Abstract: This disclosure provides a medical device adaptable to current endotracheal tubes having a first segment defining a first lumen with both a distal and proximal end, and a second segment defining a second lumen with both a distal and a proximal end. The first segment and the second segment may be attached to one another. The first segment's distal end extends farther than the second and is configured to receive a viewing device, such as a bronchoscope, whereas the second segment distal end is configured to receive a previously placed endotracheal tube. The device allows a single physician to perform tracheostomy procedures such as percutaneous procedures while reducing risks associated with such procedures.