A tracheal tube system includes a conduit and an inflatable cuff disposed on the conduit that seals a patients airway. The tracheal tube system also includes an inflation line disposed along a portion of a length of the conduit and terminating in an opening within the inflatable cuff. The tracheal tube system further includes a speaking valve disposed at a proximal end of the conduit and in fluid communication with the inflatable cuff. The speaking valve is fluidly coupled to the inflatable cuff via a one-way valve such that fluid from the cuff flows into the speaking valve when the one-way valve is open.
