Smiths Medical 35W065 - TUBE ENDOTRACHEAL ORAL/NASAL CUFFED 6.5MM ID MAGILL SILICONE STAINLESS STEEL REINFORCED

The Smiths Medical 35W065 is a cuffed oral and nasal endotracheal tube designed to support airway management during anesthesia, respiratory care, and other procedures requiring controlled ventilation. It features a 6.5 mm internal diameter, a flexible silicone construction, a Magill-style tip, and stainless steel wire reinforcement.

The reinforced design helps the tube resist kinking and compression when the patients head or neck must be repositioned. Its soft silicone body supports atraumatic placement and flexibility, while the inflatable cuff helps establish a controlled airway seal when properly positioned and inflated by a qualified clinician.

Key Benefits

• 6.5 mm internal diameter for appropriately selected patients and procedures
• Suitable for oral or nasal intubation based on clinical requirements
• Stainless steel wire reinforcement helps reduce the risk of kinking and airway obstruction
• Flexible silicone construction supports positioning during complex procedures
• Cuffed design assists with positive-pressure ventilation and airway sealing
• Magill-style distal configuration supports controlled tracheal placement
• Useful when surgical access or patient positioning may place pressure on a standard tube
• Standard connector configuration supports connection to compatible breathing circuits and ventilation equipment

Compatibility and Applications

The Smiths Medical 35W065 reinforced endotracheal tube is intended for use with compatible anesthesia breathing systems, ventilators, resuscitation equipment, and respiratory circuits. It may be selected for procedures in which a conventional endotracheal tube could be more vulnerable to bending, compression, or kinking.

Common applications may include general anesthesia, head and neck surgery, oral and maxillofacial procedures, neurosurgical positioning, prone-position procedures, and other clinical situations requiring a flexible reinforced airway. Tube size, route of insertion, cuff management, and equipment compatibility must be determined by a trained healthcare professional.

Usage Guidelines

This endotracheal tube must be selected, inserted, secured, monitored, and removed only by clinicians trained in airway management. Before use, inspect the tube, cuff, pilot balloon, connector, and reinforcing structure for visible damage or functional defects.

Confirm the required 6.5 mm internal diameter is appropriate for the patient. Prepare the tube according to the manufacturers instructions and institutional airway protocols. After placement, verify tracheal position using accepted clinical methods, including continuous waveform capnography when available, bilateral chest assessment, oxygenation monitoring, and other appropriate confirmation techniques.

Inflate the cuff only to the minimum pressure required to achieve an effective airway seal. Monitor cuff pressure regularly with a calibrated cuff manometer. Reconfirm tube position after patient movement, repositioning, transport, or changes to the breathing circuit.

Certifications and Safety Standards

The Smiths Medical 35W065 should be used in accordance with the manufacturers current instructions for use, applicable regulatory requirements, institutional policies, and recognized airway-management standards. Healthcare facilities should verify the products current regulatory status and approved indications in their jurisdiction before use.

Inspect the packaging and product before clinical use. Do not use a tube with damaged packaging, an impaired cuff, a loose connector, exposed reinforcement, surface deterioration, or any other sign that could affect safe performance. Follow the manufacturers validated instructions regarding cleaning, disinfection, sterilization, reuse limits, inspection, and storage where applicable.

Comparison with Competitors

Standard non-reinforced endotracheal tubes may be suitable for routine airway management but can be more susceptible to kinking when sharply curved or compressed. The Smiths Medical 35W065 incorporates stainless steel reinforcement within its flexible silicone body to help maintain lumen patency during demanding positioning and surgical access.

Compared with preformed oral or nasal tubes, this reinforced Magill-style tube offers greater flexibility in determining the final airway route and external positioning. Product selection should be based on patient anatomy, procedural requirements, ventilation needs, clinician preference, and the manufacturers instructions rather than reinforcement alone.

Typical User Profile and Application Scenarios

This product is intended for qualified anesthesiologists, certified registered nurse anesthetists, respiratory therapists, emergency physicians, critical care clinicians, and other trained airway-management professionals. It may be stocked by hospitals, surgical centers, operating rooms, critical care departments, and specialty procedural facilities.

The tube may be considered when a flexible airway is needed around the operative field or when head, neck, or body positioning could increase the likelihood of tube compression. The 6.5 mm internal diameter must be selected only after evaluating patient anatomy, airway resistance, ventilation requirements, and the planned clinical procedure.

Best Practices for Use and Maintenance

• Review the current manufacturer instructions before preparation and use
• Inspect the tube, cuff, pilot balloon, valve, connector, and reinforcement before intubation
• Use appropriate airway assessment and intubation equipment
• Avoid excessive bending, twisting, clamping, or traction on the reinforced tube
• Confirm placement with accepted clinical and monitoring methods
• Secure the tube without compressing or obstructing the internal lumen
• Measure and document cuff pressure according to institutional protocol
• Reassess tube depth, airway patency, and cuff pressure after repositioning
• Keep suitable airway rescue equipment immediately available
• Follow validated processing and storage procedures where reuse is permitted

Regulatory and Safety Information

The Smiths Medical 35W065 is a professional airway-management device and is not intended for untrained or unsupervised use. Improper selection, insertion, positioning, cuff inflation, processing, or monitoring may result in airway trauma, inadequate ventilation, aspiration, cuff-related injury, obstruction, accidental extubation, or other serious complications.

Do not rely on the wire reinforcement as protection against every form of obstruction or damage. Avoid contact with sharp instruments, excessive heat, incompatible chemicals, and devices that could cut or deform the tube. Because reinforced tubes may behave differently from standard endotracheal tubes, clinicians should continuously monitor airway pressure, ventilation, oxygenation, tube position, and cuff integrity throughout use.

Consult the product label and current instructions for use for complete indications, contraindications, warnings, precautions, reprocessing requirements, and storage conditions. Product specifications and regulatory availability may vary by market.

How to Order

Select the Smiths Medical 35W065 TUBE ENDOTRACHEAL ORAL/NASAL CUFFED 6.5MM ID MAGILL SILICONE STAINLESS STEEL REINFORCED and add it to your cart. Complete checkout with your preferred shipping and payment options. For bulk orders, quotes, or further assistance, contact CIA Medical customer service at (312)275-5850 or use the contact form on this page.