A tracheostomy tube for use with a neck plate having an aperture. The tracheostomy tube comprises an elongate outer cannula having a lumen and configured to extend through the aperture; an elongate inner cannula having a lumen and an inflatable cuff, and configured to extend through the lumen of the outer cannula such that the cuff extends beyond a distal end of the outer cannula; and an interlocking mechanism configured to releasably secure a proximal end of the inner cannula to a proximal end of the outer cannula.