An introducer (2) for a curved tracheostomy tube (1) has a patient end tip (33) that projects beyond the patient end of the tube to help insertion. The patient end tip (33) is divided into two hinged portions (36) and (37). The hinged portions (36) and (37) bend outwardly to fill the gap created when the tube 1 is deformed to an oval section caused by straightening it by loading on the introducer.