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SHERIDAN ® ENDOTRACHEAL TUBE GUIDE Improving patient care with proven clinical solutions

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  • Sheridan® endotracheal tube Guide Improving patient care with proven clinical solutions

  • 2 sheridan endotracheal tube guide sheridan endotracheal tube guide 3

    Ventilator-Associated Pneumonia (VAP) is a nosocomial pneumonia that develops more than 48-72 hours after endotracheal intubation.1 It is one of the most common infections acquired by adults and children in intensive care units (ICUs) and is a cause of significant patient morbidity and mortality, increased utilization of healthcare resources and excess cost.2 During mechanical ventilation, secretions from the upper respiratory tract accumulate above the endotracheal tube cuff. Studies have shown that these secretions can seep past the cuff into the lower tract, a factor that increases the incidence of VAP.3 Drainage of the subglottic secretions has been proven as an effective strategy in preventing early-onset VAP.4

    the clinical challenGe.The endotracheal tube chosen for initial intubation doesn’t always allow for easy access to this valuable practice—until now. That is why we created the new Teleflex ISIS® HVTTM. with a separate suction line. The versatile design eliminates the need to be selective during initial intubation, increasing the number of patients who can be viable candidates for post-operative subglottic suctioning, a clinically proven strategy for VAP reduction.2

    1 American Thoracic Society; Infectious Diseases Society of America. Guidelines for the management of adults with hospital-acquired, ventilator-associated and healthcare-associated pneumonia. Am J Respir Crit Care Med 2005;171:388.2 Coffin S MD, MPH, Klompas M MD, Classen D MD, et al. Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals. Infect Control Hosp Epidemiol 2008; 29:S31-S40.3 American Thoracic Society. Consensus Statement: Hospital Acquired Pneumonia in Adults: diagnosis, assessment of severity, initial antimicrobial therapy and preventative strategies. Am J Respir Crit Care Med. 1996;151:1711-1725.4 Dezfulian C, Shojania K, Collard HR, Kim HM, Matthay MA, Saint S. Subglottic secretion drainage for preventing ventilator-associated pneumonia: a meta-analysis. Am J Med 2005; 118:11-18.5 Mujica-Lopez KI, Pearce MA, Narron KA, Perez J, Rubin BK. In Vitro Evaluation of Endotracheal Tubes with Intrinsic Suction,CHEST 2010; 138(4):863-869.

    SubGlottic Secretion removala vap reduction StrateGy

    inteGrated Suction port•Design allows for easy connection

    to the suction line•Strategically designed for placement

    outside the patient’s mouth•Cap seals suction port when not in use

    thin walled, low-preSSure tapered cuff•Effective seal at low pressures

    Suction lumen•Allows for removal of accumulated secretions•Custom design reduces the likelihood of mucous

    obstruction5

    placement rinG•Provides a visual depth

    indication to aid in proper placement

    Suction line inteGrated capS•Design allows for easy connection to

    the suction port•Easy handling when connecting

    suction tubing•Caps seal suction line when not in use•Sold separately

    pilot balloon•Tactile feedback

    allows for a visual gauge of cuff inflation

    The unique convertible nature of the Teleflex ISIS HVT frees clinicians from the uncertainty of choosing which tube is best for the patient at the time of intubation. ISIS features an integrated suction port and separate suction line, allowing for subglottic secretion removal, on-demand. When needed, the suction line attaches to the ISIS HVT via a secure locking connection. Both connection ports can be sealed upon disconnection, reducing the risk of cross-contamination when not in use. This versatile design allows you to make the right choice, every time. the iSiS advantaGe•Convertible design•Simplifies tube selection at initial intubation•Consolidates inventory•Purchase the suction line only when you need it

    the neweSt addition to the teleflexfamily of endotracheal tubeS

    teleflex iSiS® hvttm, the first convertible endotracheal tube

    See paGe 10for

    orderinGinformation

    Also available with a preloaded stylet: Ideal for crash carts and emergency rooms

  • 4 sheridan endotracheal tube guide sheridan endotracheal tube guide 5

    baSic intubation

    Sheridan/hvt® HIgH Volume, Tapered, low-pressure cuff

    •HVT cuff design facilitates tracheal wall seal at low sealing pressures

    •Tapered cuff increases visualization of the vocal chords during intubation

    • Ideal cuff configuration and attributes for longer-term intubation

    Sheridan uncuffedtm TracHeal Tubes

    •Tube softens at body temperature to conform to airway anatomy

    •Smooth, molded, gently cupped tip eases insertion during intubation

    •Special depth lines at distal tip reference depth of intubation

    Sheridan ped-Softtm uncuffed TracHeal Tubes

    •Special soft PVC formulation enhances compliance to the anatomy

    •Additional depth marks assist in placement during nasal intubation

    •Distinct black tip aids visualization during intubation • Ideal for long-term pediatric intubation

    Sheridan preformedtm nasal Tubes

    •Preformed shape directs tube over patient’s forehead, reducing pressure on nares

    •Bold mark at center of bend indicates distance to distal tip

    •Uncuffed tubes have two Murphy eyes for enhanced patient safety

    •Designed for patients in prone position or undergoing otolaryngologic procedures

    Sheridan preformedtm oral Tubes

    •Preformed shape directs tube downward, to rest of patient’s chin without kinking

    •Allows breathing circuit connections to be positioned outside surgical field without special connectors

    •Bold mark at center of bend indicates distance to

    distal tip•Designed for patients undergoing surgery of the

    face and head

    See paGe 10 for orderinG information

    Sheridan/cf® close fITTIng, low pressure cuff

    •Close fitting, opaque cuff increases visualization• Ideal cuff configuration and attributes for

    short-term, surgical intubations

    ez-endo® pre-loaded wITH sTyleT

    •Sheridan/HVT cuffed tube pre-loaded with stylet

    •Stylet’s easy-grip handle facilitates removal after intubation

    •EZ-Endo is ideal for crash carts, emergency rooms, clinics and offices

    naz-altm sofT nasal TracHeal Tubes

    •Special PVC blend with enhanced softness for nasal intubation

    •Cuff inflation line specially positioned to sit

    outside the patient’s nasopharngeal passage• Ideal for long-term nasal intubations

  • laSer-trach®

    laser resIsTanT Tube for use wITH co2 and KTp lasers

    •Clinically proven red rubber is the material of choice6

    •Unique embossed copper foil diffuses laser energy

    •Atraumatic outer covering minimizes abrasion on laryngotracheal mucosal surfaces

    Sheridan ltStm

    for mIcrolaryngeal TracHeal surgery

    •Small diameter (4, 5 or 6mm) provides better visualization and access to surgical site

    •Cuff diameter and tube length is that of standard 8mm tube

    •Designed for microlaryngeal or tracheal surgery•May also be useful for patients whose airways have

    been narrowed, preventing the use of a larger tube

    Sher-i-bronch®

    lefT and rIgHT-sIded endobroncHIal Tubes

    •Double lumen endobronchial tubes designed for selective one-lung ventilation, allowing for quiet surgical field on opposite side

    •Right-sided tube’s unique double cuff facilitates positioning of tube in right main stem bronchus

    •Double-thick tracheal cuff helps to reduce inadvertent tearing upon insertion

    Spiral-flex®

    reInforced Tubes

    •Spiral stainless reinforcing wire in tube wall reduces risk of kinking or compression

    •High volume, tapered, low pressure, blue cuff•Oral tube includes reinforcing sleeve over bite

    area and pre-loaded stylet•For use when bending or compression of the tube is

    likely to occur, as in head and neck surgery

    eaSytube®

    double lumen Tube

    •Allows for placement in either the esophagus or the trachea

    •Soft pharyngeal cuff does not contain latex•Color coded stems and pilot balloons make it easier to

    identify the esophageal and tracheal lumens•Placement ring below the pharyngeal cuff provides

    visual depth feedback during placement

    litatm tubeS for laryngoTracHeal InsTIllaTIon of TopIcal anesTHeTIc

    •Sheridan/HVT cuff facilitates tracheal wall seal at low sealing pressure

    •Additional lumen allows for spray application of topical anesthetic above and below the cuff

    •Black reference bar indicates position of uppermost opening

    • Ideal when laryngospasm is anticipated during intubation/extubation

    lar-a-Jecttm

    reInforced laryngecTomy TracHeal Tubes

    •Special “J” shape facilitates placement into tracheostomy stoma

    •Allows external part of the tube to be directed away from surgical field

    •Spiral, stainless steel reinforced wire within tube wall reduces risk of kinking

    Sheridan Stat-medtm

    for medIcaTIon delIVery

    •Additional lumen and injection port allows for rapid drug delivery below the cuff

    • Injection lumen color-coded (yellow) for easy, quick identification

    •May also be used for monitoring pressure or tracheal lavage

    Specialty intubation

    6 sheridan endotracheal tube guide sheridan endotracheal tube guide 7

    6 What Is the Safest Endotracheal Tube for Nd-YAG-Laser Surgery? - A Comparative Study, Mitchel B. Sosis, Anesthesia & Analgesia, 1989; 69; 802 -804 See paGe 10 for orderinG information

  • Soft tiptm InTubaTIng sTyleT

    •Soft tip is created by the retracted metal core•Slippery outer finish

    Sher-i-Slip® InTubaTIng sTyleT

    •Designed to retain desired curve during oral intubation

    •Special material reduces stylet-to-tube friction

    Sher-i-Swiv/fotm double swIVel connecTor for use wITH fIberopTIcs

    •Special orifice allows easy passage of fiberoptic scope•Maintains seal around scope during bronchoscopy

    procedure•Swivel feature reduces breathing circuit torque on

    the tracheal tube•Designed to facilitate introduction of fiberoptic

    bronchoscope during mechanical ventilation

    flex-c-pap® for use wITH sHer-I-broncH endobroncHIal Tubes

    •Facilitates one-lung ventilation when using endobronchial tube

    •Provides for the addition of oxygen at patient elbow connector

    •Allows clinician to dial in desired amount of CPAP

    Sher-i-Swiv® double swIVel connecTor

    •For use with tracheostomy and tracheal tubes

    •Reduces breathing circuit torque on tracheal side•Allows easy suction catheter passage with

    secure closure

    Sheridan e.t.x.tm endobroncHIal Tube excHanger

    •100cc length allows easy exchange of endobronchial tube with standard tube, without using a laryngoscope

    •For use with 35 Fr. - 41 Fr. Sher-I-Bronch endobronchial tubes

    Sheridan t.t.x.tm TracHeal Tube excHanger

    •Flexible material, frosted surface and depth marks aid precise placement and minimize drag

    • Internal lumen allows for spontaneous breathing

    during tube exchange•Facilitates quick, efficient endotracheal tube

    exchange/replacement

    aSSeSSorieS

    8 sheridan endotracheal tube guide sheridan endotracheal tube guide 9

    See paGe 10 for orderinG information

    Sher-i-bronch® sucTIon caTHeTers

    •Special length catheters designed for use with Sheridan endobronchial tubes

    •Longer length allows for effective suctioning of right/left mainstream bronchus

  • 10 sheridan endotracheal tube guide sheridan endotracheal tube guide 11

    orderinG information

    acceSSorieSdescription Qty. (box) product number

    sher-l-bronch double swivel connector 25 5-15301

    sher-l-swIV/fo double swivel connector 25 5-15401

    flex-c-pap system 10 5-16000

    endotracheal Tube Holder (not pictured) 10 1065

    mouth cushion (not pictured) 50 1066

    endobronchial tubeS & difficult intubationS

    descriptionQty. (box) size

    28fr 35fr 37fr 39fr 41fr

    Sher-i-bronch endobronchial tubeS

    sher-l-bronch left sided 1 5-16028 5-16035 5-16037 5-16039 5-16041

    sher-l-bronch right sided 1 5-16128 5-16135 5-16137 5-16139 5-16141

    difficult tracheal or eSophaGeal intubation

    easyTube 4 180028 180041

    StyletS

    descriptionQty. (box)

    o.d.size

    For tube sizes (mm) i.d. length product number

    sher-l-slip 25 10fr 5.0-10.0 34cm 5-15101

    25 5fr 2.0-4.5 25cm 5-15102

    25 10fr 5.0-10.0 51cm 5-15103

    soft-Tip 20 14fr 6.0-10.0 31cm 5-15100

    20 10fr 4.5-6.5 33cm 5-15110

    20 6fr 2.5-4.5 27cm 5-15120

    tube exchanGerS

    descriptionQty. (box) For tube sizes length

    product number

    T.T.x. 10 2.5mm - 4.0mm I.d. 56cm 5-24000

    10 4.0mm - 6.0mm I.d. 81cm 5-24002

    10 6.0mm - 8.5mm I.d. 81cm 5-24004

    10 7.5mm - 10.0mm I.d. 81cm 5-24006

    e.T.x. 10 35fr - 41fr (sher-l-bronch) 100cm 5-24105

    Suction catheterS

    descriptionQty. (box) size i.d.

    For use with sher-l-bronch sizes

    product number

    sher-I-bronch suction catheter 20 8fr 28fr 5-20708

    20 10fr 35fr 5-20710

    20 12fr 37fr, 39fr, 41fr 5-20712

    endotrachael tubeS

    descriptionQty. (box) size

    2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 10.0

    baSic intubation

    IsIs HVT 10 5-13012 5-13013 5-13014 5-13015 5-13016 5-13017 5-13018

    IsIs HVT with stylet 10 5-14012 5-14013 5-14014 5-14015 5-10416 5-10417 5-10418

    IsIs accessory pack5

    one size5-23000

    HVT 10 5-10310 5-10311 5-10312 5-10313 5-10314 5-10315 5-10316 5-10317 5-10318 5-10320

    cf murphy eye 10 5-10106 5-10107 5-10108 5-10109 5-10110 5-10111 5-10112 5-10113 5-10114 5-10115 5-10116 5-10117 5-10118 5-10119 5-10120

    cf magill Type 10 5-10206 5-10208 5-10210 5-10212 5-10213 5-10214 5-10215 5-10216 5-10217 5-10218 5-10219 5-10220

    uncuffed murphy eye 10 5-10404 5-10405 5-10406 5-10407 5-10408 5-10409 5-10410 5-10411 5-10412 5-10413 5-10414

    uncuffed magill 10 5-10504 5-10505 5-10506 5-10507 5-10508 5-10509 5-10510 5-10511 5-10512 5-10513 5-10514

    ped-soft uncuffed murphy eye 10 5-30404 5-30405 5-30406 5-30407 5-30408 5-30409 5-30410 5-30411 5-30412 5-30413 5-30414

    ped-soft uncuffed magill 10 5-30504 5-30505 5-30506 5-30507 5-30508 5-30509 5-30510 5-30511 5-30512 5-30513 5-30514

    preformed cuffed oral 10 5-22208 5-22209 5-22210 5-22211 5-22212 5-22213 5-22214 5-22215 5-22216 5-22217 5-22218

    preformed uncuffed oral 10 5-22006 5-22007 5-22008 5-22009 5-22010 5-22011 5-22012 5-22013 5-22014

    preformed cuffed nasal 10 5-22312 5-22313 5-22314 5-22315 5-22316

    preformed uncuffed nasal 10 5-22106 5-22107 5-22108 5-22109 5-22110 5-22111 5-22112 5-22113 5-22114

    naZ-al 10 5-19010 5-19012 5-19013 5-19014 5-19015 5-19016 5-19017 5-19018

    eZ-endo cuffed HVT 10 5-22510 5-22511 5-22512 5-22513 5-22514 5-22515 5-22516 5-22517 5-22518

    eZ-endo uncuffed 10 5-22405 5-22406 5-22407 5-22408 5-22409 5-22410 5-22411

    Specialty intubation

    spiral-flex cuffed oral with Integrated bite block and stylet

    5 5-12510 5-12511 5-12512 5-12513 5-12514 5-12515 5-12516 5-12517 5-12518

    spiral-flex cuffed oral/nasal 5 5-12610 5-12611 5-12612 5-12613 5-12614 5-12615 5-12616 5-12617 5-12618

    spiral-flex uncuffed oral/nasal murphy

    5 5-12906 5-12907 5-12908 5-12909 5-12910

    spiral-flex uncuffed oral/nasal magill

    5 5-12406 5-12407 5-12408 5-12409 5-12410

    lar-a-Ject 5 5-11714 5-11716 5-11718

    lTs 10 5-11108 5-11110 5-11112

    stat-med cuffed oral/nasal 10 5-21512 5-21513 5-21514 5-21515 5-21516 5-21517

    lITa 10 5-20512 5-20513 5-20514 5-20515 5-20516 5-20517

    laser-Trach 5 5-20608 5-20610 5-20612

    need additional optionS?Ask about our Rüsch line of endotracheal tubes or visit us online at www.myrusch.com.

    Visit www.HudsonRCI.com for additional information. Choose the Airway Management section of the online Product Catalog to see more information about:

    to place an order contact cuStomer Service at 1.866.246.6990

    •EndotrachealTubes&Accessories•EndobronchialTubes&Accessories•Airways&BiteBlocks

    •AnesthesiaFaceMasks•AnesthesiaCircuits

  • Teleflex is a global provider of medical products designed to enable healthcare providers to protect against infections and improve patient and provider safety. The company specializes in products and services for vascular access, respiratory, general and regional anesthesia, cardiac care, urology and surgery. Teleflex also provides specialty products for device manufacturers. The Teleflex family of brands includes arrow®, beere medical®, deknatel®, gibeck®, hudson rci®, kmedic®, pilling®, pleur-evac®, rüsch®, sheridan®, smd®, taut®, tFx oem®, vasonova™ and weck®, all of which are trademarks or registered trademarks of Teleflex Incorporated or its affiliates. Teleflex Incorporated (nyse:tFx) has annual revenues of approximately 1.8 billion in revenue and customers in more than 130 countries.

    for detailed information, see teleflex.com

    teleflex medical po box 12600 research Triangle park, nc 27709 Toll free 866.246.6990 phone 919.544.8000

    IsIs, HVT, soft Tip, easyTube, sheridan/HVT, sheridan/cf, ped-soft, naZ-al, eZ-endo, spiral-flex, lar-a-Ject, lTs, stat-med, lITa, laser-Trach, sher-I-bronch, sher-I-swiv/fo, sher-I-swiv, flex-c-pap, sher-I-slip, T.T.x., JeTTx, e.T.x., sheri-dan and Teleflex are registered trademarks of Teleflex Incorporated or its affiliates. ©2012 Teleflex Incorporated. all rights reserved. 2011-0068