

Risk of surgical fires in laser laryngeal surgeries
Three essential components are needed to initiate and sustain a fire during
medical procedures in a patient‘s airway: oxygen + CO2 laser + endotracheal tube.
Of the recorded surgical fires in otolaryngology,
· 36 % occurred during Tracheotomy and
· 25 % under endoscopic laryngotracheal procedures.¹
Complications of airway fires can be severe, from required unexpected
mechanical ventilation to death in the worst case.
¹ Day, A. T., Rivera, E., Farlow, J. L., Gourin, C. G., & Nussenbaum, B. (2018). Surgical fires in otolaryngology: a systematic and narrative review. Otolaryngology–Head and Neck Surgery, 158(4), 598-616

Tenax® DualCuff™ for early cuff compromise detection

The Tenax® DualCuff™ adds protection against airway fires during laser surgery procedures by providing two sealing points and reducing the chance that the cuff or tube will be compromised by stray laser energy.

The blue dye alerts the surgeon when a cuff is inadvertently violated.
2 DayUser observation 2025/retrospective data analysis in the US market. Rating: 1 – Unacceptable; 5 – Excellent
Dr. Soham Roy
Pediatric Ear Nose and Throat Specialist
3 User observation 2025/retrospective data analysis in the US market. Rating: 1 – Unlikely; 10 – Very likely
4 Friedman, A. D., Gerber, M. E., Bhayani, M. K., Kuchta, K., Kumar, K., Ma, A., ... & Zhang, L. Q. (2018). Ideal characteristics of a laser-protected endotracheal tube: ABEA and AHNS member survey and biomechanical testing. Annals of Otology, Rhinology & Laryngology, 127(4), 258-265
Each Tenax® laser resistant endotracheal tube comes with a stylet.
Indicated for use for all types of surgical procedures involving carbon dioxide laser (10.60 µm), KTP laser (532 nm) or Blue Laser (445 nm) use (normal pulsed or continuous beam delivery in the non-contact mode), when endotracheal intubation is required to administer anesthetic gases or to overcome emergency obstruction of an airway.
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