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For adult patients who need extra length

People come in all shapes and sizes. Tracheostomy tubes should too. Selecting the appropriate tracheostomy tube is based on an understanding of the patient’s tracheal depth and neck anatomy.1–3

Our Shiley™ flexible tracheostomy portfolio is inclusive of most patient types, including adult patients who need extra length. The Shiley™ adult flexible tracheostomy tube XLT is available in two length configurations, extended proximal and extended distal, to support patient care across anatomical variations and clinical need.

Features

The Shiley™ adult flexible tracheostomy tube XLT offers tracheostomy solutions for adult patients who need extra length. The Shiley™ adult flexible tracheostomy tube XLT features a 90-degree angle and is available in:

  • Four size options: ISO sizes 5.0, 6.0, 7.0, and 8.0
  • Two length configurations: extended distal length and extended proximal length
  • TaperGuard™ cuff and cuffless options

Extended proximal length

Extra length in the proximal portion of the tracheostomy tube can accommodate increased skin-to-tracheal-wall distances in patients with a full or thick neck.1–3

Extended distal length

Extra length in the distal portion of the tracheostomy tube can compensate for longer tracheal anatomies or conditions such as tracheal stenosis (narrowing of the trachea) or malacia (collapsing of the trachea).1–3

Exploring the
Shiley™ adult flexible tracheostomy tube XLT

Shiley<sup>TM</sup> Adult Flexible Tracheostomy Tube XLT

Enhancements compared to the previous version of the product:

1. Featuring a soft, translucent flange designed to:4,5

  • Reduce points of contact with the patient’s skin
  • Improve airflow to sensitive skin
  • Reduce the risk of skin breakdown
  • Allow clinicians to more readily assess the skin

2. Designed with a standard 15 mm connector:

  • For connection to respiratory and anesthesia equipment

3. Color coded by size:

  • A colored triangle printed on the flange and carton label offers easy size identification

4. Designed with the TaperGuard™ cuff:†

  • Thinner, less bulky, low-pressure tapered-shape cuff
  • Reduces insertion force by more than 5%
  • Improves air seal by over 100%
  • Improves ability to titrate ventilator air leaks
  • Increases airflow around the outer cannula when the cuff is deflated by greater than 100%
 

  

5. A newly designed flexible, disposable inner cannula:

  • Conforms to the outer cannula
  • Features a unique snap-loc mechanism secures the cannula in place
  • Designed with a full circumference proximal end compared to the scallop design on the Shiley™ flexible adult tracheostomy tube inner cannul

6. Designed to support phonation

  • This product can be used with Shiley™ CAP and Shiley™ speaking valves (SSV and SSVO) to support phonation.

7. Featuring radiopaque filament:

  • Visible on X-rays
  • Embedded within and throughout the length of the tube wall
  • 90-degree curve

8. Featuring a beveled tip:

  • To ease percutaneous insertion

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State-of-the-art compliance

The Shiley™ adult flexible tracheostomy tube XLT is made without materials of concern.

  • Made with a non-DEHP PVC material; DEHP can lead to toxic health effects, including endorine system disruption5
  • Not made with natural rubber latex

Ordering information

Extended proximal length
Cuffed Cuffless Outer cannula outer diameter (OD) (mm) Outer cannula inner diameter (ID) (mm) Inner cannula inner diameter (ID) (mm) Total length (mm) Proximal length (mm) Radius length (mm) Distal length (mm) Cuff resting diameter (mm) Angle
50FXLTCP 50FXLTUP 9.6 5.0 5.0 90.0 20.0 37.0 33.0 29.0 90°
60FXLTCP 60FXLTUP 11.0 6.0 6.0 95.0 23.0 38.0 34.0 31.0 90°
70FXLTCP 70FXLTUP 12.3 7.0 7.0 100.0 27.0 39.0 34.0 35.0 90°
80FXLTCP 80FXLTUP 13.3 8.0 8.0 105.0 30.0 40.0 35.0 35.0 90°
Extended distal length
Cuffed Cuffless Outer cannula outer diameter (OD) (mm) Outer cannula inner diameter (ID) (mm) Inner cannula inner diameter (ID) (mm) Total length (mm) Proximal length (mm) Radius length (mm) Distal length (mm) Cuff resting diameter (mm) Angle
50FXLTCD 50FXLTUD 9.6 5.0 5.0 90.0 5.0 37.0 48.0 29.0 90°
60FXLTCD 60FXLTUD 11.0 6.0 6.0 95.0 8.0 38.0 49.0 31.0 90°
70FXLTCD 70FXLTUD 12.3 7.0 7.0 100.0 12.0 39.0 49.0 35.0 90°
80FXLTCD 80FXLTUD 13.3 8.0 8.0 105.0 15.0 40.0 50.0 35.0 90°
Inner cannula
Inner cannula Inner cannula inner diameter (ID) (mm) Total length (mm) Radius length (mm)
50FXLTIN 5.0 90.0 37.0
60FXLTIN 6.0 95.0 38.0
70FXLTIN 7.0 100.0 39.0
80FXLTIN 8.0 105.0 40.0

Ordering information

Extended proximal length
Cuffed Cuffless Outer cannula outer diameter (OD) (mm) Outer cannula inner diameter (ID) (mm) Inner cannula inner diameter (ID) (mm) Total length (mm) Proximal length (mm) Radius length (mm) Distal length (mm) Cuff resting diameter (mm) Angle
50FXLTCP 50FXLTUP 9.6 5.0 5.0 90.0 20.0 37.0 33.0 29.0 90°
60FXLTCP 60FXLTUP 11.0 6.0 6.0 95.0 23.0 38.0 34.0 31.0 90°
70FXLTCP 70FXLTUP 12.3 7.0 7.0 100.0 27.0 39.0 34.0 35.0 90°
80FXLTCP 80FXLTUP 13.3 8.0 8.0 105.0 30.0 40.0 35.0 35.0 90°
Extended distal length
Cuffed Cuffless Outer cannula outer diameter (OD) (mm) Outer cannula inner diameter (ID) (mm) Inner cannula inner diameter (ID) (mm) Total length (mm) Proximal length (mm) Radius length (mm) Distal length (mm) Cuff resting diameter (mm) Angle
50FXLTCD 50FXLTUD 9.6 5.0 5.0 90.0 5.0 37.0 48.0 29.0 90°
60FXLTCD 60FXLTUD 11.0 6.0 6.0 95.0 8.0 38.0 49.0 31.0 90°
70FXLTCD 70FXLTUD 12.3 7.0 7.0 100.0 12.0 39.0 49.0 35.0 90°
80FXLTCD 80FXLTUD 13.3 8.0 8.0 105.0 15.0 40.0 50.0 35.0 90°
Inner cannula
Inner cannula Inner cannula inner diameter (ID) (mm) Total length (mm) Radius length (mm)
50FXLTIN 5.0 90.0 37.0
60FXLTIN 6.0 95.0 38.0
70FXLTIN 7.0 100.0 39.0
80FXLTIN 8.0 105.0 40.0

  • † Compared to the Shiley™ extended length tracheostomy tube with barrel cuff. Bench testing may not be indicative of clinical performance.

  • 1. Umstot R, Samanta D, Umstot E, et al. Ten-year review of tracheostomy techniques and related complications. Am Surg. 2024;90(2):225–230.

  • 2. Mallick A, Bodenham A, Elliot S, Oram J. An investigation into the length of standard tracheostomy tubes in critical care patients. Anaesthesia. 2008;63(3):302–306.

  • 3. Hess DR, Altobelli NP. Tracheostomy tubes. Respir Care. 2014;59(6):956–971; discussion 971–973.

  • 4. Dixon LM, Mascioli S, Mixell JH, Gillin T, Upchurch CN, Bradley KM. Reducing tracheostomy-related pressure injuries. AACN Adv Crit Care. 2018;29(4):426–431.

  • 5. Wang Y, Qian H. Phthalates and their impacts on human health. Healthcare (Basel). 2021;9(5):603.

  • The material on this website should not be considered the exclusive source of information, it does not replace or supersede information contained in the device manual(s). Please note that the intended use of a product may vary depending on geographical approvals. See the device manual(s) for detailed information regarding the intended use, the (implant) procedure, indications, contraindications, warnings, precautions, and potential adverse events. For a MRI compatible device(s), consult the MRI information in the device manual(s) before performing a MRI. If a device is eligible for eIFU usage, instructions for use can be found at Medtronic’s website manuals.medtronic.com. Manuals can be viewed using a current version of any major internet browser. For best results, use Adobe Acrobat® Reader with the browser. Medtronic products placed on European markets bear the CE mark and the UKCA mark (if applicable). For any further information, contact your local Medtronic representative.

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