Abstract: The present invention presents an integrated (i) inner tube, and (ii) laryngeal mask device, comprising: (i) an outer laryngeal mask tube (OLT) having proximal portion and distal portion; comprising: a balloon cuff shaped as a laryngeal mask located in said distal portion and an elongated tube in connection with the balloon cuff (TOLT); (ii) an inner tube located within said OLT characterized by a main longitudinal axis and (iii) at least one lateral movement preventing element located circumferentially to said inner tube and between said inner tube and said OLT. Thereby, when the balloon cuff is in a deflated configuration, the thickness of the same is reduced such that said balloon cuff is not protruding from the TOLT.