Description

The BIVONA MID RANGE AIRE-CUFF TRACHEOSTOMY TUBE is a specialized medical device designed for effective airway management in adult patients. Manufactured by Bivona, part of Smiths Medical, this tracheostomy tube is crafted entirely from soft, flexible silicone to enhance patient comfort. Its design includes both the shaft and neck flange, ensuring a gentle fit that minimizes irritation.

Key Features

• Aire-Cuf® Design: The tube features a traditional air-filled cuff known as Aire-Cuf®, providing a reliable seal for the airway. The cuff's high-pressure, low-volume design allows it to deflate tightly against the shaft, reducing bulk and facilitating easier breathing when not in use.

• Pilot Balloon: Equipped with a blue pilot balloon, the cuff is easily identifiable, and its pressure can be monitored effectively with a manometer, ideally within the range of 20–30 mmHg.

• Material Benefits: The silicone construction includes a superslick coating that minimizes secretion encrustation, making the tube easier to clean and maintain. In some models, the shaft is wire-reinforced to resist kinking and crushing.

Design Specifications

• Single Lumen and Tube Angle: The tube features a single lumen with a consistent 100° angle across all sizes, promoting optimal fit and function.

• Obturator and Cannula: A clip-in obturator with a hollow tip is included for seamless tube changes over a guidewire. The packaging may also contain a disconnection wedge, twill tape, and a cap plug.

• Inner Cannula: The inner cannula, if used, should be inserted until a slight snap is felt and changed regularly to maintain hygiene.

Intended Use

This tracheostomy tube is particularly suitable for patients with sensitive tracheal mucosa or stoma sites. It supports various ventilation needs, including intermittent or nocturnal ventilation and weaning. When the air-filled cuff is deflated, it can be used with speaking valves, provided no foam-filled cuff is present.

Maintenance and Care

• Sterilization: Reusable models can be sterilized and reused up to 10 times, while single-use models should be discarded after use. Regular cleaning of the inner cannula and stoma care with sterile saline is recommended.

• Securing the Tube: The tube should be secured with cotton or Velcro ties, ensuring proper tension. Regular checks for blockages or damage are essential.

Sizing and Dimensions

The tube is available in various sizes, with internal diameters ranging from 5.0 mm to 10.0 mm. Each size offers specific dimensions for outer diameter, length, and cuff diameter, tailored to meet diverse clinical needs.

Packaging

Each tube is individually packaged in a sterile condition, including essential accessories such as the obturator, disconnection wedge, and trach tie. This comprehensive packaging ensures readiness for immediate clinical application.

Additional Considerations

The BIVONA MID RANGE AIRE-CUFF TRACHEOSTOMY TUBE is intended for single-patient use, with reusable models adhering to the manufacturer's reprocessing guidelines. Compatibility with certain accessories and potential impacts on swallowing and communication should be assessed by a speech pathologist where necessary. This device represents a commitment to quality and patient-centered care in tracheostomy management.