Description

The Montgomery Safe-T-Tube, developed by Boston Medical, is an advanced tracheal T-tube implant designed for effective airway management in both pediatric and adult patients. It serves as a crucial tool for maintaining a clear tracheal airway while providing structural support in cases of tracheal stenosis, particularly when the trachea has been reconstituted or reconstructed.

Indications for Use

This device is specifically indicated for a variety of complex medical conditions, including:

• Acute laryngotracheal injuries
• Intrathoracic tracheal stenosis
• Situations where tracheal repair is not feasible
• Segmental resection and anastomosis

Design and Material

Crafted from implant-grade silicone, the Safe-T-Tube is available in both clear and radiopaque forms. The material composition includes barium sulphate and titanium dioxide for the radiopaque variant, enhancing visibility. The device features a smooth, non-adherent surface, minimizing tissue interaction and promoting patient comfort.

Key Features

• T-Tube Design: Comprises intraluminal and extraluminal limbs for versatile application.
• Secure Placement: Equipped with a ring and groove system to reduce displacement risks.
• Plug/Ring Set: Provides safety and occlusion options.
• MRI Compatibility: Safe for use in MRI environments.

Sterility and Use

The Safe-T-Tube is supplied sterile for single use, with custom shortened tubes provided non-sterile. It is designed for easy insertion, suctioning, and removal, and can be used with anesthesia, making it accessible for a wide range of patients, including children and adults.

Available Styles

The device is offered in several styles to meet specific surgical needs:

• Standard (4200 Series): Suitable for most cases.
• Pediatric (3200 Series): Tailored for younger patients.
• Thoracic (5200 Series): Features an extra-long lower limb for thoracic applications.
• Extra-Long (6200 Series): Customizable limb length.
• Tapered (7200 Series): Conforms to glottis/subglottis for enhanced tracheal stenting.

Sizes and Dimensions

The Safe-T-Tube comes in various sizes, with outer diameters ranging from 10 mm to 16 mm, accommodating diverse anatomical requirements. Each set includes the tube, two Plug/Ring sets, and a Patient-PAK for care and maintenance.

Maintenance and Safety

Proper maintenance involves regular cleaning and physician follow-up to prevent obstructions. In emergency situations, guidelines are provided to manage potential airway obstructions effectively. Users are advised to monitor for complications such as granulation tissue formation and secretion management.

The Montgomery Safe-T-Tube represents a reliable solution for complex airway management, offering tailored support and flexibility to meet the unique needs of each patient.