I have a tracheotomy too. I have a ventilator, a suction machine, and an oxygen concentrator. Also an actual oxygen tank just in case I want to travel (which is rare). I actually don't use an in-line Ballard--I use the sterile suction kits. When I'm done with the individual suction catheter I just put a glove over it, and can use it 2 more times until I have to throw it away.