The Smiths Medical 75FHXL60 is a tracheostomy tube designed for temporary use in patients with unusual anatomy or pathology, such as those with a thick neck, bull neck, obesity, or trauma. This tube is designed to be adjusted for both horizontal and vertical shaft drop, ensuring a secure airway without the need for endotracheal tubes in tracheal stomas. The tube features a tight-to-shaft (TTS) cuff that facilitates stomal insertion. Each tube comes with a tracheostomy tie and an obturator/introducer device. Please note that this product is not intended for home care use. The tube is cuffed, has a size of 6, and is extra long for better fit and comfort.