Description
The MONTGOMERY SAFE-T-TUBE is a specialized tracheal T-tube implant designed for effective airway management in patients with complex tracheal conditions. This medical device is particularly beneficial for those with tracheal stenosis, reconstructed tracheas, or acute laryngotracheal injuries. Its primary function is to maintain a clear airway while providing structural support to the trachea.
Key Features
- Design: The T-shaped tube features smooth intraluminal limbs and an extraluminal limb equipped with a ring and groove system. This design ensures secure placement and minimizes accidental displacement.
- Material: Constructed from implant-grade silicone, available in both clear and radiopaque versions. The radiopaque version includes barium sulphate and titanium dioxide, enhancing visibility under imaging.
- Customization: Offers customizable limb lengths with a smooth taper finish to suit individual patient needs.
Series Variations
- Standard Safe-T-Tube (4200 Series): Suitable for most surgical cases.
- Thoracic Safe-T-Tube (5200 Series): Features an extra-long lower limb for thoracic applications.
- Extra-Long Safe-T-Tube (6200 Series): Allows for tailored intraluminal limb length.
- Tapered Safe-T-Tube (7200 Series): Designed to conform to the glottis or subglottis, acting as an effective tracheal stent.
- Pediatric Series (3200): Available for younger patients.
Patient Compatibility
Suitable for children, youth, and adults across all genders, the device is MRI safe and can be used with anesthesia. It is not recommended for patients with aspiration risks or those requiring positive pressure ventilation.
Packaging and Use
Each sterile, single-use set includes one tube, two Plug/Ring sets, and comprehensive instructions for use. Additional Plug/Ring sets and 15 mm adaptors are available separately. The expected application duration is up to six months, with regular cleaning and physician follow-up advised.
Care Instructions
Proper maintenance involves saline lavage and suctioning to keep the tube free from obstructions. Users should avoid heat-based medical procedures and ensure the T-tube is secured with a safety ring during use.
Potential Complications
Possible complications include granulation tissue formation, secretion obstruction, and microbial colonization. In emergency situations, clear guidelines are provided to manage tube blockages effectively.
Additional Benefits
While in place, the MONTGOMERY SAFE-T-TUBE allows for voice production and swallowing, with placement verification possible through endoscopy. It can be custom trimmed to fit patient anatomy, providing a tailored solution for complex airway management needs.