Neonatal/Pediatric | Shiley Special Trach Ordering Tool

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Size

Cannula length

Cuff

Flange

Cannula curve

Fenestration

Product Code

Current length: Proximal: 0 Distal: Total length: 18 The current length is the length noted in the size you chose on the previous screen.

This will be your length (Standard) unless you modify it.

Proximal (Horizontal) mm

Distal (Vertical) mm

Total modified length: mm

Current size: The current size is the size of the product you chose on the first screen.

NOTE: For sizes 2.5-3.5, length can be 20 mm – 120 mm. For all other sizes, length can be 30 mm - 170 mm.

Your tube uses a standard cuff. Your cuff is based on the product you chose on the first screen.

NOTE: MPDC and MPLC tubes use standard cuffs only. If you want an uncuffed tube, please reselect your product.

Your tube is uncuffed. Your cuff is based on the product you chose on the first screen.

NOTE: Only MPDC and MPLC tubes use standard cuffs. If you want a cuffed tube, please reselect your product.

Rotate flange?

How many degrees? Which direction?

Clockwise

Counter clockwise

NOTE: Rotation is not to exceed 40 degrees. Rotation is available on uncuffed tubes only.

Current size: The current size is the size of the product you chose on the first screen.

Adjust curve angle Degrees

NOTE: Curve angle must be between 80 and 160 degrees.

NOTE: Fenestration location and size can only be modified on uncuffed tubes.

NOTE: You can modify the size and location for uncuffed tubes.

Fenestration size

Length (mm)

Width (mm)

Fenestration location

Distance (mm)

Please let us know if you need sterilization for this order.

Neonatal/Pediatric

Note: Editing the selections will take you back to the home page of this app.

Product code:

Sterilization:

Size:

Length: ( mm)

Modified proximal length: mm

Modified distal length: mm

Total modified length: mm

Cuff:

Flange:

Modified flange rotation: degrees

Modified flange direction:

Curve:

Modified curve angle: degrees

Fenestration:

Modified length: mm

Modified width: mm

Modified distance: mm

*Purchase order number: *This field is required.

*Facility: *This field is required.

*Address: *This field is required.

*City: *This field is required.

*State/Province: *This field is required for USA/Canada.

*Zip code: *This field is required.

*Country: *This field is required.

*Email: *This field is required.

Phone:

Special Instructions

Same as shipping information

Enter different billing information

*Bill to account number: *This field is required.

*Facility: *This field is required.

*Address: *This field is required.

*City: *This field is required.

*State: *This field is required for USA/Canada.

*Zip code: *This field is required.

*Country: *This field is required.

*Email: *This field is required.

Phone:

Order details

Tube type: Neonatal/Pediatric

Quantity: 1

Product code:

Sterilization:

Size:

Length: ( mm)

Modified proximal length: mm

Modified distal length: mm

Total modified length: mm

Cuff:

Flange:

Modified flange rotation: degrees

Modified flange direction:

Curve:

Modified curve angle: degrees

Fenestration:

Modified length: mm

Modified distance: mm

NOTE: This will take you back to the main screen of this app.

Customer information

Ship to account number:

Facility:

Purchase order number:

Address:

City:

State:

Zip code:

Country:

Phone:

Email:

Bill to account number:

Billing facility:

Billing address:

Billing city:

Billing state:

Billing zip code:

Billing country:

Billing email:

Billing phone:

Special instructions:

Before submitting your order request, please note: All orders are NON-REFUNDABLE.

Please note: all orders are NON-REFUNDABLE.

You must have an existing account with us to order a custom tube. If you need to find out how to get an account with us, call: 800.962.9888.

Shiley™ Specialized Tracheostomy Tubes

Help

Help

Customer Service: 1-800-962-9888 Option 5

How do I reorder a custom tube?

How long does it take for a special tracheostomy tube to be made?

How do I return a custom tube?

How much does a custom tube cost?

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You're almost done.

Order Details

Customer Information

Review/Submit Request

Current tube: Neonatal/pediatric Change Tube Start Over

Size

Cannula length

Cuff

Flange

Cannula curve

Fenestration

Choose your size

Choose your length

Cuff

Choose your flange

Choose your curve

Choose your fenestration

Fenestration size

Fenestration location

You're almost done.

Please let us know if you need sterilization for this order.

Order Details

Quantity

Product code:

Sterilization:

Size:

Length: ( mm)

Modified proximal length: mm

Modified distal length: mm

Total modified length: mm

Cuff:

Flange:

Modified flange rotation: degrees

Modified flange direction:

Curve:

Modified curve angle: degrees

Fenestration:

Modified length: mm

Modified width: mm

Modified distance: mm

Having trouble with your request?

Call: 800.962.9888

Customer Information

Order details

Customer details

Billing information

Having trouble with your request?

Call: 800.962.9888

Review request and submit

Order details

Tube type: Neonatal/Pediatric

Quantity: 1

Product code:

Sterilization:

Size:

Length: ( mm)

Modified proximal length: mm

Modified distal length: mm

Total modified length: mm

Cuff:

Flange:

Modified flange rotation: degrees

Modified flange direction:

Curve:

Modified curve angle: degrees

Fenestration:

Modified length: mm

Modified distance: mm

Modified distance: mm

Customer information

Ship to account number:

Current tube: Neonatal/pediatric