Everting device and method for tracheostomy

A medical device for establishing an airway in a patient comprising:

• a guide, said guide defining a first end adapted to be placed on the outer skin of a patient's neck at an appropriate insertion location for a tracheal tube, and a second end opposite the first end;
• a cutting means for cutting tissue of the patient;
• a pushing means, defining a distal end, a proximal end, a storage space and an opening near the distal end of the pushing means in communication with the storage space;
• wherein said pushing means is held in moveable relation to the guide such that as the proximal end of the pushing means is moved toward the second end of the guide, the distal end of the pushing means moves away from the first end of the guide;
• a first everting film sheath defining a distal end and a proximal end;
• wherein a portion of the first everting film sheath is stored within the storage space of the pushing means, a portion of the first everting film sheath near the distal end of the first everting film sheath extends from the opening and is attached near the first end of the guide;
• whereby as the proximal end of the pushing means is moved toward the first end of the guide, the first everting film sheath everts from the opening;
• and
• a tracheal tube defining a proximal end and a distal end, held in movable relation to the guide such that as the proximal end of the tracheal tube is moved toward the second end of the guide, the distal end of the tracheal tube moves away from the first end of the guide.