Patients undergoing mechanical ventilation usually use an endotracheal (ET) holder that secures the face and contains a bite block to protect the patient’s mouth. This holder, however, causes discomfort, facial pressure sores, and risks spreading bacterial pneumonias. The Secure-Swap team is developing a device that customizes fit for patients to increase comfortability, maintains patency of the breathing tube, and prevents infection from the bite guard. Their ultimate aim is to help improve care for patients and prevent any complications that can come from traditional ET holders.