Covidien 4UN65R Shiley 6.5mm I.D. Adult Flexible Tracheostomy Tube Cuffless w/ Disposable Inner Cannula

Covidien 4UN65R Shiley 6.5mm I.D. Adult Flexible Tracheostomy Tube Cuffless w/ Disposable Inner Cannula

• Model: 4UN65R
• 6.5mm I.D.

The Shiley 4UN65R is designed for adult patients who require a tracheostomy tube without an inflatable cuff. Being cuffless, it is suited for individuals who do not need positive pressure ventilation sealing or who require minimal impedance of airflow around the tube for speech or spontaneous breathing. The 6.5 mm internal diameter balances allowing adequate airflow with having a reasonably sized outer profile; the 62 mm length is typical for adult airways of moderate depth. The PVC body, being DEHP‑free, helps mitigate risks associated with certain plasticizers, and the softened design helps to conform to anatomy while minimizing pressure on tracheal tissues.

A significant benefit of the 4UN65R is the reusable inner cannula, which allows clinicians to disassemble or remove and clean the cannula without removing the whole trach tube. This helps with secretion management, maintaining a clear airway, and simplifying maintenance in inpatient or long‑term care settings. The flange is designed to be soft and transparent, allowing visualization of the stoma site, which supports monitoring for skin irritation or breakdown. The beveled tip design aids in smoother insertion, reducing insertion force and trauma.

Because there is no cuff, patients using the 4UN65R must be considered in context: exhaled air will escape around the tube, which may lead to decreased ability to protect against aspiration and may reduce control over ventilator settings if ventilator support is needed. However, in many cases this trade‑off is acceptable or even desired—less pressure on tracheal walls, potentially easier phonation, and easier speaking valve use. The improved airflow around the outer cannula (especially with the newer flexible Shiley designs) also helps reduce breathing resistance when the inner cannula is removed or during speaking trial phases. Overall, for adult patients with adequate airway protection and who benefit from cuffless trachs, the 4UN65R offers a relatively comfortable, maintainable, and anatomically considerate option.

This medical supply or implant item is securely packaged within its original manufacturer's packaging, which remains undamaged. The inner and outer packaging is intact, ensuring the product's integrity and suitability for medical use.