Tracheostomy - AIRWAY MANAGEMENT SOLUTIONS Airway ... · Percutaneous dilation tracheostomy sets...

K A P I T E X H E A L T H C A R E - S P E C I A L I S T K N O W L E D G E , S U P P O R T A N D C A R E

AIRWAY MANAGEMENT SOLUTIONS

Kapitex Healthcare Ltd.Kapitex House, 1 Sandbeck Way, Wetherby,West Yorkshire LS22 7GH, England.Tel: +44 (0)1937 580211Fax:+44 (0)1937 580796Email: [email protected]

www.kapitex.com

PBTR0020 REV: 0 07/13

Tracheostomy

Airw

ay Managem

ent SolutionsKapitex

Healthcare Ltd

Specialist tracheostomy managementsolutions you can trust

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Kapitex Customer Services

Tel: 01937 580211

Fax: 01937 580796

Email: [email protected]

www.kapitex.com

Kapitex - Adding Quality of Life to Airway Management

• Kapitex offers a very wide range of tracheostomy tubes – from the initial percutaneous systems to long term tubes and those designed to meet special clinical requirements.

• Kapitex have a comprehensive choice of tracheostomy management essentials in addition to the tracheostomy tube. This includes holders, dressings, cleaning swabs and skin protection products.

• Kapitex look forward to providing an on-going supply and support which you can put yourtrust in.

Tracheostomy management solutions from thespecialists…Kapitex Healthcare

Kapitex Customer Services

Tel: 01937 580211

Fax: 01937 580796

Email: [email protected]

www.kapitex.com

Our specialist customer care team are at hand to help with any queries you may haverelating to any of the tracheostomy productswithin this brochure.

Trach_Brochure_covers_Layout 1 31/07/2013 11:35 Page 2

Certified Quality ProductsOur products meet the requirements of the most demanding applications and comply withall relevant national and international guidelinesand standards. They are registered and approvedin many countries world-wide.

Product descriptionsPlease note that due to continuous productdevelopments it may be necessary to alter,without notice, products within our range. We endeavour to keep all customers informed ofproduct improvements. Purchased products maydiffer in appearance from the illustrations shownin this brochure.

© Kapitex Healthcare 2013

4Tracoe® experc

percutaneous dilation tracheostomy set

14Tracoe® twisttracheostomy tubes

32Tracoe® vario

flexible tracheostomy tubes

40Tracoe® comfort

long-term tracheostomy tubes

52Tracoe® mini

paediatric tracheostomy tubes

56Passy-Muir™

tracheostomy speaking valves

59Moore tubesextra long tracheostomy tubes

60Silver tubessterling silver tracheostomy tubes

62Kapitex®

stoma studs

63Kapitex®laryngectomy tubes

64Trachi-Hold® tracheostomy tube holders

65Trachi-Dress®sterile tracheostomy dressings

66Trachi-Dress® Fsterile foam tracheostomy dressings

68Tracheostomy Management Aids

24Tracoe® twist Plustracheostomy tubes

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Featuring the unique NO STEP insertion device ensuring a smooth tracheostomy

Key features

• Dilation is carried out according to the well-tried Ciaglia technique

• The atraumatic inserter ensures a stepless transition between the inserter and tracheostomy tube minimising the risk of injuring the trachea during tube insertion

• The safety stop at the neck flange on the atraumatic inserter avoids insertion of the tube too deeply, thereby minimising the risk of injury

• The separately available Tracoe twist, Tracoe twist Plus and Tracoe vario tracheostomy tubes with atraumatic inserter can also be used for reinsertion or the changing of tubes after percutaneous tracheostomy


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Tracoe®expercPercutaneous System

Tracoe®expercPercutaneous tracheostomy system

Percutaneous dilation tracheostomy setswith atraumatic inserter

A proven technique• Percutaneous dilation tracheostomy has established itself as a standard procedure in intensive care medicine. The Ciaglia technique is the one most widely used. The Tracoe experc system is based on this proven method. There is no need to learn a new procedure. The sets are tailored for the use of unfenestrated and fenestrated tubes including tubes with subglottic suction line (Tracoe twist, Tracoe twist Plus and Tracoe vario, not fenestrated).

The Innovation• Inserting the Tracheostomy tube can be a challenge. The Tracoe experc sets deliver the solution in the form of the unique, patented atraumatic inserter. A silicone sleeve at the tip of the insertion instrument smoothly bridges the gap between the inserter and the tube. This allows the tube to be inserted easily and safely.

Option for Reinsertion• For difficult reinsertion situations unfenestrated and fenestrated Tracoe twist, twist Plus and unfenestrated Tracoe vario tubes are available. They are available individually premounted with the atraumatic inserter. The Seldinger guide wire should be used in any difficult situation.

The Experc Percutaneous Kit is available with:

• Tracoe twist tracheostomy tubes with atraumatic inserter• Tracoe twist Plus tracheostomy tubes with atraumatic inserter• Tracoe vario tracheostomy tubes with atraumatic inserter

The tracheostomy tubes with atraumatic inserter are alsoavailable separately.


Tracoe® experc

Tracoe®experc set with Tracoe twist tracheostomy tube

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Fig.2 After the tube withatraumatic inserter is insertedinto the trachea the inserter ispulled out. On removal thesilicone sleeve is pulled backand the inserter can beremoved easily.

The special feature of the Tracoe experc percutaneous dilation tracheostomy set is the atraumatic inserter of the tracheostomy tube.

• Its tip has a folding silicone sleeve that smoothly bridges over the inserter and end of the tube (fig1 ).

• The inserter has a precise fit into the tube and a stop at the 15mm connector. Once the tube is in the trachea the inserter is pulled out of the tube. In doing so the silicone sleeve rolls back to allow easy removal (fig 2).

Fig.1 A collapsible sleeve at thetip of the introducer enables aunique stepless transitionbetween the inserter tip andthe patient end of the tube.

Key features

• The atraumatic inserter ensures a stepless transition between the inserter and tracheostomy tube minimising the risk of injuring the trachea during tube insertion.• The atraumatic inserter is pre-loaded and should not be removed from the tube prior to use.

• The separately available Tracoe twist, with atraumatic inserter can also be used for reinsertion or the changing of tubes after percutaneous tracheostomy.

520Tracoe experc percutaneous dilation set (WITHOUT TUBE)• Scalpel• Syringe• Puncture needle (14 G) with Teflon catheter• Seldinger guide wire made of kink resistant

Nitinol with inserter• Short dilator 14 CH/FR• Guiding catheter with safety stop• Tracoe experc dilator with hydrophilic coating

(allows easy insertion after moistening)• 4 gauze swabs 10 x 10cm

Order Code: Experc set only TR EXS 5201 x1 set (WITHOUT TUBE)

The Seldinger guide wire only and Seldinger guide wire with white guiding catheter are available asseparate components (see page 13).


7For further details, please contact Kapitex Customer Services on 01937 580211

Tracoe®expercset w

ith Tracoe twist

‘P’

320Tracoe experc twist set with 301-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe twist tracheostomy tube with low pressure cuff

and atraumatic inserter (Ref 301-P)

• x2 inner tubes• In sterile package

321Tracoe experc twist set with 302-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe twist tracheostomy tube, fenestrated with low

pressure cuff and atraumatic inserter (Ref 302-P)

• x1 fenestrated and x1 unfenestrated inner tubes• In sterile package

322Tracoe experc twist set with 306-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe twist tracheostomy tube with low pressure cuff,

subglottic line and atraumatic inserter (Ref 306-P)


Ordering information - Tracoe experc Set twist

Tracoe experc 320Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe twist tubeunfenestrated with low pressure cuff and atraumatic inserter (Ref 301-P)

Tracoe experc 321Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe twist tube fenestratedwith low pressure cuff and atraumatic inserter (Ref 302-P)

Tracoe experc 322Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe twist tubeunfenestrated with subglottic suction line, low pressure cuff and atraumatic inserter(Ref 306-P)

7 TR EXS 2007

8 TR EXS 2008

9 TR EXS 2009

7 TR EXS 2107

8 TR EXS 2108

9 TR EXS 2109

7 TR EXS 2207

8 TR EXS 2208

9 TR EXS 2209

Product Size Order number

Available with 3 styles of tube, unfenestrated, fenestrated and with subglottic suction line, 320, 321 and 322. The Tracoetwist tubes with atraumatic inserter (Ref 301-P / Ref 302-P / Ref 306-P ) are also available separately (see pages 19-20).

Tracoe®experc set with Tracoe twist ‘P’ tracheostomy tube


Key features

Fig.2 After the tube withatraumatic inserter is insertedinto the trachea the inserter ispulled out. Thereby the siliconesleeve turns down and theinserter can be removed easily.

The special feature of the Tracoe experc percutaneous dilation tracheostomy set is the atraumatic inserter of the tracheostomy tube.

• The system consists of two parts: the white guiding catheter with silicone sleeve and the green inserter fitted into the inner cannula of the tracheostomy tube. The silicone sleeve smoothly bridges over the gap in diameter between the end of the tube and the inserter thus minimising the risk of injury when inserting the tracheostomy tube into the trachea (see fig 1).

• The Tracoe twist Plus ‘P’ tracheostomy tubes are delivered pre-mounted, including the guide catheter with the atraumatic insertion system, into the inner

Fig.1 A collapsible sleeve at theintroducer tip enables a uniquestepless transition between theinserter tip and the distal end ofthe tube.

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Tracoe® experc

Tracoe®experc set with Tracoe twist Plus ‘P’tracheostomy tube

cannula with the 15mm connector. The insertion system stabilises and assists guiding the tube; it provides a precise fit into the tube and a stop at the 15mm connector.

• Once the tube is in the trachea the green inserter and the white guiding catheter with silicone sleeve are grabbed as a unit and removed together. By doing so, the silicone sleeve flaps back and the guiding catheter can be removed easily (see fig.2). The Seldinger guide wire can be removed either prior or together with the white guiding catheter. Alternatively the green inserter can be removed first, followed by the white guiding catheter and the Seldinger guide wire. Note: under no circumstances should the white guiding catheter be removed first.







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ith Tracoetw

istPlus ’P’

330Tracoe experc set twist Plus with 311-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe twist Plus tracheostomy tube unfenestrated

with low pressure cuff and atraumatic inserter (Ref 311-P)


331Tracoe experc set twist Plus with 312-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe twist Plus tracheostomy tube, double

fenestrated with low pressure cuff and atraumatic inserter (Ref 312-P)

• x1 fenestrated and x1 unfenestrated inner tubes• In sterile package

332Tracoe experc set twist Plus with 316-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe twist Plus tracheostomy tube unfenestrated

with low pressure cuff, subglottic line and atraumatic insertion system (Ref 316-P)


Ordering information - Tracoe experc Set twist Plus

Tracoe experc 330Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe twist Plus’P’ tubeunfenestrated with low pressure cuff and atraumatic inserter (Ref 311-P)

Tracoe experc 331Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe twist Plus ‘P’ tubedouble fenestrated with low pressure cuff and atraumatic inserter (Ref 312-P)

Tracoe experc 332Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe twist Plus ‘P’ tubeunfenestrated with subglottic suction line, low pressure cuff and atraumaticinsertion system (Ref 316-P)

7 TR EXS 3307

8 TR EXS 3308

9 TR EXS 3309

10 TR EXS 3310

7 TR EXS 3317

8 TR EXS 3318

9 TR EXS 3319

10 TR EXS 3320

7 TR EXS 3327

8 TR EXS 3328

9 TR EXS 3329

10 TR EXS 3330

Product Size Order number

Tracoe twist tubes 311-P, 312-P and 316-P are also available separately (see pages 27-28)

The Tracoe experc percutaneous dilation tracheostomy set is supplied with a Tracoe twist Plus ‘P’ tracheostomy tube,either unfenestrated (Ref 330) or double fenestrated (Ref 331) or with subglottic suction line (Ref 322) in sizes 07, 08 or 09.The tracheostomy tube for the Tracoe experc set includes an atraumatic inserter ensuring a stepless transition betweeninserter and end of the tube.

Tracoe®experc set with Tracoe twist Plus ‘P’ tracheostomy tube


Fig.2 Simple operationOnce the vario tube is in thetrachea, remove the inserterwith the guiding catheter withthe silicone sleeve. Uponremoval the silicone sleeve rollsback, making the guidingcatheter removal easy.

Fig.1 The unique design of thesilicone sleeve on the ExpercPercutaneous vario introducerprovides the smoothest ofinsertions, thereby makingintroduction of the tube easierand minimising risk of trauma.

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Tracoe® experc

Tracoe vario tubes Ref 450-P, 451-P, 470-P and 471-P aswell as the experc Dilation Set (Ref 520) arealso available separately. See page 34.

Key features

The Seldinger guide wire can be removed prior or together withthe guiding catheter . Note: Under no circumstances must theguiding catheter be removed first

The special feature of the Tracoe experc variotracheostomy tube set is the preloaded atraumaticinserter. The Benefits• Dilation is performed using the proven Ciaglia one- step-technique.

• The atraumatic insertion system insures a stepless transition between the inserter and the tracheostomy tube.

• The stop at the 15mm connector prevents the inserter being inserted too far into the tube, which additionally reduces the risk of injury.

• The separately available tubes with the insertion system can be used for reinsertion and tube changes.

inserter

guiding catheter







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ith Tracoe vario

Ordering information - Tracoe experc Set varioProduct Size Order number

Tracoe experc 420Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe vario tracheostomy tube withadjustable neck flange, wire reinforced, with low pressure cuff and atraumatic insertionsystem (Ref 450-P)

Tracoe experc 421Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe vario XL tracheostomy tubewith adjustable neck flange, wire reinforced, with low pressure cuff and atraumatic insertionsystem (Ref 451-P)

Tracoe experc 422Percutaneous Dilation Tracheostomy Set (Ref 520) with Tracoe vario tracheostomy tube withadjustable neck flange, not wire reinforced, with low pressure cuff, subglottic suction lineand atraumatic insertion system (Ref 470-P)

7 TR EXS 4207

8 TR EXS 4208

9 TR EXS 4209

7 TR EXS 4217

8 TR EXS 4218

9 TR EXS 4219

8 TR EXS 4228

9 TR EXS 4229

421Tracoe experc set vario with vario 451-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe vario XL tracheostomy tube wire reinforced

with adjustable neck flange, low pressure cuff and atraumatic insertion system (Ref 451-P)

• In sterile package

422Tracoe experc set vario with vario 470-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe vario tracheostomy tube not wire reinforced

with adjustable neck flange, low pressure cuff, subglottic suction line and atraumatic insertion system (Ref 470-P)


Tracoe®experc set with Tracoe vario tracheostomy tubeThe Tracoe experc percutaneous dilation tracheostomy set (Ref 520) is supplied with one of the following Tracoe variotracheostomy tubes: Ref 450-P / 451-P/ 470-P / 471-P. The tracheostomy tube for the Tracoe experc set includes anatraumatic inserter ensuring a stepless transition between inserter and end of the tube. Tracoe vario tubes with atraumatic inserter are also available separately.

420Tracoe experc set vario with vario 450-P tubeDelivery Comprises:• x1 Tracoe experc Dilation Set (Ref 520)• x1 Tracoe vario tracheostomy tube wire reinforced

with adjustable neck flange, low pressure cuff and atraumatic insertion system (Ref 450-P)



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Tracoe® experc

Tracoe twist

Tracoe twist 301-P (page 19) as Tracoe experc set 320 (page 7)


Tracoe twist Plus

Tracoe twist Plus 311-P (page 27) as Tracoe experc set 330 (page 9)

Tracoe twist Plus312-P (page 27) as Tracoe experc set 331 (page 9

Ref 450-PTracoe vario, spiral-reinforced

Ref 460-PTracoe vario, not spiral-reinforced

Ref 451-PTracoe vario, extra longspiral-reinforced

Ref 470-PTracoe vario, not spiral-reinforced with subglotticsuction line

Ref 301-PTracoe twist, notfenestrated

Ref 302-PTracoe twist, fenestrated

Ref 306-PTracoe twist, notfenestrated with subglotticsuction line

Ref 312-PTracoe twist Plus, doublefenestrated

Ref 316-PTracoe twist Plus, notfenestrated with subglotticsuction line

Tracoe®experc percutaneous set reference guide

Tracoe® vario

Tracoe® twist

Tracoe® twist Plus

The Tracoe experc percutaneous dilation tracheostomy set (Ref 520) can be supplemented with thetracheostomy tube which is best suited for the patient:

Ref 311-PTracoe twist Plus, notfenestrated

Tracoe vario tracheostomy tubes for patients requiring adjustableneck flanges

Tracoe vario 450-P (page 36) as Tracoe experc set 420 (page 11)


All Tracoe tracheostomy tubes for the percutaneous tracheostomy are available in sizes 07, 08 and 09 except Tracoe vario 470-Pand 471-P which are only available in sizes 08 and 09.Tracoe twist Plus tracheostomy tubes are also available in size 10

For patients requiring subglottic suction


Tracoe twist Plus 316-P (page 28) as Tracoe experc set 332 (page 9)



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Tracoe®expercAccessories

Tracoe®experc Accessories

517Seldinger guide wire with guiding catheter

Delivery Comprises:• Seldinger guide wire made of kink resistant Nitinol• Guiding catheter• In sterile packageTo be used with all Tracoe twist tubes with atraumaticinserter

Order Code: TR EXW 0001 x1 set

518Seldinger guide wire

Delivery Comprises:• Seldinger guide wire made of kink resistant Nitinol• Pack of 5• In sterile package

Order Code: TR EXW 0002 x5 pieces




Order Code: TR EXS 5201 x1 set (WITHOUT TUBE)


tracoe® twist 14

Neck flange, blue writing:= fenestrated outer cannula

Tracoetwist range features

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Tracoe twist - increased flexibility, comfort and performance

Key features

• Unique swivelling neck plate for maximum mobility

• Manufactured from medical grade polyurethane

• Light and flexible for increased comfort

• Positive locking action

• Durable and suitable for long term use

• Thin walls allow maximum air flow

• Meets all international standards

• Radio-opaque and sterile


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Tracoe®twist &

twist Plus

Tracheostomy Tubes

Tracoe®twist & twist Plus

unique swivelling neckplate

The most outstanding feature of Tracoe twist and twist Plus is the anatomicallyshaped neck flange that moves around two axes: vertically (a) and horizontally(b). The neck strap can be easily attached while the tube is in situ (c).

Tracheostomy Tubes

At last, a tube you and your patients canfeel comfortable with!

Maximum Mobility• Tracoe twist and twist Plus has a unique swivelling neck plate – anatomically shaped, moving around 2 axes i.e. moving in a horizontal and vertical direction. This allows the patient to turn his neck freely in all directions in comfort and to reduce pressure problems from movement from the distal end of the tube digging into the tracheal mucosa. The anatomical shaped neck flange ensures a perfect fit onto the neck, providing a major comfort feature.

• The Tracoe twist and twist Plus tubes are more flexible compared with other styles of plastic tubes – this material is light and flexible and with body temperature becomes even more supple – contributing to outstanding comfort for the patient.

• The wall thickness of the tube is much thinner than a standard plastic tube. This allows a greater volume of inspired air to enter the tube. Therefore, the clinician can choose a larger diameter of tube for the patients trachea.

• Positive locking of the inner cannula is achieved by the Tracoe twist and twist Plus inner cannula in the outer tube housing. The arrow on the 15mm connector indicates correct positioning so confidence is provided that the inner cannula is securely in place – particularly important when using with ventilators.

High Acceptance• Tracoe twist and twist Plus tracheostomy tubes are suitable throughout the ‘life’ of the tracheostomy – from initial theatre use – to long term use in the community – as they feature weaning caps, which fit over the outer housing; to speaking valves, which of course allows communication to take place – a vital motivation for all tracheostomised patients.


301Tracheostomy tube, unfenestrated with low pressure cuff

Delivery Comprises:• Outer cannula with cuff• 2 inner cannulas with 15mm connector (white)• Perforated obturator and wide neck strap (see below) • In sterile package

Tracoe®twist Tracheostomy Tubes

302Fenestrated tracheostomy tube with low pressure cuff

Delivery Comprises:• Outer cannula, fenestrated with cuff• Inner cannula, fenestrated with 15mm connector • Inner cannula with 15mm connector • Occlusion cap for 15mm connector• Perforated obturator and wide neck strap (see below) • In sterile package

16 See page 21 for accessories and spare parts

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Colour Coding Colour Coding

Tracoe twist range features

Neck flange, green writing:= unfenestrated tube

Featuring the unique anatomicallyshaped swivelling neck flange

Tracoe® twist

The most outstanding feature of Tracoe twist isthe anatomically shaped neck flange that movesaround two axes: vertically (a) and horizontally (b).The neck strap can be easily attached while thetube is in situ (c).

Each Tracoe twist tube is supplied with a perforatedobturator and a wide adjustable neck strap as well as atube info card with peel-off stickers on front and back. Theneck strap is also available separately.

Neck flange, blue writing:= fenestrated tube


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Tracoe®twist Tracheostom

y Tubes

303Tracheostomy tube

Delivery Comprises:• Outer cannula• 2 inner cannulas with 15mm connector • Perforated obturator and wide neck strap (see page 16) • In sterile package

304Fenestrated tracheostomy tube

Delivery Comprises:• Outer cannula fenestrated• Inner cannula, fenestrated with 15mm connector• Inner cannula with 15mm connector• Occlusion cap for 15mm connector• Perforated obturator and wide neck strap (see page 16) • In sterile package

Colour Coding Colour Coding

featuring the unique anatomically shaped swivelling neck flange

BA6

TL4

3 OD-OC bf

7 CD

2 OD-OT bc

1 ID-IC

AB5

Reference numbers and measurements:301 / 302 / 303 / 304 / 306

åID-IC: inside diameter (clear width) at bottom of inner cannulaçOD-OC bc: outside diameter éOD-OC bf: outside diameter ofouter cannula behind the flange èLength TL: along centre linefrom start of neck flange to bottom of tube; êLength AB: lengthalong outer bend from start of neck flange to bottom of tube;ëBA: bending angle; íCD: cuff diameter

Size å ç é Lengths (mm) ë í ID-IC OD-OC bc OD-OC bf è ê BA CD (mm) (mm) (mm) TL AB (O˚) (mm)

04 4.0 7.2 8.6 56 63.0 110 14

05 5.0 8.6 10.1 66 73.0 100 16

06 6.0 9.2 10.8 72 79.5 95 20

07 7.0 10.4 12.0 74 80.5 95 24

08 8.0 11.4 12.7 76 83.0 90 28

09 9.0 12.5 14.2 78 88.5 90 30

10 10.0 13.8 15.2 80 89.5 90 32


Tracoe® twist

Tracoe®twist Tracheostomy Tubes

18 See page 21 for accessories and spare parts

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306Tracheostomy tube, unfenestrated with low pressure cuff and subglottic suction line

Delivery Comprises:• Outer cannula with cuff and subglottic suction line• 2 inner cannulas with 15mm connector• 2 connectors for suction devices• Perforated obturator and wide neck strap (see page 16) • In sterile packageAlso available in fenestrated version: Ref 888-306 (See page 22)

Colour Coding

Subglottic Suctioning - Benefits

Subglottic suctioning offers the following key benefits:

• Accumulated subglottic secretions can be suctioned off at the lowest point, in other words, right above the cuff. This reduces the risk of bacterially contaminated secretions entering the lower respiratory tract and the risk of developing aspiration pneumonia.

• The suction line is integrated into the wall of the tube to avoid any pressure marks in the tracheostoma. Via this line, secretions can be suctioned off.

• Tracoe twist tracheostomy tubes with subglottic suctioning. Ref 306 / 306-P

The Tracoe® twist range of tracheostomy tubes withsubglottic suction lines are designed to delivermaximum performance and provide an importanttool in the management of ventilator-associatedpneumonia (VAP) which is associated with patientsin intensive care situations.

305Laryngectomy tube, unfenestrated, cuffless

Delivery Comprises:• Outer cannula• Inner cannula with 15mm connector • Inner cannula with grooved low profile connector• Perforated obturator and wide neck strap (see page 16) • In sterile package

Colour Coding

Reference numbers and measurements: 305


Size å ç é Lengths (mm) ë ID-IC OD-OC bc OD-OC bf è ê BA

(mm) (mm) (mm) TL AB (O˚)

05 5.0 9.0 10.1 47 52 125

06 6.0 9.4 10.8 50 56 120

07 7.0 10.6 12.0 52 59 120

08 8.0 11.6 12.7 56 63 115

09 9.0 12.8 14.2 58 66 108

10 10.0 14.2 15.2 60 70 100

See sizing diagram on page 17


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Tracoe®twist‘P’Tracheostom

y Tubes

Tracoe® twist ‘P’ - Tracheostomy Tubes with atraumatic inserter

For further details, please contact Kapitex Customer Services on 01937 580211

Tracoe twist ‘P’ tubes - key features

Fig.1 A collapsible sleeve at theintroducer tip enables a uniquestepless transition between theinserter tip and the patient endof the tube.

Fig.2 After the tube withatraumatic inserter is insertedinto the trachea the inserter ispulled out. Thereby the siliconesleeve turns down and theinserter can be removed easily.

The special feature of the Tracoe twist ‘P’ tube is theatraumatic insertion system.

• A unique stepless transition between the inserter tip and the tracheostomy tube is achieved by a collapsible sleeve at the tip of the introducer (fig. 1).

• The atraumatic inserter is supplied fitted into the tube and should not be removed prior to use.

• The atraumatic inserter fits exactly into the tube and bears a safety-stop at the neck flange. After the tube with atraumatic inserter is inserted into the trachea the inserter is pulled out. Thereby the silicone sleeve turns down and the inserter can be easily removed (fig. 2).

301-PTracoe twist tracheostomy tube,unfenestrated with low pressure cuff andatraumatic inserter

Delivery Comprises:• Outer cannula with cuff• 2 inner cannulas with 15mm connector • Atraumatic inserter• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 16) • In sterile package

302-PTracoe twist tracheostomy tube,fenestrated with low pressure cuff andatraumatic inserter

Delivery Comprises:• Outer cannula, fenestrated with cuff• Inner cannula with 15mm connector • Inner cannula, fenestrated with 15mm connector • Occlusion cap• Atraumatic inserter• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 16) • In sterile package

Tracoe twist ‘P’ tubes are supplied with the experc percutaneous kits.


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Tracoe® twist

306-PTracoe twist tracheostomy tubeunfenestrated with low pressure cuffsubglottic suction line and atraumaticinserter

Delivery Comprises:• Outer cannula with cuff and subglottic suction line• 2 inner cannulas with 15mm connector • 2 connectors for suction devices• Atraumatic inserter• Reinsertion tube• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 16) • In sterile package

Tracoe® twist ‘P’- tracheostomy tubes with atraumatic inserter

Reference numbers and measurements:301-P / 302-P / 303 / 306-P / 888-306-P



07 7.0 10.4 12.0 74 80.5 95 24

08 8.0 11.4 12.7 76 83.0 90 28

09 9.0 12.5 14.2 78 88.5 90 30

888-306- PTracheostomy tube , fenestrated with lowpressure cuff and subglottic suction line

Delivery Comprises:• Outer cannula, fenestrated with cuff and subglottic

suction line

• Inner cannula with 15mm connector • Inner cannula, fenestrated with 15mm connector• 2 connectors for suction devices• Perforated obturator and wide neck strap (see page 16) • In sterile package

See sizing diagram on page 17

BA6

TL4

3 OD-OC bf

7 CD

2 OD-OT bc

1 ID-IC

AB5


21

Tracoe®twist Accessories

516Occlusion caps (blue)

Delivery Comprises:• Pack of 5 occlusion caps (blue)

401Inner cannulas, fenestrated, withintegrated speaking valve (light blue)

Delivery Comprises:• 2 units supplied in individual sterile packagesThe inner cannulas are accessories for twist tubes Ref 302 and 304Sizes: 04, 05, 06, 07, 08, 09, 10

Tracoe®twist - Inner Tubes & Accessories

501-XSpare inner cannulas,unfenestrated, with 15mm connector(white)

Delivery Comprises:• 10 units supplied in individual sterile packagesThe inner cannulas are spare parts for twist tubes Ref 301,302, 303, 304 and 306Sizes: 04, 05, 06, 07, 08, 09, 10

507Inner cannulas, unfenestrated, with groovedlow profile connector (white)

Delivery Comprises:• 3 units supplied in individual sterile packagesThe inner cannulas are accessories for twist tube Ref 303 Sizes: 04, 05, 06, 07, 08, 09, 10

502Inner cannulas, fenestrated, with groovedlow profile connector (light blue)

Delivery Comprises:• 3 units supplied in individual sterile packagesThe inner cannulas are accessories for twist tubes Ref 302 and 304Sizes: 04, 05, 06, 07, 08, 09, 10

506-XSpare inner cannulas,fenestrated, with 15mm connector (light blue)

Delivery Comprises:• 10 units supplied in individual sterile packagesThe inner cannulas are spare parts for twist tubes Ref 302, 304 and 888-306Sizes: 04, 05, 06, 07, 08, 09, 10


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Tracoe® twist

Order number Size Length* I.D. of inner O.D. of outer (mm) cannula (mm) cannula (mm)

TR TRA 1001 4 56 4.0 7.2

TR TRA 1001A 5 66 5.0 8.6

TR TRA 1002 6 72 6.0 9.2

TR TRA 1002A 7 74 7.0 10.4

TR TRA 1003 8 76 8.0 11.4

TR TRA 1003A 9 78 9.0 12.5

TR TRA 1004 10 80 10.0 13.8

Ordering information- Tracoe twist tracheostomy tubes

Tracoe twist 301Low pressure cuffed tracheostomy tube not fenestrated


TR TRA 1006 4 56 4.0 7.2

TR TRA 1006A 5 66 5.0 8.6

TR TRA 1007 6 72 6.0 9.2

TR TRA 1007A 7 74 7.0 10.4

TR TRA 1008 8 76 8.0 11.4

TR TRA 1008A 9 78 9.0 12.5

TR TRA 1009 10 80 10.0 13.8

Tracoe twist 302Fenestrated low pressure cuffed tracheostomy tube


TR TRA 1051 4 56 4.0 7.2

TR TRA 1052 5 66 5.0 8.6

TR TRA 1053 6 72 6.0 9.2

TR TRA 1054 7 74 7.0 10.4

TR TRA 1055 8 76 8.0 11.4

TR TRA 1055A 9 78 9.0 12.5

TR TRA 1056 10 80 10.0 13.8

Tracoe twist 306, Low pressure cuffed, not fenestratedwith subglottic suction line


TR EXT 0107 7 74 7.0 10.4

TR EXT 0108 8 76 8.0 11.4TR EXT 0109 9 78 9.0 12.5


TR EXT 0207 7 74 7.0 10.4

TR EXT 0208 8 76 8.0 11.4TR EXT 0209 9 78 9.0 12.5

Tracoe twist 302-PLow pressure cuffed tracheostomy tube, fenestrated withatraumatic inserter


TR TRA 1011 4 56 4.0 7.2

TR TRA 1011A 5 66 5.0 8.6

TR TRA 1012 6 72 6.0 9.2

TR TRA 1012A 7 74 7.0 10.4

TR TRA 1013 8 76 8.0 11.4

TR TRA 1013A 9 78 9.0 12.5

TR TRA 1014 10 80 10.0 13.8

Tracoe twist 303Cuffless tracheostomy tube, not fenestrated


TR TRA 1016 4 56 4.0 7.2

TR TRA 1016A 5 66 5.0 8.6

TR TRA 1017 6 72 6.0 9.2

TR TRA 1017A 7 74 7.0 10.4

TR TRA 1018 8 76 8.0 11.4

TR TRA 1018A 9 78 9.0 12.5

TR TRA 1019 10 80 10.0 13.8

Tracoe twist 304Cuffless tracheostomy tube, fenestrated


TR TRA 1079 4 56 4.0 7.2

TR TRA 1080 5 66 5.0 8.6

TR TRA 1081 6 72 6.0 9.2

TR TRA 1082 7 74 7.0 10.4

TR TRA 1083 8 76 8.0 11.4

TR TRA 1084 9 78 9.0 12.5

TR TRA 1085 10 80 10.0 13.8

Tracoe twist 888-306, Low pressure cuffed, fenestratedwith subglottic suction line

Tracoe twist 301-PLow pressure cuffed tracheostomy tube, not fenestratedwith atraumatic inserter

Tracoe twist tracheostomy tubes with atraumatic inserter



TR EXT 8067 7 74 7.0 10.4

TR EXT 8068 8 76 8.0 11.4TR EXT 8069 9 78 9.0 12.5

Tracoe twist 888-306-PLow pressure cuffed tracheostomy tube, fenestrated withatraumatic inserter

23

Tracoe®twist &

twist Plus

Tracheostomy Tubes

For further details, please contact Kapitex Customer Services on 01937 580211

Ordering information- Tracoe twist inner tubes & accessories


TR TRA 1063 4 56 4.0 *

TR TRA 1064 5 66 5.0 *

TR TRA 1065 6 72 6.0 *

TR TRA 1066 7 74 7.0 *

TR TRA 1067 8 76 8.0 *

TR TRA 1068 9 78 9.0 *

TR TRA 1069 10 80 10.0 *

Tracoe twist 501-XSpare inner tube with 15mm connector (white). Notfenestrated. Suits all models except 305. Pack of 10


TR TRA 1070 4 56 4.0 *

TR TRA 1071 5 66 5.0 *

TR TRA 1072 6 72 6.0 *

TR TRA 1073 7 74 7.0 *

TR TRA 1074 8 76 8.0 *

TR TRA 1075 9 78 9.0 *

TR TRA 1076 10 80 10.0 *

Tracoe twist 506-XSpare inner tube fenestrated with 15mm connector (Blue).Suits models 302 and 304. Pack of 10


TR TRA 1035 4 56 4.0 *

TR TRA 1035A 5 66 5.0 *

TR TRA 1036 6 72 6.0 *

TR TRA 1036A 7 74 7.0 *

TR TRA 1037 8 76 8.0 *

TR TRA 1037A 9 78 9.0 *

TR TRA 1038 10 80 10.0 *

Tracoe twist 502Spare inner tube with low profile connector (blue),fenestrated. Suits models 302 and 304. Pack of 3


TR TRA 1057 4 56 4.0 *

TR TRA 1058 5 66 5.0 *

TR TRA 1059 6 72 6.0 *

TR TRA 1060 7 74 7.0 *

TR TRA 1061 8 76 8.0 *

TR TRA 1061A 9 78 9.0 *

TR TRA 1062 10 80 10.0 *

Tracoe twist 507Inner cannulas, unfenestrated with grooved low profileconnector (white). Suits model 303. Pack of 3


TR TRA 1024 4 56 4.0 *

TR TRA 1024A 5 66 5.0 *

TR TRA 1025 6 72 6.0 *

TR TRA 1025A 7 74 7.0 *

TR TRA 1026 8 76 8.0 *

TR TRA 1026A 9 78 9.0 *

TR TRA 1027 10 80 10.0 *

Tracoe twist 401Fenestrated inner tube with speaking valve. Suits models302 and 304. Pack of 2

TR TRA 1046A Pack of 5

Tracoe twist 516Occlusion caps 15mm.


TR EXT 0607 7 74 7.0 10.4

TR EXT 0608 8 76 8.0 11.4TR EXT 0609 9 78 9.0 12.5

Tracoe twist 306-PLow pressure cuffed tracheostomy tube, not fenestratedwith atraumatic inserter


Tracoe® twist Plus See page 30 for accessories and spare parts

Easier phonation

Each Tracoe twist Plus tube is supplied with a perforatedobturator and a wide adjustable neck strap as well as atube info card with peel-off stickers on front and back. Theneck strap is also available separately.

Key features

• Longer version of the well-proven twist tube

• Greatly reduced wall thickness maximises respiratory airflow

• Maximum inner lumen - thin walled but stable inner cannula

• Less outer diameter with more inner lumen• New safety locking device for inner tube

• Highly improved phonation through double fenestration (Ref 312 and 314)

Tracoe®twist Plus Tracheostomy Tubes

Highly improved phonation throughdouble fenestration of 312 and 314:multiple fenestration at the outer bendas well as two additional phonationholes at the inner bend.

All Tracoe twist Plus tubes are delivered with insertedinner cannula with pre-installed obturator

The Tracoe twist Plus provides maximumairway flow due to its innovative thinnercannula wall design. This allows theanaesthetist/intensivist to use a largerdiameter Tracoe twist Plus compared with standard tubes.

24

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Subglottic suctioning offers the following benefits:



• Tracoe twist Plus tracheostomy tubes with subglottic suctioning. Ref 316 / 316-P

Subglottic Suctioning


25

Colour Coding 312Tracoe twist Plus tracheostomy tube,double fenestrated with low pressure cuff

Delivery Comprises:• Outer cannula double fenestrated with cuff• Inner cannula with 15mm connector• Inner cannula double fenestrated with 15mm connector• Occlusion cap for 15mm connector• Perforated obturator and wide neck strap (see page 24)• In sterile package

Tracoe®tw

ist PlusTracheostom

y Tubes

Tracoe® twist Plus - innovative features deliver maximum performance

+ + Colour Coding+ +311Tracoe twist Plus tracheostomy tube,unfenestrated with low pressure cuff

Delivery Comprises:• Outer cannula with cuff• 2 inner cannulas with 15mm connector • Perforated obturator and wide neck strap (see page 24)• In sterile package

AB

BA6

2 OD-OT bc

1 ID-IC

7 CD

3 OD-OC bf

TL45

Reference numbers and measurements:311 / 312 / 313 / 314 / 316



07 7.0 9.8 10.1 85 91 100 26

08 8.0 10.8 11.1 88 95 100 28

09 9.0 11.8 12.1 90 99 100 30

10 10.0 12.8 13.1 92 102 100 32

twist Plus


Tracoe® twist Plus

Tracoe®twist Plus - Tracheostomy Tubes

26

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Colour Coding

316Tracoe twist Plus tracheostomy tube,unfenestrated, with low pressure cuff andsubglottic suction line

Delivery Comprises:• Outer cannula with cuff and subglottic suction line• 2 inner cannulas with 15mm connector• 2 connectors for suction devices• Perforated obturator and wide neck strap (see page 24)• In sterile package

Colour Coding+ +

314Tracoe twist Plus tracheostomy tube,double fenestrated, cuffless

Delivery Comprises:• Outer cannula double fenestrated• Inner cannula with 15mm connector• Inner cannula double fenestrated with 15mm connector• Occlusion cap for 15mm connector• Perforated obturator and wide neck strap (see page 24)• In sterile package

Colour Coding+ + + +313Tracoe twist Plus tracheostomy tube,unfenestrated, cuffless

Delivery Comprises:• Outer cannula • 2 inner cannulas with 15mm connector• Perforated obturator and wide neck strap (see page 24)• In sterile package

See pages 28- 29 for sizing chart and ordering information


27

Tracoe®tw

ist PlusTracheostom

y Tubes

311-PTracoe twist Plus tracheostomy tube,unfenestrated with low pressure cuff andatraumatic insertion system

Delivery Comprises:• Outer cannula with cuff• 2 inner cannulas with 15mm connector • Atraumatic insertion system• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 24)• In sterile package

312-PTracoe twist Plus tracheostomy tube,double fenestrated with low pressure cuffand atraumatic insertion system

Delivery Comprises:• Outer cannula, double fenestrated with cuff• Inner cannula with 15mm connector • Inner cannula, double fenestrated with 15mm connector • Occlusion cap• Atraumatic insertion system• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 24)• In sterile package

Tracoe twist Plus ‘P’ with atraumatic inserter (used with Experc set)

888-316Tracoe twist Plus tracheostomy tubedouble fenestrated, with low pressure cuffand subglottic suction line

Delivery Comprises:• Outer cannula with cuff and subglottic suction line• 2 inner cannulas with 15mm connector• 2 connectors for suction devices• Perforated obturator and wide neck strap (see page 24)• In sterile package

Tracoe® twist Plus - innovative features deliver maximum performance


Tracoe® twist Plus28

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316-PTracoe twist Plus tracheostomy tube,unfenestrated with low pressure cuff,subglottic suction line and atraumaticinsertion system

Delivery Comprises:• Outer cannula with cuff and subglottic suction line• 2 inner cannulas with 15mm connector • 2 connectors for suction devices• Atraumatic insertion system• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 24)• In sterile package

Tracoe twist Plus ‘P’ with atraumatic inserter (used with Experc set)

888-316-PTracoe twist Plus tracheostomy tubedouble fenestrated, with low pressure cuffsubglottic suction line and atraumaticinserter

Delivery Comprises:• Outer cannula with cuff and subglottic suction line• 2 inner cannulas with 15mm connector • 2 connectors for suction devices• Atraumatic insertion system• Sterile lubricating gel• Perforated obturator and wide neck strap (see page 24)• In sterile package

Reference numbers and measurements:311-P / 312-P / 316-P



07 7.0 9.8 10.1 85 91 100 26

08 8.0 10.8 11.1 88 95 100 28

09 9.0 11.8 12.1 90 99 100 30

10 10.0 12.8 13.1 92 102 100 32

Tracoe®twist Plus - Sizing chart

AB

BA6

2 OD-OT bc

1 ID-IC

7 CD

3 OD-OC bf

TL45


29

Tracoe®tw

ist PlusTracheostom

y Tubes


TR TRA 5117 7 85 7.0 9.8

TR TRA 5118 8 88 8.0 10.8

TR TRA 5119 9 90 9.0 11.8

TR TRA 5120 10 92 10.0 12.8

Tracoe twist Plus 311With HVLP cuff, non fenestrated including 2 inner tubes and 1 introducer

Ordering information- Tracoe twist Plus tracheostomy tubes


TR TRA 5127 7 85 7.0 9.8

TR TRA 5128 8 88 8.0 10.8

TR TRA 5129 9 90 9.0 11.8

TR TRA 5130 10 92 10.0 12.8

Tracoe twist Plus 312With HVLP cuff, double fenestrated including2 inner tubes and 1 introducer


TR TRA 5137 7 85 7.0 9.8

TR TRA 5138 8 88 8.0 10.8

TR TRA 5139 9 90 9.0 11.8

TR TRA 5140 10 92 10.0 12.8

Tracoe twist Plus 313Uncuffed, non fenestrated including 2 inner tubes and 1 introducer


TR TRA 5147 7 85 7.0 9.8

TR TRA 5148 8 88 8.0 10.8

TR TRA 5149 9 90 9.0 11.8

TR TRA 5150 10 92 10.0 12.8

Tracoe twist Plus 314Uncuffed, double fenestrated including2 inner tubes and 1 introducer


TR TRA 5167 7 85 7.0 9.8

TR TRA 5168 8 88 8.0 10.8

TR TRA 5169 9 90 9.0 11.8

TR TRA 5170 10 92 10.0 12.8

Tracoe twist Plus 316Low pressure cuffed with subglottic suction line andatraumatic inserter, non fenestrated including 2 inner tubesand 1 introducer


TR TRA 8167 7 85 7.0 9.8

TR TRA 8168 8 88 8.0 10.8

TR TRA 8169 9 90 9.0 11.8

TR TRA 8170 10 92 10.0 12.8

Tracoe twist Plus 888-316Low pressure cuffed with subglottic suction line andatraumatic inserter, double fenestrated including 2 innertubes and 1 introducer


TR EXT 1607 7 85 7.0 9.8

TR EXT 1608 8 88 8.0 10.8TR EXT 1609 9 90 9.0 11.8TR EXT 1610 10 92 10.0 12.8

Tracoe twist Plus 316-PLow pressure cuffed, unfenestrated tracheostomy tube withsubglottic suction line and atraumatic insertion system


TR EXT 8167 7 85 7.0 9.8


Tracoe twist Plus 888-316-PLow pressure cuffed, double fenestrated tracheostomy tubewith subglottic suction line and atraumatic insertion system


TR EXT 1107 7 85 7.0 9.8


Tracoe twist Plus 311-PLow pressure cuffed, unfenestrated tracheostomy tube withatraumatic insertion system


TR EXT 1207 7 85 7.0 9.8


Tracoe twist Plus 312-PLow pressure cuffed, double fenestrated tracheostomy tubewith atraumatic insertion system

Tracoe twist Plus tracheostomy tubes with atraumatic inserter


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Tracoe® twist Plus30

521-XSpare inner cannulas, unfenestratedwith 15mm connector

Delivery Comprises:• 10 units supplied in individual sterile packages. The inner cannulas are spare parts for all twist Plusmodels. Sizes: 07, 08, 09, 10

523-XSpare inner cannulas, doublefenestrated with 15mm connector (blue)Delivery Comprises:• 10 units supplied in individual sterile packages. The inner cannulas are spare parts for twist Plus tubesRef: 312, 312P, 888-316, 888-316. Sizes: 07, 08, 09, 10

Tracoe®twist Plus - Spare Parts & Accessories


TR TRA 5217 7 85 7.0 *

TR TRA 5218 8 88 8.0 *

TR TRA 5219 9 90 9.0 *

TR TRA 5220 10 92 10.0 *


TR TRA 5237 7 85 7.0 *

TR TRA 5238 8 88 8.0 *

TR TRA 5239 9 90 9.0 *

TR TRA 5240 10 92 10.0 *

516Occlusion caps (blue)Delivery Comprises:• Pack of 5 occlusion caps 15mm(blue)

TR TRA 1046A Pack of 5


Notes

31

Notes


32



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Key features

• Adjustable neck flange allows accurate placement and security

• A spring mechanism lets the flange slide easily to a new position and prevents any pressure being exerted on the trachea during adjustment

• A length marker ensures the exact setting• Neck flange features two pliable wings that can be rotated either together or independently to provide the most comfortable setting

• Available in 5 styles with spiral reinforcement, cuffed and uncuffed and non reinforced plastic with x-ray contrast line, cuffed and uncuffed

Tracoe vario - a new milestone in tracheostomy


33

Tracoe®varioTracheostom

y Tubes

Tracoe®vario

numerous adaptabilities

(a) A length marker ensures the exact positioning of the neck flange in preparationto change tubes (b) As an optional precaution the neck flange can be securelylocked by pulling up the orange lever system (c) pliable wings on the flange can beadjusted independently of one another. This helps to meet the unique anatomicalrequirements of each patient.

Tracheostomy Tubes

A flexible tube with a patented variablyadjustable neck flange

33

The unique Tracoe vario• Tracoe vario - the flexible tube with the patented adjustable neck flange. By means of a practical locking mechanism, the neck flange can be moved and adjusted individually to any patient.

• A length marker ensures the exact positioning of the neck flange in preparation to change tubes (a).The flange will move by depressing the grey side panels on the flange. The flange is fixed immediately after it is released. Additionally the neck flange will be securely locked by pulling up the orange lever (b).

A Perfect Fit• The pliable wings on the flange can be adjusted independently of one another (c). This provides additional possibilities for meeting the unique anatomical requirements of each patient.

• Tracoe vario tracheostomy tubes are made of clear plastic and come in several versions. Reinforced with metal spiral, or non reinforced (with an x-ray contrast line) with or without low pressure cuff, with subglottic suction line and in an extra long version.

Now with subglottic suction• Accumulated subglottic secretions can be suctioned off at the lowest

point, in other words, right above the cuff. This reduces the risk of bacterially contaminated secretions entering the lower respiratory tract and the risk of developing aspiration pneumonia.

• The suction line is integrated into the wall of the tube to avoid any pressure marks in the tracheostoma. Via this line, secretions can be suctioned off. Tracoe vario tracheostomy tubes with subglottic suctioning. Ref 470 / 470-P / 471


Tracoe®vario Tracheostomy Tubes

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451vario XL extra long, wire reinforcedtracheostomy tube with adjustable neckflange and low pressure cuff

Delivery Comprises:• Cannula with 15mm connector, wire reinforced

with cuff and scale

• Obturator and wide neck strap (see page 37)• In sterile package

Colour CodingXL460Tracheostomy tube with adjustable neckflange and low pressure cuff

Delivery Comprises:• Cannula with 15mm connector, cuff, X-ray contrast

line and scale


Colour Coding

450Wire reinforced tracheostomy tube withadjustable neck flange and low pressure cuff

Delivery Comprises:• Cannula with 15mm connector, wire reinforced, with cuff

and scale


Colour Coding 455Spiral-reinforced tracheostomy tube,cuffless with adjustable neck flange

Delivery Comprises:• Cannula with 15mm connector, wire reinforced,

with scale


Colour Coding

extra long

Tracoe® vario


35


y Tubes

Colour Coding470Vario tracheostomy tube with adjustableneck flange, low pressure cuff and subglottic suction line

Delivery Comprises:• Cannula with 15mm connector, cuff, X-ray contrast line,

scale and subglottic suction line

• 2 connectors for suction pump• Obturator and wide neck strap (see page 37)• In sterile package

Subglottic suction line - key benefits



471vario extra long tracheostomy tubewith adjustable neck flange, low pressurecuff and subglottic suction line


scale and subglottic suction line

• 2 connectors for suction pump• Obturator and wide neck strap (see page 37)• In sterile package

Colour CodingXL

extra long

For sizing information see page 39

• The variably adjustable neck flange with rotating wings permits universal adjustment to any neck anatomy (e.g. thick necks, post operative oedma, asymmetrical necks).

• Ref 450-P / 451-P / 470-P / 471-PTracoe vario tracheostomy tubes with atraumatic insertionsystem. For details refer to page 36.

Tracoe®vario Tracheostomy Tubes - with Subglottic Suction


Tracoe® vario36

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470-PTracoe vario tracheostomy tube withsubglottic suction, adjustable neck flange,low pressure cuff and atraumatic insertion system


scale, subglottic suction line and atraumatic insertion system

• 2 connectors for suction devices• Sterile lubricating gel• Obturator and wide neck strap (see page 37)• In sterile package

450-PTracoe vario tracheostomy tube, wirereinforced with adjustable neck flange, low pressure cuff and atraumatic insertion system

Delivery Comprises:• Cannula with 15mm connector, wire reinforced with

cuff, scale and atraumatic insertion system

• Sterile lubricating gel• Obturator and wide neck strap (see page 37)• In sterile package

451-PTracoe vario XL tracheostomy tube, extralong, wire reinforced with adjustable neckflange, low pressure cuff and atraumaticinsertion system

Delivery Comprises:• Cannula extra long with 15mm connector, wire

reinforced with cuff, scale and atraumatic insertion system

• Sterile lubricating gel• Obturator and wide neck strap (see page 37)• In sterile package

extra long

471-PTracoe vario XL tracheostomy tube, extralong with subglottic suction, adjustableneck flange, low pressure cuff andatraumatic insertion system

Delivery Comprises:• Cannula extra long with 15mm connector, cuff, X-ray

contrast line, scale, subglottic suction line and atraumatic insertion system

• 2 connectors for suction devices• Sterile lubricating gel• Obturator and wide neck strap (see page 37)• In sterile package

extra long


37For further details, please contact Kapitex Customer Services on 01937 580211


y Tubes


TR TRA 3001 6 70 6.0 8.2

TR TRA 3002 7 80 7.0 9.7

TR TRA 3003 8 90 8.0 11.2

TR TRA 3004 9 100 9.0 12.3

TR TRA 3005 10 110 10.0 13.7

TR TRA 3006 11 120 11.0 14.8

Tracoe vario 450 cuffed, wire reinforcedWire reinforced tracheostomy tube with adjustable neckflange and low pressure cuff


TR TRA 3025 7 104 7.0 9.7

TR TRA 3026 8 123 8.0 11.2

TR TRA 3027 9 126 9.0 12.3

TR TRA 3028 10 135 10.0 13.7

Tracoe vario 451 extra long, cuffed, wire reinforced Extra long tracheostomy tube, wire reinforced with lowpressure cuff and adjustable neck flange


TR TRA 3029 7 80 7.0 9.7

TR TRA 3030 8 90 8.0 11.2

TR TRA 3031 9 100 9.0 12.3

TR TRA 3032 10 110 10.0 13.7

Tracoe vario 470 tracheostomy tube, cuffed, notwire reinforced with subglottic suction line Tracheostomy tube with low pressure cuff and adjustableneck flange


TR TRA 3007 6 70 6.0 8.2

TR TRA 3008 7 80 7.0 9.7

TR TRA 3009 8 90 8.0 11.2

TR TRA 3010 9 100 9.0 12.3

TR TRA 3011 10 110 10.0 13.7

TR TRA 3012 11 110 11.0 14.8

Tracoe vario 455 uncuffed, wire reinforcedSpiral reinforced tracheostomy tube with adjustable neckflange


TR TRA 3013 6 70 6.0 8.2

TR TRA 3014 7 80 7.0 9.7

TR TRA 3015 8 90 8.0 11.2

TR TRA 3016 9 100 9.0 12.3

TR TRA 3017 10 110 10.0 13.7

TR TRA 3018 11 110 11.0 14.8

Tracoe vario 460 cuffed, not reinforced Tracheostomy tube with low pressure cuff and adjustableneck flange


TR TRA 3033 7 104 7.0 9.7

TR TRA 3034 8 123 8.0 11.2

TR TRA 3035 9 126 9.0 12.3

TR TRA 3036 10 135 10.0 13.7

Tracoe vario 471 extra long, cuffed, not reinforcedwith subglottic suction line Extra long tracheostomy tube with low pressure cuff,adjustable neck flange and subglottic suction line.

Ordering information- Tracoe vario tracheostomy tubes

Each Tracoe vario tube is supplied with an obturatorand a wide adjustable neck strap as well as a tube infocard with peel-off stickers on front and back. The neckstrap is also available separately.

Tracoe® vario - the flexible tube with theunique variably adjustable neck flange


38 Tracoe® vario

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TR EXT 4507 7 80 7.0 9.7

TR EXT 4508 8 90 8.0 11.2

TR EXT 4509 9 100 9.0 12.3

Tracoe vario 450-PWire reinforced with adjustable neck flange, low pressurecuff and atraumatic insertion system


TR EXT 4517 7 104 7.0 9.7

TR EXT 4518 8 123 8.0 11.2

TR EXT 4519 9 126 9.0 12.3

Tracoe vario 451-PExtra long, wire reinforced with adjustable neck flange, lowpressure cuff and atraumatic insertion system


TR EXT 4708 8 90 8.0 11.2

TR EXT 4709 9 100 9.0 12.3

Tracoe vario 470-PWith adjustable neck flange, low pressure cuff, subglotticsuction line and atraumatic insertion system


TR EXT 4718 8 123 8.0 11.2

TR EXT 4719 9 126 9.0 12.3

Tracoe vario 471-PExtra Long with adjustable neck flange, low pressure cuff,subglottic suction line and atraumatic insertion system

Notes


3 TL

5 BA

6 CD

2 OD

1 ID

BC

A

åID: inside diameter (clear width) at bottom of cannulaçOD: outside diameter at bottom of cannula éTL: lengthalong centre line èAB: length along outer bend êBA:bending angle ëCD: cuff diameter (Ref 450 and 460)


y Tubes

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Reference numbers and measurements:450-P / 470-P

Size åID çOD Lengths (mm) êBAëCD (mm) (mm) A C B éTL èAB (O˚) (mm)

07 7.0 9.7 33 32 15 80 86 100 26

08 8.0 11.2 35 35 20 90 97 100 28

09 9.0 12.3 38 35 27 100 106 100 30

Reference numbers and measurements:451-P / 471-P


07 7.0 9.7 35 36 33 104 110 100 26

08 8.0 11.2 37 46 40 123 128 100 28

09 9.0 12.3 38 46 42 126 134 100 30

Tracoe vario Sizing information

Reference numbers and measurements:450 / 455 and 460


06 6.0 8.2 30 28 12 70 76 100 23

07 7.0 9.7 33 32 15 80 86 100 26

08 8.0 11.2 35 35 20 90 97 100 28

09 9.0 12.3 38 35 27 100 106 100 30

10 10.0 13.7 38 37 35 110 120 100 32

11 11.0 14.8 38 37 35 110 121 100 34

Reference numbers and measurements:470


07 7.0 9.7 33 32 15 80 86 100 26

08 8.0 11.2 35 35 20 90 97 100 28

09 9.0 12.3 38 35 27 100 106 100 30

10 10.0 13.7 38 37 35 110 120 100 32

Reference numbers and measurements:451 and 471 Extra Long


07 7.0 9.7 35 36 33 104 110 100 26

08 8.0 11.2 37 46 40 123 128 100 28

09 9.0 12.3 38 46 42 126 134 100 30

10 10.0 13.7 38 52 45 135 146 100 32


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Tracoe®c

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Tracoe comfort - the ideal range for long-term use

Key features

• Light, flexible, soft and pliable - harmless to tissue, adapting easily to the trachea

• Made from implant tested medical grade PVC with rounded ends to prevent mucosal damage

• Do not need to be removed for X-ray or cobalt therapy

• Low profile fittings enables the user to wear tracheostomy filters and protectors in comfort

• Available in a variety of styles and sizes as standard - customised sizes or lengths available on request

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Tracoe®comfortTracheostom

y Tubes

Tracoe®comfort

• Detachable Speaking Valve

Tracheostomy Tubes

A range of comfortable, flexible, uncuffedtracheostomy tubes

Lightweight, Soft and Flexible• Tracoe comfort tracheostomy tubes are made of clear medical- grade polymer material which makes them both especially soft and very lightweight. They do not have to be removed for X-ray or cobalt therapy. A Tracoe comfort tube weighs only about one third the weight of a silver tube of the same size. Because they are transparent it is also very easy to ensure that they are perfectly clean.

As Comfortable as Possible• As the name suggests, Tracoe comfort tubes are designed to be as comfortable as possible for permanent wearers after tracheostomy or laryngectomy. Their discreet appearance is an added benefit.

Many Models and Sizes• Every tube model comes in many different sizes and lengths with and without speaking valves. Kapitex can supply special customised tubes for any individual - any size or length can be made to ensure maximum comfort for the wearer. For more information contact Kapitex.

• Neat Fenestrations

Superb quality, featuring…

• Swivel Valve

Tracoe® comfort

101Tube without inner cannula

Delivery Comprises:• Cannula• Wide neck strap For acute tracheostomy and emergency careapplications

Tracoe®comfort tracheostomy tubes

102Tube, unfenestrated with inner cannula

Delivery Comp

Tracheostomy - AIRWAY MANAGEMENT SOLUTIONS Airway ... · Percutaneous dilation tracheostomy sets...

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