The new family of Shiley Flexible adult tracheostomy tubes incorporates several design advances that may help enhance patient safety, simplify patient care and facilitate positive outcomes across the patient-care continuum. These clinician-inspired enhancements include the unique taper-shaped TaperGuard cuff. With the TaperGuard cuff, Shiley Flexible tubes help protect the lungs and reduce tracheal impact by reducing fluid leakage by 99%1 and exerting 18.6% less lateral wall pressure on the trachea2. In addition, TaperGuard cuff technology helps improve a clinicians ability to provide mechanical ventilation with the ability to titrate ventilator air leak that is 65% greater than with earlier-generation Shiley tubes.