The Montgomery® Initial Cannula Set includes one Short-Term Cannula Set and the corresponding Tracheal Fenestrator — everything needed to create a precise secondary airway.

The Montgomery® Tracheal Fenestrator is specifically designed to incise the correct size and shape opening for insertion of the Montgomery® Short-Term Cannula. These precision instruments feature a serrated blade to penetrate both the tissue and cartilage. The fenestrator’s inner cannula, connected to standard suction tubing, adheres the instrument to the desired location on the anterior tracheal wall while the knife is rotated to make the incision. The use of suction in this manner also prevents the patient from aspirating the incised tracheal core. The fenestrator is reusable for future procedures.

The Montgomery® Short-Term Cannula features an extra-long length that can be trimmed following insertion. The angled internal flange ensures proper positioning and rests on the anterior tracheal wall. Three barbed rings adjacent to the cannula flange reside in the tracheostoma and help to secure the cannula while the tracheotomy heals. The faceplate is sutured to the skin for additional immobilization of the cannula.

Following the fenestration and insertion procedure, the Short-Term Cannula can be left in place for several weeks and should then be replaced by the Montgomery® Long-Term Cannula to establish a long-term stoma.
A CD detailing the use of the tracheal fenestrator and insertion of the short-term cannula is available.

Indications for use

• To create a secondary airway.
• Used to replace a standard tracheostomy tube.