Tracheostomy tubes

Shiley™ adult flexible tracheostomy tube XLT

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Tracheostomy tubes

Shiley™ adult flexible tracheostomy tube XLT

Shiley™ flexible tracheostomy tubes XLT are designed for adult patients who need extra proximal or distal length.

Ordering information
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Indications, Safety, and Warnings

Description

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
View an illustrated graphic displaying the extended proximal length tracheostomy tube.

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

View an illustrated graphic displaying the extended distal length tracheostomy tube.

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

The Shiley™ adult flexible tracheostomy tube XLT features many 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
  1. Designed with a standard 15 mm connector:
  • For connection to respiratory and anesthesia equipment
  1. Color coded by size:
  • A colored triangle printed on the flange and carton label offers easy size identification
  1. 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%
View a product image of the Shiley™ adult flexible tracheostomy tube XLT illustrating the features.
  1. 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 cannula
  1. Designed to support phonation
  • This product can be used with Shiley™ CAP and Shiley™ speaking valves (SSV and SSVO) to support phonation.
  1. Featuring radiopaque filament:
  • Visible on X-rays
  • Embedded within and throughout the length of the tube wall
  • 90-degree curve
  1. Featuring a beveled tip:
  • To ease percutaneous insertion
View a product image of the Shiley™ adult flexible tracheostomy tube XLT illustrating the features for the extended length.

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

 

Similar products

Pending 510k. Not available in all regions. Please contact your local Medtronic representative for regional product availability.

† 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.

  1. 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.
  2. Wang Y, Qian H. Phthalates and their impacts on human health. Healthcare (Basel). 2021;9(5):603.