Same trusted brand. Advanced access design.

Aspiration of oral and/or gastric secretions is directly linked to the development of Healthcare Associated Infections (HAIs). The use of a tracheostomy tube with subglottic access and intermittent suctioning decreases the incidence of VAP for critically ill patients requiring mechanical ventilation 1,2,3.

The Shiley™ Flexible Evac trach tube with TaperGuard™ cuff technology offers clinician-inspired enhancements to the Shiley™ Flexible Adult tracheostomy portfolio, and features:

  • The addition of an Evac lumen to enable removal of secretions from the subglottic space
  • The patented taper-shaped TaperGuard™ cuff
  • A translucent outer cannula with beveled tip

This product can be used for the initial tracheostomy insertion in the ICU to remove potentially bacteria producing fluids4, which are recognized as a primary source for ventilator associated pneumonia (VAP).

Shiley™ Flexible Evac tracheostomy tubes were designed with a slightly larger outer diameter, compared to standard Shiley™ Flexible trach tubes, to support the Evac lumen for secretion removal.

Available in single cannula, reusable inner cannula, and disposable inner cannula configurations.

How to Order

For additional information or to place an order, call Customer Service at +44 (0) 19 2320 2504.

Order Information
Disposable inner cannula Reusable inner cannula Single cannula
10CN10ED 10CN10ER 10CN10ES

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Shiley™ Evac technology

  • The integrated suction port and lumen are positioned close to the cuff and designed to remove any fluid in the subglottic space that is difficult to suction otherwise

Thermosensitive transparent outer cannula

  • Beveled tip on all product configurations eases percutaneous insertion6
  • Smooth, continuous curvature enables proper positioning
  • Sizing — I.D., O.D., length, and tube curvature — is comparable to that of earlier Shiley™ products

TaperGuard™ low pressure, low volume cuff

  • Reduces fluid leakage by 99 percent compared to legacy Shiley™ tracheostomy products4
  • Low pressure, low volume design applies less lateral wall pressure on trachea in benchtop study7
  • Thinner material enables more even distribution of wall pressure7
  • Thinner, less bulky cuff reduces insertion force by 48 percent5

May reduce the risk of irritation and skin breakdown

  • Soft, transparent flange material is designed to conform to the patient’s anatomy and may help reduce the risk of skin breakdown8
  • Custom designed flange openings improve airflow to sensitive skin, and are offset to help reduce contact with the patient’s skin

Made of DEHP-free material

3D Shiley™ Flex Tracheostomy Tubes Tool


Discover our tracheostomy portfolio virtually by interacting with each of the trach tubes in the three-dimensional space!

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  • 1. Garrouste-Orgeas M, Chevret S, Arlet G, et al. Oropharyngeal or gastric colonization and nosocomial pneumonia in adult intensive care unit patients: a prospective study based on genomic DNA analysis. Am J Respir Crit Care Med. 1997;156(5):1647-1655.

  • 2. Chlebicki MP, Safdar N. Topical chlorhexidine for prevention of ventilator-associated pneumonia: a meta-analysis. Crit Care Med. 2007;35(2):595-602.

  • 3. Feldman C, Kassel M, Cantrell J, et al. The presence and sequence of endotracheal tube colonization in patients undergoing mechanical ventilation. Eur Respir J. 1999;13(3):546-551.

  • 4. Internal benchtop testing results. Results reflect the Shiley™ flexible adult tracheostomy tube with TaperGuard™ cuff, disposable inner cannula tubes ability to titrate/control ventilator air leak in comparison to the Shiley™ tracheostomy tube cuffed with disposable inner cannula (DCT). Benchtop test #10122514.

  • 5. Internal bench-top testing results. Results reflect testing the Shiley™ flexible adult tracheostomy tube with TaperGuard™ cuff, disposable inner cannula versus the Shiley™ DCT tracheostomy tube with disposable inner cannula at the same cuff pressure of 25 cm H2O. Benchtop test #RE00127642 Rev A.

  • 6. Servillo, Giuseppe, and P. Pelosi. Percutaneous Tracheostomy in Critically Ill Patients. Springer, p. 106 2015.

  • 7. Maguire S, Haury F, Jew K. An in vitro comparison of tracheostomy tube cuffs. Medical Devices (Auckland, N.Z.) New Zealand, 8, 185-192. April 21, 2015.

  • 8. Internal test report. Shiley™ adult flexible tracheostomy tube with TaperGuard™ cuff, disposable inner cannula claims test report #10122514, water vapor transmission rate through tracheostomy flange #10119661.