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HEOSTOMY TUBES ORDERED: QTY: (UOM EA) PRODUCT MNT ACCESSORIES INCLUDED WITH EACH TUBE (UOM EA): 2 Obturators SPECIAL INSTRUCTIONS: IF RE-ORDER PLEASE LIST PREVIOUS LOT NUMBER: Product requiring modification outside the current template selection is considered an SCD product. Please contact Customer Service for assistance at 800-635-5267 option 1 then 3 for assistance. MPT MNEO MPED PHYSICIAN NAME: PATIENT NAME: MPDL PURCHASER ORDER NUMBER: Ship to Acco.

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How to fill out the Shiley Custom Trach Template online

Filling out the Shiley Custom Trach Template efficiently can ensure that medical professionals have the accurate specifications needed for patients. This guide provides a clear, step-by-step approach to assist you in completing the form online.

Follow the steps to accurately fill out the Shiley Custom Trach Template.

  1. Press the ‘Get Form’ button to access the Shiley Custom Trach Template in your preferred online editor.
  2. Indicate whether this is a new order or a re-order by checking the appropriate box at the top of the form. If you select re-order, please ensure to list the previous lot number to streamline the process.
  3. Specify the number of custom tracheostomy tubes you are ordering by entering the quantity in the designated field.
  4. Select any accessories included with each tube, ensuring to mark two obturators if they are required.
  5. Complete the sections for physician name, patient name, and purchaser order number by filling in the respective fields with accurate information.
  6. Enter shipping instructions, including the address, city, state, and zip code to ensure timely delivery.
  7. In the size section, choose the specific sizes for both inner diameter (I.D.) and outer diameter (O.D.) as provided. Note the standard length options available.
  8. For flange selection, choose between the neonatal or pediatric options, and select the rotation direction as applicable.
  9. Fill in the cannula curve specifications, selecting either standard or modified, and input the required measurements.
  10. Complete the fenestration details by noting both the location and size modifications as necessary for uncuffed tubes.
  11. Review all entered information for accuracy. Finally, save changes, download, print or share the completed form as needed.

Start filling out the Shiley Custom Trach Template online today to ensure prompt and accurate orders!

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As of September 30, 2021, Medtronic will discontinue the manufacture and distribution of the legacy Shileyâ„¢ disposable and reusable cuffed and cuffless tracheostomy tube product portfolio.

Shiley XLT Extended-Length Tracheostomy Tube - Inner Diameter 6.0 mm Outer Diameter 11.0 mm Length 95 mm Description Disposable Inner Cannula.

A size 8.0 Portexâ„¢ Blueline Ultraâ„¢ tube has a stomal length of only 9mm, is set at an angle of 90 degrees and is 75mm in length. A standard Shileyâ„¢ tube has a continuous curve (so has no fixed stomal length), an overall angle of 135 degrees and is 81mm in length.

Size 8. Inner Diameter: 7.6mm. Outer Diameter: 12.2mm. Length: 81mm.

Shiley Cuffed Fenestrated Tracheostomy Tube with Inner Cannula Kit - Size 8. Features: Size 8. Inner Diameter: 7.6mm.

| 13.8 mm O.D. | 9.0 mm Inner Cannula I.D. | 79 mm Length | 10IC10 Inner Cannula | Brown Color Code.

Tracheostomy Tube, Shiley, Cuffed, Disposable Inner Cannula, Fenestrated, Size 8, 7.6 ID x 12.2 OD x 79 L mm. Product Features: Helps provide patients with the right fit and maintain airway patency, helping ensure patient safety and comfort.

Tracheal tubes are routinely used in adults undergoing elective surgery. The size of the tracheal tube, defined by its internal diameter, is often generically selected ing to sex, with 7-7.5 mm and 8-8.5 mm tubes recommended in women and men, respectively.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232