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Shiley™ Evac Endotracheal Tube with TaperGuard™ Cuff

McGRATH™ MAC Video Laryngoscope

Shiley™ Oral and Nasal RAE Endotracheal Tubes with TaperGuard™ Cuff

Shiley™ Oral/Nasal Endotracheal Tubes, Cuffless, Non-DEHP, Murphy Eye

Shiley™ Endotracheal Tube with TaperGuard™ Cuff, Murphy Eye

Shiley™ Oral/Nasal Endotracheal Tube, Reinforced with TaperGuard™ Cuff

Overview

Airway Management & Protection

Our intubation product portfolio offers a full range of sizes from adult to paediatric. The products can be segmented into four key areas:

  • basic and specialty solutions for the OR
  • subglottic suction endotracheal tubes for the ICU and Critical Care
  • enhanced direct laryngoscopes 
  • airway management accessories

 

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.1,2

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.2

Tapered-Cuff Advantages

Innovative TaperGuard™ cuff design:

  • May exert up to and including 29% less pressure on the trachea3
  • Reduces intracuff pressure required to obtain an adequate seal compared to Mallinckrodt™ Hi-Lo cuffs4
  • Provides more uniform pressure distribution than Mallinckrodt Hi-Lo cuffs at equivalent intracuff pressures5
  • Reduces microaspiration by as much as 90% compared to Mallinckrodt™ Hi-Lo cuffs6

  • 1. 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.
  • 2. 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.
  • 3. 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.
  • 4. Tsuboi S, Miyashita T, Yamaguchi Y, et al.. The TaperGuard 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.
  • 5. 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.
  • 6. Lichtenthal PR, Maul D, Borg U. Do tracheal tubes prevent microaspiration? Br J Anaesth. 2011;107(5):821-822.
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