Full Line Catalogue

Tracheostomy Products
◆
Laryngectomy Products
◆
Cuff Pressure Management
◆
Accessories
◆
Information
Group Dynamics

Six decades of competence

in tracheostomy products –
and in the last 10 years more
innovations than any other
producer serving this market.
2010 TRACOE medical re-
ceived the TOP 100 award
to be one of the 100 most
innovative middle-sized
companies in Germany.
 COMPETENCE IN TRACHEOSTOMY

Over Six Decades of Expertise Certified Quality

TRACOE medical is your competent partner in the TRACOE medical’s products are CE-certified.
highly specialised field of tracheostomy and laryn- This do­cu­ments the fact that they are developed,
gectomy – for both physicians and patients. manufactured and tested in compliance with legal
requirements and the basic stipulations of the EC
Special requirements call for special solutions, Direc­­tive on Medical Products 93/42/EEC (Annex 1).
which is why TRACOE medical offers a complete This cer­ti­fication is regularly renewed on the basis
product line consisting of various product families of audits by a Notified Body. QM certifi­cation has
which complement one another. They start with also been obtained to show that TRACOE medical
percutaneous sets for performing dilation trache- has im­plemented an effective quality manage­ment
os­tomy, include an assortment of tracheostomy system which conforms to DIN EN ISO 13485:2003,
tubes, and extend to items for rehabilitation and AC 2007. All of TRACOE medical’s staff are integra-
aftercare. TRACOE medical also offers products to ted in this quality system to ensure a con­sistently
support proper functioning of the tubes, mainly for high level of quality for all TRACOE products.
use in hospitals, rehab clinics and nursing homes.
Tracheostomy accesso­ries, made to harmonise TRACOE products meet the requirements of the
precisely with other TRACOE products, help hospi- most demanding applications and comply with all
tals and homecare facilities to keep their costs under relevant national and international guidelines and
control while supporting patients in using, cleaning standards. They are registered and approved in
and properly caring for their tracheostomy tubes. many countries world-wide, including the United
States (US21CFR820-FDA) and Canada (CanMDR).
All tracheostomy tubes are developed by TRACOE
medical, as they have the know-how for innovations
to form and then to be turned into practice-orienta-
ted products.

For its continuous success to improve and com-

plement the product range through innovations,
the firm was not only elected “Company of the Year
2010 in the County Mainz-Bingen in the Category
Innovation” but also belongs to one of the TOP 100
most innovative middle-sized companies 2010.

Management

Successfull partners since 1992:

Prof. Dr. med. Franz Waldeck
(Development and Production),
Stephan Köhler (Administration,
Marketing and Sales).
 New product group!

Ten Families of Products

Ten families of trache­ostomy

tubes and related products such
as percutaneous dilation tracheo-
stomy sets, precision instruments
and accessories.
 the tracoe programme
From Hospitals to the Care of Permanent Wearers

TRACOE percutan experc

Sets for percutaneous tracheostomy Page 2

TRACOE twist Tracheostomy Tubes

Made of tissue-friendly polyurethane; for use in hospitals and during rehabilitation Page 20

TRACOE vario Tracheostomy Tubes

With variably adjustable neck flange – for use in hospitals Page 32

TRACOE pure Tracheostomy Tube

The economical version for short-term use Page 38

TRACOE mini Tracheostomy Tubes

Designed to meet the special requirements of neonates and children Page 40

TRACOE comfort Tracheostomy Tubes

Made of medical grade, clear polymer material – e.g. speaking tubes for
long-term use in therapy, during rehabilitation and for permanent wearers Page 44

TRACOE modular
Speaking valves as well as heat/moisture exchangers – for attachment to
tracheostomy tubes, stoma buttons, short tubes and adhesive carriers Page 56

TRACOE technic Medical Technology

Precision medical instruments for the cuff pressure management Page 64

TRACOE larynx
stoma buttons, silicone short tubes, adhesive carriers and button plus Page 68

TRACOE care Accessories

For ongoing care as well as product maintenance and cleaning Page 74

Information for Patients

Useful information about TRACOE tubes and daily care of them Page 86
Information for Distributors
Information for hospitals and distributors. Contact information, how to place orders, sales support, etc. Page 88

TRACOE medical 1
 Intensive Care

Complete sets for percu­­ta-

neous dilation tracheosto-
my. Feature: The atraumatic
inserter and the atraumatic
insertion system – a soft
silicone sleeve smoothes
the gap between inserter
and tube.

2 TRACOE percutan
A Proven Technique

Percutaneous dilation tracheostomy has established

itself as a standard procedure in intensive medicine.
The Ciaglia technique is the one most widely used.
The TRACOE experc system is based on this proven
method, so there is no need to learn a new procedure.
The sets are tailored to the use of un­fenestrated and fe-
nestrated tubes as well as tubes with subglottic suction
line of the product groups TRACOE twist, incl. TRACOE
twist plus NEw! , and TRACOE vario (not fenestrated).

The Feature

How to slide the tube over the insertion instrument into

the tracheostoma is a challenge in percutaneous dilati-
on tracheostomy. The TRACOE experc sets deliver the
solution in form of the patented atraumatic inserter and
the atraumatic insertion system. A soft silicone sleeve at
the tip of the insertion instruments smoothly bridges the
gap in diameter between the inserter and the tube. This
lets the tube be inserted safely and easily.

Option for Reinsertion

For difficult reinsertion situations un­fenestrated and

fenestrated TRACOE twist, twist plus NEw! as well as
unfenestrated TRACOE vario tubes are available. They
are available individually and premounted on the
atraumatic inserter. The offered Seldinger guide wire
should be used in any difficult case.

TRACOE percutan 3
 TRACOE experc Set twist

REF 320

REF 321

REF 322
Package Contents per Set:

TRACOE experc Set twist TRACOE experc Dilation Set for

Percutaneous Tracheostomy,
in sterile Package
REF 320 Set in sterile package
1 TRACOE experc Dilation Set (REF 520) REF 520
1 TRACOE twist tracheostomy tube with low
pressure cuff and atraumatic inserter (REF 301-P) Scalpel
Syringe
REF 321 Set in sterile package Puncture needle (14 G)
1 TRACOE experc Dilation Set (REF 520) with Teflon catheter
1 TRACOE twist tracheostomy tube, fenestrated, Seldinger guide wire made of kink resistant
with low pressure cuff and atraumatic inserter NiTiNol with inserter
(REF 302-P) Short dilator 14 CH/FR
Guiding catheter with safety stop
REF 322 Set in sterile package TRACOE experc dilator with hydrophilic coating
1 TRACOE experc Dilation Set (REF 520) (slides easily after moistening)
1 TRACOE twist tracheostomy tube with low 4 compresses
pres­­sure cuff, subglottic suction line and
atraumatic inserter (REF 306-P) TRACOE twist Tracheostomy Tube with
Low Pressure Cuff and Atraumatic Inserter,
in sterile Package:
REF 322: As a product variant the set is also
available with REF 888-306-P, fenestrated REF 301-P unfenestrated (see Page 6),
or REF 302-P fenestrated (see Page 6),
or REF 306-P unfenestrated, with subglottic
TRACOE twist tubes REF 301-P, REF 302-P and suction line (see Page 7)
REF 306-P as well as TRACOE experc Dilation Set
(REF 520) are also available separately.

4 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
Fig. 1

Fig. 2

The Feature of the TRACOE experc Set twist is the The Benefits:
Atraumatic Insertion System of the Tubes. Dilation is performed using the Ciaglia one-step technique.
Its tip has a folding silicone sleeve that smoothly bridges over The atraumatic inserter smoothes over the gap in dia-
the gap in diameter between the inserter and the end of the meter between the end of the tube and the inserter.
tube (Fig. 1). This minimizes the risk of injury when inserting the
The inserter also excels with a precise fit into the tube and a tracheostomy tube into the trachea.
stop at the 15 mm conector. Once the tube is in the trachea, The stop at the15 mm conector prevents the inserter from
the inserter is pulled out of the tube. In doing so the silicone being inserted too far into the tube, which additionally
sleeve flaps back to facilitate its easy removal (Fig. 2). reduces the risk of injury.
The separately available tubes with insertion system can
also be used for reinsertion into a percutaneously created
tracheostoma and/or change tubes; if necessary in com-
bination with the Seldinger guide wire (see page 19).

Ordering Information: REF 320, REF 321 and REF 322 Size REF-No. Units/package

REF 320, consisting of: 1 TRACOE experc Dilation Set (REF 520) and 07 REF 320-07 1
1 TRACOE twist tracheostomy tube, unfenestrated, with low pressure cuff 08 REF 320-08 1
and atraumatic inserter (REF 301-P) 09 REF 320-09 1

REF 321, consisting of: 1 TRACOE experc Dilation Set (REF 520) and 07 REF 321-07 1
1 TRACOE twist tracheostomy tube, fenestrated, with low pressure cuff 08 REF 321-08 1
and atraumatic inserter (REF 302-P) 09 REF 321-09 1

07 REF 322-07 1
REF 322, consisting of: 1 TRACOE experc Dilation Set (REF 520) and
1 TRACOE twist tracheostomy tube, unfenestrated, with subglottic suction 08 REF 322-08 1
line, low pressure cuff and atraumatic inserter (REF 306-P)
09 REF 322-09 1

TRACOE percutan 5
 REF 301-P REF 302-P

TRACOE twist Tracheostomy Tube, TRACOE twist Tracheostomy Tube,

Unfenestrated, with Low Pressure Cuff Fenestrated, with Low Pressure Cuff
and Atraumatic Inserter and Atraumatic Inserter

REF 301-P In sterile package REF 302-P In sterile package

Outer cannula with cuff Outer cannula, fenestrated, with cuff
2 inner cannulas with 15 mm connector Inner cannula with 15 mm connector
Atraumatic inserter Inner cannula, fenestrated, with 15 mm connector
Reinsertion tube Occlusion cap
Sterile lubricating gel Atraumatic inserter
Perforated Obturator and wide neck strap Reinsertion tube
(shown below) Sterile lubricating gel
Perforated obturator and wide neck strap
(shown below)

Each TRACOE twist tube is supplied with a

perforated obturator and a wide adjustable neck
strap as well as a tube info card with peel-off stickers
on front and back. The neck strap is also available
separately (REF 903-F).

6 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 306-P REF 888-306-P

TRACOE twist Tracheostomy Tube, Product Variant:

Unfenestrated, with Low Pressure Cuff, TRACOE twist Tracheostomy Tube,
Subglottic Suction Line and Atraumatic Inserter Fenestrated, with Low Pressure Cuff,
Subglottic Suction Line and Atraumatic Inserter
REF 306-P In sterile package
Outer cannula with cuff and subglottic suction line REF 888-306-P In sterile package
2 inner cannulas with 15 mm connector Outer cannula, fenestrated, with cuff and subglottic
2 connectors for suction devices suction line
Atraumatic inserter Inner cannula with 15 mm connector
Reinsertion tube Inner cannula, fenestrated, with 15 mm connector
Sterile lubricating gel 2 connectors for suction devices
Perforated obturator and wide neck strap Atraumatic inserter
(shown on page 6) Reinsertion tube
Sterile lubricating gel
Perforated obturator and wide neck strap
(shown on page 6)

Reference Numbers and Measurements: REF 301-P, REF 302-P and REF 306-P
Size ➊ ID-IC ➋ OD-OC bc ➌ OD-OC bf Lengths (mm) ➏ BA ➐ CD
(mm) (mm) (mm) ➍ TL ➎ AB (y°) (mm)
07 7.0 10.4 12.0 74 80.5 95 26
08 8.0 11.4 12.7 76 83.0 90 28
09 9.0 12.5 14.2 78 88.5 90 30
➊ ID-IC: inside diameter (clear width) at bottom of inner cannula; ➋ OD-OC bc: outside diameter at bottom of
outer cannula; ➌ OD-OC bf: outside diameter of outer cannula behind the flange; ➍ Length TL: along centre line
from start of neck flange to bottom of tube; ➎ Length AB: length along outer bend from start of neck flange to
bottom of tube; ➏ BA: bending angle; ➐ CD: cuff diameter
u To order, specify: REF + size (e.g. REF 301-07-P).

Legend to symbol: Fenestrated tube TRACOE percutan 7

 TRACOE experc Set twist plus
up to Size 10

REF 330 NEW!

REF 331 NEW!

REF 332 NEW!

Package Contents per Set:

TRACOE experc Set twist plus TRACOE experc Dilation Set for
Percutaneous Tracheostomy,
Also available in size 10! in sterile Package

REF 520
REF 330 Set in sterile package
1 TRACOE experc Dilation Set (REF 520) Scalpel
1 TRACOE twist plus tracheostomy tube with low Syringe
pressure cuff and atraumatic insertion system Puncture needle (14 G)
(REF 311-P) with Teflon catheter
Seldinger guide wire made of kink resistant
REF 331 Set in sterile package NiTiNol with inserter
1 TRACOE experc Dilation Set (REF 520) Short dilator 14 CH/FR
1 TRACOE twist plus tracheostomy tube Guiding catheter with safety stop
double fenestrated, with low pressure cuff and TRACOE experc dilator with hydrophilic coating
atraumatic insertion system (REF 312-P) (slides easily after moistening)
4 compresses
REF 332 Set in sterile package
1 TRACOE experc Dilation Set (REF 520) TRACOE twist plus Tracheostomy Tube with
1 TRACOE twist plus tracheostomy tube, Low Pressure Cuff and Atraumatic Inserter,
unfenestrated, with low pressure cuff, with in sterile Package:
subglottic suction line and atraumatic insertion
system (REF 316-P) REF 311-P unfenestrated (page 10),
or REF 312-P double fenestrated (page 10),
or REF 316-P unfenestrated, with subglottic
REF 332: As a product variant the set is also suction line (page 11)
available with REF 888-316-P, fenestrated

TRACOE twist plus tubes REF 311-P, REF 312-P

and REF 316-P as well as TRACOE experc Dila-
tion Set (REF 520) are also available separately.

8 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
Fig. 1

Fig. 2

The Feature of the TRACOE experc Sets twist plus is green inserter can be removed first, followed by the white
the Atraumatic Insertion System of the Tubes. guiding catheter and the Seldinger guide wire. Under no cir-
The system consists of two parts: the white guiding catheter cumstances the white guiding catheter must be removed first.
with silicone sleeve and the green inserter in the inner cannula.
The silicone sleeve smoothly bridges over the gap in diameter The Benefits:
between the end of the tube and the inserter thus minimising Dilation is performed using the proven Ciaglia one-step
the risk of injury when inserting the tracheostomy tube into the technique.
trachea (see Fig. 1). The atraumatic inserter smoothes over the gap in diame-
The TRACOE twist plus tracheostomy tubes are delivered pre- ter between the end of the tube and the inserter.
mounted on the atraumatic insertion system, the inner cannula This minimises the risk of injury when inserting the tra-
is already placed in the tube. The insertion system stabilises cheostomy tube into the trachea.
and assists guiding the tube; it excels with a precise fit into the The stop at the 15 mm connector prevents the inserter
tube and a stop at the 15 mm connector. from being inserted too far into the tube, which additio-
Once the tube is in the trachea the green inserter and the nally reduces the risk of injury.
white guiding catheter with silicone sleeve are grabbed as a The separately available tubes with inserting system can
unit and removed together. By doing so the silicone sleeve also be used for reinsertion into a percutaneously created
flaps back and the guiding catheter can be removed easily tracheostoma and/or change tubes; if necessary in com-
(see Fig. 2). The Seldinger guide wire can be removed either bination with the Seldinger guide wire (see page 19).
prior or together with the guiding catheter. Alternatively the

Ordering Information: REF 330, REF 331 and REF 332 Size REF-No. Units/package
07 REF 330-07 1
REF 330, consisting of: 1 TRACOE experc Dilation Set (REF 520)
08 REF 330-08 1
and 1 TRACOE twist plus tracheostomy tube, unfenestrated,
09 REF 330-09 1
with low pressure cuff and atraumatic insertion system (REF 311-P)
10 REF 330-10 1
07 REF 331-07 1
REF 331, consisting of: 1 TRACOE experc Dilation Set (REF 520)
08 REF 331-08 1
and 1 TRACOE twist plus tracheostomy tube, double fenestrated,
09 REF 331-09 1
with low pressure cuff and atraumatic insertion system (REF 312-P)
10 REF 331-10 1
REF 332, consisting of: 1 TRACOE experc Dilation Set (REF 520) 07 REF 332-07 1
and 1 TRACOE twist plus tracheostomy tube, unfenestrated, with 08 REF 332-08 1
subglottic suction line, low pressure cuff and atraumatic insertion system 09 REF 332-09 1
(REF 316-P) 10 REF 332-10 1

TRACOE percutan 9
 Detail of the additional fenestration
at the inner bend

REF 311-P NEw! REF 312-P NEw!

TRACOE twist plus Tracheostomy Tube, TRACOE twist plus Tracheostomy Tube,
Unfenestrated, with Low Pressure Cuff Double Fenestrated, with Low Pressure Cuff
and Atraumatic Insertion System and Atraumatic Insertion System

REF 311-P In sterile package REF 312-P In sterile package

Outer cannula with cuff Outer cannula, double fenestrated, with cuff
2 inner cannulas with 15 mm connector Inner cannula with 15 mm connector
Atraumatic insertion system Inner cannula, double fenestrated with
Sterile lubricating gel 15 mm connector
Perforated Obturator and wide neck strap Occlusion cap
(shown below) Atraumatic insertion system
Sterile lubricating gel
Perforated obturator and wide neck strap
(shown below)

Features of TRACOE twist plus tubes are shown

on page 28.

Each TRACOE twist plus tube is supplied with a

perforated obturator and a wide adjustable neck
strap as well as a tube info card with peel-off stickers
on front and back. The neck strap is also available
separately (REF 903-F).

10 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
 Detail of the additional fenestration
at the inner bend

REF 316-P NEw! REF 888-316-P NEw!

TRACOE twist plus Tracheostomy Tube, Product Variant :

Unfenestrated, with Low Pressure Cuff, TRACOE twist plus Tracheostomy Tube,
Subglottic Suction Line and Atraumatic Double Fenestrated, with Low Pressure Cuff,
Insertion System Subglottic Suction Line and Atraumatic
Insertion System
REF 316-P In sterile package
Outer cannula with cuff and subglottic suction line REF 888-316-P In sterile package
2 inner cannulas with 15 mm connector Outer cannula, double fenestrated, with cuff
2 connectors for suction devices and subglottic suction line
Atraumatic insertion system Inner cannula with 15 mm connector
Sterile lubricating gel Inner cannula, double fenestrated, with 15 mm
Perforated obturator and wide neck strap connector
(shown on page 10) 2 connectors for suction devices
Atraumatic insertion system
Sterile lubricating gel
Perforated obturator and wide neck strap
(shown on page 10)

Reference Numbers and Measurements: REF 311-P, REF 312-P and REF 316-P
Size ➊ ID-IC ➋ OD-OC bc ➌ OD-OC bf Lengths (mm) ➏ BA ➐ CD
(mm) (mm) (mm) ➍ TL ➎ AB (y°) (mm)
07 7.0 9.8 10.1 85 91 100 26
08 8.0 10.8 11.1 88 95 100 28
09 9.0 11.8 12.1 90 99 100 30
10 10.0 12.8 13.1 92 102 100 32
➊ ID-IC: inside diameter (clear width) at bottom of inner cannula; ➋ OD-OC bc: outside diameter at bottom of
outer cannula; ➌ OD-OC bf: outside diameter of outer cannula behind the flange; ➍ Length TL: along centre line
from start of neck flange to bottom of tube; ➎ Length AB: length along outer bend from start of neck flange to
bottom of tube; ➏ BA: bending angle; ➐ CD: cuff diameter
u To order, specify: REF + size (e.g. REF 311-07-P)

Legend to symbol: Fenestrated tube TRACOE percutan 11

 TRACOE experc Set vario

Package Contents per Set:

TRACOE experc Dilation Set for

Percutaneous Tracheostomy,
in sterile Package

REF 520

REF 420 Scalpel

Syringe
REF 421 Puncture needle (14 G)
with Teflon catheter
REF 422 NEW! Seldinger guide wire made of kink resistant
NiTiNol with inserter
REF 423 Short dilator 14 CH/FR
Guiding catheter with safety stop
TRACOE experc dilator with hydrophilic coating
TRACOE experc Set vario (slides easily after moistening)
4 compresses

REF 420 Set in sterile package TRACOE vario Tracheostomy Tube with
1 TRACOE experc Dilation Set (REF 520) Adjustable Neck Flange, Low Pressure Cuff
1 TRACOE vario tracheostomy tube, and Atraumatic Insertion System,
spiral-reinforced, with adjustable neck flange, in sterile Package:
low pressure cuff and atraumatic insertion system
(REF 450-P) REF 450-P spiral-reinforced (see Page 15),
or REF 451-P extra-long, spiral-reinforced
REF 421 Set in sterile package (see Page 15),
1 TRACOE experc Dilation Set (REF 520) or REF 460-P not spiral-reinforced
1 TRACOE vario XL tracheostomy tube, (see Page 16),
spiral-reinforced, with adjustable neck flange, or REF 461-P extra-long, not spiral-reinforced
low pressure cuff and atraumatic insertion system (see Page 16),
(REF 451-P) or REF 470-P not spiral-reinforced,
with subglottic suction line
REF 422 Set in sterile package (see Page 17),
1 TRACOE experc Dilation Set (REF 520) or REF 471-P extra-long, not spiral-reinforced,
1 TRACOE vario extract tracheostomy tube with subglottic suction line
with adjustable neck flange, low pressure cuff, (see Page 17)
subglottic suction line and atraumatic insertion
system (REF 470-P)

REF 423 Set in sterile package

1 TRACOE experc Dilation Set (REF 520) TRACOE vario tubes REF 450-P, REF 451-P,
1 TRACOE vario tracheostomy tube REF 460-P, REF 461-P, REF 470-P and REF 471-P
with adjustable neck flange, low pressure cuff as well as TRACOE experc Dilation Set (REF 520)
and atraumatic insertion system (REF 460-P) are also available separately.

12 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
The optimized TRACOE vario tubes have an adjustable neck flange with locking lever and pliable wings on the flange
that can be adjusted independently of one another

REF 424 NEW! REF 425 NEW!

REF 424 Set in sterile package REF 425 Set in sterile package
1 TRACOE experc Dilation Set (REF 520) 1 TRACOE experc Dilation Set (REF 520)
1 TRACOE vario XL tracheostomy tube with 1 TRACOE vario extract XL tracheostomy tube with
adjustable neck flange, low pressure cuff and adjustable neck flange, low pressure cuff, subglottic
atraumatic insertion system (REF 461-P) suction line and atraumatic insertion system
(REF 471-P)

Ordering Information:
REF 420, REF 421, REF 422, REF 423, REF 424 and REF 425 Size REF-No Units/package

REF 420 consisting of: 1 TRACOE experc Dilation Set (REF 520) and 1 TRACOE 07 REF 420-07 1
vario tracheostomy tube with adjustable neck flange, spiral-reinforced, with low 08 REF 420-08 1
pressure cuff and atraumatic insertion system (REF 450-P) 09 REF 420-09 1

REF 421 consisting of: 1 TRACOE experc Dilation Set (REF 520) and 1 TRACOE 07 REF 421-07 1
vario XL tracheostomy tube with adjustable neck flange, spiral-reinforced, 08 REF 421-08 1
with low pressure cuff and atraumatic insertion system (REF 451-P) 09 REF 421-09 1

REF 422, consisting of: 1 TRACOE experc Dilation Set (REF 520) and 1 TRACOE 08 REF 422-08 1
vario extract tracheostomy tube with adjustable neck flange, low pressure cuff,
subglottic suction line and atraumatic insertion system (REF 470-P) 09 REF 422-09 1

REF 423, consisting of: 1 TRACOE experc Dilation Set (REF 520) and 1 TRACOE 07 REF 423-07 1
vario tracheostomy tube with adjustable neck flange, low pressure cuff and 08 REF 423-08 1
atraumatic insertion system (REF 460-P) 09 REF 423-09 1

REF 424, consisting of: 1 TRACOE experc Dilation Set (REF 520) and 1 TRACOE 07 REF 424-07 1
vario XL tracheostomy tube with adjustable neck flange, low pressure cuff and 08 REF 424-08 1
atraumatic insertion system (REF 461-P) 09 REF 424-09 1

REF 425, consisting of: 1 TRACOE experc Dilation Set (REF 520) and 1 TRACOE 08 REF 425-08 1
vario extract XL tracheostomy tube with adjustable neck flange, low pressure cuff,
subglottic suction line and atraumatic insertion system (REF 471-P) 09 REF 425-09 1

TRACOE percutan 13
 Fig. 1

Fig. 2

The Feature of the TRACOE experc Set vario is the The Benefits:
Atraumatic Insertion System of the Tubes. Dilation is performed using the proven Ciaglia one-step-
The system consists of two parts: the guiding catheter with technique.
silicone sleeve and the inserter for stabilisation and guidance The atraumatic insertion system smoothes over the gap
of the tube. in diameter between the end of the tube and the inser-
The silicone sleeve smoothly bridges over the gap in diameter ter. This minimises the risk of injury when inserting the
between the end of the tube and the inserter thus minimising tracheostomy tube into the trachea.
the risk of injury when inserting the tracheostomy tube into The stop at the 15 mm connector prevents the inserter
the trachea (see Fig. 1). from being inserted too far into the tube, which additio-
The insertion system excels with a precise fit into the tube nally reduces the risk of injury.
and a stop at the 15 mm connector. Once the tube is in the The separately available tubes with insertion system can
trachea first the inserter is removed and only then the guid­ing also be used for reinsertion into a percutaneously created
catheter with silicone sleeve. By doing so the silicone sleeve tracheostoma and/or change tubes; if necessary in com-
flaps back and the guiding catheter can be removed easily bination with the Seldinger guide wire (see page 19).
(see Fig. 2). The Seldinger guide wire can be removed either
prior or together with the guiding catheter. Under no circum-
stances the guiding catheter must be removed first.

14 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 450-P REF 451-P NEW!

TRACOE vario Tracheostomy Tube TRACOE vario XL Tracheostomy Tube,

Spiral-Reinforced, with Adjustable Neck Flange, Extra-Long, Spiral-Reinforced, with Adjustable
Low Pressure Cuff and Atraumatic Insertion Neck Flange, Low Pressure Cuff and Atraumatic
System Insertion System

REF 450-P In sterile package REF 451-P In sterile package

Cannula with 15 mm connector, spiral-reinforced, Cannula, extra-long, with 15 mm connector,
with cuff, scale and atraumatic insertion system spiral-reinforced, with cuff, scale and atraumatic
Sterile lubricating gel insertion system
Obturator and wide neck strap (shown below) Sterile lubricating gel
Obturator and wide neck strap (shown below)

Each TRACOE vario tube is supplied with an

obturator and a wide adjustable neck strap as well
as a tube info card with peel-off stickers on front and
back. The neck strap is also available separately
(REF 903-F).

TRACOE percutan 15
 REF 460-P REF 461-P NEW!

TRACOE vario Tracheostomy Tube TRACOE vario XL Tracheostomy Tube,

with Adjustable Neck Flange, Low Pressure Cuff Extra-Long, with Adjustable Neck Flange, Low
and Atraumatic Insertion System Pressure Cuff and Atraumatic Insertion System

REF 460-P In sterile package REF 461-P In sterile package

Cannula with 15 mm connector, Cannula, extra-long, with 15 mm connector,
cuff, X-ray contrast line, scale and cuff, X-ray contrast line, scale and atraumatic
atraumatic insertion system insertion system
Sterile lubricating gel Sterile lubricating gel
Obturator and wide neck strap Obturator and wide neck strap
(shown on page 15) (shown on page 15)

16 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 470-P REF 471-P NEW!

TRACOE vario extract Tracheostomy Tube TRACOE vario extract XL Tracheostomy Tube,
with Adjustable Neck Flange, Low Pressure Cuff, Extra-Long, with Adjustable Neck Flange,
Subglottic Suction Line and Atraumatic Insertion Low Pressure Cuff, Subglottic Suction Line
System and Atraumatic Insertion System

REF 470-P In sterile package REF 471-P In sterile package

Cannula with 15 mm connector, cuff, Cannula, extra-long, with 15 mm connector,
X-ray contrast line, scale, subglottic suction line cuff, X-ray contrast line, scale, subglottic suction line
and atraumatic insertion system and atraumatic insertion system
2 connectors for suction devices 2 connectors for suction devices
Sterile lubricating gel Sterile lubricating gel
Obturator and wide neck strap Obturator and wide neck strap
(shown on page 15) (shown on page 15)

Reference Numbers and Measurements: REF 450-P, REF 460-P and REF 470-P (not available in size 07)
Size ➊ ID ➋ OD Lengths (mm) ➎ BA ➏ CD
(mm) (mm) A C B ➌ TL ➍ AB (y°) (mm)
07 7.0 9.7 33 32 15 80 86 100 26
08 8.0 11.2 35 35 20 90 97 100 28
09 9.0 12.3 38 35 27 100 106 100 30

Reference Numbers and Measurements: REF 451-P, REF 461-P and REF 471-P (not available in size 07)
07 7.0 9.7 35 36 33 104 110 100 26
08 8.0 11.2 37 46 40 123 128 100 28
09 9.0 12.3 38 46 42 126 134 100 30
➊ ID: inside diameter (clear width) at bottom of cannula; ➋ OD: outside diameter at bottom of cannula; ➌ TL: length along centre
line; ➍ AB: length along outer bend; ➎ BA: bending angle; ➏ CD: cuff diameter
u To order, specify REF + size (e.g. REF 450-07-P).

TRACOE percutan 17
 TRACOE experc Module System

REF 450-P REF 460-P

TRACOE vario, spiral-reinforced TRACOE vario, not spiral-
reinforced

REF 520

TRACOE experc Dilation Set

REF 451-P REF 461-P
TRACOE vario, extra-long, TRACOE vario, extra-long,
In sterile package spiral-reinforced not spiral-reinforced

The TRACOE experc Dilation Set can be supple-

mented with the tracheostomy tube which is best
suited for the patient:

For patients needing ventilation

REF 470-P REF 471-P
u REF 450-P (page 15), as Set REF 420 (page 12)
TRACOE vario extract, TRACOE vario extract, extra-
u REF 451-P (page 15), as Set REF 421 (page 12) not spiral-reinforced, with long, not spiral-reinforced,
subglottic suction line with subglottic suction line
For patients with thick neck
u REF 451-P (page 15), as Set REF 421 (page 12)
u REF 461-P (page 16), as Set REF 424 (page 13)
u REF 471-P (page 17), as Set REF 425 (page 13)

For ventilation
u REF 460-P (page 16), as Set REF 423 (page 12) REF 301-P REF 302-P
TRACOE twist, not fenestrated TRACOE twist, fenestrated
u REF 461-P (page 16), as Set REF 424 (page 13)

For ventilation and/or rehabilitation

u REF 301-P (page 6), as Set REF 320 (page 4)
u REF 311-P (page 10), as Set REF 330 (page 8)

For ventilation and/or rehabilitation – REF 306-P REF 311-P

as speaking tube TRACOE twist, not fenestrated, TRACOE twist plus,
with subglottic suction line not fenestrated
u REF 302-P (page 6), as Set REF 321 (page 4)
u REF 312-P (page 10), as Set REF 331 (page 8)

For ventilation and/or rehabilitation –

with subglottic suction line
u REF 306-P (page 11), as Set REF 322 (page 4)
u REF 316-P (page 11), as Set REF 332 (page 8)
REF 312-P REF 316-P
u REF 470-P (page 17), as Set REF 422 (page 12)
TRACOE twist plus, TRACOE twist plus, not
u REF 471-P (page 17), as Set REF 425 (page 13) double fenestrated fenestrated, with subglottic
suction line

All TRACOE tracheostomy tubes for the percutaneous tracheostomy are available in sizes 07, 08 and 09 (REF 470-P and
REF 471-P only in sizes 08 and 09). TRACOE twist plus tracheostomy tubes are available in size 10 as well.

18 TRACOE percutan Products purchased may differ in appearance from the illustrations in this catalogue.
 Accessories
Zubehör

REF 517 REF 518

Seldinger Guide Wire with Guiding Catheter Seldinger Guide Wire

REF 517 Set in sterile package REF 518 Pack of 5, supplied in

Seldinger guide wire made of kink resistant individual sterile packages
NiTiNol Seldinger guide wire made of kink resistant
Guiding catheter NiTiNol
To be used with all TRACOE twist tubes with
atraumatic inserter.

The Seldinger technic with the Seldinger Guide Wire,

should be used in difficult situations to provide a
safer guided way into the trachea.

TRACOE percutan 19
 Increased Flexibility

Originally developed
for inpatient applications,
but now also very often
used during rehabilitation
as therapy-tube and by
patients at home.
Twelve tube models in
various sizes, large range
of replacement parts and
accessories.

20 TRACOE twist
High Acceptance

TRACOE twist tubes are made of tissue-friendly medi-

cal-grade polyurethane, so that they are well-tolerated
by patients. They are radiopaque and come in sterile
packages.

Maximum Mobility
The most outstanding feature of TRACOE twist is the
anatomically shaped neck flange that moves around
two axes: vertically (a) and horizontally (b). This allows
patients to turn their head and neck freely without the
tube exerting pressure on the trachea. The neck strap
can easily be attached while the tube is in situ (c).
TRACOE twist tubes have thin walls, which ensure
ma ximum air flow. The material of the low pressure cuff
is soft and flexible and ensures a good sealing of the
trachea with accurate cuff pressure management.

Maximum Cost-Effectiveness

TRACOE twist tubes were originally developed primarily

for clinical use: e.g. for mechanical ventilation in intensi-
ve care or for ENT surgery. However, TRACOE twist
tubes are now very often used during rehabilitation and
by patients at home. The investment is enhanced by a
broad range of replacement parts and accessories.

a b c

TRACOE twist 21
 TRACOE twist – Tracheostomy Tubes

REF 301 Colour Coding REF 302 Colour Coding

Tracheostomy Tube Fenestrated Tracheostomy Tube

with Low Pressure Cuff with Low Pressure Cuff

REF 301 In sterile package REF 302 In sterile package

Outer cannula with cuff Outer cannula, fenestrated, with cuff
2 inner cannulas with 15 mm connector Inner cannula, fenestrated, with 15 mm connector
Perforated obturator and wide neck strap Inner cannula with 15 mm connector
(shown below) Occlusion cap for 15 mm connector
Perforated obturator and wide neck strap
(shown below)

Neck flange, blue writing:

fenestrated outer cannula
TRACOE twist Colour Coding:
REF 301 REF 302 REF 303 REF 304
REF 305 REF 306 REF 309
The colour coding is conspicuously printed on each
Neck flange, green writing: box. This helps you organise your inventory and
unfenestrated outer cannula quickly and reliably locate the right tube.

Each TRACOE twist tube is supplied with a REF 301-P, REF 302-P and REF 306-P:
perforated obturator and a wide adjustable neck TRACOE twist tracheostomy
strap as well as a tube info card with peel-off stickers tubes with atraumatic
on front and back. The neck strap is also available inserter. For details see
separately (REF 903-F). page 4 to 7.

22 TRACOE twist Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 303 Colour Coding REF 304 Colour Coding

Tracheostomy Tube Fenestrated Tracheostomy Tube

REF 303 In sterile package REF 304 In sterile package

Outer cannula Outer cannula, fenestrated
2 inner cannulas with 15 mm connector Inner cannula, fenestrated, with 15 mm connector
Perforated obturator and wide neck strap Inner cannula with 15 mm connector
(shown on page 22) Occlusion cap for 15 mm connector
Perforated obturator and wide neck strap
(shown on page 22)

Reference Numbers and Measurements:

REF 301, REF 302, REF 303, REF 304, REF 306 and REF 309
Size ➊ ➋ ➌ Lengths (mm) ➏ ➐
ID-IC OD-OC bc OD-OC bf ➍ ➎ BA CD
(mm) (mm) (mm) TL AB (y°) (mm)
04 4.0 7.2 8.6 56 63.0 110 15
05 5.0 8.6 10.1 66 73.0 100 18
06 6.0 9.2 10.8 72 79.5 95 23
07 7.0 10.4 12.0 74 80.5 95 26
08 8.0 11.4 12.7 76 83.0 90 28
09 9.0 12.5 14.2 78 88.5 90 30
10 10.0 13.8 15.2 80 89.5 90 32
➊ ID-IC: inside diameter (clear width) at bottom of inner cannula; ➋ OD-
OC bc: outside diameter at bottom of outer cannula; ➌ OD-OC bf: outside
diameter of outer cannula behind the flange; ➍ Length TL: along centre line
from start of neck flange to bottom of tube; ➎ Length AB: length along ou-
ter bend from start of neck flange to bottom of tube; ➏ BA: bending angle;
➐ CD: cuff diameter
u To order, specify: REF + size (e.g. REF 306-04).

Legend to symbol: Fenestrated tube TRACOE twist 23

 REF 305 Colour Coding REF 306 Colour Coding

Laryngectomy Tube Tracheostomy Tube, Unfenestrated,

with Low Pressure Cuff and
REF 305 In sterile package Subglottic Suction Line
Outer cannula
Inner cannula with 15 mm connector REF 306 In sterile package
Inner cannula with grooved low profile connector Outer cannula with cuff and subglottic suction line
Perforated obturator and wide neck strap 2 inner cannulas with 15 mm connector
(shown on page 22) 2 connectors for suction devices
Perforated obturator and wide neck strap
(shown on page 22)

Reference Numbers and Measurements: REF 305

Size ➊ ➋ ➌ Lengths (mm) ➏
ID-IC OD-OC bc OD-OC bf ➍ ➎ BA
(mm) (mm) (mm) TL AB (y°)
05 5.0 9.0 10.1 47 52 125
06 6.0 9.4 10.8 50 56 120
07 7.0 10.6 12.0 52 59 120
08 8.0 11.6 12.7 56 63 115
09 9.0 12.8 14.2 58 66 108
10 10.0 14.2 15.2 60 70 100
➊ ID-IC: inside diameter (clear width) at bottom of inner cannu-
la; ➋ OD-OC bc: outside diameter at bottom of outer cannula;
➌ OD-OC bf: outside diameter of outer cannula behind the flange;
➍ Length TL: along centre line from start of neck flange to bottom
of tube; ➎ Length AB: length along outer bend from start of neck
flange to bottom of tube; ➏ BA: bending angle

The reference numbers and measure-

8 Please refer to the figure on page 23.
ments for REF 306 to REF 309 can be
u To order, specify: REF + size (e.g. REF 305-05).
found on the table on page 23.

24 TRACOE twist Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 888-306 REF 309 Colour Coding

Product Variant: Tracheostomy Tube

TRACOE twist Tracheostomy Tube, with Low Pressure Cuff
Fenestrated, with Low Pressure Cuff and and Air Supply Line for Speaking
Subglottic Suction Line
REF 309 In sterile package
REF 888-306 In sterile package Outer cannula with cuff and air supply line
Outer cannula, fenestrated, with cuff and for speaking
subglottic suction line Inner cannula with 15 mm connector
Inner cannula with 15 mm connector Perforated obturator and wide neck strap
Inner cannula, fenestrated, with 15 mm connector (shown on page 22)
2 connectors for suction devices
Perforated obturator and wide neck strap
(shown on page 22)

Legend to symbol: Fenestrated tube TRACOE twist 25

 TRACOE twist – Spare Parts and Accessories

REF 501 REF 401

REF 506

Spare Inner Cannulas, Unfenestrated, Inner Cannulas, Fenestrated,

with 15 mm Connector with Integrated Speaking Valve (light blue)

REF 501 3 units supplied in REF 401 2 units supplied in

individual sterile packages individual sterile packages
REF 501-X 10 units supplied in The inner cannulas are accessories for twist tubes
individual sterile packages REF 302 and REF 304.
The inner cannulas are spare parts for twist tubes Sizes: 04, 05, 06, 07, 08, 09, 10
REF 301, REF 302, REF 303, REF 304, REF 306
and REF 309.
Sizes: 04, 05, 06, 07, 08, 09, 10

Spare Inner Cannulas, Fenestrated,

with 15mm Connector (light blue)

REF 506 3 units supplied in All fenestrated inner tubes are recognizable by
individual sterile packages blue parts, e.g. 15 mm connector.
REF 506-X 10 units supplied in
individual sterile packages
The inner cannulas are spare parts for twist tubes
REF 302, REF 304 and REF 888-306.
Sizes: 04, 05, 06, 07, 08, 09, 10

Accessory for TRACOE twist Tubes:

Speaking valves and artificial noses (for details see
page 60 and 61).

26 TRACOE twist Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 502 REF 503

REF 507 REF 508

Inner Cannulas, Fenestrated, Spare Inner Cannulas, Unfenestrated,

with Grooved Low Profile Connector (light blue) with 15 mm Connector

REF 502 3 units supplied in REF 503 3 units supplied in

individual sterile packages individual sterile packages
The inner cannulas are accessories for twist tubes The inner cannulas are spare parts for twist tube
REF 302 and REF 304. REF 305.
Sizes: 04, 05, 06, 07, 08, 09, 10 Sizes: 05, 06, 07, 08, 09, 10

Inner Cannulas, Unfenestrated, Spare Inner Cannulas, Unfenestrated, Short,

with Grooved Low Profile Connector (white) with Grooved Low Profile Connector (white)

REF 507 3 units supplied in REF 508 3 units supplied in

individual sterile packages individual sterile packages
The inner cannulas are accessories for twist tube The inner cannulas are spare parts for twist tube
REF 303. REF 305.
Sizes: 04, 05, 06, 07, 08, 09, 10 Sizes: 05, 06, 07, 08, 09, 10

Legend to symbol: Speaking valve or fenstrated tube with integrated speaking valve TRACOE twist 27
 TRACOE twist plus
Headline
– Tracheostomy Tubes

Detail of the
additional fenes-
tration at the
inner bend

REF 311 Colour Coding NEW! REF 312 Colour Coding NEW!

TRACOE twist plus Tracheostomy Tube TRACOE twist plus Tracheostomy Tube,
with Low Pressure Cuff Double Fenestrated, with Low Pressure Cuff

REF 311 In sterile package REF 312 In sterile package

Outer cannula with cuff Outer cannula, double fenestrated, with cuff
2 inner cannulas with 15 mm connector Inner cannula with 15 mm connector
Perforated Obturator and wide neck strap Inner cannula, double fenestrated, with
(shown on page 30) 15 mm connector
Occlusion cap for 15 mm connector
Perforated obturator and wide neck strap
(shown on page 30)

Features of TRACOE twist plus

Tracheostomy Tubes:
Elongated version of the well-proven TRACOE
twist tubes.
Greatly reduced wall thickness TRACOE twist plus Colour Coding:
Maximal inner lumen – thin-walled but stable REF 311 REF 312 REF 313
inner cannula REF 314 REF 316
Less outer diameter with more inner lumen The colour coding is conspicuously printed on each
Less airway resistance box. This helps you organise your inventory and
New safety locking device for the inner tube quickly and reliably locate the right tube.
Highly improved phonation through
double-fenestration of REF 312
and REF 314: multiple fenestration REF 311-P, REF 312-P and REF 316-P:
at the outer bend as well as two TRACOE twist plus
additional phonation holes at the Tracheostomy tubes with
inner bend. atraumatic insertion system.
For details see pages
8 to 11.

28 TRACOE twist Products purchased may differ in appearance from the illustrations in this catalogue.
 Detail of the
additional fenes-
tration at the
inner bend

REF 313 Colour Coding NEW! REF 314 Colour Coding NEW!

TRACOE twist plus Tracheostomy Tube TRACOE twist plus Tracheostomy Tube,
Double Fenestrated
REF 313 In sterile package
Outer cannula REF 314 In sterile package
2 inner cannulas with 15 mm connector Outer cannula, double fenestrated
Perforated Obturator and wide neck strap Inner cannula with 15 mm connector
(shown on page 30) Inner cannula, double fenestrated, with
15 mm connector
Occlusion cap for 15 mm connector
Perforated obturator and wide
neck strap (shown on page 30)

Reference Numbers and Measurements:

REF 311, REF 312, REF 313, REF 314 and REF 316
Size ➊ ➋ ➌ Lengths (mm) ➏ ➐
ID-IC OD-OC bc OD-OC bf ➍ ➎ BA CD
(mm) (mm) (mm) TL AB (y°) (mm)
07 7,0 9,8 10,1 85 91 100 26
08 8,0 10,8 11,1 88 95 100 28
09 9,0 11,8 12,1 90 99 100 30
10 10,0 12,8 13,1 92 102 100 32

➊ ID-IC: inside diameter (clear width) at bottom of inner cannula; ➋ OD-

OC bc: outside diameter at bottom of outer cannula; ➌ OD-OC bf: outside
diameter of outer cannula behind the flange; ➍ Length TL: along centre line
from start of neck flange to bottom of tube; ➎ Length AB: length along ou-
ter bend from start of neck flange to bottom of tube; ➏ BA: bending angle;
➐ CD: cuff diameter

u To order, specify: REF + size (e.g. REF 311-08).

Legend to symbol: Fenestrated tube TRACOE twist 29

 Detail of the additio-
nal fenestration at the
REF 316 Colour Coding NEW! REF 888-316 NEW!
inner bend

TRACOE twist plus Tracheostomy Tube, Product Variant:

Unfenestrated, with Low Pressure Cuff TRACOE twist plus Tracheostomy Tube,
and Subglottic Suction Line Double Fenestrated, with Low Pressure Cuff
and Subglottic Suction Line
REF 316 In sterile package
Outer cannula with cuff and subglottic suction line REF 888-316 In sterile package
2 inner cannulas with 15 mm connector Outer cannula, double fenestrated, with cuff
2 connectors for suction devices and subglottic suction line
Perforated obturator and wide neck strap Inner cannula with 15 mm connector
(shown below) Inner cannula, double fenestrated, with 15 mm
connector
2 connectors for suction devices
Perforated obturator and wide neck strap
(shown below)

All TRACOE twist plus tubes are delivered with

inserted inner cannula and therein, preinstalled,
the obturator.

Each TRACOE twist plus is supplied with a

perforated obturator and a wide adjustable neck
strap as well as a tube info card with peel-off stickers
on front and back. The neck strap is also available
separately (REF 903-F).

30 TRACOE twist Products purchased may differ in appearance from the illustrations in this catalogue.
 TRACOE twist plus – Spare Parts and Accessories

REF 521

NEW!

REF 523

NEW!
Detail of the additional
two phonation holes
at the inner bend

Spare Inner Cannulas, Unfenestrated,

with 15 mm Connector

REF 521 3 units supplied in

individual sterile packages
REF 521-X 10 units supplied in
individual sterile packages
The inner cannulas are spare parts for twist plus
tubes REF REF 311, REF 312, REF 313, REF 314
and REF 316.
Sizes: 07, 08, 09, 10

Spare Inner Cannulas, Double Fenestrated,

with 15 mm Connector

REF 523 3 units supplied in

individual sterile packages
REF 523-X 10 units supplied in
individual sterile packages
The inner cannulas are spare parts for twist plus
tubes REF 312, REF 314 and REF 888-316.
Sizes: 07, 08, 09, 10

Legend to symbol: Fenestrated tube TRACOE twist 31

 A Perfect Fit

The flexible tube with

patented, variably
adjustable neck flange.
It allows the correct
adjustment in length.

32 TRACOE vario
Patented

TRACOE vario – the flexible tube with the patented,

variably adjustable neck flange. By means of a practical
pressure mechanism, the neck flange can be moved
and, thus, be adjusted individually to any patient.
A scale ensures the exact positioning of the neck flange
in preparation to change tubes (a). The flange is fixed
immediately after its release. Additionally as an optional
precaution, the neck flange can be securely locked by
pulling up the orange lever system (b). Since no screw
top is used, no pressure of any kind will be exerted on
the trachea.

Numerous Adaptabilities

The pliable wings on the flange can be adjusted in­de­

pen­dently of one an­oth­er (c). This provides ad­­­ditional
possibilities for meeting the unique anatomical require­
ments of each patient.

TRACOE vario tracheostomy tubes come in many diffe­

rent versions: reinforced with a metal spiral or made of
clear plastic (with an X-ray contrast line), with or with­out
low pressure cuff, with subglottic suction line and in an
extra-long version.

a b c

TRACOE vario 33
 TRACOE vario – Tracheostomy Tubes

REF 450 Colour Coding REF 455 Colour Coding

Tracheostomy Tube Tracheostomy Tube

Spiral-Reinforced, with Adjustable Neck Flange Spiral-Reinforced, with Adjustable Neck Flange
and Low Pressure Cuff
REF 455 In sterile package
REF 450 In sterile package Cannula with 15 mm connector,
Cannula with 15 mm connector, spiral-reinforced, with scale
spiral-reinforced, with cuff and scale Obturator and wide neck strap
Obturator and wide neck strap (shown below)
(shown below)

TRACOE vario Colour Coding:

REF 450 REF 455 REF 460 REF 470
REF 451 REF 461 REF 471
The colour coding is conspicuously printed on each
box. This helps you organise your inventory and quickly
and reliably locate the right tube.

Each TRACOE vario tube is supplied with an

obturator and a wide adjustable neck strap as
well as a tube info card with peel-off stickers on
front and back. The neck strap is also available
separately (REF 903-F).

34 TRACOE vario Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 460 Colour Coding

Tracheostomy Tube
with Adjustable Neck Flange and
Low Pressure Cuff

REF 460 In sterile package

Cannula with 15 mm connector,
cuff, X-ray contrast line and scale
Obturator and wide neck strap
(shown on page 34)

Reference Numbers and Measurements: REF 450, REF 455 and REF 460
Size ➊ ID ➋ OD Lengths (mm) ➎ BA ➏ CD
(mm) (mm) A C B ➌ TL ➍ AB (y°) (mm)
06 6.0 8.2 30 28 12 70 76 100 23
07 7.0 9.7 33 32 15 80 86 100 26
08 8.0 11.2 35 35 20 90 97 100 28
09 9.0 12.3 38 35 27 100 106 100 30
10 10.0 13.7 38 37 35 110 120 100 32
11 11.0 14.8 38 37 35 110 121 100 34
➊ ID: inside diameter (clear width) at bottom of cannula; ➋ OD: outside diameter at bottom
of cannula; ➌ TL: length along centre line; ➍ AB: length along outer bend; ➎ BA: bending
angle; ➏ CD: cuff diameter (REF 450 and REF 460)

u To order, specify REF + size (e.g. REF 450-06).

TRACOE vario 35
 TRACOE vario – Tracheostomy Tubes, extra-long

REF 451 Colour Coding REF 461 Colour Coding NEW!

TRACOE vario XL Tracheostomy Tube, TRACOE vario XL Tracheostomy Tube,

Extra-Long, Spiral-Reinforced, with Adjustable Extra-Long, with Adjustable Neck Flange and
Neck Flange and Low Pressure Cuff Low Pressure Cuff

REF 451 In sterile package REF 461 In sterile package

Cannula with 15 mm connector, Cannula with 15 mm connector,
spiral-reinforced, with cuff and scale cuff, X-ray contrast line and scale
Obturator and wide neck strap Obturator and wide neck strap
(shown on page 34) (shown on page 34)

Reference Numbers and Measurements: REF 451, REF 461 and REF 471
Size ➊ ID ➋ OD Lengths (mm) ➎ BA ➏ CD
(mm) (mm) A C B ➌ TL ➍ AB (y°) (mm)
07 7.0 9.7 35 36 33 104 110 100 26
08 8.0 11.2 37 46 40 123 128 100 28
09 9.0 12.3 38 46 42 126 134 100 30
Accessory for
10 10.0 13.7 38 52 45 135 146 100 32
TRACOE vario Tubes
Reference Numbers and Measurements: REF 470 Artificial noses (for
07 7.0 9.7 33 32 15 80 86 100 26 details see page 61)
08 8.0 11.2 35 35 20 90 97 100 28
09 9.0 12.3 38 35 27 100 106 100 30
10 10.0 13.7 38 37 35 110 120 100 32
➊ ID: inside diameter (clear width) at bottom of cannula; ➋ OD: outside diameter at bot-
tom of cannula; ➌ TL: length along centre line; ➍ AB: length along outer bend; ➎ BA:
bending angle, ➏ CD: cuff diameter
8 Please refer to the figure on page 34.

u To order, specify REF + size (e.g. REF 451-07).

36 TRACOE vario Products purchased may differ in appearance from the illustrations in this catalogue.
 TRACOE vario – Tracheostomy Tubes, with Subglottic Suction Line

REF 470
123 Colour Coding REF 471 Colour Coding NEW!

TRACOE vario extract Tracheostomy Tube TRACOE vario XL extract Tracheostomy Tube,
with Adjustable Neck Flange, Low Pressure Cuff Extra-Long, with Adjustable Neck Flange,
and Subglottic Suction Line Low Pressure Cuff and Subglottic Suction Line

REF 470 In sterile package REF 471 In sterile package

Cannula with 15 mm connector, Cannula with 15 mm connector,
cuff, X-ray contrast line, scale and cuff, X-ray contrast line, scale and
subglottic suction line subglottic suction line
2 connectors for suction pump 2 connectors for suction pump
Obturator and wide neck strap Obturator and wide neck strap
(shown on page 34) (shown on page 34)

REF 470 and REF 471, with subglottic suction line. REF 450-P, REF 451-P, REF 460-P, RE 461-P,
Advantages and Special Information: REF 470-P and REF 471-P:
Accumulated subglottic secretions can be suctioned off TRACOE vario tracheostomy tubes with atraumatic
at the lowest point, in other words right above the cuff. insertion system. For details refer to page 12 to 17.
This reduces the risk of bacterially contaminated secretions
entering the lower respiratory tract and the risk of developing
aspiration pneumonia.
The suction line is integrated in the wall of the tube to
avoid any pressure marks in the tracheostoma. Via this line,
secretions can be suctioned off.
The variably adjustable neck flange with rotating wings
permits universal adjustment to any neck anatomy (e.g.
thick necks, postoperative oedema, asymmetrical necks).

TRACOE vario 37
 Large Range of Sizes

The TRACOE pure tube is supplied in sizes 5.0 to 10.0

finely differentiated in steps of 0.5 mm. This permits
selection of the right tube for a precise fit in any anato­
mical situation.

Proven TRACOE Specifications

The TRACOE pure tracheostomy tube also includes
many proven TRACOE specifications: e.g. the transpa­
rent design for easier detection of soiling.

A Clear Case

Transparent design,
11 different sizes in steps
of 0.5 mm – the economical
version for short-term use.

38 TRACOE pure Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 480 Colour Coding

Tracheostomy Tube Accessory for TRACOE pure Tube:

with Low Pressure Cuff Artificial noses (for details see page 61)
REF 517, Seldinger guide wire with
REF 480 In sterile package guiding catheter (for details see page 19)
Cannula with cuff REF 518, Seldinger guide wire (for details
Perforated obturator see page 19)
Wide neck strap
Tube info card with peel­off stickers on TRACOE pure Colour Coding:
front and back REF 480: The colour coding is conspicuously
printed on each box. This helps you organise your
inventory and quickly and reliably locate the right
tube.

Reference Numbers and Measurements: REF 480

Size ➊ ID ➋ OD Lengths (mm) ➎ BA ➏ CD
(mm) (mm) A C B ➌ TL ➍ AB (y°) (mm)
5.0 5.0 ± 0.2 6.7 ± 0.2 32 22 10 64 ± 2 69 95-100 17
5.5 5.5 ± 0.2 7.4 ± 0.2 32 25 10 67 ± 2 74 95-100 17
6.0 6.0 ± 0.2 8.4 ± 0.2 33 25 12 70 ± 2 77 95-100 20
6.5 6.5 ± 0.2 9.1 ± 0.2 33 28 12 73 ± 2 80 95-100 20
7.0 7.0 ± 0.2 9.8 ± 0.2 33 29 14 76 ± 2 85 95-100 22
7.5 7,5 ± 0,2 10.3 ± 0.2 34 33 14 81 ± 2 89 95-100 22
8.0 8.0 ± 0.2 11.0 ± 0.2 35 34 16 85 ± 2 94 95-100 24
8.5 8.5 ± 0.2 11.5 ± 0.2 36 36 16 88 ± 2 97 95-100 24
9.0 9.0 ± 0.2 12.0 ± 0.2 38 37 17 92 ± 2 100 95-100 26
9.5 9.5 ± 0.2 12.5 ± 0.2 40 39 17 96 ± 2 106 95-100 26
10.0 10.0 ± 0.2 13.0 ± 0.2 41 39 18 98 ± 2 109 95-100 28
➊ ID: inside diameter (clear width) at bottom of tube; ➋ OD: outside diameter at bottom of tube; ➌ TL: length along centre line;
➍ AB: length along outer bend; ➎ BA: bending angle; ➏ CD: cuff diameter

u To order, specify: REF + size (e.g. REF 480-5.0).

TRACOE pure 39
 Small in Size,
Big in Performance:

TRACOE mini.
The special tube for
neonates and children.
Extremely soft, thin-walled
and kink resistant.

40 TRACOE mini
The Smaller, the Greater

Sometimes the greatest achievements are made on

a small scale: A prime example is the TRACOE mini –
the product line especially developed for newborns,
infants and children. TRACOE mini tracheostomy tubes
are par ticularly soft and equipped with a neck flan-
ge with a slanted bottom, providing the tube with an
optimised and atraumatic fit. These tubes have very thin
walls to meet the special requirements of use in small
patients, however, they reliably retain their shape at all
times. The smooth, funnel-shaped inner design of the
15 mm connector allows an easy insertion of suction
catheters.

Easy and Reliable

The special obturator is extremely practical. The grip

on its end makes sure that the tube can be easily and
reliably inserted despite its small size. Neck straps and
compresses are also available to match.

Anatomically Optimum Solutions

So the best solution can be found for every small

patient. TRACOE mini is available in
12 different sizes: 4 for neonates and
8 for pediatric use.

TRACOE mini 41
 TRACOE mini – Tracheostomy Tubes

REF 350 Colour Coding REF 355 Colour Coding

Tracheostomy Tube for Neonates Tracheostomy Tube for Children

REF 350 In sterile package REF 355 In sterile package

Cannula Cannula
Obturator and neck strap Obturator and neck strap
(shown below) (shown below)

Product variants REF 355:

Product variants can be made in order to optimise
the functionality and wearing comfort and also for
patients with complex anatomical and physiological
conditions. Product variations have green writing on
the neck flange.

TRACOE mini Colour Coding:

REF 350 REF 355
The colour coding is conspicuously printed on
each box. This helps you organise your inventory
and quickly and reliably locate the right tube.

Each TRACOE mini tube is supplied with

an obturator, a wide adjustable neck strap and
a tube info card with detachable stickers on
front and back. The neck strap is also available
separately (REF 903-G).

42 TRACOE mini Products purchased may differ in appearance from the illustrations in this catalogue.
 Accessories

REF 356 NEW!

Special accessories for TRACOE mini TRACOE mini Extension Piece

such as neck strap and compresses, can be found
on pages 76, 83 and 84 as part of the TRACOE care REF 356 In sterile package
line of accessories. Extension piece
Disconnecting aid (wedge)
Product information card with peel-off sticker
on front an back
Prevents obstruction of the patient end of the tube.
Reference Numbers and Measurements: REF 350 Fits all mini tubes.
Size ➊ ID ➋ OD Lengths (mm) ➎ BA
(mm) (mm) A C B ➌ TL ➍ AB (y°) Measurements in mm:
2.5 2.5 3.6 6 22 2 30 32 120
3.0 3.0 4.3 7 23 2 32 34 120
3.5 3.5 5.0 8 23 3 34 37 120
4.0 4.0 5.6 9 24 3 36 40 120

Reference Numbers and Measurements: REF 355

2.5 2.5 3.6 8 22 2 32 34 120
3.0 3.0 4.3 10 24 2 36 39 120
3.5 3.5 5.0 12 25 3 40 43 120
4.0 4.0 5.6 14 27 3 44 48 120
4.5 4.5 6.3 16 28 4 48 52 120
5.0 5.0 7.0 18 28 4 50 55 120
5.5 5.5 7.6 20 30 5 55 60 120
6.0 6.0 8.4 22 35 5 62 67 120
➊ ID: inside diameter (clear width) of tube; ➋ AD: outside dia-
meter of tube; ➌ TL: length along centre line from start of neck
flange to bottom of tube; ➍ AB: length along outer bend from
start of neck flange to bottom of tube; ➎ BW: bending angle
u To order, specify REF + size (e.g. REF 355-2.5).

TRACOE mini 43
 Superb Quality

TRACOE comfort:
Tradition and five decades
of conti­­nual improvements.
Especially soft and flexible
to maximise wearing comfort.
Large selection of types and
sizes, including tube variants
on request.

44 TRACOE comfort
Lightweight, Soft and Flexible

TRACOE comfort tracheostomy tubes are made of

clear medical-grade polymer material, which makes
them both especially soft and very lightweight. They
do not have to be removed for X-ray or cobalt therapy.
A TRACOE comfort tube weighs only about one-third
of a silver tube of the same size. Because they are
transparent, it is also very easy to ensure that they
are perfectly clean.

As Comfortable as Possible

As the name suggests, TRACOE comfort tubes are

de­­­signed to be as comfortable as possible for per-
manent wearers after tracheostomy or laryngectomy.
Their dis­creet appearance is an added benefit. To
en­sure optimum quality, they are still made by hand –
an extra ef­fort that does a world of good to the patient.

Many Models and Sizes

Every tube model comes in many different sizes and

lengths. This variety makes is possible, to, e.g., avoid
bruises at the tracheostoma and/or in the trachea,
which would result in further impediments for the
patient.

TRACOE comfort 45
 TRACOE comfort – Tracheostomy Tubes

REF 101 REF 102

Tube without Inner Cannula Tube with Inner Cannula

REF 101 REF 102

Cannula Outer cannula
Wide neck strap (shown on page 47) Inner cannula
For acute tracheostomy and emergency care Wide neck strap (shown on page 47)
applications. For permanent wearers.

Tubes of size 03, 04, 13 and 14 are made to order.

Delivery time is approx. 10 working days.

Reference Numbers and Measurements: REF 101 to REF 105-D

Size ➊ ➋ ➌ ➍ Lengths (mm) ➊ ID-OC: inside diameter (clear width)
ID-OC OD-OC bc OD-OC hf ID-IC at bottom of outer cannula; ➋ OD-OC
➎ TL ➏ AB
(mm) (mm) (mm) (mm) bc: outside diameter at bottom of outer
03 3.5 4.8 6.4 2.6 42 46 cannula; ➌ OD-OC bf: outside diame-
04 4.0 5.6 7.3 3.2 50 55 ter of outer cannula behind the flange;
05 5.0 6.7 8.7 4.0 52 57 ➍ ID-IC: inside diameter at bottom of in-
ner cannula; ➎ Length TL: length along
06 6.0 7.6 10.0 4.8 54 60
centre line from start of neck flange to
07 7.0 8.8 10.5 5.8 57 65 bottom of tube; ➏ Length AB: length
08 8.0 10.0 11.3 6.8 61 70 along outer bend (greatest length)
09 9.0 11.4 12.6 7.6 65 75
10 10.0 12.4 13.7 8.7 74 85
11 11.0 13.1 15.0 9.7 76 87
12 12.0 14.2 16.2 10.8 78 90
13 13.0 15.4 17.2 11.8 87 100 8 The bending angle is 90° in comfort
14 14.0 16.6 18.2 12.6 91 105 tubes.

u To order, specify: REF + size (e.g. REF 105-05).

46 TRACOE comfort Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 102-D REF 103

Tube with Inner Cannulas Tube, Fenestrated,

with Slide-On Speaking Valve, Type A
REF 102-D
Outer cannula REF 103
Two inner cannulas Outer cannula, fenestrated
Wide neck strap (shown below) Inner cannula, fenestrated, with slide-on silver
For permanent wearers. valve type A
Inner cannula
Wide neck strap (shown below)
For tracheostomised patients with fully or partially
intact larynx, for speaking.

REF 103-O:
Product variant of REF 103
with additional oxygen supply
port attached to the inner
cannula with speaking valve.

Each TRACOE comfort tube is supplied with

an adjustable neck strap and a tube info card
with peel-off stickers on front and back. The neck
strap is also available separately (REF 903-F).

Legend to symbol: Speaking valve or fenstrated tube with integrated speaking valve TRACOE comfort 47
 REF 103-A REF 104

Tube, Fenestrated, Tube, Fenestrated,

with Slide-On Speaking Valve, Type A with Swivel Speaking Valve, Type B

REF 103-A REF 104

Outer cannula, fenestrated Outer cannula, fenestrated
Inner cannula, fenestrated, with slide-on silver Inner cannula, fenestrated, with swivel valve type B
valve type A Inner cannula
Inner cannula with 15 mm connector Wide neck strap (shown on page 47)
Inner cannula For tracheostomised patients with fully or partially
Wide neck strap (shown on page 47) intact larynx, for speaking.
For tracheostomised patients with fully or partially
intact larynx, for speaking. REF 104-O:
Product variant of REF 104
REF 103-A-O: with additional oxygen supply
Product variant of REF 103-A port attached to the inner
with additional oxygen supply cannula with speaking valve.
port attached to the inner
cannula with speaking valve.

Accessory for TRACOE comfort Tubes:

Speaking valves, occlusion caps and artificial
Product variants: noses (for details see page 60 and 61)
Product variants can be made in order to optimise REF 517, Seldinger guide wire with guiding
the functionality and wearing comfort and also for catheter (for details see page 19)
patients with complex anatomical and physiological REF 518, Seldinger guide wire
conditions. (for details see page 19)

48 TRACOE comfort Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 104-A REF 114

Tube, Fenestrated, Tube, Fenestrated,

with Swivel Speaking Valve, Type B with Swivel Speaking Valve, Type B

REF 104-A REF 114

Outer cannula, fenestrated Outer cannula, fenestrated
Inner cannula, fenestrated, with swivel valve type B Inner cannula, fenestrated, with swivel valve type B
Inner cannula with 15 mm connector Inner cannula with 15 mm connector
Inner cannula Wide neck strap (shown on page 47)
Wide neck strap (shown on page 47) For tracheostomised patients with fully or partially
For tracheostomised patients with fully or partially intact larynx, for speaking.
intact larynx, for speaking.

REF 104-A-O:
Reference Numbers and Measurements:
Product variant of REF 104-A
REF 114 and REF 115
with additional oxygen supply
port attached to the inner Size ➊ ➋ ➌ ➍ Lengths (mm)
ID-OC OD-OC bc OD-OC bf ID-IC
cannula with speaking valve. ➎ TL ➏ AB
(mm) (mm) (mm) (mm)
07 7.0 8.8 10.5 5.8 57 65
08 8.0 10.0 11.3 6.8 61 70
09 9.0 11.4 12.6 7.6 65 75
➊ ID-OC: inside diameter (clear width) at bottom of outer can-
nula; ➋ OD-OC bc: outside diameter at bottom of outer can-
nula; ➌ OD-OC bf: outside diameter of outer cannula behind
the flange; ➍ ID-IC: inside diameter at bottom of inner cannula;
➎ Length TL: length along centre line from start of neck flan-
ge to bottom of tube; ➏ Length AB: length along outer bend
(greatest length)

8 The bending angle is 90° in comfort tubes.

The reference numbers and measurements for
8 Please refer to the figure on page 47.
REF 104-A to REF 105-D can be found on the
u To order, specify: REF + size (e.g. REF 114-07).
table on page 46.

Legend to symbol: Speaking valve or fenstrated tube with integrated speaking valve TRACOE comfort 49
 REF 105 REF 105-D

Tube with 15 mm Connector Tube with 15 mm Connector

REF 105 REF 105-D

Outer cannula Outer cannula
Inner cannula with 15 mm connector Two inner cannulas with 15 mm connector
Wide neck strap (shown on page 47) Wide neck strap (shown on page 47)
For attaching: For attaching:
TRACOE humid assist I (REF 640-CT), TRACOE humid assist I (REF 640-CT),
TRACOE humid assist III (REF 641) and TRACOE humid assist III (REF 641) and
TRACOE humid assist IV (REF 642). TRACOE humid assist IV (REF 642).
Further information see page 58 to 61. Further information see page 58 to 61.

50 TRACOE comfort Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 115 REF 106-D

Tube, Fenestrated, with 15 mm Connector Laryngectomy Tube

REF 115 REF 106-D

Outer cannula, fenestrated Outer cannula, short
Inner cannula, fenestrated, with 15 mm connector Two inner cannulas, short
Inner cannula with 15mm connector Wide neck strap (shown on page 47)
Wide neck strap (shown on page 47) For patients whose larynx has been removed.
For attaching: The length and bending angle are designed for an
TRACOE phon assist (e.g. REF 650-T) and optimum fit.
TRACOE humid assist (e.g. REF 640-CT).
Further information see page 58 to 61.
Reference Numbers and Measurements: REF 106-D
Size ➊ ➋ ➌ ➍ Lengths (mm)
ID-OC OD-OC bc OD-OC bf ID-IC
➎ TL ➏ AB
(mm) (mm) (mm) (mm)
07 7.0 8.8 10.5 5.8 47 50
08 8.0 10.0 11.3 6.8 50 53
09 9.0 11.4 12.6 7.6 52 57
10 10.0 12.4 13.7 8.7 55 60
11 11.0 13.1 15.0 9.7 58 63
12 12.0 14.2 16.2 10.8 60 66

➊ ID-OC: inside diameter (clear width) at bottom of outer can-

nula; ➋ OD-OC bc: outside diameter at bottom of outer can-
nula; ➌ OD-OC bf: outside diameter of outer cannula behind
the flange; ➍ ID-IC: inside diameter at bottom of inner cannula;
➎ Length TL: length along centre line from start of neck flange
to bottom of tube; ➏ Length AB: length along outer bend (gre-
atest length)

8 The bending angle is 90° in comfort tubes.

u Bestellnummer: REF + Größe, z. B. REF 106-D-07

Legend to symbol: Fenestrated tube TRACOE comfort 51

 TRACOE comfort – Tracheostomy Tubes, extra-long (Hautant)

REF 201

REF 202 REF 202-D

Extra-Long Tube without Inner Cannula Extra-Long Tube with Inner Cannulas

REF 201 REF 202-D

Cannula, extra-long Outer cannula, extra-long
Wide neck strap (shown on page 53) Two inner cannulas
For acute tracheostomy and emergency care applications. Wide neck strap (shown on page 53)
For permanent wearers and patients with tracheal
stenosis.
Extra-Long Tube with Inner Cannula

REF 202
Outer cannula, extra-long
Inner cannula
Wide neck strap (shown on page 53)
For permanent wearers and patients with tracheal
stenosis.

Reference Numbers and Measurements: REF 201 to REF 205, REF 214 and REF 215
Size ➊ ➋ ➌ ➍ Lengths (mm) ➊ ID-OC: inside diameter (clear width) at bottom
ID-OC OD-OC bc OD-OC bf ID-IC of outer cannula; ➋ OD-OC bc: outside diameter
➎ TL ➏ AB
(mm) (mm (mm) (mm)
at bottom of outer cannula; ➌ OD-OC bf: outside
05 5.0 6.6 9.0 4.0 85 92
diameter of outer cannula behind the flange;
06 6.0 7.7 9.8 5.0 87 95
➍ ID-IC: inside diameter at bottom of inner can-
07 7.0 8.7 10.5 6.0 93 100
nula; ➎ Length TL: length along centre line from
08 8.0 10.5 12.2 6.7 96 105
start of neck flange to bottom of tube; ➏ Length
09 9.0 11.5 13.0 7.5 100 110
AB: length along outer bend (greatest length)
10 10.0 12.5 14.5 8.8 104 115
11 11.0 13.5 15.5 9.2 108 120
12 12.0 14.4 16.4 10.0 112 125 8 The bending angle is 90° in comfort tubes.
13 13.0 15.4 18.0 11.8 116 130
14.0 16.4 18.2 12.6 122 135 8 Please refer to the figure on page 54.
14
u To order, specify: REF + size (e.g. REF 205-05).

52 TRACOE comfort Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 203 REF 204

Extra-Long Tube, Fenestrated, Extra-Long Tube, Fenestrated,

with Slide-On Speaking Valve, Type A with Swivel Speaking Valve, Type B

REF 203 REF 204

Outer cannula, extra-long, fenestrated Outer cannula, extra-long, fenestrated
Inner cannula, fenestrated, with slide-on silver Inner cannula, fenestrated, with swivel valve type B
valve type A Inner cannula
Inner cannula Wide neck strap (shown below)
Wide neck strap (shown below) For tracheostomised patients with fully or partially intact
For tracheostomised patients with fully or partially intact larynx for speaking or with tracheal stenosis.
larynx for speaking or with tracheal stenosis.
REF 204-O:
REF 203-O: Product variant of REF 204
Product variant of REF 203 with additional oxygen supply
with additional oxygen supply port attached to the inner
port attached to the inner cannula with speaking valve
cannula with speaking valve.

Each TRACOE comfort tube is supplied with

Tubes of size 13 and 14 are made to order. an adjustable neck strap and a tube info card with
Delivery time is approx. 10 working days. peel-off stickers on front and back. The neck strap
is also available separately (REF 903-F).

Accessory for TRACOE comfort Tubes:

Speaking valves, artificial noses and occlusion
caps (for details see page 60 and 61).

Legend to symbol: Speaking valve or fenstrated tube with integrated speaking valve TRACOE comfort 53
 REF 204-A REF 214

Extra-Long Tube, Fenestrated, Extra-Long Tube, Fenestrated,

with Swivel Speaking Valve, Type B with Swivel Speaking Valve, Type B

REF 204-A REF 214

Outer cannula, extra-long, fenestrated Outer cannula, extra-long, fenestrated
Inner cannula, fenestrated, with swivel valve type B Inner cannula, fenestrated, with swivel valve type B
Inner cannula with 15  mm connector Inner cannula with 15  mm connector
Inner cannula Wide neck strap (shown on page 53)
Wide neck strap (shown on page 53) For tracheostomised patients with fully or partially intact
For tracheostomised patients with fully or partially intact larynx for speaking or with tracheal stenosis.
larynx for speaking or with tracheal stenosis.

REF 204-A-O:
Product variant of REF 204-A
with additional oxygen supply
port attached to the inner
cannula with speaking valve.

Product variants:
Product variants can be made in order to optimise
the functionality and wearing comfort and also for
patients with complex anatomical and physiological
conditions.

54 TRACOE comfort Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 205 REF 215

Extra-Long Tube with 15 mm Connector Extra-Long Tube, Fenestrated,

with 15 mm Connector
REF 205
Outer cannula, extra-long REF 215
Inner cannula with 15  mm connector Outer cannula, extra-long, fenestrated
Wide neck strap (shown on page 53) Inner cannula, fenestrated, with 15  mm connector
For attaching: Inner cannula with 15  mm connector
TRACOE humid assist I (REF 640-CT), Wide neck strap (shown on page 53)
TRACOE humid assist III (REF 641) and For attaching:
TRACOE humid assist IV (REF 642). TRACOE phon assist (e.g. REF 650-T) and
Further information see page 58 to 61. TRACOE humid assist (e.g. REF 640-CT).
Further information see page 58 to 61.

Reference Numbers and Measurements: REF 214 and REF 215

Size ➊ ➋ ➌ ➍ Lengths (mm)
ID-OC OD-OC bc OD-OC bf ID-IC
➎ TL ➏ AB
(mm) (mm (mm) (mm)
07 7.0 8.8 10.5 5.8 57 65
08 8.0 10.0 11.3 6.8 61 70
09 9.0 11.4 12.6 7.6 65 75
➊ ID-OC: inside diameter (clear width) at bottom of outer cannula; ➋ OD-OC bc:
outside diameter at bottom of outer cannula; ➌ OD-OC bf: outside diameter of ou-
ter cannula behind the flange; ➍ ID-IC: inside diameter at bottom of inner cannula;
➎ Length TL: length along centre line from start of neck flange to bottom of tube;
➏ Length AB: length along outer bend (greatest length)

8 The bending angle is 90° in comfort tubes.

u To order, specify: REF + size (e.g. REF 214-07).

Legend to symbol: Fenestrated tube Speaking valve or fenstrated tube with integrated speaking valve TRACOE comfort 55
 Intensivmedizin

Komplette Sets für die

perkutane Dilatations­
Flexibility
tracheotomie. Inno­vation:
Die atrau­matische Ein­führ­
hilfe bzw.valves,
Speaking das atraumati­
artificial
sche Einführ­
noses and occlusion
system – pos­
ein
weicher Silikonschirm
sibilities for a variety of
gleicht den Kalibersprung
tracheostomy tubes and
zwischen
other carriers.
Kanüle und Ein­
führhilfe aus.

56 TRACOE modular
 New Product group!

The Modular System

TRACOE speaking valves and heat/moisture exchanger

can be attached to different support systems with
15 mm connectors or 22 mm housings, depending on
requirements and indications. This modular system for
tracheostomy tubes, stoma buttons, short tubes and
adhesive carriers permits flexible solutions to suit indivi-
dual patients.

Speaking Valves

TRACOE phon assist I is used by tracheostomised pa-

tients and offers, due to the infinitely adaptable airway
resistance, new therapeutic options. The TRACOE phon
assist II speaking valve makes it pos­sible for laryngec-
tomised patients with a voice pros­thesis and tracheos-
tomised patients to speak hands-free. Both versions are
individually adjustable.

Heat/Moisture Exchangers

TRACOE humid assist I to IV are heat/moisture ex­chan­

gers (HMEs) that act like an artificial nose by warming,
moistening and filtering inhaled air.

TRACOE modular 57
 For Tracheostomy Tubes

Speaking Valves phon assist I phon assist I with phon assist II

REF 650-T oxygen supply port REF 655-T
REF 650-TO

Heat/moisture humid assist I humid assist II humid assist III humid assist IV
exchanger (HMEs) REF 640-CT REF 645 REF 641 REF 642

Occlusion Cap
Possible Combinations REF 516

Tubes, fenestrated

Each in combination with:

TRACOE twist and twist plus tubes,
t phon assist I (REF 650-T)
fenestrated, with 15 mm connector
t phon assist I with oxygen supply port (REF 650-TO)
REF 302, REF 302-P, REF 304,
t humid assist I (REF 640-CT)
REF 888-306, REF 888-306-P,
t humid assist III (REF 641)
REF 312, REF 312-P, REF 314,
t humid assist IV (REF 642)
REF 888-316, REF 888-316-P
t phon assist II (REF 655-T)
t phon assist II (REF 655-T) + humid assist II (REF 645)
TRACOE comfort tube,
t Occlusion Cap (REF 516)
fenestrated, with 15 mm connector
REF 115, REF 215

Tubes, unfenestrated

TRACOE twist and twist plus tubes, Each in combination with:

with 15 mm connector t humid assist I (REF 640-CT)
REF 301, REF 301-P, REF 303, t humid assist III (REF 641)
REF 305, REF 306, REF 309, REF 311, t humid assist IV (REF 642)
REF 311-P, REF 313, REF 316

TRACOE vario tubes, with 15 mm connector

REF 450, REF 450-P, REF 451, REF 451-P, REF 455,
REF 460, REF 460-P, REF 461, REF 461-P, REF 470,
REF 470-P, REF 471, REF 471-P

TRACOE pure tube,

with 15 mm connector
REF 480

TRACOE comfort tubes, with 15 mm connector

REF 103-A, REF 104-A, REF 114, REF 105, Caution: All tubes with cuff
REF 105-D, REF 204-A, REF 205, REF 214 have to be deflated before
using a speaking valve!

58 TRACOE modular Products purchased may differ in appearance from the illustrations in this catalogue.
 For TRACOE buttons, Silicone Short Tubes and Adhesive Carriers

Speaking Valves phon assist I phon assist I with phon assist II

REF 650-S oxygen supply port REF 655-S
REF 650-SO

Heat/moisture humid assist I humid assist II Stopper

exchanger (HMEs) REF 640-S REF 645 REF 621

Possible Combinations

Carrier with 22 mm housings

Each in combination with:

TRACOE larynx grid button t phon assist I (REF 650-S)

REF 601, REF 602, REF 603 t phon assist I with oxygen supply port (REF 650-SO)
t humid assist I (REF 640-S)
t phon assist II (REF 655-S)
TRACOE larynx stoma button t phon assist II (REF 655-S) + humid assist II (REF 645)
REF 611, REF 612, REF 613 t Stopper (REF 621)

TRACOE larynx Silicone Short Tube,

NEW!
fenestrated
REF 581, REF 583

TRACOE larynx Adhesive Carrier

REF 660, REF 661

NEW! TRACOE larynx Silicone Short Tube Each in combination with:

REF 580, REF 582 t humid assist I (REF 640-S)

TRACOE modular 59
 Speaking Valves and Occlusion Caps
For Tracheostomy Tubes

REF 650-T REF 655-T

REF 650-TO REF 516

TRACOE phon assist I TRACOE phon assist II

REF 650-T 1 unit supplied in sterile package REF 655-T 1 unit supplied in sterile package plus
Speaking valve with air supply from the side, infinitely 5 units TRACOE humid assist II (REF 645),
adjustable, for attachment to any fenestrated tube individually packaged in cleanroom
with 15 mm connector (page 22/23, e.g. REF 302 Hands-free speaking valve, infinitely adjustable,
and REF 304). for attachment to any fenestrated tube with 15 mm
Air supply from the side allows an individually con­­nec­tor (page 22/23, e.g. REF 302 and REF 304).
adjustable airway resistance. Fits all tube sizes.
Fits all tube sizes.

Occlusion Caps for 15 mm Connectors (blue)

TRACOE phon assist I with Oxygen Supply Port
REF 516 5 units, sterile,
REF 650-TO 1 unit individually packaged
supplied in sterile package Occlusion caps for fenestrated tubes with 15 mm
REF 650-TO-5 NEW! 5 units connector.
supplied in sterile package
Speaking valve with air supply from the side, infinitely
adjustable, with oxygen supply port. For attachment
to any fenestrated tube with 15 mm connector (page
22/23, e.g. REF 302 and REF 304).
Air supply from the side allows an individually
adjustable airway resistance.
Fits all tube sizes.

Scope of delivery of speaking valves and occlusion

caps includes a product info card with peel-off
stickers on front and back.

60 TRACOE modular Products purchased may differ in appearance from the illustrations in this catalogue.
 Heat/Moisture Exchanger, HME
For Tracheostomy Tubes

REF 640-CT REF 642

REF 641 REF 645

TRACOE humid assist I TRACOE humid assist IV

REF 640-CT 50 units, REF 642 30 units,

individually packaged in cleanroom individually packaged in cleanroom
Heat/moisture exchanger for attachment to any tube Heat/moisture exchanger for attachment to any tube
with 15 mm connector. with 15 mm connector, integrated oxygen supply port
Fits all tube sizes. and pressure control valve for expectoration of larger
quantities of secretion.
Fits all tube sizes.
TRACOE humid assist III

REF 641 50 units, sterile, TRACOE humid assist II

individually packaged
Heat/moisture exchanger with paper filter for attach- REF 645 50 units individually
ment to any tube with 15 mm connector, integrated packaged in cleanroom
oxygen supply port, turnable through 360°. Heat/moisture exchanger for attaching to the hands-
Fits all tube sizes. free speaking valve TRACOE phon assist II (REF 655-T).

Legend to symbol: Speaking valve or fenstrated tube with integrated speaking valve TRACOE modular 61
 Speaking Valves and Stopper
For TRACOE buttons, Silicone Short Tubes and Adhesive Carriers

REF 650-S REF 655-S

REF 650-SO REF 621

TRACOE phon assist I TRACOE phon assist II

REF 650-S 1 unit supplied in sterile package REF 655-S 1 unit supplied in sterile package plus
Speaking valve with air supply from the side, infinitely 5 units TRACOE humid assist II (REF 645),
adjustable, with flat base. individually packaged in cleanroom
For insertion in TRACOE stoma and grid buttons Hands-free speaking valve, infinitely adjustable, for
(REF 601-603 and REF 611-613), TRACOE adhesive attachment to TRACOE stoma and grid buttons
carriers (REF 660 and REF 661) and silicone short (REF 601-603 and REF 611-613), TRACOE adhesive
tubes (REF 580-583). carriers (REF 660, REF 661) and silicone short tubes
Air supply from the side allows an individually (REF 580-583). Fits all sizes.
adjustable airway resistance. Caution:
Caution: After laryngectomy only to be used in conjunction with
Not for use by laryngectomised patients. a voice prosthesis!

TRACOE phon assist I with Oxygen Supply Port Stopper

REF 650-SO 1 unit supplied in sterile package REF 621 5 units supplied in sterile package
Speaking valve, infinitely adjustable, with flat base, To temporarily seal TRACOE stoma and grid buttons
oxygen supply port and cap. (REF 601-603 and REF 611-613), TRACOE adhesive
For insertion in TRACOE stoma and grid buttons carriers (REF 660, REF 661) and silicone short tubes
(REF 601-603 and REF 611-613), TRACOE adhesive (REF 580-583) in patients with unobstructed upper
carriers (REF 660 and REF 661) and silicone short airways and unrestricted breathing.
tubes (REF 580-583). Caution:
Air supply from the side allows an individually Not for use by laryngectomised patients.
adjustable airway resistance.
Caution:
Not for use by laryngectomised patients.

62 TRACOE modular Products purchased may differ in appearance from the illustrations in this catalogue.
 Heat/Moisture Exchanger, HME
For TRACOE buttons, Silicone Short Tubes and Adhesive Carriers

REF 640-S

REF 645

TRACOE humid assist I

REF 640-S 50 units individually

packaged in cleanroom
Heat/moisture exchanger with flat base for all carriers
with 22 mm housing, e.g. TRACOE stoma and grid
buttons (REF 601-603 and REF 611-613), TRACOE
adhesive carriers (REF 660 and REF 661) and silicone
short tubes (REF 580-583).
For patients with or without voice prosthesis.

TRACOE humid assist II

REF 645 50 units individually

packaged in cleanroom
Heat/moisture exchanger for attaching to the hands-
free speaking valve TRACOE phon assist II (REF 655-S).

Scope of delivery of speaking valves and stopper

includes a product info card with peel-off stickers
on front and back.

Legend to symbol: Speaking valve or fenstrated tube with integrated speaking valve TRACOE modular 63
 Under Control

Cuff Pressure Monitoring:

Spot measurements with
a handheld manometer or
continuous, fully automatic
monitoring and control.
Prevents complications and
secondary problems for
the patient.

64 TRACOE technic
Cuff Pressure Managemant

TRACOE technic refers to medical devices, which

allow setting and control of pressure in low pressure
cuffs of tracheostomy and endotracheal tubes with
high precision.

Constant Pressure
Why is it so important for the cuff to be properly in-
flated? For one, to ensure sufficient ventilation at all
times. For another, to prevent silent aspiration, which,
under certain cir­cumstances, can lead to a nosocomial
ventilation pneu­­monia. It also prevents damage to the
trachea (mu­cosal necrosis, destruction of cartilage,
tracheomalacia).

Two Systems, One Goal

TRACOE technic includes two ways to regularly check

the cuff pressure. First, the TRACOE cpm handheld
manometer, featuring a large, easy-to-read scale
(0-100 cmH2O) for quick and easy mea­surements.
The usual pressure range for the application is col­oured
green.

Second, the fully automatic TRACOE cpc cuff pressu-

re control. It continuously monitors and regulates the
pres­sure in the low pressure cuffs of tracheostomy and
endo­tracheal tubes. Visual and audible alarms warn of
leaks or overpressure. TRACOE cpc is compact and
lightweight, straightforward and practical to use. It redu-
ces the work­load of hospital nursing staff and the cuff
pressure is 100 % securely monitored and regulated.

TRACOE technic 65
 TRACOE technic – Precision Medical Devices

Technical Data on REF 701

Medical-technical device, Class IIB, active,
Classification
with measuring and control function
Power supply 12 V
REF 701
Protection rating II
Operating voltage
5V
Micro Processor
TRACOE cuff pressure control Idling (pump off, valves off): 0.08 W
Power consumption
Full power (pump and valves active): 0.65 W

REF 701 Battery 9 V, 150 mAh for NiCd and 9 V, 170 mAh for NiMH

TRACOE cuff pressure control Battery display graphic (empty, weak, medium, full)

Transformer Battery operating time 8 hours

3 connection tubes with integrated Battery charging time 6-8 hours

hydrophobic bacteria filter, each one in Pressure display digital

sterile package, length: 2 m Control range 5 to 100 mbar

1 TRACOE twist tracheostomy tube with Control precision ± 1mbar over the entire control range

low pressure cuff Pressure display precision ± 1 mbar

Max. internal cuff pressure 100 mbar
Maximum vacuum - 250 mbar
A fully automatic, precision device for
continuous mo­­ni­toring and control of the Audible and visible signal:
◆ if the pressure cannot be compensated within
pressure in the low pressure cuffs of 10 seconds
tracheostomy and endotracheal tubes. ◆ in the event of leakages
Alarm functions
◆ in case of a pressure increase of > 100 mbar
◆ if the battery is almost flat
The device contains a sensor-controlled ◆ if the mains connector is unplugged or there
pump for long-term, precise control of low is a power failure
pressure cuffs. It is powered via a trans­­former Pneumatic device connection Bayonet connector
or, during patient transport, by a rechargeable Device dimensions Height: 100 mm, width: 150 mm, depth: 60 mm
battery (for up to 8 hours). Through a mount Weight 350 g (incl. battery)
on the back of the instru­ment it can be easily
attached to an intensive-care bed, stand or TRACOE Power Pack (REF 704)
operating table.
Power supply 100-240 V, 50-60 Hz
Protection rating II
The device is CE-certified and EMC-tested.
Ambient Conditions
Storage conditions Temperature - 40 to + 70°C, relative air humidity 10-95 %
Temperature 10 to + 70°C, relative air humidity 10-95 %
Operating conditions
Altitude up to 3.000 m (NN)

66 TRACOE technic Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 702 REF 703

REF 720 NEW: With Hook! REF 703-A

TRACOE cuff pressure monitor Connection Tubes

REF 720 for REF 720, TRACOE cuff pressure monitor:

TRACOE cuff pressure monitor
1 connection tube REF 702 REF 702 10 units supplied in
individual sterile packages
The TRACOE cuff pressure monitor is used to fill and Tube for connecting a tracheostomy or endotracheal
monitor the pressure of high-volume, low pressure cuffs tube. With Luer lock connectors. Length 1 m
of tracheostomy and endotracheal tubes.
REF 703 10 units supplied in
Its outstanding features and benefits: individual sterile packages
Easy use Tube for connecting a tracheostomy or endotracheal
Precise, reproducible pressure indication tube. With Luer lock connectors. Length: 2 m
Extra-large, easy-to-read scale from 0-100 cmH2O
Widely spaced scale markings with colour coded
pressure ranges for REF 701, TRACOE cuff pressure control:

The TRACOE cuff pressure monitor comes with a REF 703-A 10 units supplied in
connection tube with male and female Luer lock individual sterile packages
connectors on its ends (REF 702). Connecting tube with integrated hydrophobic bacteria
filter for connecting a tracheostomy or endotracheal
tube. With bayonet and Luer lock connectors.
Length: 2 m

TRACOE technic 67
 Soft, Lightweight,
Transparent:

TRACOE buttons, silicone

short tubes and adhesive
carriers. An alternative
for tracheostomised and
laryngectomised patients.

68 TRACOE larynx
Individual Solutions

TRACOE larynx is a product group that is spe­cifically

geared to meet the needs of laryngectomised and
tracheostomised patients in the hospital, during reha-
bilitation and homecare.

The Products
TRACOE stoma buttons and short tubes are made of
soft, flexible sili­cone. Developed for patients who only
re­quire a de­vice to keep the tracheostoma open conti-
nuously and do not need a proper trache­o­s­­tomy tube,
and for attaching speaking valves and/or HMEs.

The TRACOE adhesive carriers for laryngecto­mised or

tracheostomised patients to attach heat/­moisture ex­
chan­gers (HMEs) humid assist I or the speaking valves
phon assist I and phon assist II.

Information and reference numbers for TRACOE heat/

moisture exchangers as well as TRACOE speaking
valves you will find in the NEW product group
TRACOE modular as from page 56 onwards.

TRACOE larynx 69
 Possible Combinations with TRACOE modular

Carrier with 22 mm housing

Each in combination with:
TRACOE larynx grid button
t phon assist I (REF 650-S)
REF 601, REF 602, REF 603
t phon assist I with oxygen supply port (REF 650-SO)
t humid assist I (REF 640-S)
t phon assist II (REF 655-S)
TRACOE larynx stoma button
t phon assist II (REF 655-S) + humid assist II (REF 645)
REF 611, REF 612, REF 613
t Stopper (REF 621)

TRACOE larynx Silicone Short Tube,

NEW!
fenestrated
REF 581, REF 583

TRACOE larynx Adhesive Carrier

REF 660, REF 661

NEW! In combination with:

TRACOE larynx Silicone Short Tube
REF 580, REF 582 t humid assist I (REF 640-S)

Pictures, reference numbers and information for

heat/moisture exchangers (humid assist), speaking
valves (phon assist) and stoppers you will find in the
New Product Group TRACOE modular as from
page 56 onwards.

70 TRACOE larynx Products purchased may differ in appearance from the illustrations in this catalogue.
 TRACOE larynx – stoma buttons

REF 601 REF 611

Short Short

REF 602 REF 612

Standard Standard

REF 603 REF 613

Long Long

TRACOE grid button TRACOE stoma button

REF 601/REF 602/REF 603 REF 611/REF 612/REF 613

1 unit supplied in sterile package 1 unit supplied in sterile package
with 1 neck strap Sizes: 06, 07, 08, 09, 10, 11, 12
stoma button with eyes for attaching a neck strap and
with a removable grid to prevent inhalation of foreign
objects.
Sizes: 06, 07, 08, 09, 10, 11, 12

Scope of delivery TRACOE larynx products (except

adhesive carriers) includes a product info card with
peel-off stickers on front and back.
Reference Numbers and Measurements:
REF 601 to REF 603 and REF 611 to REF 613
REF 601 REF 602 REF 603
REF 611 REF 612 REF 613

Short Standard Long

Size ID OD Length Length Length
(mm) (mm) (mm) (mm) (FR)
06 6 9 16 22 30
07 7 10 16 22 30
08 8 11 16 22 30
09 9 12 16 22 30
10 10 13 16 22 30
11 11 14 16 22 30
12 12 15 16 22 30
ID: inside diameter; OD: outside diameter; L: length
u To order, specify: REF + size (e.g. REF 601-06).

Legend to symbol: Fenestrated tube or carrier for e. g. speaking valve TRACOE larynx 71
 TRACOE larynx – Silicone Short Tubes

REF 580 REF 581 REF 585

new! new! new!
REF 582 REF 583 REF 586

TRACOE Silicone Short Tube with Connector, TRACOE Silicone Short Tube without Connector
Unfenestrated
REF 585 Length 36 mm 1 unit, supplied with
REF 580 Length 36 mm 1 unit, supplied with neck strap
neck strap REF 586 Length 53 mm 1 unit, supplied with
REF 582 Length 53 mm 1 unit, supplied with neck strap
neck strap Ideal for the use in stable tracheostomas to secure the
Ideal for the use in stable tracheostomas to secure the respiratory tracts once no tracheostomy tube is needed
respiratory tracts once no tracheostomy tube is needed anymore.
anymore.
For attachment to TRACOE humid assist I (REF 640-S).

TRACOE Silicone Short Tube with Connector,

Fenestrated

REF 581 Length 36 mm 1 unit, supplied with

neck strap
REF 583 Length 53 mm 1 unit, supplied with
Reference Numbers and Measurements: REF 580,
neck strap
REF 581, REF 585 and REF 582, REF 583, REF 586
For tracheostomised and laryngectomised patients
REF 580 REF 582
with a voice prosthesis. REF 581 REF 583
For attachment to TRACOE phon assist I (REF 650-S), REF 585 REF 586
TRACOE phon assist I with oxygen supply port (REF Size ID OD Length Length
650-SO), TRACOE phon assist II (REF 655-S) with or (mm) (mm) (mm) (mm)
without TRACOE humid assist II (REF 645) and 08 9.5 12.0 36 53
TRACOE humid assist I (REF 640-S). 09 10.5 13.5 36 53
10 12.5 15.0 36 53
12 13.5 17.0 36 53
ID: inside diameter; OD: outside diameter; L: length
u To order, specify: REF + size (e.g. REF 580-09).

72 TRACOE larynx Products purchased may differ in appearance from the illustrations in this catalogue.
 TRACOE larynx – button plus and Adhesive Carriers

REF 660 REF 607-70

new!

REF 661 REF 607-45

new!

TRACOE Adhesive Carrier Hydrocolloid TRACOE button plus

REF 660 20 units, individually packaged REF 607-70 Length 70 mm 1 unit, supplied with
For affixing onto the tracheostoma. neck strap
With anallergenic hydrocolloid coating, particulary REF 607-45 Length 45 mm 1 unit, supplied with
suitable for patients with sensitive skin. neck strap
Includes support ring for TRACOE speaking valves For the therapy of tracheostomised patients after long-
phon assist I (REF 650-S and REF 650-SO) and phon term ventilation – safe airway after decannulation. The
assist II (REF 655-S) with or without a heat/moisture sealing is very airtight and dislocation save. The patient
exchanger TRACOE humid assist II (REF 645) and is able to cough up the stimulus secretion very fast.
Stopper REF 621. With the adjustable neck flange the TRACOE button
plus can be positioned optimal to the soft neck tissue.
Inside diameter 8.0 mm,
TRACOE Adhesive Carrier Standard Outside diameter 10.5 mm
Caution, not suitable for
REF 661 20 units, individually packaged laryngectomised patients
For affixing onto the tracheostoma. patients with unstable breathing,
The adhesive carrier is particularly thin and coated with patients, who primarily breathe through the
a strong acrylate adhesive. tracheostoma.
Includes support ring for TRACOE speaking valve phon
assist I (REF 650-S and REF 650-SO) and phon assist II
(REF 655-S) with or without HME TRACOE humid assist
II (REF 645), TRACOE humid assist I (REF 640-S) and
Stopper REF 621.

Legend to symbol: Fenestrated tube or carrier for e. g. speaking valve TRACOE larynx 73
 Cleaning,
Maintenance,
Accessories

Optimally designed to
facilitate the daily use of
TRACOE products. Practical
and convenient for patients
and health-care staff.

74 TRACOE care
Tracheostoma-Management –
As Comfortable as Possible
Special situations require special solutions.
Tra­che­osto­mi­sed and laryngectomised patients
need accessories that help make daily life with a
tracheostomy tube as comfortable as possible.
Many products in the TRACOE care line of
accessories enhance the daily use of trache­ostomy
tubes, such as neck straps, protective scarves and
spacers. The special cleaning kits and tracheal
com­presses ensure proper hygiene, which is of
utmost importance.

Product Location Service

You cannot find a specific product in the

extensive TRACOE care range? Call them!
The team of TRACOE medical will assist
you in locating the required accessory.

TRACOE care 75
 TRACOE care – Accessories

REF 903 A B D E F G H I J

Neck Straps

For holding tubes securely in place. REF 903-A 1 unit Beige, elastic, with hook
REF 903-B 1 unit White, wide, padded,
REF max. length Width of neck strap with hook-and-loop fastener
(approx.) in cm (approx.) in cm
REF 903-B-P 10 units Identical to REF 903-B
903-A 44 1.5
REF 903-D 1 unit White, wide, elastic,
903-B 47 2.5
with hook-and-loop fastener,
903-D 48 2.5
individually adjustable
903-E 49 4.0
REF 903-E 1 unit White, wide,
903-F 43 2.5
with hook-and-loop fastener
903-G 31 2.5
REF 903-E-P 10 units Identical to REF 903-E
903-H 39 2.5 REF 903-F 1 unit White, wide, consists of two
903-I 48 2.5 parts, adjustable length,
903-J 36 2.5 with hook-and-loop fastener
REF 903-F-P 10 units Identical to REF 903-F
REF 903-G 1 unit White, wide, consists of two
parts, adjustable length,
with hook-and-loop fastener,
for neonates and children
REF 903-H 1 unit White, wide, padded,
with hook
REF 903-H-P 10 units Identical to REF 903-H
REF 903-I 1 unit White, long, wide, padded,
with hook
REF 903-I-P 10 units Identical to REF 903-I
REF 903-J 1 unit White, short, wide, padded,
with hook
REF 903-J-P 10 units Identical to REF 903-J

76 TRACOE care Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 902 REF 915

Liquid Paraffin Shower Guard

REF 902 REF 915

Lubricates and protects TRACOE comfort tubes. Protection for tube wearers while showering.
Lets inner cannulas be easily inserted and removed, Soft, adaptable and adjustable to different neck sizes.
assures best possible fit and good quality of speech. Caution:
Contents: 25 ml May not be used for full-body bathing or swimming!

TRACOE care 77
 TRACOE care – Cleaning Kits

REF 930-A REF 930-B REF 931-A REF 931-B

TRACOE tube clean Cleaning Kits

For cleaning TRACOE tracheostomy tubes and

TRACOE buttons.

REF 930-A With cleaning powder REF 931-A With concentrated cleaning liquid
and small cleaning swabs and small cleaning swabs
tube clean cleaning powder (REF 932) tube clean concentrated cleaning liquid (REF 933)
tube clean cleaning tub (REF 934) tube clean cleaning tub (REF 934)
1 cleaning brush (REF 938-A) 1 cleaning brush (REF 938-A)
50 cleaning swabs, small (REF 935) 50 cleaning swabs, small (REF 935)

REF 930-B With cleaning powder REF 931-B With concentrated cleaning liquid
and large cleaning swabs and large cleaning swabs
tube clean cleaning powder (REF 932) tube clean concentrated cleaning liquid (REF 933)
tube clean cleaning tub (REF 934) tube clean cleaning tub (REF 934)
1 cleaning brush (REF 938-A) 1 cleaning brush (REF 938-A)
50 cleaning swabs, large (REF 936) 50 cleaning swabs, large (REF 936)

All articles in the cleaning kits are also

available separately.

Detailed tips and information on how to clean,

disinfect and care for tracheostomy tubes can be
found on pages 85 and 86 and in the respective
instructions for use.

78 TRACOE care Products purchased may differ in appearance from the illustrations in this catalogue.
 TRACOE care – Cleaning Accessories

REF 933 REF 932 REF 934

TRACOE tube clean TRACOE tube clean

Concentrated Cleaning Liquid Cleaning Tub with Mesh Basket

REF 933 1 bottle REF 934 1 tub

Liquid cleaning concentrate for cleaning tracheostomy For tracheostomy tubes and stoma/grid buttons.
tubes and stoma/grid buttons. Dissolves incrustations. Volume: 1000 ml
Rapidly acting.
Contents: 250 ml (for approx. 100 applications)

TRACOE tube clean

Cleaning Powder

REF 932 1 tub

Cleaning powder for cleaning tracheostomy tubes and
stoma/grid buttons. Dissolves incrustations.
Contents: 400 g (for approx. 60 applications)

TRACOE care 79
 REF 935 REF 970

REF 936 REF 687

TRACOE tube clean Protective Skin Cloth

Cleaning Swabs
REF 970 Pack of 50
REF 935 Small Pack of 50 For daily skin care and cleaning around the tracheo-
Bendable plastic swabs with polyurethane sponge st­oma. Dermatologically tested, bactericidal, antiseptic,
tip for cleaning tracheostomy tubes/cannulas with and itch-reducing. Impregnated with lipid regulating
an inner diameter of 3 to 7 mm. substances.
For single use.

Angled Forceps
TRACOE tube clean
Cleaning Swabs REF 678 1 unit
To remove incrustations and clean tubes.
REF 936 Large Pack of 50 Made of stainless steel, autoclaveable.
Bendable plastic swabs with polyurethane sponge tip
for cleaning tracheostomy tubes/cannulas with an inner
diameter of 8 to 14 mm.
For single use.

80 TRACOE care Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 940

REF 941

REF 938

REF 939

TRACOE Cleaning Brushes with Wool Tip TRACOE Cleaning Brushes for Flexible
Tracheostomy Tubes
REF 938 Pack of 10
Angled brush with extra-soft nylon bristles for removing REF 940 Pack of 10
incrustations. To reduce scratching, the brushes have Extra-long, specially made for cleaning flexible tracheo­
a wool tip. st­omy tubes. The wire used has a rounded tip and the
bristles are made of soft nylon.
Bristle- For tube Approx.
REF
diameter inside diameter total length Bristle- For tube Approx
REF
938-A 7 mm 5/6 mm 21 cm diameter inside diameter total length.
938-B 9 mm 7/8 mm 21 cm 940-A 7 mm 5/6 mm 31.5 cm
938-C 11 mm 9/10 mm 21 cm 940-B 9 mm 7/8 mm 33.5 cm
940-C 11 mm 9/10 mm 36.0 cm
940-D 13 mm 11/12 mm 36.0 cm

TRACOE Cleaning Brushes with Wool Tip

in a Kit of 5 in Different Sizes
TRACOE Cleaning Brushes for Flexible
REF 939 Tracheostomy Tubes in a Kit of 10
Kit of 5
The kit contains: in Different Sizes
Bristle- For tube Approx.
Quantity REF 941
diameter inside diameter total length Kit of 10
1 unit 7 mm 5/6 mm 21 cm The kit contains:
2 units 9 mm 7/8 mm 21 cm Bristle- For tube Approx.
Quantity
2 units 11 mm 9/10 mm 21 cm diameter inside diameter total length
2 units 7 mm 5/6 mm 31.5 cm
2 units 9 mm 7/8 mm 33.5 cm
3 units 11 mm 9/10 mm 36.0 cm
3 units 13 mm 11/12 mm 36.0 cm

TRACOE care 81
 TRACOE care – Tracheal Compresses, Nonsterile

REF 905 REF 909

REF 908

REF 910-A REF 960

REF 910-B

Tracheal Compresses, Aluminium Coated TRACOE Tracheostoma Protection

with Zigzag Slit
REF 908 Small Pack of 10
REF 905 Pack of 10 Dimensions: approx. 6 x 6.5 cm
Tracheal compresses, aluminium coated, avoid the REF 909 Large Pack of 10
compress sticking to the wound or the skin. They Dimensions: approx. 7.2 x 7.2 cm
absorb secretions between the stoma and the tube. Prevents foreign objects from entering the tracheo-
Dimensions: approx. 9 x 9.8 cm stoma. With adhesive strip, for single use, for adults
and children.

Tracheal Compresses
Coated Tracheal Compresses with Zigzag Slit
REF 910-A Without slit Pack of 10
REF 910-B With zigzag slit Pack of 10 REF 960 Pack of 10
These tracheal compresses absorb secretions from To absorb secretions from the tracheostoma to avoid
the tracheostoma to avoid skin irritations. skin irritations. The coating further avoids the ab-
Dimensions: approx. 9 x 9.8 cm sorbant compress sticking to the wound or the skin.
Dimensions: approx. 8 x 10 cm

The zigzag slit keeps the compresses securely

in place. At the same time it is quite simple to
remove the compress and replace it with a new
one whilst wearing the tracheostomy tube.

82 TRACOE care Products purchased may differ in appearance from the illustrations in this catalogue.
 REF 907-A REF 957

REF 907-B

REF 912 REF 961

Two-Ply Tracheal Compresses Coated Two-Ply Tracheal Compresses with

Zigzag Slit
REF 907-A Without slit Pack of 10
REF 907-B With zigzag slit Pack of 10 REF 957 Pack of 10
Two-ply tracheal compresses absorb a large amount Two-ply tracheal compresses absorb a large amount
of secretions from the tracheostoma quickly to avoid of secretions from the tracheostoma quickly to avoid
skin irritations. At the same time they are used as a pad skin irritations. The absorbent coating further avoids
bet­ween the tracheostoma and the tracheostomy tube. the com­press sticking to the wound or skin.
Dimensions: approx. 9 x 9.8 cm At the same time they are used as a pad between
the tracheostoma and the tracheostomy tube.
Dimensions: approx. 8 x 10 cm
Fleece Tracheal Compresses

REF 912 Pack of 100 Tracheal Compresses with Zigzag Slit

Fluff-free, 4-ply fleece tracheal compresses. for Neonates and Children
Dimensions: approx. 10 x 10 cm
REF 961 Pack of 10
Tracheal compresses to absorb secretions from the
tra­cheostoma to avoid skin irritations. At the same
time they are used as a pad and a protection for the
sensitive skin around the tracheostoma.
The compresses are ideally adapted to the anatomy
of neonates and children.
Dimensions: approx. 6.5 x 6.3 cm

TRACOE care 83
 TRACOE care – Sterile Tracheostomy Dressing

REF 958

REF 959 REF 969

TRACOE purofoam Tracheostomy Dressing TRACOE purofoam Trachealkompresse

The TRACOE purofoam tracheostomy dressings are REF 958 Large Pack of 10 supplied in
made of highly absorbent open pore polyurethane individual sterile packages
foam (a). The foam has a non- For tracheostomy tube sizes 06 to 12.
c sticking layer (b) on the side facing Dimensions: approx. 9 x 10 x 0.5 cm
the tracheostoma which allows
a quick ab­sorption of liquids into REF 959 Small Pack of 10 supplied in
b the foam’s core. The opposite side individual sterile packages
is covered with a skin coloured, For tracheostomy tube sizes 03 to 05.
va­pour permeable coating which will prevent leakage Dimensions: approx. 6.5 x 6.5 x 0.5 cm
of se­cre­tions and bacteria through the front of the
dressing (c).
Due to the circular opening and the zigzag slit the
dres­sing can be easily replaced with a new one whilst
wea­ring the tracheostomy tube. As the dressing does TRACOE softpad Tracheostomy Stoma Pads
not stick to the skin, it can be removed and replaced
with­out causing trauma or pain. REF 969 Pack of 20 supplied in
The TRACOE purofoam tracheostomy dressing can individual sterile packages
be used to dress a newly established or an existing, Oval tracheostomy stoma pads made of open-pored,
irritated tracheostoma, as well as healed but weeping highly absorbent polyurethane foam. Avoids decubitus,
tracheostomas and any other kind of artificial orifice. compensates unevenness due to scars, seals air leaks
This dressing meets modern standards of moist (function of speech).
wound treatment. Dimensions: oval, approx. 5.5 cm at longest point and
approx. 3.7 cm at widest point.

84 TRACOE care Products purchased may differ in appearance from the illustrations in this catalogue.
 TRACOE care – Textile Products

REF 919 REF 921 REF 923

REF 920

TRACOE Protective Bibs TRACOE Protective Roll-Necks

REF 919-A 3-ply 1 unit REF 923 Fine knit Classically elegant

REF 919-B 6-ply White 1 unit REF 923-A White 1 unit

REF 919-C 12-ply 1 unit REF 923-B Gray 1 unit
REF 920-A 3-ply 1 unit REF 923-C Beige 1 unit
REF 920-B 6-ply Beige 1 unit REF 923-D Dark green 1 unit
REF 920-C 12-ply 1 unit REF 923-E Dark blue 1 unit
The protective bibs filter and warm the respiratory air. REF 923-F Burgundy 1 unit
At the same time they protect clothes from possible REF 923-G Black 1 unit
secretions. Made of polyester, with continuously adjus-
table hook-and-loop fastener. TRACOE protective roll-necks are made of 100 %
cotton with an integrated polyester layer. They are worn
underneath the shirt.
TRACOE Protective Scarves

REF 921-A Grey plaid 1 unit

REF 921-B Beige plaid 1 unit
REF 921-C Dark green 1 unit
REF 921-D Dark blue 1 unit
REF 921-E Burgundy 1 unit
Washing Instructions for TRACOE Protective Bibs,
Made of 100% viscose with integrated polyester layer. TRACOE Protective Scarves and TRACOE Protective
The TRACOE protective scarves are worn around the Roll-Necks:
neck like an average scarf and are secured with an Hand-wash, 30°C, with mild soap
continuously adjustable hook-and-loop fastener. No dry-cleaning
No bleaching
No ironing

TRACOE care 85
 information for patients

Tips for Everyday Use of TRACOE Tracheostomy Tubes

Cleaning and Maintenance Disinfection

The easiest way to clean the tubes is to use the If necessary, clean the tubes and then soak them in
TRACOE tube clean cleaning kits (REF 930-A/-B or a disinfectant recommended by TRACOE medical.
REF 931-A/-B), developed especially for this purpose. Afterwards rinse the tubes tho­roughly in running water
Ne­ver use a strong household cleaning product, a or with distilled water.
den­ture cleanser, or strong alcohol to clean the tubes.
Soften any solid incrustations and remove them using Hygiene
e.g. TRACOE tube clean cleaning swabs (REF 935 and When the tracheostoma is stable, the tubes can be
REF 936). After cleaning, rinse the cannulas thoroughly. clea­ned and maintained during replacement. If the
Allow the inner and outer cannulas to air-dry. tracheostoma is fresh, however, do not re­move the
tube for very long, as it may be very difficult to reinsert.
Please note that the tube must be taken out of the
tracheostoma for cleaning.
Please note: Care of the stoma depends on mucous accumulation,
The tips and instructions for the care of the scab formation, and skin condition, but it should be
tracheostoma and tracheal hy­giene are based cleaned at least twice a day. Use either the TRACOE
on the manufac­tu­rer’s pra­ctical experience. protective skin cloth (REF 970) or fleece compresses
They are not inten­ded to re­place the medical saturated with physiological saline solution to clean
advice of a physician or trained healthcare the stoma. Do only use fluff free material. Replace the
personnel. compresses and neck straps regularly. Select the wi-
dest, softest neck strap possible to prevent irritation.
TRACOE medical GmbH assumes no liability The skin should be clean and dry (neither desicca­ted
for claims resulting from the incorrect or im­ nor waterlogged). If the area around the tracheostoma
proper care of the tracheostoma or incorrect is chafed, the skin can be treated with appropriate
or im­proper tracheal hygiene. care products according to doctor’s orders. When the
irritation disappears, treat the area with a skin dressing
Medical indications as well as ana­­tomical and that is not excessively viscous. A vaporized 0.9% saline
physiological conditions vary for each tube so­lution can be in­hal­­ed to loosen or remove scabs or
wearer. For this rea­son, patients must consult in­crustations. A tracheostoma being treated with radia-
their phy­sician or healthcare professional for tion is often highly sensitive and should be cared for as
ad­vice on the care of the tracheo­sto­ma and instruc­ted by your physician or healthcare personnel.
tracheal hygiene. Instruc­tions given by the
physi­cian and healthcare personnel must be Protective Accessories
followed. To prevent particles of dust and dirt or other objects
from entering the trachea through the sto­ma, special
protective articles are needed such as cloths, bibs,
roll-necks, filters, etc. Depending on personal requi-
rements, each patient should have at least six such
articles on hand.

86 Information for Patients

Suctioning Frequency
In the same patient the necessity to suc­tion can vary
from just a few times each day to up to a number of
times an hour. It is important to use a high-quality
suction device with suitable performance.

Moistening
To prevent the formation of scab, the use of an “artifi-
cial nose” (e.g. TRACOE humid assist I, REF 640-CT)
to keep the airways moist is recommen­ded. Another
method is to inhale a vaporized saline solution. A room
with up to 50 or 60% relative hu­midity also helps to
maintain proper moisture le­vels in the airways.

Materials
TRACOE tracheostomy tubes are made of materials
that are approved internationally for medical use. They
contain no latex. These pro­ducts may only be disposed
of in compliance with the applicable local regulations
for waste materials. In the United States, federal law
stipulates that these products may only be sold by or
when prescribed by physicians.

Information for Patients 87

 Information for distributors

Sales Support

TRACOE medical provides authorized distributors with Sales Forces

valuable support for advising their patients: TRACOE product specialists are available to support
you in dealing with difficult indications and training
Tube Info Card your sales force.
Every TRACOE tube and most of the larynx products
come with a card containing all relevant data for Training
documentation and re-ordering purposes in the form TRACOE medical conducts training sessions on
of peel-off stickers on the front and back. products and their applications on request.

Advertising News-Service
Photographs of all TRACOE products are available for You receive current information many times
use in advertising or to create your own training docu- throughout the year.
ments; please specify the desired file format.
Trade Shows/Conferences
TRACOE medical participates in many major natio-
nal and in­ternational trade shows and conferences.
TRACOE medical can also provide you with product
posters and catalogues to use at your own events.

Basic Kit
TRACOE partners have found the top quality TRACOE
demonstration case to be an excellent way to display
the products. The demonstration cases can be indi-
vidually stocked with TRACOE products and offer an
excellent overview of the TRACOE portfolio at presen-
tations.

88 Information for Distributors

 ORDERiNG

Delivery
All TRACOE products are shipped directly ex stock. telephone: +49-69-665668-99
Non-sterile product variants are generally shipped +49-69-665668-86
within 10 days, sterile ones within 4 weeks.
Please note: Additional freight charges apply in cases fax: +49-69-665668-20
of express deliveries and deliveries to addresses which
differ from the address on the invoice. e-mail: info@tracoe.com

Returns
Returns of used products are accepted only if To ensure prompt handling of your order
accompanied by a completed decontamination please indicate the exact reference numbers
certificate. You can obtain the required form either (REF), the sizes of the tubes and your custo-
directly from TRACOE medical or from their website mer number on your order form.
(www.tracoe.com).

General Terms and Conditions of Business:

Sales and deliveries are made only on the basis of the
general terms and conditions of business. You can
obtain these either directly from TRACOE medical or
from their website (www.tracoe.com).

internet
To quickly and conveniently obtain
information about TRACOE products,
news, or general information, simply visit
the Internet at: www.tracoe.com.

information for Distributors 89

 Subject to changes without notice 5.0

TRACOE medical GmbH

Reichsforststr. 32, 60528 Frankfurt/Main, Germany
Tel. +49-69-665668-0, Fax +49-69-665668-10
www.tracoe.com, E-Mail: info@tracoe.com