REF 888-332

TRACOE experc Set twist plus including REF 888-316-P (fenestrated with subglottic suction line)

1 set, in sterile package

  • 1 TRACOE twist plus tracheostomy tube with cuff, double fenestrated, subglottic suction line and atraumatic insertion system (REF 888-316-P)
  • 1 TRACOE experc Dilation Set (REF 520)

The special feature

The system for twist plus consist of two parts: the white guiding catheter with silicone sleeve and the green inserter. The silicone sleeve smoothly bridges the gap in diameter between the end of the tube and the inserter, thus minimising the risk of injury when the tracheostomy tube is inserted into the trachea.

The twist plus tracheostomy tube is supplied premounted on the atraumatic insertion system, with the inner cannula already in place. The insertion system stabilises and facilitates guiding the tube. The inserter fits precisely into the tube and has a stop at the 15 mm connector. Once the tube is in the trachea, the green inserter, the white guiding catheter with the silicone sleeve, and the Seldinger guide wire are removed together as a single unit. The silicone sleeve now flaps back, allowing the guiding catheter to be removed easily. Alternatively, the green inserter can be pulled out of the tube first, followed by the white guiding catheter and Seldinger guide wire. The white guiding catheter must never be removed first.

The Benefits

Dilatation is performed using the Ciaglia one-step technique. The atraumatic inserter smooths over the gap in diameter between the end of the tube and the inserter. This minimises the risk of injury when the tracheostomy tube is introduced into the trachea. The stop at the proximal end of the tube pre­vents the inserter from being inserted too far into the tube, which also reduces the risk of injury. The separately available P-tubes can also be used for reinsertion and/or for tube change – in combination with a Seldinger guide wire, if necessary.