Portex Blue Line Ultra Cuffed Tracheostomy Tube — 100/810/060 - 100/810/090

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The Portex Blue Line Ultra Cuffed Tracheostomy Tube is a clinical airway device inserted directly into the trachea through a surgical or percutaneous stoma in the anterior neck. It is used to maintain a secure, patent airway in patients who require prolonged mechanical ventilation, cannot protect their own airway, or need long-term respiratory support in the ICU, post-operative care, or step-down settings.

The cuffed design — featuring Smiths Medical's Soft-Seal® low-pressure, high-volume cuff — provides an effective seal between the tube and tracheal wall, enabling positive pressure ventilation and reducing aspiration of oral and pharyngeal secretions into the lower airway. The tube is constructed from thermosensitive PVC: firm enough for insertion, it gradually softens at body temperature to conform to the natural curvature of the individual patient's trachea, reducing pressure on the tracheal wall during extended use.

The 100/810 series is the non-fenestrated cuffed variant of the Blue Line Ultra range — appropriate for patients who are fully ventilated and not yet ready for speaking valve trials or weaning. The series is available in six sizes from 6.0 mm to 9.0 mm internal diameter, each supplied as a complete kit.

100/810 Series — Available Sizes

Size 6.0 - 100/810/060 | ID: 6.0mm OD: 9.2 mm | Length: 64.5 mm — suitable for smaller adult airways

Size 7.0 - 100/810/070 | ID: 7.0mm OD: 10.5 mm | Length: 70.0 mm — commonly used adult size

Size 7.5 - 100/810/075 | ID: 7.5mm OD: 11.2 mm | Length: 72.5 mm — commonly used adult size

Size 8.0 - 100/810/080 | ID: 8.0mm OD: 11.9 mm | Length: 75.5 mm — standard for larger adult males

Size 8.5 - 100/810/085 | ID: 8.5mm OD: 12.6 mm | Length: 78.5 mm — standard for larger adult males

Size 9.0 - 100/810/090 | ID: 9.0mm OD: 13.3 mm | Length: 81.0 mm — standard for very large adult airways

Kit Contents — Every 100/810 Unit

Each Blue Line Ultra Cuffed Tracheostomy Tube (100/810 series) is supplied sterile as a complete, ready-to-use kit containing:

Blue Line Ultra Cuffed Tracheostomy TubeThermosensitive PVC, Soft-Seal cuff, sizes 6.0–9.0 mm ID

Two Inner CannulaeOne fenestrated + one plain for cuffed tubes; both plain for non-fenestrated cuffed (100/810)

ObturatorClip-retained obturator with rounded tip to guide insertion and protect tracheal wall on entry

Cleaning BrushFor inner cannula cleaning during routine tracheostomy care

Tracheostomy Tube Holder (Velcro®)Adjustable neck-strap for securing the tube flange to the patient's neck

Patient LabelFor bedside documentation of tube size and insertion date

Key Features

* Soft-Seal® Low-Pressure High-Volume Cuff - The Soft-Seal cuff inflates to a large resting diameter under low intracuff pressure — sealing effectively against the tracheal wall without the focal high pressure that causes tracheal mucosal ischaemia during long-term use.
* Thermosensitive PVC Construction - The tube body is firm at room temperature for straightforward insertion, then progressively softens at body temperature to follow the patient's individual tracheal curvature — reducing mucosal irritation during extended placement.
* Obturator with Anti-Movement Clip - The insertion obturator is held firmly in place by retaining clips on the tube flange during insertion, preventing the tip from advancing ahead of the tube and reducing trauma to the posterior tracheal wall.
* Dual Inner Cannula System - Two inner cannulae allow one to remain in situ while the other is cleaned — ensuring the airway is never left unmanaged during routine inner cannula maintenance, a critical safety feature in tracheostomy care.
* Radio-Opaque Tube Body - A radio-opaque line incorporated throughout the tube length allows accurate verification of tube tip position on chest X-ray — an essential check after initial insertion and after any suspected tube migration.
* Clear Soft Flange with Size Markings - The soft, transparent flange sits comfortably against the neck skin and displays relevant size and cuff information. Clear markings on the pilot balloon indicate cuff status at a glance without needing a cuff pressure gauge for initial visual checks.

Specifications

Parameter	Detail
Tube Material	Thermosensitive PVC — firms at room temperature, softens at body temperature
Flange Material	Soft, clear PVC — atraumatic against neck skin
Cuff Type	Soft-Seal® — low pressure, high volume (LPHV)
Cuff Material	Thin-walled PVC with reduced bulk at tube-to-cuff bond junction
Radio-Opacity	Yes — radio-opaque line throughout tube length for X-ray position verification
Inner Cannula	Two supplied per kit — both plain (non-fenestrated) for 100/810 cuffed series
Obturator Tip	Rounded atraumatic tip with retaining clip to prevent movement during insertion
Pilot Balloon	Clear with relevant cuff information markings
15 mm Connector	Standard ISO 15 mm connector on inner cannula for ventilator circuit attachment
Sterility	Sterile — single use only
Latex Content	Latex-free
Patient Population	Adult
Intended Setting	Hospital ICU, HDU, post-operative care, step-down wards
Tube Type	Non-fenestrated, cuffed — for fully ventilated patients not yet ready for weaning

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Frequently Asked Questions

Our ICU has patients on long-term ventilation with aspiration risk. Should we use 100/810 or the Suctionaid series?

For patients at elevated risk of ventilator-associated pneumonia (VAP) — particularly those expected to remain intubated for more than 48–72 hours — the Portex Blue Line Ultra Suctionaid® series (100/875 for cuffed non-fenestrated, or 100/815 for cuffed fenestrated) is the clinically preferred option. These tubes include an integral suction lumen that runs alongside the main airway lumen and exits above the cuff, allowing continuous or intermittent suction of subglottic secretions that pool above the cuff and are a primary source of VAP-causing microaspiration. The 100/810 series does not include this lumen and is suited to patients where VAP risk is lower or where budget constraints are a factor. Shah Trading Corporation can supply both series.

When should we switch from the cuffed 100/810 to a fenestrated tube like the 100/812?

The transition from cuffed non-fenestrated (100/810) to cuffed fenestrated (100/812) is made when the patient begins the weaning process and speech therapy assessment begins. The fenestration in the outer cannula allows air to pass upward through the vocal cords when the cuff is deflated and the inner cannula is removed — enabling phonation trials. The cuff is typically reinflated and the non-fenestrated inner cannula replaced between speech sessions until the patient is consistently tolerating cuff-down periods. The transition is guided by the clinical team including speech-language pathology and physiotherapy.

How do we perform inner cannula care with the dual cannula system?

The two inner cannulae allow a rotation system: while one inner cannula is in place maintaining the airway, the second can be cleaned separately. When cleaning is required, the soiled inner cannula is removed, the clean spare is inserted immediately to maintain airway patency, and the removed cannula is cleaned with the brush provided and dried before being placed back in reserve. This avoids any period where the patient's airway is unmanaged — a key safety advantage over single-cannula designs, particularly in patients with copious secretions.