Shiley Reusable Inner Cannula Cuffless Fenestrated Tracheostomy Tubes

Shiley Fenestrated Tracheostomy Tube Features

• Swivel neck flanges to improve patient comfort
• Decannulation Plug (DCP) closes the proximal end of CFN to permit breathing through the fenestration and upper airway (decannulation plug is not included)
• Reusable Inner Cannula with an integral 15mm twist-lock connector can be cleaned an unlimited number of times within a 29-day tube use cycle
• Low profile inner cannula minimizes tube profile for long-term care
• Smooth, rounded-tip obturator of the tracheostomy tube facilitates the insertion
• Bypass upper airway obstructions 
• Provide long-term ventilation
• Support and/or manage tracheal or bronchial secretions 
• Sterile and individually packaged 
• Latex Free
• Inner cannula aids weaning and speaking

Shiley Cuffless Trach Tube User Manual

Commonly Asked Questions on Tracheostomy

 

What to buy with Cuffless Fenestrated Tracheostomy Tube

• Shiley Decannulation Plug (Code DCP) 
• Shiley Decannulation Cap
• Shiley Tracheostomy Tube Holder

How to use Shiley Trach Cuffless Tube?

How To Suction?

1. Wash hands.
2. Put on gloves.
3. Attach the suction catheter to the suction machine.
4. Rinse the catheter by suctioning sterile water.
5. Hyperoxygenate by taking 3 to 4 deep breaths.
6. With your thumb off the thumb hole, gently insert the catheter into the tracheostomy tube until it reaches the end of the tube or until you cough.
7. Cover the thumb hole on the catheter to suction.
8. Slowly remove the catheter while rolling it between your thumb and forefinger. Also, pulse the suctioning by covering and uncovering the thumb hole of the catheter. (Start to finish, this process should take no longer than 10 seconds.)
9. If you need to suction again, rinse the catheter first and take another 3 to 4 deep breaths, then repeat the suctioning stage. (Allow enough time between each catheter insertion for normal breathing or ventilator support to reoxygenate your body.)
10. Look at the mucus you have suctioned.
11. Normal: Clear, with no odor.
    Infection: Yellow or green color with foul-smelling odor.
    Blood: A few streaks of blood is OK. But if it has more bright red or old dark blood, there could be a problem.
12. If you see signs of infection or bright red blood, call your doctor

How to change Twill Tape Ties?

1. Wash hands. (If you have an assistant, they must wash their hands, too.)
2. Leave old ties in place. Pull one end of the twill tie through either neck flange hole. Adjust the ends of the tie until one is 3 to 4 inches longer than the other.
3. Bring both ends of the tie around your neck and insert the longer end of the tie through the other neck flange hole.
4. Pull the tie snug. Place one finger between the tie and the neck and tie the two ends together using a square knot. Do not use a bow.
5. Cut the ends of the ties leaving only 1 or 2 inches.
6. Carefully cut and remove soiled ties.

How to clean around the Shiley opening?

1. Wash your hands.
2. Dip a cotton swab into the hydrogen peroxide and water mixture.
3. Roll the cotton swab between the tracheostomy tube and the skin around the opening. Clean from the stoma outward. This removes wet or dried mucus.
4. Repeat steps 2 and 3 using a fresh cotton swab each time, until the entire area around the opening is clean.
5. Rinse the area using clean cotton swabs dipped in clean water only.
6. Use a dry gauze pad to pat lightly around the opening.
7. Replace the tracheostomy dressing, if required.

How to Change a Shiley Cuffless Tube?

• Finish fastening the ties.
• Throw away the old tube.

Tips to follow while using a Fenestrated Tracheostomy tube

• Only people who have been trained by a healthcare professional should perform tracheostomy care.
• Always have extra tracheostomy tubes on hand for an emergency (one the same size and one smaller).
• Do not re-sterilize Shiley tracheostomy tubes or attempt to clean them in boiling water. They are designed for "single use only".
• Do not place the plastic tracheostomy tube anywhere the temperature is over 120 degrees F.
• If you have a cuffed tracheostomy tube, avoid over-inflating the cuff. This can injure your windpipe.
• Avoid dust and mold.
• Avoid tobacco and other kinds of smoke.
• Avoid fumes from cleaning solutions such as ammonia or bleach.
• Be careful using any kind of spray product, such as hairspray, furniture polish, etc.
• Keep clothing away from the tracheostomy tube except for a protective scarf.
• Be sure all caregivers know CPR for tracheostomy patients.
• Post CPR instructions where they will be handy in an emergency.
• Post emergency numbers near the phone.

Caring for Shiley Trach Inner Cannula

1. Wash your hands.
2. Hold the neck flange steady with one hand.
3. With the other hand, grasp the twist-lock inner cannula connector and carefully unlock it using a counterclockwise motion.
4. Pull the inner cannula out of the tube, using a downward motion.
5. If you need to use a ventilator during this cleaning procedure, insert a clean spare inner cannula (SIC), which is designed for short-term use and has a red 15 mm connector.
6. The SIC is sold separately. Verify that the red twist-lock connector engages securely after each use. If parts become worn or loose, immediately report this to your physician for prompt replacement of the tracheostomy tube. The SIC is shorter than the original fitted inner cannula and was designed for temporary use. Ten (10) minutes is suggested as the time limit for continual usage. Secretions may build up on the inside of the outer cannula if used longer than the recommended time.
7. Place the soiled inner cannula in a small wash basin containing sterile normal saline, distilled water, a solution of water, and a mild detergent or a solution of half hydrogen peroxide and half water. Use a small, non-abrasive brush or pipe cleaner to gently remove mucus.
8. After cleaning, rinse the inner cannula thoroughly with sterile normal saline or distilled water to remove all hydrogen peroxide.
9. Air dry the inner cannula by gently shaking it.
10. Hold the neck flange steady with one hand.
11. Remove the spare inner cannula, if you used one.
12. Reinsert the clean twist-lock inner cannula into the tube and secure it by gently twisting it clockwise until the blue dot on the inner cannula lines up with the blue dot on the tube.
13. Clean the spare inner cannula, air dry, and store it in a safe place.