The Smiths Medical 535090 is a comprehensive kit designed for percutaneous tracheostomy procedures. The kit includes a cuffed tracheostomy tube with an inner diameter of 9mm and an inner cannula. It also contains three syringes, a #11 scalpel, multi-size dilators and an obturator for easy and safe insertion. The kit is equipped with a guidewire and a guiding catheter stick applicator for precise placement. It also includes three PVP prep swabs, a split trach dressing, a drape, and a tube holder for hygienic and secure handling. The kit also provides a swivel adapter for flexibility and two 5ml Lido 1.5% with EPI for local anesthesia. This kit is packaged as 2 per case.