Broken tts trach tube cuff.When doing a trach change the hub of the tts pilot line (that attaches to a syringe to deflate the cuff) pulled out of the pilot line when trying to remove the syringe.This tube was ordered as a true custom trach with 48mm length (41mm is standard).This tube was sent back to the manufacturer (bivona-smiths medical).(b)(6) patients have been using the custom trach tubes due to tears that the patients are experiencing due to the size.The patients have sustained a few mm laceration at the edge of the trach stoma.Once we've placed an alternative tube and made adjustments to decrease pressure on the site the tear/lacerations have resolved.They have not all been the same lot though we have narrowed down the types of tubes we are seeing this problem with.
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