A tracheal tube assembly includes an outer cannula having a distal end and a proximal end, the distal end being adapted to be inserted into an airway of a patient. The assembly also includes an inner cannula adapted to be inserted into the outer cannula, a flange member disposed about the proximal end of the outer cannula, and a connector coupled to the proximal end of the outer cannula. The inner cannula and the connector form a contiguous passageway for exchanging fluid with the airway of the patient in operation. The assembly further includes an inner cannula status indication system that receives information regarding whether or not the inner cannula is an operable position with respect to the outer cannula, and, via the status indicator, provides a visual indication of whether or not the inner cannula is an operable position with respect to the outer cannula.