Medtronic 4DCT Shiley Flexible Adult Tracheostomy Tubes Instructions
- August 19, 2024
- Medtronic
Table of Contents
Medtronic 4DCT Shiley Flexible Adult Tracheostomy Tubes
Product Information
Specifications
The ShileyTM flexible adult tracheostomy tubes are designed with several
clinical input-based design advances for adult patients. The product line
includes cuffed and uncuffed tubes in various sizes. The tubes feature
improved comfort, airflow, and ease of use compared to traditional ShileyTM
tracheostomy tubes.
Product Usage Instructions
Comfort and Material
The ShileyTM flexible adult tracheostomy tubes are designed for maximum
comfort and are made from high-quality materials to ensure patient safety and
comfort.
Airflow
These tracheostomy tubes are optimized for efficient airflow to support
respiratory function in adult patients.
Connector and Inner Cannula
The tubes come with the option of an inner cannula or without, providing
flexibility based on patient needs. The connector design ensures a secure fit
and easy connection to auxiliary devices.
Product Codes and Sizing
The product codes for the ShileyTM flexible tracheostomy tubes provide
information on cuff type, Jackson size, ISO size, and inner cannula type
(disposable or reusable). Refer to the sizing chart for selecting the
appropriate tube based on patient requirements.
Specifications Overview
- For trained personnel only
- Refer to the product IFU for specific indications and instructions for use
- Internal testing data comparing the ShileyTM flexible adult tracheostomy tube with TaperGuardTM cuff to previous versions available
- Results of internal testing showing improvements in performance compared to traditional tracheostomy tubes
View the ShileyTM Flexible Tracheostomy Tube In-Service Training Video
For additional guidance on product usage and handling, view the in-service
training video. Ensure only trained personnel access this resource.
Contact Information
If you have any questions or need further assistance, please contact Medtronic
at 800.635.5267 or visit
medtronic.com/covidien.
FAQ
-
Q: Can these tracheostomy tubes be used on pediatric patients?
A: No, these tracheostomy tubes are specifically designed for adult patients. Pediatric-specific versions are available separately. -
Q: How often should the inner cannula be replaced?
A: The frequency of inner cannula replacement can vary based on individual patient needs and medical advice. Consult with healthcare professionals for guidance on replacement intervals.
Shiley™ flexible tracheostomy tubes for adult patients feature several design
advances, based on clinical input, compared to the previous version of Shiley™
tracheostomy tubes.† The table below summarizes these design enhancements
.
Feature
Traditional Shiley™ tracheostomy tube product line Shiley™ flexible adult tracheostomy tubes
| Comfort | Flange |
|---|
• Flange is more rigid
• Opaque color does not allow visualization of underlying skin
• Firm, opaque PVC material
• Soft swivel neck with tracheostomy ties for securing
| • Soft recessed flange is designed to reduce contact with the stoma site
• Clear flange allows enhanced visualization of the underlying skin
Material
• Sturdy PVC material| • Tube cannula is made with a softer material than
that used in the earlier generation of Shiley™ tracheostomy tubes
Helps weaning| Cuff
• Traditional high-volume, low-pressure barrel-shaped cuff| • Low-profile
TaperGuard™ taper-shaped cuff
• Reduces insertion force by 39% compared to the Shiley™ DCT cuffed tracheostomy tube1
• Exerts 18.6% less lateral wall pressure on the trachea2 than the Shiley™ DCT tube with a traditional barrel- shaped cuff1
• Reduces fluid leakage by 96% at a lower cuff pressure versus the Shiley™ DCT tracheostomy tube3
Airflow
• Multiple products to provide optimized airway airflow around the outer
cannula| • Airflow around the outer cannula when the cuff is deflated has
increased by an average of 242% compared to the Shiley™ DCT tracheostomy tube1
• Improved airflow may reduce the work of breathing required to speak and wean from a tracheostomy tube4
Easy to use| Sizing
• Traditional Jackson sizing 4, 6, 8, 10| • Expanded color-coded Shiley™
Jackson sizing to include 4, 5, 6, 7, 8, 9, 10
Connector
• 15-mm connector is part of the disposable or reusable inner cannula| •
Integrated 15-mm connector enables ventilation with or without an inner
cannula
Product code logic and sizing
| Previous Shiley™ tracheostomy tubes with disposable inner cannula| Shiley™
flexible adult tracheostomy tubes with disposable inner cannula
---|---|---
Size| SKU| SKU
Jackson| ISO| Cuffed| Cuffless| Cuffed| Cuffless| Inner Cannula
4| 6.5| 4DCT| 4DCFS| 4CN65H| 4UN65H| 4IC65
5| 7.0| | | 5CN70H| 5UN70H| 5IC70
6| 7.5| 6DCT| 6DCFS| 6CN75H| 6UN75H| 6IC75
7| 8.0| | | 7CN80H| 7UN80H| 7IC80
8| 8.5| 8DCT| 8DCFS| 8CN85H| 8UN85H| 8IC85
9| 9.0| | | 9CN90H| 9UN90H| 9IC90
10| 10.0| 10DCT| 10DCFS| 10CN10H| 10UN10H| 10IC10
| Previous Shiley™ tracheostomy tubes with reusable inner cannula| Shiley™
flexible adult tracheostomy tubes with reusable inner cannula
---|---|---
Size| SKU| SKU
Jackson| ISO| Cuffed| Cuffless| Cuffed| Cuffless
4| 6.5| 4LPC| 4CFS| 4CN65R| 4UN65R
5| 7.0| | | 5CN70R| 5UN70R
6| 7.5| 6LPC| 6CFS| 6CN75R| 6UN75R
7| 8.0| | | 7CN80R| 7UN80R
8| 8.5| 8LPC| 8CFS| 8CN85R| 8UN85R
9| 9.0| | | 9CN90R| 9UN90R
10| 10.0| 10LPC| 10CFS| 10CN10R| 10UN10R
For trained personnel only. For specific indications and instructions for use, please refer to the product IFU.
- Based on internal testing comparing the Shiley™ flexible adult tracheostomy tube with TaperGuard™ cuff to the Shiley™ DCT tracheostomy tube cuffed. Data on file.
- Internal testing results Athlone 2013. Results reflect measurements taken for size 7.5 Shiley™ flexible adult tracheostomy tube compared to the Shiley™ 6DCT tracheostomy tube at 20 cm H,O. Data on file.
- Internal benchtop testing results Athlone 2013. Results reflect testing the Shiley™ flexible adult tracheostomy tube with TaperGuard™ cuff, disposable inner cannula at 20 cm H20 versus the Shiley™ DCT tracheostomy tube with disposable Inner cannula at 25 cm H20.
- Mullins JB, Templer JW, Kong J, Davis WE, Hinson J Jr. Airway resistance and work of breathing in tracheostomy tubes. Laryngoscope.1993;103(12):1367–1372.
Specification overview
- Equivalent outer diameter and inner diameter sizing (with the inner cannula in place)
- Equivalent tube length across disposable inner cannula product lines
- Tube length of previous Shiley™ reusable inner cannula product line is longer than Shiley™ flexible reusable product line. The Shiley™ flexible reusable tube length is now the same as the new Shiley™ flexible disposable tube length
- Cuff resting diameter has changed due to the lower-profile cuff on the Shiley™ flexible tracheostomy product line
- Additional sizes available in the Shiley™ flexible tracheostomy product line
View the Shiley™ flexible tracheostomy tube in-service training video:
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