 7,6 12,2 7910 DCFS 10 8,9 13,8 79
DCFNREF. SIZE I.D. O.D. LENGTH
mm mm mm
04 DCFN 04 5,0 09,4 6206 DCFN 06 6,4 10,8 7408 DCFN 08 7,6 12,2 7910 DCFN 10 8,9 13,8 79
DCFS Tracheostomy tube
Pack includes:a Disposable inner cannula (DIC) 15mm click-
fit connectorb Obturator to facilitate insertionc Cap (DCCP) for use with DFEN, DCFS &
DCFN tubes- Fixation tape
a
b
c
5
Shiley LPC & FENCuffed tracheostomy tube with reusable inner cannula
FEN Cuffed fenestrated and cuffed tracheostomy tube
d Obturator to facilitate insertion- Fixation tapes
LPCREF. SIZE I.D. O.D. LENGTH CUFF RESTING
mm mm mm DIAMETER mm
04 LPC 04 5,0 09,4 65 2006 LPC 06 6,4 10,8 76 2408 LPC 08 7,6 12,2 81 2710 LPC 10 8,9 13,8 81 29
FENREF. SIZE I.D. O.D. LENGTH CUFF RESTING
mm mm mm DIAMETER mm
04 FEN 04 5,0 09,4 65 2006 FEN 06 6,4 10,8 76 2408 FEN 08 7,6 12,2 81 2710 FEN 10 8,9 13,8 81 29
LPC Cuffed tracheostomy tube
Pack includes:a Reusable inner cannula, 15 mm connector
with twist lock fittingb Reusable fenestrated inner cannula (with
FEN ) 15mm connector with twist lock fittingc Cap (DCP) for use with FEN and CFN tubes
c
b
ad
6
Shiley CFS, CFN and LGTNon-cuffed tracheostomy tubes with reusable inner cannula
CFSREF. SIZE I.D. O.D. LENGTH
mm mm mm
04 CFS 04 5,0 09,4 6506 CFS 06 6,4 10,8 7608 CFS 08 7,6 12,2 8110 CFS 10 8,9 13,8 81
CFN
04 CFN 04 5,0 09,4 6506 CFN 06 6,4 10,8 7608 CFN 08 7,6 12,2 8110 CFN 10 8,9 13,8 81
a Reusable inner cannula,15 mm connectorwith twist lock fitting to reduce the risk of dis-connection
b Reusable inner cannula with low profile con-nector
c Reusable inner cannula with closed low profi-le connector
LGT
06 LGT 06 6,4 11,1 5008 LGT 08 7,6 12,6 5010 LGT 10 8,9 13,7 50
CFS Tracheostomy tube CFN Fenestrated tracheostomy tube
LGT Short tube for laryngectomy
d Reusable fenestrated inner cannula, 15 mmconnector with twist lock fitting (CFN only)
e Obturator to facilitate insertionf Cap (DCP) for use with FEN and CFN tubes- Fixation tape
CFS Accessories(in packaging)
CFN Accessories(in packaging)
LGT Accessories(in packaging)
7
ShileyPaediatric and neonatal tracheostomy tubes
NEOREF. SIZE I.D. O.D. LENGTH
mm mm mm
3.0 NEO 3,0 3,0 4,5 303.5 NEO 3,5 3,5 5,2 324.0 NEO 4,0 4,0 5,9 344.5 NEO 4,5 4,5 6,5 36
NEO Neonatal tracheostomy tube
PED Paediatric tracheostomy tube
PDL Paediatric tracheostomy tube
PEDREF. SIZE I.D. O.D. LENGTH
mm mm mm
3.0 PED 3,0 3,0 4,5 393.5 PED 3,5 3,5 5,2 404.0 PED 4,0 4,0 5,9 414.5 PED 4,5 4,5 6,5 425.0 PED 5,0 5,0 7,1 445.5 PED 5,5 5,5 7,7 45
PDLREF. SIZE I.D. O.D. LENGTH
mm mm mm
5.0 PDL 5,0 5,0 7,1 505.5 PDL 5,5 5,5 7,7 526.0 PDL 6,0 6,0 8,3 546.5 PDL 6,5 6,5 9,0 56
Pack includes:a Obturator to facilitate insertion- Fixation tape
8
ShileyCuffed paediatric and neonatal tracheostomy tubes
PDCREF. SIZE I.D. O.D. LENGTH CUFF RESTING
mm mm mm DIAMETER mm
4.0 PDC 4,0 4,0 5,9 41 12.44.5 PDC 4,5 4,5 6,5 42 12.55.0 PDC 5,0 5,0 7,1 44 15.05.5 PDC 5,5 5,5 7,7 46 14.9
PLCREF. SIZE I.D. O.D. LENGTH CUFF RESTING
mm mm mm DIAMETER mm
5.0 PLC 5,0 5,0 7,1 50 15.05.5 PLC 5,5 5,5 7,7 52 14.96.0 PLC 6,0 6,0 8,3 54 19.36.5 PLC 6,5 6,5 9,0 56 19.3
PDC Cuffed paediatric tracheostomy tube PLC Cuffed paediatric tracheostomy tube, long
TG Tilson Trach Guardfor 15 mm connectors
Packaging accessories:a Obturator to facilitate insertion- Figure: fixation tape
9
REF. SIZE Use with
ShileyAccessories for tracheostomy tubes
e Cap (CAP) for use with FEN and CFN reusa-ble inner cannulas
f Shiley speaking valve (SSV) with siliconmembrane
g Shiley speaking valve (SSVO) with siliconmembrane and integrated O2 port
DIC04 DIC 04 04 DCT 04 DFEN 04 DCFS 04 DCFN06 DIC 06 06 DCT 06 DFEN 06 DCFS 06 DCFN08 DIC 08 08 DCT 08 DFEN 08 DCFS 08 DCFN10 DIC 10 10 DCT 10 DFEN 10 DCFS 10 DCFN
SIC04 SIC 04 04 LPC 04 FEN 04 CFS 04 CFN06 SIC 06 06 LPC 06 FEN 06 CFS 06 CFN08 SIC 08 08 LPC 08 FEN 08 CFS 08 CFN10 SIC 10 10 LPC 10 FEN 10 CFS 10 CFN
a Disposable inner cannula (DIC), 15mm click-fit connector for DCT, DFEN, DCFS and DCFN
b Spare inner cannula (SIC) 15mm connectorfor temporary replacement of LPC, FEN, CFSand CFN tubes
c De-cannulation cap (DCP) for FEN and CFNtubes
d De-cannulation cap (DCP) for use with DFEN,DCFS and DCFN tubes
DCP04 DCP 04 0 04 FEN 0 04 CFN06 DCP 06 0 06 FEN 0 06 CFN08 DCP 08 0 08 FEN 08 CFN10 DCP 10 10 FEN 10 CFN
DDCP all sizes of DCFS, DCFN and DFEN cannulasCAP all sizes of FEN & CFN cannulasSSV / SSVO all cannulas fitted with 15 mm connector
a b
c
d
e
f
g
10
Tracheosoft tracheostomy tubes aredesigned to minimise trauma andmaximise patient comfort, and for easeof use.
Accurate manufacturing using highquality materials and excellent designensure maximum safety in allapplications.All Tracheosoft tubes are made from softthermosensitive material and haveflexible shapes.
The large low-pressure, thin-walled cuffpresent features that ensure a seal at lowcuff pressures avoiding complicationsdue to tracheal mucosal damage.
Some products in the tracheosoft rangeare fitted with the Lanz* system, whichactively regulates cuff pressure andprevents tracheal damage bycompensating for both increases anddecreases in cuff pressures.
If anatomical conditions mean thatstandard tubes cannot be used, we areable to supply products manufactured inrelation to the specific requirements ofthe patient.
TracheoSoft*
Advanced technology for better safety
11
Lanz* SystemAutomatically controls and limits cuff pressure for the entire duration of intubation and ventilationIt is good practice to monitor cuff pressure toprevent tracheal complications in all patientswith a cuffed tube. The Lanz* system is designedto regulate cuff pressure automatically tominimise the risk of mucosal damage.
How does the Lanz* Systemwork?1. A syringe is used to fill the Lanz* system with
about 40 ml of air. Following this procedurecuff pressure will reach 22-25 mm Hg.
2. After removing the syringe, the systemautomatically maintains cuff pressure below25mm Hg. (In the tracheal wall, average capilliaryperfusion pressure is about 35 mm Hg).
3. The special built-in control valveautomatically regulates pressure in the cuffand the Lanz* pilot balloon.
Syringes or pressure gauges must not beconnected permanently to the Lanz* System;otherwise it will not function correctly.
Features and benefits:- The Lanz* external pilot balloon and the
adjustment valve continually regulate cuffpressure and prevent over or under inflation.
- The external pilot balloon provides immedia-te visual confirmation of cuff inflation.
- The LanzTM system eliminates manual controlof tracheal tube cuff pressure (although thisis always possible, if necessary.
- Reduces the risk of fluid aspiration aroundthe cuff.
- Maintains safe cuff pressure at different alti-tudes during air transport.
- The LanzTM system is permanently bondedinto the tube to avoid the risk of disconnec-tion.
12
Standard TracheoSoft*
Standard tracheostomy cannulas, sterile
B Tracheosoft* tracheostomy cannula with Hi-Lo* cuff and Lanz* System for automaticadjustment of cuff pressure
REF. REF. I.D. O.D. LENGTH RESTIN DIAMETERA B mm mm mm mm
138-50 05,0 07,0 45 19138-60 139-60 06,0 08,3 54 21138-70 139-70 07,0 09,6 65 23138-75 139-75 07,5 10,3 70 24138-80 139-80 08,0 11,0 76 26138-85 139-85 08,5 11,6 82 28138-90 139-90 09,0 12,3 89 30138-10 139-10 10,0 13,3 97 33
A Standard TracheoSoft* tracheostomycannula with Hi-Lo* cuff
Packaging accessories:a Obturator to facilitate insertionno figure: fixation tape
a
13
TracheoSoftTM with adjustable flangeStandard tracheostomy cannulas, sterile
D Tracheosoft* tracheostomy cannula withadjustable flange, Hi-Lo* cuff and Lanz*
System for automatic adjustment of cuffpressure
REF. REF. I.D. O.D. LENGTH RESTIN DIAMETERC D mm mm mm mm
100-50-1 101-50-1 05,0 07,0 072 19100-60-1 101-60-1 06,0 08,3 081 21100-70-1 101-70-1 07,0 09,6 090 27100-80-1 101-80-1 08,0 10,9 094 31100-90-1 101-90-1 09,0 12,3 099 34100-10-1 101-10-1 10,0 13,3 110 34
C Standard TracheoSoft* tracheostomycannula with adjustable flange and Hi-Lo*
cuff
Packaging accessories:a Obturator to facilitate insertionno figure: fixation tape
a
14
Reinforced TracheoSoft*
Tracheostomy cannulas, sterile
B Reinforced Tracheosoft* tracheostomycannula with adjustable flange, Hi-Lo* cuffand Lanz* System for automatic adjustmentof cuff pressure
A Reinforced TracheoSoft* tracheostomycannula with adjustable flange and Hi-Lo*
cuff
REF. REF. I.D. O.D. MAX LENGTH RESTING DIAMETERA B mm mm mm mm
135-60 136-60 06,0 08,3 092 23135-70 136-70 07,0 09,6 093 28135-80 136-80 08,0 10,9 095 31135-90 136-90 09,0 12,2 106 34135-10 136-10 10,0 13,6 112 35135-11 136-11 11,0 14,9 115 35
Packaging accessories:a Obturator to facilitate insertionno figure: fixation tape
a
15
a
REF. REF. REF. I.D. O.D. LENGTH RESTINGA B C mm mm mm DIAMETER mm
313-60 314-60 112-60 06,0 08,3 077 23313-70 314-70 112-70 07,0 09,7 080 27313-80 314-80 112-80 08,0 11,0 091 31313-90 314-90 112-90 09,0 12,3 192 34313-10 314-10 112-10 10,0 13,7 100 35
TracheoSoft* EVAC & PittEVAC & Pitt* tracheostomy cannulas, sterile
A TracheosoftTM EVAC tracheostomy cannulawith Hi-Lo* cuff and additional lumen for suc-tion of supra-glottic secretions
B Tracheosoft* tracheostomy cannula with Hi-Lo* cuff and Lanz* System for automaticadjustment of cuff pressure and additionallumen for suction of supra-glottic secretions
C Tracheosoft Pitt* tracheostomy cannula withHi-Lo* cuff and supplementary lumen for airdelivery for phonation
Packaging accessories:a Obturator to facilitate insertionno figure: fixation tape
16
TracheoSoft* PERCPERC* tracheostomy cannulas, sterile
REF. I.D. O.D. LENGTH RESTING DIAMETERA mm mm mm mm
134-80 8,0 11,6 81 28134-90 9,3 13,3 97 33
REF. REF. I.D. O.D. MAX LENGTH RESTING DIAMETERB C mm mm mm mm
137-80 1371-80 8,0 11,7 98 32137-90 1372-90 9,3 13,6 98 34
A TracheoSoft PERC* tracheostomy cannulawith Hi-Lo* cuff
B Tracheosoft PERC* reinforced tracheostomycannula with adjustable flange and Hi-Lo*
cuff C Reinforced Tracheosoft PERC* tracheostomy
cannula with adjustable flange, Hi-Lo* cuffand Lanz* System for automatic adjustmentof cuff pressure
Indicated for percutaneous tracheostomy tech-niques, as Ciaglia dilation method.
Packaging accessories:a Obturator to facilitate insertionno figure: fixation tape
a
17
Argyle*
Tracheostomy cannula with cuff in pure silicon
Argyle*
Paediatric tracheostomy cannula without cuff in pure silicon
- Includes a swivel connector (15 mm), anobturator, two tracheostomy linings, fixationtape
- In pure, non-reactive, non-adherent silicon tominimise tissue irritation and mucous trau-ma and reduce the accumulation of secre-tions
- Radio-opaque- Flexible connected collar for greater security
and comfort- Pilot balloon in pure silicon, pressure-sensiti-
ve, with positive seal valve- Soft tip- Silicon cuff adhering to the tube for easier
insertion or removal- Conformity with USP implant tests
- Flexible connected collar for greater securityand comfort
- Conformity with USP implant tests- Includes a thin-walled swivel connector (15
mm), tracheostomy tissue lining, fixation tape
- In pure, non-reactive, non-adherent silicon - Radio-opaque- Anatomical curvature with bevelled soft tip
for easy tracheal insertion- Soft tip
REF. DESCRIPTION SIZE I.D. BOXmm PACKAGING
8888-242008 Version with Cuff 5,0 58888-242016 Version with Cuff 5,0 58888-242024 Version with Cuff 5,0 58888-242032 Version with Cuff 5,0 58888-242040 Version with Cuff 5,0 58888-242057 Version with Cuff 5,0 5
REF. DESCRIPTION SIZE O.D. SIZE I.D. BOXmm mm PACKAGING
8888-241018 Paediatric version without cuff 4,0 2,5 58888-241026 Paediatric version without cuff 4,7 3,0 58888-241034 Paediatric version without cuff 5,4 3,5 58888-241042 Paediatric version without cuff 6,0 4,0 58888-241059 Paediatric version without cuff 6,6 4,5 58888-241067 Paediatric version without cuff 7,3 5,0 58888-241075 Paediatric version without cuff 7,8 5,5 58888-241083 Paediatric version without cuff 8,5 6,0 5
18
TracheoSoft* XLTExtra-long flexible tracheostomy tube with disposable inner cannula
Features and benefits
- Transparent, thermosensitive tracheostomytube
- The disposable inner cannula reduces therisk of cross-contamination and tubeblockage. Reduces cleaning times
- The unique connector with interlockingsystem, eliminates the risk of accidentaldisconnection
- The special design of the tip ensures aperfect match between the outer and innercannula
- The soft and transparent swivel flange ismore comfortable for the patient and allowseasier inspection of the stoma site
- The Hi-Lo* high volume low pressure, thin-walled cuff ensures optimal protection ofthe tracheal mucosa
- The Tip-to-Tip X-ray line ensures easyconfirmation of tube position
- Available cuffed or uncuffed- Sterile, individually packed for single
patient use
How to select the correct size
With distal or proximal extension for patients presenting with unusual anatomy or tracheal problems.
Proximal
Radial
19
REF. I.D. O.D. TOTAL PROXIMAL DISTAL PACKLENGTH LENGTH LENGTH QUANTITY
mm mm mm mm mm
73120-050 5,0 9,6 90 5 48 173120-060 6,0 11,0 95 8 49 173120-070 7,0 12,3 100 12 49 173120-080 8,0 13,3 105 15 50 1
Shiley TracheoSoft* XLTShiley Tracheosoft* XLT Extended length tracheostomy tube with disposable innercannula. Extra proximal or distal length accomodates patients with atypical anatomy,tracheal injury, increased neck size or tracheal length
Shiley Tracheosoft* XLT Cuffed tracheostomy tube- Extended distal portion
REF. I.D. O.D. TOTAL PROXIMAL DISTAL PACKLENGTH LENGTH LENGTH QUANTITY
mm mm mm mm mm
73110-050 5,0 9,6 90 5 48 173110-060 6,0 11,0 95 8 49 173110-070 7,0 12,3 100 12 49 173110-080 8,0 13,3 105 15 50 1
Shiley Tracheosoft* XLT Uncuffed tracheostomy tube- Extended distal portion
REF. I.D. O.D. TOTAL PROXIMAL DISTAL PACKLENGTH LENGTH LENGTH QUANTITY
mm mm mm mm mm
72120-050 5,0 9,6 90 20 33 172120-060 6,0 11,0 95 23 34 172120-070 7,0 12,3 100 27 34 172120-080 8,0 13,3 105 30 35 1
Shiley Tracheosoft* XLT Cuffed tracheostomy tube- Extended proximal
REF. I.D. O.D. TOTAL PROXIMAL DISTAL PACKLENGTH LENGTH LENGTH QUANTITY
mm mm mm mm mm
72110-050 5,0 9,6 90 20 33 172110-060 6,0 11,0 95 23 34 172110-070 7,0 12,3 100 27 34 172110-080 8,0 13,3 105 30 35 1
Shiley Tracheosoft* XLT Uncuffed tracheostomy tube- Extended proximal
REF. I.D. PACKQUANTITY
mm
77100-050 5,0 1077100--060 6,0 1077100--070 7,0 1077100--080 8,0 10
Shiley TracheosoftTM XLT Replacement inner cannula
Tyco HealthcareMedical Division Customer Services154 Fareham RoadGosportHampshirePO13 0ASTel: 01329 224226Fax: 01329 [email protected]
A
B
C
D
E
F
G
Accessories
REF. DESCRIPTION
340 Stoma Pad320-01 Necktape I, small320-05 Necktape I, large321-01 Necktape II, small321-05 Necktape II, large322 Necktape III353/19004 Tracheolife* II353/5413 Hygrolife*
109-01 Hi-Lo* hand pressure gauge109-05 Connection line for Hi-Lo* hand pressure gauge610/5257 Swivel connector
A Stoma Pad Polyurethane tracheostomy padB Necktape I Anatomical fixation tape with comfortable securing system and adjustable
Velcro† closureC Necktape II Standard fixation tape with adjustable securing system in VelcroD Necktape III Anatomical, comfortable fixation tape with double adjustable Velcro closure in
two partsE Tracheolife* II HME with O2 port for spontaneously breathing patientsF Hygrolife* II HME with sampling port for use with ventilated patientsG TTH Tracheostomy tube holderH Swivel connector Cobb swivel connector with access for bronchoscopy and tracheobronchial
suction, sterileI Hi-Lo* hand For cuff inflation and cuff pressure measurement/adjustment (not sterile)
pressure gauge
H I
* Tracheosoft, Gentle-Flo, Hi-Lo, Lanz, Pitt and PERC are trademarks of Mallinckrodt Inc.**Hygrolife and Tracheolife are trademarks of Dar Societa’ Per Azioni*** Argyle is a trademark of Sherwood Services AG† VELCRO is a trademark of VELCRO Industries, USA© 2003 Tyco Healthcare Group LP. All rights reserved. C-AN/UK-TR1
REV. 01/2003