Description
The Bivona TTS Extra Length Hyperflex Tracheostomy Tube adds both horizontal and vertical length for patients whose anatomy defeats a standard tube. The flexible wire-reinforced silicone shaft adapts to the airway, and the Tight-to-Shaft cuff seals when inflated and rests flat when deflated.
- Extra Length Both Ways – Extra horizontal and extra vertical length for obesity, obstructive neoplasm, and unusual cervical anatomy
- Hyperflex Wire-Reinforced Shaft – The flexible reinforced shaft is designed to help improve kink resistance through curved airways
- Tight-to-Shaft Cuff – The TTS cuff offers the benefit of a cuff with the profile of a cuffless tube, identified by its clear pilot balloon
Extra-Length Silicone TTS Tube for Difficult Anatomy
Standard tracheostomy tubes assume standard anatomy, and a meaningful share of patients do not match that assumption. The Hyperflex extra-length design serves patients who need more reach in both directions, including cases with excessive curvature of the cervical vertebrae. Silicone keeps the long shaft soft and flexible once it sits in the trachea. The TTS cuff gives the same dual behavior as the rest of the Bivona line, sealing for ventilation and resting tight to the shaft for weaning. A clip-in obturator with a hollow tip allows changes over a guidewire, which matters most in exactly these difficult airways.
Features and Benefits
Anatomy Fit
- Extra Horizontal and Vertical Length – Built for patients requiring both directions of extra length, including obesity and obstructive neoplasm
- Flexible Hyperflex Shaft – The wire-reinforced silicone shaft adapts to the patient's anatomy and is designed for kink resistance
TTS Cuff System
- Cuffed and Uncuffed in One – The cuff seals the trachea when inflated and rests tight to the shaft when deflated
- Clear Pilot Balloon – The clear pilot balloon makes the TTS cuff easy to identify
Product Specifications
Tube Details
- Brand: ICU Medical
- Product Line: Bivona TTS Hyperflex
- Material: Silicone, wire-reinforced
- Cuff: TTS tight-to-shaft cuff
- Flange: Fixed neck flange
Packaging and Options
- Quantity Per Pack: 1 per box
- Sizes: 6.0 mm, 7.0 mm, and 8.0 mm ID at 95 mm to 100 mm lengths
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Why Clinical Teams Choose Bivona Hyperflex Extra-Length Tubes
When a standard tube will not sit correctly, teams improvise with extensions and workarounds. The Hyperflex extra-length line is purpose-built for those airways, with the length in the tube itself. It brings difficult anatomy back inside a standard product choice.
- Purpose-Built Length – Extra length in both directions instead of improvised extensions
- Silicone Flexibility Over Distance – A long shaft that stays soft and flexible in the trachea, not a rigid reach
- Same TTS Cuff Logic – Ventilation seal and weaning profile in one tube, consistent with the rest of the Bivona line
Manuals and Troubleshooting Guides
Frequently Asked Questions
Who needs an extra-length tracheostomy tube?
Patients whose anatomy requires extra horizontal and vertical length, including obesity, obstructive neoplasm, and excessive curvature of the cervical vertebrae. Standard-length tubes often sit poorly in exactly these patients.
What sizes are available?
Three configurations cover 6.0 mm, 7.0 mm, and 8.0 mm inside diameter at lengths of 95 mm to 100 mm. Each configuration lists its exact dimensions.
How is the tube changed?
The clip-in obturator has a hollow tip, which allows the tube to be changed over a guidewire. Guidewire changes keep the tract controlled in difficult airways.
How is it packaged?
Each tube is supplied individually, 1 per box. The configuration name states the exact dimensions to order against.
What type of cuff does it have?
It uses the Bivona TTS tight-to-shaft cuff with a clear pilot balloon for easy identification. The cuff seals when inflated and rests tight to the shaft when deflated.
