Overview

Reduces ventilator-associated pneumonia (VAP) by an average of 50%1

The need to reduce ventilator associated events is the primary reason the Shiley™ evac oral endotracheal tube with TaperGuard™ cuff is critical for all patients on a ventilator in the ICU.

Advanced airway protection

Subglottic secretion drainage (SSD) helps remove oral and/or gastric secretions from above the endotracheal tube cuff before they can be aspirated. Such aspirations may lead to a very serious complication known as VAP or Ventilator Associated Pneumonia.

SSD must be done with a specialized endotracheal tube with a separate dorsal suction lumen located just above the cuff. Based upon clinical evidence, the following organizations recommend the use of SSD to reduce the incidence of VAP:

  • SHEA Guidelines
  • American Thoracic Society/ Infectious Diseases Society of America (ATS/IDSA) – Level I
  • Centers for Disease Control (CDC) – Category II
  • American Association of Critical Care Nurses (AACN)
  • Agency for Healthcare Research and Quality (AHRQ)

Your partner in reducing ventilator-associated pneumonia

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TAPERGUARD™ CUFF TECHNOLOGY

The low-impact, low-pressure endotracheal tube

Friction or pressure between the tracheal cuff and the trachea’s sensitive mucosa can lead to irritation, ischemia and tracheal trauma.2,3

Endotracheal tubes with TaperGuard™ cuff technology have features that may help reduce the tracheal impact of intubation with a unique, taper-shaped cuff design that provides a smaller area of contact with the patient’s airway than traditional barrel-shaped cuffs.3

Tapered-cuff advantages

Unique TaperGuard™ cuff design:

  • Exerts 29 percent less pressure on the trachea4
  • Reduces intracuff pressure required to obtain an adequate seal compared to Mallinckrodt™ hi-lo cuffs5
  • Provides more uniform pressure distribution than Mallinckrodt™ hi-lo cuffs at equivalent intracuff pressures6
  • Reduces microaspiration by as much as 90% compared to Mallinckrodt™ hi-lo cuffs7
Order Information
Order Code Order Code with Stylet Description I.D. (MM) O.D. (MM) Unit of Measure Quantity
18860 18860S Shiley™ evac endotracheal tube with TaperGuard™ cuff 6.0 9.0 Box 10
18865 18865S Shiley™ evac endotracheal tube with TaperGuard™ cuff 6.5 9.8 Box 10
18870 18870S Shiley™ evac endotracheal tube with TaperGuard™ cuff 7.0 10.4 Box 10
18875 18875S Shiley™ evac endotracheal tube with TaperGuard™ cuff 7.5 11.2 Box 10
18880 18880S Shiley™ evac endotracheal tube with TaperGuard™ cuff 8.0 11.8 Box 10
18885 18885S Shiley™ evac endotracheal tube with TaperGuard™ cuff 8.5 12.6 Box 10
18890 18890S Shiley™ evac endotracheal tube with TaperGuard™ cuff 9.0 13.1 Box 10

Order Information

FEATURES

  • An integrated cuff inflation line
  • An integrated suction lumen
  • Patented TaperGuard™ cuff
  • Easy-to-read tube insertion markings
  • Optional satin soft stylet 

The use of subglottic suctioning combined with the hospital-designed VAP or VAC bundle can:

  • Reduce overall antibiotic use
  • Reduce the incidence of VAP
  • Reduce the overall length of stay (LOS) required
  • Improve patient outcomes

  • 1. Mallinckrodt™ TaperGuard™ evac endotracheal tube 510(k)#090352 benchtop testing.

  • 2. Liu J, Zhang X, Gong W. Correlations between controlled endotracheal tube cuff pressure and postprocedural complications: a multicenter study. Anesth Analg. 2010;111(5):1133–7.

  • 3. Seegobin RD, van Hasselt GL. Endotracheal cuff pressure and tracheal mucosal blood flow: endoscopic study of effects of four large volume cuffs. Br Med J (Clin Res Ed). 1984;288(6422):965–968.

  • 4. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc Am Soc Anesth Annual Meeting. 2011:A1054.

     View Abstract
  • 5. Guard endotracheal tube intracuff pressure increase is less than that of the Hi-Lo tube during nitrous oxide exposure: a model trachea study. Anesth Analg. 2013;116: 609–612.

  • 6. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc Am Soc Anesth. 2011: A1054.

  • 7. Lichtenthal PR, Maul D, Borg U. Do tracheal tubes prevent microaspiration? Br J Anaesth. 2011;107(5):821–822.

  • 8. Based upon internal test report #100033000, TaperGuard™ Seal Performance Summary Report. February 2009.