The system consists of two parts: the white guiding catheter with silicone sleeve and the green inserter in the inner cannula. 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. The TRACOE twist plus tracheostomy tubes are delivered premounted on the atraumatic insertion system, the inner cannula is already placed in the tube. The insertion system stabilises and assists guiding the tube; it excels with a precise fit into the tube and a stop at the 15 mm 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. The Seldinger guide wire can be removed either prior or together with the guiding catheter. Alternatively the green inserter can be removed first, followed by the white guiding catheter and the Seldinger guide wire. Under no circumstances the white guiding catheter must be removed first.
- Dilation is performed using the proven Ciaglia one-step technique.
- The atraumatic inserter smoothes over the gap in diameter between the end of the tube and the inserter. This minimises the risk of injury when inserting the tracheostomy tube into the trachea.
- The stop at the 15 mm connector prevents the inserter from being inserted too far into the tube, which additionally reduces the risk of injury.
- The separately available tubes with inserting system can also be used for reinsertion into a percutaneously created tracheostoma and/or change tubes; if necessary in combination with the Seldinger guide wire.