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Smiths Medical Portex Blue Line Ultra Suctionaid Tracheostomy Tube Cuffed — 100/860/060 - 100/860/085

Smiths Medical Portex Blue Line Ultra Suctionaid Tracheostomy Tube Cuffed — 100/860/060 - 100/860/085

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The Portex Blue Line Ultra Suctionaid Tracheostomy Tube is a cuffed, non-fenestrated tracheostomy tube designed for placement in adult patients who require mechanical ventilation through a surgically or percutaneously created tracheal stoma. It maintains a secure, sealed airway for positive pressure ventilation while simultaneously providing an independent channel — the Suctionaid lumen — for removing secretions that accumulate in the subglottic space above the cuff.

Secretions pooling above the inflated cuff are the primary source of microaspiration into the lower respiratory tract in ventilated patients. This microaspiration is the leading mechanism driving ventilator-associated pneumonia, one of the most common and costly ICU-acquired infections. The Suctionaid lumen exits above the cuff, allowing continuous or intermittent suction to clear this reservoir of secretions before they can migrate past the cuff — making the 100/860 series directly applicable to VAP prevention protocols in ICUs and HDUs.

The 100/860 series features the Profile Soft-Seal cuff — a low-profile, low-pressure, high-volume cuff that is specifically designed to reduce the bulk at the cuff-to-tube junction. This reduced profile makes tube insertion smoother and minimises the focal stress concentration at the point where the cuff meets the tube body, which is a site of potential cuff failure during long-term placement.

Supplied across India by Shah Trading Corporation, Mumbai — trusted distributor and supplier of Smiths Medical Portex airway management products.

Why Tube-Only 

The 100/860 is designed for units that centralise their tracheostomy accessory supply — maintaining a shared stock of inner cannulae (100/856 or 100/858 series), suction valves, and tube holders rather than opening individual kit packs for each patient tube change.

Key Features

Integral Suctionaid® Subglottic Suction Lumen - A dedicated second lumen runs the full length of the tube alongside the airway and exits above the inflated cuff. Connecting a suction source to the Suctionaid port removes pooled subglottic secretions before they can migrate into the lower respiratory tract — addressing the primary mechanism of ventilator-associated pneumonia in tracheostomised patients.

Profile Soft-Seal Cuff - The Profile Soft-Seal is a low-pressure, high-volume cuff with a reduced-profile design at the cuff-to-tube junction. The low-profile bond minimises the raised edge where the cuff meets the tube body — an area of tracheal wall contact that can create focal pressure. The large cuff resting diameter seals effectively without the high intracuff pressures that cause mucosal ischaemia during prolonged ICU placement.

Thermosensitive PVC Construction - The tube body is firm at room temperature for controlled insertion and softens progressively at body temperature to conform to the patient's individual tracheal curvature. This temperature-dependent flexibility reduces persistent focal pressure on the tracheal mucosa at the tube tip and at the neck flange contact point during extended ICU use.

Radio-Opaque Throughout - A radio-opaque additive runs through the full length of the tube body. This makes the entire tube — including the tip — visible on chest X-ray, allowing the clinical team to confirm correct tube tip position at the time of insertion and at any subsequent point of clinical concern without requiring contrast or additional imaging.

105° Flange Angle for Neck Comfort - The soft, transparent neck flange is angled at 105° — designed to sit comfortably against the contour of the anterior neck without lifting or pressing at the flange edges. The clear flange material allows inspection of the skin beneath the fixation point without removing the tube holder, supporting early identification of pressure injury at the stoma site.

Clear Pilot Balloon with Cuff Information - The pilot balloon is transparent and marked with relevant cuff information, allowing an initial visual check of cuff inflation status at a glance. This does not replace quantitative cuff pressure monitoring with a calibrated manometer — which remains the clinical standard for safe cuff management — but provides a rapid first-pass indicator at the bedside.

Ventilation Uninterrupted During Suction - The Suctionaid suction lumen is entirely separate from the main airway lumen. Suction applied to the Suctionaid port draws from above the cuff only — there is no reduction in ventilator tidal volume, no partial airway occlusion, and no interruption to CPAP or pressure-support ventilation during subglottic suction. The two channels function completely independently.

Reference Tube Size ID (mm) OD (mm) Length (mm) Pack Qty
100/860/060 6.0 mm 6.0 9.2 64.5 10 / box
100/860/070 7.0 mm 7.0 10.5 70.0 10 / box
100/860/075 7.5 mm 7.5 11.3 73.0 10 / box
100/860/080 8.0 mm 8.0 11.9 75.5 10 / box
100/860/085 8.5 mm 8.5 12.6 78.0 10 / box

 

Technical Specification

Parameter Detail
Tube Material Thermosensitive PVC — firm at room temperature; softens at body temperature to conform to tracheal anatomy
Cuff Type Profile Soft-Seal® — Low Pressure High Volume (LPHV); reduced-profile cuff-to-tube bond junction
Suction Lumen Integral Suctionaid® lumen — exits above the cuff; independent of main airway lumen
Radio-Opacity Full-length radio-opaque tube — tip and body visible on chest X-ray
Flange Material Soft, clear PVC — 105° angle for neck comfort; transparent for stoma inspection
Pilot Balloon Clear with cuff information markings — visual cuff status indicator
Standard Connector ISO 15 mm on inner cannula — compatible with all ventilator circuits, HME filters, speaking valves
Tube Type Cuffed, non-fenestrated — for fully ventilated patients not yet ready for weaning or phonation
Inner Cannula Not included in 100/860 — order separately: 100/856 (20/box) or 100/858 (50/box)
Manufacturer Smiths Medical (now ICU Medical) — Portex® product line
Distributor in India Shah Trading Corporation, Mumbai
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Frequently Asked Questions

What is the difference between the 100/860, 100/870, and 100/875 — and which should our ICU order?

All three reference numbers contain the same Suctionaid tracheostomy tube. The difference is entirely in what else is in the box and the pack quantity. The 100/860 is the tube only — 10 tubes per box, no accessories — suited to units that stock inner cannulae, suction valves, and tube holders separately at ward or ICU level. The 100/870 is a single-unit pack containing the tube plus two inner cannulae — appropriate where each patient's supply is issued individually without central accessory stock. The 100/875 is the full procedural kit — one tube per pack plus obturator, inner cannulae, suction valve, Velcro holder, disconnect wedge, cleaning brush, and patient label — suited for initial insertion or tube changes where all accessories need to be in one sterile tray. The 100/860 is most cost-efficient for high-volume ICUs that manage accessory stock centrally.

How do we set up and use the Suctionaid suction port after tube placement?

After tube insertion and cuff inflation, the Suctionaid port (a small luer-type connection visible above the flange on the side of the tube) is connected to a suction control valve — either the thumb valve supplied in the 100/875 kit, or a separate valve ordered for use with 100/860 tubes. The valve is then connected to standard ward or portable suction tubing. For continuous suction, apply low-level negative pressure between -20 and -30 mmHg via the valve. For intermittent suction, nursing staff manually actuate the thumb valve during routine tracheostomy care rounds. The Suctionaid port should be flushed with 2–5 mL of sterile saline every 8 hours to prevent secretion plugging of the lumen. If resistance is felt during flushing or suctioning, the lumen may be partially occluded — flush with 5–10 mL saline under the guidance of your clinical protocol and document the incident.

Where to get Smiths Medical Portex Tracheostomy Tubes in India or Globally?

Shah Trading Corporation, Mumbai, is a trusted distributor and supplier of Smiths Medical Portex tracheostomy products across India, including the full 100/860 Suctionaid Tube series, the 100/856 and 100/858 Suctionaid inner cannula packs, and the complete Portex Blue Line Ultra tracheostomy range.