Adult Single Cannula | Shiley™ Specialized Tracheostomy Tubes Order Request Tool

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Size

Cannula length

Cuff

Flange

Cannula curve

Fenestration

NOTE: All dimensions are in millimeters. For smaller pediatric and neonatal options, please select the neo peds tracheostomy tube.

Current length: Proximal: Distal: Total length: 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.

NOTE: All dimensions are in millimeters. For smaller pediatric and neonatal options, please select the neo peds tracheostomy tube.

Proximal (Horizontal) mm

Distal (Vertical) mm

Total modified length: mm

NOTE: Maximum length is 170 mm, minimum shortened length is 40 mm, proximal and distal equal total modified length of cannula.

Rotate flange?

How many degrees? Which direction?

Clockwise

Counter clockwise

Adjust curve angle Degrees

NOTE: Curve angle must be between 65 and 145 degrees.

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

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

Fenestration size

Length (mm) mm

Width (mm) mm

Fenestration location

Distance (mm) mm

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

Adult/single cannula

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

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: Adult/single cannula

Quantity: 1

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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Order Details

Customer Information

Review/Submit Request

Current tube: Adult/single cannula Change Tube Start Over

Size

Cannula length

Cuff

Flange

Cannula curve

Fenestration

Choose your size

Choose your length

Choose your 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

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: Adult/single cannula

Quantity: 1

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:

Facility:

Purchase order number:

Current tube: Adult/single cannula