Endotracheal Tube Introducer (Bouge)

Endotracheal tube introducer is a medical device designed to assist with the placement of an endotracheal tube during difficult or emergency airway management. Often referred to as a "bougie," this tool provides a guided path for accurate and controlled tube insertion, especially when vocal cords are hard to visualize. Healthcare providers rely on it in operating rooms, emergency departments, ambulances, and intensive care units.

The introducer features a semi-rigid, flexible shaft that maintains shape while allowing smooth navigation through the airway. Its angled, curved tip helps users locate the trachea by detecting tracheal rings or encountering resistance at the carina. This tactile feedback confirms correct placement before advancing the endotracheal tube.

Manufactured from medical-grade polymer, the endotracheal tube introducer balances strength and flexibility. It resists kinking and allows for steady control during insertion. The outer surface often includes a low-friction coating to ease the passage of the endotracheal tube over the introducer.

Two standard sizes are typically available—15 Fr for adults and 10 Fr for pediatric use. Color-coded caps help quickly distinguish between them. Some models also feature depth markings along the shaft to assist in accurate placement.

During use, the clinician inserts the introducer into the airway first. Once in position, the endotracheal tube slides over it and into the trachea. The introducer is then withdrawn, leaving the tube securely placed. This technique improves success rates in challenging airway situations, especially when direct visualization is limited.

Sterile and intended for single use, the device reduces the risk of infection and cross-contamination. Its compact and lightweight design makes it ideal for both in-hospital and pre-hospital settings.

Endotracheal tube introducer provides a reliable, efficient solution for managing difficult intubations. Its design supports both speed and precision, helping clinicians secure the airway quickly and safely under pressure.