The oversized

Allows for air circulation and provides precise fit

Convex skin barrier for retracted stomas

Comes in a hard case with accessories for ear and eye examination

This perforated round drains come in a one-piece design and are hubless

Bivona TTS Cuffed Pediatric Tracheostomy Tube 4-1/2 mm 42 mm Irrigation Supplies The oversizedSmiths Medical ASD Inc Bivona TTS Cuffed Pediatric with Straight Neck Flange Tracheostomy Tube 4 1 2mm Size 42mm L, 4 1 2mm I. D. x 6 7 10mm O. D. TTS (tight to shaft) tubes have the profile of an uncuffed tube with the insurance of a cuff, if and when needed. The TTS tracheostomy tubes are available in both neonatal and pediatric sizes. The TTS tube is like an uncuffed tube, but it has a cuff. When completely deflated, it collapses tight to the shaft