Adult Tracheostomy Tubes

Selection Guide

Does patient have abnormal neck or tracheal anatomy?

Is patient at risk of aspiration or do they require

mechanical ventilation?

Is patient at risk of aspirating

subglottic secretions?

Continue to monitor progress

Does patient require

intermittent ventilation?

Is patient ready to be weened

from mechanical ventilation?

PATIENT MEETS INDICATIONS FOR TRACHEOSTOMY

START Adjustable FlangeTracheostomy – UniPerc®

and Bivona® Hyperflex™

BLUselect® Uncuffed Fenestrated

BLUselect® Suctionaid®

BLUselect® Cuffed Fenestrated

Bivona® TTS™

(Tight to Shaft)

BLUselect® CuffedBivona® Mid RangeAire-Cuf®

Bivona® Cuffless

Bivona® Fixed FlangeHyperflex™ Bivona® Custom Lab

YES

YES

YES

YES

YES

NO

NO

NO

NO

NO

NO

Neonatal and Pediatric Tracheostomy Tubes

Selection Guide

Bivona® Adjustable Hyperflex™

PATIENT MEETS INDICATIONS FOR TRACHEOSTOMY

START

Does patient have abnormal tracheal anatomy or does patient require a cuffed non-wire

reinforced silicone tracheostomy tube

for MRI?

Does patient require

mechanical ventilation?

Can patient be adequately ventilated

with an uncuffed tracheostomy tube?

Does patient have minimal chin to stoma distance?

Cost Effective Temporary MRI

Tracheostomy Tube to supplement

the Bivona® wire reinforced

tracheostomy tubes

Can patient be managed with Minimal Leak

Technique or is patient being intermittently

mechanically ventilated periodically?

Does patient have minimal chin to stoma distance?

Does patient require elevated PEEP or increased airway

pressures?

Bivona® Custom Lab

Bivona® FlexTend™

Bivona® Uncuffed

Bivona® Fome-Cuf®

Bivona® Aire-Cuf®

Bivona® Tight-to-Shaft (TTS™) Cuff

YES

YES

YES

YES

YES

YES

NO

NO

NO

NO

NO

NO

NO

PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES

Smiths Medical ASD, Inc.6000 Nathan Lane North Minneapolis, MN, 55442, USATel: 1-614-210-7300Toll-Free USA 1-800-258-5361www.smiths-medical.com

Find your local contact information at: www.smiths-medical.com/customer-support/contact-us

Smiths Medical is part of the global technology business Smiths Group plc. Please see the Instructions for Use/Operator’s Manual for a complete listing of the indications, contraindications, warnings and precautions. Bivona, Hyperflex, UniPerc, BLUselect, Suctionaid, TTS, Aire-Cuf, FlexTend, Blue Line Ultra, Fome-Cuf, and the Portex and Smiths Medical design mark are trademarks of Smiths Medical. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. All other names and marks mentioned are the trademarks or service marks of their respective owners. Product referenced is CE-marked. ©2018 Smiths Medical. All rights reserved. TR194472EN-102018

Bivona® FlexTend™ Tight-to-Shaft (TTS™) Cuff

YES

MRI?

MRI?

MRI?

MRI? MRI?

Blue Line Ultra®

MMSPCA-0445

MRI?