Cook VersaTube Tapered Tracheostomy Tube

Features

• Cook VersaTube Tapered Tracheostomy Tube soft PVC blend material gently conforms to patient anatomy to maximize comfort and help prevent damage to internal structures
• Compatible with Ciaglia, Ciaglia blue rhino, and the Ciaglia blue rhino G2 percutaneous tracheostomy introducer sets and trays, and Dolphin ballon assistive tracheostomy introducer
• Tracheostomy Tube ID/OD(mm): 9/12
• Angle: 97°
• Cuff resting diameter: 30mm
• Includes:
  - 1x Tracheostomy Tube  
  - 2x Inner Cannula of 9mm             
  - 1x Obturator
• Instruction Manual

More Information

Instructions

• Tube Preparation
  
  • Select the appropriately sized tracheostomy tube. 
  • Test the cuff and inflation system for leakage.
  • With the cuff inflated, taper the cuff back by gently moving away from the distal tip of the outer cannula toward the swivel neck plate as the residual air is removed by deflation. This will ease insertion and guard against cuff perforation by sharp cartilage edges.
    NOTE: Do not use sharp instruments such as forceps or hemostats to taper the cuff; doing so may result in cuff damage.
  • Ensure that the cuff is fully deflated.
  • Remove inner cannula.
  • With the inner cannula removed from the tube, insert an appropriately sized loading dilator into the tracheostomy tube. The tapered section of the loading dilator should extend from the distal tip of the tracheostomy tube by approximately 2 cm. NOTE: Water-soluble lubricant can be applied to the outer cannula, cuff and protruding portion of loading dilator to facilitate insertion.
  • Perform the dilational tracheostomy procedure per the introducer system manufacturer’s instructions.
  • Using aseptic technique, insert the inner cannula into position.
  • NOTE: Two sterile inner cannulas are provided. The outer cannula can be used independently (without the inner cannula in place).
  • Inflate the low-pressure cuff by injecting air into the Luer valve of the inflation line using a syringe. Selection of a cuff inflation and deflation method is at the discretion of the physician/hospital.
  • Switch the breathing apparatus from the endotracheal tube to the tracheostomy tube and verify adequate ventilation.
  • Secure the tracheostomy tube per hospital protocol. 
  • NOTE: A tracheostomy tube strap is included with this device. 
  • CAUTION: This product is composed of soft materials to conform to tracheal tissue for performance and patient comfort. Simple precautions in handling this tube during insertion and while in place will facilitate proper function and minimize tears and breaks in the inflation system. Avoid pulling or manipulating the inflation line, as it is designed to conduct and hold air as part of the cuff inflation system. It is recommended that the inflation line is maintained in a position allowing for patient mobility without placing tension on the line-to-cannula junction. 

• Cuff Deflation and Tube Removal
  • Before removing the tube, the cuff should be completely deflated. This will ensure that the cuff passes through the stoma with minimal resistance. 
  • NOTE: Accumulated secretions above the cuff may need to be suctioned before deflating the cuff (with a syringe) unless suctioning is contraindicated. 13. To deflate the cuff, withdraw air slowly from the Luer valve of the inflation line using a syringe. After the cuff is fully deflated, slowly remove the tracheostomy tube.