Tracoe Twist / Twist Plus

Tracoe Twist and Tracoe Twist Plus tracheostomy tubes with inner cannula system and movable neck flange. They are characterized by their low wall thickness and a good fit of the inner cannula in the outer cannula. This allows for an optimal inner-outer diameter ratio. They are used as ventilation and therapy tubes with inner cannulas in the hospital, during rehabilitation and in non-clinical care.

They are available with and without low-pressure cuff, with and without fenestration or double fenestration and with subglottic suction (Twist Extract and Twist Plus Extract).

The movable neck flange with curved flange shape has a cardanic suspension and thus follows the patient’s head movements.

Inner value

The Twist and Twist Plus tubes are characterized by thin-walled, stable cannula walls and a good fit of the inner cannula in the outer cannula. This allows a good inner-outer diameter ratio. The indicated cannula size corresponds to the inner diameter of the inner cannula. The largest possible lumen should be available for breathing and ventilation – therefore the inner value is what counts here. For the patients, every millimeter is crucial.

Fenestration

Fenestrated Twist and Twist Plus tracheostomy tubes have a multiple fenestration at the outer bend. The Twist Plus tracheostomy tubes are distinguished by a double fenestration: in addition to the fenestration at the outer bend it has two phonation openings at the inner bend. These provide additional space for the exhaled air to reach the upper airways.

Subglottic suction

The Tracoe Twist extract tracheostomy tube has a suction tube attached to the outer cannula with the suction opening at the lowest possible point above the low-pressure cuff. The Tracoe Twist Plus Extract tracheostomy tubes have a new, flat and stable suction channel and significantly improve the suction behavior compared to the suction tube.