TRACOE vario XL Extract Tracheostomy Tube with Subglottic Suction

An extra-long tracheostomy tube with adjustable neck flange, low-pressure cuff, embedded subglottic suction line, X-ray contrast line, scaling markers, and 15mm connector. The "vario" system features a push-button mechanism allowing the neck flange to be moved and individually positioned for each patient, then locked with an orange lever. The "Extract" designation indicates embedded subglottic suction with the opening at the lowest possible point above the cuff to reduce ventilator-associated pneumonia (VAP) risk.

Common humanitarian uses:

• Long-term ventilator support in critically ill patients
• Airway management in patients requiring extended mechanical ventilation
• Prevention of ventilator-associated pneumonia in ICU settings
• Post-surgical airway access in complex head/neck trauma
• Patients with anatomical variations requiring customized tube positioning
• Field hospital critical care where VAP prevention is challenging

Key information:

• Size range: Available in sizes 7, 8, 9, and 10 (inner diameter in mm)
• Length: Extra-long (XL) design for patients with deeper tracheal anatomy
• Material: DEHP-free medical-grade PVC
• Cuff type: High-volume low-pressure cuff for tracheal wall protection
• Adjustable flange: Push-button mechanism with scale markings for precise positioning and orange lever lock
• Included components: Vario obturator, adjustable neck strap (REF 903-F), 2 connectors for suction devices, product info card
• Storage requirements: Room temperature in sterile packaging until use
• Shelf life: Check package expiration date
• Requires prescription: Yes - surgical placement by qualified medical personnel only

Important safety notes:

• Professional insertion only: Tracheostomy is a surgical procedure requiring trained physicians; complications include bleeding, pneumothorax, false passage, or tracheal injury
• Subglottic suction critical: Connect suction line to remove secretions above the cuff; reduces bacterial contamination entering lower airways and decreases VAP risk by up to 50%
• Cuff pressure monitoring: Maintain 20-25 cm H2O to prevent tracheal damage while ensuring seal; check pressure regularly with manometer
• Flange adjustment: Use scale markings when positioning flange; ensure orange lever is locked upward before patient mobilization
• Emergency preparedness: Always have replacement tube (same and smaller size), obturator, suction equipment, and bag-valve-mask immediately available

TRACOE vario XL Extract Advantages: The adjustable neck flange accommodates individual patient anatomy without requiring multiple tube sizes, reducing inventory needs in humanitarian settings. The embedded subglottic suction line prevents secretion pooling above the cuff—a major cause of ventilator-associated pneumonia. The vario system's push-button mechanism is faster and more intuitive than traditional twist-lock systems, critical in emergency tube changes. Extra-long design serves patients with unusual anatomy, obesity, or neck edema. All Extract tubes are approved for Above Cuff Vocalization (ACV) for patients who cannot tolerate cuff deflation.

Alternative names: Trach tube with suction, tracheostomy cannula, subglottic suction tube, VAP prevention tube, tracheal tube, cannule de trachéostomie avec aspiration sous-glottique (French), cánula de traqueostomía con succión subglótica (Spanish)

⚠ Disclaimer: This description is for inventory identification only. Tracheostomy tube insertion is a surgical procedure that must only be performed by qualified medical professionals. Always consult appropriate medical personnel and follow manufacturer's Instructions for Use. Check local regulations regarding distribution and use.