Used for controlled percutaneous introduction of tracheostomy tubes. The Ciaglia Blue Rhino dilator advanced over a wire guide/guiding catheter system facilitates dilation of the tracheal entrance site. Tracheostomy tube placement is accomplished by fitting the tracheostomy tube over the appropriate size loading dilator and advancing into position. This technique is not recommended for emergency tube placement and those patients with enlarged thyroids. Refer to product insert prior to use. Supplied sterile in peel-open packages. Intended for one-time use.