Description

The Shiley Adult Fenestrated Tracheostomy Tube, developed by Medtronic, is a specialized medical device designed for adult patients requiring tracheostomy care. Its unique fenestrated design enhances patient outcomes by allowing airflow through the upper airway, thereby enabling speech and aiding in the weaning process. This feature makes it particularly beneficial for patients who need assistance with voicing while maintaining an open airway.

Key Features

• Versatile Configurations: Available in both cuffed and cuffless models, with options for reusable and disposable inner cannulas. This versatility allows healthcare providers to tailor the device to specific patient needs.

• Inner Cannula Options: The device includes both fenestrated and non-fenestrated inner cannulas. The disposable cannula features a snap-lock 15 mm connector, while the reusable version offers a twist-lock connector, usable for up to 29 days.

• Cuff Design: The cuffed versions include a high-volume, low-pressure cuff with an inflation line, pilot balloon, and luer valve, enhancing patient comfort and safety.

• Secure Flange and Obturator: Equipped with a soft-swivel neck flange for secure placement and an obturator with a smooth, rounded tip for easy insertion.

Sizing and Compatibility

The tube is available in various sizes, with inner diameters ranging from 5.0 mm to 8.9 mm and outer diameters from 9.4 mm to 13.8 mm. Lengths vary from 62 mm to 81 mm, accommodating different anatomical needs. The device is compatible with standard respiratory equipment and speaking valves via a 15 mm connector.

Accessories and Maintenance

• Decannulation Plug and 15 mm Cap: These accessories facilitate upper airway breathing when the inner cannula is removed and the cuff is deflated.

• Tracheostomy Ties: Available in cotton or Velcro for secure attachment.

• Cleaning and Replacement: The reusable inner cannula should be cleaned with specific solutions, while the disposable version is single-use only. The tube should not exceed 29 days of use, and spare tubes should be kept available.

Clinical Considerations

This device is intended for use under physician supervision and is not typically recommended for new stomas or patients requiring positive pressure ventilation. Proper placement and use are crucial to minimize potential complications such as tissue adherence or tracheal stenosis.

Safety and Regulatory Information

The Shiley Adult Fenestrated Tracheostomy Tube is CE marked and should not be resterilized or exposed to high temperatures. It comes with comprehensive instructions for use, ensuring adherence to safety standards and effective patient care.