A respiratory access assembly (10) includes a distal plate (12) having one port (16) and cuff and an axially aligned proximal plate (14) including a first port (20) and first cuff (24) and a second port (22) and second cuff (26). The distal plate is configured to move relative to the proximal plate. The respiratory access assembly includes an actuator (91), which has a plurality of predetermined positions. The actuator includes a blocking portion (92) that controls the movement of the plates. The blocking portion moves slidably within an O-ring (102) that prevents loss of pressure from the artificial airway system. The O-ring may be molded in place using an injection molding process, thus ensuring good adhesion to the disk.
