Endotracheal tubes

Shiley™ pediatric oral-nasal endotracheal tube with TaperGuard™ cuff

Product image of the The Shiley™ pediatric oral-nasal endotracheal tube with TaperGuard™ cuff Product image of the The Shiley™ pediatric oral-nasal endotracheal tube with TaperGuard™ cuff

Endotracheal tubes

Shiley™ pediatric oral-nasal endotracheal tube with TaperGuard™ cuff

The Shiley™ pediatric ETTs with TaperGuard™ cuff is designed to meet the anatomical needs of pediatric patients and help better secure pediatric airways.

Ordering information
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Description

Help better secure pediatric airways

Kids are not little adults. That’s why they need endotracheal tube (ETT) solutions customized to their unique anatomy. Using scaled down versions of adult ETTs on children can result in negative outcomes, such as airway damage, oxygen deprivation, and ventilation complications.1,2 ETTs with low-pressure cuffs have similarly low rates of post-extubation complications compared to uncuffed tubes.3

The Shiley™ pediatric oral/nasal ETT with TaperGuard™ cuff is designed with several features that are intended to meet the needs of and improve the margin of safety for your smaller patients.

The Shiley™ pediatric oral/nasal ETT with TaperGuard™ cuff is available in a wide range of size options — from 2.5 mm to 6.0 mm. It is made with latex-free, non-DEHP PCV material, which softens at body temperature and molds to the airway.

Features

  • Clinically-appropriate tube lengths — based on patient size, to help avoid unintentional endobronchial intubation4
  • A hooded tip — on sizes 2.5 mm and 3.0 mm, to provide additional protection in the smallest airways. The rounded, beveled shape of the hooded tip can help make it easier for the tube to pass through the vocal cords, which can decrease trauma during intubation.5
  • Radiopaque filament — visible on X-ray, embedded within and throughout the length of the tube wall
  • Depth marks in centimeter increments — anatomically based markings to help place the ETT more accurately4,6
  • Glottic print marks — to help determine optimal placement of the cuff below the vocal cords and above the carina‡
  • Magill curve — to support easier tube insertion
  • A standard 15 mm connector — for connection to respiratory and anesthesia equipment

No Murphy eye

The Murphy eye presents a challenge for cuff placement on smaller ETTs. Removing the Murphy eye on the Shiley™ pediatric ETT with TaperGuard™ cuff improves the margin of safety by:2,7

  • Allowing the TaperGuard™ cuff to be located closer to the tube tip,† to help ensure the cuff is reliably placed within the trachea
  • Preventing the cuff from pressuring the laryngeal wall
  • Reducing the risk of endobronchial intubation
Annotation showing Shiley™ pediatric ETTs with TaperGuard™ in various sizes.

A shorter,† inverted TaperGuard™ cuff

Compared to traditional barrel-shaped cuffs, the shorter† TaperGuard™ cuff on the Shiley™ pediatric ETT helps support cuff placement in the trachea and improves sealing. This low-volume, low-pressure, taper-shaped cuff:5,8,9

  • Uses less material, which helps ease insertion past the vocal cords
  • Requires less volume to fill the cuff
  • Decreases aspirations
  • Reduces cuff pressure on tracheal tissues
  • Helps ease insertion past the cricoid due to the shorter cuff-to tip distance

TaperGuard™ cuff technology, featured on Shiley™ endotracheal tubes, is designed to maximize comfort and safety for patients.

Learn more
View an infographic of the Shiley™ pediatric ETTs with TaperGuard™ cuff in various sizes.

Shiley™ pediatric ETT with TaperGuard™ cuff animation video (2:43)

Ordering information

Item number ID (mm) OD (mm) Length (mm) Cuff (mm) Units per box
86125 2.5 3.8 140 8.0 10
86130 3.0 4.4 160 9.1 10
86135 3.5 5.0 180 10.1 10
86140 4.0 5.7 200 11.5 10
86145 4.5 6.3 220 12.3 10
86150 5.0 6.9 240 14.2 10
86155 5.5 7.5 270 15.6 10
86160 6.0 8.2 280 17.2 10

 

Resources

Similar products

The Shiley™ endotracheal tube is indicated for oral and/or nasal intubation of the trachea for anesthesia and for general airway management. The endotracheal tube is a sterile, single patient-use medical device not intended to be reprocessed (cleaned, disinfected/sterilized) and used on another patient. Expert clinical judgment should be exercised in the selection of the appropriate type and size endotracheal tube for each individual patient. Please refer to the product manual for detailed usage and troubleshooting instructions. For further information,  contact your Medtronic representative or view the product manual.

† Compared to the adult version.

‡ As indicated by ISO 5361:2016.

  1. J. Holzki, K Brown, R. Carroll, C. Cote. The anatomy of the pediatric airway: Has our knowledge changed in 120 years? A review of historic and recent investigations of the anatomy of the pediatric larynx. Pediatric Anesthesia. 2017(28):13–22.
  2. Ho AM, Aun CS, Karmakar MK. The margin of safety associated with the use of cuffed pediatric tracheal tubes. Anesthesia. 2002;57(2):173–175.

  1. Bhardwaj N. Pediatric cuffed endotracheal tubes. J of Anaesthesiol Clin Pharmacol. 2013; 29(1):13–18.
  2. Aker J. An emerging clinical paradigm: the cuffed pediatric endotracheal tube. AANA Journal. 2008;76(4):293–300.
  3. Haas CF, Eakin RM, Konkle MA, Blank R. Endotracheal tubes: old and new. Respir Care. 2014;59(6):933–955.
  4. Weiss M, Gerber AC, Dullenkopf A. Appropriate placement of intubation depth marks in a new cuffed paediatric tracheal tube. Br J Anaesth. 2005;94(1):80–87.
  5. Weiss M, Knirsch W, Kretschmar O, et al. Tracheal tube-tip displacement in children during head-neck movement — a radiological assessment. Br J Anaesth. 2006;96(4):486–491.
  6. Lichtenthal PR, Wood L, Wong A, Borg U. Pressure applied to tracheal wall by barrel and taper shaped cuffs. Proc American Society of Anesthesiologists Annual Meeting. 2011:A1054.
  7. Lichtenthal PR, Maul D, Borg U. Do tracheal tubes prevent microaspiration? Br J Anaesth. 2011;107(5):821–822.