Check out these tracheostomy tubes from 1866

If you guys thought tracheostomy tubes were a modern tool for physicians, think again.  The following is an advertisement from the a physician's catalog of S. May and Son from 1866:

DOUBLE TRACHEOTOMY CANULAS, of silver, three axes, improved, as Pig. 6.

each 22/-, 23/-, and 1 4 0 The outer canula of this instrument can be introduced quite flat.

£ s. rf.

IMPROVED DOUBLE TRACHEOTOMY CANULAS, of silver, three sizes, improved,

as Fig. 7 24/6, 26/6, and 1 8 0

This instrument allows the patient free motion of the head. 

Reference:

1. S. Maw and Son, Manufacturer of respiratory equipment, "A catalogue of surgeon's instruments, air and water beds, pillows, and cushions, bandages, trusses, elastic stockings, inhalers, galvanic apparatus, and other appliances used by the medical profession," 1866, London, 11 Aldersgate St., Buttler and Tanner, The Selwood Printing Works, page 85