endotracheal tube guide
We provide Rusch quality.
2 RUSCH ENDOTRACHEAL TUBE GUIDE
RUSCH ENDOTRACHEAL TUBE GUIDE 3
subglottic secretion removal
a vap reduction strategy
Ventilator-Associated Pneumonia (VAP) is a nosocomial
pneumonia that develops more than 48-72 hours after
endotracheal intubation.1 It is the most common infection
acquired by adults and children in intensive care units
(ICUs) and is a cause of significant patient morbidity and
mortality, increased utilization of healthcare resources and
excess cost.2 During mechanical ventilation, secretions
from the upper respiratory tract accumulate above the
endotracheal tube cuff. Studies have shown that these
secretions can seep past the cuff into the lower tract.3
Drainage of the subglottic secretions has been proven as an
effective strategy in preventing early-onset VAP.4
the clinical challenge.
The endotracheal tube chosen for initial intubation doesn’t
always allow for easy access to this valuable practice —
until now. That is why we created the new Teleflex ISIS
HVT with a separate suction line. The versatile design
eliminates the need to be selective during initial intubation,
increasing the number of patients who can be viable
candidates for post-operative subglottic suctioning, a
clinically proven strategy for VAP reduction.5
1 American Thoracic Society; Infectious Diseases Society of America.
Guidelines for the management of adults with hospital-acquired,
ventilator-associated and healthcare-associated pneumonia. Am J
Respir Crit Care Med 2005;171:388.
2 Coffin S MD, MPH, Klompas M MD, Classen D MD, et al. Strategies
to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals.
Infect Control Hosp Epidemiol 2008; 29:S31-S40.
3 American Thoracic Society. Consensus Statement: Hospital Acquired
Pneumonia in Adults: diagnosis, assessment of severity, initial
antimicrobial therapy and preventative strategies. Am J Respir Crit Care
Med. 1996;151:1711-1725.
4 Dezfulian C, Shojania K, Collard HR, Kim HM, Matthay MA, Saint S.
Subglottic secretion drainage for preventing ventilator-associated
pneumonia: a meta-analysis. Am J Med 2005; 118:11-18.
5 Mujica-Lopez KI, Pearce MA, Narron KA, Perez J, Rubin BK. In Vitro
Evaluation of Endotracheal Tubes with Intrinsic Suction. CHEST. 2010;
138(4):863-869.
the newest addition to the teleflex
family of endotracheal tubes
Teleflex isis® hvtTM, The First Convertible Endotracheal Tube
suction lumen
• Allows for removal of accumulated secretions
• Custom design reduces the likelihood of mucous
obstruction5
PIlot balloon
• Tactile feedback allows for a
visual gauge of cuff inflation
thin walled, Low pressure
tapered Cuff
• Effective seal at low pressures
placement ring
• Provides a visual indication
of when the tube has passed
the vocal chords to aid in
placement
Integrated suction port
• Design allows for easy connection
to the suction line
• Strategically designed for placement
outside the patient’s mouth
• Cap seals suction port when not in use
Suction line integrated caps
• Design allows for easy connection to
the suction port
• Easy handling when connecting
suction tubing
• Caps seal suction line when not in use
• Sold separately
The unique convertible nature of the Teleflex ISIS HVT frees clinicians from the uncertainty of choosing which tube is
best for the patient at the time of intubation. ISIS features an integrated suction port and separate suction line, allowing
for subglottic secretion removal, on-demand. When needed, the suction line attaches to the ISIS HVT via a secure
locking connection. Both connection ports can be sealed upon disconnection, reducing the risk of cross-contamination
when not in use. This versatile design allows you to make the right choice, every time.
Also available with a preloaded stylet:
Ideal for crash carts and emergency rooms
The ISIS Advantage
• Convertible design
• Simplifies tube selection at initial intubation
• Consolidates inventory
• Use (and pay for) the suction line only when you need it
Visit
ISISHVT.COM
for more
information
4 RUSCH ENDOTRACHEAL TUBE GUIDE
RUSCH ENDOTRACHEAL TUBE GUIDE 5
Basic intubation
Safety Clear®
• Ruschelit™ PVC technology provides the right
degree of stiffness, flexibility, and kink resistance
• Features a high-volume, low pressure cuff
• Distal tip is rounded and smooth to facilitate safe
insertion
• Wide black positioning ring above cuff
provides a visual indication of when the tube has
passed the vocal chords to aid in placement
• Recommended for both oral and nasal
intubation
• For short or long term intubation
• Single-use, sterile
Super Safety ™
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink resistance
• Features a low pressure cuff
• Distal tip is rounded and smooth to facilitate
safe insertion
• Wide black positioning ring above cuff
provides a visual indication of when the tube
has passed the vocal chords to aid in placement
• Recommended for both oral and nasal
intubation
• For short term intubation
• Single-use, sterile
Flexi-Set ™ Cuffed
• Features the Safety Clear Murphy eye
endotracheal tube, preloaded with the
Flexi-Slip™ stylet
• Stylet has a low-friction coating to facilitate
smooth withdrawal; Soft distal tip
• Preassembled and ready to use, saving time
and space
• Single-use, sterile
Flexi-Set Uncuffed
• Features the Safety Clear Murphy eye
endotracheal tube, preloaded with the
Flexi-Slip stylet
• Stylet has a low-friction coating to facilitate
smooth withdrawal; Soft distal tip
• Preassembled and ready to use, saving time
and space
• Single-use, sterile
Slick Set® Uncuffed
• Safety Clear Murphy eye endotracheal tube,
preloaded with Slick Stylette®
• Preassembled and ready to use, saving time
and space
• Cork-style stopper helps maintain stylet
position
• Single-use, sterile
Red Rubber
• Soft red rubber construction
• Silkolatex-coated technology provides
constant thin layer of silicone
• Silkolatex cuff
• Reusable; contains latex
see page 10 for ordering information
6 RUSCH ENDOTRACHEAL TUBE GUIDE
RUSCH ENDOTRACHEAL TUBE GUIDE 7
specialty intubation
AGT Oral Preformed Cuffed
• Incorporates a preformed curvature designed
to reduce tube kinking
• Preformed shape directs tube downward, to
rest on patient’s chin
• Thin-walled, large-volume low pressure cuff
• Thermosensitive Ruschelit PVC adapts to the
anatomy at body temperature
• Single-use, sterile
AGT Nasal Preformed Cuffed
• Designed to improve surgical access
• Preformed shape directs tube over patient’s
forehead, reducing pressure on nares
• Incorporates a preformed curvature designed
to reduce tube kinking
• Thin-walled, large-volume low pressure cuff
• Thermosensitive Ruschelit PVC adapts to the
anatomy at body temperature
• Single-use, sterile
AGT Nasal Preformed Uncuffed
• Designed to improve surgical access
• Preformed shape directs tube over patient’s
forehead, reducing pressure on nares
• Incorporates a preformed curvature designed to
reduce tube kinking
• Thermosensitive Ruschelit PVC adapts to the
anatomy at body temperature
• Single-use, sterile
AGT Oral Preformed Uncuffed
• Incorporates a preformed curvature designed to
reduce tube kinking
• Preformed shape directs tube downward, to rest
on patient’s chin without kinking
• Thermosensitive Ruschelit PVC adapts to the
anatomy at body temperature
• Two staggered Murphy eyes
• Single-use, sterile
Curved Reinforced
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink
resistance
• Tubes are fitted with a reinforced stainless
steel spiral core
• Completely flexible with a thin, strong wall
• Premium soft high-volume / low pressure cuff
• Single-use, does not contain latex, sterile
Super Safety Reinforced
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink resistance
• Straight tube, fitted with a reinforced stainless
steel spiral core
• Completely flexible with a thin, strong wall
• Premium soft high-volume / low pressure cuff
• Single-use, sterile
Pediatric Reinforced
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink
resistance
• Straight tube, fitted with a reinforced stainless
steel spiral core
• Completely flexible with a thin, strong wall
• Single-use, sterile
Lasertubus™
• Laser-resistant endotracheal tube made of soft
white rubber
• Reinforced with corrugated copper foil and an
absorbent sponge
• Offers resistance to medical lasers, such as
Ar+(0.488um) Nd/YAG (1.064um) and CO2
(10.6um) types
• Double cuff design offers maximum protection
• Single-use, contains latex, sterile
see page 10 for ordering information
8 RUSCH ENDOTRACHEAL TUBE GUIDE
RUSCH ENDOTRACHEAL TUBE GUIDE 9
ENDOBRONCHIAL TUBES AND DIFFICULT INTUBATION TOOLS
EasyTube® Double Lumen Tube
• Allows for placement in either the esophagus
or the trachea
• Soft, pharyngeal cuff
• Color-coded stems and pilot balloons make it easier
to identify the esophageal and tracheal lumens
• Placement ring to line up with the teeth or
alveolar ridge helps to assure proper placement
• Single-use, sterile
Left and Right
available
Left Bronchial
Right Bronchial
Robert Shaw Endobronchial Tube
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink resistance
• High-volume / low pressure cuffs
• Color-coded for easy port identification,
balloons, and 15 mm connectors
• Double swivel connections with double caps
• Anatomically-correct curvatures facilitate
proper placement
• Single-use, sterile
Carlens Endobronchial Tube
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink resistance
• Color-coded for easy port identification,
balloons, and 15 mm connectors
• Features a carinal hook
• High-volume / low pressure cuffs
• Double swivel connections with double caps
• Anatomically-correct curvatures facilitate
proper placement
• Single-use, sterile
Dr. White Endobronchial Tube
• Ruschelit PVC technology provides the right
degree of stiffness, flexibility, and kink resistance
• Color-coded for easy port identification,
balloons, and 15 mm connectors
• Features a carinal hook
• High-volume / low pressure cuffs
• Double swivel connections with double caps
• Anatomically-correct curvatures facilitate
proper placement
• Single-use, sterile
Stylets
Flexi-Slip™ Stylet
• Plastic coated malleable metal core
• Soft, retracted metal tip
• Coated for easy insertion and withdrawal
• Color-coded
• Single-use, sterile
Slick Stylette®
• Made of malleable nylon-coated wire that holds
its shape to facilitate intubation
• Specially formulated coating does not crack or
peel, while allowing for smooth tube insertion
• Stopper helps maintain desired stylet position
within endotracheal tube
• Available in three color-coded sizes for easy
identification
• Single-use, sterile
metal Stylet
• Malleable, copper construction
• Infant version features a stop
• Reusable
Accessories
Endotest™
• One-handed operation
• Accurate, easy-to-read gauge
• Simple finger switch for adjustment
• Convenient suspension hook
• Extension tube with luer fittings
available
Double Swivel Connector
• Transparent plastic
• Sealing cap for the insertion of suction
catheters
15 mm Connectors
• Plastic
• 15 mm connector
• Non-sterile
see page 10 for ordering information
10 RUSCH ENDOTRACHEAL TUBE GUIDE
RUSCH ENDOTRACHEAL TUBE GUIDE 11
ORDERING INFORMATION
ENDOTRACHEAL TUBES
Qty (box)
Description
Basic Intubation
Size (mm)
2.0
ISIS ® HVT™ ET Tube
2.5
3.0
3.5
4.0
4.5
5.0
5.5
10
ISIS HVT ET Tube with Preloaded Stylet
ISIS Accessory Pack
Part # (5-23000)
5
Super Safety™ Magill Cuffed
10
112480025
112480030
112480035
112480040
112480045
Safety Clear Murphy Eye Cuffed
10
Safety Clear Magill Uncuffed
10
100380025
100380030
100380035
100380040
100380045
100382025
100382030
100382035
100382040
100382045
®
Safety Clear Murphy Eye Uncuffed
10
Flexi-Set™ Cuffed
10
Flexi-Set Uncuffed
10
Slick Set ® Cuffed
10
Slick Set Cuffed / Uncuffed
10
Red Rubber Magill Cuffed
10
506525
506530
506535
506540
506545
6.5
7.0
7.5
8.0
8.5
9.0
5-13012
5-13013
5-13014
5-13015
5-13016
5-13017
5-13018
5-14012
5-14013
5-14014
5-14015
5-14016
5-14017
5-14018
112082070
112082075
112082080
112082085
112082090
112082050
112082055
112082060
112082065
100380050
100380055
100380060
100380065
9.5
10.0
112082095
112082100
100382050
100382055
100382060
100382065
504550
504555
504560
504565
504570
504575
504580
504585
504590
170055
170060
170065
170070
170075
170080
170085
170090
170095
1700100
102000060
102000065
102000070
102000075
102000075
102000085
102000090
102000095
102000100
111780085
111780090
103902095
103902100
10.5
11.0
102000105
102000110
506550
170050
150020
6.0
150025
150030
150035
150040
150045
150050
150055
102000025
102000030
102000035
102000040
102000045
102000050
102000055
Specialty Intubation
AGT Oral Preformed Cuffed
10
111780035
111780040
111780045
111780050
111780055
111780060
111780065
111780070
111780075
111780080
AGT Nasal Preformed Cuffed
10
111781035
111781040
111781045
111781050
111781055
111781060
111781065
111781070
111781075
111781080
AGT Nasal Preformed Uncuffed
10
100181030
100181035
100181040
100181045
100181050
100181055
100181060
100181065
100181070
AGT Oral Preformed Uncuffed
10
100180030
100180035
100180040
100180045
100180050
100180055
100180060
100180065
100180070
103902035
103902040
103902045
Curved Reinforced Murphy Cuffed
5
Super Safety Reinforced
2
Pediatric Reinforced
2
LaserTubus™ Magill Cuffed
2
103600025
103600030
103600035
103600040
103600045
102004040
103902050
103902055
103902060
103902065
103902070
103902075
103902080
103902085
103902090
104004050
104004055
104004060
104004065
104004070
104004075
104004080
104004085
104004090
103600050
103600055
102004050
102004070
102004080
15 mm Connectors
STYLETs
ENDOBRONCHIAL TUBES
Description
102004060
Qty (box)
Endotracheal Tubes
Qty (box)
Size (French)
26
28
35
37
39
41
O.D Size (Fr)
For Tube Sizes
Length
Item Number
Description
Qty (box)
Item Number
10
501003020
20
6
2.5-3.5 mm
30 cm
502501
Fits Tube I.D. 2.0 mm
20
10
4.0-6.5 mm
44 cm
502503
Fits Tube I.D. 2.5 mm
10
501003025
Robert Shaw - Left Bronchus
1
116100260
116100280
116100350
116100370
116100390
116100410
Robert Shaw - Right Bronchus
1
116200260
116200280
116200350
116200370
116200390
116200410
20
12
5.0-10.0 mm
45 cm
502505
Fits Tube I.D. 3.0 mm
10
501003030
20
14
7.0-10.0 mm
45 cm
502507
Fits Tube I.D. 3.5 mm
10
501003035
25
6
2.0-3.5 mm
31 cm
500
Fits Tube I.D. 4.0 mm
10
501003040
25
8
4.0-6.5 mm
42 cm
750
Fits Tube I.D. 4.5 mm
10
501003045
25
10
7.0-10.0 mm
45.5 cm
1000R
Fits Tube I.D. 5.0 mm
10
501003050
1
Adult
5.0 mm or larger
44 cm
008801000
Fits Tube I.D. 5.5 mm
10
501003055
1
Infant
2.0 mm or larger
30 cm
008802000
Fits Tube I.D. 6.0 mm
10
501003060
Fits Tube I.D. 6.5 mm
10
501003065
Fits Tube I.D. 7.0 mm
10
501003070
Fits Tube I.D. 7.5 mm
10
501003075
Fits Tube I.D. 8.0 mm
10
501003080
Fits Tube I.D. 8.5 mm
10
501003085
Fits Tube I.D. 9.0 mm
10
501003090
Fits Tube I.D. 9.5 mm
10
501003095
Fits Tube I.D. 10.0 mm
10
501003100
Fits Tube I.D. 10.5 mm
10
501003105
Fits Tube I.D. 11.0 mm
10
501003110
Carlens - Left Bronchus
1
116101350
116101370
116101390
116101410
Dr. White - Right Bronchus
1
116201350
116201370
116201390
116201410
difficult tracheal or esophageal intubation
Description
Qty (box)
EasyTube ® Double Lumen
4
Size (French)
Visit www.myrusch.com to learn more about
the Rusch family of anesthesia products
including:
•
•
•
•
•
Laryngoscopes
Oral Airways
Nasal Airways
Anesthesia Face Masks
Breathing Bags
180028
180041
Flexi-Slip™
Slick
Stylette ®
Metal
Reusable
Specialty Connectors
ENdotest
Description
Qty (Box)
Item Number
Endotest™
1
112700000
Endotest Extension Tubing
1
230100000
Qty (box)
Double
Swivel
Connectors
10
O.D Size (Fr)
For Tube Sizes
15 mm
Length
Item Number
514900000
Teleflex is a global provider of medical products designed to enable
healthcare providers to protect against infections and improve
patient and provider safety. The company specializes in products
and services for vascular access, respiratory, general and regional
anesthesia, cardiac care, urology and surgery. Teleflex also
provides specialty products for device manufacturers.
The Teleflex family of brands includes arrow®, beere medical®,
deknatel®, gibeck®, hudson rci®, kmedic®, pilling®, pleur-evac®,
rüsch®, sheridan®, smd®, taut ®, tfx oem®, vasonova™ and
weck®, all of which are trademarks or registered trademarks of
Teleflex Incorporated or its affiliates. Teleflex Incorporated
(nyse:tfx) has annual revenues of approximately 1.8 billion in
revenue and customers in more than 130 countries.
For detailed information, see teleflex.com
TELEFLEX MEDICAL
2917 Weck Drive
Research Triangle Park, NC 27709
Mailing Address
Teleflex Medical
PO Box 12600
Research Triangle Park, NC 27709
Toll Free 866.246.6990
Phone 919.544.8000
Teleflex is a global provider of medical products designed to enable healthcare providers to protect against
infections and improve patient and provider safety. The company specializes in products and services for
vascular access, respiratory, general and regional anesthesia, cardiac care, urology and surgery. Teleflex
also provides specialty products for device manufacturers.
Slick Stylette, Slick Set, Flexi-Slip, ISIS, HVT, EasyTube, Super Safety, Safety Clear,
Flexi-Set,
Lasertubus
and Teleflex
areStylette,
trademarks
registered
EasyTube, Endotest, Flexi-Set, Flexi-Slip, HVT, ISIS, Lasertubus, Rusch, Ruschelit,
Safety
Clear, Slick
Set, Slick
SuperorSafety
and trademarks of Teleflex
Incorporated or its affiliates.
Teleflex are trademarks or registered trademarks of Teleflex Incorporated or its affiliates.
© 2012 Teleflex Incorporated. All rights reserved.
©2012 Teleflex Incorporated. All rights reserved. 2011-0534.
TELEFLEX MEDICAL PO Box 12600 Research Triangle Park, NC 27709
Toll Free: 866.246.6990 Phone 919.544.8000 Intl 919.361.3964
TELEFLEX.COM